Thoughts on Record: Podcast of the Ottawa Institute of Cognitive Behavioural Therapy

Thoughts on Record: Podcast of the Ottawa Institute of Cognitive Behavioural Therapy

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Thoughts on Record: Podcast of the Ottawa Institute of Cognitive Behavioural Therapy episodes

  • Dr. Tom Murray: Let's Talk About Sex (but only on Saturdays, using proper anatomical terms & with the lights off)

    Comments or feedback? Send us a text!

    As is the case in many areas of life, for those who are perfectionistic, sex and sexual expression can be areas where emotional over-control & cognitive/behavioural inflexibility can impair pleasure, erode intimacy and create anxiety.  International trainer, educator, couples and sex therapist & author, Dr. Tom Murray joins us for a discussion of core themes of his new book Making Nice With Naughty: An Intimacy Guide for the Rule Following, Organized, Perfectionist, Practical and Color-Within-The-Lines-Types.  In this discussion we cover:  

    • why Dr. Murray wanted to write this book
    • why he built his book on a strong Radically Open DBT (RO DBT) framework but with the addition of many other strategies drawn from within CBT (ACT, REBT etc)
    • the four features of being emotionally “over-controlled” (or OC)
    • why the over-controlled temperament might hold special concern within the context of sex
    • examples of challenges emblematic of the problems that an OC might report in the content of sex therapy
    • the impact that perfectionism might have in the context of sex (either towards the self or towards the partner)
    • how OC coping strategies around threat reduction can backfire specifically in the context of sex
    • starting points for OC clients who want to step into and/or reclaim (or even just claim!) their sexuality
    • the conundrum of waning desire within long-term relationships, with a focus on the potential origin of gender differences
    • helping clients to become comfortable first with their own inner experience through fantasy etc before perhaps being vulnerable with another 
    • Dr. Murray's reflection on the experiential aspect of being a sex therapist

    Feedback or comments?  Email the show at [email protected]

    Host note:
    We will be offering a 6 week essentials of CBT workshop that I will be facilitating beginning March 24, 2023.  For more information and registration, please visit: https://www.ottawacbt.ca/news. 

    Dr. Tom Murray, an international trainer, educator, and couples and sex therapist, is a widely sought-after expert in sexuality and intimate relationships. He authored the 2022 book, Making Nice with Naughty: An intimacy guide for the rule-following, organized, perfectionist, practical, and color-within-the-line types.  Dr. Murray has appeared in numerous venues, including the Huffington Post and The Daily Mail, as well as radio, television and podcasts, including the Practice of Being Seen and Shrink Rap Radio. He’s a highly acclaimed presenter at local, regional, and national conferences on various mental health and relationship topics. Dr. Murray has published numerous articles in professional journals and has faculty affiliations with UNC Greensboro, Walden University, and Lindsey Wilson College. He currently teaches at Northwestern University’s Family Institute.  In addition to his couples and sex therapy practice, Dr. Murray is passionate about Highly Sensitive Persons, artists, actors, dancers, musicians, and other creative types. With nearly a decade of experience as the director of a counseling center for one of the premier art conservatories in the nation, Dr. Murray integrates knowledge from business, positive psychology, sports psychology, mindfulness, and performance optimization to manifest creative aspirations. Dr. Murray lives in Greensboro, NC, along with his two sons. In addition to his strong passion for sex-positive, clinical practice, and advocacy, Dr. Murray enjoys writing jokes, taking comedy improv courses, cooking and baking, singing, and participating in his faith community.

    https://drtommurray.com/forensic-services/

    1 hr 9 min
  • Dr. Susan Rogers: The Neuroscience & Psychology of Music

    Comments or feedback? Send us a text!

    Music has a unique ability to evoke emotion and articulate a feeling or sentiment where words can fail.  Moreover, much like a romantic attachment, many of us form an intense connection to a specific song, genre or band but are never really sure why or where our specific attraction or pull comes from. Professor, author, producer (Barenaked Ladies) & audio engineer (Prince), Dr. Susan Rogers, joins us for a discussion of some of the core themes in her wonderful new book, This is What it Sounds Like - What the Music You Love Says About You.  In this discussion we cover:  

    • why Dr. Rogers wanted to write this book
    • theories on why humans have the capacity to create and enjoy music
    • the relationship between emotions and music
    • music as special form of touch (and not just as a metaphor)
    • the neuroscience underlying music and emotional memories
    • how are musical preferences are formed from a brain/psychological lens
    • how melody is experienced in the brain and the mixed emotions that a single melody can evoke
    • why the applications of various audio effects (reverb, echo, delay) can so greatly influence and enhance the listener's emotional experience
    • a consideration of the at times "culturally bound" nature of music e.g., why is it that  a band can be incredibly popular in one country while only enjoying limited success in another country (often for subtle or unknown reasons)?
    • the science behind what makes some music universally loved music vs. being more of a niche preference 
    • how the quality of creativity may ebb and flow across the developmental lifespan
    • a brief reflection by Dr. Rogers' on Prince around the intersection of his talent with his work ethic

    Comments or feedback?  Email the podcast: [email protected].  Enjoying the content?  Please consider providing a rating or review!

    Host note:
    We will be offering a 6 week essentials of CBT workshop that I will be facilitating beginning March 24, 2023.  For more information and registration, please visit: https://www.ottawacbt.ca/news. 

    Dr. Susan Rogers holds a doctorate in psychology from McGill University, where she studied music cognition and psychoacoustics under researchers Daniel Levitin and Stephen McAdams. Her research focuses on auditory memory, the perception of musical signals, and the influence of musical training on auditory development. For two decades prior to her science career, Rogers was one of the world's few women known for her work as a record producer, engineer, mixer, and audio electronics technician. Career highlights include years (1983–1988) as staff engineer for recording artist Prince and working with such diverse artists as Barenaked Ladies, David Byrne, Tricky, and Tevin Campbell. Rogers is the director of the Berklee Music Perception and Cognition Laboratory. Her new book ‘This is What it Sounds Like - What the Music You Love Says About You” co-authored with Ogi Ogas was released in the fall of 2022. 

    https://www.thisiswhatitsoundslike.com

    1 hr
  • Tabitha Carvan: This Podcast is NOT About Benedict Cumberbatch

    Comments or feedback? Send us a text!

    In a world in which we are increasingly wary of quick dopamine "hits" that frequently lead to feelings of emptiness, meaninglessness & dissatisfaction, it has become unclear how one could or should relate to joyful obsessions that reflect a fuller expression of the self, that could hold great personal meaning.  Author, Tabitha Carvan, joins us for a discussion of her new book "This Book is Not About Benedict Cumberbatch" in which she explores the notion of a joyful obsession and the value that it can bring to one's life. 

    Host note:  My hope is that we made this pretty clear in the conversation; however, just so there is no ambiguity - in this conversation we are discussing joyful obsessions that lead to an enhanced sense of self, meaning & well-being - this, of course, would be in contrast to an addiction in which there is an erosion in one's self of self, functioning & psychological well-being.  With that out of the way, enjoy the episode!   

    In this conversation we cover:

    • the core concept of the book and why it is, in fact, really not about Benedict Cumberbatch
    • the vulnerability that Tabitha felt in writing this book and why she feels this vulnerability was ultimately critical to having the book translate to, and resonate with readers
    • the reception the book has received so far and whether Benedict Cumberbatch has heard of and/or seen the book
    • the potential psychological function, role & utility of joyful obsession & fantasy in one's life
    • Tabitha's reflection on the function of her joyful obsession with Benedict Cumberbatch and why it presented itself to her at the time in her life that it did
    • an in-depth consideration of the way in which women's joyful obsessions/passions are denigrated & trivialized  in a way that men's are not
    • the very specific overlay of motherhood in the context of women's joyful obsessions/passions
    • examples of women highlighted in the book who were able to engage in meaningful, life-affirming change by leveraging the energy & perspective drawn from a joyful obsession
    • a discussion of the health of the average individual's fantasy life and what might be getting left on the table for those not engaging in this important exploration of the self
    • do's & don'ts for exploring the integrating of a joyful obsession into one's life

    Comments or feedback?  Email the show: [email protected].  Enjoying the content and/or finding it is adding value to your life or practice?  A rating (or even a review) on Apple podcasts would be greatly appreciated!

    Tabitha Carvan has written for publications such as The New York Post, Australian Geographic, Overland, Offbeat Home, The Outline, AsiaLIFE, and MamaMia, focusing on issues of identity, family, and pop culture. This Is Not a Book About Benedict Cumberbatch is her first book.

    http://www.tabithacarvan.com
    @tabithacarvan

    1 hr 20 min
  • Dr. Julian Ford: Differentiating Borderline Personality Disorder & Complex PTSD

    Comments or feedback? Send us a text!

    Complex post-traumatic stress disorder (CPTSD) & borderline personality disorder (BPD) are often confused and sometimes used interchangeably when, in fact, they are separate diagnoses with distinct underlying core etiology and symptomatology.  Clinical Psychologist & Professor, Dr. Julian Ford, joins us for a conversation around defining & differentiating CPTSD & BPD. In this conversation we cover:

    • the adequacy of current conceptualizations of trauma
    • the origin of the diagnostic construct of complex PTSD (CPTSD) and why it was proposed as an alternative to borderline personality disorder (BPD)
    • where CPTSD and BPD overlap, and where they differ
    • the special role that interpersonal trauma, attachment injury & especially victimization play with respect to development of CPTSD and BPD
    • differentiating between CPTSD & BPD from a neuroscience lens
    • differentiating between CPTSD & BPD from the lens of emotion dysregulation (i.e., the types of emotion dysregualtion typically experienced within each diagnosis)
    • considering CPTSD & BPD from an assessment & diagnostic perspective, with some suggestions for clinicians  
    • "gold-standard" treatment approaches for CPTSD & BPD
    • Developmental Trauma Disorder (DTD) - why it was developed, the essential features of DTD and implications for diagnosis, assessment & treatment of trauma in children

    Comments or feedback?  Email the show: [email protected].  Enjoying the content?  We would be very grateful receive a rating (or even better a review!) on Apple Podcasts.

    Host note:
    We will be offering a 6 week essentials of CBT workshop that I will be facilitating beginning March 24, 2023.  For more information and registration, please visit: https://www.ottawacbt.ca/news.  

    Dr. Julian Ford is a Professor in the Department of Psychiatry at the University of Connecticut School of Medicine and Director of the National Child Traumatic Stress Network Center for Trauma Recovery and Juvenile Justice. Dr. Ford developed the evidence-based TARGET CT recovery model that has been implemented in all sectors of the workforce in juvenile justice, child welfare, and residential treatment settings. He has authored or edited 10 books and more than 200 articles and chapters in the traumatic stress field, and co-developed the Traumatic Events Screening Inventory for Children (TESI). Dr. Ford co-leads the NCTSN DTD initiative. 

    57 min
  • Drs. Sheila Rauch & Carmen McLean: The Neuroscience of Prolonged Exposure for PTSD

    Comments or feedback? Send us a text!

    Prolonged Exposure (PE) therapy is among the most effective, empirically supported treatments for posttrauamtic stress disorder.  Importantly, there is a growing literature around the neuroscience of PE which has important implications for the delivery of PE.  Drs. Sheila Rauch & Carmen McLean, join us for a review of some of the core themes in their book Retraining the Brain: Applied Neuroscience in Exposure Therapy for PTSD.  In this discussion we cover:   

    • why Drs. Rauch & McLean wanted to write this book
    • a brief overview of Prolonged Exposure (PE) therapy
    • comparing & contrasting the theoretical mechanism underlying PE vs. research findings
    • considering the window of tolerance in PE through the lens of applied neuroscience
    • impact of length of session on treatment from a brain lens
    • the relative (and interactive) impact of in vivo &. imaginal exposure
    • whether tailoring the clinical approach (e.g., PE vs CPT) is necessary depending on the client’s presentation 
    • the potential utility for PE in addressing moral injury
    • a consideration of whether PE could be experienced differently within the brain depending on the client’s stance to the treatment i.e., high vs. low willingness
    • the provision of PE through virtual platforms 
    • best practices around combining medications with PE
    • Psychedelic/MDMA assisted psychotherapy - caveats and opportunities
    • novel augmentation methods for PE 
    • avoiding clinician burnout/vicarious traumatization in the context of PE 

    Comments or feedback?  Email the show: [email protected].  If you are finding value in the podcast, please leave us a rating (or even better, a review!) at Apple podcasts. Thank you!  

    Sheila A.M. Rauch, Ph.D., ABPP, is Deputy Director of the Emory Healthcare Veterans Program and Director of Mental Health Research and Program Evaluation at the Atlanta VA Healthcare System. She has published scholarly articles, chapters, and books on anxiety disorders and posttraumatic stress disorder (PTSD) focusing on neurobiology and factors involved in the development, maintenance, and treatment of anxiety disorders, psychosocial factors in medical settings, and the relation between physical health and anxiety. She is an author of the second edition of the Prolonged Exposure manual and patient workbook as well as the PE for Intensive outpatient programs manuals.  She is a fellow of the Association of Behavioral and Cognitive Therapy (ABCT), was granted membership in the American College of Neuropsychopharmacology, and serves as a member of the Board of Directors and Scientific Council of the Anxiety and Depression Association of America.  

    Dr. Carmen McLean is a licensed clinical psychologist and researcher with the Dissemination and Training Division of the National Center for PTSD at the Palo Alto VA Health Care System and a Clinical Associate Professor (Affiliate) at the Department of Psychiatry and Behavioral Sciences at Stanford University. Her research examines ways to increase the reach of exposure therapy for PTSD by addressing implementation barriers and testing eHealth interventions. She is currently Co-PI of a DoD-funded study testing a tailored process improvement approach to increasing the use of evidence-based treatment for PTSD in the U.S. military health system. She is PI of a FEMA-funded trial testing an intensive, integrated treatment for PTSD, insomnia, and nightmares in firefighters.  Dr. McLean serves on several journal editorial boards and is currently Associate Editor of the Journal of Anxiety Disorders and Cognitive and Behavioral Practice. She has over 125 scholarly publications including a book on applied neuroscience in exposure therapy for PTSD co-authored with Dr. Sheila Rauch and published by APA.

    1 hr
  • Dr. Stacey Kosmerly: Therapists Seeking Therapy

    Comments or feedback? Send us a text!

    Many of those who work in mental health services are personally connected to challenges related to mental health and many have been clients of mental health services.  OICBT clinical psychologist Dr. Stacey Kosmerly joins us for a discussion of the the very important topic of mental health service providers seeking out mental health services themselves.  In this conversation we cover:  

    • the gift of personal development that can often come with providing therapy
    • a brief review of rates of psychopathology among mental health providers 
    • discriminating between mental health challenges experienced by providers owing to an underlying vulnerability vs. being directly precipitated by providing psychotherapy and how the two interact 
    • reflections on problematic interpersonal patterns that can emerge in therapy - especially early in one’s career 
    • bearing our responsibility as therapists compassionately as well as through a lens of radical acceptance
    • the benefits and insights that can come from being a client with respect to the provision of your own services to clients
    • reasons why those providing therapy might be especially likely to benefit from therapy themselves (activation of attachment systems/schemas, vicarious traumatization, moral injury related to working in mental health system)
    • consideration of some of the barriers to seeking help (confidentiality, dual relationships etc
    • clinician reservations around open talking about their needs/challenges of working in the field

    Comments or feedback?  Email the podcast: [email protected]

    Finding the podcast adds value for you?  We would be very grateful to receive a rating (and especially review) on Apple podcasts!


    Dr. Stacey Kosmerly is a practicing clinical psychologist at the OICBT. She comes from a training background in Emotion-Focused Therapy (EFT), Cognitive Behavioural Therapy (CBT) and Dialectical Behavioural Therapy (DBT). Her current practice consists largely of working to support individuals in their development of skills for more effetely relating to and regulating their emotions and moving towards a more fulfilled life. Her personal and clinical experiences  have left her with a deep belief in the healing that can come from changing our relationship to our emotions.

    1 hr 13 min
  • Dr. Lisa Cohen: A Novel Model for the Conceptualization & Treatment of Personality Disorders

    Comments or feedback? Send us a text!

    Host note: Just a quick note that we'll be taking a breather until the fall to enjoy the rest of the short Canadian summer.   Have comments or feedback?   You can reach the show at [email protected].  Finding the show adds value for you?  A rating (and especially review) on Apple podcasts would be greatly appreciated (and, we really like to hear how the content is landing for you, helping you in your practice, life etc).  Take care and enjoy the episode - one of our favourites to date!

    Personality disorders can present a significant challenge from the lens of assessment & treatment.  Psychologist, professor, researcher & author, Dr. Lisa Cohen, returns to discuss core themes in her new book The Psychotherapy of Personality Disorders.  In this discussion we cover:  

    • why Dr. Cohen wanted to take on such an ambitious model of personality pathology that includes elements of emergent systems theory, schema therapy, biological psychiatry, evolutionary psychology, attachment theory (among others)
    • her model's very unique conceptualization of differential diagnosis (frequently a great challenge in the context of personality disorders)
    • the central role and utility of emergent systems theory in Dr. Cohen's model of personality pathology
    • how her model compares and contrast with other models of personality pathology 
    • exploration of the notion that personality pathology reside at the level of interpersonal representations 
    • a brief consideration of the evidence for this model of personality pathology
    • an in-depth consideration of the role of processes related to integration, differentiation & articulation related to managing interpersonal nuance and complexity that can become dysfunctional in the context of personality pathology (with examples to illustrate these principles)
    • discussion of the 5 level model of the mind-brain including examples of specific treatment treatment that map to different levels of the model
    • how Dr. Cohen's model informs assessment, diagnosis and treatment personality pathology
    • speaking compassionately and realistically about personality pathology through the lens of this model
    • the importance of evaluating personality psychopathology in the context of environmental demands (especially those related to the family system).  

    Dr. Lisa J. Cohen is clinical professor of psychiatry at the Carl Icahn School of Medicine at Mount Sinai, working at the Mount Sinai Beth Israel location.  Dr. Cohen has long been involved with clinically relevant research in a wide range of topics relevant to psychiatry and psychology.  Her more recent research domains have included the risk assessment and psychological correlates of suicide, risk factors for and differential diagnosis of personality pathology, the adult psychological sequelae of childhood maltreatment, as well as the childhood antecedents, psychological correlates, subjective experience and psychological burden of individuals with pedophilia.  She has previously researched opiate addiction, bipolar disorder, and obsessive compulsive disorder. She has also written on psychological assessment.  Dr. Cohen is an author on over 100 peer-reviewed journal articles and two books. Here third book, The psychotherapy of personality disorders was published in 2022.  Dr. Cohen received her PhD in clinical psychology from the City University of New York and performed her pre-doctoral internship at St. Luke’s Hospital in New York City.  She received her undergraduate education at the University of Michigan, obtaining a bachelor’s degree in psychology and another one in Fine Arts.

    Buy Dr. Cohen's book here

    1 hr 19 min
  • Dr. Renske Visser: A Conversation About Death & Dying

    Comments or feedback? Send us a text!

    Death & dying are topics that clinicians frequently tackle both directly (as manifested around a fear of death), indirectly (through discussion of questions of meaning, managing pulls towards nihilism) and process-wise, through helping clients manage grief around the loss of a loved one or to process/manage their own impending death.  Medical Anthropologist & podcaster, Dr. Renske Visser, joins us for a discussion of the topics of death & dying.  In this conversation we cover:  

    • what led Dr. Visser towards the study of medical anthropology and the sub-speciality of aging, dying and death
    • the experiences that have shaped Dr. Visser's personal reflections on death and dying
    • the important distinction between death and dying 
    • Dr. Visser's thoughts on the importance of cultural tools in navigating death & dying
    • consideration of the inborn psychological tools we may posses for managing death vs. messaging by/distraction of modern society
    • how the subjectivity that we bring to our own conceptualizations of death, influences how we talk about, research & generally deal with death
    • how attitudes towards death and dying change across the arc of the lifespan and a consideration of how good (or bad) we are at predicting how we will feel about our deaths when the time comes    
    • potential "active ingredients" with respect to what eases the process of dying for people psychologically  (control, place of death etc.)
    • why the notion of “home” (i.e., dying at home) is often so prominent in discussions around end of life and how this applies  to more marginalized settings like mental health institutions, prisons etc.  
    • how the ongoing cultural evolution around euthanasia/medical assistance in dying has influenced attitudes & conversations about dying/death
    • consideration of conundrums & observations around extending medical assistance in dying to those with mental disorders 
    • the missed opportunities with respect to talking about dying more openly
    • aspects of our day-to-day life (or way that we lives our day-to-day life) that are profoundly affected by knowledge of our own death that we don’t always (or ever) acknowledge or we could benefit from making more conscious or intentional

    Feedback or comments?  Email the show at: [email protected]

    Renske Visser is a Medical Anthropologist interested in Ageing, Dying and Death. Renske was born in Amsterdam, The Netherlands, has lived and worked in England and is currently living in Helsinki, Finland. She holds a PhD in Social and Policy Sciences from the Centre for Death and Society at the University of Bath and has done research on parental bereavement in young adulthood, homemaking in later life, ageing in secure environments, and cancer care in prison. Renske is the post-doctoral representative of the Association for the Study of Death and Society. She has a blog entitled Dead Good Reading, where she reviews books on death, dying and the dead, and is co-host of the Death Studies Podcast which is a monthly podcast and a  platform for the diversity of voices in, around and contributing to the academic field of Death Studies.

    https://www.deadgoodreading.com/

    1 hr 1 min
  • Scott Nations: The Role of Cognitive Distortions in Investing

    Comments or feedback? Send us a text!

    Investing and management of finances is often a source of considerable distress for many individuals.  Investor, CIO & author, Scott Nations, joins us for a discussion of some of the core themes discussed in his new book, The Anxious Investor.  In this conversation we cover:  

    • why Scott wrote The Anxious Investor
    • the evolutionary basis of investing behavior   
    • loss aversion as a central driver of irrational behavior in the context of investing
    • lessons from the mathematics of the stock market that can be applied to day-to-day decision making 
    • the role of cognitive distortions with respect to irrational behavior and decision making in the context of investing with discussion of specific examples
    • consideration of financial tools (e.g., exchange traded funds) that might help investors navigate  their own cognitive distortions
    • the psychological reality of "beating the market" and whether investing can truly be a "meritocracy"
    • why it is difficult to learn from previous bubbles that frequently seem so predictable 
    • Scott's view of the key behaviors that investors should veer away from, moderate etc. to manage anxiety related to investing
    • evaluation of cryptocurrency, NFTs and other emergent financial entities from a psychological perspective
    • how  mood affects investing behavior  
    • a consideration of how AI-driven investing may have changed the psychological landscape for the investor
    • a discussion of whether the average retail investor is psychologically positioned to manage their own investment portfolio effectively given the cognitive distortions to be navigated 
    • Scott's take on designing the perfect investing mindset  

    The content contained in this episode is for general information only and should not be regarded as financial or investment advice.  

    Questions or Feedback?  Email the show: [email protected]

    Scott Nations is the President of Nations Indexes, Inc. and a bestselling author. Scott also spent a decade as a Contributor to CNBC and regularly appears on-air to discuss markets, current economic events, and the outlook for a variety of financial vehicles.   Scott founded Nations Indexes in 2014. Nations Indexes is the world’s leading independent developer of volatility and option enhanced indexes and investment vehicles. Nations Indexes created the methodology used in the Nasdaq-100 Volatility Index (ticker symbol VOLQ). Futures on VOLQ launched on the Chicago Mercantile Exchange on October 5, 2020.  Scott is also the developer of the Nations suite of large-cap volatility indexes including VolDex® (ticker symbol VOLI) and TailDex® (ticker symbol TDEX), the first measure of the market’s expectations for a “tail event” or steep drop in prices. In addition to these indexes, Nations Indexes has also created a number of option strategy indexes which combine equity indexes and other underlying asset classes with unique option strategies which generate unique risk/return profiles.  Prior to founding Nations Indexes, Scott was a member of the Chicago Mercantile Exchange and was a market maker and floor manager for a leading index option trading firm.  Scott is the author of A History of the United States in Five Crashes, a general interest history of the five modern stock market crashes (1907, 1929,1987, 2008 and the Flash of 2010) which was published by HarperCollins in June 2017. Scott is the author of Options Math for Traders, published by Wiley & Sons in 2012 which was an Amazon.com bestseller. He is also the author of The Complete Book of Option Spreads and Combinations, published by Wiley & Sons in October 2014.

    https://www.scottnations.com
    Twitter: @ScottNations

    1 hr 9 min
  • Dr. Sandra Kooij: Understanding, Assessing & Treating Adult ADHD

    Comments or feedback? Send us a text!

    Assessing & treating adult ADHD can be both very challenging as well as highly rewarding for client and clinician alike. Professor, psychiatrist & author, Dr. Sandra Kooij joins us for an in-depth discussion of the assessment and treatment of adult ADHD.  In this discussion we cover:    

    • description of the main symptom clusters of adult ADHD (attention, hyperactivity, impulsivity) and how risk stratifies by various demographic factors
    • consideration of the frequent presence of emotion dysregulation with adult ADHD
    • the challenge of under and over diagnosis in the context of adult ADHD
    • comorbidity in the context of ADHD and the challenge of differential diagnosis
    • the relationship between borderline personality and ADHD and why they may reflect the same underlying biological vulnerability
    • assessment of ADHD in the context of active substance use, in particular cannabis
    • the special role that sleep disruption may play in the etiology and maintenance of ADHD
    • the differentiation between ADHD and cognitive ability and Dr. Kooij's thoughts on the role of cognitive testing in ADHD assessment
    • how perfectionism, pleasing etc. - especially in the context of high functioning clients (and in particular, women) - can hide underlying adult ADHD
    • conceptualizing diagnostic situations in which symptoms only become clinically significant later in life (or as life demands grow e.g., starting university, starting a family etc.) - particularly for high functioning clients or clients who grew up in a highly structured/supportive environment 
    • the challenge of navigating diagnosis in the context of subsyndromal symptomatology which may be better served by a continuum vs. categorical framework 
    • the relationship between hormonal disturbance, dopaminergic imbalance and ADHD in women
    • the relationship between cardiovascular disease and ADHD in women
    • Dr. Kooij's suggested resources for clinicians and consumers

    Comments or feedback?  Email the show: [email protected]

    Host note: We will be offering a 6 week essentials of CBT workshop that I will be facilitating beginning March 24, 2023.  For more information and registration, please visit: https://www.ottawacbt.ca/news.  

    Sandra Kooij, MD, Ph.D., is a professor at Amsterdam University Medical Center and Head of the Expertise Center Adult ADHD at PsyQ in the Hague, the Netherlands. She has more than 25 years of clinical experience and founded the ExpertiseCenter, the DIVA Foundation (Diagnostic Interview for ADHD in adults in 29 languages), The European Network Adult ADHD, and The Dutch Network Adult ADHD.  Her research focuses on ADHD, sleep and health, on women with ADHD and hormonal mood changes during the lifespan, and on ADHD in older people.  She is the author of “Adult ADHD - Diagnostic Assessment & Treatment” (Third Edition) published by SpringerLink.  She is involved in research, treating patients, training professionals, informing the public, publishing articles, books, webinars and podcasts. 

    1 hr 6 min

About Thoughts on Record: Podcast of the Ottawa Institute of Cognitive Behavioural Therapy

From the publisher's feed

Thoughts on Record is the podcast of the Ottawa Institute of Cognitive Behavioural Therapy (OICBT) located in Ottawa, Ontario, Canada. Each week we explore topics relevant to clinicians and mental…

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