How to Release Fears and Traumas with Hypnosis

  Alright, we are living. Welcome, guys. Welcome to the journey within It’s a journey of deconstruction and reconstruction of death and rebirth and today, I’ve got a very special hello hypnotist the founder of Twin Ravens Hypnotherapy and Research J Robert, Parker, In The House. Thanks for having me, man. Thank you. Thank you, dude. I think this will be a fun conversation cuz I mean, we. Absolutely. We both study hypnosis and I’d be very interested to get your perspective, you know, and how you got into this. So, um yeah, if you can share a little bit about who you are, how did you even get into this strange world of hypnosis? Uh, that’s an odd story. Um so, previously before the pandemic had been working as a chef uh that restaurant was actually where I met my partner. We did the stereotypical line cook ends up with the waitress thing. Interesting. And uh the the pandemic hit. And I had kinda seen the writing on the wall long before it had an effect. Long story short, you’ll say we both ended up out of jobs and it failed me to kinda pull something out of my bag of tricks to make money.   I live in a very, very small town and there’s not a lot of ways to go about that. So, I ended up reading tarot cards professionally. And I was making a pretty good living doing that. And I noticed that I was reading people’s fortunes so to speak. And more using the archetypes of the tarot cards. Uh reframe their problems to them and help change their perspective And I got a lot of satisfaction out of that.   And I started looking into what is a way that I can do only that. Uh and of course in an abnormal way. That I can do that cuz why not? And the Facebook algorithm. uh that one random point but HMI in front of me. previous to that, I hadn’t had any experience with hypnosis. I wasn’t even sure if it was real. I was in that camp And I talked to someone from admissions and they intrigued me. I figured why not give it a shot? This seems very interesting. And I think I was about two classes into 101 before I got my mind blown.   The first time I saw the physiological responses of hypnosis. The things that can’t be faked. That is just reactionary. it just blew my mind. And then eventually I got to perform hypnosis and then, eventually, I got to experience it and that was a profound thing because uh going to that school, taught me a lot about myself and one of the things I came to learn is uh a lot of what I considered to be unusual behavior in myself. Uh wasn’t and a lot of what I consider to be unusual behavior in others, was it? I was just very extreme on one end of the suggestibility scale and I remember in class, they were explaining the traits of the intellectual suggestible of it’s like, oh, cool.   That’s me and I took the suggestibility test and I scored like, eighty-two, my first time I wanna say. Jeez, man, that’s such an interesting thing because you’re, I mean you’re so rare and for you to be in hypnosis and experience hypnosis, uh I’m curious like who hypnotized you and how do they do it, right? Because you’re like the hard type. it was actually in a practice and it was with somebody I mean, I guess I should mention, this guy named Paul Villa Real and he’s since graduated, I believe. And uh, I told them what my suggestibility was and he said, cool. Can I try something? And he did what’s called an auto dual induction and that was the first time that it happened to me and that got me. It got me well enough that the next day, I wrote my custom version of that script uh based upon what worked for me and that was a very unusual thing because Previous to that, II did most of my experience with trance with self-hypnosis.   Like, I can kinda help people along whenever they’re practicing on me because I was very aware of that state in myself and where I’d been there in the past, all that stuff. but in terms of outright just being hypnotized by somebody, uh that was the first time, and uh That was profound. Uh, the things that I learned and saw in that first time still kind of uh guide a lot of what I do for my clients. Because one of the things cuz I don’t remember too much of what was addressed. But one of the things that stands out to me as I was introduced to the future version of myself like 5 years in the future or so And that was profound to me. And that person that I saw kind of sticks out in my head and every day I think about what I can do to get to that point.   And I have used that to a very great therapeutic effect with certain clients. Uh, I got the specialization in transgender hypnotherapy And one of the things I found with my transgender clients is that that class made me realize so much that it wasn’t just a psychological thing that it was a it was a physiological thing. And in that, that means that your brain is telling you that you look one way.   And what you’re seeing in the mirror is telling you something very different. What if you were able to meet who you know you are? What if you were able to meet the person that looks how you know you’re supposed to look? And I find that having that, giving that to that person is substantial to their sense of self and their sense of well-being. Interesting. So, that does sound intriguing for so for someone who is, you know, they’re looking to meet their future, you know, 5 years from the future self. How how can we do that? Um, do you do that through self-hypnosis? Is this a visualization? Um. Um. Visualization. Visualization. I tend to use the LAL. Uh the uh for anyone listening that doesn’t know what that is. It’s a type of hypnotic induction or deepener where you start at a certain floor on an elevator and go down. The elevator opens and you meet this person and I make no attempt to describe this person.   It is simply you in advance and II tell you to notice how this person looks, how they hold themselves, how they smell, like how, how they and depending on your suggestibility is kind of how profound that experience is. I um I don’t get hardly any visualization. Uh, I get weird flashes. Uh, I can’t smell anything. I don’t get anything auditory but I get a very heavy kinesthetic response. Uh. Interesting. Fuel things. Yeah. In imagination, right? In hypnosis. It’s not like you can’t smell things right now. Yeah. In the context of hypnosis. Right. Um. feel like if you tell me to walk downstairs, I will like to feel the stairs under my feet and things like that.   That’s fascinating. Okay. So, uh for people who are listening, they’re like no idea like suggestibility type, intellectual, physical, you know, you know. Maybe like. Yeah, yeah. Yeah. Cuz like we know, we know exactly what we’re talking about cuz we’re from the same college but um I mean, you break that down and uh yeah. Yeah, just go from there. Okay. Well, you’re the host. Why don’t you explain suggestibility to your audience? I’m Good, man. I could, I could. So, I was like, yeah, why not and you can critique me. But I’m not the one So as you, like you were saying, right, we’re all, first of all, we all can go into hypnosis. That’s a very, very natural state.   And um, we, but we’re just on this kind of this uh, scale of suggestibility and some people do better with certain suggestions. versus others, and I lean towards kinda where, where you’re at, where it’s like, we do the, the indirect stories, and then on the other side is the very more paternal, hey, you’re gonna feel this, this is gonna happen, you are now in hypnosis, X, Y, Z, right? And that still does, that can work for me and you know, for others, but, not honestly for you, right? Cuz you’re, you’re very objectively something. If you are literal with me, you just hit a brick wall. Yeah. So I mean like go ahead. Go ahead. I respond very well to stories and um that is so my entire life like I literally when I was a teenager my friends used to text me and just say tell me a story. I just make something up. And to this day if you tell me to make up a story, I can.   Like, just off the top of my head. And I uh, a big revelation and it was initially thanks to the man that uh ended up being my mentor. uh, Joe Burns. Oh, dude. Yeah. Awesome. Yeah, and he told me, to throw the script away. Don’t work off script and I took that to heart because it’s much more intimate and so now, that’s what I do. I make up stories. Those same stories that I used to make up for my friends. I now just make up for clients that a lot of the paperwork that I have them do uh for their life history and the um the questions that I ask and the initial consultation and session are kinda getting to know like what story you wanna be told, how you want your story told, and for example, I have a client who recently came to me and this person is a software engineer.   Uh a somnambulistic software engineer nonetheless and II just decided because this came at a time in my career I become very frustrated with pre-written scripts. Like I had thrown one away in the middle of a session. Hm. And those three sessions that I had that day I told myself like I’m not gonna prepare a script. I’m gonna figure out my inductions. I’m gonna ask some questions. And I’m just going to make myself go. And I did. And those were three of the best sessions I’ve done. And what I end up doing with the software engineer is I spoke to them with metaphors of code, visualizations of computers, and debugging.   And um, Sure enough, that that that safe place in their head was represented as a computer bank. what the way they perceived that computer bank uh mandated where I took that therapy. Just to kind of adjust their visualization. And that’s had fantastic results. Right. So, it’s like when we tailor the therapy to the individual client who’s gonna have, you know, a different background. They’re gonna have different metaphors and um now, this is good cuz um the way I explain like the unconscious and the conscious is that the unconscious is just the realm of metaphors and emotions and it that that seems to be the reason why uh we humans love stories. It’s all. Yeah. Metaphors. Exactly and I ask people.   One of the examples I give is, have you ever watched a movie and gotten angry or sad or happy? Uh based on what was on screen. Of course, the answer is inevitably yes. Yeah. So, yes, why? You consciously, logically know that you are watching a falsehood. You know these things aren’t happening. So, why do you feel these emotions? And the answer is that. Your subconscious does not differentiate fact and fiction. It’s a metaphor. It’s a and that’s all it sees that’s well, everyone but the high physicals. Uh, the high physicals don’t tend to dig the metaphor or anything like that. You just gotta tell them how they wanna be and it’s fine but uh for everyone else, it’s and at this point, because of this mentality I’ve taken with my I guess be hypnotic storytelling. Every time I watch a movie now or read a fiction book. I start noticing ways that I can retell that story for different applications or specific scenes.   One of the most amazing movies I’ve seen recently is uh have you ever seen that Disney movie Inside Out? Yes. Yeah. Yeah. Uh. Yup. Have you seen it recently? No, that was like, wasn’t that like a decade ago? Yeah. You should rewatch that. Uh mental health professionals helped write that movie and it is still used in the mental. Well, that makes so much feel today. Yeah, that makes so much sense, dude. Yeah. When you rewatch it, with knowledge of the subconscious and metaphor It’s it blows your mind. So, okay. There’s that scene where they enter the subconscious and the critical mind is represented by those two idiot guards.   And how do they pass by the critical mind? They confuse it. That’s my hat. No, that’s my hat. Wow. They do a confusion abduction to get rid of the gatekeeper of the subconscious. And more than, when they’re actually in the subconscious, and this speaks to a lot of what I say about fear. One of the first things they see is a giant vacuum cleaner. Um because the way that girl’s subconscious remembered that is because the way we remember our fears is in that moment in time. Frozen at that moment in time. So to that fear and that perception. That’s a giant vacuum cleaner because she was very small when she got that fear. And that has a lot to do with how I address fears and hypnotherapy. Because one of the things I stress is when we have a fear or a trauma which I argue is the same thing because we’re not afraid of something and we as we’re traumatized by it and if we’re traumatized by something, we have a fear.   And what I it’s all where it happened at the time. For example, if you became afraid of a vacuum cleaner as a baby or a very small child, the vacuum cleaner would appear much larger because according to your memory and your perception, which cannot be changed until it’s addressed in hypnosis, that thing’s giant or maybe you were bitten by a dog when you were a child and you remember it as just Kujo, some giant, hell hound that almost tore your ankle off because it was so intense and traumatic.   Where and hypnosis, maybe it’s just a Jack Russell Terrier that bit your ankle. Hm. When you were 6 years old and you had the emotional intelligence of a 6-year-old. So, you’re going to retain that memory as a 6-year-old until you readdress it and allow that person to uh gain a new subconscious understanding and association of that event. So, I’m gonna try to play advocate here and say, okay, I get it that, you know, when we were six, maybe we’re scared of a vacuum cleaner cuz it seemed very big or a dog or whatnot and we had to distort perception, right? But now that we’re adults and that we have developed our prefrontal cortex and our reasoning and now, we can go and we can experience that, you know, dogs are generally safe for the, for the most part, and happy and man’s best friend, or the vacuum cleaner, you know, it’s fairly harm is.   Right and so uh why can’t we just maybe um do a little bit of exposure therapy, a little bit of cognitive behavioral therapy, and just say, hey, this is uh, this is false, this, you know, you can, sometimes. Um, and it depends on how traumatic the memory is. And really, a lot of the way that fears are addressed in hypnosis has to do with uh, desensitate, desensitization, that the same things you would do in the physical world you can do mentally. If you were afraid of dogs rather than go so far as to address that fear live and in person with the dog you could go through that same process of consciously and realize that you have control over that emotion. There’s uh as you know there’s something called circle therapy. Where in hypnosis you are presented with a fear or an anxiety and you are asked to recall that fear and the emotions associated with that fear. Consciously. So, you bring it up on purpose. And then it’s at the same time you tell them to bring it back down. And the purpose of this is for one, every time you tell them bring it back up.   It’s a little less. But they gain the understanding that your emotion and your reaction is under your control. The way that you choose to react to this fear is 100% under your control. And once there is that realization, fear tends to fade. or it’s not yours. Uh, that’s an interesting thing I’ve encountered before. What do you mean? Oh, it’s not yours. just that. Um so, I did uh a podcast couple of months ago. Uh about fear. It was called fear. It’s run by two clowns and they were interviewing a German spy who had a fear of heights. And I uh and this is on my website by the way. Everything I’m about to say you can listen to this interview. But this person, this man, um not the shy away from it. He’s a government killer. Like he is what he did. He was in special operations. He went into places he couldn’t talk about and did things he couldn’t talk about.   He was afraid of heights. As unusual as that is. And uh this was all done in about twenty minutes. I transit him. I took him back to that moment on the plane. Cuz he got that fear from his first training jump when he was seventeen. And in the process of just walking him through that moment. He realized something. That he had forgotten about until that moment in hypnosis obviously, this person was a very high physical. So, they said they could feel the vibration of the engines.   They could smell the gas on the plane. They were there. Um, the kid that jumped before him screamed in terror and he went from being fine and calm to terrified. But he didn’t remember that. And so at this moment, he realized that this fear he had been carrying for decades wasn’t even his and I called him out of a trance, and within 5 minutes of that, he was hanging off the side of a balcony. Saying like, I don’t feel a thing.   Huh. So, yeah. This is all in hypnosis. Yes. Um. And not the balcony thing. Yeah. That’s what’s interesting. So, he remembered in hypnosis the um. The other kind. Where’s my cause? Just got scared. And it wasn’t even his fear that that kid’s fear transferred to him and before he had time to process it, he was kicked out the door. So, this entire time, he’s been perceiving this event as his fear when as you know, if we’re around someone afraid or scared or happy, if but for a short moment, we feel that before we process it out as not ours but what if you didn’t get that chance? What if you feel that fear and before you could be like, man, that kid was scared.   Somebody’s grabbing you by your collar being like, your turn. and he just perceived that as his fear. So, yeah, fear didn’t belong to him. Wow Yeah. So, I’d be curious um on your philosophy when it comes to trauma, right? So, for that particular case, I guess he just, he was able to kinda remember and and and bring up that unconscious material and then, oh, hey, this is not my fear.   Um but do you think for trauma? Before we even get to that, what do you mean when you say trauma? Trauma is any event. leaves an impression later down the line. Usually negative. Uh, I guess it should be specifically negative. Um, something that leaves an imprint, something that uh like, okay, this would be just seen in the movie Inside Out. Trauma is when a negative memory becomes a core memory. that that it becomes a core memory is an aspect of your personality. So, it’s. Oh. Whenever something negative becomes a core aspect of your personality.   Because of course, we all go through negative things but what if that negative thing is so extreme or its perception is so extreme that it formed every opinion and perception that you had after that event because it was a core part of your personality? Hm. That’s why that movie’s so good. Like, dude, I need to rewatch. You do. I took notes. I’ve got notes somewhere on that damn movie. Well, yeah. I feel like I’ve matured so much since then and then with the knowledge of hypnosis and now, parts therapy. So, I don’t know if you ever heard of uh internal family systems or any kind of parts therapy. I’m sure you, I mean, we, it’s, it’s been mentioned here and there in the college. Yeah. But um yeah, it’s so amazing now that I’m in like parts therapy and I’m sure it would, you know when you see all the different emotions like, oh, that makes so much sense.   Like, yeah, we have all these different parts of us that sometimes different things and it gets into conflict, you know? So. One of the things that I’ve really kind of come to realize through doing this work and that I tell all of my clients is we are all at our core children. We are all scared eight-year-old kids. We’ve kind of got that cuz that’s when we form our core beliefs from zero to eight. So, by the time we’re eight, that’s our core self.   Yeah. And that, that you, all exist and that what it means to be an adult is to learn how to parent yourself. How to parent your inner child. And that’s a perspective that I ask a lot of my clients to take. Because II asked them especially the ones that have children. Like the way, you talk to yourself. When you talk to your child like that. Yeah. But is that the way your parents talk to you? if you didn’t like that, why are you continuing to treat yourself like that? Why, why don’t you give yourself that same understanding? Because what, think about it. We all wanna stay up later than we should. We all wanna eat **** that we shouldn’t but we have that voice in our heads. Like, no, you have obligations in the morning. You have to get up or you know, that’s gonna upset your stomach or whatever have you and it’s the same things you tell a child but you have to tell yourselves.   So, the way that you speak to yourself in that regard is very important. Yeah. Um what I’ve realized at least for myself, is that there’s even more than one inner child. Yeah. You know, there are lots of parts of us um that that have different goals and different perceptions and might get, you know, yeah, might get into fights or something. Um and so, it’s not even just the inner child but like, how do we parent all the different parts of us and realize that there is no bad part? You know, you wouldn’t call a child bad. You just would. Exactly. You know. Um, re-educate them. I heard something. I can’t remember if it was in class or in something I was watching. But it said that everyone has good intentions. Yeah. Everyone. No matter how evil or messed up. If anything there are always some manner of good intentions at their core. Yes. It could be wildly misperceived. It could be a mental illness.   there are always even, even crimes of hate, even when somebody murders someone else, they’re trying to satisfy something in them. They’re trying to make something in them go away. So, they’re trying to take care of themselves. Yup. Or they feel some weird obligation to fulfill. It’s all manner of reasons but all all of these things boiled down to. They are for themselves or someone else or whatever have you. It’s good intentions. Just like your subconscious Yes. Always has your best intentions in mind. Even with traumatic things. Even with bad reactions. It is still just trying to protect you. Yeah. Just trying to preserve its homeostasis. It’s normal. yeah. Now, that’s powerful. And I think when we understand that, you know, I think sometimes we can like vilify the subconscious or vilify these different behaviors but they’re all serving some kind of purpose.   So, you know, if you’re, if you’re traumatized, it’s trying not to get you into that painful situation. Yeah. Yeah. Yeah. So, if you have crippling anxiety, it’s you’re subconscious, it’s your mind trying to protect you. You just have this fear reaction that’s out of control. And It’s there’s a lot to be said in terms of healing just for the awareness of that. So much of my work and especially my breakthrough work with clients has been through subtle changes in perspective. And that’s it. It’s not much more than that. It’s sometimes there are some changes to behaviors or thoughts changes. But a lot of it has to do with um the way you look at a situation, how you perceive it, why you think this way, why you think this way about yourself Although it’s stereotypical in therapy, I find myself asking the question, why are you feel that way? Where does that come from? A lot.   Right. And there’s always something. There’s always another layer deeper until you get to that aha moment. And you can tell whenever something has left their mouth that even they didn’t think of. They’d never even made that association before. And just by having that come into their conscious mind by being able to consider that logically. You’ve already gone so far in that healing. It’s like when we raise our awareness and take different perspectives, then, behaviors start to shift. Well, it’s like uh I’m not a big NLP guy but there are some aspects in neuro-linguistic programming that I like and one of those is the mindfulness aspect. The idea of being aware of what you’re thinking. Uh taking control over your thoughts. I thought Joe did a very good example when he talked about how he was crossing the road and he started getting this perception of these men in this car at this crosswalk about how they wanted to do him harm and he started getting anxious about this imagined situation and he stopped himself and he forced his thoughts to something ridiculous.   I forgot what he said he pictured those guys in this car doing but immediately changed his thought pattern. Yeah. And he was able to just walk away and he looked back and he said, they’re just both on their phone doing nothing. And that’s right. He’s told me that story too. That’s right. Yeah. And II love that story. It’s hilarious But it’s a very good example. Because so so often we let our thoughts kinda run out of control. And it does us some good to stop and think like why do you think that? Why are you thinking that way? Why? Why do you believe like there’s something to be nervous about in this situation? Where is that coming from? Hm. All your trail back. Figure out why you’re nervous. So we’re so for somebody who likes you asked them that like oh why are you nervous? Why are you afraid? And they’re like I don’t know. No idea. Well. What? How did you ask? Mhm. What makes you nervous? How do you feel when you’re nervous or afraid? Um did you, were you always afraid of this? If you weren’t always afraid of this, when’s the last time you remember not being afraid of it? When is the first time you remember being afraid of it? most time in my experience, people haven’t taken that logical path back.   They just stop with, I don’t know. They it’s that self-examination is difficult. Um, a good example of this is I had a client that said that They wish that they were able to perceive themselves as others perceive them, as strong as others perceive them and I said, well, why don’t you think you’re strong? got into a car wreck and I felt like I could have done better and I felt like I failed. Why do you feel like you failed? Well, because I couldn’t be there when my grandfather died. and there was just this dawning realization when they said that.   And I was like, you never said that out loud, have you? No. There you go. So, that is currently on the table for the next time and uh it’s just a good example of just keep following the path back. If you do, there there’s always a reason for the behavior. It’s never an I don’t know. There’s an I don’t want to remember. There’s uh I choose not to know but. Yup. There’s not a mystery. There’s always a reason that Could be had through questioning, figuring out when and where, and all of that. Yeah. Yeah. So, I’m curious cuz there are different schools of thought and not even hypnosis but in therapy that maybe, hey, don’t go back to the cause.     You know, that’s just bringing up things that um that don’t necessarily need to be brought up or you can retraumatize people. X, Y, Z, focus on the solution, focus on the future, and more of like the positive thinking kind of approach. Um, I’m curious about what your thoughts on that are. It depends on the trauma Uh if it’s something like that they view as very grievous, it is something bad. I don’t ever ask people what their traumatic thing is.   Like, you can just tell me that something bad happened in 2,000 seven. And that’s all I need to know. Uh, beyond that, all I, with, with that, I will, there’s a couple ways. But you, there’s no direct reexperience. You don’t take them back and make them live through it again. It’s antithetical to the goal. What you do is you take away that association. You make that not a core memory. They don’t focus on the events. They focus on the resolution. And the letting goes after that resolution. There’s a method that I very much enjoy that involves having them perceive this event on a screen. And they fast forward and rewind and fast forward and rewind until all that exists before the event and after the event. that that association is. And then after you establish that, you let them let go of that memory, of that association. And Trauma is very dependent on what happened. And uh sometimes it’s dependent upon um my referral. Because many times whenever it’s complex trauma uh I’m speaking to them on referrals from a mental health professional.   Mhm. And a lot of it has to do with my communications with that mental health professionals. Whatever you learn. You know you’ve done. What do you need to be done? Um, it’s very important if you do find yourself working with uh medical doctor or mental health professional to get on the same page with them. Like involve yourself in that client and have them help you, help them, help that client. It’s a team effort at that point. It’s so dependent because II work with people with combat PTSD. I have uh postpartum depression. It’s just a matter of where this trauma and negative behavior come from. Often, uh with the combat PTSD, it’s always really heartbreaking to do those and I’m very happy that I get a chance to work with those men and women. there’s a lot that’s, for example, like what they’re not allowed to feel. Because you’re expected to, I literally soldier on. Hm. And there comes a time that that’s not a thing anymore. That you have to address what has happened to be able to heal.   And I see a very similar thing in combat veterans that I see in people who suffer from trauma. they’ll go back to the closest safe save point in their head Uh it’s usually sometime when they’re a late teenager or soldier. It’s generally seventeen, or eighteen. And they’ll start adopting the traits that age. because they have all of these traumatic memories from older when they were older. So, it seems like psychologically, they just go back to the last time they were safe and untraumatized because it’s no longer safe to be an adult and I see that repeated time and time. Yeah, it’s. Wow. Interesting yeah, it must be very, very difficult to work with.   Yeah, people who experience extreme, extreme trauma. Mm-hmm. So. I’m glad you are. But it’s one of those things like, once I realized what hypnosis was capable of and what it could do I kinda felt obligated to offer my services to them because it doesn’t matter what you think politically. It doesn’t matter what you think about war or the war or soldiers, the government, or anything like that. It has to do with these are deeply traumatized people who not getting the care and resolution that they need. I just feel obligated that if I have this toolset that allows me to give them that resolution, I should, that it doesn’t matter anything at all if I’m anti-war, pro-war, anti-government, pro-government, none of that.   None of that matters. It’s just people. It’s just men and women who have seen things and done things that no one should be asked to see or do. And that’s it. That’s all it is. I’ve had a chance to see a wonderful change in those people because so much of it is it’s just difficult for them to deal with that, to face that. Whatever it is that they see. to do that is profound. To give them a safe place to do that. That is guided and secure. And it’s an interesting thing that for some reason people are hesitant to seek out psychotherapy.   I have no problem with hypnotherapy. That. Really? Yeah, and I don’t know why that is. it’s fine and generally, I will encourage someone that if this isn’t something that they’ve seen a therapist for and they need to in the process of things, just be like, okay, now that we’ve kind of helped you through this, you need to consider bringing on someone else as well.

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And therapy isn’t the cure-all. It’s great for a bunch of things but sometimes you need other stuff. Yeah. Yeah. In fact, like, the way I see it is to attack it from every angle. Mm-hmm. Absolutely. Yeah. There’s no reason not to bring in everyone who could help. Yeah Perfect. So, uh I’m just going back to um you know, how you got into hypnosis and you talked about, you know, self-hypnosis and I’m sure that that has helped you and I mean, it’s helped me. I think it can help a lot of people where they can just utilize this modality, get over, get over some fears maybe, you know. Absolutely. I’m curious how, how you do self-hypnosis and what’s worked for you. So, that’s changed recently Longest time I did it as we were trained.   And uh one of the things I’ve started to focus on recently. my self-hypnosis work and with my clients is nostalgia. This weird thing that exists in our minds seems to be separate from everything else. And what I do to self-hypnotize now is II focus on one of my far-off memories. Like one of my distant distant nostalgic childhood memories. Now form that as solidly as I can and just start doing breathing exercises. And focusing on that nostalgic moment and gets me right into a trance every time.   Interesting. And do you think that would work with other intellectual suggestions? You know, high E note? Uh, I have clients that nostalgia has started to become a major part of our work. Because, um, I don’t even know how to define it. It doesn’t exist in a space like other memory. It’s it’s different. It’s more intense. It’s standard memory. It doesn’t have that feeling that’s associated with it. And I don’t know what that feeling is. Um actually, that’s one of the things that I want to focus on the most with research as that’s what nostalgia is and what its uses are about hypnosis. Yeah. Um and it’s, I’ve already started using it with a few clients, this notion of focusing on intense nostalgia to facilitate trance and I’ve had very good effects. Yeah. Well, that’s that reminds me of Erickson and I’m sure you know his story by the way, for people that are watching that and not familiar with Eric’s uh Milton Erickson, he was one of the greatest hypnotherapy of all time and did very indirect, artfully, vague, lots of metaphors and stories and god just brilliant results as a genius and um you know, when he was younger, he had polio, couldn’t move, thought about a memory of when he could and then all of a sudden 30 minutes later, he found himself Maybe.   Well, that’s why a lot of the clients that I’m working with nostalgia are my clients that have self-perception issues and self-confidence issues Because nostalgia exists in a point of pure happiness. You don’t have negative nostalgic memories. Really? And yeah. This nostalgia by its very definition is positive. Huh, and it’s it may or may or may not be true because memory sucks but it doesn’t matter because your perception of that memory is nothing but positive. Nothing but happy. And so by recalling these memories, you’re able to recall this happiness. Uh, one of the more interesting bits of homework.   That I’ve given my clients is uh sometime between now and our next session. Go on YouTube and look up an hour of old commercials or old cartoon intros from your childhood or something Like that. Um. Cartoon Network. Yeah. Something. I’ve uh I spent like 2 hours one night just watching intros to cartoons from the nineties. Like that’s it.   And I’ve kind of become very focused on it. I very much love that sensation of nostalgia. I think it’s important therapeutically. That’s kind of why I put so much effort into exploring it myself. Yeah. Uh, Anytime I have like a nostalgic memory or thought, I kind of try to capture that and examine it and like figure out what I could do to bring myself back to that time and just that ponder ance alone has a hypnotic effect And I don’t know what it is about where nostalgia exists in the memory. it’s its present. there is an odd field of science. That’s kind of coming up now. That’s the quantum sciences. And there are some individuals doing work right now. or up to it including hypnosis that are fascinating. Um, the main person I’m speaking about is this guy named Doctor Dean Raiden who is the head of the Institute of Noetic Sciences. And yep I heard of them. Uh, he wrote a book called Real Magic. That is the scientific research and analysis behind certain processes. Like ESP whatever have you. Um, and it’s done strictly from the view of science and research.   And These things are related to hypnosis because if the institute can be said to have any goal or direction, it’s consciousness research. Why? What are we? Why are we? I kind of think. Yeah. And the book doesn’t answer any of those questions but this book does provide uh an interesting indication of the direction of science and what we’re looking at in the next twenty years. One of the most fascinating things uh about living in this time certainly isn’t the plague or climate death but uh there is a concept called the singularity and there’s a version that exists in AI and there’s a version that just exists as humanity and the idea of the singularity in terms of humanity. Are that human technological eras exponential? That to get from the bronze age, the iron age was like two 2,000 years from the iron age to the industrial age like a thousand. Industrial age. It only lasts two hundred. Then, you get to the point now that the internet age only lasts twenty years. So. Oh, we’re not, are we, Oh yeah, you’re right.   Uh-huh? I was just trying to think like, well, yeah. And. Previous to that, the computer age only lasted like fifty And so, now we are approaching this point in human evolution and development that um progress. The human era can no longer be measured. That each human technological era begins to overlap itself. And that progress became becomes foreseeable by the organic mind. we have a date for that. And it’s twenty-forty-five. Uh between twenty forty-five, 2055 is when the singularity is supposed to occur. And what? So what is that what is that mean exactly? That means human technological progress becomes infinitely fast. Every day there are new technological breakthroughs. Every day there is more progress. Um.   How does even determine this state? Do you know? Well. I don’t know. Smarter men than me have done this math. Yeah. But it’s you see it evident in human evolution. These cuz there’s there were times in our history when thousands and thousands of years were spent the same. centuries were spent the same. There was no real development. It was just kind of an age. Living in the era that we live in now, it becomes very difficult to conceive of that. Because even if you’ve been around for twenty years, you’ve seen insane amounts of progress. And that simply just didn’t happen. Previously. Right. Ever since the industrial age for better or worse, we’ve sprinted towards this exponential progress, and as to what singularity looks like, oh no.   Uh, I surely just hope it’s not a new iPhone a day. Uh, I’m hoping it’s not the AI, you know, um. Oh, god. Take me over the world and. The matrix. I uh. I’m kind of opposed to AI. Kinda not. Because to get AI, we have to first solve the consciousness problem, and we solve the consciousness problem. Good luck. That pretty much unlocked the singularity right there. But at the same time okay, let’s say if we unlock consciousness, let’s say we’ve created an artificial intelligence. We have created a thinking, feeling machine. The feeling of what? How do you know that consciousness implies emotion? What, how do you know what that emotion is? Right. Right. It’s defining consciousness. Mm-hmm. Which is the tricky part. So, and then one of the interesting questions I’ve, it’s been posed to me is does emotion evolve? Are we more emotionally intelligent now than we were 500 years ago? You gotta remember 500 years ago, what was considered fun was watching the local heretic gutted in the public square.   So, I have to think that, yeah, we have grown. I, I do think we’ve owned in some ways, and at the same time, you know, there’s always going to be some kind of watching people get, you know, it’ll be a violent movie. Um. Yeah. Yeah. US, UFC, you know, we I mean II remember. Yeah. I don’t know how old you are but. I’m almost forty. There was a show on in the 90s called America’s Funniest Home Videos. That’s right. And it was hosted by Bob Saggett for some reason.   And uh there used to be a rule. But it first came out. That no one could get hurt. And the video. It was an explicit rule. What? no1 could be injured. Yes. Well and then the dude getting hit in the nuts by a football One 3 years in a row. And they realized their entertainment value. Exactly. Cuz when I watched it, it was like 80% of people getting hurt. Yeah, absolutely. Yeah. And uh that’s an interesting aspect of humanity that to my knowledge, only the Germans have attempted to quantify.   Uh, they have a word called uh Shodden Freuda. Which basically if I remember right, translates to the sad joy. And it is the pleasure that you get from other people’s pain. It is you who laugh at someone falling downstairs. It’s the reason you laugh at anything like that. Though the Germans have a word for it. It is Yeah. It exists Universally. And that is the very reason that um that that things like America’s funniest home videos or **** exist. Yeah. And it has to be II wonder really what is it psychologically that makes us like that? Is it a survival aspect of that ain’t me? Yeah. Yeah, I don’t know. Well because one of the weird questions I’ve never heard answered is uh why do we laugh? Like what even is laughter? Right. What is humor? Yeah. Uh-huh. and um because it wouldn’t exist for no reason. Laughter has to have a function the most interesting notion that I’ve heard is it was made as a diffused mechanism. The whole idea of why we find humor or awkwardness humorous.   Because of like let’s say you were walking around the pack way back in the day. And you heard the Bush’s Russell. And everyone gets scared. You see the rabbit jumps out, so you laugh. And that signal which creates a neurological response in any human that hears it Is a way to signal the all clear. And maybe it’s a way to signal that hey that wasn’t me that just slammed into a **** curve on a bicycle or something like that.   Like I don’t know what that is. I don’t define what humor is or why we laugh, to begin with. Right. Difficult question. And then you make it even more complex by the fact that some animals laugh. Really? Uh. Huh. Rats will laugh. Horses will laugh. Um, horses have displayed complex humor. Rats will laugh. Rats, you could tickle a rat. It’ll laugh. Giggle. That is so strange. Wow. They’re hyper-intelligent. Um, A horse. There’s some search horse prank on YouTube and you will get nothing but videos of horses taking revenge on people and laughing about it or playing a prank on their handler or something. it’s pretty.   That’s always been the strangest thing to me because that implies very complex emotional intelligence to have humor. Yeah. Well, we’ve strayed. This is a very interesting topic for sure, man. Philosophical, psychological, like cultural, uh what’s called anthropology, anthropological questions. Um kinda tying it back to hypnosis. Well, I mean and you were talking about singularity and consciousness. Was that, were you going somewhere that in terms of hypnosis? Who knows? Um well, probably where I was going with that. Um if not, where I’m going now is that what we do is going if it’s not already it is going to become vital to consciousness research and what it means to have that type of increased development that we can analyze ourselves and others in ways that we haven’t been able to in the past. I’ve heard some theories that the notion of metaprogramming. Being able to actively change our thoughts and behaviors is uh an evolutionary step that is not something we’ve always had.   That this ability to change everything about ourselves to suit our purposes is evolutionary. And I will take that one step further one of the things that I propose in many of my interviews is we don’t have free will. If everything of what we do is a product of association and learned behavior. How is that in any way an expression of choice? Now where free will comes in is when you choose to alter that behavior to suit your life when you choose how you want to view something. When you choose how you wanna act and react to something. Right, but aren’t those also dictated by past programming, by culture, um your knowns, so to speak? Yeah. You know. Could be. But it is the conscious choice of say if you have anxiety and you wish to resolve it. That is a conscious choice. Um. Right. Another example of a guess is if you don’t like a certain food, well, it stops.   Like it. But you can’t. Okay, well, what if you could make that choice? What if you could just choose to make a certain food or like reading or like something in particular? What if your association was different? And that’s where the change comes in. That’s where the choice comes in. At least I think. That’s just uh the logical quandary that I like to present to people. Yeah. You know, this whole free-will discussion, man. That’s above my pay grade. I do mean on most days, I lean towards, you know, there probably is in free will but What I will say is I think it’s important for us to believe that there’s free will even if there’s not. Just to function in society and for mental health and yeah. Um, there are a lot of things like that that you don’t have time to get into today but it exists for you.   You just have to play along to function. The biggest landmine in thought projects I could think of is simulation theory. Because you can neither prove it nor disprove it. So you could just continually fall that rabbit hole. So what is simulation The idea that we live in a simulation? Okay yeah, the matrix. Yeah. Yeah. Yeah yeah. There is no way to prove it. There’s no way to disprove it. Yup. And I have no couple of people that fell far down that hole. Yeah. So, now, this is not a lot of quantum physicists, okay? And obviously, I’m not anywhere near that realm and intelligence but from what I’ve heard and read and understand as a layman is that there is an interpretation that will lead to us being in a simulation, there are some quantum physicists who would say that, and um. Uh, who’s the deal? That it is. Yeah. Statistically more likely that we’re in a simulation than not. Is it? Yeah. Yeah. And it the singularity comes into that because it assumes that any civilization that gains enough technology to run a simulation will do so simply to gather information and that given our technological progress, it is more likely that we have reached that point and we are in a simulation, then, it is not.   So, wait, maybe the similarities are just when our when our holes pop open and we all get to come to to play in the real world. You know what? I think this ties nicely into hypnosis. Yeah. Okay. Because our beliefs, our core beliefs, a lot of them, are just BS. Yeah. It’s all perception. Reality is perception and as hypnotists, we can help you change that perception. Yeah, I don’t know if you, if you’ve been part of like a stage hypnotist show, hypnosis show? No, I’m opposed to stage hypnosis. What? Uh. It’s something I’ve to develop and like, yeah, I get that reaction a lot but speaking to clients and speaking to podcasters doing interviews, Stage Hypnosis is responsible for 90% of the misconceptions and falsehoods about hypnosis.   And I could say To me, hypnosis and hypnotherapy is a very, very, very powerful tool and it needs to be regarded as such and if we’re up on stage using what is supposed to be a powerful tool to make people stand on their head, that doesn’t allow people to view it with the, the gravity that they should because, to them, it becomes this, this parlor trick this and more than that, I’ve encountered people who’ve had negative experiences with stage hypnotists. Uh because of what they’ve experienced on stage, they would never get hypnotized again.   I’ve thought about that a lot. Would I ever do stage work? And I think at this point, the answer is no. Uh, I would do parlor work within a small setting like Transing one person in front of a small group just as a demonstration. That’s fine but doing it as a spectacle in front of a crowd. I think personally, this is only my opinion that it robs hypnosis of some of the dignity that it deserves. Hm. And I understand why it exists cuz yeah, it’s a neat thing But like, given how important I feel that hypnosis is to, in the understanding of it is to our health. Did damages its capacity to do so, by it being a stage show. Here, here’s my kind of argument. Um, because if show somebody that, you know, hey, I can make you bark like a dog, cluck like a chicken, uh via the power of hypnosis.   Imagine what it’ll do therapeutically. Imagine how easy it is for you to quit smoking or lose weight or you know. How many are to go to anxiety? Going to be convinced with that versus how many people are going to be convinced that it’s fake or that? Yeah, I know I get a process or that it’s mind control. Yeah. And that’s the contribution to the negativity that comes in. And the media doesn’t help because every time you see a movie where hypnosis is involved outside of uh black magic, that one movie from the forties. Um, it’s all **** Like it’s all just weird. if that’s not actually how that works. But it makes people believe it. That’s why you ask someone to imagine what a hypnotist is. The first thing they think is that. Yeah. I have one somewhere. Hey, it’s a legit induction man. It works.   I know. That’s the whole reason I dug mine out is because like man if I’m a hypnotist I wanna trans someone with a pocket watch. Exactly. That’s why I got it too. Just for that. Yeah. Yeah. I got you. Oh, I feel like this might be a good stopping point, man. It’s been a fun conversation. I don’t know if there’s anything that you.   Yeah, man. Thank you for coming on and um uh is there anything maybe you wanna end with before um you know, ask you how people can find you and work with you? Um well, one of the things I always like to end with, you’ve already mentioned that hypnosis is natural. It’s normal. It’s not a metaphysical thing that this is a natural function of the human mind and that there’s no reason not to utilize it for positive change.   It’s there anyway. We’re not adding anything. So, it’s something that I believe anyone can benefit from But if anyone wants to get a hold of me, uh like I was so enthusiastically introduced, my name is Jay Robert Parker. I own Twin Ravens Hypnotherapy and Research LLC and you can get a hold of me through my website at WWW dot Ravens dot ORG. Very nice. And you are doing group hypnotherapy as well. Oh, yes. Um I, if you go to a meetup, uh meetup .com and search for twin ravens hypnotherapy.   I have a bi-weekly group hypnosis that I’m starting up. Uh, just kind of as an experiment, see how well it catches on but it’s just uh every other week, just doing some general relaxation, motivation, just basic stuff, and way. Anyone that wants to be able to experience hypnosis gets the opportunity. It’s not the same as one-on-one but your results may vary. Some people get a very profound experience. Some people likely do but you always get something.   You let them know what it is. Yeah. And awesome. Great talking to you man. Absolutely. And I just wanna vouch for Robert’s skill and his compassion and passion in this work cuz I’ve been in one of those group uh hypnotherapy sessions. And it was very powerful. So I recommend anyone who wants to experience the power of hypnosis, to change their lives, to go with, to with Robert and you’re in good hands. So, thank you, man. Thank you for coming on. Absolutely. Thanks for having me. Alright. Peace out, guys. As found on YouTube HUMAN SYNTHESYS STUDIO 👀🗯 Attention: Have Real Human Spokespeople In Your Videos Saying Exactly What You Want In MINUTES! 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How Does Exposure Work For Anxiety? Habituation vs Inhibitory Learning (Podcast Ep 226)

  Drew Linsalata This week on the anxious truth. We’re going to get a little geeky with it. We’re going to talk about how exposure works. Why sometimes? It only works part of the way and you wind up prone to setback or relapse. We’re going to talk about habituation versus inhibitory learning. I promise not to get too technical. We’re going to keep it friendly. Let’s go Hello. Everybody welcome back to the anxious truth. This is podcast episode number two to six recording in September of 2022. I am Drew Linsalata creator and host of the anxious truth. If you are new to the podcast or the YouTube channel and have just stumbled on the anxious truth is the podcast that covers all things: anxiety, anxiety disorders, and anxiety, recovery. Welcome. I’m happy you’re here, And I hope you find it helpful If you are a returning listener or YouTube viewer. Welcome back, Always happy that you’re here. Thank you for your continued support. Today we are going to talk about the mechanics of exposure, how exposure works sometimes and why sometimes it doesn’t work fully and why some people wind up in setbacks, and how we can maximize the value of our exposure. Essentially, this was requested by a lot of people when they asked about the difference between habituation and inhibitory learning, So it’s gon na get a little bit technical and a little bit geeky, but I’m such a nerd about this stuff. I dig this way back in school, at the masters level, to go through all of this stuff, But I promise I’m going to keep it a little bit friendly and that we’re not going to get too technical here. I’m going to keep it within the context of recovery, So before we get to the meat and potatoes of the episode, I just want to remind you that the anxious truth is more than just this. Podcast episode There are 200, something other free, podcast episodes. There’s a bunch of years worth of free social media content. There’s my free morning newsletter and podcast called The Anxious Morning. There are three books that I’ve written about anxiety and anxiety disorders and recovery. There is a free one-hour recovery, one on one seminar and there is a webinar that I do every month with my friend Joanna hardest. She’s an anxiety and OCD specialist from Cleveland. We do a webinar on the art of distress, and tolerance. All of those things are the anxious truth. Com Go check them all out. If you are already reading my books and you’re digging them maybe head on over to Amazon and review them for me, it helps me out And if you are enjoying my work, it is helping you and you would like to help to keep it Free of sponsors and advertisers All the ways that you can do that are at the anxious truth, com support. It is never required, but always appreciated, And thank you guys for all the different ways that you support my work. I appreciate every one of you So let’s get into this habituation versus inhibitory learning, So we know about exposure and we know about going toward the things we fear and not avoiding or trying to escape. We’re not trying to engineer our life so that we never get triggered. We know that exposure is an effective tool when it comes to anxiety disorders. We’re going to start from that premise because we know this to be true, But how does it work? I’m going to give you the TLDR. It the too long and didn’t read if you want to stop listening now ready Here. It is Old school exposure based on habituating to anxiety, which is all about learning that you’re, okay, as long as anxiety decreases or disappears Now that sort of works, But it leads to a fragile state of recovery and frequent relapses and setbacks. Current models of exposure are, in many cases a little bit harder. They’re a little harsher, but they’re based on learning that you are okay and can handle it even when or if you get anxious or panic. That leads to more durable and wider states of recovery, So habituation will get you to I’m okay. As long as I don’t get anxious, whereas inhibitory learning we’ll when we allow it to happen, we’ll get you to. I’m no longer worried about being anxious. It doesn’t matter Now, which do you think is better? I can tell you this when you encounter a fully recovered person that does not experience relapses or setbacks. You’re talking to somebody that wound up with the second result, not the first Alright, so that’s like the Reader’s Digest version of this episode. If you want to hit the eject button, go ahead and do that now, But we’re gon na get more detailed, So this can get super technical and geeky as I said, but I’m not going to get technical and geeky on you here. Now I could link a bunch of research papers in the show notes for this episode, which will be at the anxious truth com two to six, But that is probably a bad idea, And here’s, why. I know that many of you listening wind up almost obsessively researching recovery techniques and methods reading and reading and trying to make sure that either you have the best way to guarantee that you are doing it right because you need to do it right to Try to guarantee that you absolutely will recover or to get immediate relief. It can be way too easy to dig yourself into a ditch and a hole based on obsessively trying to research recovery and get it exactly right. So you can Google on your own. If you must, but I’m going to say if you are prone to that kind of habit, Please sort of think twice about doing that. Alright. So a few important points point that we want to get into here I’m working from notes today, which is a little bit unusual, but it is a little technical. So I want to make sure that I hit all the points So exposure. Let’s talk about exposure Exposure is not the thing that you are doing: right, driving, walking staying home alone, or holding a knife in your hand that’s not the exposure. The exposure is to the sensations, thoughts, and emotions that you will experience when you do those things right. So nobody listening to this podcast is using exposure to learn how to drive again or to walk to the park or nobody’s. Doing listening to the podcast to learn how to stay home alone or to hold a knife, We’re learning, and you’ve heard me say this so many times, probably sick of it. By now, we’re learning how to relate differently to the way we feel when we do those things. This is important, right? Keep this in mind as we go through this podcast episode. The exposure is the anxiety, the symptoms, the thoughts, the sensations all of those things, the emotions that are the exposure. We only use driving staying home alone, and holding a knife to trigger those things. So keep that in mind. Exposure is about coming into contact with good exposure right Where we’re going to try to leverage the mechanism mechanism of inhibitory learning. Good exposure is about coming into contact with those sensations. Those scary thoughts, then the emotions, the feelings, the symptoms, or trying to come into contact with those things, while also resisting the urge to perform safety rituals or compulsions that you are hopeful will take away the bad feelings And the fear that, because you hate that right, So what are some examples of that would be going home when you panic at work, if you’re out trying to practice driving turning the car around when you get anxious, while you’re driving and going home like exiting the exposure, only Doing certain things with a safe person Using safety devices like men,’s or snacks, or essential oils or ice packs, or always having had water with you in case you get anxious Another one would be automatically calling somebody a partner or a friend or somebody to Have them talk you through? If you get anxious And the last one is, I mean I’m involved in this one instantly. Turning on a podcast episode, when you get anxious, If you start to feel yourself panic, if you immediately run for your favorite episode of the anxious truth or your anxiety, toolkit or the panic, pod or all the hard things, whichever podcasts you like, if you immediately Run to a podcast episode that’s a safety and escape behavior right. Do you do any of those things? So let’s talk about those things that speak to the idea that when I do difficult things I’m trying to make my anxiety decrease. I need to make it a lesson that speaks to habituation Right? Habituation is a natural process, humans and animals habituate. So the idea of habituation is that you start to get used to it right When we looked at exposure based on habituation getting used to something so so that your reaction to it decreases. We kind of had that right, But we were missing some important parts of the puzzle And when we looked at some of that, when I say wave the royal way, everybody in the behavioral sciences and clinical circles, not me and you. But when we looked at this stuff over time, we started to see that hey CBT is super effective, like old-school CBT. That was just you know, exposure get used to it, get used to it, and then it goes away. When we looked at the success rates there, they were way better than other forms of therapy. True but then the relapse rate was pretty high Right, So the relapsing setback rate was pretty high with that And what is the situation we find ourselves in now? Is that a lot of people, because they tried to get a basic understanding of exposure like okay? I get it, I just have to do the things. So if you think that exposure is just doing things, then you are kind of accidentally relying on habituation. You expect that, if I do it, then anxiety will lessen over time because I’ll get used to it And yes again, that happens. Habituation is part of this for sure all the time, But that’s kind of an old-school way where exposure was done incrementally Sounds familiar right? Lots of repetition Sounds familiar, but more simplistically, simply trying to get someone acclimated or habituated to anxiety. So if you are hoping that you can just keep pushing through your exposures and engineering them so that they are as easy as you can make them and remember our list of safety behaviors, then you are purely banking on habituation to get you to a recovered state. What’s the problem with that? This often leads to partial recovery or good enough recovery. The acceptable bubble you hear me talk about this is where you can do most of what you need to do and manage life daily. You’re not completely restricted anymore, but you’re usually doing that with a big set of conditions and restrictions. So I’ll get I’ll. Give you a couple of examples. I can do the school pickup now, But if I’m having a really bad day, my partner does it. I bet this one. I can stay home alone now As long as they know that they’re or someone around that. I can call in case. I get anxious or have at this one I’m pretty good at handling my intrusive thoughts now, But I still can’t watch any movies that have babies in them or I spiral Right So that’s sort of good enough recovery. Partial recovery is acceptable, but a bubble recovery that kind of recovery has a limit. And when you cross that limit, you often experience anxiety and fear again, which you then think you can’t handle, because you’re not used to it in those contexts across your limit lines right? So a partially recovered person does some things with conditions but refuses to do other things because of how they might feel if they do them A partially recovered person just got used to it by powering through over and over and over or learned how to make It stop or lesson will tell you that they are okay in the supermarket, but still can’t go to the movies and are afraid to try So fear extinction, which is like an old term that we used to use you’re trying to make Your fear go extinct Based on habituation, tends to be very specific like habituation is okay, But it essentially teaches us that we are okay as long as we can be sure that anxiety won’t be there or it won’t last very long, And we see this when a partially recovered person may experience one or two episodes of intense anxiety and then winds up in a setback or relapse. Now, as a side note a little bit of geekiness that I’ll throw in here, we kind of know that we never actually unlearn our fear right? That’s, not a thing. I know we talked about that And I mean other literal people who are sort of building a brand on unlearning anxiety, but you don’t unlearn that fear response, So that response is kind of coded permanently in your brain once we learn it and we Have experiences that are associated with that response And this kind of helps to explain how sometimes setback and relapse are so easy for people to fall into to some extent right. We’re, not unlearning our fear. What we are doing when we recover is that we are learning new ways to relate to it and new ways to handle it and new ways to get through it And those new pathways get encoded into your brain alongside the old pathways. So you will still kind of have that fear for the rest of your life, But that’s, okay, Because now you have stronger pathways that you can travel down in your brain is a gross oversimplification just for visualization purposes. When, when it comes up, I can pick that pathway as opposed to the old one, but the old one is still there. We never actually unlearn it if you will erase it. So if we’re aiming at fear, extinction, or making your anxiety go away, relying solely on habituation, getting used to it, just repeating it enough, so that you get used to it, makes for a bit of a fragile state, full of conditions and prerequisites for being. Okay See the problem there So now let’s go into inhibitory, learning, enter inhibitory, learning, So inhibitory, learning, isn, ‘t so much concerned with making anxiety go away as it is concerned with teaching us that we can tolerate and navigate through anxiety when it happens And at this point, you’ve got to be sick of hearing me say words like tolerating and navigate You’ve heard me say them 1000s of times, but now you’re starting to understand the reason. So let’s bring it back to some of the things you hear me talk about on this podcast And you see me write about all the time when you hear me talk about changing your reaction to anxiety and fear or giving up the fight or surrendering All those words that I use all the time, Where are we are in inhibitory learning territory there. When you hear me tell somebody to mix up their exposures and have varied experiences, because that’s most effective, We’re banking on the mechanism of inhibitory, learning right, it works better And again. This is a lot of research on this. It works better when we have a varied range of experiences to work from When I tell you to be incremental and keep adding difficulty to your exposures over time. We need them to be difficult. We’re leveraging the power of how inhibitory learning works in your brain And when this is a big one when and it’s a big one. To me, to be honest with you, When I plead with you when I’m practically begging you to take the lessons that reality hands you, and I did an entire podcast episode on this one. I’ll link it in the show notes because I don’t remember which one it is When I beg you to. Please take the lessons that the universe hands you after an exposure that nothing happened, except that you were afraid and had thoughts and sensations. I am pointing you in the direction of inhibitory learning when you refuse to take that lesson Yeah, but I had I was anxious I was afraid, but I panicked You’re, you’re saying I can only be okay. If I don’t panic – or you can only be okay if it decreases, You’re, relying on the fact that you might get used to it That’s the habituation model, I’m simplifying. But when I tell you, no, you it doesn’t matter. You just have to take the lesson that said you’re afraid, but nothing bad happened. I’m trying to get you to move closer to the way your brain works in terms of inhibitory learning, So it’s important for me. I think to say that inhibitory learning it’s not so much a technique like this isn’t a technique. It’s, not a method. Inhibitory learning is not a method. It’s more of a model that we came up with to describe how brains achieve a wider and more durable state of recovery. I’m relating it to recovering from an anxiety disorder, so be careful. Like don’t go to a therapist and say: do you do inhibitory learning here I mean a good therapist who specializes in anxiety sort of should understand what you’re saying, But they would correct you like inhibitory learning is not a therapy. It’s. This is not a therapy type, It’s, not a method. It’s not a technique. It’s a model that we use to describe what’s going on in our brains. When we learn more deeply and effectively that we’re okay – And we can get better that way, Alright, it’s a different way to get better And our brains are. We can do it. We just have to make sure that we do things that use the power of our brains to be able to do those things. So this is not so much about guaranteeing that your fear goes extinct, which would be the old way, But rather it’s about knowing that. Even if you do wind up afraid, you’re still, okay And you can move through and past that. This is why, if I have a rare panic, sell panic attacks now, but they’re very rare for me. If I have one a comes, it goes. It’s over. I’m, literally not thinking about that panic attack an hour later. I just don’t care, So you know this ties into some of the other things that we’ve talked about, And I just wrote about this in the anxious more newsletter last week. How can I not care? Well, the mechanism of inhibitory learning, if you gear your exposure to take advantage of the fact that your brain can do it, that way, will teach you that you, don’t have to care. So it’s not like you, can just snap your fingers and decide to not care about your anxiety. You can stop trying to do that because it’s not going to work, But when we leveraged the inhibitory learning model and our exposure work and our recovery work, we learned that it’s, okay, to not care anymore right? So it’s really important. That’s, why I say we’re learning this way, newer ways that, even if we do end up anxious and afraid we’re okay can move through it at that moment and then past it going forward in the long term. So then, let’s bring it back to sort of recovery And what that means, Because if we don’t have, we have no way to apply this in what we do, the things we do to try and get better then we’re good at it, So I can give you some hints here and I’m – going to wrap it up in a couple of minutes here. I don’t want to get too long on this one. I literally could go for hours on this stuff. It’s, goofy, I don’t know why I’m so into this, but I always have been So. That explains, I guess why I’m behind this microphone Anyway. What are the hallmarks of exposure and recovery work? That kind of taps into the power of that inhibitory learning process right, So your exposures should be focused on tolerating and navigating through anxiety, not making a decrease. That is huge Because if you’re approaching your recovery, so that’s okay Drew says, I have to do scary things. I’m going to do scary things, But I’m going to try to make them as less scary as possible Because I don’t I’m trying to make the anxiety not happen or happen at a low level. You’re missing the point. You want the exposure to teach you how to tolerate that anxiety and move through it. Yes, even full-blown panic. So some of this, if you’re going to try to gear your recovery work toward this model. Some of that involves an openness to say: if you insist that panic is too much and you can’t do it that way, then that’s – okay, I’m not going to try to convince you otherwise, But you can’t. Have it both ways? You can’t draw a line in the sand and say I cannot tolerate certain levels of anxiety and also want to do this. You can’t have both, So you got to have that openness to accept that this might be true and that what I’m saying might actually work for you And that you actually can do things. You think you can, And you have to focus your exposures on the act of tolerating and moving through anxiety, not trying to make it not happen. So if you’re gon na go drive on the highway today and you’re going to try and find ways to do that without being anxious, you’re missing the point. You want the anxiety you want that to happen, and you want to practice moving through it that’s important. The other thing that you need in your exposure and recovery work is an openness to experience all anxiety during exposures, rather than trying to minimize it, which is what I was just talking about. So we’re looking for exposures that have varied experiences. Now the cool thing is like you can’t just recover, you’re also living your life. So often life will hand us a lot of varied experiences. You can’t very few. People have the luxury of just sitting on the sofa and just doing exposure for a day and then going back and sitting on the sofa until it’s time to do more exposure. You’re gon na be challenged all the time except the challenges that life hands you, even if they are small, take even the small ones that’s fine, and use them to have varied experiences. I don’t care. If you drive every day Now, I did it by driving every day, but I also started doing other Things like what I did Mike And it’s funny cuz. When I wrote the anxious truth, I talked about how recovery will accelerate, But recovery accelerates. When you can take the lessons from one exposure and bring them to the other, that’s when you need those varied experiences, So mix up your exposures, Remember what I said at the beginning of this episode. The exposure is the anxiety and the panic, not the task, So drive walk, stay home alone. Go shopping, go to a pizza place and sit down, have a slice of pizza, whatever it takes, mix them up as best you can Right? So we’re still talking about using, like fear ladder and moving up you don’t go from housebound to a world cruise in two days, But within that fear ladder just mix things up that are in sort of that same difficulty level. It helps Important is super important. We’ve talked about this, the RP part of ERP exposure and response prevention, which all exposure ultimately is ERP, whether you’re dealing with OCD or not resisting the escape avoidance and safety rituals is very important. You can’t, you can’t try to hang on to your meds, your water, your phone, your partner, your safe person, your oils, your ice pack, and also do this. Now, if you are going to hang on to those things to get started, I’ve said this before go for it. I would rather, you see get started and then start to leave those things behind than never. Stop Just know that at some point you’re going to have to leave the safety, the escape rituals, the safety rituals, and those safety devices you’re gon na have to leave the crutches you’re gon na leave him behind. Keep that in mind you’re gon na, have to at some point next thing. The difficulty we need exposure to be difficult. They are supposed to be difficult. That’s the whole point of the exposure, Like one of the things that we know from the research and a lot of the stuff around the inhibitory learning model is difficulty is important, And in fact, a lot of the. If you look at some of the literature in the OCD community, they’ll, they’ll acknowledge that like yeah, we need it to be harder now, So that your life can be easier later. Keep that in mind, But we need your exposures to be challenging If they’re not challenging, then they’re, not exposures Right? So I say this all the time. If you are bored now taking a walk to the park with your kids that’s not an exposure anymore, So it’s good, to go ahead and take the walk. The park, the kids, that’s life. I hope it’s good and you’re enjoying it. It’s a good thing for you guys, But you can’t keep calling it an exposure. So exposures are a difficult thing. We need them to be challenging tiptoeing through life, trying to not be anxious and doing things here and there When you feel good That’s not exposure, So that’s just tiptoeing through life And then the last thing that I’m gon na throw In here is when I wrote the anxious truth, I talked about changing your reactions And the third reaction is the reaction.

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After and in that book, I wrote about the story that you tell yourself and everybody else after the challenge is over. The last thing I’m going to talk about is that it’s an openness to accept the outcome of the exposure based on the fear of disaster not happening rather than how you felt like this is where you hear me say again and again, and it Sounds cruel and it sounds cold and it sounds all of those things. But when I tell you that I don’t care how it felt, I only care what happened That’s, where I am like begging you to see that. I know that it was hard And I know that you were terrified. I know that you thought you were going to die And I know that it felt like you were going to go insane, But you are now here an hour or a day, or a week later telling me that story Because none of those things happened So it’s so important to be open to the lesson that the exposure teaches us, which is that surprise. The thing that you are terrified of will happen. Doesn’t happen That’s so important. Now, if you’re listening to me, you may say, but the bad thing is the anxiety I get And for some people, it’s, not that the anxiety signals a danger because, for most of the community, it’s. Well, I’m terrified to panic, because when I panic, I think I’m going to die or think I’m gon na go insane Or I’m going to pass out or I’m going to have a psychotic break For other people. It’s just No. I don’t think that I’m just afraid of the panic itself, Because the panic itself tells me that I’m failing, I’m weak. I’m broken. I’m less than I can’t. Do this, this shouldn’t be happening, But even if that’s the way, you fear it and you don’t fear, death or passing out or a heart attack. In the end, the panic came and left, And again nothing bad happened. That does not show that you are broken or weak or less than at all. So you’re going to have to begin to accept that lesson that, like oh look, I did that again. I tolerated it again Instead of saying it was wrong for happening knowing I did a great job getting through it, So it’s so important to be open to the lesson that the experience teaches you other than just recounting the experience as a nightmare and something That you never want to happen again. That is so important And it’s why we say all the time we do. Don’t care how it felt we only care about what happened. We only care what happened So that kind of gives you. You know. 25 minutes on the difference between habituation and inhibitory learning and a rough idea of how that fits into exposure work, And I hope near the end here is how you can start to gear. Your exposure and recovery work to take advantage of the inhibitory learning model and not just try to get used to anxiety or make it go away. The key takeaway here is: am I doing these hard things to try to make it go away, Or am I doing these hard things to learn that I can do hard things and it doesn’t matter? If I get anxious that’s, really where you want to be That’s, where I want you to be, I want you there. I know that you’re trying to make it go away. We all want it to go away, But I say all the time go away is a happy secondary effect. It’s a secondary outcome. It’s a happy secondary outcome of learning that you’re. Okay, even if you do panic So please, if you take anything out of this episode, take that you should not be approaching recovery as a way to feel better and make it stop. You should be approaching recovery as a way to learn that it’s. Okay, even if you do get anxious and panic because when you get there and know that you can handle it, no matter where you are or what the situation is, then it starts to go away And it goes away more durably. It goes away across context. You don’t have to worry about like well. I can go to restaurants, but I haven’t gone to the movies yet So I got to do six months where the movie exposure to be able to go. No, you know that I’m okay if I panic in a restaurant, so I’m okay if I panic in the movies It’s, there’s magic in there. There is So that is my 2627 minutes on habituation and inhibitory learning and the mechanics of exposure. Hopefully, it has been helpful. I’ve been looking forward to doing this episode to be completely honest with you, And it was going to be super geeky at first. But I’m pretty proud of the fact that I didn’t get too deep into the technical woods here And I hope that I’ve been able to present it in a way that’s understandable and relatable. More than anything else. More than anything else, So that’s it We are done. This is episode 226 In the book. You know it’s over because of the music, that is Afterglow by Ben Drake. That is a song you hear at the beginning and end of every one of these podcast episodes. If you’d like to hear the whole song or know more about Ben and his music, you can visit his website at Ben Drake, music com. If you’re listening to this podcast on Spotify or iTunes, or some platform that lets you rate and review, the podcast leaves a five-star rating and maybe writes a quick review. If you dig it because it helps other people find the podcast. If you’re watching on YouTube subscribe to my channel, like the video leave a comment, I circle back every few days to interact on YouTube. So if you want to ask the question, I promise I’m gon na see it And I think that’s it Thanks for coming by. I appreciate your support. To find all of my other resources and goodies at the anxious truth com. I will be back again next week with another podcast episode. I don’t know what I’m going to talk about, but I will be here and remember until then. This is the way Unknown. Yeah, you’re doing fine story begins. You got a feeling that you go   As found on YouTube HUMAN SYNTHESYS STUDIO 👀🗯 Attention: Have Real Human Spokespeople In Your Videos Saying Exactly What You Want In MINUTES! REAL Humans, REAL Voices, With A NEW Technology That Gives STUNNING Results Choose Your Human + Voice Type What You Want Them To Say Render your “Humatar” What You Are About To See Is Unbelievable…

Study with me 24h before my FINAL EXAM (med school vlog)

  Hello Kermamedic friends here, and welcome to a new potion… Finally, here it is! In a previous video of my Oski exam in the Faculty of Medicine, I announced a major event in the future. Today is tomorrow!! Let me show you something. That’s what the last two weeks have been about. And tomorrow is Oski’s day. This is Oski’s final week in medical school. The biggest, hardest, most notorious, anxiety-inducing test. … is tomorrow… And I want to tell you that I have lost the will to live as well as the desire to study for this exam. I am okay You’re done, boy. You’re done. So well, honestly, those last two days have been a solid, rigorous study and I got through it and that’s why I don’t plan on doing that much studying today at all.   I have a list of a few things that I still need to reconfirm and after I’m done I have to go through this list I just want to go over the 4 main exams, abdominal scan, cardiovascular, respiratory, cranial nerves, and motor exams of the upper and lower extremities because they are very likely to Come on the exam so I’m going to do it one last time to be in the best shape I can and well and that’s pretty much it after that I’m going to the gym for gym and then I’m going to play video games with my sister and I’m going to rest and relax because I’m over it and I’m almost done I want to…. ah ah Scream, this is what we’re going to do. We’re not going to think, we’re just going to stop thinking I’m going to study another day and I’m going to start studying today and I’ve got some delicious strawberries and I’m about to get some coffee, and let’s do this. Well, let’s do this, put the phone on silent.   And we throw him on the bed again, like the last time I was preparing for OSCEs in the fourth year, and if you haven’t seen his fluke I advise you to see it I like it very much and I will put it for you here and I use this book and it is my main and it is completely falling off let me show you as you can see All the pages are falling off and I’ve used and benefited from this book very well so the first thing on my list and I’m going to learn about it are decisions and directions that you can make in advance about your treatment in case of future aphasia and not being able to make those kinds of decisions on your own so I’m going to read this and then Moving on…   { …………. ……………… } Today is Mother’s Day in the Arab world so we sent my mom some flowers and the card she had just received… and I’d run back to her..and say, “Have a nice day.” Anyway, we’re back at work. So I spent about an hour studying. It’s all over for that first little sticky note here. I’m just going to get rid of it and throw it away and now I have this second sticky note with things on it that I didn’t know would make it into the exam until my good friend Georgina told me about it yesterday. This is what we will study now. One of those things is a C spine imaging or C spine X-ray. I’m going to see a random YouTube video about that if you’re wondering what this thing is right here on the side screen on the iPad here. This is a video game that I’ve been running in the background doing something very weird, not necessarily fundamental so I can stay sane here and make my time at this desk more enjoyable.   It’s kind of like an incentive for me to sit here and study and every 10 minutes or so I click here a little bit, play a little bit of this game and that’s what’s kept me up for the last day. It is what it is. Anyway, without further ado let’s watch this video and take some notes Honestly, I can’t stress this enough. If there’s something you don’t understand or something you’re learning for the first time, I find watching YouTube videos to be the best way to do it. These are the people who have already learned the thing you are trying to learn and are now trying to explain it in an easy-to-understand way with all kinds of beautiful pictures, maps, locations..etc. This is often much easier than your 50-minute lecture I’m sure many 50-minute lectures cover cervical spine X-rays but you know a lot of detail is going to come out and a lot of research and history coming to where we are now I want to know how to interpret C spine X-ray and spine X-ray.   So this is what I need… Well, I’m going to present this as if today is the exam I’m looking at the spine C and the x-ray of patient John Smith a large man of fifty-five years old who was coming to the hospital OK the patient history record and communication is two parts of the Oski exam. We also have things like exams, procedural skills, and assessment stations. So it all involves doing hands-on things with our hands talking to patients and examining them with things like a stethoscope and a tendon hammer also and please avoid everything you see here the exam is tomorrow I don’t want to clean my room right now.   If you recall, inside some of my previous vlogs was We Have Sonic the Hedgehog, this big damn game that I can check out and it was useful but I just threw it in the trash. So that’s why it’s gone but instead, what we have is Mr. Chair, oops let me get a patch I found ok Mr. Chair so Mr. Chair is 24 years old and he presented to the emergency department with severe shortness of breath. So I’ll check it out and mark the screen and hope I don’t miss anything. Practice exam skills. What’s funny about this, my friends is that: when we first started preparing for the OSCII exam in year 2, in fact, you probably already knew this if you were watching my videos at the time, I used to complain a lot about the six-minute timer we have to complete these exams is too short and how can we do All we need to do in the six minutes they give us and now when we practice for these exams as final year medical students we only pass it in one minute and sometimes even a minute and a half depending on the exam it’s terrible when you think back on it but I think it’s a testament to show That practice makes perfect.   Keep working on something..you’ll get better at it, etc..so let’s get started, and study for the exam Hello good morning, my name is Nasir and I’m a final year medical student in the emergency department I’m going to confirm your name and age please my name is Mr. Chair, I’m 24 years old Hello Mr. Chair, nice to meet you today.   I’m going to check your lungs. This would include looking, listening, and examining your hands, your face, and your chest. Is that OK? Yes, sure, well, thank you very much, just to explain a few things to the examiner with me first, if that’s possible. Thank you very much, Mr. Chair. Thank you very much. So, we have a minute and a half left on the timer. Assuming I haven’t missed anything major which is always possible. Let’s go to the marking chart and have a look, introduction – patient details, cones, screening of cervical lymph nodes aahhh check the lymph nodes in the back of the patient and feel for the supraclavicular nodes here…… then we go to the submandibular salivary gland in front of the ear note; Don’t forget to check the lymph gland ooh oh yeah Fremitus Vocal 99 99 99 When you are listening to the patient’s chest in all the different areas you are supposed to listen to him again and ask him to say 99 99 99 99 99 This is a test called Acoustic Fremitus.   And if you have coherence or a lump in the chest, then the sound will travel better, so you’ll hear 99% louder over the areas where there is reinforcement versus those where there isn’t, so this test!! Well, I remembered almost everything pretty much I didn’t do a fremitos audio 99 99 and check the lymph nodes and in my humble opinion this would be easy with the station and then of course you have to summarize your findings and you have to report this to the specialists etc. And if you forget these two things. It’s okay, it’s not the end of the world. Well my friends, what’s the deal? With every check I do, it is expected that I will forget some things that are OK.   But I have to reduce the number of things I forget. And that’s why we do the exercise. This puts in the big picture. Missing a few things on an exam is expected. It won’t be the end of the world. It certainly won’t let you down. But I want to forget as few things as possible. Hours later, we’re about to get to 1 pm. I have just written down in my diary all kinds of major steps and special tests that are done in all the musculoskeletal, shoulder, ankle, hands, and then also peripheral arterial and vein disease examinations and I feel ready. I feel good. Honestly, I don’t think I would do anything else.   Study wise for the rest of the day I’m going to ask Kenji and Georgina if either of them is rehearsing history to rehearse for a day earlier and later, but other than that I think I’m done with a very nice sunny day today so I’d like to enjoy that at least a little bit. I want to go to the gym, and maybe also play some video games with my sister in the evening. Just relax, take a break, and calm down before the test date. So I’ll get some food, get some lunch, and yeah, we’ll get on with the day.     I try to relax and take a break, and tomorrow is tomorrow… When testing, we have to look our best and that means clean shaven and then some formal wear with a shirt. Then confirmation. I have to get all that fluff out and trim those lines a little bit. Let’s do it I don’t know why I would, if I would wear a mask all the time. It won’t make much difference but if you look good, you feel good and it generally gives you confidence. Therefore, I think it is worth it. I am surprised that this camera has not fallen so far, as it is a bit of a miracle.   Well, we’re all done. Let’s get some food. Good. We’ll make ourselves lunch. And we’re going to watch the new episodes of Top Boy it’s awesome and as you all know, this is my favorite eating stand that just brings things together and makes everything so much more convenient. It makes me look like a grandfather. That’s the way it is.   Sit back, relax, and enjoy the show. By the way, bye to the moderators, not to spoil the show. Hello my friend how are you? Good, and you? I feel like your laptop will fall off the table, not that it is fixed with a stand on the back. Hello, Massad Al-Khair, my name is Nasir Kharma and I am a doctor here. Can you say your name and age, please? My name is Paul and…………!! Well, on my way to the gym, look at the beautiful weather we had here last week. Alas, I have been confined at home studying and preparing for the exam but I kind of went to take advantage of this once the exams are over anyway let’s start with the exercise step the stress of sweating just to rest and rest my head and I’ll see you in peace oh well this is well first day one of my friends, I’m just waiting outside the site which is a very nice place I got myself a quick coffee and my general plan is to get in at the last possible second.   To listen to my music as often as I can. That’s what I’m going to do for five minutes and then I’m going to the hall for the exam and I have to take the electronics so I can get in afterward. And I’ll see you after that Peace… Oh my God Oh my God Well day one is done I’m not going to lie It was a lot more complex than I thought It wasn’t as straightforward as previous OSCE systems. I believe they deliberately tried to deceive us when going to the Respiratory Check Station, which later turned out to be the ATP Station. Well, then there were other stations where the wording was completely unclear. A lot of students complained about misunderstandings, what they wanted us to check, or what they wanted us to do, and they came and took feedback from all of us on how to change the wording moving forward. So you could have done a better job. But that’s okay, I wasn’t feeling great about two of the six stations we had today.   Then there are six more stops tomorrow. But once I get the written feedback from the examiners, I guess it kind of puts me at ease. The comments there were much better than I thought I did I’ll be fine. Anyway, that’s it. The first exam is over and another one is tomorrow. We have to start at 8 am and we have to stay until 11 am and then we do the exam and we are quarantined again until 1 pm until other students are counted in other universities around London and so we stay in quarantine and so that the information is not shared outside I think that’s good I think it good.   I think it’s good. This is the end of my walk after the exam… I’m going home, I’m going to do some prescribing practice for today only, it’s possible to take one exam like this and nothing more than that I’m going to sit with Nour, it was very fun yesterday Anyway, see you my friends, peace… … Hey my group (my friends) I’m home on the couch, just chill out and relax a bit. I’m going to call Kenji and Georgina just to debrief about the stations we had today and the exam, talk about it a bit and get it off the chest and then maybe do a little practice description.   I think I’ll finish it there I’ll pick up the camera again When I start calling it hits me that this is almost over as if medical school university is finally almost over. Mad madness, well see you in a little while. well, to PDF H 32 or 32, Article 32 or Page 32? Article 32….! Well, let’s say guys, as I said before, more studying today won’t make any difference for today. And I think more study won’t make any difference at all for tomorrow. So we’ll end it here. It’s five in the evening, I’m going to rest and pack my bags.   I’m ready to fly on Thursday early in the morning. So I can go out and celebrate tomorrow evening with everyone and I won’t have to pack for travel, and yeah, that’s what we’re doing for the day. almost done. See you guys in a little while, Hello, Alright, so I’m going snowboarding tomorrow, not the day after tomorrow with about 10 of my friends from high school to celebrate finishing medical school, hopefully finishing medical undergraduate and all is well Alright tomorrow (let’s grab the wood) But let’s get started Time is running… Well, I’m packing up. It’s pretty much there. I just need to put some last things in tomorrow. Now it’s time to sit down with Noor… and play an episode of Eldon for a few hours. To relax and enjoy the night and that’s it. I’ll see you, my friends, tomorrow morning.   Good morning and welcome to the day of the second OSC exam… I will be in a different location today, I am on the train and they separate us in different locations as Kings College London students so that we can see different examiners with different groups and things like that. It’s very popular this video of me releasing it tomorrow I put it on Instagram now I’m simply trying to relax as much as I can for a bit, before the exam I come early and I have some time, … hello … oh still filming … we are back on the youth campus. I guess today didn’t work as well as yesterday. I think there were a couple of stations that I found challenging and I don’t think I got the intended diagnosis in the end.   But I hope my communication skills and everything else in history taken away will make up for it. But anyway, I wouldn’t think about it. I just had a meal with Aaron and Georgina I’m going to put the picture here..now I’m going to go to a coffee shop there and meet some friends to rest and breathe it’s been almost a week since I last logged in I forgot to close the blog and I just realized I hadn’t done it yet during this time I went skiing In Austria I came back..and surgery started this morning, I get up at 5 am everything was so crowded, but that will be another day for Flock.   I just want to thank you for taking the time to watch this video. I hope you enjoyed it. And if you enjoyed it….. please don’t forget to like it and subscribe to my channel for more content to come in the future. And I’ll catch you on the next one, …..Peace…….. I’m done…Peace…… Hello friends Next peace, What’s up guys You’re right. As found on YouTube HUMAN SYNTHESYS STUDIO 👀🗯 Attention: Have Real Human Spokespeople In Your Videos Saying Exactly What You Want In MINUTES! 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Top 10 Lucid Dreaming Teas/Herbs COMPARED And Explained

  All right welcome back so today we’re going to talk about the best lucid dreaming teas   that will broaden your dream life and make your dreams more vivid more likely to become lucid and   in some cases they’ll help you remember your dreams better as well so if you’re new to   lucid dreaming or you just want to enhance your dreams in some way but you don’t want to take   these supplements like Galanza means 5 htp hhuperzinemaybe you’re worried about the side effects or   you just want something milder and you already drink things like tea well lucid dreaming tea is   a great way of enhancing your dream so let’s just get right into it okay we’re going to explain the   10 best lucid dreaming teas that you can try and how they work and what effects they’ll have people   from all over the world have you know from many different backgrounds and spiritual traditions   have recognized the value and power of lucid dreaming and many of these civilizations and   cultures have used natural things like herbs and teas to enhance the dreaming experience   this is not a new thing so a popular approach to supplementing is actually to   drink tea that is infused with herbs that support lucid dreaming so many of these herbs can already be found in teas in the market in kind of a pre-packaged form that will save you the   time that it would take you to actually supplement and do things like that   so what are the best herbal teas the best lucid dreaming teas that you can find   well number one we have and by the way these are not in any particular order okay I’m just going   to explain the best 10 lucid dreaming teas so you have things like kalia zzakatttaichinow this originated in Mexico and it’s been known as people kind of call it different things like   it’s been known as being called bitter grass okay it’s native to kind of Mexico and central America   it’s known for hallucinogenic properties as well as significantly enhancing dream imagery and   recall it’s really useful for helping you enter hypnagogia sleep hypnagogia which is where you’re   kind of in between being asleep and conscious by the way I do have individual videos for   all of these teas and herbs which you can find in the description or just on my channel so number   two we have Guayusa and I think I’m pronouncing that right now this is cultivated in Ecuador Peru  and Colombia and in addition to aiding the dream experience many people love guy user because it’s  packed with caffeine so it brings you a positive energy boost in more of a long-term   sustainable way than coffee because it’s not going to give you those jitters it’s also a strong   antioxidant and it helps with the weight loss as well now the interesting thing about guayusa   is that it has a stimulant effect on the brain but it also at the same time has almost a sedative effect so this is why it helps you to lose a dream so well because it keeps you asleep   and tired and sedated while at the same time it stimulates your brain in a certain way   that promotes consciousness and lucidity number three we have valerian now this tea is frequently   used to treat insomnia it’s also been shown to improve anxiety and blood pressure issues as well   it’s also a muscle relaxant so this is the um kind of the reason that it’s a good lucid   dreaming tea is because it helps you sleep it’s a muscle relaxant and it also kind of helps improve   dream recall and makes dreams slightly more colorful so it doesn’t directly induce lucidity   but it does directly help you fall asleep stay asleep and then also remember the dreams you have   number four we have Shatavari now this is kind of like a root herb   and it’s often associated with women’s fertility issues and it’s also used to aid in lactation   with women but it also has kind of properties that help you to relax and it’s frequently used   throughout Nepal India and the Himalayas number five the intellect plant also known as Celestron  paniculatus I think I’m pronouncing that right native to India it can grow as high as   1 800 meters it’s one of the most popular herbs in ayurvedic medicine and the intellect, the plant is   known to improve memory and concentration part of the reason why it’s so helpful for lucid dreaming   and the lucid dreaming experience is that it helps you improve your memory and focus so if   you drink this right before bed it usually takes about a week of continuous use so drinking it   every night before bed for the effects to fully come in okay so it’s kind of a long-term thing   it’s not something you can just drink and then immediately improve your lucid dreams that night   number six and I have no idea how to pronounce this but I’m going to give a try the sshoesroot   and which is spelled with an x x-h-o-s-a indigenous to south africa okay this root is one of the more   obscure herbs it’s not very well known but it usually is formed into a powder and then turned   into a foam so it’s kind of a very weird one it’s not something you can just easily drink in a tea   like you would put a pg tips tea bag in a cup it takes a bit more preparation anyway after   ingesting this foam for three consecutive days the people of the tribes would come together and   share their dream experiences so this one to be honestly, most of you are not going to be able to try   this one it’s hard to get hold of and it’s even harder to prepare number seven a classic mugwort   this is also known as artemisia vulgaris it grows abundantly throughout the world really but you   know it grows in England it’s found around the rest of the world often alongside roads and it   can grow up to three feet when it grows in the wild now mugwort and lucid dreaming have shared   a relationship for a long time I wrote a blog post on my sitehouseoflucid.com I’ve spoken   about this a lot before and mugwort is one of the most easily available lucid dreaming teas online   by the way there will be links to as many of these as you can buy online in my description   of this video or on my site howtolucid.com number eight we have wild asparagus now this is known in Chinese as the heavenly spirit herb commonly used ayurvedic medicine can have profound effects on   a person’s dream world so it’s a very interesting one now it’s said to help lucid dreaming   practitioners have more adventurous dreams so although it won’t directly induce lucidity   it will help those dreams when you do become lucid to be more adventurous exciting and I guess you   could say dangerous feeling number nine is Clary sage now sage is known as an antidepressant   as well as its ability to enhance the dreaming experience but it’s also considered one of the   most powerful healing herbs in the world we have the blue lotus now is a plant known for being   a sedative okay so it’s going to help relax your body and mind and keep you asleep but it’s also   known as an anti-stress herb an anxiety reliever and it also has mild psychoactive properties it’s   said to induce a kind of a pleasurable euphoria when ingested nothing too crazy but just enough   that you notice it now I should mention that all of these herbs and teas are perfectly legal   depending on obviously which country you live however, they’re not regulated by the FDA   if any negative side effects occur you should stop taking them immediately none of this is a medical   recommendation by the way a full disclaimer you should research any of these yourself   and you should take responsibility for anything you do or do not ingest so how can you use tea to   lucid dream the video is not over yet I have many important tips to share with you especially if   you’re considering buying any of these well the lucid dreaming experience is an adventure, okay   most people want to have lucid dreams, and almost everyone you know the vast majority of beginners want the instant magic bullet the quick fix okay but you’ve got to remember that supplements   herbs teas pills and devices don’t answer all of the questions don’t do everything for   you they won’t directly induce a lucid dream you need to do that work yourself as well and I’m sure   many of you who watch this channel kind of know that okay we on this channel lucid dreaming   experience we know that it takes work you can’t do it instantly or you know overnight so it’s   going to take some work and I hope that if you’re watching this video at least you understand that   however, you can use those things lucid dreaming teas are included to make it more likely so here’s   what I would recommend that you do okay pick one of these t’s whichever everyone calls out to you, sounds the most exciting have a look in the description of this video see where you can get   it online it’s usually pretty available you know at least most of them and then just try it out   but you should only do this once you’ve researched yourself you’ve read about the effects of the   t obviously and you have a lucid dreaming practice meaning you’re writing your dreams down   you’re doing reality checks and you know how it works and you know how you’re going to lose   a dream at least that’s the bare minimum that you should aim for so I hope this has helped   check out my channel for other tutorials don’t forget to subscribe and I’ll see you next time   As found on YouTube HUMAN SYNTHESYS STUDIO 👀🗯 Attention: Have Real Human Spokespeople In Your Videos Saying Exactly What You Want In MINUTES! 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Free- weeding, No-tillage, Easy LIFE Gardening by JADAM

  Hello, everyone. This is youngsang cho the founder of JADAM  In today’s episode, I would like to elaborate you how to create the most successful organic garden. As we all know that the global food crisis is at our doorstep.  Therefore, I believe it is time to start our life gardening to protect our food, life, and our family from possible hunger. According to the Global Trend 2040 held by the National Intelligence Service of the United  States, a food riot could occur worldwide within 10 years due to problems such as global warming and food crises. And IMF (International monetary fund)has declared a severe food crisis in 48 countries around the world.  Furthermore, President Biden hosted the first food security conference in 50 years.   Despite this dire situation Korea, the world’s fifth-largest food importer,   has the lowest grain self-sufficiency rate in the world.  And The use of pesticides in agricultural products is even more than 10 times that of Western countries. In addition, local counties are in danger of low population due to aging. You might think a growing couple of vegies is enough,  But you have to consider that vegies are also very important food to us.   I strongly urge you to actively participate in sustainable organic gardens to become self-sufficient in the upcoming future. Just because I said this doesn’t mean farming will suddenly become easy.  Many people face difficulties they never expected when they start organic gardening. Firstly, there are major problems in organic farming which are weeding, pest, and disease control. Then the next problem is using machinery. And JADAM is here to ease all of these problems. Many People thinks, if the soil is healthy crop will be growing without any pest and disease problems.   But the truth of organic farming is far more difficult than what people usually thought of.  Because we are not farming native and wild seeds. The seeds that you get from the store are bred to suit the taste of humans.  Our will and tongue made bananas, and strawberries to be much sweeter, softer, and larger.  And those planted first gen seeds have 0 experience to defend themselves. Therefore, Organic gardening or farming cannot be continued without any pests and disease solutions.   JADAM is one of the most well-known companies in the field of self-made natural pesticides. And with the basis of this information, we have shared our journey from soil to fruit on youtube which will upgrade your life of gardening. This is a website that we have been running since 2003.  If you have further questions leave a comment on the bulletin board or you can live a comment below for any question you have. And this is our first book, that Been translated into English.  It has about 700 reviews with close to 5-star ratings and  It is now distributed globally through amazon.com. This is another book that we have published 2 years ago.  It focuses on pest and disease control in detail. Apart from these, we have been working hard to translate the books into 20 different languages.  And those books are going to be uploaded to the google playbook store. So shell we now begin with organic gardening.? The picture you can see is my farm. It is about 650 square meters in size. You can start with 600 square meters, but this is not mandatory.   You can start small from 60 to 100 square meters. The size of the land doesn’t mean you are not capable.  Quality matters not quantity. Once you can control   all the pests and disease You will experience happy farming. The size of the land In this picture is about 80 square meters and there are about 40 to 50  different crops. This means in this small size of the land you can have tasteful organic vegetables for your family. After harvest, you can rather dry it to make a powder shake or you can quench the vegetable for future food. It is a one-time harvest in a year but you can have it for a whole year. It is not very necessary to farm such a diverse number of crops.  I farm a lot of kinds because I’d like to test my JADAM natural pesticides on different kinds of crops.   And because of my habit of researching, my family also loves to help me farm. This is the tiny house that we built with my friends.  It is tiny but we have made beautiful surroundings.  we built it because we wanted to showcase how Organic gardening could be peaceful and lovable One unique part of this house is that, It has a compost toilet.  Many people worry about the smell. But if you mix 1 % of any starch into sawdust,  There is barely any smell for weeks until it is disposed of. And later you can also collect human feces to make your compost.  Which means you don’t have to rely on purchasing the compost. Collect all the feces in one place for 3 months to make compost out of it.  And because of the starch, there is barely any smell. If you learn how to do all JADAM methods,  I believe you will overcome the difficulties of different crops for organic farming. Not just vegetables, it also means fruit trees and more.   And one of the most interesting things is the strawberries.  We all know that strawberries are perennial plants.  But in fact, many farmers pull out once the harvest is completed. However, with the JADAM method, the strawberries are producing for more than 6 years  And every year the yield has increased compared to the past years.  The pest and disease control on strawberries is not that difficult.  And it is our first crop to be harvested in a year. Not just strawberries, We tested the JADAM method on   lettuce, cabbage, and small radish for kimchi, paprika for barbeque and broccoli for salad.   And the world’s favorite plant to consume potato also hasn’t had any difficulties to produce. Not just potatoes, we can also farm sweet potatoes and more. Farming cucumber in an open field is known to be a pretty hassle.  But with the JADAM method, you can farm it all. And one of our favorites is the chili pepper. It is the most basic yet, but most confusing plant to grow, and we are the best producer in South Korea. The high yield comes when you be able to master the JADAM technology.   And JADAM technology is simple.  So let me tell you how to solve all the issues with JADAM methods. First, the wedding, The problems of weeding come with the plastic mulching that lasts for a year. This means, after harvest, it is mostly destroyed.  And the other problems are the high temperature inside of the mulching then the ventilation of the field. The purpose of mulching is simply for weeding. But the mulching causes a problem due to heat. To solve these issues, we have chosen to use landscape fabric.  Which is a breathable material and lowers the high temperature. Although the price is high, you can use it for more than 10 years.  And some are even much more durable that can last about 20 years. Which is similar to the life span of solar panels. It helps the soil by creating shade on the soil, Which leads to a higher expansion of active microbes inside the soil. As a result, the landscape fabric helps the roots to reach even deeper and makes better soil quality which leads to a high yield.   So let me show you how to make the beds first.  Prepare some powder that could indicate the line on the field. The width of the bed should be 1meter 30 centimeters to 1 meter 60 centimeters.  We will first create drainage on each bed.  To create the bed and drainage, we will use the machine just once to protect the soft soil. and this structure is going to be permanent. We are not going to use rotary machines forever after the first construction.   Many of us learned that tilling soil is necessary every after harvest and before planting to mix the compost with the soil. But the surface application of the compost is good enough.  You can simply scatter and spread the compost then cover it with the landscape fabric. When you have completed covering the bad with landscape fabric,  Now it is time to use the white marker to make an indication of where you are going to make the hole for the crop.  Use the string then stretch it up and mark the string with the 30-centimeter gap.   Then cut the fabric along with the indication. But do not cut it cross because it will loosen all fabric at the end. And before planting germinate your seedlings into leaf mold soil mix water. Diversity of the microbes in the seedling’s roots will prevent possible diseases occur in the future. Then use the narrow hoe to plant the seedlings. Once you have completed planting, the next step is watering.  You can use the irrigation hose to do this but for the vegetables,  It is much more convenient with a sprinkler.   Sprinkle water for about 50 minutes with 1-3 days term depending.  And sometimes you can also mix the JMS along with it. As I just mentioned about the no-till and surface application on the bed of the crop.  Let me show you how it is usually done.  After harvest, pull out the fabric then put it on the side.  Once the harvest is completed your soil needs to be reorganized. After that, I scatter the organic compost on the surface of the bed and then spread it firmly with the wreck. Many people think   the soil will harden if it is not tilled,  But by using the JADAM microbes and compost, the soil stays soft enough.   Then later cover the bed with the landscape fabric. It should be performed once every harvest,   and in Korea, it happened only twice in a year. One in May and the other one in September. we have uploaded other videos on how to make beds for the fruiting crop.  So you can have a look at that too. Apart from just lettuce and other vegetables,  How are we going to deal with root plants such as radishes or carrots? It will be quite a hassle if we try to plant in between the fabric.  So to plant a root plant, we will just cover the fabric for about 15-20 days before planting.  Then the weed inside will not be able to get photosynthesis,   eventually, the seeds won’t be able to sprout. After 20 days when you uncover the fabric, you could see the bed is clean from the weeds.  Then organize the bed with wreck then create a line with 30 centimeters intervals to plant.   You might get worried that the weed grows back again, but root plants such as small radish grow quicker than weeds as it is all eliminated which leaves no space for the weeds to grow because all the nutrients were absorbed by the plant itself. So in this way, the crop will not be going to have nutrient competition with weeds. And the next thing we want to talk about is Organic pest and disease control.  One of The most interesting parts of JADAM’s natural pesticides is that they won’t have negative effects on humans.  It is safe even if you inhale or mistakenly spray it on your face.   Moreover, we know that people worry about spiders and bees but it won’t heavily harm bees and spiders. When you start farming, soon you will realize that there are a lot of circumstances with pests and disease problems. However, Don’t try to view the problem with a microscope.  Just simply focus on 2 things in farming. Aphid and Powdery mildew. If you have enough capability to control aphids, means you can control almost all pests. And if you have enough capability to control powdery mildew,   you can be confident in controlling diseases as well.   Aphid is the one major problems for farmers but to us, it is just a piece of cake. By utilizing the simple JADAM method on aphid and powdery mildew,  You can control almost all problems. And we have uploaded all the detailed videos on Thrips, anthracnose, and Aphid on youtube. All the method of mixing ratio is also published in our book. We are having a seminar after 3 years, due to covid 19  In the seminar, we are going to release our new recipe that does not need a water softener. Also, we will now prepare for a world tour as well for the next year. Thank you for watching and I will see you guys in the next video. As found on YouTube HUMAN SYNTHESYS STUDIO 👀🗯 Attention: Have Real Human Spokespeople In Your Videos Saying Exactly What You Want In MINUTES! REAL Humans, REAL Voices, With A NEW Technology That Gives STUNNING Results Choose Your Human + Voice Type What You Want Them To Say Render your “Humatar” What You Are About To See Is Unbelievable…

6 Signs and Symptoms Of ADHD

  – [Amanda] As a quick disclaimer, this video is made for educational purposes only. And if you have further questions or concerns about ADHD, please consult with your doctor first. With that said, let’s start. I’m sure you’ve heard of attention deficit hyperactivity disorder, or ADHD before. It’s a neurodevelopmental disorder marked by an ongoing pattern of inattention or hyperactivity that interferes with your functioning and development.   Though ADHD is most commonly diagnosed in childhood, it can also affect adults. Unfortunately, there’s a significant lack of research into adults with ADHD. Many scientists believe that since ADHD is a developmental disorder, it can not develop in adults without demonstrating any signs during their early childhood. But, signs and symptoms of ADHD often persist into adolescence and adulthood. According to the NHS, by age 25, 15% of those diagnosed will still present symptoms. Of those diagnosed, 65% will have symptoms that affect their lives. Here are six signs and symptoms of ADHD to look out for it if you think it’s affecting your life or the life of someone you know. Number one is inattentiveness. One of the hallmark signs of ADHD is inattentiveness. It goes beyond simply not being able to pay attention. It can also look like the inability to focus on a task, finding it hard to pay attention to others, or overlooking details. Know these symptoms can also be caused by stress.   Pay special attention if you find your focus shifting often. Number two, hyperfocus. On the opposite side of the spectrum, you can also experience hyperfocus with ADHD. Hyperfocus can cause a person with ADHD to become so engrossed in a task that they forget about everything else going on around them. It’s important to differentiate between hyperfocus versus when you’re in a state of flow. Flow emerges from a state of deep concentration or engagement in something, and being in flow produces a positive feeling, like a sense of accomplishment.   Hyperfocus, on the other hand, is a result of an inability to regulate your attention span. With hyperfocus, you can’t always choose what you focus on. You might be doing something important like homework or hyper-focused on scrolling endlessly through Kylie Jenner’s Instagram Feed. Hyperfocus can lead to setbacks in your relationships with friends or partners, or hurdles at work and school. To help with this, you could prioritize your tasks and accomplish them one by one, or ask your family and friends to text you at specific times to help you shift your focus onto more important tasks. Number three is impulsivity. Do you speak out of turn, or do you regularly get yourself into socially inappropriate situations? Do you rush through tasks? And these all are signs of impulsivity in ADHD. It runs a lot deeper than just making split-second decisions. ADHD impulsivity can disrupt your life, and can potentially get you in trouble.     You might others during conversations, making them less inclined to talk to you again, or you can act without much or any consideration of the possible consequences, and this can land you in hot water. Number four is disorganization. We all have hectic lives, but for someone with ADHD, things may feel a bit more chaotic than usual. If you have ADHD, you may have trouble establishing order in your life, and it can be difficult to keep everything in the right place.   And adults with ADHD may struggle with these organizational skills. This can include, problems keeping track of tasks, and trouble logically prioritizing them. Number five is mood swings. Because this symptom is present in many other disorders, it’s not an inherent sign of ADHD, but if you’re someone with ADHD you may experience mood swings or irritability. There may be days you feel good and grounded, and other days when you’re in the emotional gutter. You can try writing your emotions down, which can help you keep track of your emotional patterns, and prepare you for the next mood swing. Setting a schedule will help you establish a routine and avoid the possible stress from disorganization. And number six, lack of motivation. Does it seem like you’re doing everything at once, but feel unmotivated to go about your tasks? Lack of motivation is a common symptom of ADHD. A lack of motivation combined with other symptoms like poor organizational skills is problematic when it comes to accomplishing tasks or being engaged at work. There are many ways to help fight a lack of motivation, though. For example, you could break down your chores into manageable tasks, or write down the positive feelings you’re experiencing throughout the day.   These techniques can help you find the motivation to finish your tasks. Do you think you might have ADHD, or does someone you know think they could have ADHD? Do you think these signs will help you or a loved one? Go ahead and like and share this video if it helped you, and you think it could help someone else too. The studies and references used are listed in the description below. And don’t forget to hit the subscribe button for more Psych2Go videos. Thank you for watching, and we’ll see you next time. As found on YouTube HUMAN SYNTHESYS STUDIO 👀🗯 Attention: Have Real Human Spokespeople In Your Videos Saying Exactly What You Want In MINUTES! REAL Humans, REAL Voices, With A NEW Technology That Gives STUNNING Results Choose Your Human + Voice Type What You Want Them To Say Render your “Humatar” What You Are About To See Is Unbelievable…

Overview of Screening | Addiction Counselor Exam Review

  This episode was pre-recorded as part of a live continuing education webinar on demand. Ceus are still available for this presentation through ALLCEUs Register at ALLCEUs com, CounselorToolbox, Hi everybody, and welcome to your review of the Process of Screening.   In this presentation, we’re going to review key skills for engagement, discuss factors impacting engagement, define screening explore how to do a screening, and identify types of screening instruments.   Now screening is one of those steps that a lot of people will do, especially as a job.   An entry-level job in mental health, if you’re working towards your hours for certification or licensure as an addiction counselor, you’re, probably going to be in a position at some point where you’re doing a fair amount of screening.   So let’s learn how to do that.   The first step in screening and assessment and even counseling is developing engagement and engagement means that you need to develop verbal and nonverbal skills to establish rapport and promote engagement.   So how do you establish rapport? How do you connect with somebody when they walk into the office? Do you sit down with a clipboard and start writing right away? No, you want to be able to be open to being warm to make eye contact to respond to them in a culturally appropriate and culturally sensitive way.   So you know you got to be aware of the people that you’re working with, whether you know how much eye contact is enough, how much is too much, etc.   You want to be able to talk to people, and you know a lot of people when they’re coming in for a screening.   You know, may not know what’s going on. You want to be able to put them at ease.   So hopefully you know those are the skills that you already have, which is one of the reasons that you’re getting involved in this field.   But screening means you know, first and foremost developing that relationship because the quality of the relationship with you is going to determine in many cases whether somebody goes on for the assessment and treatment if needed, you want to discuss with the clients the rationale, purpose, and procedures associated with screening an assessment so sit them down and say you know we’re going to do a screening for substance use, so we’re going to do a screening for depression.   This is why we do it.   You know because we know that whatever percentage of people in this area struggle with depression and that early intervention is a whole lot more effective than late intervention, so the earlier we can help people arrest the problem, then the better off they’re going to be, And this is what screening is going to, be you know, so they know if they’re going to get there, not going to get their blood drawn.   They know you’re just going to sit there.   You’re going to.   Ask them five or six questions, and they’re going to be done because they may be thinking that you know they need to lay on the couch and tell you their deepest darkest secrets and they’re not ready to do that.   Well, of course not they just met you, so let them know this is what screening is assess.   Client’s immediate needs, including detoxification. If you’re meeting with somebody – and you know you notice that they’re under the influence of substances, then they may need detoxification.   If you’re assessing them for substance, use or substance use disorders, and they admit that they have been using consistently or they’re under the influence, they may need detox, administer evidence-based screening and assessment instruments to determine clients, strengths, and needs, and we’re going to talk about some of those evidence-based instruments later, but you know you can use the cage you can use the Sassi.   You can use a variety of different instruments, and obtain a relevant history to establish eligibility and appropriateness of services.   Wherever you are, you know you probably accept some insurance.   Don’t accept others.   You may have private pay, or you may not.   We want to make sure that once we scream we can get the person into services that they may need.   You know.   So we need to determine: where can they go? You know if they’ve got Medicaid if their private pay if they’ve got private insurance.   You know where could where’s the best referral place for them, and to do that, we need to get that relevant history. Other things that affect eligibility appropriateness for certain treatment programs, some treatment programs will work with people who are on benzodiazepines, while others won’t.   Some treatment programs will work with people who have co-occurring mental health disorders.   There won’t.   So this history is important to figure out.   Does this person need a specialized program? Are they dealing with specialized issues like LGBTQ issues? Are they if they’re an adolescent? They’re going to need an adolescent program, so we need to get all of this stuff.   You know when we’re doing the screening we’re, going to get a little demographic data there and we’re going to do.   The screening screen for physical needs, medical conditions, and co-occurring mental health issues.   So, while a screening for substance use may be five questions, a full screening is probably going to take 20 or 30 minutes.   So we’re going to ask them a variety of questions.   We’re, not going to get super in-depth, but we are going to get sort of an overview of how this person is doing. That way.   We can look at it and say you know: maybe they’ve got medical conditions that are contributing.   If we’re screening for depression, maybe they’ve got medical conditions that are contributing to their depression.   If they have a substance, use disorder, you know: are their medical conditions being made worse by their substance use? And if so, what do we need to do so? We want to you, know, the screen we want to screen for co-occurring mental health issues.   It does not matter if the person had depression or anxiety or bipolar before they started using or they develop depression or anxiety after they started using right now they’re.   If they have depression or anxiety, it needs to be addressed, because you can’t, have somebody sober up and still feel miserable and expect to stay sober for long.   Likewise, you know you can’t just treat their mental health issue and expect substance use.   Just to go, oh so, if they, if you’re screening for one is really important to screen for the other substance, use will monkey with the neurotransmitters that can contribute to depression and anxiety.   So you know they’ve got substance.   Use we want to screen for that mental health issues. Sometimes people will self-medicate to try to numb the pain of mental health issues so again always screen for both of them because the likelihood is if one exists, the other exists at some level as well as interpret the results of the screening and assessment and integrate information to Formulate a diagnostic impression and determine the appropriate course of action, so you’re not doing a full diagnosis, but you’re going to go through and you’re going to look at the screening results and say yep.   You know, technically, this person meets the criteria for substance use disorder, so we need to send them on for an assessment to see what may need to be done and what our options are to help them deal with it.   If you’re screening for depression, the same things going to be true.   This person meets the criteria.   You know, we suspect that they may have a major depressive disorder.   So let’s refer them for an assessment.   So we can figure out what’s causing the depression and what options we have for helping the person deal with it.   We want to develop a written integrated summary to support our diagnostic impressions and you’re going to do more of that with assessment, but in the screening, you know the Assessors going to want to know.   Why did you send this person, you’re going to present a summary of the information that you gathered.   That told you that this person may need to be assessed for substance, abuse, or mental health issues. You know it.   Doesn’t have to be a dissertation, it can be a paragraph, but you do want to kind of put it all together in a nice little package.   So the Assessor doesn’t have to go back and read through everything and try to figure out what you saw establish, rapport and an effective working alliance in which the client feels heard and understood you know to be respectful, and make eye contact and smile.   You know don’t go directly to your paperwork and make them feel like a number, be punctual that’s important non judgmental if they’re talking about their substance, use don’t act shocked like oh, my gosh.   I can’t believe that you drank while you were pregnant or oh, my gosh.   I can’t believe that you’re using that much of that substance, or you did that to get your drugs, no, they did what they did to survive.   They did what they did to survive, and given the tools that they had then we weren’t in their shoes.   You know they’re by, but the grace of God goes so we want to remember that people did what they had to do and it got them here and it helped them survive until now, and we want to be attentive if we see that the Person starts moving around in their seat a little bit.   You know, ask them, you know, are you uncomfortable? Is there something I can do to make you comfortable? They may be uncomfortable about what you’re talking about.   They may be, you may be running late, and you know you’ve been in the session for 30 minutes and they need to go or they may need to go to the bathroom or they may be thirsty or cold. You know if you see them starting to become a little bit fidgety and not necessarily even agitated ask them.   You know it seems, like you’re, becoming a little bit anxious or something I’m wondering if there’s, something you need something I can do to help that will go a long way to helping them feel like you care about them, motivate and Engage the client and identified service needs, so if you determine that they need an assessment, you’re going to have to motivate them to go so help them see how going to an assessment could be beneficial to them.   How it help could help them meet their life goals.   Engagement puts the clinician in the best position to negotiate with the client about what to do and how to do it.   So assessment is usually done at whatever treatment center that you’re, hoping the person is going to be enrolled in.   So we want to talk with them during the screening about what is it. What type of Center do you want to go to? Is there a place that you have in mind? Are there particular characteristics of treatment that you’re, hoping to experience, or likewise not experiencing some people, who don’t want to be in a hospital-type environment or whatever so start talking with them about what their options are and negotiate with them. You know if you think they need an assessment and you’re likely going to need to go to residential.   You know you might want to start moving them toward the four or five options that offer that service and encourage them to go, and if they don’t think they have a problem, they may not be willing to go yet if they think they’ve Got a problem make sure that the handoff goes well to that agency.   If it’s not within your same agency, make sure that that referral goes really well and that they are received equally warmly by the Assessor at that agency.   Help them feel comfortable going to do this.   If you give them a referral and just say here, go to this place and they’ll take care of you. The person may be like I don’t know where it is.   I don’t know who this person is if you hand them this and say you know, go down to this place and do you know how to get there?   So let me draw you a map and that help them know how to get there and then you’re going to meet with Jane at this facility and she’s.   Going to do your assessment.   I’ve worked with Jane for years.   She’s, really awesome.   You know she’ll take her time listening to what you have to say and what your want.   Is she not going to force you into anything you don’t want?   That goes a whole further to motivating the client to go because they’re not apprehensive about what in the world am i walking into engaged clients are more likely to participate, willingly, be treated, be compliant, and complete treatment.   Now, engagement doesn’t stop when they leave the screening that’s just the beginning, but you are the face of the mental health system so to speak because you’re the first person that they interface with so you kind of set the tone for Their experience most of the time create a welcoming environment that’s pleasant and sensitive to age. If you’re working with kids, don’t have a sterile environment with only big people chairs, you know, have little people chairs and have you know books that are appropriate if it’s, have it be sensitive to gender? You know men, aren’t 39, t going to be wanting to sit in an office where everything is pink and frilly and whatever likewise adults, aren’t going to want to sit in a playroom to do counseling.   So you know make sure you’ve got age.   Appropriate stuff in the room that you’re working with, makes it sensitive to disobeying ability.   If people have hearing disabilities, you know make sure that you can talk loudly enough, that they can hear you make sure you minimize extraneous noise that may keep them from hearing you make sure the area is compliant with the Americans with Disabilities Act.   So people who are physically disabled can get through doorways and things like that.   The physical environment should be sensitive to sexual orientation, so have little clues around that you are accepting of the LGBTQ lifestyle, so a rainbow flag on your desk or something doesn’t have to be huge, you know just little things in the environment that say hey.   You know I’m cool with whoever you are cuz.   You’re an awesome person same thing with religion.   You know try to make sure the assessment environment is friendly and not necessarily oppressively religious.   You know, if you have you know across here or prayer there or something you know that’s, fine, that’s, your expression of who you are, but we want to make sure that people who are of a different religion or who are atheist. Don’t feel oppressed in that environment.   Likewise, people who’ve been traumatized potentially through their church in some way or another may be off-putting if they see that so be cognizant of the things that seem benign to you and what they may mean to the people who are coming in for Screenings and make sure your environment is sensitive to socioeconomic status, and what I mean by that is, you know, have a pleasant environment for everybody, but people who are from a higher socioeconomic status, for example, are probably going to affect.   Expect a plusher environment and a much different experience more concierge-type services than somebody who is of a middle class or lower socioeconomic status.   Now, does that mean you can just throw folding chairs out for other people? No, we want to make sure everybody is comfortable and they feel kind of like it,’s their living room.   You know we don’t want them to feel like it,’s, a stair-scary environment, but you do need to pay attention to it.   What is this person, or what are the people in my community expecting when they come in factors impacting engagement, can include stigma about the diagnosis or even about help seeking not everybody is cool with counseling some cultures say you know, counseling disgraces the family.   Some of you know older people like my grandmother,’s, age back then, and in the 1940s and 50s you didn’t tell other people your stuff, so be conscious of the fact that just being there may be overwhelming for people’s, expectations about The effectiveness of treatment can impact their engagement if they’ve been in treatment before or they’ve known.   Somebody who’s been in treatment before and it just never seems to work.   Then they may be there because they have to be for some reason, but they don’t expect you to be able to help them, so their engagement going to be low.   One of the things you can do with those people is to make sure you have some tools in your toolbox that are brief interventions that can help them start feeling better. Today, you know tomorrow, something like that.   So talk with them, sleep is one of the first and easiest things to start addressing.   You know talk with them about their sleep hygiene patterns.   You know, because people’s, inability to relax, can contribute to depression and anxiety and a whole bunch of other stuff, so learn about sleep hygiene and how to create a good sleep routine and encourage them to start doing that or encourage them to make a List of the people and things that are important to them, so they can figure out where they’re going from here, and they can figure out why they’re doing all this so find a couple of tools that you can give people, so they can Focus on the fact that yeah, this might help me and it might help me move towards my goals and, oh by the way I’m, starting to figure out what my goals are.   People may have expectations about their role or power in the treatment process, so we want to make sure that clients understand that they are in charge.   They are in charge of their treatment, make them.   You know unless I have to do an involuntary commitment, but that’s something a therapist or is going to do or psychiatrist, but 99 99 of the time you want to work with the client and they’re going to be the ones to tell you what 39, s worked in the past.   What hasn’t worked in the past? What’s working right now even a little bit, and you’re going to talk about ways to enhance that.   You know we’re not going to force them to do things that they don’t want to do, and they may have certain expectations about the treatment itself.   So we want to dispel any myths about what treatment is like. We want to help them know what our facility or the facility we’re, referring to can provide in terms of treatment, and we also want to just help them understand what to expect so.   They’re not apprehensive, and you’re likable nests.   I hate to say it, but you are likable enough sand.   They’re likable near in pact engagement.   If somebody comes into your office and you’re doing a screening and they are just, they have no social skills, they’re not attentive.   They’re not attractive, they’re, not happy, they’re just mean and cantankerous it’s, going to be hard to engage them and it’s going to take an extra effort on your part to try to hear where they’re.   Coming from and hearing what’s important to them and forming a bond, the client’s social skills will impact engagement.   If they don’t have great social skills.   You know you got to work with it and you know if they’re.   I had one client that bless his heart. He was in college and he would still pick his nose and eat it, and you know I had a hard time focusing when he was doing that.   So you know I got to the point where he would do it and as soon as he pick his nose, I pick up a tissue and hand it to him and go here.   You go looks like you need that, but those are things that you can run into when you are working with clients and you need to keep that from causing a barrier in your ability to engage with them if they’re, not attentive.   Ask them why you know or try to look for reasons why they’re, not attentive.   You know you seem to be kind of distracted.   Is there something I can do to make you more comfortable? And you know it’s just human nature that we tend to be more engaged with attractive people.   Not everybody’s attractive.   So you know focus on what the person has to say and what their heart has to say to engage, and you know likewise, you may not be written off the pages of Vogue either, but try to present yourself well, try to you know, dress appropriately Don’t show up all disheveled and smelly clothes like looking like you haven’t bathed in a week that that’s not helpful so make sure that you’re presenting your best face and you’re dealing with whatever face the client brings And still trying to build that engagement remember the way a client presents.   This tells us a lot about what’s contributing to their presenting issues: poor social skills, and ADHD pain.   You know there are a variety of things that can contribute to depression, anxiety, and substance use. So try to look at it from that way, even if it’s not your ideal client understand what’s causing this person to be negative and just argumentative and frustrating try to get under there and figure it out.   Why is this person so unhappy? What’s motivating is that first impressions impact engagement, so your professional presentation is promptly courteous and smooth handling paperwork.   If you walk in there with 15 sheets of paper – and you’re shuffling them around and it seems like you, don’t know what you’re doing.   You’re like just a second.   I know I had that form around here somewhere, they’re not going to feel very confident in anything.   You have to say so and put on a good first impression.   Put it together and make sure your paperwork is put together ahead of time.   If you have an electronic medical record, make sure you know how to use it because it’s disturbing to people, even though it happens when you’re, using an electronic medical health record to do a screening and you get stuck and you’ve got To call somebody else in to help you figure out how to get on the next screen make sure the environment is calm, clean and comfortable, not too formal or informal like we talked about it, avoids interruptions and provides the appropriate level of privacy.   You don’t want clients sitting in the waiting room being able to hear other clients that are in the therapy, rooms or screening rooms.   If you’re doing screenings, you may not even be in an office, you may be out at a festival or something so make sure that you’ve got. You know little pull-around screens or something, if appropriate, to give people privacy other people, shouldn’t be hearing their responses to what you are asking them, even if it’s, you know like I said, even if it’s at a Workplace festival or something other people should not hear their answers.   So how can you give them privacy if there’s, no way to do that where they can have auditory privacy put as much as possible on check sheets and forms that they can fill out? And then you can point to something and go so help me understand your answer to this right here.   Most of the time you want to try to do a screening in a private room.   In the initial interview you’re, developing trust and rapport so be empathetic.   They’re nervous, probably or they don’t want to be there or maybe they do want to be there and they’re, just hoping that you can help paraphrase that to them whatever vibe you’re getting off of them, paraphrase that and work With it convey warmth and respect and explores the clients, strengths, and skills, you know you’ve been dealing with this depression or this addiction for a long time.   I’m wondering how you’ve survived until now.   What has helped you deal with it? And keep on keeping on facilitating the clients, understanding the rationale, purpose, and procedures of the screening and assessment exploring the clients, problems, and expectations regarding treatment and recovery, and determining whether a further assessment is needed.   That’s your screening.   So the definition of screening is the process by which the counselor, client, and significant others, when possible, review the current situation, symptoms, and collateral information to determine the probability of a problem.   So we’re going to sit down and we’re going to go okay. What brings you here today? What makes you think you got a problem, you know, and then we’re going to start asking questions or using instruments to try to determine whether we think that there’s a probability that that problem exists screaming is used by all types of Human Service Personnel to determine eligibility and appropriateness of services and needed referrals, so it may be used by a physician by a nurse by a counselor by a caseworker to determine how can we best help this person achieve their goals and their maximum quality of life? It’s not unusual for caseworkers at the Department of Children and Families.   If people are coming in to get their food stamps or EBT that month, or they’re enrolling in the process to do a screening to determine how can we best help this person? You know be able to start earning more money, you know, maybe they just need a better job, or maybe they’re not able to maintain employment because their depression is so oppressive.   So you can see where screening may be used in a lot of different systems and situations to help people figure out how to help their customers.   Screening determines the immediacy of the need.   You know you could be doing a screening with somebody who’s like on the fence, or they don’t think they’ve got a problem and it you know there or their problem is minor, so the immediacy may not be great or you could Be screening somebody who is you know heavily intoxicated was just kicked out of his house is facing three DUIs.   You know they have a much more immediate need for their safety as well as, hopefully, they’re.   More motivated screening needs to be a trance process.   We don’t want to sit there with a clipboard and be asking questions and scribbling things down and going uh huh.   Well, I think you need to go for an assessment that’s not transparent.   The clients like, where did you come up with that I usually use screening instruments, and I talk with people when I’m writing things down. I tell them at the end.   If you want to see anything I wrote down, I would encourage you to know I don’t write well, and I’ve got poor penmanship, but I encourage you to read what I wrote and we’re going to talk about these instruments after you Take them so you know you know why were we asking these particular questions? What does it mean to me as a therapist doing your screening, so they understand how you’re arriving at your conclusions?   Screening does require informed consent.   You know it.   Doesn’t have to be a big thing, but it does have to happen before you start screening somebody you need to go.   You know I’d like to screen you for depression or anxiety, or this is a wellness screening that your agency is offered, but have them ideally have them sign a sheet acknowledging that they know that they’re being screened for whatever and screening identifies Early warning signs and helps provide early intervention, services and resources, so you know think about high blood pressure or diabetes or any of those physical things doctor screens for that regularly, and if they see that there might be a problem creeping in, they can do something right.   Then, to keep it from becoming a full-blown problem.   Mental health screening is the same.   We notice people are under a lot of stress.   We know that that’s probably going to wear them out after a while, and it might lead to depression. So we can start helping them, develop stress management skills, for example.   They may not need to go to treatment, maybe they need to go to psychoeducation and learn about stress management, or maybe you’ve got a book.   You can let them read or something.   But screening is a method of determining what the person needs.   Screening is the first opportunity to engage the client in the therapeutic relationship and treatment process, sometimes based on observations or other circumstances.   People may be referred directly for assessment, for example, if people come into the detoxification unit we kind of bypass screening.   We know there’s a problem and jump straight into assessment, so screening doesn’t always happen, but a lot of times.   It does because of that referral source – you know if you’re an Assessor that person came from somewhere.   You know their lawyer could have screened them.   Their doctor could have screened them whatever, but somebody along the way, probably screen them to determine yeah. You probably need to go over to this facility and talk to an Assessor of the clients.   Internal motivation is the primary reason for engaging in treatment.   So if they’re there because their wife told them they had to be or their boss or the courts that got them there, but to get them actually engaged in treatment and not just going through the motions they have to have internal motivation.   There has to be something in it for them, and that’s, what we want to work on developing throughout the whole process, help them see how this benefits them, what’s in it for them, how can it help them accomplish and get closer to their goals for their life, internal motivation may be fleeting, so rapid engagement is vital.   If you see a spark of interest or a spark of willingness, we kind of need to pounce on that spark and go alright.   It seems like you know you want to get on with this because you’re sick and tired of being sick and tired.   So let’s get you enrolled.   Now, if you have to make an appointment for an assessment that’s six weeks out, you may lose the person.   You know that engagement doesn’t last for long.   The engagement lasts while they’re in your office, and then you know you got to have somebody else, pick it up and keep that momentum going. Screening should be brief.   You know twenty-thirty minutes you don’t want to have somebody in there for three hours, that’s the assessment conducted in a variety of settings by a range of professionals on persons deemed to be at risk.   Some things we do Universal screenings for like domestic violence, other things you may do selected screenings for – and it also depends on your setting and all that kind of thing.   But the take-home point is that screenings are conducted in a variety of settings, whether it be a Health Fair at an employer,’s, a doctor,’s office, sometimes churches will even set up wellness days and do screenings screening represents the first part of a Collaboration among the multidisciplinary team because the screener is going to say, okay, I think I’ve identified that this person probably has an issue with this and needs to be referred to assessment over here, but they also need help with housing and food and affording their Prescriptions, so the screener will kind of link them to other team members in the multidisciplinary team.   Screening needs to be sensitive to racial, cultural, socio, economic, and gender-related concerns, so make sure that you’re, culturally responsive and it needs to be developed from information gathered from multiple sources when possible.   When you’re doing a screening a lot of times, the only person you’ve got to do.   The screening is the person sitting right in front of you, but if you’ve got other information.   When I do screenings on people in the criminal justice system, I want to see their criminal records.   You know that gives me some objective.   Information on you know how many times have they been caught? Dui, whether or not they’ve been convicted? How many times have they been caught DUI, that gives me a little bit more information than just what that person is telling me if they’ve been involved with the Department of Children and Families. I want them to bring their case report, especially if they’ve got an open case going on.   Screening assesses signs and symptoms of intoxication and withdrawal.   Three key elements: we want to verify that the behavior deviates from the norm and rule out all non-drug related causes.   So if somebody is having difficulty focusing or they’re agitated, we want to rule out ADHD and schizophrenia and some other things that might cause that, to rule in, if you will stimulant abuse, for example, you want to verify that there.   This is not how they normally behave.   You know some people are agitated and a little bit more bouncy or fidgety or whatever you want to say most of the time.   If that’s how they are, then you know that’s how they are and it’s not a drug, wants to rule out the drug-related causes, including physical causes.   You know if they’re in chronic pain if you know etc.   There are a lot of reasons somebody could be excessively sleepy have difficulty concentrating be overly agitated.   There are a lot of things that use diagnostic procedures to determine the types of drugs being used. So in screening, we’re going to ask them what they’ve been using.   But ideally, you can also do an on-site drug screening.   You know having a pee in a cup and the on-site.   Screenings are not super reliable, but it gives you something to look at.   You know most cases, it’s anywhere between 60 and 70 percent reliability, which is why, if it comes up positive and the person says, I didn’t use that it needs to be sent off to a lab for mass spectrometry.   To determine what happened, because you can get false positives and you can get false negatives, they may have used something and it doesn’t show up on the test.   So you don’t want to just trust the on sites as being a hundred percent, but it is a good tool to identify whether the person is telling you the truth about how much or what their current, whether they’re currently using or not assess Clients, mental health and trauma history.   You’re not going to get deep into the weeds here, just ask them if they have a history of depression, anxiety, or abuse of any sort and move on to their safety or environmental needs.   Do they have a safe place to sleep? You know if they have an address, you know, do they feel safe in their home? Do they eat well, how’s their nutrition? Do they have any physical health needs that are not getting met? Do they have any other wraparound needs? If they’ve got kids, do they have access to childcare? Are they having problems with transportation? Are they able to afford the medications that they’re already prescribed, etc? So we want to ask them about some basic things like that, and then we’re going to assess the danger to themselves and others.   Are they talking about harming themselves or someone else? And we also want to ask if they’re thinking about hurting themselves or someone else. Screening methods include interviewing the clients and significant others using screening instruments and lab tests like urinalysis that we talked about signs of substance, use disorders or mental health issues.   We want to look for number one, the circumstances of contact.   If the person was referred by the court, then that’s a pretty good sign that there may be a substance use disorder going on if they’re referred because of a DUI.   For example, if they’re referred because of a fight they got into, but they weren’t using at the time their blood alcohol was zero.   We want to look maybe for mental health issues and things like intermittent explosive disorder.   You want to look at the clients, demeanor, and behavior.   Are they acting like they’re under the influence when they come in for the screening? Are they showing signs of acute intoxication or withdrawal? Are there any physical signs of drug use or self-injury? Needle injection marks, if they have a get frequent bloody noses, you know if they get bloody noses, while they’re in your office or if they have signs that they’ve been picking.   Those can be all physical signs of drug use.   Emaciation and malnutrition are also signed some drugs will cause the pupils to be dilated.   Other drugs will cause the pupils to be pinpointed. So you want to know what the signs of different drugs are for drugs of intoxication and different signs that people have been using, especially injection, but, like I said, sometimes, drugs will cause people to pick or itch, and that will show indicate to you that there might Be an underlying issue and information spontaneously offered by the client or significant others can give you information about whether there’s a substance, use or mental health issue, and sometimes the significant other.   Let me just kind of back up: there may be the significance the spouse brought the person in and when you go out to meet them you, the person, the person being interviewed.   Doesn’t want their spouse in there.   They want.   They want to go back by themselves, okay, that’s cool, you go out and meet the person and then, if you can, with permission, bring the spouse back after the screening to give them both the results, and at that point the significant other the spouse may Spontaneously say: oh well, why didn’t you tell them about? You know the DUI you had three years ago or whatever.   So sometimes spouses will just kind of blurt things out because they suspect that the significant other didn’t already say it during the interview.   So if you can get that person in a private place where they have an opportunity to say something wonderful but remember you know you do have to have the client’s permission.   Screening instruments can be developed by the agency or use standardized instruments.   The cage is a common one and you ask a person: have they tried to cut down unsuccessfully, do they feel annoyed when people talk to them about their substance use, do they feel guilty about the substances about using their substances and do they sometimes have to Use first thing: in the morning to kind of wake up we call it an eye opener if they say yes to one or more of those, there’s a chance that they may have a problem.   The gain is another tool that you can use, as is the Michigan alcohol screening test or the Sasi. So all of those are standardized instruments, and some of them cost money.   Others, like Kay, don’t, so it may depend on your agency and what kind of budget you’ve got.   What instruments you’re using any instruments you do use must detail what action should be taken based on received scores.   So if a person takes the cage – and they say yes to one but not any of the others, does that mean they should be sent for a referral if they say yes to two, when at what point should they be sent for a full assessment? You want to screen when screening for mental health you want to screen for acute symptoms such as hallucinations, delusions or depression or anxiety, suicidal thoughts and behaviors, and other mood and thought disturbances.   So you’re going to ask them about time, place, purpose, and person.   Do you know what time it is? Do you know where you are? Do you know why you’re here and do you know who I am you’re going to ask them about short and long-term memory if they can tell you about something from their childhood great, but you’re also going to ask them If they can tell you about what they had for lunch, another thing you want to assess or another way to assess short term memory is to tell them.   I’m going to tell you four words and I want I’m going to.   Ask you in a few minutes to recall those four words for me and then tell them four words: make them easy words like dog cat, bird, and fish.   You know not something hard to remember and then in five or ten minutes.   Ask them what were the four words I told you and see if they can remember you’re going to ask them about prior involvement in mental health treatment. What worked and what didn’t if they have been in treatment? What prescription medications do they use, and this includes all prescriptions because physical health prescriptions can have mental health side effects? Ask them about recent traumas again, don’t get into it, but ask them if they’ve been victimized or experienced any sort of abuse and a family history of mental illness.   If they have a family history of mental illness, the chances of them developing mental illness are a little bit greater.   When screening for mental health, you’re going to use the modified mini screen, the Mental Status exam, the mini Mental Status exam.   The brief symptom inventory, a brief psychiatric rating scale, or the symptom checklist 9 t r.   So those are the ones that you’re, typically going to use a lot of times.   They’re already in your electronic medical record, so you’re not going to have to figure out what to use in terms of you know, knowing what the instruments are for certification and testing purposes.   These are the six that you want to be aware of.   So you can google each one of them and find out more about what each screening test can provide.   Your screening is the initial contact to decide if a person may need a more in-depth assessment.   Screening is brief but requires the person to be engaged in the process to get an accurate result. How well the person is engaged in the screening process is a direct predictor of whether he or she will continue in the process.   If you enjoy this podcast, please like and subscribe either in your podcast player or on YouTube, you can attend and participate in our live webinars with doctor Snipes by subscribing at all CEUs comm slash counselor toolbox.   This episode has been brought to you in part by all CEUs com providing 24 7 multimedia, continuing education, and pre-certification; training to counselors therapists, and nurses, since 2006 use coupon code consular toolbox to get a 20 discount off your order.   This month, As found on YouTube This solution reverses kidney disease! Guaranteed to be effective or your money back: Beat kidney disease. Just by following a simple treatment plan, you can reverse kidney disease. No matter how old you are! Just listen to what people who have tried this solution have to say. “Thank God I came across your solution by accident! Dad’s kidney function decreased from 36% to 73% in just two months. He’s 90 years old! His doctor said people his age shouldn’t have kidneys that efficient!” Graeme Asham, QLD, Australia, And this… “No more dizzy spells! My creatinine has gone down from a staggering 1800 to 1100. My blood count has greatly improved and I’ve been taken off my blood pressure medication. Your solution works! ” Joe Taliana, 55, Malta Simply follow the scientifically backed solution and restore your kidneys, fast! => This solution reverses kidney disease!https://www.facebook.com/100000332115031/videos/590895892954739/ яαℓρн ℓєαмαи

10 Signs of Hidden Anxiety

  According to the American Psychological Association, People with anxiety have a future-oriented fear which leads them to avoid anything that could potentially trigger a stress response. In 2017, the National Institute of Mental Health reported that approximately forty million people worldwide suffer from anxiety.   Anxiety disorders are highly treatable, but recent surveys show that only 36 9 of those suffering from it seek treatment.   This might be because most people with anxiety worry about the judgment of others and how the stigma against mental illness might negatively affect their lives.   Does this sound familiar to you, Do you worry, you might be suffering from anxiety and just don’t realize it Here are 10 telltale signs of hidden anxiety to look out for 1.   You don’t like talking to people face to face.   You can easily keep a conversation going for hours when you’re texting or chatting online with a friend, but talking to someone in person.   No, that’s an entirely different story, Even if you already know them well or have talked to them online.   You still get tense and nervous talking to them in person.   You have trouble making eye contact or finding the words to respond to, and you want to end face-to-face conversations as soon as they begin to 2.   You’re, always self-conscious. Do you walk into a room and immediately feel like everyone is staring at you listening to you and judging your every move, Or perhaps you’re overly conscious of the way you walk the way you eat the way you sit the sound of your voice when You talk, and so on.   This could be a sign that you have hidden anxiety.   3, You’re, easily upset or irritated.   Has anyone ever told you you’re too sensitive? Do you find your feelings getting hurt easily? Are you quick to get angry or upset with others over the littlest things? This kind of emotional volatility may be a sign that you have high-functioning anxiety As anxiety can often make us easily overwhelmed and emotionally imbalanced.   Frequent mood swings.   Temper, tantrums, and irritability can be expected when you’re overly anxious 4.   You’re, panicky and easily startled Anxiety makes you want to be as in control and vigilant as possible.   An unexpected phone call, a random knock on the door, an email with no subject, or a forgotten task.   You can easily finish Anything is enough to send you reeling with panic.   You go into a tailspin whenever something catches you off guard and you find it hard to relax. Even when the smallest things don’t go exactly as planned.   5.   You’re indecisive.   Do you have trouble, making even the simplest of choices? Are you afraid of making up your mind about something because you’re so sure that whatever decision you make is going to be the wrong one? Oftentimes anxiety can manifest as perfectionist tendencies, fear of failure, or distrust in oneself.   If you can’t make your own choices without thinking about it for hours and hours first or consulting with all your friends and family, you might be harboring some hidden anxiety.   6.   You overthink past conversations.   You tend to get hung up on past conversations.   No matter how much time has passed since then You analyze the other person,’s, body, language, facial expressions, choices of words, and even the tone of their voice.   You can’t help but think about what you should have done or said instead and it drives you. You are crazy and keeps you on edge every time you remember it.   7, You’re, always making yourself busy It’s common for people with anxiety to have a strong need to keep themselves busy.   They’d like to occupy themselves with simple tasks and do as many things as possible in a day because sitting still and doing nothing for a long time can make them feel restless and on edge 8.   You talk yourself down all the time.   Life is 39.   T is always kind to us and has self-love and a balanced lifestyle.   Doesn’t come easily Living with anxiety, especially if it’s hidden or suppressed, can make it hard for us to feel good about ourselves and let ourselves feel happy.   It makes us believe that we don’t deserve it and traps us in a vicious cycle of negative self-talk and constant pressure to be perfect.   9.   You have a lot of negative thoughts. Are you a pessimist whose quick to find the downsides in every situation? You find yourself getting upset or stressing out over it.   Even the most minor inconveniences Are every day, a constant battle with yourself against the spiral of panicked and rational thoughts.   You have In 1997, famed psychologist and cognitive therapist Aaron Beck termed this kind of thought pattern as catastrophic thinking Which he often observed in his patients, who suffered from anxiety And 10.   You experience physical symptoms.   Sometimes anxiety can be entirely physical, because, while your conscious mind may not always be aware of your anxiety, it will make itself known to your body Things like erratic heartbeats chest, palpitations muscle tension, a clenched jaw shaky hands up a few sweating are all indicative of Anxiety, Your body may be trying to let your mind know that you’re feeling anxious and stop it before it gets any worse.   Do you relate to any of the problems listed here Or do you do your best to seem ok And hide your symptoms, because you feel embarrassed about your anxiety?   The truth is you’re not alone, and having mental health issues is nothing to be ashamed of.   What do you plan to do next? Let us know, in the comments below Don’t forget to like this video and subscribe to Psych2Go for more psychology content Thanks for watching and we’ll see you soon.   . As found on YouTube This solution reverses kidney disease! Guaranteed to be effective or your money back: Beat kidney disease. Just by following a simple treatment plan, you can reverse kidney disease. No matter how old you are! Just listen to what people who have tried this solution have to say. “Thank God I came across your solution by accident! Dad’s kidney function decreased from 36% to 73% in just two months. He’s 90 years old! His doctor said people his age shouldn’t have kidneys that efficient!” Graeme Asham, QLD, Australia, And this… “No more dizzy spells! My creatinine has gone down from a staggering 1800 to 1100. My blood count has greatly improved and I’ve been taken off my blood pressure medication. Your solution works! ” Joe Taliana, 55, Malta Simply follow the scientifically backed solution and restore your kidneys, fast! => This solution reverses kidney disease!https://www.facebook.com/100000332115031/videos/590895892954739/ яαℓρн ℓєαмαи

6 Signs You’re Burnt Out, Not Lazy

  Why does it seem like you, spend most of your time in bed lying down and not doing much lately? Are you someone who easily gets tired and doesn’t feel like doing anything? Do you label this kind of behavior as mere laziness and nothing more? There.’s, actually a lot of overlap between laziness and burnout that can make it difficult to differentiate between the two Burnout is a negative state of emotional, physical, and mental exhaustion caused by excessive stress and inability to cope with it, And as 2010. A survey reported that approximately 75 of adults in the United States alone have experienced symptoms of burnout, with over 40 of cases being more severe.   Now more than ever, it’s become imperative to educate and better understand the nature of burnout.   So with that said, here are six telltale signs that what you’re experiencing right now, isn’t laziness, but burnout.   Upbeat music, Number one! You feel disconnected from everything.   Are you going through the motions of every day as if on autopilot? Is there a persistent feeling of being detached from your self? If you’re suffering from burnout, one of the things you might be experiencing, but don’t quite realize or understand, is depersonalization People experiencing depersonalization most commonly those struggling with trauma report feeling a strange sort of emotional, numbness or emptiness as if they were watching life.   From outside of themselves, They don’t feel like themselves anymore.   They don’t feel engaged by anything And they constantly struggle with the overwhelming sense of helplessness and inability to take back control of their lives.   Number two you used to be motivated: Laziness is a character, trait, And character.   Traits tend to remain stable over time.   A lazy person doesn’t ever feel like exerting effort or applying themselves to things. But if you used to be self-motivated and high, achieving often excelling in certain areas, and have only recently become exhausted, apathetic, and unmotivated, then it’s more likely that you, ‘re suffering from burnout and not laziness like most people, would think Number three.   You used to be passionate A clear difference between someone who’s burnt out and someone lazy.   Is that the former used to have things they were passionate about, but may now be struggling to find interest or enjoyment in anymore, Whether it’s a talent, a sport or just your academic or professional performance in general burnout can make it hard for you to Do the things you once loved or felt passionate about You might even come to hate or resent it because of how much you overworked yourself and pushed yourself to the brink because of it Ouch Number: four, you’ve become moody and irritable.   Do you suddenly find yourself snappy and easily irritated? Do you often feel emotionally out of control nowadays and don’t know why Moodiness and irritability are common but often overlooked signs of burnout? So if you start to have trouble controlling your emotions, especially when it never used to be a problem for you, this might be the reason why Lazy people, on the other hand, are a stark contrast to this, because they’re, often very relaxed, laid back placid And unaffected by things Number five, you’ve neglected your self-care.   One of the most distressing warning signs that someone may be emotionally and physically burnt out is, if you start neglecting yourself care and socially withdraw from others.     There are concerning changes in your eating and or sleeping patterns.   You stop making an effort to groom yourself or look good, and you tend to spend most of your time by yourself doing nothing because you’re so easily exhausted by even the simplest of tasks.   The difference between being burnt out and laziness is starkly in the fact that you weren’t always this way And number six.   These changes happened gradually.   Finally, but perhaps most importantly, something you should know about burnout is that it develops in stages. So all of the points mentioned before losing interest and motivation, especially in things we used to love feeling detached from yourself and disconnected from everything around you, socially withdrawing, and neglecting your self-care won. ‘t just happen overnight. Studies show that there are five major stages of burnout, each with increasing degrees of severity, The honeymoon phase, the onset of stress, chronic stress, burnout, and habitual burnout.   Many people begin to experience symptoms as early as the second phase when there is still a moderate amount of stress, but optimism, interest, motivation, and performance may already start declining by the time you reach the fifth and final stage.   Burnout has already become so embedded in your life that the persistent mental and physical fatigue becomes more intense and harder to treat making you more vulnerable to developing depression and anxiety.   Spotting the signs of burnout early makes it all the easier for you to get help and recover from it That’s, why it’s so important to raise awareness about burnout instead of simply dismissing it as laziness like most people tend to do So.   If you or anyone you know, may be suffering from mental or emotional burnout, please don’t hesitate to reach out to a mental health care professional today and talk to them about it.   If you find this video helpful, be sure to hit the like button, feel free to leave a comment down below with your thoughts, experiences, and suggestions, and share it with those out there battling the haze of burnout.   Don’t forget to subscribe, just go and hit the notification bell from one new video And, as always, thanks for watching upbeat music. As found on YouTube This solution reverses kidney disease! Guaranteed to be effective or your money back: Beat kidney disease. Just by following a simple treatment plan, you can reverse kidney disease. No matter how old you are! Just listen to what people who have tried this solution have to say. “Thank God I came across your solution by accident! Dad’s kidney function decreased from 36% to 73% in just two months. He’s 90 years old! His doctor said people his age shouldn’t have kidneys that efficient!” Graeme Asham, QLD, Australia, And this… “No more dizzy spells! My creatinine has gone down from a staggering 1800 to 1100. My blood count has greatly improved and I’ve been taken off my blood pressure medication. Your solution works! ” Joe Taliana, 55, Malta Simply follow the scientifically backed solution and restore your kidneys, fast! => This solution reverses kidney disease!https://www.facebook.com/100000332115031/videos/590895892954739/ яαℓρн ℓєαмαи

5 Differences Between Anxiety and Panic

  Hello Psych2Goers, We want to say thank you for all the support you’ve, given us over the last few years. It’s truly amazing, to know how big of a community we have built around mental health, advocacy, and awareness.   We are proud of that and we’ll love to continue to serve where possible.   Today,’s topic is the difference between anxiety and panic disorder.   If you are struggling to know the difference, then this topic is for you, Although it can be distracting and distressing anxiety is a completely normal part of life.   Everyone will experience bouts of anxiety at some point in their lives, usually surrounding a stressful event, such as an exam or job interview, But only 18 of Americans are truly diagnosed with generalized anxiety, disorder or G, A D According to Kathleen Roblyer a psychiatric mental health nurse Practitioner and clinical assistant, professor at Texas, A M Health Science Center College of Nursing anxiety, is a common experience.   When the presentation of anxiety meets certain criteria, such as in generalized anxiety disorder, it becomes a disorder.   The same relationship distinguishes individual panic, attacks from panic disorders.   A chronic and distressing condition that affects two to three percent of adult Americans.   Recurrent panic attacks can be considered a panic disorder when the individual begins to live in fear of experiencing more attacks, thus interfering with everyday life and often triggering more attacks Just as anxiety and JD are used interchangeably despite being different experiences.   Panic disorder is often misunderstood as being severe anxiety, While the two are very related panic disorder falls under the category of anxiety disorders. They are not interchangeable because of the distinct ways each affliction presents itself.   Here are five of the most significant differences between anxiety and panic.   1 anxiety can last much longer, Fortunately, for those who suffer from panic attacks, episodes are usually short lived While a lot of attacks and within 10 minutes of beginning according to the Perelman School of Medicine.   At the University of Pennsylvania, multiple rolling attacks can come and go for several hours at a time.   Of course, the frequency of panic attacks varies from person to person, so no two experiences will necessarily be the same.   Anxiety, on the other hand, is much more long-term.   You can think of it more like a change in one’s everyday behavior, rather than a sudden onset of severe distress.   Symptoms can last for years, even with treatment, but just like panic disorder, no two cases of anxiety are the same 2.   Panic is specific, while anxiety is more general Kathleen, Wobblier PM HNP of texas, a and m explains 39.   A panic attack is a specific event that occurs with defined characteristics and involves feelings of intense fear, danger, or doom, whereas anxiety is a more general term related to stress and worries 39. Neither anxiety nor a panic attack needs a specific trigger to cause it.   But anxiety can also cause generalized stress and worry about the future past and even hypothetical events.   Panic attacks often occur out of the blue without any triggers present.   This doesn’t mean that triggers panic.   Doesn’t exist, but the lack of casualty can make these seemingly random attacks.   More distressing Anxiety attacks, though, typically occur about a specific event situation, or thought that triggers the unwanted response, while anxiety disorder can disrupt a person’s life, even when the triggers are not present 3, they have different symptoms, Although both disorders are based in A severe sense of worry or fear they express themselves in different ways.   According to dr Ted Wander, inpatient psychiatry, and medical director at Intermountain, LDS Hospital, the symptoms of a generalized anxiety disorder include more generalized emotional symptoms such as irritability, Feelings of worry or dread, trouble, concentrating, and feeling tense or jumpy.   The symptoms of panic attacks, on the other hand, are more severe and come on more abruptly than symptoms of GAD.   They can include sweating shaking chest pain, a rapid heart rate, and even numbness or sensations of choking For a more thorough list of symptoms and information.   About panic and anxiety check out dr Wander’s, article 4 panic attacks are more sudden. Symptoms of anxiety attacks tend to show themselves gradually when exposed to a trigger When anxiety disorder becomes long-term, though, symptoms can become so constant that it can be hard to tell when they begin and end.   Anxiety may also begin to cause more intrusive symptoms that occur more frequently when stressors are not present.   A psychologist would likely consider this to be a symptom of anxiety disorder.   According to the anxiety and depression Association of America, panic attacks are much more distinct.   Symptoms come on suddenly and noticeably rather than building up gradually over time.   The acute nature of panic symptoms, such as chest, pain, and shortness of breath have led many to mistake their symptoms for a heart attack.   Luckily, panic attacks are not life-threatening and will often resolve on their own in a fairly short amount of time.   5 panic attacks can leave you feeling unreal and out of control For many the scariest symptoms of a panic attack, aren’t the physical sensations, but the mental unrest In an article for the National Alliance on Mental Illness.   Writer, Jenny, Mary recounts her own experiences with these symptoms.   She describes the realization as feeling withdrawn from one surrounding as if the world isn’t real Depersonalization, on the other hand, is closer to an out-of-body experience In which a person feels separated from his own self Jenny. Didn’t learn that this disorientation was also part of the panic disorder until she had worked through her symptoms, But once she learned that her experiences were not as unusual as they felt she began to have the peace of mind that allowed her to share her experiences.   In this article and throughout her life, To summarize, the main difference between anxiety and panic disorder is Anxiety.   Last longer, Panic is specific, while anxiety is more general.   Panic and anxiety have different symptoms with anxiety involving symptoms like irritability, while panic attacks can include a shaking chest, pain and increased heart rate, and even numbness, And lastly, panic attacks are more sudden.   Hopefully, you found this video helpful, Be sure to subscribe and comment below to suggest topics You would like to see us cover.   Panic attacks are terrifying.   The best way I can describe My panic attacks is one of those heart attack scenes from every single medical drama.   There is It’s much worse than sweaty palms.   Your entire body starts sweating.   Sometimes things become cold. Whenever I’m at my worst, my breathing becomes so rapid that my throat hurts Noises come out of your throat without your permission and you don’t.   Even recognize them. As found on YouTube This solution reverses kidney disease! Guaranteed to be effective or your money back: Beat kidney disease. Just by following a simple treatment plan, you can reverse kidney disease. No matter how old you are! Just listen to what people who have tried this solution have to say. “Thank God I came across your solution by accident! Dad’s kidney function decreased from 36% to 73% in just two months. He’s 90 years old! His doctor said people his age shouldn’t have kidneys that efficient!” Graeme Asham, QLD, Australia, And this… “No more dizzy spells! My creatinine has gone down from a staggering 1800 to 1100. My blood count has greatly improved and I’ve been taken off my blood pressure medication. Your solution works! ” Joe Taliana, 55, Malta Simply follow the scientifically backed solution and restore your kidneys, fast! => This solution reverses kidney disease!https://www.facebook.com/100000332115031/videos/590895892954739/ яαℓρн ℓєαмαи