WEBVTT - ICYMI: No More Secrets About Addiction

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<v Speaker 2>I've never really had faith in myself that I could

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<v Speaker 2>stay sober. A lot of people in my life had

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<v Speaker 2>given up hope on me and didn't think I was

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<v Speaker 2>going to make it. You don't know what your life's

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<v Speaker 2>going to be like in a year. If you choose recovery,

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<v Speaker 2>if you take the suggestions, you could be living this big,

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<v Speaker 2>beautiful life.

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<v Speaker 3>It's been so life changing and it's the best decision

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<v Speaker 3>I ever made.

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<v Speaker 2>You're hearing there from people featured in a short film

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<v Speaker 2>called No More Secret. It's a short film that's going

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<v Speaker 2>to debut to that focuses on addiction and recovery. We're

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<v Speaker 2>going to talk about that here with Jenna Wouh. She's

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<v Speaker 2>a senior clinician at Mountainside A Treatment Center. Doctor Manasahni

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<v Speaker 2>is with us as well, director of Addiction Psychology at Northwell.

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<v Speaker 2>He's a psychiatrist. And Jenna, let me start with you

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<v Speaker 2>and kind of the driving thrust of this short film

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<v Speaker 2>which centers on two individuals, one named Peter, one named Rachel,

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<v Speaker 2>and they're talking, yes, about addiction, but about the process

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<v Speaker 2>by which they sought help and went into recovery. And

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<v Speaker 2>I wonder if you could talk a bit about that,

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<v Speaker 2>the forcing mechanism, that the way by which people decide

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<v Speaker 2>it's something that they need to do, that they have

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<v Speaker 2>to seek out recovery.

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<v Speaker 4>Oh, thank you, David Well. I think for most people

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<v Speaker 4>it's not a choice. Usually, life gets to a point

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<v Speaker 4>where it is so uncomfortable and unbearable for not just

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<v Speaker 4>them but their family, community, productivity at work, that they

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<v Speaker 4>have got to make a change and the only way

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<v Speaker 4>is in the other direction. And we really wanted to

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<v Speaker 4>explore two different family relationships and two different d visuals

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<v Speaker 4>that made that change, that decided that they had to

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<v Speaker 4>do something differently, and that meant asking for help, being

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<v Speaker 4>more public about their struggle. You know, we all struggle

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<v Speaker 4>with something, but addiction is something that is still riddled

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<v Speaker 4>with shame and tremendous amount of stigma, both from the

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<v Speaker 4>community and often internally in the family system. So we

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<v Speaker 4>wanted to take this opportunity to really share with people

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<v Speaker 4>openly what we saw as a call for action to

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<v Speaker 4>end the stigma around addiction. So making this film and

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<v Speaker 4>collaborating with Shatterproof was a natural segue there called action,

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<v Speaker 4>you know, in that they focused completely on breaking the

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<v Speaker 4>stigma of addiction nationwide, so that sort of had this

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<v Speaker 4>game to be I.

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<v Speaker 3>Want to stick with you, Janna. I did get a

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<v Speaker 3>chance to look at the short film to take a look,

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<v Speaker 3>and I thought that it was very, very emotional. I

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<v Speaker 3>felt like it was tear jerking and all the sort

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<v Speaker 3>But what I did notice from it was the importance

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<v Speaker 3>of community. Can you just speak a bit more about

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<v Speaker 3>the purpose and the importance of community for those that

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<v Speaker 3>are recovering from addiction.

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<v Speaker 4>Yes, I'm glad you saw that. I think it's absolutely essential. Actually,

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<v Speaker 4>evidence based practice finds that group therapy is far more

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<v Speaker 4>effective than individual therapy for substance us to serves. We

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<v Speaker 4>know other things are also very important, like medicaid assistant treatment.

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<v Speaker 4>But going back to the question of community, it's actually

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<v Speaker 4>related having a community that understands and supports you and

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<v Speaker 4>again doesn't judge you. You know, with addiction, unfortunately, the

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<v Speaker 4>behaviors that come with it are typically pretty reprehensible and

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<v Speaker 4>really affect relationships, and it's very difficult when you love

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<v Speaker 4>someone to separate that person from those behaviors. So having

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<v Speaker 4>a community that's not going to judge you, where you

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<v Speaker 4>can share some things that you've done that you might

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<v Speaker 4>not understand with maybe an appropriate clinical guide in this

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<v Speaker 4>process or a pure support recovery coach, and a community

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<v Speaker 4>heals people in ways I can't see anything else. You know,

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<v Speaker 4>that community and ability to say what I've done where

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<v Speaker 4>I'm struggling and have other people here respect you, understand

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<v Speaker 4>and help you process. That is invaluable, doctor Harney.

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<v Speaker 2>Watching this film, you hear from these two individuals. You

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<v Speaker 2>hear from members of their family as well. So in

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<v Speaker 2>the case of Peter, you hear from his wife who

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<v Speaker 2>wrote him a letter at some point. You hear from

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<v Speaker 2>Rachel's father who was worried about her, And there's kind

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<v Speaker 2>of a through line between both of them that they

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<v Speaker 2>were each wrestling with the fact that they thought that

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<v Speaker 2>this story might end with the death of their spouse

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<v Speaker 2>or their child. What is your counsel to family members

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<v Speaker 2>who are seeing somebody in their families a spouse, a

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<v Speaker 2>child going through this and want something catalytic to happen

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<v Speaker 2>by which they could seek health.

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<v Speaker 5>Well, it is really a challenge and disease in that

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<v Speaker 5>sense that it not only affects people's lives, but also

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<v Speaker 5>affects their significant others as well, affects their kids, affects

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<v Speaker 5>their significant others, family members, and others. Now, the issue

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<v Speaker 5>with the addiction as it is is it does affects

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<v Speaker 5>people behavior. It makes a bit of a change in

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<v Speaker 5>their personality and their behavior that upsets the support system.

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<v Speaker 5>And speaking of the support system that Norah was asking about,

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<v Speaker 5>whenever we do an evaluation and a new patient, one

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<v Speaker 5>of the most important predictive factor of their recovery is

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<v Speaker 5>how big is your support system who is existing around

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<v Speaker 5>in your sphere to provide support for you. Now, we

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<v Speaker 5>come to the support system and we provide the advice

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<v Speaker 5>is stay supportive, stay there, stay there for them. They're struggling.

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<v Speaker 5>They're not doing that by choice. As we say, addiction

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<v Speaker 5>is not a choice.

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<v Speaker 2>How challenging is that? Not to interrupt, but I mean,

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<v Speaker 2>how challenging is it to convey that message to the family.

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<v Speaker 5>It is not easy. It is not easy, and it's

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<v Speaker 5>not a straightforward things. Some days you're willing and happy

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<v Speaker 5>to support your spouse or kid, other days you're really tired,

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<v Speaker 5>And we continue to provide that. Now there are groups

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<v Speaker 5>that we have specially for significant others. Also, if you

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<v Speaker 5>hear about the l on on that that's for the

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<v Speaker 5>family and the kids of those who suffer from addictive disorders.

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<v Speaker 3>Well, addiction is very clearly a disease, as we've been

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<v Speaker 3>pointing out on this conversation. Can you speak to the

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<v Speaker 3>resources available from a medical standpoint in terms of treating

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<v Speaker 3>this as a medical concern.

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<v Speaker 5>Well, we know about it way more than we did

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<v Speaker 5>in the past. This is one we know that the

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<v Speaker 5>chemicals that are implicated, and the mechanism of happening, how

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<v Speaker 5>it affects, Where does that affect the brain, what the

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<v Speaker 5>retrans method that implicates, So we know how it works.

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<v Speaker 5>It's a chronic brain disease. You can compare it to diabetes,

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<v Speaker 5>it can compare it to hypertension and so forth. Now

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<v Speaker 5>it does also have medication that affects it and helps

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<v Speaker 5>you with it. We have so many medications if you're

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<v Speaker 5>going to talk about, let's say opoid use or we

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<v Speaker 5>do have evidence that we have methadone that helps with

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<v Speaker 5>it a lot. We have upernorphine, which has been helping

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<v Speaker 5>for ages since the year two thousand and three. We

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<v Speaker 5>have noxon on narcan that can revive and get people

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<v Speaker 5>from overdose. So we have the medical model. We know

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<v Speaker 5>how it works, we know the process, and we know

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<v Speaker 5>that it has some kind of management that can help

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<v Speaker 5>people do your own recovery as well.

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<v Speaker 2>Just in the minute that we have left. This is

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<v Speaker 2>a business finance economic show. A lot of folks who

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<v Speaker 2>listen are on Wall Street working on Wall Street, and

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<v Speaker 2>I gat this is a community that has been historically

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<v Speaker 2>at least resistant to talking with or confronting at these issues.

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<v Speaker 4>Absolutely, I think there's a high cost to acknowledging that

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<v Speaker 4>you need help. But we do see a lot of

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<v Speaker 4>people that are in very high stress jobs and this

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<v Speaker 4>becomes an outlet and it's very difficult then to ask

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<v Speaker 4>for help. We also know, too, if they have a

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<v Speaker 4>partner that's struggling, their own productivity is affected and that

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<v Speaker 4>can be very difficult too. These aren't the types of

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<v Speaker 4>things you might tell your colleague at work, or other

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<v Speaker 4>parents at the parent pick up. Oh, my wife's drinking

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<v Speaker 4>too much. These are things that are very painful to

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<v Speaker 4>hold and can be very consuming. So I think lastly,

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<v Speaker 4>one important thing I wanted to put out there is

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<v Speaker 4>we know that recovery is out there, There is hope,

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<v Speaker 4>there's a lot of joy in life, but not just

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<v Speaker 4>for the individual, but for the entire family system. We

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<v Speaker 4>have a whole program at Mountainside, particularly just for family

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<v Speaker 4>members that they don't have a substance use disorder diagnoses,

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<v Speaker 4>but they love someone that does, and it's been essential

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<v Speaker 4>to work with them from that lens of people that

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<v Speaker 4>specialize in this, that see them and see the disease

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<v Speaker 4>and want to be with them.

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<v Speaker 2>Well, thank you both for being here, really appreciate it.

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<v Speaker 2>That's Jenna Wous, senior clinician at Mountainside, doctor Manassahni joining

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<v Speaker 2>us as well, Director of Addiction Psychology at Northwell, a

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<v Speaker 2>practicing psychiatrist, and just noting again that the short film

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<v Speaker 2>is called No More Secrets Than It's going to make

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<v Speaker 2>its debut at Mountain Sides New York City Center at

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<v Speaker 2>six o'clock. It's about ten twelve minutes long. And would

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<v Speaker 2>catalyze a conversation like the one that we've had here,

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<v Speaker 2>just surrounding the issue of ad and recovery. This is

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