1 00:00:05,120 --> 00:00:08,480 Speaker 1: Welcome to the Therapy for a Black Girls Podcasts, a 2 00:00:08,560 --> 00:00:13,360 Speaker 1: weekly conversation about mental health, personal development, and all the 3 00:00:13,400 --> 00:00:16,480 Speaker 1: small decisions we can make to become the best possible 4 00:00:16,600 --> 00:00:21,160 Speaker 1: versions of ourselves. I'm your host, Dr Joy hard and Bradford, 5 00:00:21,520 --> 00:00:26,200 Speaker 1: a licensed psychologist in Atlanta, Georgia. To get more information, 6 00:00:26,800 --> 00:00:30,560 Speaker 1: visit the website at Therapy for Black Girls dot com. 7 00:00:30,600 --> 00:00:33,479 Speaker 1: And while I hope you love listening to and learning 8 00:00:33,479 --> 00:00:36,120 Speaker 1: from the podcast, it is not meant to be a 9 00:00:36,159 --> 00:00:45,479 Speaker 1: substitute for a relationship with a licensed mental health professional. Hey, y'all, 10 00:00:46,040 --> 00:00:48,920 Speaker 1: thanks so much for joining me for session two of 11 00:00:49,000 --> 00:00:52,839 Speaker 1: the Therapy for Black Girls Podcasts. The conversation I'll be 12 00:00:52,880 --> 00:00:55,280 Speaker 1: sharing with you today has been one of the most 13 00:00:55,320 --> 00:00:58,200 Speaker 1: requested topics I think I've had from you all, and 14 00:00:58,240 --> 00:01:00,840 Speaker 1: I'm excited to share this information and because i think 15 00:01:00,880 --> 00:01:04,000 Speaker 1: many of you will benefit from it. Today, we'll be 16 00:01:04,040 --> 00:01:09,319 Speaker 1: digging into life with a bipolar disorder diagnosis. For this conversation, 17 00:01:09,800 --> 00:01:13,720 Speaker 1: I was joined by Melissa Eiffel. Melissa is a licensed 18 00:01:13,720 --> 00:01:17,720 Speaker 1: clinical social worker in both New York and Maryland and 19 00:01:17,800 --> 00:01:21,600 Speaker 1: has twenty years experience working with communities of color in 20 00:01:21,760 --> 00:01:26,880 Speaker 1: various capacities. Melissa is passionate about her work with young adults, 21 00:01:27,480 --> 00:01:30,720 Speaker 1: especially women of color with the history of trauma and 22 00:01:30,800 --> 00:01:33,399 Speaker 1: those who are in transition, seeking to learn how to 23 00:01:33,480 --> 00:01:37,959 Speaker 1: manage their emotions, have better relationships, and take their life 24 00:01:37,959 --> 00:01:41,240 Speaker 1: to the next level. Melissa and I chatted about what 25 00:01:41,319 --> 00:01:44,880 Speaker 1: it means to be diagnosed with a bipolar disorder, what 26 00:01:45,000 --> 00:01:51,000 Speaker 1: treatment looks like, how bipolar disorder impacts relationships, how family 27 00:01:51,040 --> 00:01:55,040 Speaker 1: and friends can support someone with a bipolar disorder, and 28 00:01:55,120 --> 00:01:58,120 Speaker 1: she shared her favorite resources in case you want to 29 00:01:58,200 --> 00:02:01,840 Speaker 1: learn more. If you hear something that resonates with you 30 00:02:01,880 --> 00:02:05,000 Speaker 1: while you're listening, please share it with us on social 31 00:02:05,000 --> 00:02:10,760 Speaker 1: media using the hashtag tb G in session. Here's our conversation. 32 00:02:11,280 --> 00:02:13,680 Speaker 1: Thank you so much for joining us to day, Melissa, 33 00:02:13,800 --> 00:02:16,600 Speaker 1: thank you for having me. I'm excited to be here. 34 00:02:16,960 --> 00:02:19,880 Speaker 1: I'm happy that you're here as well. And we are 35 00:02:19,880 --> 00:02:22,040 Speaker 1: going to be tackling a lot of different topics and 36 00:02:22,080 --> 00:02:24,720 Speaker 1: a lot of like highly requested topics, and I knew 37 00:02:25,040 --> 00:02:26,960 Speaker 1: I wanted to bring on the perfect person to be 38 00:02:27,000 --> 00:02:29,799 Speaker 1: able to really have a great discussion about some of this, 39 00:02:30,280 --> 00:02:33,639 Speaker 1: and so I want to start our conversation talking about 40 00:02:33,840 --> 00:02:37,680 Speaker 1: having a bipolar disorder diagnosis So for those people who 41 00:02:37,680 --> 00:02:39,880 Speaker 1: are listening who may have kind of heart bipolar thrown 42 00:02:39,919 --> 00:02:42,320 Speaker 1: around but are not quite sure what that means, can 43 00:02:42,360 --> 00:02:44,200 Speaker 1: you tell us a little bit more about what it 44 00:02:44,240 --> 00:02:47,639 Speaker 1: means when you receive a diagnosis of a bipolar disorder. 45 00:02:47,720 --> 00:02:50,720 Speaker 1: So when we're talking about bipolar disorder, you know many 46 00:02:50,760 --> 00:02:54,240 Speaker 1: of us here that phrase from around quite often, like 47 00:02:54,280 --> 00:02:58,160 Speaker 1: the weather is bipolar, or you too, movie you bipolar? 48 00:02:58,639 --> 00:03:02,520 Speaker 1: Or you you know that that really is not bipolar. Um. 49 00:03:02,560 --> 00:03:06,240 Speaker 1: You know, bipolar really has to do with cycling through 50 00:03:06,840 --> 00:03:10,040 Speaker 1: what we call manic or like hypo manic phases and 51 00:03:10,040 --> 00:03:14,760 Speaker 1: then periods of depression as well. And they're typically cyclical 52 00:03:14,800 --> 00:03:19,760 Speaker 1: mood changes that meet specific criteria for duration, frequency, and 53 00:03:19,840 --> 00:03:25,080 Speaker 1: intensity that that that a typically lead to like functional impairment, 54 00:03:25,280 --> 00:03:29,480 Speaker 1: challenges in school, work with relationships, and challenges in the 55 00:03:29,520 --> 00:03:33,040 Speaker 1: way that you see the world. So when we're talking 56 00:03:33,080 --> 00:03:36,560 Speaker 1: about like a mannic phase, which is really sort of 57 00:03:36,600 --> 00:03:39,600 Speaker 1: the crux of bipolar disorder. So when we're talking about 58 00:03:39,640 --> 00:03:43,720 Speaker 1: manning or like hypo manic phases, we're talking about people 59 00:03:43,880 --> 00:03:49,160 Speaker 1: who feel really really like they're super super elated and 60 00:03:49,320 --> 00:03:53,440 Speaker 1: super super happy for you know, periods of typically at 61 00:03:53,520 --> 00:03:57,240 Speaker 1: least a week. Right, they're happy, they feel like they 62 00:03:57,240 --> 00:04:00,120 Speaker 1: can stay up for days at a time without flee. 63 00:04:00,520 --> 00:04:04,160 Speaker 1: They might be really engaged and in pleasure seeking behavior, 64 00:04:04,240 --> 00:04:08,839 Speaker 1: so partying, you know, sexual activity, you know, shopping all 65 00:04:08,880 --> 00:04:12,760 Speaker 1: the time, spending tons and tons of money, thinking that 66 00:04:12,840 --> 00:04:16,920 Speaker 1: you are grandiose or in a better life position than 67 00:04:17,000 --> 00:04:19,760 Speaker 1: you are. So I've had clients come in and you know, 68 00:04:19,839 --> 00:04:23,080 Speaker 1: they'll say, oh, I, you know, own this bank, and 69 00:04:23,120 --> 00:04:24,960 Speaker 1: I have a million dollars. I can do what I want, 70 00:04:25,000 --> 00:04:27,680 Speaker 1: I can spend, I can travel, and they just kind 71 00:04:27,680 --> 00:04:31,200 Speaker 1: of feel as though life is great, there's no coming 72 00:04:31,240 --> 00:04:35,040 Speaker 1: down from it. And they typically feel they express feeling 73 00:04:35,240 --> 00:04:39,320 Speaker 1: really really really happy, and then they're the lows of it, 74 00:04:39,720 --> 00:04:43,680 Speaker 1: which is depression, the sadness, the you know, not being 75 00:04:43,720 --> 00:04:46,440 Speaker 1: able to get out of bed, not being able to function, 76 00:04:47,160 --> 00:04:49,800 Speaker 1: and you know, most of us struggle with you know, 77 00:04:49,920 --> 00:04:55,400 Speaker 1: periodic mood swings. But the difference between bipolar disorder is 78 00:04:55,560 --> 00:04:59,080 Speaker 1: these mood swings are really really out of control. You 79 00:04:59,120 --> 00:05:02,600 Speaker 1: cannot manage your emotions at all. You cannot function in 80 00:05:03,080 --> 00:05:06,800 Speaker 1: the important areas of your life, so work, school, if 81 00:05:06,800 --> 00:05:09,240 Speaker 1: you have children to care for, you are unable to 82 00:05:09,279 --> 00:05:11,400 Speaker 1: care for your children, you are unable to take care 83 00:05:11,400 --> 00:05:15,599 Speaker 1: of your responsibilities, and your life really sort of takes 84 00:05:15,760 --> 00:05:20,240 Speaker 1: on this shape that is not manageable for you. And 85 00:05:20,279 --> 00:05:23,520 Speaker 1: so what Melissa might be like the first signs that 86 00:05:23,560 --> 00:05:28,320 Speaker 1: somebody might be struggling with this, Well, often times, how 87 00:05:28,440 --> 00:05:31,800 Speaker 1: we even pick up on what is challenging for us 88 00:05:31,960 --> 00:05:34,200 Speaker 1: period I really has to do with the feedback that 89 00:05:34,279 --> 00:05:38,159 Speaker 1: we're receiving. So if you have friends or family who 90 00:05:38,160 --> 00:05:41,000 Speaker 1: are not able to really interact with you, if you're 91 00:05:41,040 --> 00:05:43,800 Speaker 1: not able to focus, if you see that you're staying 92 00:05:43,880 --> 00:05:46,719 Speaker 1: up for you know, days on end, if you're spending 93 00:05:46,720 --> 00:05:51,360 Speaker 1: your money wildly, you know that maybe a manicaise. If 94 00:05:51,400 --> 00:05:56,520 Speaker 1: you gone through something and you have experienced what might 95 00:05:56,560 --> 00:05:59,159 Speaker 1: look like a maniaise, but then now you're super depressed 96 00:05:59,400 --> 00:06:04,200 Speaker 1: and you can't function, and there's really no major impetus 97 00:06:04,240 --> 00:06:06,680 Speaker 1: for it, So you don't have a trigger, you don't 98 00:06:06,680 --> 00:06:09,440 Speaker 1: have a major life change, but you're going through these 99 00:06:09,560 --> 00:06:13,279 Speaker 1: ups and downs, ups and downs, and you're receiving feedback 100 00:06:13,279 --> 00:06:16,120 Speaker 1: from the plinkle in your life that you're looking different, 101 00:06:16,240 --> 00:06:18,640 Speaker 1: that you know things aren't working, you're not eating, you're 102 00:06:18,760 --> 00:06:22,039 Speaker 1: you're not sleeping. Then and then you definitely want to 103 00:06:22,080 --> 00:06:24,800 Speaker 1: go and speak to our professional. Got you, and I'm 104 00:06:24,800 --> 00:06:27,520 Speaker 1: glad you raised that point about like getting feedback from 105 00:06:27,520 --> 00:06:30,200 Speaker 1: other people, because I think for a lot of mental 106 00:06:30,200 --> 00:06:33,640 Speaker 1: health concerns, it is sometimes the people around us who 107 00:06:33,680 --> 00:06:36,520 Speaker 1: can recognize that something is going on before we even 108 00:06:36,600 --> 00:06:40,760 Speaker 1: realize it for ourselves, right, And it's often really difficult 109 00:06:40,760 --> 00:06:43,960 Speaker 1: to accept that feedback, you know, and especially when you 110 00:06:44,040 --> 00:06:47,440 Speaker 1: are in a phase where you feel good and like 111 00:06:47,560 --> 00:06:49,919 Speaker 1: it's different, like if you don't feel well and you 112 00:06:50,000 --> 00:06:52,440 Speaker 1: feel really sad and you feel like you can't manage, 113 00:06:52,800 --> 00:06:55,600 Speaker 1: but when you're in a manage is you will feel 114 00:06:55,800 --> 00:06:59,880 Speaker 1: like everything is right with the world. So when somebody 115 00:07:00,120 --> 00:07:03,160 Speaker 1: telling you this is not accurate, the information that you're 116 00:07:03,160 --> 00:07:05,640 Speaker 1: giving is not accurate, they're not able to provide for 117 00:07:05,680 --> 00:07:10,120 Speaker 1: your children. You're in a different reality than what we're seeing. 118 00:07:10,560 --> 00:07:13,240 Speaker 1: It can be very difficult to accept that because the 119 00:07:13,320 --> 00:07:16,680 Speaker 1: reality that you're in, what is real for you in 120 00:07:16,800 --> 00:07:20,720 Speaker 1: the moment, is very, very different. And I think that's 121 00:07:20,880 --> 00:07:23,880 Speaker 1: often the difficult things that I see you as families, 122 00:07:24,200 --> 00:07:29,080 Speaker 1: they don't understand how they're talking to someone their loved one, 123 00:07:29,480 --> 00:07:32,520 Speaker 1: and their loved one is not sort of grasping that 124 00:07:32,640 --> 00:07:35,760 Speaker 1: the way that they're being things is not real. And 125 00:07:35,800 --> 00:07:37,800 Speaker 1: the way that I try to explain it is it's 126 00:07:37,840 --> 00:07:42,160 Speaker 1: real for them. So like this, like this feels good. 127 00:07:42,200 --> 00:07:45,200 Speaker 1: It feels good to be able to go out and 128 00:07:45,200 --> 00:07:47,720 Speaker 1: do what you want to do. I had, you know, 129 00:07:47,760 --> 00:07:50,560 Speaker 1: I've seen clients who like quit their job at the 130 00:07:50,680 --> 00:07:54,400 Speaker 1: drop of a dime, like they're they will withdraw all 131 00:07:54,440 --> 00:07:56,120 Speaker 1: the money from their bank account and then they go 132 00:07:56,200 --> 00:08:00,520 Speaker 1: travel Europe. And you know how we really look at 133 00:08:00,560 --> 00:08:03,520 Speaker 1: that is what's that something that was planned? Right? Like? 134 00:08:03,680 --> 00:08:06,960 Speaker 1: Is it impulsive? Was there's some life change that you 135 00:08:07,000 --> 00:08:09,560 Speaker 1: know created it? Or was it just you woke up 136 00:08:09,640 --> 00:08:11,960 Speaker 1: one day and incided that, like this is what you 137 00:08:12,080 --> 00:08:14,800 Speaker 1: wanted to do. That's often like a red flag for 138 00:08:14,840 --> 00:08:17,920 Speaker 1: a clinician um and it should be for a family 139 00:08:17,920 --> 00:08:21,280 Speaker 1: member as well. Got you. So we were talking a 140 00:08:21,320 --> 00:08:24,800 Speaker 1: little bit before we actually started recording, Melissa about how 141 00:08:24,880 --> 00:08:29,200 Speaker 1: getting like a bipolar disorder diagnosis is often like one 142 00:08:29,200 --> 00:08:32,240 Speaker 1: of those diagnosis that's really hard for clients to accept. 143 00:08:32,480 --> 00:08:34,400 Speaker 1: Can you talk a little bit about why you think 144 00:08:34,440 --> 00:08:40,440 Speaker 1: that is because you're having to rely on the way 145 00:08:40,520 --> 00:08:44,880 Speaker 1: that other people see you as something that's truth. In fact, 146 00:08:45,760 --> 00:08:47,600 Speaker 1: you know a lot of the clients that I work 147 00:08:47,679 --> 00:08:50,640 Speaker 1: with that they're young people, you know, specifically young women, 148 00:08:51,120 --> 00:08:53,480 Speaker 1: and they're already at this point in their life where 149 00:08:53,480 --> 00:08:57,280 Speaker 1: they're trying to identify who they are as individuals, and 150 00:08:57,400 --> 00:08:59,839 Speaker 1: so they're really coming into their own sense of like 151 00:09:00,040 --> 00:09:03,679 Speaker 1: dentity and just filling out themselves in the world. And 152 00:09:03,720 --> 00:09:06,679 Speaker 1: then and then now you're being asked or told by 153 00:09:06,760 --> 00:09:09,400 Speaker 1: people that we see you this way and this is 154 00:09:09,440 --> 00:09:12,120 Speaker 1: a problem. When you don't see it as a problem, 155 00:09:12,240 --> 00:09:15,959 Speaker 1: this is not a problem for you. I also think 156 00:09:16,160 --> 00:09:21,000 Speaker 1: that sometimes people feel like any mental health diagnosis is 157 00:09:21,040 --> 00:09:24,320 Speaker 1: the end of the world. It means that they have 158 00:09:24,360 --> 00:09:27,480 Speaker 1: no control, that they have to be on medication forever, 159 00:09:28,080 --> 00:09:30,199 Speaker 1: that there's nothing that they can do to manage their 160 00:09:30,200 --> 00:09:34,920 Speaker 1: lives differently, and so it it's sort of um puts 161 00:09:35,040 --> 00:09:39,280 Speaker 1: inside of them this it's hopeless, helpless feeling of there's 162 00:09:39,480 --> 00:09:42,400 Speaker 1: nothing that I can do about this except take this medication. 163 00:09:42,880 --> 00:09:45,000 Speaker 1: And people don't want to feel like they don't have 164 00:09:45,040 --> 00:09:47,400 Speaker 1: control over their lives. They you know, don't want to 165 00:09:47,440 --> 00:09:52,080 Speaker 1: feel as though they're required to do something extra just 166 00:09:52,120 --> 00:09:56,240 Speaker 1: to be quote unquote normal, right, Like I'm no longer normal. 167 00:09:56,360 --> 00:09:59,839 Speaker 1: There's something wrong with me. So I think that you 168 00:09:59,880 --> 00:10:04,280 Speaker 1: know that oftentimes that's difficult to except. Got you. So 169 00:10:04,559 --> 00:10:07,040 Speaker 1: how are you working with clients like you know, like 170 00:10:07,160 --> 00:10:10,040 Speaker 1: let's say you see a client UM and you realize, like, okay, 171 00:10:10,080 --> 00:10:12,959 Speaker 1: I think some of this that that they're presenting with 172 00:10:13,080 --> 00:10:16,480 Speaker 1: maybe a bipolar disorder. I know sometimes that comes with 173 00:10:16,559 --> 00:10:21,040 Speaker 1: like heightened like emotionality UM. And so so how do 174 00:10:21,200 --> 00:10:23,520 Speaker 1: you work with the client who may be struggling with 175 00:10:23,559 --> 00:10:26,839 Speaker 1: some of these symptoms. So a lot of my work 176 00:10:27,080 --> 00:10:29,800 Speaker 1: is focused working with clients UM who do have some 177 00:10:29,880 --> 00:10:33,400 Speaker 1: challenges with regards select moody regulation. So that's not just 178 00:10:33,480 --> 00:10:36,880 Speaker 1: like polar disorder, but that's also borderline personality disorder or 179 00:10:36,960 --> 00:10:41,040 Speaker 1: the traits of on borderline personality disorder. And I often 180 00:10:41,160 --> 00:10:44,040 Speaker 1: really start the same place with them that I would 181 00:10:44,160 --> 00:10:46,440 Speaker 1: with you know, any clients that I have. You know, 182 00:10:46,520 --> 00:10:48,680 Speaker 1: what do you want out of your life? You know, 183 00:10:48,679 --> 00:10:51,000 Speaker 1: it's like what do you want your light to look like? 184 00:10:51,160 --> 00:10:53,319 Speaker 1: You know, what is the vision that you have for 185 00:10:53,600 --> 00:10:55,480 Speaker 1: you know, who you want to be? You know, how 186 00:10:55,559 --> 00:10:57,480 Speaker 1: do you want to be seen in the world, How 187 00:10:57,559 --> 00:11:00,560 Speaker 1: do you want to show up in the world, And 188 00:11:00,600 --> 00:11:03,480 Speaker 1: then we really talk about what's working for them, not 189 00:11:03,640 --> 00:11:06,120 Speaker 1: but I see not with their famili sees, not with 190 00:11:06,160 --> 00:11:08,600 Speaker 1: whoever referred them to me like what they see. But 191 00:11:08,760 --> 00:11:11,400 Speaker 1: you know what is working for you in your life 192 00:11:11,400 --> 00:11:15,040 Speaker 1: and what is not working, and we start from that point. 193 00:11:15,559 --> 00:11:20,960 Speaker 1: Oftentimes when we really delve into their mood, changes, the cycles, 194 00:11:20,960 --> 00:11:24,880 Speaker 1: the behaviors that are not giving them the results that 195 00:11:24,960 --> 00:11:27,400 Speaker 1: they want for their life. That's where we're able to 196 00:11:27,480 --> 00:11:30,960 Speaker 1: really do the work on changing the behaviors, on increasing 197 00:11:31,000 --> 00:11:34,560 Speaker 1: adherents in the medication that they're prescribed, on you know, 198 00:11:34,679 --> 00:11:37,840 Speaker 1: even verbalizing and discussing what their doctor changes to the 199 00:11:37,880 --> 00:11:41,600 Speaker 1: medication that they want, and really engaging in their treatment 200 00:11:42,080 --> 00:11:45,800 Speaker 1: and not being passive receivers of treatment, but you know, 201 00:11:45,960 --> 00:11:48,520 Speaker 1: really thinking about what they want and you know, how 202 00:11:48,559 --> 00:11:51,520 Speaker 1: to achieve it on these different levels using these different tools. 203 00:11:51,640 --> 00:11:53,800 Speaker 1: I love the way that you put them, Melissa, because 204 00:11:53,840 --> 00:11:56,160 Speaker 1: I think kind of going back to what you said 205 00:11:56,200 --> 00:11:59,360 Speaker 1: earlier around kind of receiving one of these diagnoses, it 206 00:11:59,440 --> 00:12:01,280 Speaker 1: kind of feels like, oh, my life is over, Like 207 00:12:01,440 --> 00:12:04,480 Speaker 1: you know, I'm kind of doomed, and you're really talking 208 00:12:04,520 --> 00:12:07,760 Speaker 1: about the treatment, looking like how do we actually get 209 00:12:07,800 --> 00:12:10,200 Speaker 1: you to be able to live more of the life 210 00:12:10,240 --> 00:12:13,600 Speaker 1: that you want? And focusing on symptoms and making changes 211 00:12:13,600 --> 00:12:17,800 Speaker 1: and behaviors as opposed to focusing on the diagnosis. Right, Like, 212 00:12:17,880 --> 00:12:20,160 Speaker 1: we're really wanting to actually get you to change some 213 00:12:20,240 --> 00:12:23,040 Speaker 1: of these behaviors so that you're not as impacted by 214 00:12:23,040 --> 00:12:28,320 Speaker 1: the diagnosis, right exactly, and also allowing people to see 215 00:12:28,400 --> 00:12:31,320 Speaker 1: like you can have a full life. I think a 216 00:12:31,360 --> 00:12:34,959 Speaker 1: lot of times family members, you know, and clients resist 217 00:12:35,000 --> 00:12:38,679 Speaker 1: the diagnosis because they assume that this means that you're 218 00:12:38,679 --> 00:12:40,480 Speaker 1: never gonna be able to work, You're never gonna be 219 00:12:40,520 --> 00:12:42,920 Speaker 1: able to have children, and never gonna be able to 220 00:12:43,120 --> 00:12:44,880 Speaker 1: you know, do the things that you want to do 221 00:12:44,920 --> 00:12:47,320 Speaker 1: and like, you know, live your life dreams. But there 222 00:12:47,320 --> 00:12:50,360 Speaker 1: are many people who are working and very very very 223 00:12:50,400 --> 00:12:54,960 Speaker 1: successful with you know, many different mental health diagnosis. It's 224 00:12:55,040 --> 00:12:58,000 Speaker 1: really about engaging in the things that you need to 225 00:12:58,080 --> 00:13:00,960 Speaker 1: engage in for you to feel better, and you know, 226 00:13:01,040 --> 00:13:04,360 Speaker 1: being clear about that with yourself about what that is, 227 00:13:04,440 --> 00:13:06,480 Speaker 1: as opposed to you know, simply trying to run away 228 00:13:06,480 --> 00:13:09,000 Speaker 1: from it. So what are some of those things that 229 00:13:09,080 --> 00:13:10,720 Speaker 1: you start to tackle, Like, what are some of the 230 00:13:10,760 --> 00:13:13,040 Speaker 1: behaviors that have frequently come up that you do work 231 00:13:13,040 --> 00:13:15,920 Speaker 1: with your clients on trying to change or manage. So 232 00:13:16,080 --> 00:13:18,920 Speaker 1: a lot of it has to do with anger and 233 00:13:18,960 --> 00:13:22,880 Speaker 1: the agitation that comes either from being in the mannic 234 00:13:22,920 --> 00:13:26,400 Speaker 1: phase or the irritability, you know what, the decrease in 235 00:13:26,480 --> 00:13:29,800 Speaker 1: functioning that comes from being in a depressive state. Those 236 00:13:30,040 --> 00:13:32,640 Speaker 1: rapid move changes in the havoc that it can sort 237 00:13:32,679 --> 00:13:36,760 Speaker 1: of reak on your interpersonal relationships, your work relationships, functioning 238 00:13:36,840 --> 00:13:39,680 Speaker 1: in school. I have a lot of clients who are 239 00:13:39,720 --> 00:13:45,800 Speaker 1: in college or pursuing master's degrees, and the changes often 240 00:13:45,840 --> 00:13:50,280 Speaker 1: prevent them from you know, making schedules, meeting deadline, and 241 00:13:50,400 --> 00:13:52,520 Speaker 1: you know, doing the things that you know they want 242 00:13:52,559 --> 00:13:55,320 Speaker 1: to do to be successful. For some reason, I attract 243 00:13:55,360 --> 00:13:57,000 Speaker 1: a lot of high achievers, you know. Some of our 244 00:13:57,040 --> 00:13:59,240 Speaker 1: clients want to be straight as students. They want to 245 00:13:59,280 --> 00:14:03,680 Speaker 1: do well all the time, and so oftentimes just feeling 246 00:14:03,679 --> 00:14:07,080 Speaker 1: as though they don't have any control and that the 247 00:14:07,160 --> 00:14:09,880 Speaker 1: people in their life, whether it's a professor or a parent, 248 00:14:10,280 --> 00:14:14,080 Speaker 1: don't understand that, and then they receive the negative consequences 249 00:14:14,120 --> 00:14:17,280 Speaker 1: from that. So I really really work with them on 250 00:14:17,559 --> 00:14:21,800 Speaker 1: being able to want understand for themselves what's happening, to 251 00:14:21,880 --> 00:14:27,880 Speaker 1: be able to identify triggers before the triggers actually become problematic. Right, So, 252 00:14:28,440 --> 00:14:31,640 Speaker 1: if you're having a symptom on set, typically there are 253 00:14:31,760 --> 00:14:35,680 Speaker 1: minor changes in your life that will happen before you, 254 00:14:35,680 --> 00:14:38,240 Speaker 1: you know, come to the place where you're completely not 255 00:14:38,400 --> 00:14:42,600 Speaker 1: functioning or you completely descrusted our relationship. And so we 256 00:14:42,680 --> 00:14:46,560 Speaker 1: really work on the small, tangible things that can be 257 00:14:46,720 --> 00:14:49,480 Speaker 1: done before you get to the place of you know, 258 00:14:49,560 --> 00:14:53,240 Speaker 1: feeling out of control. You know, we developed plans when 259 00:14:53,240 --> 00:14:56,000 Speaker 1: they're in a place where they feel well, you know, 260 00:14:56,000 --> 00:14:58,720 Speaker 1: where they feel stable, and they can look back on 261 00:14:58,880 --> 00:15:03,120 Speaker 1: experiences so they they have something concrete to work from, 262 00:15:03,160 --> 00:15:06,160 Speaker 1: so that when they're seeing that these things are happening, 263 00:15:06,640 --> 00:15:10,360 Speaker 1: they're not functioning solely in the moment or like based 264 00:15:10,360 --> 00:15:13,920 Speaker 1: on impulse, but they have a concrete plan of action. Okay, 265 00:15:13,960 --> 00:15:17,000 Speaker 1: So I think Melissa, people have probably heard this word triggers, 266 00:15:17,040 --> 00:15:20,640 Speaker 1: like that has become also like a kind of a buzzword, um, 267 00:15:21,000 --> 00:15:23,240 Speaker 1: And so I don't know that people always know what 268 00:15:23,400 --> 00:15:25,840 Speaker 1: that means. And when you talk more about like what 269 00:15:25,880 --> 00:15:27,800 Speaker 1: these triggers might look like, like what might be a 270 00:15:27,800 --> 00:15:30,440 Speaker 1: trigger for somebody who's struggling with like a bibular disorder. 271 00:15:30,480 --> 00:15:33,120 Speaker 1: And so I have clients who you know, like I said, 272 00:15:33,160 --> 00:15:36,880 Speaker 1: they really want to do well in everything. So if 273 00:15:36,960 --> 00:15:41,240 Speaker 1: you're experiencing like a downward shift in your mood, you know, 274 00:15:41,520 --> 00:15:45,440 Speaker 1: maybe you got um a beat on the test, you know, 275 00:15:45,680 --> 00:15:48,720 Speaker 1: versus getting an A on the test, and last week 276 00:15:48,920 --> 00:15:51,840 Speaker 1: you were able to really think through, Okay, well I 277 00:15:51,920 --> 00:15:56,600 Speaker 1: got this be right, and this be um is just 278 00:15:56,760 --> 00:15:59,480 Speaker 1: one B. You know I need to improve in these 279 00:15:59,520 --> 00:16:02,920 Speaker 1: areas is and you know it's gonna be okay. But 280 00:16:03,160 --> 00:16:05,920 Speaker 1: this week, this being makes you feel like you are 281 00:16:05,960 --> 00:16:09,560 Speaker 1: a complete failure in school, right, and so now you're 282 00:16:09,560 --> 00:16:12,080 Speaker 1: gonna fail everything, Like there's no point in you're going 283 00:16:12,120 --> 00:16:15,640 Speaker 1: to school tomorrow. You're a complete idiot, and so it's 284 00:16:15,760 --> 00:16:17,680 Speaker 1: just better for you to lay in the bettle of 285 00:16:17,720 --> 00:16:21,240 Speaker 1: it and then watch TV. Right. So, like that is 286 00:16:21,720 --> 00:16:26,000 Speaker 1: one sort of mining example of something that UM that 287 00:16:26,120 --> 00:16:29,360 Speaker 1: when your mood is shifting, you don't have the ability 288 00:16:29,480 --> 00:16:32,840 Speaker 1: to think through as well, and so you engage in 289 00:16:32,880 --> 00:16:36,440 Speaker 1: the behavior that they now sort of creates like a 290 00:16:36,480 --> 00:16:41,560 Speaker 1: downward spiral for your functioning. Or let's say, for instance, 291 00:16:41,680 --> 00:16:43,720 Speaker 1: you know you have a partner, and and this is 292 00:16:43,760 --> 00:16:46,920 Speaker 1: something that happens very very often, like you're engaged in 293 00:16:46,960 --> 00:16:52,400 Speaker 1: a relationship and your partner may have um like your 294 00:16:52,400 --> 00:16:55,200 Speaker 1: partner might not be the most sensitive person, right, and 295 00:16:55,240 --> 00:16:57,120 Speaker 1: you know this about your partner. But you guys, are 296 00:16:57,120 --> 00:16:59,120 Speaker 1: you know, typically able to you know, talk through things, 297 00:16:59,120 --> 00:17:02,680 Speaker 1: like you know, work with But then you're experiencing a 298 00:17:03,040 --> 00:17:06,040 Speaker 1: shift in your mood. So as opposed to having a conversation, 299 00:17:06,480 --> 00:17:09,919 Speaker 1: you're yelling, you're screaming, you're threatening, and then you perceive 300 00:17:10,040 --> 00:17:12,400 Speaker 1: them as you know, trying to hurt you. And so 301 00:17:12,480 --> 00:17:17,280 Speaker 1: then things you know, really begin to shift with regard 302 00:17:17,359 --> 00:17:20,159 Speaker 1: to your relationship, and then you're feeling isolated in the 303 00:17:20,240 --> 00:17:24,040 Speaker 1: context of your relationship. So it's really this black or 304 00:17:24,160 --> 00:17:29,000 Speaker 1: white sort of thinking around typical life events that in 305 00:17:29,040 --> 00:17:32,600 Speaker 1: the past you've been able to manage, but at this 306 00:17:32,640 --> 00:17:36,159 Speaker 1: particular point in time, you're not managing it the same way, 307 00:17:36,359 --> 00:17:40,280 Speaker 1: and it becomes something that you know, really challenges your 308 00:17:40,400 --> 00:17:42,639 Speaker 1: you know, day to day function. So you said that 309 00:17:42,720 --> 00:17:45,320 Speaker 1: you typically will work with people before their mood ships, 310 00:17:45,320 --> 00:17:48,040 Speaker 1: so that when the mood shifts, then they've already had 311 00:17:48,280 --> 00:17:52,960 Speaker 1: a plan in place for how to manage some of them. Yes, yes, definitely, 312 00:17:53,200 --> 00:17:56,760 Speaker 1: And I think that that that's the important piece, so 313 00:17:57,119 --> 00:18:01,880 Speaker 1: that you're not necessarily trying to only work through the 314 00:18:01,920 --> 00:18:05,199 Speaker 1: crisis or the symptoms pays while the client or the 315 00:18:05,280 --> 00:18:07,879 Speaker 1: person is engaging in the symptom, while the symptom is 316 00:18:07,920 --> 00:18:12,680 Speaker 1: active and it's present. It's that you've already developed a 317 00:18:12,880 --> 00:18:16,520 Speaker 1: plan so that the client and their family and friends, 318 00:18:16,840 --> 00:18:19,960 Speaker 1: you know, can be able to identify when the symptoms 319 00:18:19,960 --> 00:18:23,600 Speaker 1: are becoming present and active, and you can actually go 320 00:18:23,760 --> 00:18:26,280 Speaker 1: to it and say, this is what we agreed with work, 321 00:18:26,560 --> 00:18:29,960 Speaker 1: Let's try these different steps to be able to work 322 00:18:30,000 --> 00:18:33,760 Speaker 1: through this, versus let's just acting on like how we 323 00:18:33,880 --> 00:18:35,639 Speaker 1: feel in the moment, Because how we feel in the 324 00:18:35,680 --> 00:18:38,960 Speaker 1: moment is very real. It's not that our feeling isn't real. 325 00:18:39,240 --> 00:18:41,720 Speaker 1: It's just that how we're perceiving it at that particular 326 00:18:41,800 --> 00:18:44,359 Speaker 1: point in time it is not accurate. Yeah, And I 327 00:18:44,400 --> 00:18:47,640 Speaker 1: think that that's where people get kind of confused sometimes 328 00:18:47,680 --> 00:18:51,040 Speaker 1: around like the whole feelings aren't facts, ye saying. And 329 00:18:51,359 --> 00:18:54,080 Speaker 1: I kind of struggle with that because in some ways 330 00:18:54,080 --> 00:18:56,000 Speaker 1: it feels like you're you're kind of telling people like 331 00:18:56,040 --> 00:18:58,080 Speaker 1: not to trust their feelings. But it's not that your 332 00:18:58,080 --> 00:19:01,280 Speaker 1: feelings aren't real. It's just that your reaction may be 333 00:19:01,560 --> 00:19:04,440 Speaker 1: a bit out of proportion to what is actually happening 334 00:19:04,440 --> 00:19:08,560 Speaker 1: in the moment right right exactly, and that that you're 335 00:19:09,040 --> 00:19:11,280 Speaker 1: feeling can be very real, but it doesn't mean that 336 00:19:11,320 --> 00:19:14,520 Speaker 1: you have to hold onto that feeling. Right, So your 337 00:19:14,560 --> 00:19:17,800 Speaker 1: feeling can be very real, like Okay, you can feel 338 00:19:17,960 --> 00:19:20,320 Speaker 1: as though this person is not speaking to you the 339 00:19:20,320 --> 00:19:22,400 Speaker 1: way that you want them to speak to you. You 340 00:19:22,440 --> 00:19:25,879 Speaker 1: can feel like, you know, like your partner isn't sensitive 341 00:19:26,119 --> 00:19:28,919 Speaker 1: or or caring or like nurturing for you in the moment, 342 00:19:29,280 --> 00:19:32,000 Speaker 1: right Like, you can have that emotion, but it doesn't mean, 343 00:19:32,040 --> 00:19:34,280 Speaker 1: like you said, you know, one, that your reaction is 344 00:19:34,320 --> 00:19:38,719 Speaker 1: proportion to you know, this situation, or that holding onto 345 00:19:38,760 --> 00:19:41,879 Speaker 1: that emotion is going to resolve that issue. And I 346 00:19:41,880 --> 00:19:44,040 Speaker 1: mean we all really struggle with, you know, the way 347 00:19:44,040 --> 00:19:47,439 Speaker 1: that we manage our emotions differently at different points in 348 00:19:47,520 --> 00:19:50,040 Speaker 1: time based on you know what our history is, based 349 00:19:50,080 --> 00:19:52,719 Speaker 1: on our triggers. It's it's where that you find people 350 00:19:53,119 --> 00:19:56,560 Speaker 1: that can manage your emotions well every single time, like 351 00:19:56,640 --> 00:20:01,240 Speaker 1: during every single situation. So really own yourself and then 352 00:20:01,280 --> 00:20:05,680 Speaker 1: knowing what your triggers are is important for everyone, right. 353 00:20:05,760 --> 00:20:08,640 Speaker 1: We we focus on it with you know, clients that 354 00:20:08,680 --> 00:20:13,879 Speaker 1: we know already come with a biochemical or psychosocial sort 355 00:20:13,920 --> 00:20:17,320 Speaker 1: of you know, predisposition to you know, having changes in 356 00:20:17,359 --> 00:20:21,520 Speaker 1: their mood and you know, being impulsive, but really knowing 357 00:20:21,600 --> 00:20:24,600 Speaker 1: yourself enough to be able to write insifie, how you 358 00:20:24,680 --> 00:20:29,480 Speaker 1: react the situations and how different situations change your reaction 359 00:20:29,800 --> 00:20:33,719 Speaker 1: and if that's who you want to be? Right is 360 00:20:33,760 --> 00:20:37,760 Speaker 1: something that is a good sort of self check for 361 00:20:37,760 --> 00:20:40,000 Speaker 1: for us all to have at different points in time 362 00:20:40,040 --> 00:20:42,920 Speaker 1: in our life. Listen, you just dropped the word here 363 00:20:42,960 --> 00:20:46,520 Speaker 1: on us Listen because yeah, so I just want to 364 00:20:46,520 --> 00:20:49,640 Speaker 1: go back because you said something about you know, like 365 00:20:49,920 --> 00:20:52,919 Speaker 1: just because you are perceiving it that way, it doesn't 366 00:20:52,960 --> 00:20:55,159 Speaker 1: mean it's actually going to get you any closer to 367 00:20:55,240 --> 00:20:58,360 Speaker 1: like what you're actually wanting out of that situation. I mean, 368 00:20:58,400 --> 00:21:00,320 Speaker 1: that is so true for all of us. Are like 369 00:21:00,359 --> 00:21:03,520 Speaker 1: how many times are we like holding onto grudges, are 370 00:21:03,600 --> 00:21:05,879 Speaker 1: like refusing to let go of a point just because 371 00:21:05,920 --> 00:21:08,399 Speaker 1: we like want to hold onto it as opposed to 372 00:21:08,600 --> 00:21:13,000 Speaker 1: thinking about is it actually effective for the moment? Right? Right? So, 373 00:21:13,760 --> 00:21:15,640 Speaker 1: I mean, you know it's that question, you know, do 374 00:21:15,680 --> 00:21:19,800 Speaker 1: you want to be right or like resolution? Right? So, like, 375 00:21:20,040 --> 00:21:23,440 Speaker 1: what's the purpose of our conversation here? You know, are 376 00:21:23,440 --> 00:21:26,479 Speaker 1: you trying to be right in this moment, and I 377 00:21:26,480 --> 00:21:30,000 Speaker 1: think that we all need to constantly be asking ourselves 378 00:21:30,000 --> 00:21:33,399 Speaker 1: those questions. You know. One of the things that's interesting 379 00:21:33,520 --> 00:21:36,080 Speaker 1: for me as I work with clients, you know them 380 00:21:36,160 --> 00:21:39,359 Speaker 1: full time. I work in in patient psychiatric unit, so 381 00:21:39,440 --> 00:21:42,840 Speaker 1: we deal with people, you know, with the whole gamut, uh, 382 00:21:42,960 --> 00:21:46,240 Speaker 1: you know, mental health spectrum. And in my private practice, 383 00:21:46,320 --> 00:21:48,439 Speaker 1: I really focus on working with young women. I have 384 00:21:48,520 --> 00:21:51,760 Speaker 1: some young male clients as well, but I really focus 385 00:21:51,800 --> 00:21:54,840 Speaker 1: on working with clients who are really working to manage 386 00:21:54,840 --> 00:21:58,200 Speaker 1: their emotions. But I think that we often really get 387 00:21:58,280 --> 00:22:01,800 Speaker 1: hung up on this concept of diagnosis, and he look, 388 00:22:01,840 --> 00:22:05,000 Speaker 1: diagnosis is necessary. It helps us as punitions to be 389 00:22:05,080 --> 00:22:08,399 Speaker 1: able to sort of come to a picture using like 390 00:22:08,440 --> 00:22:11,840 Speaker 1: a common language about things that is, you know, going 391 00:22:11,880 --> 00:22:14,000 Speaker 1: on for the clients, so that we know exactly what 392 00:22:14,080 --> 00:22:16,919 Speaker 1: we're working on. And you know, for insurance, we get paid. 393 00:22:17,480 --> 00:22:21,480 Speaker 1: I know, let's keep it on andred. But the reality 394 00:22:21,520 --> 00:22:27,320 Speaker 1: of it is most people at some level are dealing 395 00:22:27,560 --> 00:22:32,280 Speaker 1: with challenges and relationships at some point in time. You know, 396 00:22:32,320 --> 00:22:35,199 Speaker 1: we're dealing with challenges in the workplace, We're dealing with 397 00:22:35,280 --> 00:22:40,359 Speaker 1: some sort of stressor and it's always helpful to really 398 00:22:40,400 --> 00:22:43,560 Speaker 1: go back to what do you want out of your life? 399 00:22:44,119 --> 00:22:46,320 Speaker 1: And it is this what I want? And if you 400 00:22:46,359 --> 00:22:48,359 Speaker 1: know what your end goal is, you know, then you 401 00:22:48,400 --> 00:22:51,439 Speaker 1: can better navigate the situation and know what you're holding 402 00:22:51,480 --> 00:22:53,720 Speaker 1: onto and know if what you're holding onto is worth 403 00:22:54,880 --> 00:22:57,639 Speaker 1: got you? So, how can we get better at this? 404 00:22:57,720 --> 00:23:00,520 Speaker 1: We listen, like, how can people maybe ti lerate some 405 00:23:00,600 --> 00:23:03,920 Speaker 1: of these difficult emotions or let go of things so 406 00:23:03,960 --> 00:23:06,439 Speaker 1: that they are acting more in the interests of what 407 00:23:06,480 --> 00:23:11,320 Speaker 1: they're saying they actually want. So I think, um, first 408 00:23:11,320 --> 00:23:14,399 Speaker 1: of all, self awareness is important. It's important for the 409 00:23:14,480 --> 00:23:17,520 Speaker 1: giver and the receiver. UM. I know that there are 410 00:23:17,520 --> 00:23:21,080 Speaker 1: a lot of clinicians who um really shy awaight whim 411 00:23:21,119 --> 00:23:24,520 Speaker 1: working with clients have bipolars is what a diagnosis, or 412 00:23:24,560 --> 00:23:29,120 Speaker 1: who are diagnosed with borderline personality or bodeline personality traits 413 00:23:29,160 --> 00:23:33,119 Speaker 1: because there really is a lot of emotion that they 414 00:23:33,160 --> 00:23:37,520 Speaker 1: are emanating and you know, really and truly, depending on 415 00:23:37,680 --> 00:23:39,840 Speaker 1: what is happening on a given day, you really don't 416 00:23:39,840 --> 00:23:42,639 Speaker 1: know what you're gonna get. And I find it often 417 00:23:42,680 --> 00:23:46,560 Speaker 1: not to struggle because we are dealing with our own 418 00:23:46,560 --> 00:23:50,399 Speaker 1: emotions and you know, our own triggers from another individual, 419 00:23:51,040 --> 00:23:54,359 Speaker 1: So you know, being aware of yourself, being aware of 420 00:23:54,680 --> 00:23:57,480 Speaker 1: who you are, being aware of what you want, and 421 00:23:57,520 --> 00:24:01,600 Speaker 1: then not being afraid to say this is really working 422 00:24:01,640 --> 00:24:04,879 Speaker 1: my nerves, but like I need to do something about it. 423 00:24:04,880 --> 00:24:09,200 Speaker 1: It's not about this other person doing something to me. 424 00:24:09,640 --> 00:24:13,840 Speaker 1: It's about me having a reaction. And you know, like 425 00:24:13,960 --> 00:24:18,320 Speaker 1: they might be engaging, engaging in the behavior, but it's 426 00:24:18,560 --> 00:24:22,960 Speaker 1: my reaction, the reaction that that you know, I want 427 00:24:23,040 --> 00:24:25,280 Speaker 1: to have to be able to get to this end 428 00:24:25,320 --> 00:24:28,919 Speaker 1: result or do I need to change something about me 429 00:24:29,080 --> 00:24:31,960 Speaker 1: regardless of what's going on with this other person. Does 430 00:24:31,960 --> 00:24:35,760 Speaker 1: that make sense? Absolutely? And it very much feels like 431 00:24:35,840 --> 00:24:38,960 Speaker 1: these are like exercises that you kind of continuously work through, 432 00:24:39,119 --> 00:24:41,520 Speaker 1: right like and I know, like for DBT kinds of 433 00:24:41,560 --> 00:24:43,480 Speaker 1: things like these are the kinds of things that you're doing, 434 00:24:43,520 --> 00:24:46,159 Speaker 1: like you're practicing like, Okay, what was my reaction in 435 00:24:46,240 --> 00:24:48,000 Speaker 1: this moment? It was this about me and what was 436 00:24:48,080 --> 00:24:51,600 Speaker 1: about the other person? Yes? Yes, And I think you 437 00:24:51,640 --> 00:24:54,160 Speaker 1: know a lot of my clients that we that it's 438 00:24:54,280 --> 00:25:01,040 Speaker 1: like emotional gymnastics, like they're constantly doing and sol gymnastics 439 00:25:01,040 --> 00:25:04,280 Speaker 1: and like jumping through hoops and and and figuring out 440 00:25:04,600 --> 00:25:07,960 Speaker 1: what is happening in the moment, and that does require 441 00:25:08,040 --> 00:25:11,600 Speaker 1: a lot of work, and that's where people get tripped up. 442 00:25:12,119 --> 00:25:16,200 Speaker 1: You know. It's it's hard to one on your emotion 443 00:25:16,359 --> 00:25:18,800 Speaker 1: and the society that doesn't always give us space in 444 00:25:18,840 --> 00:25:22,720 Speaker 1: place and time to have emotions. I think depending on 445 00:25:22,800 --> 00:25:24,880 Speaker 1: where you grow up, in the environment that you grow 446 00:25:25,000 --> 00:25:29,000 Speaker 1: up in, it's it's very easy to be taught to 447 00:25:29,320 --> 00:25:31,560 Speaker 1: stuff your emotions because you have to be strong. We 448 00:25:31,600 --> 00:25:34,680 Speaker 1: have to be and so I think on that level, 449 00:25:34,880 --> 00:25:37,520 Speaker 1: society and most of us struggle with dealing with people 450 00:25:37,600 --> 00:25:41,480 Speaker 1: that have different kinds of emotions on different days in 451 00:25:41,600 --> 00:25:45,560 Speaker 1: different ways, and then we feel responsible for one either 452 00:25:45,680 --> 00:25:50,080 Speaker 1: fixing their emotions ourselves or for making them fix their 453 00:25:50,080 --> 00:25:53,080 Speaker 1: emotions so that we don't have that level of discomfort. 454 00:25:53,920 --> 00:25:57,440 Speaker 1: So I think being able to sit in the discomfort 455 00:25:57,600 --> 00:26:01,240 Speaker 1: of I'm watching this person who I care about do 456 00:26:01,480 --> 00:26:04,480 Speaker 1: things to their life at this particular moment that I 457 00:26:04,600 --> 00:26:07,720 Speaker 1: don't think are right. I don't think it will serve 458 00:26:07,760 --> 00:26:09,640 Speaker 1: them in the long run. I don't think it will 459 00:26:09,720 --> 00:26:12,119 Speaker 1: feel good to them once they come out of this state. 460 00:26:12,920 --> 00:26:17,600 Speaker 1: But recognizing that for some people this is a process, 461 00:26:18,000 --> 00:26:20,320 Speaker 1: so like they're going to do what they're going to 462 00:26:20,359 --> 00:26:25,440 Speaker 1: do right now, love them, be patient, be present, and 463 00:26:25,480 --> 00:26:27,920 Speaker 1: then when they're in a different place, have a different 464 00:26:28,000 --> 00:26:30,639 Speaker 1: kind of conversation about what they can do differently, about 465 00:26:30,640 --> 00:26:34,240 Speaker 1: how they feel without the judgment, and be okay being 466 00:26:34,359 --> 00:26:37,760 Speaker 1: uncomfortable with that, you know, be okay being in a 467 00:26:37,800 --> 00:26:40,400 Speaker 1: place where you don't have the answers, where you don't 468 00:26:40,440 --> 00:26:42,920 Speaker 1: know what's gonna happen next. And I think that we 469 00:26:43,080 --> 00:26:47,760 Speaker 1: all struggle with that discomfort of this doesn't feel good, 470 00:26:47,800 --> 00:26:50,359 Speaker 1: it doesn't look good, but I don't know what's gonna 471 00:26:50,400 --> 00:26:52,640 Speaker 1: happen next, So like, how do I fix it? Some 472 00:26:52,680 --> 00:26:55,000 Speaker 1: things you can't really fix, you just have to work 473 00:26:55,040 --> 00:26:59,159 Speaker 1: through over time. Yeah, I think that's unimportant, Melissa, because 474 00:26:59,280 --> 00:27:02,320 Speaker 1: I do think just kind of as a society, we 475 00:27:02,400 --> 00:27:06,000 Speaker 1: have difficulties with like not problem fixing right, Like people 476 00:27:06,040 --> 00:27:09,320 Speaker 1: want answers, you know, like we want it now kind 477 00:27:09,320 --> 00:27:11,560 Speaker 1: of thing. And so the idea that you have to 478 00:27:11,560 --> 00:27:14,600 Speaker 1: sit with something that is uncomfortable and you know, in 479 00:27:14,640 --> 00:27:17,800 Speaker 1: some ways may be harmful, like you said, but realizing 480 00:27:17,840 --> 00:27:19,760 Speaker 1: that there may not be anything that you can do 481 00:27:19,840 --> 00:27:22,200 Speaker 1: about it in the moment is a very difficult stance 482 00:27:22,200 --> 00:27:25,679 Speaker 1: for people to take. Yeah, especially for parents, you know, 483 00:27:25,960 --> 00:27:29,440 Speaker 1: especially for parents. You know, there are some clients I've 484 00:27:29,480 --> 00:27:32,160 Speaker 1: worked with who've been diagnosed with you know, like pother 485 00:27:32,320 --> 00:27:35,280 Speaker 1: disorder from the time that they were and laid out 486 00:27:35,280 --> 00:27:37,960 Speaker 1: of lessons. I do think that there are some instances 487 00:27:38,000 --> 00:27:42,920 Speaker 1: where people are missed diagnosed, but I think ultimately, you know, 488 00:27:43,160 --> 00:27:46,800 Speaker 1: when I've been working with my younger clients, their parents 489 00:27:46,880 --> 00:27:50,960 Speaker 1: often coming from this perspective of you know, fix them, 490 00:27:51,520 --> 00:27:54,119 Speaker 1: you know, fix them, you know what's gonna happen to 491 00:27:54,200 --> 00:27:56,119 Speaker 1: their life. You know, this needs to be right, this 492 00:27:56,200 --> 00:28:00,399 Speaker 1: needs to be right now, m versus understanding. You know, 493 00:28:00,440 --> 00:28:02,399 Speaker 1: they're at an age where they get to make certain 494 00:28:02,440 --> 00:28:05,560 Speaker 1: life decisions and we might like we don't have to 495 00:28:05,600 --> 00:28:08,240 Speaker 1: agree with it right now, but love them, support them, 496 00:28:08,320 --> 00:28:11,000 Speaker 1: work with them through it, and you know there can 497 00:28:11,160 --> 00:28:13,760 Speaker 1: be a different outcome, But we have to work with 498 00:28:13,800 --> 00:28:17,040 Speaker 1: them when their choices not work for them to get 499 00:28:17,040 --> 00:28:20,960 Speaker 1: to a point where they're accepting your choices right right. 500 00:28:21,359 --> 00:28:25,600 Speaker 1: Are there other suggestions or tips you would offer for people, 501 00:28:25,640 --> 00:28:28,720 Speaker 1: because you've talked a lot about family and loved ones 502 00:28:28,800 --> 00:28:31,520 Speaker 1: being involved in the treatment process and like in the 503 00:28:31,560 --> 00:28:34,320 Speaker 1: support process, or there are other tips and suggestions you 504 00:28:34,359 --> 00:28:36,560 Speaker 1: would give for people who may have somebody in their 505 00:28:36,600 --> 00:28:39,360 Speaker 1: life who has been diagnosed with a bipolar disorder, like 506 00:28:39,400 --> 00:28:42,320 Speaker 1: how to support their loved one. I think, you know, 507 00:28:42,520 --> 00:28:46,120 Speaker 1: one final support system for yourself, it is it's super 508 00:28:46,280 --> 00:28:50,280 Speaker 1: super critical. I think that you know, finding a group 509 00:28:50,280 --> 00:28:53,280 Speaker 1: of people, whether it's through the National Association for the 510 00:28:53,320 --> 00:28:57,080 Speaker 1: Mentally Ill because they often have no parents, support groups 511 00:28:57,120 --> 00:29:00,760 Speaker 1: and you know, many different communities across the country, but 512 00:29:01,000 --> 00:29:06,000 Speaker 1: finding people who understand what this looks like and what this, 513 00:29:06,200 --> 00:29:09,400 Speaker 1: you know, maybe be like for you is very helpful. 514 00:29:09,920 --> 00:29:12,800 Speaker 1: I know in New York City we have these programs 515 00:29:12,800 --> 00:29:16,760 Speaker 1: that are called Family Resource Centers, and they often have 516 00:29:17,040 --> 00:29:20,680 Speaker 1: parents who are peers. So I know that the peer 517 00:29:20,760 --> 00:29:24,360 Speaker 1: concept is you know, pretty big. Across the country. There 518 00:29:24,360 --> 00:29:26,480 Speaker 1: are people who are in you know, very stages of 519 00:29:26,600 --> 00:29:30,080 Speaker 1: recovery for you know, different types of challenges, whether it's 520 00:29:30,120 --> 00:29:33,320 Speaker 1: you know, mental illness or the substance you challenges that 521 00:29:33,360 --> 00:29:35,520 Speaker 1: you know work with other people who are going through 522 00:29:35,520 --> 00:29:38,520 Speaker 1: those same challenges. But um in New York, in the 523 00:29:38,560 --> 00:29:43,000 Speaker 1: family Resource centers, they have parents who are peers because 524 00:29:43,040 --> 00:29:45,960 Speaker 1: they've had children who have been diagnosed with whether it's 525 00:29:46,000 --> 00:29:49,800 Speaker 1: a develop mental disability or a um or a mental 526 00:29:49,840 --> 00:29:53,160 Speaker 1: health diagnosis, so they are able to provide a different 527 00:29:53,160 --> 00:29:56,280 Speaker 1: type of support and I think that that's critical as well. 528 00:29:57,040 --> 00:30:01,680 Speaker 1: But I also think that being in a place of 529 00:30:01,960 --> 00:30:05,640 Speaker 1: understanding acceptance, being in a place where you can grieve 530 00:30:06,200 --> 00:30:09,120 Speaker 1: that the child or that the family member that you've 531 00:30:09,160 --> 00:30:12,040 Speaker 1: come to love and that you've come to have all 532 00:30:12,120 --> 00:30:15,880 Speaker 1: these thoughts and dreams for that their life might look 533 00:30:16,080 --> 00:30:20,280 Speaker 1: different than what you expected. But still being able to 534 00:30:20,320 --> 00:30:24,320 Speaker 1: be present through that right that that I think is important. 535 00:30:24,400 --> 00:30:27,840 Speaker 1: I don't think that people give themselves the opportunity to 536 00:30:27,960 --> 00:30:31,200 Speaker 1: grieve the loss of the person that they wanted versus 537 00:30:31,240 --> 00:30:35,040 Speaker 1: the person who is And it might look the same 538 00:30:35,120 --> 00:30:38,160 Speaker 1: depending on the diagnosis, or it might look very different, 539 00:30:38,520 --> 00:30:40,440 Speaker 1: but you have to be willing to accept that and 540 00:30:40,480 --> 00:30:44,200 Speaker 1: to be okay with that um And I think education 541 00:30:44,520 --> 00:30:48,040 Speaker 1: and if you have consent um you know, if the 542 00:30:48,520 --> 00:30:52,480 Speaker 1: treating provider has consent being a part of the active team, 543 00:30:52,600 --> 00:30:55,320 Speaker 1: you know, being a part of you know, having conversations 544 00:30:55,360 --> 00:30:58,120 Speaker 1: about what's going on, what is treatment, what is the 545 00:30:58,160 --> 00:31:01,960 Speaker 1: safety plan. Obviously than boundaries with the treating provider, for 546 00:31:02,040 --> 00:31:05,080 Speaker 1: your for your loved one, I think it's also essential. 547 00:31:05,360 --> 00:31:07,080 Speaker 1: So I know, Melissa A. Lot of the work that 548 00:31:07,200 --> 00:31:08,880 Speaker 1: you do. And we kind of touched on this a 549 00:31:08,920 --> 00:31:10,280 Speaker 1: little bit, but I want to make sure we don't 550 00:31:10,360 --> 00:31:12,440 Speaker 1: leave out any pieces of like what your work look 551 00:31:12,560 --> 00:31:15,560 Speaker 1: like is about like kind of vision planning and helping 552 00:31:15,560 --> 00:31:18,960 Speaker 1: your clients really develop this Is there more about that 553 00:31:18,960 --> 00:31:21,719 Speaker 1: that you want to say, um, like what this actually 554 00:31:21,760 --> 00:31:24,760 Speaker 1: looks like when you're working with a client. So when 555 00:31:24,800 --> 00:31:26,960 Speaker 1: I work with with any client, you know, all of 556 00:31:26,960 --> 00:31:30,480 Speaker 1: my clients can come work. Um. I think homework is 557 00:31:30,560 --> 00:31:34,040 Speaker 1: essential because I'm only with you forty five minutes, you know, 558 00:31:34,120 --> 00:31:38,000 Speaker 1: fifty minutes, maybe sixty depending on what's happening or you know, 559 00:31:38,160 --> 00:31:40,640 Speaker 1: the week, and you spend most of the time with yourself, 560 00:31:41,120 --> 00:31:43,200 Speaker 1: So we all get homework and I say a week 561 00:31:43,240 --> 00:31:45,480 Speaker 1: and sometimes I go home with you know, homework and 562 00:31:45,560 --> 00:31:48,120 Speaker 1: things to like think about with them or for them 563 00:31:48,120 --> 00:31:53,640 Speaker 1: as well. But but I think really identifying who you 564 00:31:53,800 --> 00:31:57,200 Speaker 1: are and and on what you want from life is 565 00:31:57,240 --> 00:31:59,760 Speaker 1: a critical first step in the work that I do. 566 00:32:00,240 --> 00:32:03,960 Speaker 1: I also try to integrate holistic health practices with my 567 00:32:04,080 --> 00:32:07,960 Speaker 1: clients that are consistent with their faith and the things 568 00:32:07,960 --> 00:32:11,680 Speaker 1: that they're interested in as well. So I believe that 569 00:32:11,720 --> 00:32:14,920 Speaker 1: you can have Jesus and therapy. UM, I think you 570 00:32:14,960 --> 00:32:18,440 Speaker 1: can have Buddha and therapy. I think you can be 571 00:32:18,520 --> 00:32:23,800 Speaker 1: engaged in yoga and massage, therapy and acupuncture and walking, 572 00:32:24,160 --> 00:32:28,960 Speaker 1: and in physical health practices and like holistic eating and 573 00:32:28,960 --> 00:32:31,720 Speaker 1: and I encourage all of that from the perspective of 574 00:32:31,800 --> 00:32:36,280 Speaker 1: we are one whole person, so really fully integrating into 575 00:32:36,320 --> 00:32:39,680 Speaker 1: your life, you know, in all different areas the things 576 00:32:39,720 --> 00:32:42,880 Speaker 1: that will make you feel good and the things that 577 00:32:42,960 --> 00:32:47,080 Speaker 1: are helpful for you emotionally. UM. We we talk about 578 00:32:47,080 --> 00:32:51,720 Speaker 1: in session on a regular basis. Oftentimes when we are 579 00:32:51,760 --> 00:32:56,080 Speaker 1: in a place where we're used to doing certain things, 580 00:32:56,120 --> 00:32:59,240 Speaker 1: like on a consistent basis, we have a certain behavior pattern. 581 00:32:59,680 --> 00:33:03,800 Speaker 1: We act in a way to life that is very 582 00:33:03,880 --> 00:33:06,960 Speaker 1: different than you know, how we would want to react. 583 00:33:07,120 --> 00:33:11,280 Speaker 1: So you know, you know, I'll just be transparent. I 584 00:33:11,400 --> 00:33:14,440 Speaker 1: have in my past, you know, and a different person 585 00:33:14,480 --> 00:33:18,200 Speaker 1: I was, UM I had it had a tendency to 586 00:33:19,640 --> 00:33:23,720 Speaker 1: um be very explosive. So if there's something that I 587 00:33:23,760 --> 00:33:26,440 Speaker 1: didn't like that you said, I'll let you know that 588 00:33:26,600 --> 00:33:28,600 Speaker 1: you said it. And you know how I let you 589 00:33:28,640 --> 00:33:31,520 Speaker 1: know that you said it wasn't necessarily friendly or pleasant, 590 00:33:31,720 --> 00:33:35,920 Speaker 1: or it didn't really lend itself to a resolution. But 591 00:33:36,080 --> 00:33:38,520 Speaker 1: once I was able to identify who I was, it 592 00:33:38,560 --> 00:33:42,440 Speaker 1: allowed me to change my thoughts and be mindful about 593 00:33:42,520 --> 00:33:47,000 Speaker 1: what I was thinking and my personal physical reactions. I 594 00:33:47,080 --> 00:33:49,600 Speaker 1: was having to know, like, you know, what was gonna 595 00:33:49,640 --> 00:33:52,000 Speaker 1: come out of my mouth next, and if that was, 596 00:33:52,080 --> 00:33:56,360 Speaker 1: you know, how I wanted to respond to situations consistently, 597 00:33:57,040 --> 00:34:02,400 Speaker 1: So really investigating your thoughts, investigating your thought patterns, and 598 00:34:02,520 --> 00:34:07,320 Speaker 1: changing those things so that your reactions and the behaviors 599 00:34:07,360 --> 00:34:11,280 Speaker 1: that you're engaging in are consistent with who you want 600 00:34:11,320 --> 00:34:14,400 Speaker 1: to be. That is often the work, that is the 601 00:34:14,520 --> 00:34:18,239 Speaker 1: small everyday bits and pieces of the work that you 602 00:34:18,280 --> 00:34:23,120 Speaker 1: know people really miss, got it, Okay, So it's a 603 00:34:23,200 --> 00:34:28,520 Speaker 1: very active process. In other words, yes, like homework. Yeah, 604 00:34:28,520 --> 00:34:31,960 Speaker 1: it's lots of homework, and it's it's really consistent we 605 00:34:32,080 --> 00:34:35,360 Speaker 1: do we know, like in DBT, there's the whole concept 606 00:34:35,520 --> 00:34:39,680 Speaker 1: of behavior chain analysis and you know, really really looking 607 00:34:40,120 --> 00:34:42,440 Speaker 1: at you know, what occurred, what was your thought, what 608 00:34:42,520 --> 00:34:46,440 Speaker 1: was your response, and and really looking at that cycle. Um, 609 00:34:46,480 --> 00:34:49,480 Speaker 1: so we really I mean I use that a lot 610 00:34:50,000 --> 00:34:54,680 Speaker 1: because from the perspective of really investigating and really really 611 00:34:54,719 --> 00:34:57,919 Speaker 1: working from the place of what the individual that I'm 612 00:34:57,920 --> 00:35:01,040 Speaker 1: working with, what do they want? I think a lot 613 00:35:01,120 --> 00:35:04,799 Speaker 1: of times clinissions and you know, our loved ones talk 614 00:35:04,920 --> 00:35:07,920 Speaker 1: to us about what we're doing from the perspective of 615 00:35:08,080 --> 00:35:11,200 Speaker 1: what we want, you know, versus what the person that 616 00:35:11,280 --> 00:35:15,840 Speaker 1: we're talking to want, and so we UM. So I 617 00:35:15,880 --> 00:35:18,080 Speaker 1: really try to work from the place of, Okay, what 618 00:35:18,200 --> 00:35:21,680 Speaker 1: does my client want, what feels you know, what will 619 00:35:21,719 --> 00:35:24,799 Speaker 1: feel authentic to them now? And then you know, who 620 00:35:24,880 --> 00:35:28,360 Speaker 1: do they want to be? And it's that constant sort 621 00:35:28,400 --> 00:35:34,520 Speaker 1: of visiting that vision daily as your I'm going through life, 622 00:35:35,120 --> 00:35:37,319 Speaker 1: got it? So I'm sure my listen that there are 623 00:35:37,360 --> 00:35:39,319 Speaker 1: a lot of resources in that kind of come up 624 00:35:39,360 --> 00:35:41,719 Speaker 1: over and over for you again, UM, so, what are 625 00:35:41,760 --> 00:35:44,759 Speaker 1: some of your favorite resources that you recommend for your clients? 626 00:35:45,280 --> 00:35:48,680 Speaker 1: So my favorite resources is it's actually I work with 627 00:35:48,719 --> 00:35:53,680 Speaker 1: a lot of clients who have experienced trauma UM and 628 00:35:54,000 --> 00:35:56,600 Speaker 1: I of course The Body Keeps for is a book 629 00:35:56,680 --> 00:35:58,759 Speaker 1: that is you know, you know, wildly you know, UM 630 00:35:58,840 --> 00:36:02,440 Speaker 1: lauded and it's it's how recommended. But there's another book, 631 00:36:02,600 --> 00:36:10,000 Speaker 1: UM that's called Childhood Disrupted that I really love because 632 00:36:10,080 --> 00:36:14,880 Speaker 1: it really breaks down from my client too experienced trauma UM, 633 00:36:14,920 --> 00:36:17,480 Speaker 1: you know, what happens to your body in your mind. 634 00:36:17,920 --> 00:36:20,279 Speaker 1: Um you know, when you've experienced those things from like 635 00:36:20,280 --> 00:36:25,279 Speaker 1: a biological perspective, and it allows them to normalize their 636 00:36:25,280 --> 00:36:29,200 Speaker 1: experiences and you know, really work from a place of understanding. 637 00:36:29,800 --> 00:36:35,680 Speaker 1: And then I'm really into holistic practices, so like meditation 638 00:36:35,760 --> 00:36:39,520 Speaker 1: and mindfulness. So like YouTube has like some really awesome videos. 639 00:36:39,560 --> 00:36:44,239 Speaker 1: But there is a instagrammer who I followed, and I 640 00:36:44,280 --> 00:36:47,040 Speaker 1: followed her for a few years. Her name is Bathshila 641 00:36:47,120 --> 00:36:51,279 Speaker 1: Marie On on Instagram. She's urban, so she's like a 642 00:36:51,320 --> 00:36:55,520 Speaker 1: young black woman and she is into like health and wellness, 643 00:36:55,600 --> 00:36:57,719 Speaker 1: but she's also into, you know, how do you love 644 00:36:57,760 --> 00:37:01,080 Speaker 1: yourself more. I think a lot of clients that I 645 00:37:01,160 --> 00:37:05,040 Speaker 1: work with, whether they're diagnosed with depression of my polities 646 00:37:05,160 --> 00:37:10,760 Speaker 1: or or with my personality uhm diagnosis, they really struggle 647 00:37:10,840 --> 00:37:13,480 Speaker 1: with this concept of like what is their self worth? 648 00:37:13,920 --> 00:37:17,520 Speaker 1: And I found that and it's so interesting. When people 649 00:37:17,600 --> 00:37:21,080 Speaker 1: develop a sense of what they're worth and what they want, 650 00:37:21,560 --> 00:37:25,000 Speaker 1: then they're more inclined to do the work to be 651 00:37:25,080 --> 00:37:28,560 Speaker 1: able to get better. So she has like a lot 652 00:37:28,560 --> 00:37:32,080 Speaker 1: of self love and um, you know, self awareness video 653 00:37:32,360 --> 00:37:36,360 Speaker 1: she does talk like every day about mindfulness and like 654 00:37:36,520 --> 00:37:39,720 Speaker 1: really the simple things that you can do to feel 655 00:37:39,719 --> 00:37:43,200 Speaker 1: better UM. And then actually one of my clients introduced 656 00:37:43,200 --> 00:37:45,040 Speaker 1: me to a book that's called Start Where You Are, 657 00:37:46,000 --> 00:37:50,080 Speaker 1: and it's a book about UM basically like radical acceptance 658 00:37:50,719 --> 00:37:53,040 Speaker 1: and and being in a place where you're able to 659 00:37:53,120 --> 00:37:56,040 Speaker 1: understand you know where you are except where you are, 660 00:37:56,239 --> 00:37:58,480 Speaker 1: and then move forward from that and let go of 661 00:37:58,600 --> 00:38:04,000 Speaker 1: your idea of what should or shouldn't be. So don't 662 00:38:04,040 --> 00:38:06,640 Speaker 1: sound like some great suggestions for people to check out? 663 00:38:07,000 --> 00:38:09,239 Speaker 1: So where can people find you, Melissa? Where can they 664 00:38:09,239 --> 00:38:12,359 Speaker 1: find out more information about you and your practice? So? 665 00:38:12,640 --> 00:38:16,240 Speaker 1: I am located in New York City, i am licensed 666 00:38:16,239 --> 00:38:18,640 Speaker 1: in New York and I'm licensed in Maryland as well. 667 00:38:19,800 --> 00:38:22,160 Speaker 1: I do tell Ahealth and I work out of wellness 668 00:38:22,200 --> 00:38:25,880 Speaker 1: basis for my in person sessions. My website is Melissa 669 00:38:25,880 --> 00:38:31,000 Speaker 1: Eiffel dot com and my Instagram UM handled is Melissa. 670 00:38:31,120 --> 00:38:34,680 Speaker 1: That's M E L I S S A I F 671 00:38:34,800 --> 00:38:39,239 Speaker 1: I L L l C s W. So that is 672 00:38:39,239 --> 00:38:41,560 Speaker 1: where you can find me Melissa Iffel l C s W. 673 00:38:41,680 --> 00:38:44,399 Speaker 1: I'm I'm very active on Instagram pretty much every day 674 00:38:44,400 --> 00:38:47,440 Speaker 1: I post something UM and my website is up and 675 00:38:47,520 --> 00:38:49,880 Speaker 1: running perfect, and all of that, of course will be 676 00:38:49,920 --> 00:38:53,279 Speaker 1: initial notes for people to find very easily. Well, thank 677 00:38:53,280 --> 00:38:55,160 Speaker 1: you so much for chatting with us today, Melissa. I 678 00:38:55,239 --> 00:38:59,919 Speaker 1: really appreciate it. Thank you for having me absolutely, I'm 679 00:39:00,040 --> 00:39:02,600 Speaker 1: so grateful Melissa was able to join us to share 680 00:39:02,600 --> 00:39:05,920 Speaker 1: her expertise with us. To find out more about her 681 00:39:05,960 --> 00:39:09,760 Speaker 1: practice and the resources that she shared, visit the show 682 00:39:09,800 --> 00:39:13,120 Speaker 1: notes at Therapy for Black Girls dot Com slash Session 683 00:39:13,239 --> 00:39:16,239 Speaker 1: ninety two, and don't forget to let us know what 684 00:39:16,280 --> 00:39:19,160 Speaker 1: you thought about the episode by sharing your takeaways with 685 00:39:19,280 --> 00:39:23,080 Speaker 1: us on Twitter or in your I G stories using 686 00:39:23,080 --> 00:39:27,640 Speaker 1: the hashtag tv G in session. If you're looking for 687 00:39:27,680 --> 00:39:31,160 Speaker 1: a therapist in your area, check out our directory at 688 00:39:31,200 --> 00:39:35,520 Speaker 1: Therapy for Black Girls dot com slash directory. And don't 689 00:39:35,560 --> 00:39:39,200 Speaker 1: forget to grab your Therapy for Black Girls sweatshirt, t shirt, 690 00:39:39,600 --> 00:39:42,800 Speaker 1: mug or a copy of our guided break up journal 691 00:39:43,239 --> 00:39:46,439 Speaker 1: over in our store at Therapy for Black Girls dot 692 00:39:46,480 --> 00:39:50,120 Speaker 1: Com slash shop. And if you want to continue this 693 00:39:50,200 --> 00:39:53,919 Speaker 1: conversation with other sisters who listen to the podcast, join 694 00:39:54,040 --> 00:39:56,759 Speaker 1: us over in the thrive tribe at Therapy for Black 695 00:39:56,800 --> 00:40:00,960 Speaker 1: Girls dot com slash Tribe. Thank you all so much 696 00:40:00,960 --> 00:40:03,719 Speaker 1: for joining me again this week. I look forward to 697 00:40:03,719 --> 00:40:07,439 Speaker 1: continue in this conversation with you all real soon Take 698 00:40:07,520 --> 00:40:07,959 Speaker 1: it care