WEBVTT - One on One with Talkspace CEO, Dr. Jon Cohen

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<v Speaker 1>No matter what twenty twenty five holes. A Talkspace therapist

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<v Speaker 1>can help you get ready for it. Through convenient virtual

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<v Speaker 1>sessions and messaging therapy. Your therapist will help you build

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<v Speaker 1>resilience and discover opportunities for growth in the year ahead.

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<v Speaker 1>Talkspace is in network with major insurers. Most covered members

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<v Speaker 1>have a copey of fifteen dollars or less, or you

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<v Speaker 1>can get eighty five dollars off of your first month

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<v Speaker 1>with promo code Katie when you go to talkspace dot

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<v Speaker 1>com slash Katiekuric. Hi everyone, I'm Katy Kuric and this

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<v Speaker 1>is next question. The statistics are pretty staggering when it

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<v Speaker 1>comes to the mental health of the United States. Forty

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<v Speaker 1>percent of Americans sixty five and older self identifies lonely,

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<v Speaker 1>and according to the NIH, approximately seventy percent do not

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<v Speaker 1>seek mental health treatment. In fact, many older Americans think

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<v Speaker 1>declining mental health is just a normal part of aging,

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<v Speaker 1>and of course, for young people, the numbers are even

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<v Speaker 1>more distressing. Forty percent of high schoolers report feeling persistently

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<v Speaker 1>sad or hopeless. One in five high school students seriously

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<v Speaker 1>considered attempting suicide in twenty twenty three, and suicide deaths

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<v Speaker 1>among ten to twenty four year olds increased by sixty

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<v Speaker 1>two percent from two thousand and seven to twenty twenty one. Obviously,

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<v Speaker 1>we're in the midst of a serious mental health crisis.

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<v Speaker 1>My guest today, doctor John Cohen, is the CEO of Talkspace,

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<v Speaker 1>the leading online platform making therapy more accessible than ever.

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<v Speaker 1>He's had quite a professional journey, as you'll hear in

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<v Speaker 1>our conversation, from winning the science fair in fifth grade,

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<v Speaker 1>to vascular surgeon, to COVID leader to now health innovator.

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<v Speaker 1>And here's a big highlight. Talkspace is expanding into medicare,

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<v Speaker 1>bringing much needed support to seniors. Talkspace is feeling a

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<v Speaker 1>hugely important need. I've long been interested in mental health

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<v Speaker 1>and the obstacles many people face when it comes to

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<v Speaker 1>getting the care they need. But that's a problem John

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<v Speaker 1>Cohen really wants to solve. Doctor Cohen, may I call

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<v Speaker 1>you John, absolutely, thank you, Thank you so much for

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<v Speaker 1>being here. Wow, You've had such an interesting career, and

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<v Speaker 1>I'm always fascinated by people's origin stories. So I want

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<v Speaker 1>to start from not the very beginning, but when you

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<v Speaker 1>realized you wanted to be a doctor.

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<v Speaker 2>Sure so thank you and thank you for the opportunity.

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<v Speaker 2>So I grew up in Queens and in fifth grade

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<v Speaker 2>I won the science.

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<v Speaker 1>Fair yay, and I was do you remember what your

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<v Speaker 1>project was?

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<v Speaker 3>I actually do.

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<v Speaker 2>It was actually a dissection of a calf's heart, which

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<v Speaker 2>I presented in this in this certain fashion.

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<v Speaker 1>Well that was very predictive, a.

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<v Speaker 3>Little bit of prediction. And I just loved science.

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<v Speaker 2>I love to read when I was growing up, and

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<v Speaker 2>I think it was from that point forward that I

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<v Speaker 2>said I really want to be a doctor. So I

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<v Speaker 2>don't that's the one event that I could point to

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<v Speaker 2>in my life early on.

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<v Speaker 1>You ended up becoming a vascular surgeon. That cow's heart

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<v Speaker 1>was really fascinating to you. Absolutely tell me about what

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<v Speaker 1>led you to that specialty.

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<v Speaker 2>So when you're in training and surgery training, it's a

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<v Speaker 2>five year surgical training program, which is I did a

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<v Speaker 2>New York Presbyterian Wild Cornell where I didn't meet my wife.

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<v Speaker 2>We met as residence and got married our second year.

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<v Speaker 1>Who's also a surgeon by the way.

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<v Speaker 3>Son in law. Thank you for that. Yes, And I.

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<v Speaker 2>Definitely wanted to be a surgeon for a long long time.

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<v Speaker 2>I don't know when that happened. I was quite honestly,

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<v Speaker 2>probably influenced by Mash the TV program. Really Alan, There's

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<v Speaker 2>no question that Hawkeye Peis was a hero of mine.

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<v Speaker 1>I think it's so funny.

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<v Speaker 2>I think it had some influence on me. And so

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<v Speaker 2>I trained for five years of surgery, and then trained

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<v Speaker 2>in VASCA surgery for a post residency up at the

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<v Speaker 2>Brigham and Women's Hospital at Harvard, then came back to

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<v Speaker 2>New York and then have been here ever since.

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<v Speaker 1>I have a dumb question, and I should know this

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<v Speaker 1>because I am really interested in medicine and science. I

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<v Speaker 1>think partly because of my husband's diagnosis of colon cancer,

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<v Speaker 1>I had to learn very quickly about cancer. And my

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<v Speaker 1>brother in law was the head of cardiology at the

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<v Speaker 1>University of Virginia, my alma mater, and so I know

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<v Speaker 1>a little bit about heart stuff, but I don't actually

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<v Speaker 1>understand what a vascular surgeon does. Is that embarrassing?

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<v Speaker 2>No, No, listen, not at all embarrassing. I'm not surprised

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<v Speaker 2>because most people don't.

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<v Speaker 3>Most people.

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<v Speaker 2>So the difference is between cardio surgery and vascal surgery

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<v Speaker 2>is vascal surgeons operate and all blood vessels except for

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<v Speaker 2>the heart so it's all the biginst of all blood cells,

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<v Speaker 2>the carotid arteries that supplied blood to the brain, a

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<v Speaker 2>orders that supplied blood to the rest of the body,

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<v Speaker 2>and so all of those blood vessels have certain abnormalities

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<v Speaker 2>during people's lifespan, and what we did is what we

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<v Speaker 2>do is vask In surgeons, is fix those abnormalities, whether

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<v Speaker 2>it could be fixing the blood vessel to the brain,

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<v Speaker 2>the crotid artery, whether it's fixing blood vessels to your

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<v Speaker 2>legs so people don't lose their limbs, or whether it's

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<v Speaker 2>fixing the aorta for something called ordic aneurisms that can burst.

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<v Speaker 2>So that's the specialty of Vaskal surgery. So that's what

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<v Speaker 2>I did for almost twenty years.

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<v Speaker 1>So you were less interested in the cow's heart and

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<v Speaker 1>more interested in what made that heart tick.

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<v Speaker 2>Oh, more about how you got the blood there and

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<v Speaker 2>how the blood left there, that's right, and the diseases

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<v Speaker 2>associated that. So that's in and of itself as its

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<v Speaker 2>own specialty.

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<v Speaker 1>What was your most frequent surgery that you'd perform?

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<v Speaker 2>Aerotic aneurisms, which are bubbles which form on very large

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<v Speaker 2>blood vessels. So the most common surgery it was aortic

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<v Speaker 2>aneurysm repairs and a lot of famous people including actually

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<v Speaker 2>Albert Einstein died of a ruptured aortic aneurism. Many people

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<v Speaker 2>much much early in the forties, fifties and sixties until

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<v Speaker 2>the techniques were developed to be able to repair them.

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<v Speaker 3>So that was my most common surgery.

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<v Speaker 1>So do you get a warning that you have that

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<v Speaker 1>problem or I mean, how do you operate on that?

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<v Speaker 2>So the ertic aneurisms are a silent killer. You only

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<v Speaker 2>would know it if you happen to get an ultrasound

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<v Speaker 2>or a cat scan and someone discovers it. You can

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<v Speaker 2>discover it on if they get very large on physical exam,

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<v Speaker 2>but most of them were discovered with people who do

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<v Speaker 2>not have symptoms. Now the other things I operate other entities.

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<v Speaker 2>I operated on corotid arteries, which is people frequently have

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<v Speaker 2>warning signs of a stroke. People who have leg problems,

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<v Speaker 2>we knew that they had those problems because see the

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<v Speaker 2>threatened limb loss or they had pain when they were walking.

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<v Speaker 2>So the different types of surgery, but for me personally,

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<v Speaker 2>it was mostly aortic and years of repair.

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<v Speaker 1>So after your career as a vascular surgeon, you transitioned

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<v Speaker 1>to a lot of other roles. You are a man

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<v Speaker 1>of many hats. You were leading the large scale COVID

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<v Speaker 1>nineteen testing efforts at Bioreference Labs during the pandemic. Yes,

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<v Speaker 1>what was that like?

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<v Speaker 2>So I was very fortunate. Yes, I've had a very

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<v Speaker 2>circuitous path.

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<v Speaker 3>Nice way of described haven't even gotten ye right.

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<v Speaker 2>Which is a sort of a nice way of saying

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<v Speaker 2>that I did a lot of things. So Bioreference I

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<v Speaker 2>was there for. I was the CEO and executive chairman

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<v Speaker 2>for about a year when COVID hit, which is just

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<v Speaker 2>an extraordinary event as we all remember or try not

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<v Speaker 2>to remember at this point. So we were faced by

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<v Speaker 2>references about the largest laboratory in the country, and we

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<v Speaker 2>were faced with the trying to figure out how to

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<v Speaker 2>make the diagnosis of people and how to get COVID testing.

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<v Speaker 2>So we did end up being the leader in a

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<v Speaker 2>lot of the customized solutions. So we ended up testing

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<v Speaker 2>for the NBA Bubble, if you remember, we did the

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<v Speaker 2>exclusive testing for the National Football League all fall two

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<v Speaker 2>hundred and fifty six games to Super Bowl. We relaunched

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<v Speaker 2>the cruise industry with Royal Caribbean and eventually was testing

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<v Speaker 2>out of ten or eleven ports around the country, and

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<v Speaker 2>then we were running most of the New York City

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<v Speaker 2>school testing, testing thousands of children and hundreds of schools

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<v Speaker 2>every single day. We did the overwelming majority of school

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<v Speaker 2>testing for New York City and other school districts. So

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<v Speaker 2>I had a very unusual experience with a great team

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<v Speaker 2>of people, and as you know, I ended up writing

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<v Speaker 2>about it about what it's like to be a leader

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<v Speaker 2>during a crisis, which is a very different crisis. So

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<v Speaker 2>there are crises that happen and then you have to react.

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<v Speaker 2>COVID was very different. One of my actually one of

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<v Speaker 2>my favorite quotes is COVID is where intuition goes to die.

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<v Speaker 2>Because every time we thought we knew what was going

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<v Speaker 2>to happen, something different happened, and you're it's a little

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<v Speaker 2>bit like being in the field in war because you

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<v Speaker 2>never really know what's going to happen the next day.

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<v Speaker 2>So every day we will wake up and changes would occur.

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<v Speaker 2>So it's a very different type of management than an

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<v Speaker 2>event that occurs and then you actually deal with the crisis.

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<v Speaker 2>So it was an extraordinary personal experience, an extraordinary experience

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<v Speaker 2>for the company.

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<v Speaker 1>I'm curious how you feel, John about all the Monday

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<v Speaker 1>morning quarterbacking that's happened after the pandemic ended, And it

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<v Speaker 1>seems it's become so politicized, and I think it actually

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<v Speaker 1>fueled a lot of people politically. And you know, there's

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<v Speaker 1>this lack of trust in science. There's so many, so

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<v Speaker 1>many things that are a part of this. But what

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<v Speaker 1>do you make of it?

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<v Speaker 2>So I'll stick to diagnostics because that's the industry that

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<v Speaker 2>I was. I will tell you that the rollout and

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<v Speaker 2>the COVID vaccine was remarkable in terms of the number

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<v Speaker 2>of lives that were saved, and I give there's a

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<v Speaker 2>lot of people that deserve credits for that. I do

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<v Speaker 2>think Pfizer and the CEO of Pfizer had an extraordinary

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<v Speaker 2>role in being able to move the COVID vaccine as

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<v Speaker 2>quick as they did, and the ability to the administration

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<v Speaker 2>of the Trump administration at the time to actually roll

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<v Speaker 2>it out. Now, having said that, on the diagnostic side,

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<v Speaker 2>as I sit here today, if God forbid there's a

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<v Speaker 2>bird flu outbreak or any other I will tell you

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<v Speaker 2>unfortunately we're still very very ill prepared for another pandemic.

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<v Speaker 2>On the diagnostics side, it continues to be an issue

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<v Speaker 2>relative can we scale and test millions of people a day?

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<v Speaker 2>And that discussion still really hasn't happened.

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<v Speaker 1>But why do you think you know, I've done interviews

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<v Speaker 1>about pandemic preparedness and this it's been ever thus. You know,

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<v Speaker 1>before the COVID outbreak, we weren't prepared. A lot of

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<v Speaker 1>people said, well, we've learned a lot and next time

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<v Speaker 1>will be better prepared. But it doesn't ever seem to

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<v Speaker 1>get traction. This idea of gearing up for the possible.

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<v Speaker 2>It's like you said, it's probably you know, all political

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<v Speaker 2>or politicized. At this point. I can't tell you why.

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<v Speaker 2>I just know that having been through it and seeing

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<v Speaker 2>you know, what we do or don't have, now, we're

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<v Speaker 2>not really ready for another pandemic. On the diagnostic side.

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<v Speaker 1>A lot of people I think complain about school closings, right,

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<v Speaker 1>and I always think, well, what if a bunch of

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<v Speaker 1>kids had died? Right? And that science is an art

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<v Speaker 1>and that people learn, as you said, where intuition goes

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<v Speaker 1>to die, people were learning in real time about how

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<v Speaker 1>this virus behaved.

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<v Speaker 2>Well, we were not only learning, but then every time,

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<v Speaker 2>as I said that, we thought then you had delta,

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<v Speaker 2>then you had omicron, and then we moved from testing.

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<v Speaker 2>Remember the lines people sitting in their cars for hours

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<v Speaker 2>and hours and hours to sit at a drive through

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<v Speaker 2>the get tested. And then we moved from filling from testing.

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<v Speaker 2>And at one point we were doing one hundred thousand

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<v Speaker 2>tests a day in the lab that had not done

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<v Speaker 2>one single test in March, and so we scaled for

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<v Speaker 2>several months to get up to that point. But remember

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<v Speaker 2>we moved from COVID testing, from swabbing you. Then we

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<v Speaker 2>moved to testing what it's called point of care, where

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<v Speaker 2>we would go someplace and they test you and you'd

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<v Speaker 2>wait for thirty minutes. And then we went to home testing,

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<v Speaker 2>but you had to send your result in. And then

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<v Speaker 2>we went to testing where people tested theirselves. So the

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<v Speaker 2>evolution of the technology alone was extraordinary once we got

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<v Speaker 2>to where people figured out what they needed. But those

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<v Speaker 2>changes alone only occurred over maybe six or seven or

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<v Speaker 2>eight months.

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<v Speaker 3>Think about that.

0:13:07.920 --> 0:13:10.480
<v Speaker 2>You know, we test everybody one way, and then we

0:13:10.559 --> 0:13:12.040
<v Speaker 2>wake up say oh, no, no, no, now we have to

0:13:12.080 --> 0:13:15.280
<v Speaker 2>test people another way. Oh and now we need to

0:13:15.280 --> 0:13:18.560
<v Speaker 2>test them another way. So we were trying to manage

0:13:18.600 --> 0:13:23.160
<v Speaker 2>that on a day to day basis and people screaming

0:13:23.160 --> 0:13:25.480
<v Speaker 2>for the results. Anyway, it was a quite It was

0:13:25.520 --> 0:13:28.760
<v Speaker 2>an extraordinary personal experience. I could tell you that I that, Yeah,

0:13:28.800 --> 0:13:30.320
<v Speaker 2>it was for three years.

0:13:30.800 --> 0:13:34.520
<v Speaker 1>I was going to say, was it traumatizing in some ways?

0:13:35.000 --> 0:13:35.520
<v Speaker 3>No, I don't know.

0:13:35.800 --> 0:13:39.080
<v Speaker 2>To me, it was a traumatizing. It was its very

0:13:39.440 --> 0:13:40.400
<v Speaker 2>in some stance of vigor.

0:13:40.600 --> 0:13:40.800
<v Speaker 3>It was.

0:13:42.440 --> 0:13:45.520
<v Speaker 2>It was exciting that maybe not the right objective to

0:13:45.520 --> 0:13:47.600
<v Speaker 2>be in the middle of it, but to be part

0:13:47.640 --> 0:13:50.160
<v Speaker 2>of it and to help figure it out. It was Again,

0:13:50.240 --> 0:13:52.640
<v Speaker 2>it was an amazing personal experience and for the team

0:13:52.640 --> 0:13:55.680
<v Speaker 2>of people had around me, they were unbelievable to be

0:13:55.720 --> 0:13:56.880
<v Speaker 2>able to pull this off.

0:13:56.960 --> 0:13:58.040
<v Speaker 3>Quite honestly, we.

0:13:58.000 --> 0:14:01.680
<v Speaker 2>Did a lot of experimentation, guessing, making decisions, good decisions,

0:14:01.679 --> 0:14:05.080
<v Speaker 2>bad decisions, moving forward, and trying to figure out, you know,

0:14:05.120 --> 0:14:07.320
<v Speaker 2>what was going to work and what was going to work.

0:14:07.400 --> 0:14:11.400
<v Speaker 2>I mean, we were literally testing hundreds of thousands of

0:14:11.440 --> 0:14:15.600
<v Speaker 2>people a week in the test that didn't exist in

0:14:15.679 --> 0:14:17.640
<v Speaker 2>March of tw twenty twenty.

0:14:18.320 --> 0:14:21.560
<v Speaker 1>So you go from being a vascular surgeon to overseeing

0:14:21.640 --> 0:14:25.680
<v Speaker 1>sort of the diagnostic technology, the evolution of the diagnostic

0:14:25.760 --> 0:14:30.480
<v Speaker 1>technology for COVID right and implementing it in very high

0:14:30.560 --> 0:14:33.680
<v Speaker 1>risk situations. Right. I can't think of a higher risk

0:14:33.720 --> 0:14:36.880
<v Speaker 1>situation than a cruise ship right where there was such

0:14:36.880 --> 0:14:40.600
<v Speaker 1>a huge outbreak early on in the pandemic. How the

0:14:40.640 --> 0:14:43.040
<v Speaker 1>hell did you become CEO space?

0:14:44.120 --> 0:14:46.280
<v Speaker 3>Yeah, it's cool.

0:14:47.000 --> 0:14:49.920
<v Speaker 1>Maybe we should explain what talk space is. Can you

0:14:50.200 --> 0:14:50.960
<v Speaker 1>help us with that?

0:14:51.320 --> 0:14:55.440
<v Speaker 2>So Talkspace says we're publicly traded. We've been around thirteen years,

0:14:55.680 --> 0:14:58.400
<v Speaker 2>when public about three years ago. So Talkspace right now

0:14:58.480 --> 0:15:03.880
<v Speaker 2>is a mental health virtual provider. So what you do

0:15:03.960 --> 0:15:07.240
<v Speaker 2>for talk spaces If you need mental health therapy, you

0:15:07.240 --> 0:15:10.120
<v Speaker 2>go online and we have multiple modalities so you can

0:15:10.160 --> 0:15:12.560
<v Speaker 2>be treated a lot of people get treated by video,

0:15:12.640 --> 0:15:14.920
<v Speaker 2>live video. It's a live video visit. We are, by

0:15:14.920 --> 0:15:18.200
<v Speaker 2>the way, a fully hip a compliant healthcare organization. We

0:15:18.240 --> 0:15:22.240
<v Speaker 2>have six thousand therapists all fifty states across the country.

0:15:22.920 --> 0:15:25.240
<v Speaker 2>And what happens you get matched with a therapist and

0:15:25.280 --> 0:15:28.200
<v Speaker 2>the therapists just like you would go to a therapist

0:15:28.200 --> 0:15:32.200
<v Speaker 2>to get therapy. Mental health service does that online video

0:15:32.440 --> 0:15:36.160
<v Speaker 2>We also have which I thought was quite amazing when

0:15:36.160 --> 0:15:39.200
<v Speaker 2>I got there. Talk sayst died mostly original research that

0:15:39.240 --> 0:15:41.040
<v Speaker 2>you could provide therapy through texting and.

0:15:41.000 --> 0:15:45.120
<v Speaker 1>Messaging, right, so it's.

0:15:44.160 --> 0:15:48.640
<v Speaker 2>Called asynchronous therapy, and the reason it's a really bad move.

0:15:49.080 --> 0:15:52.760
<v Speaker 2>So asynchronous therapy means that if you send a message

0:15:52.760 --> 0:15:55.000
<v Speaker 2>to your therapist at three o'clock in the morning, she

0:15:55.120 --> 0:15:57.080
<v Speaker 2>or he's not getting back to you probably till nine

0:15:57.200 --> 0:15:58.840
<v Speaker 2>or ten the next day. So it means that it's

0:15:58.880 --> 0:16:02.240
<v Speaker 2>not happening to be instantaneously.

0:16:02.280 --> 0:16:02.720
<v Speaker 3>That's correct.

0:16:02.760 --> 0:16:05.240
<v Speaker 2>So well, that's why it's called asynchronous. So it turns

0:16:05.240 --> 0:16:07.000
<v Speaker 2>out they did the Toxics in most of the original

0:16:07.040 --> 0:16:09.120
<v Speaker 2>research on that to prove that you can actually deliver

0:16:09.240 --> 0:16:12.400
<v Speaker 2>therapy adequately through texting messaging and then move to video

0:16:14.000 --> 0:16:16.200
<v Speaker 2>from there and we talk about it. You know, I

0:16:16.240 --> 0:16:19.040
<v Speaker 2>got there a little over two years ago. We made

0:16:19.040 --> 0:16:22.360
<v Speaker 2>a big toxics at a big pivot to being in network.

0:16:22.680 --> 0:16:27.120
<v Speaker 2>So most people's insurance now cover therapy through talk Space.

0:16:27.920 --> 0:16:30.040
<v Speaker 2>That's very important. We have one hundred and sixty five

0:16:30.120 --> 0:16:33.320
<v Speaker 2>million covered lives soon to be two hundred million covered lives,

0:16:33.360 --> 0:16:36.320
<v Speaker 2>which means when you're looking for therapy now, good chance

0:16:36.360 --> 0:16:37.840
<v Speaker 2>you don't have to pay for it, or there's a

0:16:37.960 --> 0:16:42.120
<v Speaker 2>very small copay or at a pocket charge. That's changed

0:16:42.120 --> 0:16:47.240
<v Speaker 2>the dynamic dramatically for talk Space because the number one.

0:16:47.280 --> 0:16:48.920
<v Speaker 2>I talk about this all the time. The number one

0:16:48.960 --> 0:16:52.920
<v Speaker 2>barrier to getting health care is cost. Right, So now

0:16:53.000 --> 0:16:53.600
<v Speaker 2>instead of.

0:16:53.520 --> 0:16:56.280
<v Speaker 1>Going for therapy, mental health care and mentally.

0:16:55.880 --> 0:16:59.440
<v Speaker 2>Yeah right, and in general so general health care, the

0:16:59.480 --> 0:17:02.360
<v Speaker 2>number one is costs. So now in mental health because

0:17:02.360 --> 0:17:04.080
<v Speaker 2>of a bunch of other issues we could talk about

0:17:04.600 --> 0:17:09.160
<v Speaker 2>in terms of accessibility and availability, but affordability, cost has

0:17:09.160 --> 0:17:11.600
<v Speaker 2>been a big issue. So now if people are looking

0:17:11.640 --> 0:17:14.359
<v Speaker 2>for therapy, basically the insurance is going.

0:17:14.280 --> 0:17:14.719
<v Speaker 3>To cover it.

0:17:14.880 --> 0:17:18.240
<v Speaker 2>That's fueled a huge growth in talk space in terms

0:17:18.240 --> 0:17:20.399
<v Speaker 2>of the number of people accessing. So that's that's what

0:17:20.440 --> 0:17:21.720
<v Speaker 2>talk space says briefly.

0:17:21.840 --> 0:17:30.000
<v Speaker 1>Right now, why did this job appeal to you? And

0:17:30.400 --> 0:17:32.560
<v Speaker 1>no offense, but why are you qualified?

0:17:32.840 --> 0:17:33.159
<v Speaker 3>Yeah?

0:17:33.200 --> 0:17:36.080
<v Speaker 2>So it's you've asked the same question you've asked is

0:17:36.119 --> 0:17:37.639
<v Speaker 2>what most of my close friends have asked me.

0:17:37.680 --> 0:17:40.399
<v Speaker 3>Also, like what you know? How in the world is

0:17:40.440 --> 0:17:42.920
<v Speaker 3>this happening? So I so.

0:17:42.960 --> 0:17:46.919
<v Speaker 2>First off, total transp answer. Yes, I during medical school.

0:17:47.000 --> 0:17:49.120
<v Speaker 2>I think I had a week of psychiatry. So I'm

0:17:49.160 --> 0:17:51.200
<v Speaker 2>not going to tell you that I have any psychiatric

0:17:51.200 --> 0:17:53.959
<v Speaker 2>background or out or any qualifications from a you know,

0:17:54.080 --> 0:17:57.040
<v Speaker 2>physician point of view to be a psychiatrist and I

0:17:57.040 --> 0:17:59.320
<v Speaker 2>have a chief medical officer at the company. Her job

0:17:59.400 --> 0:18:03.239
<v Speaker 2>is to be that physician and that leader. So I

0:18:03.440 --> 0:18:06.359
<v Speaker 2>was when I was at Bioreference, and prior to that,

0:18:06.400 --> 0:18:09.440
<v Speaker 2>I was actually a senior executive at Quest Diagnostics. I

0:18:09.440 --> 0:18:13.000
<v Speaker 2>have fairly deep background in digital health, so it was

0:18:13.000 --> 0:18:15.600
<v Speaker 2>always interested when we built a digital health platform and

0:18:15.600 --> 0:18:17.280
<v Speaker 2>how you get your medical records and how you get

0:18:17.320 --> 0:18:20.760
<v Speaker 2>results online. And we built a very interesting digital health

0:18:20.760 --> 0:18:23.239
<v Speaker 2>product when I was at bioreference to be able to

0:18:23.359 --> 0:18:25.720
<v Speaker 2>go to your home and draw your bloods and get

0:18:25.760 --> 0:18:30.440
<v Speaker 2>a digital result back. So we built that platform. There

0:18:30.560 --> 0:18:33.720
<v Speaker 2>was the chairman of the board that Talkspace met me

0:18:34.080 --> 0:18:36.199
<v Speaker 2>when I was at bioreference and asked me at the

0:18:36.200 --> 0:18:38.520
<v Speaker 2>time if I would consider coming on the board. So

0:18:38.560 --> 0:18:41.960
<v Speaker 2>I joined the board of Talkspace first and then post

0:18:42.040 --> 0:18:45.000
<v Speaker 2>COVID after leaving by a reference, not sure what I

0:18:45.040 --> 0:18:47.560
<v Speaker 2>was going to do next, they asked me if I

0:18:47.560 --> 0:18:50.080
<v Speaker 2>would consider coming off the board and taking on the

0:18:50.160 --> 0:18:52.159
<v Speaker 2>role of CEO of the company. So that's how I

0:18:52.240 --> 0:18:54.119
<v Speaker 2>ended up there. So I was on the board and

0:18:54.160 --> 0:18:57.200
<v Speaker 2>then came off to become CEO, and that's a little

0:18:57.200 --> 0:18:58.080
<v Speaker 2>over two years ago.

0:18:58.440 --> 0:19:01.920
<v Speaker 1>So it appealed to your interest and digital health and

0:19:02.000 --> 0:19:04.959
<v Speaker 1>I guess making health care more accessible and affordable.

0:19:05.680 --> 0:19:08.959
<v Speaker 2>Yeah, So there were a couple of reasons. One is

0:19:09.160 --> 0:19:12.760
<v Speaker 2>which is we should get into is what we like

0:19:12.800 --> 0:19:15.719
<v Speaker 2>to say is that mental health time has come. If

0:19:15.760 --> 0:19:17.680
<v Speaker 2>you had this discussion ten years ago, we couldn't have

0:19:17.760 --> 0:19:21.359
<v Speaker 2>this discussion ten years ago. Now mental health has become

0:19:21.359 --> 0:19:24.320
<v Speaker 2>front and center. It's become physical health and mental health,

0:19:24.520 --> 0:19:27.640
<v Speaker 2>and it's become as important, which it should be as

0:19:27.680 --> 0:19:32.160
<v Speaker 2>physical health. So one is mental all the time has come,

0:19:32.200 --> 0:19:36.879
<v Speaker 2>So that was very interesting to me. Two is the market,

0:19:37.240 --> 0:19:41.439
<v Speaker 2>the total addressable market, meaning the ability to have something

0:19:41.480 --> 0:19:43.880
<v Speaker 2>that has a big influence and has a very big

0:19:43.920 --> 0:19:46.240
<v Speaker 2>market is very important because you have if you have

0:19:46.280 --> 0:19:48.160
<v Speaker 2>a solution but nobody wants it, that's it's not really

0:19:48.280 --> 0:19:50.159
<v Speaker 2>very great, right, but you have and if you have

0:19:50.240 --> 0:19:54.359
<v Speaker 2>a solution, which I believe Talkspace had in a market

0:19:54.359 --> 0:19:56.840
<v Speaker 2>where fifty percent of the people coming to talk space

0:19:58.000 --> 0:20:00.200
<v Speaker 2>every week are new to therapy.

0:20:00.200 --> 0:20:01.959
<v Speaker 1>What percentage fifty? Wow?

0:20:02.520 --> 0:20:06.719
<v Speaker 2>So you have this incalculable number of people who want it,

0:20:07.160 --> 0:20:10.560
<v Speaker 2>who need it, and turns out talk Space has a

0:20:10.560 --> 0:20:15.560
<v Speaker 2>solution that is scalable, affordable, accessible and available. So that

0:20:15.640 --> 0:20:18.320
<v Speaker 2>was the so for me, it was a very interesting opportunity.

0:20:18.560 --> 0:20:22.280
<v Speaker 2>And like I said, I'm not certainly not qualified on

0:20:22.400 --> 0:20:25.520
<v Speaker 2>the psychiatry part of the mental health part. I think

0:20:25.600 --> 0:20:30.399
<v Speaker 2>that eventually, as a leader, which you see in a

0:20:30.440 --> 0:20:33.120
<v Speaker 2>lot of different industries, if you learn how to lead,

0:20:35.240 --> 0:20:37.440
<v Speaker 2>then you can figure it out if you put good

0:20:37.440 --> 0:20:41.000
<v Speaker 2>people around you. And that's that is the listen, it's

0:20:41.960 --> 0:20:44.080
<v Speaker 2>whoever's president of United States, whatever.

0:20:43.920 --> 0:20:44.879
<v Speaker 3>Corporation to toe you.

0:20:45.560 --> 0:20:48.240
<v Speaker 2>Most people walk into a lot of people walk in

0:20:48.240 --> 0:20:51.639
<v Speaker 2>those positions with not having industry experience, but they have

0:20:51.680 --> 0:20:55.160
<v Speaker 2>a leadership experience. And there's a big difference between being

0:20:55.200 --> 0:20:59.960
<v Speaker 2>a successful person and being a leader, very very very different.

0:21:11.359 --> 0:21:13.600
<v Speaker 1>The new year is the time to make plans and

0:21:13.680 --> 0:21:16.439
<v Speaker 1>set goals, but the only thing you can be certain

0:21:16.520 --> 0:21:21.080
<v Speaker 1>of is change, good, bad, or in between. A Talkspace

0:21:21.200 --> 0:21:24.240
<v Speaker 1>therapist can help you get ready for what's next, whether

0:21:24.280 --> 0:21:27.160
<v Speaker 1>you have big ambitions for twenty twenty five or are

0:21:27.240 --> 0:21:30.520
<v Speaker 1>simply trying to stay the course. Through video sessions and

0:21:30.600 --> 0:21:34.520
<v Speaker 1>messaging therapy, a licensed talkspace therapist will help you build

0:21:34.560 --> 0:21:39.040
<v Speaker 1>your resilience and discover opportunities for growth. Talkspace is in

0:21:39.200 --> 0:21:43.080
<v Speaker 1>network major insurers and most covered members have a copay

0:21:43.119 --> 0:21:46.359
<v Speaker 1>of fifteen dollars or less, or you can take eighty

0:21:46.440 --> 0:21:50.240
<v Speaker 1>five dollars off your first month with the promo code Katie.

0:21:50.320 --> 0:21:54.399
<v Speaker 1>When you go to talkspace dot com slash Katiecuric Match

0:21:54.440 --> 0:21:59.280
<v Speaker 1>with the Licensed Therapist today at talkspace dot com slash Katiecuric.

0:22:07.520 --> 0:22:09.359
<v Speaker 1>What do you think makes a good leader? I'm just

0:22:09.480 --> 0:22:13.239
<v Speaker 1>curious because I feel like there's a real dearth of

0:22:13.880 --> 0:22:17.240
<v Speaker 1>leaders or I think a lot of people look around

0:22:17.359 --> 0:22:21.959
<v Speaker 1>and say, where are all the incredible leaders in our society?

0:22:22.640 --> 0:22:26.560
<v Speaker 2>So part of that is that, without getting too political,

0:22:26.920 --> 0:22:31.000
<v Speaker 2>is the reason the reason most people don't run for

0:22:31.080 --> 0:22:34.080
<v Speaker 2>office as a leader is because of the quote blood sport,

0:22:34.119 --> 0:22:37.720
<v Speaker 2>that the that the news and the presses nobody wants

0:22:37.760 --> 0:22:40.640
<v Speaker 2>to put their family and everybody else through what most

0:22:40.640 --> 0:22:41.960
<v Speaker 2>people have to go through if you're going to run

0:22:42.000 --> 0:22:42.399
<v Speaker 2>for office.

0:22:42.600 --> 0:22:45.879
<v Speaker 1>But it's also the oppa research. Just to defend the

0:22:45.920 --> 0:22:48.639
<v Speaker 1>press for a second, Yes, a lot of it is

0:22:48.680 --> 0:22:53.240
<v Speaker 1>coming from whoever is running against you, right right.

0:22:53.160 --> 0:22:58.320
<v Speaker 2>There's no question the oppositie your research is the and

0:22:58.400 --> 0:22:59.959
<v Speaker 2>so that to me is one of the bigges things.

0:23:00.160 --> 0:23:03.199
<v Speaker 2>So to back the issues of you know, leadership, So

0:23:03.280 --> 0:23:05.400
<v Speaker 2>I you know I do talk about it during the

0:23:05.440 --> 0:23:11.000
<v Speaker 2>COVID crisis, and the book is there. There are a

0:23:11.000 --> 0:23:15.480
<v Speaker 2>bunch of different attributes that make a person effective leader,

0:23:16.800 --> 0:23:18.840
<v Speaker 2>and there's a lot of people talk about it the

0:23:19.720 --> 0:23:21.400
<v Speaker 2>son without any particular order.

0:23:21.560 --> 0:23:21.760
<v Speaker 3>You know.

0:23:22.280 --> 0:23:24.840
<v Speaker 2>First off is to me, it's very important that you

0:23:24.840 --> 0:23:27.040
<v Speaker 2>listen to your in a voice. I tell people I

0:23:27.080 --> 0:23:28.879
<v Speaker 2>call it the little man sitting on your shoulder, and

0:23:28.920 --> 0:23:32.560
<v Speaker 2>as a physician assurgeon, you need to listen to your

0:23:32.640 --> 0:23:34.639
<v Speaker 2>your gut instincts and what your brain is telling you

0:23:34.680 --> 0:23:38.800
<v Speaker 2>and not ignore the obvious. Now that may seem like, Okay,

0:23:38.840 --> 0:23:40.840
<v Speaker 2>well that doesn't sound very important, but a lot of

0:23:40.840 --> 0:23:42.960
<v Speaker 2>people don't. A lot of people don't listen to their

0:23:43.000 --> 0:23:45.360
<v Speaker 2>to their in a voice. So that's the one. Second

0:23:45.600 --> 0:23:47.800
<v Speaker 2>is you need to be able to communicate effectively, both

0:23:47.840 --> 0:23:53.800
<v Speaker 2>internal communications and external communications. No particular third I bes

0:23:53.880 --> 0:23:55.600
<v Speaker 2>mentioned you got to surround yourself with great people because

0:23:55.640 --> 0:23:57.560
<v Speaker 2>you can't do everything. And unless you have great people

0:23:57.560 --> 0:24:01.920
<v Speaker 2>around you who you really trust, you know incredibly important.

0:24:02.760 --> 0:24:03.760
<v Speaker 3>You need to read.

0:24:03.920 --> 0:24:05.520
<v Speaker 2>I know it's a sort of that you need to read,

0:24:05.560 --> 0:24:07.960
<v Speaker 2>and not just about your industry, but I would tell

0:24:07.960 --> 0:24:10.439
<v Speaker 2>you an enormous number of ideas that come to us

0:24:10.520 --> 0:24:12.439
<v Speaker 2>or through me is because I read about something that

0:24:12.520 --> 0:24:15.480
<v Speaker 2>is totally unrelated to what I'm doing and saying, wow,

0:24:15.560 --> 0:24:18.720
<v Speaker 2>maybe that applies to what we're doing. So becoming knowledgeable

0:24:18.720 --> 0:24:21.280
<v Speaker 2>reading I think walking the walks very important. Mean you

0:24:21.320 --> 0:24:23.560
<v Speaker 2>have to be out there. You can't be an armchair

0:24:23.760 --> 0:24:26.440
<v Speaker 2>surgeon or an armchair leader. You have to be out

0:24:26.480 --> 0:24:30.959
<v Speaker 2>there and you know, you know, during COVID, I remember

0:24:31.000 --> 0:24:33.040
<v Speaker 2>going to visit the cruise line industry. I've never been

0:24:33.080 --> 0:24:34.919
<v Speaker 2>on a cruise of my life, and I was I'm

0:24:34.920 --> 0:24:37.320
<v Speaker 2>just not going to I'm very i get very very seasick.

0:24:37.760 --> 0:24:40.520
<v Speaker 2>But I went and I walked the ship to figure

0:24:40.520 --> 0:24:42.240
<v Speaker 2>out how are we going to get people tested before

0:24:42.240 --> 0:24:43.680
<v Speaker 2>they got on the ship. Just to give an example.

0:24:43.720 --> 0:24:46.840
<v Speaker 2>So you need to walk the walk and really understand

0:24:46.920 --> 0:24:50.440
<v Speaker 2>what the dynamics are in the field to be able

0:24:50.480 --> 0:24:53.760
<v Speaker 2>to help lead effectively a bunch of people. I think

0:24:53.840 --> 0:24:56.440
<v Speaker 2>staying in touch with people's extraordinary important. I will tell

0:24:56.440 --> 0:24:59.800
<v Speaker 2>you our ability to test different places when we tested

0:24:59.840 --> 0:25:02.040
<v Speaker 2>for or New York State, when we tested for New

0:25:02.119 --> 0:25:04.560
<v Speaker 2>York City, when we did the majority of testing for

0:25:05.080 --> 0:25:06.959
<v Speaker 2>a lot of fifteen in the counties in New Jersey.

0:25:07.240 --> 0:25:09.800
<v Speaker 2>It was all because of different people that had met

0:25:09.840 --> 0:25:11.399
<v Speaker 2>during my life that was able to pick up the

0:25:11.400 --> 0:25:13.040
<v Speaker 2>phone or they picked up the phone to call me

0:25:13.080 --> 0:25:14.480
<v Speaker 2>and say listen, can you help?

0:25:15.320 --> 0:25:16.040
<v Speaker 3>So those are.

0:25:17.560 --> 0:25:21.119
<v Speaker 2>I think taking risk is important or feeling comfortable taking risks.

0:25:22.040 --> 0:25:25.719
<v Speaker 2>Covid is we made a huge amount of decisions during uncertainty.

0:25:26.000 --> 0:25:27.720
<v Speaker 2>You have to just get comfortable and you got to

0:25:27.760 --> 0:25:29.720
<v Speaker 2>make a mistake. So those are just some of the

0:25:29.760 --> 0:25:33.359
<v Speaker 2>things that make an effective leader during a crisis.

0:25:33.440 --> 0:25:38.560
<v Speaker 1>Anyway, let's talk about mental health and the stigma that

0:25:38.720 --> 0:25:42.159
<v Speaker 1>used to surround it. Why is there less of a

0:25:42.200 --> 0:25:46.000
<v Speaker 1>stigma surrounding mental health today than there was ten years ago?

0:25:46.080 --> 0:25:47.520
<v Speaker 1>To your point, Well.

0:25:47.359 --> 0:25:49.840
<v Speaker 2>First of if you look at either gen Z or millennials,

0:25:50.160 --> 0:25:54.360
<v Speaker 2>they're so out there talking to people and comfortable discussing

0:25:54.440 --> 0:25:57.680
<v Speaker 2>their feelings. They grew up in a very different environment

0:25:57.760 --> 0:26:01.719
<v Speaker 2>than I grew up, and there are still cultural stigma issues.

0:26:01.760 --> 0:26:06.280
<v Speaker 2>There are definite issues with certain sub segments of the

0:26:06.320 --> 0:26:10.840
<v Speaker 2>population that just will never talk about it. However, the

0:26:10.840 --> 0:26:15.720
<v Speaker 2>the the idea that the younger generations feel much more

0:26:15.720 --> 0:26:18.520
<v Speaker 2>comfortable now, maybe because it's also because of the phones

0:26:18.560 --> 0:26:20.480
<v Speaker 2>and cell phones, and they used to communicating and they're

0:26:20.560 --> 0:26:23.400
<v Speaker 2>used to talking to people all the time, but it's very,

0:26:23.520 --> 0:26:26.680
<v Speaker 2>very different. In addition, people are aware now and they're

0:26:26.720 --> 0:26:28.520
<v Speaker 2>willing to discuss.

0:26:29.400 --> 0:26:29.480
<v Speaker 3>It.

0:26:29.600 --> 0:26:31.879
<v Speaker 2>So you know, we may talk about, well, what's happening

0:26:31.920 --> 0:26:36.200
<v Speaker 2>with seniors, and now talking about seniors and loneliness and isolation.

0:26:36.880 --> 0:26:40.280
<v Speaker 2>I'll give you a great example when if you remember

0:26:40.320 --> 0:26:42.720
<v Speaker 2>Deamar Hamlin, he was when I had cardiac arrests during

0:26:42.720 --> 0:26:46.320
<v Speaker 2>the football team. Remember we're a football game. What was

0:26:46.400 --> 0:26:50.240
<v Speaker 2>fascinating is, you know, fortunately he did incredibly well and

0:26:50.240 --> 0:26:51.840
<v Speaker 2>they got him off the field and you know he's back.

0:26:52.480 --> 0:26:55.440
<v Speaker 2>But the day after that, I will never forget it

0:26:55.480 --> 0:26:58.760
<v Speaker 2>was I think it was un CNN. One of the

0:26:58.800 --> 0:27:01.760
<v Speaker 2>player reps, you know, the guys who lead part of

0:27:01.760 --> 0:27:06.240
<v Speaker 2>the players unions, got up there and said, guys, man up,

0:27:06.720 --> 0:27:08.600
<v Speaker 2>you need to go talk to people about this. You

0:27:08.600 --> 0:27:11.240
<v Speaker 2>guys can't just keep your feelings internal. You need to

0:27:11.280 --> 0:27:14.320
<v Speaker 2>go out there and see somebody talk about it. That

0:27:14.480 --> 0:27:17.040
<v Speaker 2>never would happen ten years ago that someone would sit

0:27:17.080 --> 0:27:20.119
<v Speaker 2>on broadcast TV and say to guys like, guys, you

0:27:20.119 --> 0:27:21.280
<v Speaker 2>got to figure out how to deal.

0:27:21.160 --> 0:27:25.280
<v Speaker 3>With your emotions. So that the idea that it's out

0:27:25.280 --> 0:27:27.000
<v Speaker 3>there is very important. I don't know if you know so.

0:27:27.040 --> 0:27:29.920
<v Speaker 2>Our brand ambassador for talk space has been Michael Phelps.

0:27:30.680 --> 0:27:31.679
<v Speaker 1>Yes, I know Michael.

0:27:32.280 --> 0:27:32.960
<v Speaker 3>So he's been.

0:27:32.800 --> 0:27:35.280
<v Speaker 2>Amazed, he still is. He's been amazing. And his journey,

0:27:35.320 --> 0:27:39.480
<v Speaker 2>his mental journey, actually helped put talkspace on the map

0:27:40.040 --> 0:27:43.760
<v Speaker 2>when he agreed to talk about his mental journey and

0:27:43.840 --> 0:27:46.159
<v Speaker 2>he became a big part of talkspace and still is

0:27:46.560 --> 0:27:47.719
<v Speaker 2>talking about his journey.

0:27:49.640 --> 0:27:52.520
<v Speaker 4>It was October of twenty fourteen that I lost all hope.

0:27:52.880 --> 0:27:56.120
<v Speaker 4>I was one of the world's most successful athletes, eighteen

0:27:56.119 --> 0:27:59.440
<v Speaker 4>gold medals, all American dream come true.

0:27:59.880 --> 0:28:00.600
<v Speaker 3>I was lost.

0:28:01.400 --> 0:28:04.440
<v Speaker 4>I hadn't left my room in five days. I questioned

0:28:04.480 --> 0:28:07.720
<v Speaker 4>whether I wanted to be alive anymore. I realized that

0:28:07.760 --> 0:28:10.240
<v Speaker 4>I'm the strongest person I know, but at that moment,

0:28:10.760 --> 0:28:14.439
<v Speaker 4>I was the weakest. I realized I couldn't handle this

0:28:14.480 --> 0:28:17.639
<v Speaker 4>by myself. That's when I decided to seek help and

0:28:17.720 --> 0:28:21.080
<v Speaker 4>work with a therapist. That decision saved my life. You

0:28:21.119 --> 0:28:22.920
<v Speaker 4>don't have to wait for it to get that bad.

0:28:23.520 --> 0:28:25.960
<v Speaker 4>Please talk to a licensed therapist as soon as you

0:28:26.000 --> 0:28:31.719
<v Speaker 4>feel you need help, brought to you by talk Space

0:28:32.320 --> 0:28:34.400
<v Speaker 4>Therapy for all.

0:28:33.840 --> 0:28:37.400
<v Speaker 2>So, I think it's people are now willing to talk

0:28:37.400 --> 0:28:42.120
<v Speaker 2>about it, and actually it's no longer a stigma to

0:28:42.120 --> 0:28:42.560
<v Speaker 2>get help.

0:28:43.240 --> 0:28:45.640
<v Speaker 1>I think you're right, people are talking about it more,

0:28:46.160 --> 0:28:49.640
<v Speaker 1>and I think there's just a greater understanding, as you said,

0:28:49.880 --> 0:28:54.440
<v Speaker 1>about the importance of that mental health is as important

0:28:54.560 --> 0:28:55.520
<v Speaker 1>as physical health.

0:28:55.640 --> 0:28:56.880
<v Speaker 3>Right, I mean I.

0:28:58.360 --> 0:29:00.400
<v Speaker 2>Would have to talk. I think everybody has should have

0:29:00.400 --> 0:29:02.480
<v Speaker 2>a primary care phosian. Actually, I believe everybody should have

0:29:02.520 --> 0:29:05.320
<v Speaker 2>a therapist. I think everybody should have somebody that they

0:29:05.320 --> 0:29:07.640
<v Speaker 2>could talk to. It would be really helpful.

0:29:08.480 --> 0:29:13.440
<v Speaker 1>Let's talk about the accessibility, because I know there aren't

0:29:13.520 --> 0:29:16.840
<v Speaker 1>enough therapists out there, or at least that's what I've read,

0:29:17.160 --> 0:29:22.760
<v Speaker 1>especially in rural communities, especially in some underserved communities, and

0:29:22.840 --> 0:29:25.760
<v Speaker 1>I think there is still perhaps more of a stigma

0:29:25.800 --> 0:29:30.680
<v Speaker 1>and underserved communities. Can you talk about the challenges of

0:29:31.360 --> 0:29:35.840
<v Speaker 1>providing mental health services to people in those situations?

0:29:36.360 --> 0:29:36.680
<v Speaker 3>Sure?

0:29:36.760 --> 0:29:43.760
<v Speaker 2>So the availability or accessibility there links. So availability is okay?

0:29:43.840 --> 0:29:45.800
<v Speaker 2>Is there a therapist actually available to take care of you?

0:29:46.880 --> 0:29:49.480
<v Speaker 2>The other part of that is are they accessible to you?

0:29:49.560 --> 0:29:51.080
<v Speaker 2>Can you get to them? It's no good if you

0:29:51.080 --> 0:29:52.920
<v Speaker 2>have a therapist but you're three hundred miles away and

0:29:52.920 --> 0:29:56.880
<v Speaker 2>can't get to them. So the talk Space solution has

0:29:57.000 --> 0:30:00.000
<v Speaker 2>solved that issue because what happens is by doing virtual

0:30:00.720 --> 0:30:02.320
<v Speaker 2>you don't have to leave your house, you don't have

0:30:02.360 --> 0:30:04.960
<v Speaker 2>to travel. We make it incredibly easy for you to

0:30:04.960 --> 0:30:06.800
<v Speaker 2>schedule it. And by the way, if you want to

0:30:06.800 --> 0:30:08.560
<v Speaker 2>get a therapist to talkspace, we're going to match you

0:30:08.560 --> 0:30:10.719
<v Speaker 2>with a therapist within twenty four hours and frequently it's

0:30:10.760 --> 0:30:13.680
<v Speaker 2>several hours. So you could start communicating your therapist within

0:30:13.720 --> 0:30:17.120
<v Speaker 2>twenty four hours if you match your therapist through talkspace.

0:30:17.880 --> 0:30:21.400
<v Speaker 2>So that solution has made it very, very easy for

0:30:21.480 --> 0:30:25.960
<v Speaker 2>people to get help. So I know we may talk

0:30:26.000 --> 0:30:28.400
<v Speaker 2>about teen Space, which is the program we're running in

0:30:28.440 --> 0:30:30.480
<v Speaker 2>New York City, but I'll jump ahead to some of

0:30:30.520 --> 0:30:33.240
<v Speaker 2>the data. So we have almost two we have almost

0:30:33.920 --> 0:30:36.680
<v Speaker 2>twenty thousand kids between the age of thirteen and seventeen

0:30:36.720 --> 0:30:39.320
<v Speaker 2>who are on the Talkspace platform. So we have a

0:30:39.360 --> 0:30:43.360
<v Speaker 2>contract with New York City it's public to provide Talkspace

0:30:43.480 --> 0:30:47.000
<v Speaker 2>to four hundred and sixty five thousand eligible teenagers between

0:30:47.000 --> 0:30:49.640
<v Speaker 2>the age of thirteen and seventeen for free for New

0:30:49.720 --> 0:30:52.080
<v Speaker 2>York City teenagers. So all you need is your zip

0:30:52.080 --> 0:30:56.960
<v Speaker 2>code and your data birth to sign up. So if

0:30:57.000 --> 0:30:59.600
<v Speaker 2>you think about it, We've had twenty thousand teens sign

0:30:59.680 --> 0:31:05.080
<v Speaker 2>up within the first year. I will tell you no question,

0:31:05.400 --> 0:31:07.240
<v Speaker 2>ninety nine percent of those kids never would have had

0:31:07.320 --> 0:31:08.080
<v Speaker 2>therapy before.

0:31:08.520 --> 0:31:08.720
<v Speaker 3>Right.

0:31:09.240 --> 0:31:12.760
<v Speaker 2>The reason is is we've made it one affordable, it's free.

0:31:13.440 --> 0:31:18.360
<v Speaker 2>It's incredibly successful because they're ninety percent or greater of

0:31:18.400 --> 0:31:21.760
<v Speaker 2>the kids are accessing it through their phone. So now

0:31:21.800 --> 0:31:23.400
<v Speaker 2>it happens if you look at we've done the zip

0:31:23.400 --> 0:31:26.320
<v Speaker 2>code analysis, so where we're reaching, we're reaching into communities

0:31:26.360 --> 0:31:30.040
<v Speaker 2>of color, underserved, communities that never would have access before

0:31:30.080 --> 0:31:32.520
<v Speaker 2>because we're meeting kids where they are, which is on

0:31:32.560 --> 0:31:36.440
<v Speaker 2>their phone. So we've solved the issue. So, whether you

0:31:36.480 --> 0:31:39.280
<v Speaker 2>live in a rural community, as long as you have

0:31:39.560 --> 0:31:42.760
<v Speaker 2>internet access, you can get therapy through talk space.

0:31:43.400 --> 0:31:47.680
<v Speaker 1>Are you finding it difficult to have enough therapists to

0:31:47.760 --> 0:31:48.600
<v Speaker 1>treat the need?

0:31:49.520 --> 0:31:50.680
<v Speaker 3>So we do not.

0:31:51.880 --> 0:31:56.960
<v Speaker 2>We have therapist we have we're continually adding to the platform.

0:31:57.400 --> 0:32:00.360
<v Speaker 2>Part of the reason is because well, the majority of

0:32:00.360 --> 0:32:03.880
<v Speaker 2>our therapists are what's called ten ninety nine's a part time.

0:32:04.400 --> 0:32:07.360
<v Speaker 2>A lot of them are actually stay at home moms

0:32:07.920 --> 0:32:12.040
<v Speaker 2>or they have a small practice on the side. So

0:32:12.120 --> 0:32:14.680
<v Speaker 2>let's put aside the video for a second, because video

0:32:14.760 --> 0:32:16.640
<v Speaker 2>you have to schedule, you know, we like people to

0:32:16.680 --> 0:32:19.040
<v Speaker 2>do an hour of the first intake and then subsequently

0:32:19.120 --> 0:32:23.120
<v Speaker 2>maybe shorter periods of time. But at least almost fifty

0:32:23.160 --> 0:32:25.960
<v Speaker 2>percent of the talk space sessions are still done through

0:32:25.960 --> 0:32:29.880
<v Speaker 2>texting and messaging. The reason that's important is you have

0:32:29.920 --> 0:32:32.960
<v Speaker 2>an incredible ability to scale when you're testing and messaging

0:32:33.000 --> 0:32:35.240
<v Speaker 2>all during the day or in the evening or weekends.

0:32:35.640 --> 0:32:40.360
<v Speaker 2>So our therapy network flexes to a significant degree. So

0:32:40.440 --> 0:32:42.360
<v Speaker 2>a lot of therapists may take extra hours a night,

0:32:42.400 --> 0:32:45.479
<v Speaker 2>they may take extra hours during the weekends. They may say, oh,

0:32:45.520 --> 0:32:46.760
<v Speaker 2>you know what, a week from now, I'm going to

0:32:46.760 --> 0:32:49.040
<v Speaker 2>take a bunch of more sessions because I have time availability.

0:32:49.560 --> 0:32:52.640
<v Speaker 2>So because of the scheduling system is so effective, and

0:32:52.680 --> 0:32:57.480
<v Speaker 2>because they can make themselves available, we have a lot

0:32:57.520 --> 0:33:00.360
<v Speaker 2>of ability to flex because they're not they're not just

0:33:00.440 --> 0:33:03.040
<v Speaker 2>saying okay, I have I could see eight hours of patients.

0:33:03.040 --> 0:33:04.760
<v Speaker 2>Say I could see eight people or I could see

0:33:04.760 --> 0:33:07.400
<v Speaker 2>sixteen for half hour. We have therapists who could be

0:33:07.440 --> 0:33:11.480
<v Speaker 2>texting messaging thirty or forty people at a different time.

0:33:11.520 --> 0:33:14.960
<v Speaker 2>Because it's so easy in terms of how you message

0:33:14.960 --> 0:33:17.360
<v Speaker 2>people back and forth and have conversations.

0:33:16.760 --> 0:33:17.360
<v Speaker 3>Back and forth.

0:33:17.560 --> 0:33:21.280
<v Speaker 1>Now, of course that raises a red flag for me, thinking, Gee,

0:33:21.280 --> 0:33:24.719
<v Speaker 1>if I were a traditional therapist or I was somebody

0:33:24.720 --> 0:33:28.280
<v Speaker 1>who wanted therapy, how effective is that? And I know

0:33:28.360 --> 0:33:31.400
<v Speaker 1>you all have done reams of research on it, but

0:33:32.240 --> 0:33:35.760
<v Speaker 1>you know talk therapy requires talk or does it?

0:33:36.480 --> 0:33:40.080
<v Speaker 3>So it does, but not the butt.

0:33:40.160 --> 0:33:43.640
<v Speaker 2>The research is very clear that it's highly highly effective.

0:33:43.640 --> 0:33:46.480
<v Speaker 2>So we have outcomes measures, we measure quality. May have

0:33:46.480 --> 0:33:48.440
<v Speaker 2>a huge number of quality metrics is in terms of

0:33:48.440 --> 0:33:52.200
<v Speaker 2>we measure relative to therapists their ability to deliver therapy inadequately,

0:33:53.160 --> 0:33:56.920
<v Speaker 2>but we have we have measure in some instances every

0:33:56.920 --> 0:33:59.760
<v Speaker 2>three weeks how effective the therapy is in terms of

0:33:59.800 --> 0:34:01.000
<v Speaker 2>how what the outcomes look like.

0:34:01.160 --> 0:34:02.120
<v Speaker 3>So we know it works.

0:34:02.440 --> 0:34:06.160
<v Speaker 2>It wouldn't and to the credit of the insurance companies,

0:34:07.040 --> 0:34:10.560
<v Speaker 2>they figured out it works also, which is why they've

0:34:10.560 --> 0:34:14.640
<v Speaker 2>put us in network because it's become a very it's

0:34:14.680 --> 0:34:18.800
<v Speaker 2>an important solution for them to be able to provide

0:34:19.160 --> 0:34:22.080
<v Speaker 2>mental health support as opposed to the standard way that

0:34:22.080 --> 0:34:23.120
<v Speaker 2>people usually provided.

0:34:23.440 --> 0:34:29.360
<v Speaker 1>There was a time where people were too ashamed to

0:34:28.280 --> 0:34:32.799
<v Speaker 1>put to contact their insurance companies and say, I mean,

0:34:33.000 --> 0:34:35.320
<v Speaker 1>I've been working for a long time and I think

0:34:35.880 --> 0:34:39.600
<v Speaker 1>ten years ago people would be worried that their employers

0:34:40.400 --> 0:34:43.839
<v Speaker 1>would look as scance at them, or they wouldn't have

0:34:44.040 --> 0:34:49.359
<v Speaker 1>enough privacy, and they would be afraid to actually reach

0:34:49.440 --> 0:34:51.600
<v Speaker 1>out to their insurance company to cover therapy.

0:34:52.160 --> 0:34:58.120
<v Speaker 2>So if you ask any HR executive today or tomorrow,

0:34:58.200 --> 0:35:01.319
<v Speaker 2>what's their number one issue, it's mental health support for

0:35:01.360 --> 0:35:05.400
<v Speaker 2>their employees. So they have recognized to a very significant

0:35:05.440 --> 0:35:08.279
<v Speaker 2>degree how important it is for their employees. And we

0:35:08.400 --> 0:35:11.000
<v Speaker 2>again have data, so I will tell you it's another

0:35:11.000 --> 0:35:16.760
<v Speaker 2>extraordinary statistic. The average number of days lost to mental

0:35:16.800 --> 0:35:20.200
<v Speaker 2>health is twenty eight. Twenty eight days of a year lost

0:35:20.200 --> 0:35:23.160
<v Speaker 2>to mental health support for employee. So employers know if

0:35:23.160 --> 0:35:25.279
<v Speaker 2>they support, if they have mental health support, which we

0:35:25.360 --> 0:35:28.239
<v Speaker 2>do talk space with the large with a significant number

0:35:28.239 --> 0:35:32.000
<v Speaker 2>of employers. Is it improved, First of all, decreases people

0:35:32.040 --> 0:35:36.880
<v Speaker 2>are absent, It increases productivity, and it makes the workforce happier.

0:35:37.640 --> 0:35:41.720
<v Speaker 2>So the impact, it is hard to measure, but it's enormous.

0:35:41.840 --> 0:35:45.520
<v Speaker 1>So those days are over when you wouldn't tell your

0:35:45.560 --> 0:35:47.719
<v Speaker 1>boss or would be afraid.

0:35:48.120 --> 0:35:50.960
<v Speaker 2>So we have In addition to I talked about the

0:35:50.960 --> 0:35:54.520
<v Speaker 2>cover network, we still have a consumer is meeting people

0:35:54.520 --> 0:35:58.160
<v Speaker 2>who still directly come to us to pay for therapy

0:35:58.760 --> 0:36:01.640
<v Speaker 2>out of installa of using their insurance. And the reason

0:36:01.719 --> 0:36:04.360
<v Speaker 2>is is there's still some people who say, I'm not

0:36:04.400 --> 0:36:06.160
<v Speaker 2>sure who I want to know. I'd rather pay for

0:36:06.200 --> 0:36:06.920
<v Speaker 2>it out of pocket.

0:36:07.480 --> 0:36:09.919
<v Speaker 3>I'd rather just not have people though, So I don't

0:36:09.920 --> 0:36:10.480
<v Speaker 3>think that's.

0:36:10.280 --> 0:36:13.040
<v Speaker 2>Ever going to go away completely. But it's much less

0:36:13.040 --> 0:36:15.000
<v Speaker 2>than it was years ago, much much less.

0:36:15.200 --> 0:36:18.160
<v Speaker 1>So you bring up affordability, how much does it cost

0:36:18.280 --> 0:36:21.800
<v Speaker 1>or does it depend and how much does insurance cover?

0:36:22.400 --> 0:36:24.759
<v Speaker 1>And what about people who don't have insurance.

0:36:25.600 --> 0:36:30.280
<v Speaker 2>So the average out of pocket cost if you're covered

0:36:30.320 --> 0:36:33.919
<v Speaker 2>by insurer right now is about fifteen dollars. The majority

0:36:33.920 --> 0:36:37.120
<v Speaker 2>of people have no out of pocket because we're covered.

0:36:37.400 --> 0:36:38.320
<v Speaker 2>We're a covering service.

0:36:39.360 --> 0:36:42.799
<v Speaker 1>Now you're expanding the Medicare coverage, right, so we.

0:36:42.880 --> 0:36:45.680
<v Speaker 2>Just went we were by the well it's December. By

0:36:45.719 --> 0:36:48.080
<v Speaker 2>the end of this year, we will be in just

0:36:48.120 --> 0:36:50.480
<v Speaker 2>about every all fifty states. It turns out you have

0:36:50.520 --> 0:36:53.840
<v Speaker 2>to go state by state for Medicare, even though it's national.

0:36:54.760 --> 0:36:59.319
<v Speaker 2>So we've made a big effort to cover Medicare, you know,

0:36:59.480 --> 0:37:04.359
<v Speaker 2>elderly adults, and that will launch really January first of

0:37:04.640 --> 0:37:08.120
<v Speaker 2>twenty twenty five. The reason being, of course, is twenty

0:37:08.120 --> 0:37:11.279
<v Speaker 2>five percent of people over the age of sixty five

0:37:11.320 --> 0:37:16.520
<v Speaker 2>have a diagnosable mental health condition, which is usually loneliness

0:37:17.080 --> 0:37:22.160
<v Speaker 2>and slash depression. Almost forty percent of people feel socially isolated,

0:37:22.280 --> 0:37:25.360
<v Speaker 2>So we know that it is a very significant issue

0:37:25.400 --> 0:37:28.960
<v Speaker 2>relative to the older population. So we've launched into medicare.

0:37:29.000 --> 0:37:32.160
<v Speaker 2>There people have standard medicare as you may know, where

0:37:32.480 --> 0:37:35.560
<v Speaker 2>you get eighty percent covered and then you have other insurance,

0:37:35.760 --> 0:37:38.000
<v Speaker 2>or people are in Medicare advantage programs where there's no

0:37:38.040 --> 0:37:38.640
<v Speaker 2>out of pocket.

0:37:39.160 --> 0:37:42.800
<v Speaker 1>Is that a fast growing population for you all? Because again,

0:37:43.360 --> 0:37:45.360
<v Speaker 1>those are people. I mean, I'm going to be sixty

0:37:45.400 --> 0:37:50.400
<v Speaker 1>eight in January, good lord, and I think that's still

0:37:50.480 --> 0:37:54.759
<v Speaker 1>a population that might feel less comfortable with therapy or

0:37:54.840 --> 0:37:58.480
<v Speaker 1>talking about their problems. Right. So the I'm not by

0:37:58.520 --> 0:38:01.000
<v Speaker 1>the way, so I.

0:38:00.960 --> 0:38:03.279
<v Speaker 2>Wouldn't say the jury's out. The jury hasn't even been seen.

0:38:03.440 --> 0:38:06.560
<v Speaker 2>Meaning we're just getting into medicare. We believe that it's

0:38:07.000 --> 0:38:10.360
<v Speaker 2>we know it's an enormous need. So we have a

0:38:10.400 --> 0:38:12.640
<v Speaker 2>whole plan to roll this out in terms of how

0:38:12.640 --> 0:38:14.359
<v Speaker 2>do we tell people about it, how do we get

0:38:14.360 --> 0:38:21.480
<v Speaker 2>them comfortable with it? So there's been some questions raised about, well,

0:38:21.960 --> 0:38:24.400
<v Speaker 2>you know, our seniors going to use it. So my

0:38:25.400 --> 0:38:27.399
<v Speaker 2>view is, like the teens, is we need to spend

0:38:27.400 --> 0:38:29.640
<v Speaker 2>a lot of time educating people and telling them about

0:38:29.680 --> 0:38:33.320
<v Speaker 2>what they can do. We also have to spend time

0:38:33.600 --> 0:38:37.560
<v Speaker 2>with their caregivers, which frequently is their children who are

0:38:37.560 --> 0:38:40.680
<v Speaker 2>taking care of their parents and getting them come. Frequently

0:38:40.680 --> 0:38:43.440
<v Speaker 2>it's the children of the seniors that actually want the

0:38:43.480 --> 0:38:46.920
<v Speaker 2>support more than the seniors want the support because they're dealing,

0:38:47.200 --> 0:38:48.879
<v Speaker 2>you know, they're in between, they're dealing with their kids

0:38:48.920 --> 0:38:51.479
<v Speaker 2>and then they're dealing with their parents. So we're about

0:38:51.520 --> 0:38:55.280
<v Speaker 2>to launch. We'll see how we believe it will be successful.

0:38:55.320 --> 0:38:59.080
<v Speaker 2>We know that the need is very high. There's been

0:38:59.080 --> 0:39:03.840
<v Speaker 2>some question about well we'll seniors use the technology. My

0:39:04.000 --> 0:39:07.719
<v Speaker 2>view we talked about earlier. If you're a grandparent, ask

0:39:07.760 --> 0:39:10.360
<v Speaker 2>any grandparent, they know how to get on to their phones,

0:39:10.400 --> 0:39:12.600
<v Speaker 2>they know how to talk to their grandchildren, and they

0:39:12.640 --> 0:39:15.399
<v Speaker 2>know how to FaceTime them. So I think the technology

0:39:15.440 --> 0:39:19.239
<v Speaker 2>piece is not of much concern to us. We do

0:39:19.320 --> 0:39:22.640
<v Speaker 2>have the data on people use the technology from if

0:39:22.680 --> 0:39:25.000
<v Speaker 2>you're sixty five to seventy eight at seventy eighty, so

0:39:25.040 --> 0:39:27.480
<v Speaker 2>there is a fall off after eighty years old in

0:39:27.560 --> 0:39:31.160
<v Speaker 2>terms of certain abilities. But we do encourage people when

0:39:31.160 --> 0:39:33.000
<v Speaker 2>they sign up and use it to find somebody to

0:39:33.040 --> 0:39:33.399
<v Speaker 2>help them.

0:39:33.440 --> 0:39:36.920
<v Speaker 1>And that's going to change as population ages, because people

0:39:36.960 --> 0:39:39.759
<v Speaker 1>are becoming more proficient on their phone and that's not

0:39:39.800 --> 0:39:42.719
<v Speaker 1>going to change right as they get older. You're now

0:39:42.760 --> 0:39:47.440
<v Speaker 1>focused on the military population as well. Why and how.

0:39:48.080 --> 0:39:54.120
<v Speaker 2>So Military there's ten million military and dependents. We just

0:39:54.480 --> 0:39:57.399
<v Speaker 2>got into network with the coverage of the military, which

0:39:57.440 --> 0:40:00.960
<v Speaker 2>is you know, it's called tricaren Try West, So that's

0:40:01.000 --> 0:40:05.879
<v Speaker 2>also just being launched. The suicide rate, as you as

0:40:05.920 --> 0:40:09.760
<v Speaker 2>you mentioned earlier, is high in the military. The amount

0:40:09.800 --> 0:40:13.680
<v Speaker 2>of you know, PTSD is obviously very high. It's a

0:40:13.680 --> 0:40:17.600
<v Speaker 2>little bit different for active military versus independence. We are

0:40:18.480 --> 0:40:22.120
<v Speaker 2>very early on, but we know that there's a significant

0:40:22.200 --> 0:40:28.160
<v Speaker 2>interest in the military spouses and children of active military

0:40:28.200 --> 0:40:31.160
<v Speaker 2>that are looking for mental support. So that's a that's

0:40:31.200 --> 0:40:33.160
<v Speaker 2>also a work in progress, just launched.

0:40:42.120 --> 0:40:44.239
<v Speaker 1>If you want to get smarter every morning with a

0:40:44.239 --> 0:40:47.520
<v Speaker 1>breakdown of the news and fascinating takes on health and

0:40:47.560 --> 0:40:50.920
<v Speaker 1>wellness and pop culture, sign up for our daily newsletter,

0:40:51.000 --> 0:41:04.280
<v Speaker 1>Wake Up Call by going to Katiecuric dot com. Let's

0:41:04.360 --> 0:41:08.480
<v Speaker 1>talk about the youth mental health crisis. It's something that

0:41:08.520 --> 0:41:13.520
<v Speaker 1>I've been very interested in and it's super concerning, as

0:41:13.600 --> 0:41:15.680
<v Speaker 1>you well know. I mean, you look at some of

0:41:15.719 --> 0:41:20.640
<v Speaker 1>the statistics. Teen mental health had already begun worsening prior

0:41:20.680 --> 0:41:24.520
<v Speaker 1>to the pandemic. By twenty twenty one, more than forty

0:41:24.520 --> 0:41:28.640
<v Speaker 1>percent of high schoolers reported feeling persistently sad or hopeless,

0:41:29.200 --> 0:41:33.080
<v Speaker 1>and experts expect the trend to continue. What is eating

0:41:33.520 --> 0:41:34.760
<v Speaker 1>the nation's children.

0:41:36.200 --> 0:41:39.680
<v Speaker 2>It is a crisis, an unparallel crisis. And you probably

0:41:39.680 --> 0:41:42.680
<v Speaker 2>see the Surgeon General report about social media.

0:41:42.600 --> 0:41:48.480
<v Speaker 1>Fiction and also Jonathan Height's book The Anxious Generation. And yes,

0:41:48.719 --> 0:41:50.719
<v Speaker 1>you know, it's so funny. When I was at CBS

0:41:50.719 --> 0:41:54.240
<v Speaker 1>in the early two thousands, I wanted to do something

0:41:54.320 --> 0:41:59.240
<v Speaker 1>on phone addiction, and they all thought I was crazy,

0:42:00.040 --> 0:42:03.719
<v Speaker 1>But you know, I thought it was tearing apart families,

0:42:03.800 --> 0:42:07.520
<v Speaker 1>that people weren't spending time together, that it was taking

0:42:07.560 --> 0:42:10.480
<v Speaker 1>over people's lives. Anyway, that's me patting myself on the

0:42:10.480 --> 0:42:14.040
<v Speaker 1>back for being prescient. But yes, it feels like we

0:42:14.160 --> 0:42:19.800
<v Speaker 1>have reached a tipping point finally in understanding the negative

0:42:19.840 --> 0:42:21.760
<v Speaker 1>impact of phone addiction.

0:42:23.440 --> 0:42:26.879
<v Speaker 2>So you mentioned some of the data we know that

0:42:27.120 --> 0:42:31.319
<v Speaker 2>twenty to twenty five percent of teenagers on intake have

0:42:31.440 --> 0:42:36.319
<v Speaker 2>had suicidal ideation. It's which blows me away. I remember

0:42:36.440 --> 0:42:38.760
<v Speaker 2>seeing the data for the first time. It's just unbelievable

0:42:38.840 --> 0:42:44.040
<v Speaker 2>to me to think that that's what's happening. So I don't,

0:42:44.800 --> 0:42:47.120
<v Speaker 2>so why is why is the crisis? You know here

0:42:47.200 --> 0:42:52.239
<v Speaker 2>at the phone issue is unquestionably, you know, propelling a

0:42:52.239 --> 0:42:55.480
<v Speaker 2>lot of this, the social media addiction. So I don't

0:42:55.480 --> 0:42:59.080
<v Speaker 2>know if you've you know, I've talked about, but the

0:42:59.239 --> 0:43:02.880
<v Speaker 2>average number of hours a teenager is on their phone

0:43:03.200 --> 0:43:07.080
<v Speaker 2>is eight eight hours a day right on their phone.

0:43:08.000 --> 0:43:13.319
<v Speaker 2>And of course it's not just the it's not just

0:43:13.360 --> 0:43:16.719
<v Speaker 2>the social media that they're looking at. It's the dangers, right,

0:43:16.760 --> 0:43:21.600
<v Speaker 2>So you talk about suicide right being aware, it's of

0:43:21.600 --> 0:43:26.799
<v Speaker 2>course the inappropriate content, it's the cyper bullying, it's the

0:43:26.880 --> 0:43:30.560
<v Speaker 2>issues about being recruited to do something really bad.

0:43:32.120 --> 0:43:35.600
<v Speaker 1>And then just old fashioned self esteem issues right where

0:43:35.680 --> 0:43:40.160
<v Speaker 1>you see people living their best life on social media

0:43:40.280 --> 0:43:42.759
<v Speaker 1>and it makes you feel bad about yourself, or with

0:43:42.920 --> 0:43:44.880
<v Speaker 1>girls and eating disorders, and.

0:43:45.440 --> 0:43:48.360
<v Speaker 2>Then there's so the social media adiction is obviously a

0:43:48.560 --> 0:43:54.480
<v Speaker 2>huge issue. So it's real, so't I don't predict that

0:43:54.520 --> 0:43:56.240
<v Speaker 2>you're going to be able to get kids off their phone.

0:43:56.960 --> 0:43:59.200
<v Speaker 2>I will tell you that having seen this, read about it,

0:43:59.280 --> 0:44:01.600
<v Speaker 2>see what's going on. I think I told you I

0:44:01.600 --> 0:44:03.000
<v Speaker 2>have a seven and a half and a four and

0:44:03.040 --> 0:44:07.400
<v Speaker 2>a half year old grandchildren. Terror it's terrifying to me

0:44:07.600 --> 0:44:10.200
<v Speaker 2>about you know, what are you know what's my daughter?

0:44:10.280 --> 0:44:12.080
<v Speaker 3>And it's a looging to do about, you know, phones

0:44:12.400 --> 0:44:13.080
<v Speaker 3>with these kids.

0:44:13.200 --> 0:44:15.879
<v Speaker 1>Well, I think people who have kids that age are

0:44:15.920 --> 0:44:19.839
<v Speaker 1>starting to realize how dangerous they are. And you know,

0:44:19.880 --> 0:44:22.359
<v Speaker 1>by the way, so I have a grandson too, who

0:44:22.560 --> 0:44:26.280
<v Speaker 1>just turned eight months, and I was thinking, when Ellie

0:44:26.600 --> 0:44:31.040
<v Speaker 1>is with him, if she's on her phone, she's modeling

0:44:31.120 --> 0:44:35.080
<v Speaker 1>a certain behavior. So it's not just not giving kids

0:44:35.200 --> 0:44:42.040
<v Speaker 1>phones until they're fifteen or sixteen. It's not having them

0:44:42.239 --> 0:44:45.279
<v Speaker 1>as such an ubiquitous force in their lives, right.

0:44:45.640 --> 0:44:48.000
<v Speaker 2>And it's just so it is difficult. We're not going

0:44:48.080 --> 0:44:51.520
<v Speaker 2>to totally solve that. So so it talks to us.

0:44:51.560 --> 0:44:53.200
<v Speaker 2>We've leaned in on teens, as I said, So we

0:44:53.560 --> 0:44:55.759
<v Speaker 2>have the We talked about New York City, We just

0:44:55.800 --> 0:44:59.120
<v Speaker 2>announced Seattle another fifty five thousand students. We have Baltimore,

0:44:59.160 --> 0:45:00.880
<v Speaker 2>and then we have a bunch of other private schools

0:45:00.880 --> 0:45:05.040
<v Speaker 2>in other districts. So the one of the so what's

0:45:05.320 --> 0:45:08.200
<v Speaker 2>become very important of us is because we're actually using

0:45:08.239 --> 0:45:12.360
<v Speaker 2>their phone to some benefit, which is texting the messaging therapy.

0:45:12.960 --> 0:45:14.520
<v Speaker 3>You know. We found that it's you know.

0:45:15.080 --> 0:45:17.759
<v Speaker 2>Very very important and attractive for the student to be

0:45:17.840 --> 0:45:20.000
<v Speaker 2>able to access it, and so most of them are

0:45:20.000 --> 0:45:23.239
<v Speaker 2>accessing it actually after school just you know, after four pm.

0:45:23.400 --> 0:45:25.439
<v Speaker 2>Turns out after four pm on Thursdays is the most

0:45:25.440 --> 0:45:29.400
<v Speaker 2>popular time. But what's also important is we in twenty

0:45:29.480 --> 0:45:32.680
<v Speaker 2>nineteen talks based reported on a large language model AI

0:45:32.760 --> 0:45:37.279
<v Speaker 2>slash ability to actually predict suicide based on a conversation.

0:45:37.760 --> 0:45:43.200
<v Speaker 1>That's so fascinating to me. How can you in simple terms,

0:45:43.239 --> 0:45:43.960
<v Speaker 1>how that works.

0:45:44.160 --> 0:45:46.560
<v Speaker 2>So what it is is we looked at all of

0:45:46.600 --> 0:45:50.360
<v Speaker 2>the millions of conversations and was able to identify with

0:45:50.480 --> 0:45:55.040
<v Speaker 2>kids at risk certain words and phrases in the context

0:45:55.040 --> 0:46:00.880
<v Speaker 2>of the conversation that will alert the therapist of possible

0:46:00.920 --> 0:46:03.880
<v Speaker 2>self harm for the for that person and now teenager

0:46:03.960 --> 0:46:09.400
<v Speaker 2>because we've revalidated in teens. So it's so let me

0:46:09.560 --> 0:46:11.160
<v Speaker 2>it's let me describe it this way because his way

0:46:11.200 --> 0:46:13.319
<v Speaker 2>is debscribed to me, because I you know I knew

0:46:13.360 --> 0:46:16.399
<v Speaker 2>nothing about this, certainly several you know, several months ago.

0:46:16.600 --> 0:46:18.720
<v Speaker 3>Is some of the things we do is what's.

0:46:18.520 --> 0:46:21.799
<v Speaker 2>Called bag of words. So here here's the context. If

0:46:21.800 --> 0:46:24.640
<v Speaker 2>I say to you, look at these four words, and

0:46:24.680 --> 0:46:27.600
<v Speaker 2>I'm going to say a crib, a rattle, a doll,

0:46:29.320 --> 0:46:34.239
<v Speaker 2>and you know, uh, another toy. That's obvious and those

0:46:34.239 --> 0:46:38.400
<v Speaker 2>words all belong together, right. But if I said to

0:46:38.440 --> 0:46:44.960
<v Speaker 2>you a rattle, a crib, a diaper, and a knife,

0:46:45.520 --> 0:46:49.719
<v Speaker 2>say well, like okay, something's wrong. That's a simplistic way

0:46:49.760 --> 0:46:51.960
<v Speaker 2>of what's called bag of words. So what the what

0:46:52.000 --> 0:46:56.600
<v Speaker 2>the engine does It looks at the conversation and it

0:46:56.760 --> 0:47:00.239
<v Speaker 2>is able to actually pick out words and phrases. Is

0:47:01.400 --> 0:47:05.320
<v Speaker 2>that are key to determining whether or not a person

0:47:05.400 --> 0:47:09.279
<v Speaker 2>is thinking about self harm. It's unbelievably fascinating. Now it

0:47:09.280 --> 0:47:11.960
<v Speaker 2>doesn't mean, it doesn't mean yeah. So it's eighty six

0:47:12.000 --> 0:47:16.959
<v Speaker 2>percent accurate, and we've actually dialed it to be more

0:47:17.080 --> 0:47:19.920
<v Speaker 2>false positive because what you want to do is is

0:47:19.960 --> 0:47:24.719
<v Speaker 2>have more false positives. Obviously, so we reported this back

0:47:24.760 --> 0:47:27.920
<v Speaker 2>in twenty nineteen. Since we report So what happens when

0:47:27.960 --> 0:47:32.080
<v Speaker 2>you're on a texting messaging platform on talkspace the engine

0:47:32.120 --> 0:47:34.000
<v Speaker 2>is running in the background, and what it does is

0:47:34.120 --> 0:47:36.719
<v Speaker 2>it sends an alert to the therapist and then the

0:47:36.719 --> 0:47:38.799
<v Speaker 2>therapist decides whether it's real or not real.

0:47:39.480 --> 0:47:42.279
<v Speaker 1>That's scary and big responsibility, isn't it.

0:47:42.320 --> 0:47:43.880
<v Speaker 3>Well, it's like other healthcare alerts.

0:47:43.920 --> 0:47:47.960
<v Speaker 2>It's it's like having telling your primary care physician, Oh,

0:47:48.440 --> 0:47:51.480
<v Speaker 2>you know, Katie just had her blood's drawn. Her potassium

0:47:51.560 --> 0:47:53.359
<v Speaker 2>is six. We want to make sure that you've seen

0:47:53.400 --> 0:47:55.600
<v Speaker 2>that because that's really dangerous. So there are a lot

0:47:55.640 --> 0:47:57.360
<v Speaker 2>of alerts that go on in medicine. So what this

0:47:57.520 --> 0:47:59.520
<v Speaker 2>is and there may be a reason for it. So

0:47:59.560 --> 0:48:01.839
<v Speaker 2>the therapis then has a discretion Okay, this is real

0:48:01.960 --> 0:48:04.400
<v Speaker 2>or it's not real, and then has to decide how

0:48:04.440 --> 0:48:07.840
<v Speaker 2>to has it, deal with it, or refer the patient

0:48:07.920 --> 0:48:11.320
<v Speaker 2>to a higher level of care. So since twenty nineteen,

0:48:11.360 --> 0:48:15.080
<v Speaker 2>we've had it's over thirty two thousand alerts on the.

0:48:15.040 --> 0:48:18.640
<v Speaker 1>Platform that people are risk of self harm.

0:48:18.719 --> 0:48:18.919
<v Speaker 3>Right.

0:48:19.600 --> 0:48:24.239
<v Speaker 2>We're running it, of course with the teens, and you know,

0:48:24.320 --> 0:48:27.400
<v Speaker 2>we've had alerts that we've been able to intervene on.

0:48:28.200 --> 0:48:31.319
<v Speaker 2>It's a proprietary algorithm. We don't think anybody else has it.

0:48:31.400 --> 0:48:36.120
<v Speaker 2>We are also looking at alerts right now for harm,

0:48:36.480 --> 0:48:40.839
<v Speaker 2>both homicidal tendencies. We're also looking at eating disorders. We're

0:48:40.880 --> 0:48:44.800
<v Speaker 2>also looking at abuse. So what we're doing is using

0:48:45.600 --> 0:48:47.120
<v Speaker 2>the engine.

0:48:46.880 --> 0:48:50.040
<v Speaker 1>Abuse someone who is being abused being abused.

0:48:50.200 --> 0:48:53.360
<v Speaker 3>Yes, yes, there is more than you want to.

0:48:52.920 --> 0:48:55.160
<v Speaker 1>Know about domestic violence.

0:48:55.280 --> 0:48:58.440
<v Speaker 2>It means basic violence referrals we've had to make to

0:48:58.600 --> 0:49:01.359
<v Speaker 2>child's protective services. Yeah, it's more than.

0:49:01.320 --> 0:49:01.759
<v Speaker 3>You want to know.

0:49:03.120 --> 0:49:05.640
<v Speaker 2>What we're doing is we're trying to we're finding it right.

0:49:05.719 --> 0:49:09.359
<v Speaker 2>So the power What you want to do is give

0:49:09.400 --> 0:49:13.560
<v Speaker 2>the therapists the ability to make decisions. What we don't do,

0:49:14.160 --> 0:49:16.840
<v Speaker 2>which I'm a huge believer in, is is I'm not

0:49:16.880 --> 0:49:18.240
<v Speaker 2>going to tell a therapist how.

0:49:18.120 --> 0:49:19.200
<v Speaker 3>To give care.

0:49:19.320 --> 0:49:21.320
<v Speaker 2>What I'm going to do is give them the alerts

0:49:21.600 --> 0:49:25.719
<v Speaker 2>and let them decide. And we don't just you know,

0:49:25.760 --> 0:49:27.880
<v Speaker 2>we don't do AI bots or anything like that. We

0:49:27.920 --> 0:49:29.320
<v Speaker 2>will not do AI therapy.

0:49:29.719 --> 0:49:30.319
<v Speaker 3>So this is a.

0:49:30.280 --> 0:49:33.160
<v Speaker 1>Support MESA are some people doing, yes, yeah, there are some.

0:49:33.480 --> 0:49:36.319
<v Speaker 2>There are some some people out there who are doing

0:49:36.440 --> 0:49:37.520
<v Speaker 2>AI supporting.

0:49:37.280 --> 0:49:39.520
<v Speaker 1>Like chap GPT stuff.

0:49:40.360 --> 0:49:44.640
<v Speaker 2>Yes, yes, so that's what we're doing on the teen side.

0:49:44.680 --> 0:49:47.880
<v Speaker 1>The UH and so you said you've had thirty two.

0:49:47.719 --> 0:49:50.200
<v Speaker 3>Thousand alerts since twenty nineteen.

0:49:50.640 --> 0:49:55.440
<v Speaker 1>Is there any way to quantify how many suicides you've

0:49:55.560 --> 0:49:58.720
<v Speaker 1>intervened in or potential suicides?

0:49:59.120 --> 0:50:03.160
<v Speaker 2>So that's an amaz amazing question and the answer is no,

0:50:03.800 --> 0:50:08.080
<v Speaker 2>because we don't really know. We're again HIPPOC compliant. People

0:50:08.120 --> 0:50:09.839
<v Speaker 2>could leave therapy. We don't know where that we can.

0:50:10.680 --> 0:50:13.080
<v Speaker 2>We can't follow up and say, hey, what happened to

0:50:14.600 --> 0:50:17.359
<v Speaker 2>this person, So we don't know the answer. We've tried,

0:50:17.440 --> 0:50:22.000
<v Speaker 2>actually we've tried to use some surrogate analysis, but we've

0:50:22.080 --> 0:50:24.680
<v Speaker 2>been unable to, you know, to determine whether or not

0:50:25.400 --> 0:50:26.360
<v Speaker 2>how many people have gone on.

0:50:27.360 --> 0:50:31.040
<v Speaker 1>What about the effectiveness of working with these teens in

0:50:31.080 --> 0:50:33.319
<v Speaker 1>the New York City public schools? You say you're going

0:50:33.360 --> 0:50:36.960
<v Speaker 1>to do another program in Seattle, right, is there any

0:50:37.000 --> 0:50:42.000
<v Speaker 1>way of knowing the efficacy of talks based therapy for

0:50:42.080 --> 0:50:45.640
<v Speaker 1>these kids? How do you measure if it's working and

0:50:45.680 --> 0:50:47.240
<v Speaker 1>what kind of feedback have you gotten?

0:50:47.920 --> 0:50:50.319
<v Speaker 2>So the program for New York City is for all

0:50:50.600 --> 0:50:53.040
<v Speaker 2>teenagers who live in New York. It's not just public schools.

0:50:53.120 --> 0:50:56.720
<v Speaker 2>So whether it's parochial schools or yeshivas or charter schools,

0:50:56.800 --> 0:50:59.719
<v Speaker 2>any kid thirteen to seventeen has access. And that was

0:50:59.840 --> 0:51:02.640
<v Speaker 2>the decision. That's the mayor decided that when he did

0:51:02.640 --> 0:51:04.520
<v Speaker 2>the program was that's how he wanted it. He wanted

0:51:04.520 --> 0:51:05.759
<v Speaker 2>to make it available to everybody.

0:51:06.040 --> 0:51:08.239
<v Speaker 3>So we do have one year into the New York

0:51:08.280 --> 0:51:10.760
<v Speaker 3>City program. We have one year data.

0:51:10.880 --> 0:51:14.400
<v Speaker 2>We've had almost seventy percent improvement in terms of clinical outcome.

0:51:15.160 --> 0:51:17.399
<v Speaker 2>I think I talked about we're reaching kids where they are,

0:51:17.440 --> 0:51:19.880
<v Speaker 2>which is in all you know, all sorts of communities.

0:51:20.360 --> 0:51:24.440
<v Speaker 2>What's interesting is the top diagnoses or problem is actually

0:51:25.160 --> 0:51:28.960
<v Speaker 2>being a better self. Second is relationships, and then it

0:51:29.040 --> 0:51:34.600
<v Speaker 2>drops off to anxiety slash depression, bullying relatively low, which

0:51:34.960 --> 0:51:37.520
<v Speaker 2>was a surprise to us. But the relationship thing and

0:51:37.600 --> 0:51:39.880
<v Speaker 2>being a better self is really important. And we had

0:51:39.880 --> 0:51:42.640
<v Speaker 2>done a bunch of focus groups before we launched, and

0:51:42.719 --> 0:51:46.960
<v Speaker 2>it was very clear the kids, I say, they want access,

0:51:47.239 --> 0:51:51.120
<v Speaker 2>they wanted immediately, and they wanted you know, almost whenever.

0:51:50.760 --> 0:51:54.440
<v Speaker 3>They could get it. So we've basically solved that issue.

0:51:54.560 --> 0:51:57.440
<v Speaker 1>When you say relationship.

0:51:57.120 --> 0:52:01.279
<v Speaker 2>My relationships with family or relationship with friends, they'll say,

0:52:01.320 --> 0:52:02.600
<v Speaker 2>I have an issue with a friend, I have an

0:52:02.640 --> 0:52:04.360
<v Speaker 2>issue with my parents, I have an issue with so

0:52:04.920 --> 0:52:08.759
<v Speaker 2>help me talk me, you know, the therapist, help me

0:52:08.800 --> 0:52:10.799
<v Speaker 2>get through that. Do I how do I deal with

0:52:10.840 --> 0:52:13.839
<v Speaker 2>those kind of familial problems or other problems that they have.

0:52:14.080 --> 0:52:17.439
<v Speaker 2>The the being a better self just means they want

0:52:17.440 --> 0:52:19.360
<v Speaker 2>to be better at who they are, they want to

0:52:19.480 --> 0:52:21.200
<v Speaker 2>be more self aware.

0:52:22.800 --> 0:52:26.160
<v Speaker 1>It's really a full fascinating it is area, and I

0:52:26.200 --> 0:52:30.160
<v Speaker 1>think you're right as a physician. If you see a

0:52:30.239 --> 0:52:34.319
<v Speaker 1>need and you have the capacity to fill it, that

0:52:34.400 --> 0:52:36.080
<v Speaker 1>must be incredibly gratifying.

0:52:36.719 --> 0:52:40.399
<v Speaker 2>No, it's it's a I'll tell yes, love of everything else,

0:52:40.440 --> 0:52:42.560
<v Speaker 2>we're doing good, that we're doing a lot of good,

0:52:42.760 --> 0:52:45.920
<v Speaker 2>which makes you know, all of us feel really good

0:52:45.960 --> 0:52:47.160
<v Speaker 2>about what we're doing every day.

0:52:47.360 --> 0:52:50.520
<v Speaker 1>How do you increase awareness that this is out there?

0:52:50.600 --> 0:52:53.280
<v Speaker 1>And like, let's say I'm like, oh, I really enjoyed

0:52:53.280 --> 0:52:57.759
<v Speaker 1>talking to doctor Cohen. I want to be a part

0:52:57.800 --> 0:53:01.000
<v Speaker 1>of talk space. I want I don't have a therapist.

0:53:01.360 --> 0:53:06.120
<v Speaker 1>Actually I don't have a therapist, and you know, I

0:53:06.200 --> 0:53:10.320
<v Speaker 1>want to find a therapist. Do I go to an app?

0:53:10.400 --> 0:53:11.200
<v Speaker 1>To what do I do?

0:53:11.960 --> 0:53:15.440
<v Speaker 2>So there's multiple ways that essentially you go on to

0:53:15.640 --> 0:53:18.200
<v Speaker 2>talkspace dot com. For the teens, it's actually it's New

0:53:18.239 --> 0:53:19.160
<v Speaker 2>York City teen Space.

0:53:19.400 --> 0:53:22.799
<v Speaker 1>What about other teens across the nation? Is it available

0:53:22.840 --> 0:53:24.600
<v Speaker 1>to them? Or not yet, so.

0:53:24.560 --> 0:53:27.480
<v Speaker 2>It is if it is to their to their parents' insurance.

0:53:28.600 --> 0:53:30.160
<v Speaker 2>So the difference is.

0:53:30.440 --> 0:53:33.319
<v Speaker 1>You have to go be hard because sometimes you don't

0:53:33.360 --> 0:53:35.040
<v Speaker 1>want to go on and tell their parents.

0:53:35.320 --> 0:53:38.560
<v Speaker 2>Well, that's another interesting issues parental consent. We do get

0:53:38.600 --> 0:53:41.080
<v Speaker 2>parental consent through the process. It's all part of the

0:53:41.120 --> 0:53:43.840
<v Speaker 2>digital intake. We send an email to the parents, they

0:53:43.920 --> 0:53:47.080
<v Speaker 2>mail us back their consent. There are exceptions that you

0:53:47.520 --> 0:53:51.640
<v Speaker 2>cannot have to get parents consent. There is certain kids

0:53:51.680 --> 0:53:55.440
<v Speaker 2>who are, you know, by the court, deemed independent. There

0:53:55.480 --> 0:53:57.920
<v Speaker 2>are kids that are married, they're kids that have children,

0:53:59.040 --> 0:54:00.880
<v Speaker 2>and then they are just kids that will come on

0:54:00.960 --> 0:54:03.120
<v Speaker 2>and say I don't want to tell my parents, and

0:54:03.160 --> 0:54:05.280
<v Speaker 2>then what happens. They have a conversation with the therapist

0:54:05.320 --> 0:54:07.840
<v Speaker 2>and then the therapists will make the ultimate decision with the

0:54:07.920 --> 0:54:09.960
<v Speaker 2>child about whether or not they're at risk and whether.

0:54:09.760 --> 0:54:10.760
<v Speaker 3>They should tell their parents.

0:54:10.960 --> 0:54:13.600
<v Speaker 2>So we have an entire consenting mechanism that's built in,

0:54:14.520 --> 0:54:17.680
<v Speaker 2>so that's an important part of it. But most teens,

0:54:18.719 --> 0:54:20.600
<v Speaker 2>if you get it through one of the programs. The

0:54:20.680 --> 0:54:23.880
<v Speaker 2>reason it's so important that there's a program that pays

0:54:23.880 --> 0:54:25.759
<v Speaker 2>for it is because you don't want to have a

0:54:25.800 --> 0:54:28.120
<v Speaker 2>teenager to say, okay, well what's your parents insurance? Go

0:54:28.160 --> 0:54:30.560
<v Speaker 2>get their insurance card, fill out the information. As we

0:54:30.560 --> 0:54:35.120
<v Speaker 2>said earlier, the number one barrier we know is cost

0:54:35.640 --> 0:54:38.960
<v Speaker 2>or having to identify costs. So sure every teenager across

0:54:38.960 --> 0:54:43.120
<v Speaker 2>the country has access, but those other teenagers have to

0:54:43.120 --> 0:54:45.480
<v Speaker 2>go through their insurance, which is a barrier.

0:54:46.120 --> 0:54:47.040
<v Speaker 3>It's always a barrier.

0:54:47.080 --> 0:54:50.319
<v Speaker 1>And I can't believe you don't have a shortage of therapists.

0:54:50.400 --> 0:54:52.840
<v Speaker 1>I mean, I know you talk about the flex schedule

0:54:52.880 --> 0:54:56.840
<v Speaker 1>and everything, but I mean I've heard for a long

0:54:56.920 --> 0:55:00.600
<v Speaker 1>time that it's just there aren't enough there therapists for

0:55:00.719 --> 0:55:02.000
<v Speaker 1>all the patients out there.

0:55:02.560 --> 0:55:02.759
<v Speaker 3>Yeah.

0:55:02.800 --> 0:55:06.400
<v Speaker 2>We then they're unfortunately referred to as ghost networks. So

0:55:06.440 --> 0:55:09.560
<v Speaker 2>you've probably heard the term. No, okay, so there's a term.

0:55:09.600 --> 0:55:12.200
<v Speaker 2>It's called ghost networks for the payers, which means if

0:55:12.200 --> 0:55:15.600
<v Speaker 2>you try and get a therapist frequently, if you find

0:55:15.600 --> 0:55:19.080
<v Speaker 2>somebody and you check the not taking new patients, or

0:55:19.120 --> 0:55:20.960
<v Speaker 2>it's a three month wait to get it right.

0:55:21.080 --> 0:55:23.239
<v Speaker 1>Yes, so how do you combat that?

0:55:24.000 --> 0:55:24.359
<v Speaker 3>Right now?

0:55:24.400 --> 0:55:26.200
<v Speaker 2>For us, it's not potission and we do know that

0:55:26.800 --> 0:55:30.760
<v Speaker 2>quod Hotly, the therapists mostly like being on the talkspace platform.

0:55:30.880 --> 0:55:33.239
<v Speaker 2>We made it very easy for them. They don't, they

0:55:33.320 --> 0:55:35.200
<v Speaker 2>just have to come on in New therapy, we do

0:55:35.239 --> 0:55:38.400
<v Speaker 2>all the billing and collection and our step and we

0:55:38.520 --> 0:55:40.680
<v Speaker 2>educate them and we provide a network for them. We

0:55:40.719 --> 0:55:42.960
<v Speaker 2>provide you know, other people for them to talk for us.

0:55:42.960 --> 0:55:46.520
<v Speaker 2>So it's not it's not just that they're coming on talkspace,

0:55:46.560 --> 0:55:49.239
<v Speaker 2>but they're they're becoming part of a very large community

0:55:49.840 --> 0:55:52.200
<v Speaker 2>that helps them, you know, be better at what they do.

0:55:52.239 --> 0:55:55.320
<v Speaker 1>Also, I always tell young people to go into therapy.

0:55:55.480 --> 0:55:58.640
<v Speaker 1>Talk about a growth industry, right, don't go into media.

0:55:58.760 --> 0:55:59.840
<v Speaker 1>Become a therapist.

0:56:00.960 --> 0:56:03.480
<v Speaker 2>Sounds right, It sounds about right. So, but yes, we

0:56:03.520 --> 0:56:04.440
<v Speaker 2>are always recruiting.

0:56:04.920 --> 0:56:06.839
<v Speaker 1>Do you do group therapy?

0:56:07.120 --> 0:56:10.279
<v Speaker 2>No, we do peer to peer, which is it's not

0:56:10.360 --> 0:56:13.200
<v Speaker 2>really group, but it's peer to peer support. We also

0:56:13.280 --> 0:56:17.319
<v Speaker 2>have launched and we don't do we don't really do coaching, right,

0:56:17.640 --> 0:56:18.280
<v Speaker 2>So would.

0:56:18.080 --> 0:56:21.000
<v Speaker 1>You ever get into group therapy which is very effective.

0:56:21.480 --> 0:56:25.840
<v Speaker 2>We we've talked about it, and like I like to

0:56:25.840 --> 0:56:28.239
<v Speaker 2>talk about I like to stay in our lane. What

0:56:28.280 --> 0:56:30.480
<v Speaker 2>I mean by that is there's so much need for

0:56:30.560 --> 0:56:32.840
<v Speaker 2>what we have right now. I want to continue to

0:56:32.840 --> 0:56:35.360
<v Speaker 2>focus the company on what we do best, which is

0:56:35.360 --> 0:56:36.360
<v Speaker 2>what we're doing right now.

0:56:36.719 --> 0:56:40.840
<v Speaker 1>Do you have anyone who specializes, say in cognitive behavioral therapy.

0:56:41.480 --> 0:56:45.000
<v Speaker 2>Yeah, no, no, all the basically every therapist does. Yeah,

0:56:45.000 --> 0:56:47.359
<v Speaker 2>because that's how they're their license. Remember all our all

0:56:47.360 --> 0:56:51.040
<v Speaker 2>of our therapists are licensed. You know, they're fully licensed

0:56:51.040 --> 0:56:54.040
<v Speaker 2>to deliver therapy in the state that they're in and

0:56:54.080 --> 0:56:55.640
<v Speaker 2>each state has different rules and ranks.

0:56:55.840 --> 0:56:57.160
<v Speaker 1>Have you tried talk space?

0:56:57.600 --> 0:56:58.920
<v Speaker 3>I have, yes, So.

0:57:00.520 --> 0:57:02.759
<v Speaker 1>I think that's kind of a personal question. You don't

0:57:02.760 --> 0:57:05.959
<v Speaker 1>have to necessarily answer that. What I mean, I would think,

0:57:06.120 --> 0:57:09.080
<v Speaker 1>as the CEO, you would want to test your product.

0:57:09.120 --> 0:57:11.480
<v Speaker 2>Yeah, so what I've done it actually twice to test

0:57:11.480 --> 0:57:13.440
<v Speaker 2>the product and see what the therapists do and to

0:57:13.520 --> 0:57:17.120
<v Speaker 2>try the intake. But yes, I've tried. I've taken it

0:57:17.160 --> 0:57:20.720
<v Speaker 2>to a certain point. But beyond that, it would be

0:57:20.760 --> 0:57:23.120
<v Speaker 2>difficult for me to have one of my own therapists

0:57:23.280 --> 0:57:24.160
<v Speaker 2>obviously take.

0:57:23.960 --> 0:57:24.320
<v Speaker 3>Care of me.

0:57:24.520 --> 0:57:26.960
<v Speaker 1>And by the way, I mean talk about a need

0:57:27.000 --> 0:57:30.480
<v Speaker 1>the medical community, I mean we saw during COVID the

0:57:30.520 --> 0:57:35.720
<v Speaker 1>amount of burnout among medical professionals, nurses and doctors and

0:57:35.880 --> 0:57:38.680
<v Speaker 1>people who work in hospitals was so high, so many

0:57:38.760 --> 0:57:43.840
<v Speaker 1>people left the profession. Is that a population you're kind

0:57:43.880 --> 0:57:44.760
<v Speaker 1>of reaching out to?

0:57:45.680 --> 0:57:47.960
<v Speaker 2>So, right, at the beginning when I first got there,

0:57:48.720 --> 0:57:51.760
<v Speaker 2>talks I said, had done actually not only delivering therapy

0:57:51.800 --> 0:57:54.280
<v Speaker 2>to healthcare workers. Did a study he was six hundred

0:57:54.280 --> 0:57:57.800
<v Speaker 2>plus healthcare workers, thirty five percent of them were new

0:57:57.880 --> 0:58:01.919
<v Speaker 2>to therapy, described an enormous need, you know, watching what.

0:58:01.880 --> 0:58:02.360
<v Speaker 3>Was going on.

0:58:02.560 --> 0:58:04.760
<v Speaker 1>By the way, can I just interject one thing, John,

0:58:05.200 --> 0:58:08.000
<v Speaker 1>I thought during COVID that hospitals could have done a

0:58:08.080 --> 0:58:11.960
<v Speaker 1>much better job of providing mental health support. I mean,

0:58:12.000 --> 0:58:15.280
<v Speaker 1>I know, everybody's hair was on fire. And I'm not

0:58:15.320 --> 0:58:19.520
<v Speaker 1>being critical. I just think that was a huge vacuum

0:58:19.800 --> 0:58:20.400
<v Speaker 1>at the time.

0:58:20.760 --> 0:58:24.720
<v Speaker 2>So we did, we were providing it. We saw fifty

0:58:24.880 --> 0:58:27.160
<v Speaker 2>I think it was fifty percent improvement within four weeks.

0:58:27.400 --> 0:58:27.680
<v Speaker 1>Wow.

0:58:27.800 --> 0:58:31.360
<v Speaker 2>And there were a lot of healthcare workers who were

0:58:31.440 --> 0:58:34.760
<v Speaker 2>texting and messaging the therapist and getting online to be

0:58:34.800 --> 0:58:37.160
<v Speaker 2>able to you know, help them through. It was an enormously,

0:58:37.200 --> 0:58:39.880
<v Speaker 2>as you said, difficult time for healthcare providers. I mean

0:58:39.960 --> 0:58:42.960
<v Speaker 2>we were, because I'm here, you know, we were at

0:58:43.000 --> 0:58:47.240
<v Speaker 2>almost ground zero for COVID in the Northeast at the beginning.

0:58:47.600 --> 0:58:49.680
<v Speaker 3>I remember, yeah, me too.

0:58:50.320 --> 0:58:53.920
<v Speaker 1>Is there anything you'd say to people who are still

0:58:54.040 --> 0:58:59.720
<v Speaker 1>reticent about getting mental health care or the word therapy

0:59:00.040 --> 0:59:01.880
<v Speaker 1>kind of still freaks them out a bit.

0:59:03.760 --> 0:59:09.560
<v Speaker 2>I think it's the message is to try it. It's

0:59:09.680 --> 0:59:12.880
<v Speaker 2>very easy, it's very affordable. Is to try it and

0:59:12.960 --> 0:59:15.520
<v Speaker 2>see if it makes a difference in your life. I

0:59:15.560 --> 0:59:21.160
<v Speaker 2>would say to parents to encourage their kids if there's

0:59:21.200 --> 0:59:25.480
<v Speaker 2>an issue and there's still a stigma in certain populations

0:59:25.480 --> 0:59:27.960
<v Speaker 2>for parents who don't want to talk about this with

0:59:28.000 --> 0:59:31.560
<v Speaker 2>their kids, and I would encourage parents to also have

0:59:31.640 --> 0:59:32.800
<v Speaker 2>their kids sign up.

0:59:33.160 --> 0:59:37.760
<v Speaker 1>That's one interesting thing that I've learned recently that I

0:59:37.800 --> 0:59:40.640
<v Speaker 1>think a lot of parents, with the number of kids

0:59:40.640 --> 0:59:45.320
<v Speaker 1>who have suicidal ideation, I think for so long parents

0:59:45.320 --> 0:59:47.840
<v Speaker 1>felt like they shouldn't talk about it or bring it up.

0:59:48.480 --> 0:59:54.920
<v Speaker 1>But my understanding is that it's okay to say to

0:59:55.040 --> 0:59:59.520
<v Speaker 1>a child, do you feel like harming yourself? Do you

0:59:59.800 --> 1:00:04.200
<v Speaker 1>think about hurting yourself? That that's okay. We don't have

1:00:04.240 --> 1:00:06.760
<v Speaker 1>to necessarily talk about this because you're not a therapist.

1:00:06.880 --> 1:00:10.240
<v Speaker 1>But I'm just curious what you're understanding is.

1:00:11.560 --> 1:00:13.680
<v Speaker 2>I certainly would encourage it one hundred percent. I mean,

1:00:14.040 --> 1:00:18.959
<v Speaker 2>I think any conversation is good. Yeah, there's yes, there's

1:00:18.960 --> 1:00:21.440
<v Speaker 2>a kids it's just never talking to their parents.

1:00:21.120 --> 1:00:23.680
<v Speaker 1>Also, you're afraid you're going to put the idea in

1:00:23.720 --> 1:00:24.160
<v Speaker 1>their head.

1:00:24.880 --> 1:00:27.840
<v Speaker 2>Yeah, well, let me tell you if you don't, they

1:00:27.840 --> 1:00:29.480
<v Speaker 2>have plenty of access where that's going to go in

1:00:29.480 --> 1:00:33.600
<v Speaker 2>their head. I mean the amount of unfortunately on the

1:00:33.640 --> 1:00:37.600
<v Speaker 2>social media stuff, whether whatever platform you're on, not criticizing

1:00:37.600 --> 1:00:41.520
<v Speaker 2>any particular platform, there's all of these things out there

1:00:41.680 --> 1:00:44.480
<v Speaker 2>relative to putting thoughts in the kids' heads that you

1:00:44.800 --> 1:00:48.640
<v Speaker 2>don't want them. And that's again why the whole issue

1:00:48.720 --> 1:00:51.400
<v Speaker 2>right now is about how you regulate social media, how

1:00:51.440 --> 1:00:53.400
<v Speaker 2>you know what's appropriate, how do you prevent it, how

1:00:53.400 --> 1:00:54.720
<v Speaker 2>do you alert kids.

1:00:54.560 --> 1:00:56.840
<v Speaker 3>It's an enormous problem.

1:00:57.040 --> 1:00:59.600
<v Speaker 2>You know, it's the General said, it's the greatest sorts

1:00:59.600 --> 1:01:01.520
<v Speaker 2>of children lives is social media.

1:01:01.560 --> 1:01:03.160
<v Speaker 3>It's greater than cigarettes smoking right now.

1:01:03.520 --> 1:01:06.920
<v Speaker 1>And I'm happy to hear so many schools are starting

1:01:07.040 --> 1:01:12.640
<v Speaker 1>to say no phones during school hours. I'm taking them away, Tally.

1:01:13.000 --> 1:01:15.320
<v Speaker 2>I couldn't agree with you more. We've had the discussion.

1:01:15.360 --> 1:01:17.600
<v Speaker 2>They say, well, you're providing therapy on your phone. You

1:01:17.640 --> 1:01:19.640
<v Speaker 2>have an issues, said absolutely not take the phones away,

1:01:19.760 --> 1:01:22.280
<v Speaker 2>you know during school hours, one hundred percent. You know

1:01:22.360 --> 1:01:24.840
<v Speaker 2>they could get therapy after hours. They don't need to

1:01:24.880 --> 1:01:28.800
<v Speaker 2>have their phone, you know during school it's a huge issue.

1:01:29.240 --> 1:01:33.320
<v Speaker 1>Doctor John Cohen aka John, Yes, I can call you that.

1:01:34.040 --> 1:01:36.600
<v Speaker 1>Thank you so much for being on Next Question.

1:01:37.000 --> 1:01:37.560
<v Speaker 3>My pleasure.

1:01:37.600 --> 1:01:40.120
<v Speaker 2>Thank you for the privilege actually, and it really is

1:01:40.120 --> 1:01:41.680
<v Speaker 2>a privilege and honor to sit here and talk to

1:01:41.720 --> 1:01:43.720
<v Speaker 2>you about this and to get the word out.

1:01:43.760 --> 1:01:44.760
<v Speaker 3>So thank you for doing this.

1:01:44.840 --> 1:01:56.760
<v Speaker 1>Actually, yeah, thanks for listening everyone. If you have a

1:01:56.880 --> 1:01:59.640
<v Speaker 1>question for me, a subject you want us to cover,

1:02:00.120 --> 1:02:02.280
<v Speaker 1>or you want to share your thoughts about how you

1:02:02.400 --> 1:02:06.000
<v Speaker 1>navigate this crazy world, reach out send me a DM

1:02:06.080 --> 1:02:09.400
<v Speaker 1>on Instagram. I would love to hear from you. Next

1:02:09.440 --> 1:02:13.160
<v Speaker 1>Question is a production of iHeartMedia and Katie Couric Media.

1:02:13.600 --> 1:02:17.240
<v Speaker 1>The executive producers are Me, Katie Kuric, and Courtney Ltz.

1:02:17.520 --> 1:02:21.760
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1:02:21.840 --> 1:02:27.560
<v Speaker 1>Adriana Fazzio and Meredith Barnes. Julian Weller composed our theme music.

1:02:28.400 --> 1:02:31.520
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1:02:31.520 --> 1:02:34.640
<v Speaker 1>for my newsletter, wake Up Call, go to the description

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<v Speaker 1>in the podcast app or visit us at Katiecuric dot com.

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<v Speaker 1>You can also find me on Instagram and all my

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<v Speaker 1>social media channels. For more podcasts from iHeartRadio, visit the iHeartRadio, app,

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<v Speaker 1>Apple podcasts, or wherever you listen to your favorite shows.

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<v Speaker 1>The new year is the time to make plans and

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<v Speaker 1>set goals, but the only thing you can be certain

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<v Speaker 1>of is change, good, bad, or in between. A talkspace

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<v Speaker 1>therapist can help you get ready for what's next. Whether

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<v Speaker 1>you have big ambitions for twenty twenty five or are

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<v Speaker 1>simply trying to stay the course. Through video sessions and

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<v Speaker 1>messaging therapy, a licensed talkspace therapist will help you build

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<v Speaker 1>your resilience and discover opportunities for growth. Talkspace is in

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<v Speaker 1>network major insurers, and most covered members have a copay

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<v Speaker 1>of fifteen dollars or less, or you can take eighty

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<v Speaker 1>five dollars off your first month with the promo code

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<v Speaker 1>Katie when you go to talkspace dot com slash Katiecuric.

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<v Speaker 1>Match with the licensed therapist today at talkspace dot com

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<v Speaker 1>slash Katiecuric