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55. Post antidepressant sexual dysfunction · Radically Genuine

• 0:01
  [sean]: welcome to
• 0:01
  [roger_mcfillin]: welcome
• 0:01
  [sean]: the radically
• 0:01
  [roger_mcfillin]: to the radically
• 0:02
  [sean]: genuine
• 0:02
  [roger_mcfillin]: genuine
• 0:02
  [sean]: podcast
• 0:03
  [roger_mcfillin]: podcast
• 0:04
  [sean]: you can
• 0:04
  [roger_mcfillin]: you
• 0:04
  [sean]: find
• 0:04
  [roger_mcfillin]: can
• 0:04
  [sean]: me
• 0:04
  [roger_mcfillin]: find
• 0:04
  [sean]: dr
• 0:05
  [roger_mcfillin]: me
• 0:05
  [sean]: roger mchlnon
• 0:05
  [roger_mcfillin]: roger
• 0:05
  [sean]: twitter
• 0:06
  [roger_mcfillin]: in on twitter
• 0:06
  [sean]: at dr
• 0:06
  [roger_mcfillin]: at
• 0:07
  [sean]: mcthillan
• 0:07
  [roger_mcfillin]: mcchillan
• 0:08
  [sean]: getting into some
• 0:08
  [roger_mcfillin]: getting
• 0:08
  [sean]: really
• 0:09
  [roger_mcfillin]: some
• 0:09
  [sean]: interesting
• 0:09
  [roger_mcfillin]: really interesting
• 0:09
  [sean]: conversations
• 0:10
  [roger_mcfillin]: conversations
• 0:10
  [sean]: on twitter
• 0:11
  [roger_mcfillin]: on twitter
• 0:11
  [sean]: and
• 0:12
  [roger_mcfillin]: and
• 0:12
  [sean]: the impact
• 0:12
  [roger_mcfillin]: the
• 0:12
  [sean]: of
• 0:12
  [roger_mcfillin]: impact
• 0:13
  [sean]: our
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  [roger_mcfillin]: of our
• 0:13
  [sean]: podcast
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  [roger_mcfillin]: podcast
• 0:14
  [sean]: is
• 0:14
  [roger_mcfillin]: is
• 0:15
  [sean]: somewhat far
• 0:15
  [roger_mcfillin]: somewhat
• 0:15
  [sean]: reaching
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  [roger_mcfillin]: far
• 0:15
  [sean]: at
• 0:16
  [roger_mcfillin]: reaching
• 0:16
  [sean]: this point
• 0:16
  [roger_mcfillin]: at this point
• 0:17
  [sean]: and one of the
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  [roger_mcfillin]: one of the
• 0:18
  [sean]: overarching
• 0:18
  [roger_mcfillin]: overarching
• 0:19
  [sean]: goals is
• 0:19
  [roger_mcfillin]: goals
• 0:19
  [sean]: to
• 0:19
  [roger_mcfillin]: is
• 0:19
  [sean]: promote
• 0:19
  [roger_mcfillin]: to promote
• 0:20
  [sean]: awareness
• 0:20
  [roger_mcfillin]: awareness
• 0:21
  [sean]: and attention
• 0:21
  [roger_mcfillin]: and attention
• 0:22
  [sean]: support informed
• 0:22
  [roger_mcfillin]: support
• 0:23
  [sean]: consent
• 0:23
  [roger_mcfillin]: informed consent
• 0:23
  [sean]: whenever you're
• 0:24
  [roger_mcfillin]: whenever
• 0:24
  [sean]: taking
• 0:24
  [roger_mcfillin]: you're
• 0:24
  [sean]: any
• 0:24
  [roger_mcfillin]: taking
• 0:24
  [sean]: farmasuticale
• 0:25
  [roger_mcfillin]: any farm suiticle
• 0:26
  [sean]: had a
• 0:26
  [roger_mcfillin]: had a
• 0:26
  [sean]: few
• 0:27
  [roger_mcfillin]: few
• 0:27
  [sean]: podcasts
• 0:27
  [roger_mcfillin]: podcasts
• 0:27
  [sean]: recently
• 0:28
  [roger_mcfillin]: recently
• 0:28
  [sean]: where we talked
• 0:28
  [roger_mcfillin]: where we
• 0:29
  [sean]: about
• 0:29
  [roger_mcfillin]: talked
• 0:29
  [sean]: some
• 0:29
  [roger_mcfillin]: about
• 0:29
  [sean]: of the
• 0:29
  [roger_mcfillin]: some of the
• 0:30
  [sean]: dubious
• 0:30
  [roger_mcfillin]: dubious
• 0:31
  [sean]: and fraudulent
• 0:31
  [roger_mcfillin]: and fraudulent
• 0:33
  [sean]: marketing
• 0:33
  [roger_mcfillin]: marketing
• 0:33
  [sean]: tactics
• 0:34
  [roger_mcfillin]: tactics
• 0:34
  [sean]: of the
• 0:34
  [roger_mcfillin]: of
• 0:34
  [sean]: pharmasutical
• 0:35
  [roger_mcfillin]: the pharmasutical
• 0:35
  [sean]: industry
• 0:35
  [roger_mcfillin]: industry
• 0:36
  [sean]: and how
• 0:36
  [roger_mcfillin]: and
• 0:36
  [sean]: many
• 0:36
  [roger_mcfillin]: how many
• 0:37
  [sean]: clients
• 0:37
  [roger_mcfillin]: clients
• 0:38
  [sean]: who have been
• 0:38
  [roger_mcfillin]: who have
• 0:38
  [sean]: taking
• 0:38
  [roger_mcfillin]: been
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  [sean]: certain
• 0:39
  [roger_mcfillin]: taking
• 0:39
  [sean]: drugs
• 0:39
  [roger_mcfillin]: certain
• 0:39
  [sean]: are
• 0:39
  [roger_mcfillin]: drugs are
• 0:40
  [sean]: assuming
• 0:40
  [roger_mcfillin]: assuming
• 0:40
  [sean]: that
• 0:41
  [roger_mcfillin]: that
• 0:41
  [sean]: there is strong
• 0:41
  [roger_mcfillin]: there is
• 0:42
  [sean]: efficacy
• 0:42
  [roger_mcfillin]: strong efficacy
• 0:42
  [sean]: and safety
• 0:43
  [roger_mcfillin]: and
• 0:43
  [sean]: for
• 0:43
  [roger_mcfillin]: safety
• 0:43
  [sean]: the drugs
• 0:43
  [roger_mcfillin]: for
• 0:43
  [sean]: that
• 0:43
  [roger_mcfillin]: the
• 0:43
  [sean]: they're
• 0:44
  [roger_mcfillin]: drugs that
• 0:44
  [sean]: taking
• 0:44
  [roger_mcfillin]: they're taking
• 0:44
  [sean]: without
• 0:45
  [roger_mcfillin]: without
• 0:45
  [sean]: ing
• 0:45
  [roger_mcfillin]: in
• 0:46
  [sean]: much of a background
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  [roger_mcfillin]: much of a background
• 0:46
  [sean]: information
• 0:47
  [roger_mcfillin]: information
• 0:47
  [sean]: on how
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  [roger_mcfillin]: on
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  [sean]: these drugs
• 0:48
  [roger_mcfillin]: how these drugs
• 0:48
  [sean]: came to
• 0:49
  [roger_mcfillin]: came
• 0:49
  [sean]: market
• 0:49
  [roger_mcfillin]: to market
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  [sean]: and
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  [roger_mcfillin]: and
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  [sean]: some of the
• 0:51
  [roger_mcfillin]: some
• 0:51
  [sean]: adverse
• 0:51
  [roger_mcfillin]: of the adverse
• 0:52
  [sean]: consequences
• 0:52
  [roger_mcfillin]: consequences
• 0:53
  [sean]: of these drugs
• 0:53
  [roger_mcfillin]: of these drugs
• 0:55
  [sean]: so i do
• 0:55
  [roger_mcfillin]: i do
• 0:56
  [sean]: certainly
• 0:56
  [roger_mcfillin]: certainly
• 0:56
  [sean]: want
• 0:56
  [roger_mcfillin]: want
• 0:57
  [sean]: our audience
• 0:57
  [roger_mcfillin]: our audience
• 0:58
  [sean]: to kind
• 0:58
  [roger_mcfillin]: to
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  [sean]: of go
• 0:58
  [roger_mcfillin]: kind
• 0:58
  [sean]: back
• 0:59
  [roger_mcfillin]: of
• 0:59
  [sean]: and
• 0:59
  [roger_mcfillin]: go back
• 0:59
  [sean]: listen
• 0:59
  [roger_mcfillin]: and
• 0:59
  [sean]: to
• 0:59
  [roger_mcfillin]: listen
• 0:59
  [sean]: the
• 1:00
  [roger_mcfillin]: to the
• 1:00
  [sean]: couple of our
• 1:00
  [roger_mcfillin]: couple
• 1:00
  [sean]: previous
• 1:00
  [roger_mcfillin]: of our previous
• 1:01
  [sean]: podcasts
• 1:01
  [roger_mcfillin]: podcasts
• 1:03
  [sean]: where we
• 1:03
  [roger_mcfillin]: where we
• 1:04
  [sean]: high lighted
• 1:04
  [roger_mcfillin]: high
• 1:04
  [sean]: some
• 1:04
  [roger_mcfillin]: lighted
• 1:04
  [sean]: of this
• 1:05
  [roger_mcfillin]: some
• 1:05
  [sean]: issue
• 1:05
  [roger_mcfillin]: of this issue
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  [sean]: but one of the
• 1:06
  [roger_mcfillin]: but
• 1:06
  [sean]: things
• 1:06
  [roger_mcfillin]: one
• 1:06
  [sean]: has
• 1:06
  [roger_mcfillin]: of
• 1:06
  [sean]: been
• 1:06
  [roger_mcfillin]: the things has
• 1:07
  [sean]: brought
• 1:07
  [roger_mcfillin]: been
• 1:07
  [sean]: to my
• 1:07
  [roger_mcfillin]: brought
• 1:07
  [sean]: attention
• 1:07
  [roger_mcfillin]: to my attention
• 1:08
  [sean]: and i've been
• 1:09
  [roger_mcfillin]: and i've
• 1:09
  [sean]: to be
• 1:09
  [roger_mcfillin]: been
• 1:09
  [sean]: honest
• 1:09
  [roger_mcfillin]: to
• 1:09
  [sean]: i've
• 1:09
  [roger_mcfillin]: be
• 1:09
  [sean]: been
• 1:10
  [roger_mcfillin]: honest
• 1:10
  [sean]: a
• 1:10
  [roger_mcfillin]: i've
• 1:10
  [sean]: bit
• 1:10
  [roger_mcfillin]: been a
• 1:10
  [sean]: hesitant
• 1:10
  [roger_mcfillin]: bit hesitant
• 1:11
  [sean]: to
• 1:11
  [roger_mcfillin]: to
• 1:11
  [sean]: go in this
• 1:12
  [roger_mcfillin]: go
• 1:12
  [sean]: direction
• 1:12
  [roger_mcfillin]: in this direction
• 1:12
  [sean]: on our podcast
• 1:13
  [roger_mcfillin]: on our podcast
• 1:13
  [sean]: because i just
• 1:14
  [roger_mcfillin]: because i
• 1:14
  [sean]: needed
• 1:14
  [roger_mcfillin]: just
• 1:14
  [sean]: more
• 1:14
  [roger_mcfillin]: needed more
• 1:15
  [sean]: information
• 1:15
  [roger_mcfillin]: information
• 1:16
  [sean]: and
• 1:17
  [roger_mcfillin]: and
• 1:18
  [sean]: luckily
• 1:18
  [roger_mcfillin]: luckily
• 1:19
  [sean]: i've
• 1:20
  [roger_mcfillin]: i've
• 1:20
  [sean]: a couple people
• 1:20
  [roger_mcfillin]: a couple
• 1:20
  [sean]: have reached
• 1:21
  [roger_mcfillin]: of people have
• 1:21
  [sean]: out
• 1:21
  [roger_mcfillin]: reached
• 1:21
  [sean]: to me
• 1:21
  [roger_mcfillin]: out to
• 1:22
  [sean]: to
• 1:22
  [roger_mcfillin]: me
• 1:22
  [sean]: talk
• 1:22
  [roger_mcfillin]: to talk
• 1:22
  [sean]: more about
• 1:22
  [roger_mcfillin]: more
• 1:23
  [sean]: a specific
• 1:23
  [roger_mcfillin]: about a specific
• 1:23
  [sean]: issue
• 1:24
  [roger_mcfillin]: issue
• 1:24
  [sean]: it's an
• 1:25
  [roger_mcfillin]: it's
• 1:25
  [sean]: adverse
• 1:25
  [roger_mcfillin]: an adverse
• 1:25
  [sean]: reaction
• 1:26
  [roger_mcfillin]: reaction
• 1:26
  [sean]: to
• 1:27
  [roger_mcfillin]: to
• 1:27
  [sean]: commonly
• 1:28
  [roger_mcfillin]: commonly
• 1:28
  [sean]: prescribed
• 1:28
  [roger_mcfillin]: prescribed
• 1:28
  [sean]: anti depressince
• 1:29
  [roger_mcfillin]: anti depressence
• 1:30
  [sean]: s s
• 1:30
  [roger_mcfillin]: s
• 1:30
  [sean]: r
• 1:30
  [roger_mcfillin]: s r
• 1:31
  [sean]: s
• 1:31
  [roger_mcfillin]: s
• 1:33
  [sean]: s n r
• 1:33
  [roger_mcfillin]: nrizednselective
• 1:33
  [sean]: s what's an s n r selective nor apenefrin
• 1:38
  [roger_mcfillin]: nor apeneffrreuptake
• 1:39
  [sean]: re uptake inhibit
• 1:41
  [roger_mcfillin]: in
• 1:41
  [sean]: similar
• 1:42
  [roger_mcfillin]: similar
• 1:42
  [sean]: in terms of n s s s s r i in terms of what they're
• 1:45
  [roger_mcfillin]: what there
• 1:46
  [sean]: intended
• 1:46
  [roger_mcfillin]: intended
• 1:46
  [sean]: to use this
• 1:46
  [roger_mcfillin]: to
• 1:47
  [sean]: for
• 1:47
  [roger_mcfillin]: for
• 1:47
  [sean]: well the
• 1:48
  [roger_mcfillin]: well the
• 1:48
  [sean]: targeting
• 1:49
  [roger_mcfillin]: targeting
• 1:49
  [sean]: specific
• 1:49
  [roger_mcfillin]: specific
• 1:51
  [sean]: nero chemicals
• 1:51
  [roger_mcfillin]: nero chemicals
• 1:52
  [sean]: by
• 1:52
  [roger_mcfillin]: by
• 1:53
  [sean]: preventing
• 1:53
  [yassie_pirani]: yah
• 1:53
  [sean]: the
• 1:53
  [roger_mcfillin]: preventing
• 1:53
  [sean]: re uptake
• 1:54
  [roger_mcfillin]: the re uptake
• 1:54
  [sean]: in the cell
• 1:54
  [roger_mcfillin]: in the
• 1:54
  [sean]: and then
• 1:55
  [roger_mcfillin]: cell
• 1:55
  [sean]: flooding
• 1:55
  [roger_mcfillin]: and and flooding
• 1:55
  [sean]: the the nerves
• 1:57
  [roger_mcfillin]: the nervssinaps
• 1:57
  [sean]: an apse with that
• 1:58
  [roger_mcfillin]: with that
• 1:59
  [sean]: and so
• 1:59
  [roger_mcfillin]: and so
• 2:00
  [sean]: these two drugs
• 2:00
  [roger_mcfillin]: these two drugs
• 2:01
  [sean]: i mean those two
• 2:01
  [roger_mcfillin]: those
• 2:02
  [sean]: classes
• 2:02
  [roger_mcfillin]: two classes
• 2:02
  [sean]: of dogs
• 2:02
  [roger_mcfillin]: of
• 2:02
  [sean]: are
• 2:02
  [roger_mcfillin]: drugs
• 2:03
  [sean]: the most
• 2:03
  [roger_mcfillin]: are
• 2:03
  [sean]: commonly
• 2:03
  [roger_mcfillin]: the most commonly
• 2:04
  [sean]: prescribed
• 2:04
  [roger_mcfillin]: prescribed
• 2:04
  [sean]: to anti depressant
• 2:05
  [roger_mcfillin]: anti depressing
• 2:06
  [sean]: and we know
• 2:06
  [roger_mcfillin]: and we
• 2:07
  [sean]: that
• 2:07
  [roger_mcfillin]: know
• 2:07
  [sean]: the conditions
• 2:07
  [roger_mcfillin]: that the conditions
• 2:07
  [sean]: in which
• 2:08
  [roger_mcfillin]: in which
• 2:09
  [sean]: these drugs
• 2:09
  [roger_mcfillin]: ese
• 2:09
  [sean]: are
• 2:09
  [roger_mcfillin]: drugs
• 2:09
  [sean]: prescribed
• 2:10
  [roger_mcfillin]: are prescribed
• 2:10
  [sean]: extend way
• 2:10
  [roger_mcfillin]: extend
• 2:11
  [sean]: beyond
• 2:11
  [roger_mcfillin]: way beyond
• 2:11
  [sean]: just somebody
• 2:12
  [roger_mcfillin]: just
• 2:12
  [sean]: in
• 2:12
  [roger_mcfillin]: somebody
• 2:12
  [sean]: a depressive
• 2:12
  [roger_mcfillin]: in a depressive
• 2:13
  [sean]: episode
• 2:13
  [roger_mcfillin]: episode
• 2:14
  [sean]: and so there
• 2:14
  [roger_mcfillin]: and so
• 2:15
  [sean]: is
• 2:15
  [roger_mcfillin]: there
• 2:15
  [sean]: a
• 2:15
  [roger_mcfillin]: is a
• 2:15
  [sean]: common
• 2:16
  [roger_mcfillin]: common
• 2:16
  [sean]: side effect
• 2:17
  [roger_mcfillin]: side effect
• 2:17
  [sean]: unfortunately
• 2:18
  [roger_mcfillin]: unfortunately
• 2:19
  [sean]: i'm not even going
• 2:19
  [roger_mcfillin]: i'm
• 2:19
  [sean]: to
• 2:19
  [roger_mcfillin]: not
• 2:19
  [sean]: call
• 2:20
  [roger_mcfillin]: even
• 2:20
  [sean]: it
• 2:20
  [roger_mcfillin]: going
• 2:20
  [sean]: a side
• 2:20
  [roger_mcfillin]: to call
• 2:20
  [sean]: effect
• 2:20
  [roger_mcfillin]: a side
• 2:20
  [sean]: i don't
• 2:20
  [roger_mcfillin]: effect
• 2:20
  [sean]: even think
• 2:21
  [roger_mcfillin]: i don't
• 2:21
  [sean]: that's
• 2:21
  [roger_mcfillin]: even think that's
• 2:21
  [sean]: fair to
• 2:21
  [roger_mcfillin]: fair
• 2:22
  [sean]: call it
• 2:22
  [roger_mcfillin]: to
• 2:22
  [sean]: a side
• 2:22
  [roger_mcfillin]: call
• 2:22
  [sean]: effect
• 2:22
  [roger_mcfillin]: the side
• 2:22
  [sean]: because
• 2:23
  [roger_mcfillin]: effect
• 2:23
  [sean]: it's
• 2:23
  [roger_mcfillin]: because
• 2:23
  [sean]: almost
• 2:23
  [roger_mcfillin]: it's
• 2:23
  [sean]: like
• 2:23
  [roger_mcfillin]: almost like
• 2:24
  [sean]: under the assumption
• 2:24
  [roger_mcfillin]: under the assumption
• 2:25
  [sean]: that these drugs
• 2:26
  [roger_mcfillin]: these drugs
• 2:26
  [sean]: are highly
• 2:27
  [roger_mcfillin]: are
• 2:27
  [sean]: effective
• 2:27
  [roger_mcfillin]: highly effective
• 2:27
  [sean]: and then here's
• 2:28
  [roger_mcfillin]: and then
• 2:28
  [sean]: a side
• 2:28
  [roger_mcfillin]: here's
• 2:28
  [sean]: effect
• 2:29
  [roger_mcfillin]: a side
• 2:29
  [sean]: you
• 2:29
  [roger_mcfillin]: effect
• 2:29
  [sean]: just have
• 2:29
  [roger_mcfillin]: you just
• 2:29
  [sean]: to
• 2:29
  [roger_mcfillin]: have
• 2:29
  [sean]: deal
• 2:30
  [roger_mcfillin]: to
• 2:30
  [sean]: with
• 2:30
  [roger_mcfillin]: deal
• 2:30
  [sean]: and
• 2:30
  [roger_mcfillin]: with and
• 2:30
  [sean]: you know
• 2:31
  [roger_mcfillin]: you know
• 2:31
  [sean]: not
• 2:31
  [roger_mcfillin]: i'm
• 2:31
  [sean]: so
• 2:31
  [roger_mcfillin]: not
• 2:31
  [sean]: certain
• 2:31
  [roger_mcfillin]: so
• 2:32
  [sean]: that
• 2:32
  [roger_mcfillin]: certain
• 2:32
  [sean]: we have
• 2:32
  [roger_mcfillin]: that
• 2:32
  [sean]: that
• 2:32
  [roger_mcfillin]: we
• 2:32
  [sean]: data
• 2:32
  [roger_mcfillin]: have that
• 2:33
  [sean]: or that
• 2:33
  [roger_mcfillin]: data
• 2:33
  [sean]: information
• 2:33
  [roger_mcfillin]: or that information
• 2:34
  [sean]: so instead
• 2:34
  [roger_mcfillin]: so
• 2:34
  [sean]: i'm
• 2:34
  [roger_mcfillin]: instead
• 2:34
  [sean]: going to call
• 2:35
  [roger_mcfillin]: i'm going
• 2:35
  [sean]: it
• 2:35
  [roger_mcfillin]: to
• 2:35
  [sean]: an
• 2:35
  [roger_mcfillin]: call it
• 2:35
  [sean]: adverse
• 2:35
  [roger_mcfillin]: an adverse
• 2:36
  [sean]: effect
• 2:37
  [roger_mcfillin]: effect
• 2:37
  [sean]: or an adverse
• 2:37
  [roger_mcfillin]: or advert
• 2:38
  [sean]: consequence
• 2:38
  [roger_mcfillin]: consequence
• 2:38
  [sean]: to taking
• 2:39
  [roger_mcfillin]: to
• 2:39
  [sean]: the
• 2:39
  [roger_mcfillin]: taking
• 2:39
  [sean]: drug
• 2:39
  [roger_mcfillin]: the drug
• 2:40
  [sean]: and it's
• 2:40
  [roger_mcfillin]: and
• 2:40
  [sean]: around
• 2:40
  [roger_mcfillin]: it's
• 2:40
  [sean]: sexual
• 2:41
  [roger_mcfillin]: around
• 2:41
  [sean]: disfunction
• 2:41
  [roger_mcfillin]: sexual disfunction
• 2:42
  [sean]: we're going to get
• 2:42
  [roger_mcfillin]: we're
• 2:42
  [sean]: into
• 2:42
  [roger_mcfillin]: going to get into
• 2:43
  [sean]: the weeds
• 2:43
  [roger_mcfillin]: the
• 2:44
  [sean]: on
• 2:44
  [roger_mcfillin]: weeds
• 2:44
  [sean]: sexual
• 2:44
  [roger_mcfillin]: on sexual
• 2:44
  [sean]: disfunction
• 2:45
  [roger_mcfillin]: disfunction
• 2:45
  [sean]: it's it's disabling
• 2:46
  [roger_mcfillin]: it's disabling
• 2:47
  [sean]: it's impairing
• 2:47
  [roger_mcfillin]: it's impairing
• 2:48
  [sean]: and it's potentially
• 2:48
  [roger_mcfillin]: and it's potentially
• 2:49
  [sean]: could be something
• 2:50
  [roger_mcfillin]: be something
• 2:50
  [sean]: that
• 2:50
  [roger_mcfillin]: that
• 2:51
  [sean]: occurs
• 2:51
  [roger_mcfillin]: occurs
• 2:52
  [sean]: even after
• 2:52
  [roger_mcfillin]: even
• 2:52
  [sean]: you
• 2:52
  [roger_mcfillin]: after
• 2:52
  [sean]: stopped
• 2:53
  [roger_mcfillin]: you stop
• 2:53
  [sean]: the use of
• 2:53
  [roger_mcfillin]: the
• 2:53
  [sean]: the
• 2:53
  [roger_mcfillin]: use
• 2:53
  [sean]: drug
• 2:53
  [roger_mcfillin]: of the drug
• 2:54
  [sean]: yes so
• 2:55
  [roger_mcfillin]: so
• 2:55
  [sean]: on today's
• 2:55
  [roger_mcfillin]: on
• 2:56
  [sean]: podcast
• 2:56
  [roger_mcfillin]: today's podcast
• 2:56
  [sean]: i want to
• 2:57
  [roger_mcfillin]: i
• 2:57
  [sean]: welcome
• 2:57
  [roger_mcfillin]: want to welcome
• 2:58
  [sean]: two
• 2:58
  [roger_mcfillin]: two
• 2:59
  [sean]: advocates
• 2:59
  [roger_mcfillin]: advocates
• 3:00
  [sean]: who are
• 3:00
  [roger_mcfillin]: who
• 3:00
  [sean]: supporting
• 3:01
  [roger_mcfillin]: are supporting
• 3:01
  [sean]: awareness
• 3:01
  [roger_mcfillin]: awareness
• 3:02
  [sean]: in this
• 3:02
  [roger_mcfillin]: in this
• 3:03
  [sean]: research
• 3:03
  [roger_mcfillin]: research
• 3:03
  [sean]: is this
• 3:03
  [roger_mcfillin]: this
• 3:03
  [sean]: area
• 3:04
  [roger_mcfillin]: this
• 3:04
  [sean]: that
• 3:04
  [roger_mcfillin]: area that
• 3:04
  [sean]: highly
• 3:05
  [roger_mcfillin]: highly
• 3:05
  [sean]: requires
• 3:05
  [roger_mcfillin]: requires
• 3:05
  [sean]: more research
• 3:06
  [roger_mcfillin]: more research
• 3:07
  [sean]: first is
• 3:07
  [roger_mcfillin]: it
• 3:07
  [sean]: emily
• 3:07
  [roger_mcfillin]: is
• 3:08
  [sean]: grey
• 3:08
  [roger_mcfillin]: emily
• 3:08
  [sean]: she
• 3:08
  [roger_mcfillin]: gran
• 3:08
  [sean]: is
• 3:08
  [roger_mcfillin]: she
• 3:08
  [sean]: a medical
• 3:09
  [roger_mcfillin]: is a medical
• 3:09
  [sean]: at
• 3:09
  [roger_mcfillin]: attis
• 3:10
  [sean]: this using her
• 3:10
  [roger_mcfillin]: using
• 3:11
  [sean]: on
• 3:11
  [roger_mcfillin]: her
• 3:11
  [sean]: going personal
• 3:11
  [roger_mcfillin]: going personal
• 3:12
  [sean]: experience
• 3:12
  [roger_mcfillin]: experience
• 3:12
  [sean]: of p
• 3:13
  [roger_mcfillin]: of p
• 3:13
  [sean]: s s
• 3:13
  [roger_mcfillin]: s
• 3:13
  [sean]: d
• 3:13
  [roger_mcfillin]: s t
• 3:14
  [sean]: that is post
• 3:14
  [roger_mcfillin]: that is post
• 3:15
  [sean]: s s r
• 3:15
  [roger_mcfillin]: s
• 3:15
  [sean]: i
• 3:15
  [roger_mcfillin]: s r i
• 3:16
  [sean]: sexual dis
• 3:17
  [roger_mcfillin]: sexual
• 3:17
  [sean]: function
• 3:17
  [roger_mcfillin]: dis
• 3:17
  [sean]: so
• 3:17
  [roger_mcfillin]: function
• 3:17
  [sean]: we're going
• 3:17
  [roger_mcfillin]: so
• 3:17
  [sean]: to
• 3:17
  [roger_mcfillin]: we're
• 3:18
  [sean]: use
• 3:18
  [roger_mcfillin]: going to use
• 3:18
  [emily_]: hm
• 3:18
  [sean]: p
• 3:19
  [roger_mcfillin]: p
• 3:19
  [sean]: s s
• 3:19
  [roger_mcfillin]: s
• 3:19
  [sean]: d
• 3:20
  [roger_mcfillin]: s d
• 3:20
  [sean]: today
• 3:20
  [roger_mcfillin]: today
• 3:21
  [sean]: her goal is
• 3:21
  [roger_mcfillin]: her
• 3:21
  [sean]: to
• 3:22
  [roger_mcfillin]: goals
• 3:22
  [sean]: raise awareness
• 3:22
  [roger_mcfillin]: to raise
• 3:22
  [sean]: of
• 3:22
  [roger_mcfillin]: awareness
• 3:22
  [sean]: the disorder
• 3:23
  [roger_mcfillin]: of the disorder
• 3:23
  [sean]: among
• 3:24
  [roger_mcfillin]: among
• 3:24
  [sean]: health care
• 3:24
  [roger_mcfillin]: health
• 3:24
  [sean]: professionals
• 3:25
  [roger_mcfillin]: care professionals
• 3:25
  [sean]: and the gray
• 3:26
  [roger_mcfillin]: and the
• 3:26
  [sean]: public
• 3:26
  [roger_mcfillin]: greater public
• 3:27
  [sean]: she is one
• 3:27
  [roger_mcfillin]: she
• 3:27
  [sean]: of
• 3:27
  [roger_mcfillin]: is
• 3:27
  [sean]: the founders
• 3:27
  [roger_mcfillin]: one of the founders
• 3:28
  [sean]: of the registered
• 3:28
  [roger_mcfillin]: of the registered
• 3:29
  [sean]: non profit
• 3:29
  [roger_mcfillin]: non profit
• 3:30
  [sean]: canadian
• 3:31
  [roger_mcfillin]: canadian
• 3:31
  [sean]: post
• 3:31
  [roger_mcfillin]: post
• 3:31
  [sean]: s s
• 3:32
  [roger_mcfillin]: s
• 3:32
  [sean]: r
• 3:32
  [roger_mcfillin]: s
• 3:32
  [sean]: i sexual
• 3:32
  [roger_mcfillin]: r i sexual
• 3:33
  [sean]: function
• 3:33
  [roger_mcfillin]: dis function
• 3:33
  [sean]: society
• 3:34
  [roger_mcfillin]: society
• 3:35
  [sean]: she is
• 3:35
  [roger_mcfillin]: she
• 3:35
  [sean]: net
• 3:35
  [roger_mcfillin]: is
• 3:35
  [sean]: working
• 3:35
  [roger_mcfillin]: net
• 3:36
  [sean]: with
• 3:36
  [roger_mcfillin]: working
• 3:36
  [sean]: p
• 3:36
  [roger_mcfillin]: with
• 3:36
  [sean]: s
• 3:36
  [roger_mcfillin]: p
• 3:36
  [sean]: s d
• 3:37
  [roger_mcfillin]: s s d
• 3:38
  [sean]: survivors
• 3:38
  [roger_mcfillin]: survivors
• 3:38
  [sean]: and sufferers
• 3:39
  [roger_mcfillin]: and sufferers
• 3:39
  [sean]: around the
• 3:40
  [roger_mcfillin]: around
• 3:40
  [sean]: world
• 3:40
  [roger_mcfillin]: the
• 3:40
  [sean]: and
• 3:40
  [roger_mcfillin]: world
• 3:40
  [sean]: is
• 3:40
  [roger_mcfillin]: and is
• 3:41
  [sean]: working with
• 3:41
  [roger_mcfillin]: working
• 3:41
  [sean]: researchers
• 3:41
  [roger_mcfillin]: with researchers
• 3:42
  [sean]: at qu
• 3:42
  [roger_mcfillin]: at
• 3:42
  [sean]: university
• 3:42
  [roger_mcfillin]: queen's university
• 3:43
  [sean]: and the university
• 3:44
  [roger_mcfillin]: and university
• 3:44
  [sean]: of autoa
• 3:44
  [roger_mcfillin]: of autoa
• 3:45
  [sean]: to acquire
• 3:45
  [roger_mcfillin]: to acquire
• 3:45
  [sean]: more information
• 3:46
  [roger_mcfillin]: more information
• 3:47
  [sean]: about
• 3:47
  [roger_mcfillin]: about
• 3:47
  [sean]: this
• 3:47
  [roger_mcfillin]: this
• 3:47
  [sean]: understudied
• 3:48
  [roger_mcfillin]: under studied
• 3:49
  [sean]: condition
• 3:49
  [roger_mcfillin]: condition
• 3:49
  [sean]: emily
• 3:50
  [roger_mcfillin]: emily
• 3:50
  [sean]: welcome
• 3:51
  [roger_mcfillin]: welcome
• 3:51
  [sean]: to the
• 3:51
  [roger_mcfillin]: to
• 3:51
  [sean]: radically
• 3:52
  [roger_mcfillin]: the radically
• 3:52
  [sean]: genuine
• 3:52
  [roger_mcfillin]: genuine
• 3:52
  [sean]: podcast
• 3:53
  [roger_mcfillin]: podcast
• 3:54
  [emily_]: you very much drmchilland i'm glad to be here
• 3:57
  [sean]: before we
• 3:58
  [roger_mcfillin]: before
• 3:58
  [sean]: get to
• 3:58
  [roger_mcfillin]: we
• 3:58
  [sean]: you
• 3:58
  [roger_mcfillin]: get
• 3:58
  [sean]: i also want
• 3:59
  [roger_mcfillin]: i also
• 3:59
  [sean]: to introduce
• 3:59
  [roger_mcfillin]: want to introduce
• 4:00
  [sean]: yaziprprani
• 4:00
  [roger_mcfillin]: yazipapprani
• 4:02
  [sean]: is a tramatherapist
• 4:02
  [roger_mcfillin]: is a tramatherapist
• 4:03
  [sean]: based in vancouver
• 4:04
  [roger_mcfillin]: based in vancouver
• 4:05
  [sean]: yasi is
• 4:06
  [roger_mcfillin]: yaziis
• 4:06
  [sean]: a register
• 4:06
  [roger_mcfillin]: a
• 4:06
  [sean]: clinical
• 4:06
  [roger_mcfillin]: register
• 4:06
  [sean]: councilor
• 4:06
  [roger_mcfillin]: clinical
• 4:07
  [sean]: with
• 4:07
  [roger_mcfillin]: councillor
• 4:07
  [sean]: the b
• 4:07
  [roger_mcfillin]: with
• 4:07
  [sean]: c
• 4:07
  [roger_mcfillin]: the
• 4:07
  [sean]: association
• 4:07
  [roger_mcfillin]: b c association
• 4:08
  [sean]: of clinical
• 4:08
  [roger_mcfillin]: of
• 4:08
  [sean]: councillors
• 4:08
  [roger_mcfillin]: clinical councilor
• 4:09
  [sean]: and a registered
• 4:09
  [roger_mcfillin]: and a registered
• 4:10
  [sean]: social worker
• 4:10
  [roger_mcfillin]: social
• 4:10
  [sean]: with the
• 4:10
  [roger_mcfillin]: worker
• 4:11
  [sean]: b
• 4:11
  [roger_mcfillin]: with
• 4:11
  [sean]: c
• 4:11
  [roger_mcfillin]: the b
• 4:11
  [sean]: college
• 4:11
  [roger_mcfillin]: c
• 4:11
  [sean]: of
• 4:11
  [roger_mcfillin]: college
• 4:12
  [sean]: social
• 4:12
  [roger_mcfillin]: of
• 4:12
  [sean]: workers
• 4:12
  [roger_mcfillin]: social workers
• 4:13
  [sean]: she works
• 4:13
  [roger_mcfillin]: she
• 4:13
  [sean]: with
• 4:13
  [roger_mcfillin]: works
• 4:14
  [sean]: people
• 4:14
  [roger_mcfillin]: with people
• 4:14
  [sean]: throughout the
• 4:14
  [roger_mcfillin]: throughout the
• 4:15
  [sean]: province
• 4:15
  [roger_mcfillin]: province
• 4:16
  [sean]: of
• 4:16
  [roger_mcfillin]: of
• 4:16
  [sean]: british columbia
• 4:16
  [roger_mcfillin]: british columbia
• 4:17
  [sean]: canada
• 4:18
  [emily_]: yeah
• 4:18
  [roger_mcfillin]: canada
• 4:18
  [sean]: show an you've never been
• 4:18
  [roger_mcfillin]: an you've
• 4:18
  [sean]: to
• 4:18
  [roger_mcfillin]: never been
• 4:18
  [sean]: british
• 4:19
  [roger_mcfillin]: the
• 4:19
  [sean]: columbia
• 4:19
  [roger_mcfillin]: french columbia
• 4:19
  [sean]: multiple times
• 4:20
  [roger_mcfillin]: multiple
• 4:20
  [sean]: beautiful
• 4:20
  [roger_mcfillin]: beautiful
• 4:20
  [sean]: area
• 4:21
  [roger_mcfillin]: area
• 4:21
  [sean]: i love vancouver it is probably my favorite
• 4:24
  [roger_mcfillin]: favorite
• 4:24
  [sean]: destination
• 4:25
  [roger_mcfillin]: estin
• 4:25
  [sean]: i
• 4:25
  [roger_mcfillin]: and
• 4:25
  [sean]: was there
• 4:26
  [roger_mcfillin]: i was there
• 4:26
  [sean]: doing multiple
• 4:27
  [roger_mcfillin]: in
• 4:27
  [sean]: advertising
• 4:28
  [roger_mcfillin]: advertising
• 4:28
  [sean]: commercial shoots
• 4:28
  [roger_mcfillin]: comical she
• 4:29
  [sean]: and i just fell in
• 4:29
  [roger_mcfillin]: just
• 4:30
  [sean]: love with
• 4:30
  [roger_mcfillin]: fell
• 4:30
  [sean]: the city so in her
• 4:31
  [roger_mcfillin]: so
• 4:32
  [sean]: range
• 4:32
  [roger_mcfillin]: in her range
• 4:32
  [sean]: of
• 4:32
  [roger_mcfillin]: of
• 4:33
  [sean]: sexual and
• 4:33
  [roger_mcfillin]: sexual
• 4:33
  [sean]: reproductive
• 4:33
  [roger_mcfillin]: and reproductive
• 4:33
  [sean]: health concerns
• 4:34
  [roger_mcfillin]: health concerns
• 4:34
  [sean]: amongst
• 4:35
  [roger_mcfillin]: amongst
• 4:35
  [sean]: areas of her
• 4:35
  [roger_mcfillin]: areas
• 4:35
  [sean]: specialty
• 4:36
  [roger_mcfillin]: of specialty
• 4:36
  [sean]: she's worked
• 4:37
  [roger_mcfillin]: she's
• 4:37
  [sean]: many
• 4:37
  [roger_mcfillin]: worked
• 4:37
  [sean]: years
• 4:37
  [roger_mcfillin]: many years
• 4:38
  [sean]: in the areas
• 4:38
  [roger_mcfillin]: in the
• 4:38
  [sean]: of
• 4:38
  [roger_mcfillin]: areas
• 4:38
  [sean]: sexual
• 4:39
  [roger_mcfillin]: of
• 4:39
  [sean]: and
• 4:39
  [roger_mcfillin]: sexual
• 4:39
  [sean]: mental
• 4:39
  [roger_mcfillin]: and
• 4:39
  [sean]: health
• 4:39
  [roger_mcfillin]: mental
• 4:39
  [sean]: and
• 4:40
  [roger_mcfillin]: health
• 4:40
  [sean]: works from
• 4:40
  [roger_mcfillin]: and
• 4:40
  [sean]: a
• 4:40
  [roger_mcfillin]: works
• 4:40
  [sean]: tram
• 4:40
  [roger_mcfillin]: from
• 4:40
  [sean]: and
• 4:40
  [roger_mcfillin]: the tram
• 4:40
  [sean]: formed
• 4:41
  [roger_mcfillin]: and
• 4:41
  [sean]: anti
• 4:41
  [roger_mcfillin]: formed
• 4:41
  [sean]: oppressive
• 4:41
  [roger_mcfillin]: anti oppressive
• 4:41
  [sean]: and harm reduction
• 4:42
  [roger_mcfillin]: and harm reduction
• 4:42
  [sean]: approach
• 4:43
  [roger_mcfillin]: of pro
• 4:43
  [sean]: in her clinical
• 4:43
  [roger_mcfillin]: in her clinical
• 4:44
  [sean]: practice she
• 4:44
  [roger_mcfillin]: practice
• 4:44
  [sean]: specializes
• 4:44
  [roger_mcfillin]: she specializes
• 4:45
  [sean]: and supporting
• 4:45
  [roger_mcfillin]: and supporting
• 4:46
  [sean]: people who suffer
• 4:46
  [roger_mcfillin]: people who
• 4:46
  [sean]: from
• 4:46
  [roger_mcfillin]: suffer from
• 4:47
  [sean]: post
• 4:47
  [roger_mcfillin]: post
• 4:47
  [sean]: s s
• 4:48
  [roger_mcfillin]: s
• 4:48
  [sean]: r i
• 4:48
  [roger_mcfillin]: s
• 4:48
  [sean]: sexual
• 4:48
  [roger_mcfillin]: r i
• 4:49
  [sean]: disfunction
• 4:49
  [roger_mcfillin]: sexual dis function
• 4:50
  [sean]: her work with
• 4:50
  [roger_mcfillin]: her
• 4:50
  [sean]: the
• 4:50
  [roger_mcfillin]: work
• 4:50
  [sean]: p
• 4:50
  [roger_mcfillin]: with the
• 4:51
  [sean]: s
• 4:51
  [roger_mcfillin]: p
• 4:51
  [sean]: s
• 4:51
  [roger_mcfillin]: s
• 4:51
  [sean]: d
• 4:51
  [roger_mcfillin]: s
• 4:51
  [sean]: community
• 4:51
  [roger_mcfillin]: t community
• 4:52
  [sean]: uniquely
• 4:53
  [emily_]: yeah
• 4:53
  [roger_mcfillin]: uniquely
• 4:53
  [sean]: position
• 4:53
  [roger_mcfillin]: position
• 4:53
  [sean]: sort of educate
• 4:54
  [roger_mcfillin]: sort of
• 4:54
  [sean]: fellow
• 4:54
  [roger_mcfillin]: educate
• 4:54
  [sean]: health
• 4:54
  [roger_mcfillin]: fellow
• 4:54
  [sean]: care profess
• 4:55
  [roger_mcfillin]: health care
• 4:55
  [sean]: as
• 4:55
  [roger_mcfillin]: rofessionals
• 4:55
  [emily_]: yeah
• 4:55
  [sean]: in the public
• 4:56
  [roger_mcfillin]: and the public
• 4:56
  [sean]: on the real
• 4:57
  [roger_mcfillin]: on the real
• 4:58
  [sean]: impacts
• 4:58
  [roger_mcfillin]: impacts
• 4:58
  [sean]: of this disabling
• 4:59
  [roger_mcfillin]: of this disabling
• 4:59
  [sean]: condition
• 5:00
  [roger_mcfillin]: condition
• 5:01
  [sean]: i met with
• 5:01
  [roger_mcfillin]: i met
• 5:01
  [sean]: both
• 5:01
  [roger_mcfillin]: with both
• 5:02
  [sean]: yasi
• 5:02
  [roger_mcfillin]: yasi
• 5:03
  [sean]: and emily
• 5:03
  [roger_mcfillin]: and emily
• 5:04
  [sean]: before
• 5:04
  [roger_mcfillin]: before
• 5:04
  [sean]: this podcast
• 5:05
  [roger_mcfillin]: this podcast
• 5:05
  [sean]: just for
• 5:05
  [roger_mcfillin]: just for
• 5:06
  [sean]: a bit of a
• 5:06
  [roger_mcfillin]: a
• 5:06
  [sean]: pre
• 5:07
  [roger_mcfillin]: bit
• 5:07
  [sean]: dis
• 5:07
  [roger_mcfillin]: of a
• 5:07
  [sean]: cession
• 5:07
  [roger_mcfillin]: discussion
• 5:07
  [sean]: and they are
• 5:08
  [roger_mcfillin]: they're
• 5:08
  [sean]: both extremely
• 5:09
  [roger_mcfillin]: extremely
• 5:09
  [sean]: knowledgeable
• 5:10
  [roger_mcfillin]: knowledgeable
• 5:10
  [sean]: very
• 5:11
  [roger_mcfillin]: very
• 5:11
  [sean]: passionate
• 5:11
  [roger_mcfillin]: passionate
• 5:13
  [sean]: as welcome
• 5:13
  [roger_mcfillin]: as you
• 5:13
  [sean]: to
• 5:13
  [roger_mcfillin]: welcome
• 5:13
  [sean]: the radically
• 5:14
  [roger_mcfillin]: to the
• 5:14
  [sean]: genuine
• 5:14
  [roger_mcfillin]: radically
• 5:14
  [sean]: podcast
• 5:14
  [roger_mcfillin]: genuine podcast
• 5:15
  [yassie_pirani]: thank you so much it's great to be here
• 5:18
  [sean]: so let's just
• 5:19
  [roger_mcfillin]: so
• 5:19
  [sean]: start
• 5:19
  [roger_mcfillin]: let's
• 5:19
  [sean]: with
• 5:19
  [roger_mcfillin]: just start
• 5:19
  [sean]: emily
• 5:19
  [roger_mcfillin]: with emily
• 5:20
  [sean]: i think
• 5:20
  [roger_mcfillin]: i think
• 5:22
  [sean]: the expected
• 5:22
  [roger_mcfillin]: expected
• 5:23
  [sean]: place to
• 5:23
  [roger_mcfillin]: place
• 5:23
  [sean]: start
• 5:23
  [roger_mcfillin]: to
• 5:23
  [sean]: emily
• 5:23
  [roger_mcfillin]: start
• 5:24
  [sean]: if you're
• 5:24
  [roger_mcfillin]: emily
• 5:24
  [sean]: willing
• 5:24
  [roger_mcfillin]: if you're willing
• 5:24
  [sean]: is just
• 5:25
  [roger_mcfillin]: is
• 5:25
  [sean]: to share
• 5:25
  [roger_mcfillin]: just to
• 5:25
  [sean]: your
• 5:25
  [roger_mcfillin]: share
• 5:26
  [sean]: story
• 5:26
  [roger_mcfillin]: your story
• 5:26
  [sean]: and talk
• 5:27
  [roger_mcfillin]: and
• 5:27
  [sean]: about
• 5:27
  [roger_mcfillin]: talk
• 5:27
  [sean]: your
• 5:27
  [roger_mcfillin]: about your
• 5:28
  [sean]: journey
• 5:28
  [roger_mcfillin]: journey
• 5:28
  [sean]: and what you
• 5:29
  [roger_mcfillin]: what
• 5:29
  [sean]: went
• 5:29
  [roger_mcfillin]: you
• 5:29
  [sean]: through
• 5:29
  [roger_mcfillin]: went
• 5:30
  [sean]: to
• 5:30
  [roger_mcfillin]: through
• 5:30
  [sean]: get
• 5:30
  [roger_mcfillin]: to
• 5:30
  [sean]: to this
• 5:30
  [roger_mcfillin]: get
• 5:30
  [sean]: place
• 5:30
  [roger_mcfillin]: to this
• 5:31
  [sean]: in
• 5:31
  [roger_mcfillin]: place
• 5:31
  [sean]: your career
• 5:31
  [roger_mcfillin]: in your career
• 5:33
  [emily_]: sure so when i was a teen ager as many many teenagers do i suffered
• 5:39
  [emily_]: from various what we might call mental health problems but could so just be called
• 5:46
  [emily_]: growing
• 5:46
  [roger_mcfillin]: i
• 5:46
  [emily_]: up you know
• 5:47
  [roger_mcfillin]: yeah
• 5:47
  [emily_]: i often suffered from low moods
• 5:49
  [roger_mcfillin]: ah
• 5:50
  [emily_]: i also struggled with body image i had an eating disorder which caused me some
• 5:54
  [emily_]: health issues for a little over
• 5:56
  [roger_mcfillin]: an
• 5:56
  [emily_]: a year um and when i was seventeen years old at the recommendation of someifriends
• 6:02
  [emily_]: of the family my parents took me to talk to a psychiatrist and it was
• 6:07
  [emily_]: a very kind of come table nonchalant encounter i didn't have any negative experience with
• 6:12
  [emily_]: the psychiatrist but she recommended that i try s s
• 6:16
  [roger_mcfillin]: yeah
• 6:16
  [emily_]: r and see if that improved my my mental health you know i was just
• 6:22
  [emily_]: about to be heading off to college she thought it would kind of help ease
• 6:25
  [emily_]: the transition um and it was treated as something very very normal and very very
• 6:32
  [emily_]: safe so i started on the s s rise and i did feel a perceived
• 6:38
  [emily_]: reduction in my symptoms the s s r i was on was sitalapram and i
• 6:43
  [emily_]: was on at thirty mile rams a day which is a very moderate normal dose
• 6:48
  [emily_]: for an s s r
• 6:49
  [sean]: let me ask you a
• 6:50
  [emily_]: yeah
• 6:50
  [sean]: question
• 6:50
  [roger_mcfillin]: ask you
• 6:50
  [sean]: so
• 6:50
  [roger_mcfillin]: a question
• 6:50
  [sean]: you
• 6:50
  [roger_mcfillin]: so
• 6:50
  [sean]: initially
• 6:51
  [roger_mcfillin]: you initially
• 6:52
  [sean]: experienced
• 6:52
  [roger_mcfillin]: experienced
• 6:52
  [sean]: a reduction
• 6:53
  [roger_mcfillin]: a reduction
• 6:54
  [sean]: in what you
• 6:54
  [roger_mcfillin]: in what you
• 6:54
  [sean]: identified
• 6:55
  [roger_mcfillin]: identified
• 6:55
  [sean]: as symptoms
• 6:55
  [roger_mcfillin]: as symptoms
• 6:55
  [sean]: what were the
• 6:56
  [roger_mcfillin]: what
• 6:56
  [sean]: reduction
• 6:56
  [roger_mcfillin]: with the reduction
• 6:57
  [sean]: of
• 6:57
  [roger_mcfillin]: of
• 6:57
  [sean]: symptoms that
• 6:57
  [roger_mcfillin]: symptoms
• 6:58
  [sean]: you did
• 6:58
  [roger_mcfillin]: that
• 6:58
  [sean]: experience
• 6:58
  [roger_mcfillin]: you did experience
• 6:58
  [sean]: initially
• 6:58
  [emily_]: i just
• 6:59
  [roger_mcfillin]: initially
• 6:59
  [emily_]: i felt calmer i found it easier to concentrate i felt less intense negative emotion
• 7:05
  [sean]: a
• 7:05
  [emily_]: so i would say her description of it smoothing the transition was accurate um
• 7:11
  [roger_mcfillin]: oh
• 7:12
  [emily_]: m but i
• 7:14
  [roger_mcfillin]: yeah
• 7:14
  [emily_]: i stayed on it for several years during my college years and i kept kind
• 7:19
  [emily_]: of thinking well
• 7:20
  [roger_mcfillin]: yeah
• 7:20
  [emily_]: i should go off at some
• 7:20
  [roger_mcfillin]: ye
• 7:21
  [emily_]: point but you know i i think it's making my life easier and i hadn't
• 7:25
  [emily_]: really been warned about any negative effects so i i guess the accurate way to
• 7:30
  [emily_]: describe it is i developed a psychological dependency on them um
• 7:36
  [sean]: let me ask you
• 7:37
  [emily_]: but
• 7:37
  [roger_mcfillin]: let
• 7:37
  [sean]: some
• 7:37
  [roger_mcfillin]: me ask
• 7:37
  [sean]: questions
• 7:37
  [roger_mcfillin]: you some questions
• 7:37
  [sean]: because i
• 7:38
  [roger_mcfillin]: because
• 7:38
  [sean]: think
• 7:38
  [roger_mcfillin]: i think
• 7:38
  [sean]: your story
• 7:39
  [roger_mcfillin]: your story
• 7:39
  [sean]: is really
• 7:40
  [roger_mcfillin]: is
• 7:40
  [sean]: interesting
• 7:40
  [roger_mcfillin]: really interesting
• 7:40
  [sean]: and it's important
• 7:41
  [roger_mcfillin]: and it's important
• 7:41
  [sean]: because
• 7:41
  [roger_mcfillin]: because
• 7:42
  [sean]: if our goal
• 7:42
  [roger_mcfillin]: if our
• 7:42
  [sean]: here
• 7:42
  [roger_mcfillin]: goal
• 7:43
  [sean]: is to
• 7:43
  [roger_mcfillin]: here
• 7:43
  [sean]: raise
• 7:43
  [roger_mcfillin]: is
• 7:43
  [sean]: awareness
• 7:43
  [roger_mcfillin]: to raise awareness
• 7:44
  [sean]: for health
• 7:44
  [roger_mcfillin]: for
• 7:44
  [sean]: care
• 7:45
  [roger_mcfillin]: health
• 7:45
  [sean]: professionals
• 7:45
  [roger_mcfillin]: care professionals
• 7:45
  [sean]: and those
• 7:46
  [roger_mcfillin]: and
• 7:46
  [sean]: who
• 7:46
  [roger_mcfillin]: those
• 7:46
  [sean]: are
• 7:46
  [roger_mcfillin]: who are
• 7:47
  [sean]: potentially
• 7:47
  [roger_mcfillin]: potentially
• 7:48
  [sean]: prescribe
• 7:49
  [roger_mcfillin]: prescribe
• 7:49
  [sean]: these drugs
• 7:49
  [roger_mcfillin]: these drugs
• 7:50
  [sean]: there's
• 7:50
  [roger_mcfillin]: there's
• 7:50
  [sean]: a number of
• 7:50
  [roger_mcfillin]: a
• 7:50
  [sean]: things
• 7:50
  [roger_mcfillin]: number
• 7:51
  [sean]: that
• 7:51
  [roger_mcfillin]: of things
• 7:51
  [sean]: didn't
• 7:51
  [roger_mcfillin]: that didn't
• 7:51
  [sean]: happen
• 7:52
  [roger_mcfillin]: happen
• 7:52
  [sean]: for you
• 7:52
  [roger_mcfillin]: for
• 7:52
  [sean]: that
• 7:52
  [roger_mcfillin]: you
• 7:52
  [sean]: we would
• 7:53
  [roger_mcfillin]: that
• 7:53
  [sean]: hope
• 7:53
  [roger_mcfillin]: we would
• 7:53
  [sean]: would happen
• 7:53
  [roger_mcfillin]: hope would
• 7:54
  [sean]: in
• 7:54
  [roger_mcfillin]: happen
• 7:54
  [sean]: the future
• 7:54
  [roger_mcfillin]: in the future
• 7:55
  [sean]: so the first
• 7:55
  [roger_mcfillin]: so
• 7:55
  [emily_]: hm
• 7:55
  [roger_mcfillin]: the
• 7:56
  [sean]: thing
• 7:56
  [roger_mcfillin]: first thing
• 7:56
  [sean]: is that
• 7:56
  [roger_mcfillin]: is
• 7:56
  [sean]: you
• 7:57
  [roger_mcfillin]: that
• 7:57
  [sean]: were
• 7:57
  [roger_mcfillin]: you
• 7:57
  [sean]: not
• 7:57
  [roger_mcfillin]: were not
• 7:57
  [sean]: informed
• 7:58
  [roger_mcfillin]: informed
• 7:58
  [sean]: of
• 7:59
  [roger_mcfillin]: of
• 7:59
  [sean]: any
• 7:59
  [roger_mcfillin]: any
• 7:59
  [sean]: potential
• 8:00
  [roger_mcfillin]: potential
• 8:00
  [sean]: adverse
• 8:01
  [roger_mcfillin]: adverse
• 8:01
  [sean]: consequences
• 8:01
  [roger_mcfillin]: consequences
• 8:01
  [emily_]: yeah
• 8:02
  [sean]: to taking
• 8:02
  [roger_mcfillin]: to
• 8:02
  [sean]: the
• 8:02
  [roger_mcfillin]: taking
• 8:02
  [sean]: drug is
• 8:03
  [roger_mcfillin]: the
• 8:03
  [sean]: that
• 8:03
  [roger_mcfillin]: drug
• 8:03
  [sean]: correct
• 8:03
  [roger_mcfillin]: is that correct
• 8:04
  [emily_]: the only side effects that were mentioned was she said that i might feel some
• 8:08
  [emily_]: nausea
• 8:09
  [roger_mcfillin]: yes
• 8:09
  [emily_]: when coming on or off the drug
• 8:11
  [sean]: yeah
• 8:11
  [emily_]: there were there was absolutely no mention sexual dis function either long lasting or temporary
• 8:17
  [emily_]: she did not bring that up in any capacity at one later meeting with her
• 8:21
  [emily_]: because i've been experiencing some reduction in libido on the drug i asked her is
• 8:27
  [emily_]: it normal to like have less sexual desire on this medication i brought that up
• 8:32
  [emily_]: to her as a teenage patient and she said yes that's normal but it will
• 8:37
  [emily_]: go away when you come off the medication
• 8:39
  [sean]: okay so
• 8:39
  [roger_mcfillin]: okay
• 8:39
  [sean]: the
• 8:39
  [emily_]: so
• 8:39
  [sean]: assumption
• 8:40
  [roger_mcfillin]: so the assumption
• 8:40
  [emily_]: i trusted
• 8:40
  [sean]: of the
• 8:40
  [emily_]: that
• 8:41
  [roger_mcfillin]: of
• 8:41
  [sean]: health
• 8:41
  [roger_mcfillin]: the
• 8:41
  [sean]: care
• 8:41
  [roger_mcfillin]: health
• 8:41
  [sean]: professional
• 8:41
  [roger_mcfillin]: care professional
• 8:42
  [sean]: was that
• 8:43
  [roger_mcfillin]: was
• 8:43
  [sean]: that was
• 8:43
  [roger_mcfillin]: that that
• 8:43
  [sean]: possible
• 8:43
  [roger_mcfillin]: was possible
• 8:44
  [sean]: that it could
• 8:44
  [roger_mcfillin]: that
• 8:44
  [sean]: happen
• 8:44
  [roger_mcfillin]: it could happen
• 8:45
  [sean]: but it was
• 8:45
  [roger_mcfillin]: but
• 8:45
  [sean]: kind
• 8:45
  [roger_mcfillin]: it was
• 8:45
  [sean]: of
• 8:45
  [roger_mcfillin]: kind of
• 8:47
  [sean]: dismissed
• 8:47
  [roger_mcfillin]: dismissed
• 8:47
  [sean]: is not something
• 8:48
  [roger_mcfillin]: is not
• 8:48
  [sean]: that
• 8:48
  [roger_mcfillin]: something
• 8:48
  [sean]: could be
• 8:48
  [roger_mcfillin]: that could
• 8:49
  [sean]: serious
• 8:49
  [roger_mcfillin]: be serious
• 8:49
  [sean]: or
• 8:50
  [roger_mcfillin]: or
• 8:50
  [sean]: lasting
• 8:50
  [roger_mcfillin]: lasting
• 8:50
  [sean]: so maybe
• 8:51
  [roger_mcfillin]: so
• 8:51
  [sean]: while
• 8:51
  [roger_mcfillin]: maybe
• 8:51
  [sean]: you're
• 8:51
  [emily_]: yeah
• 8:51
  [roger_mcfillin]: while
• 8:51
  [sean]: on
• 8:51
  [roger_mcfillin]: you're
• 8:51
  [sean]: the drug
• 8:52
  [roger_mcfillin]: on
• 8:52
  [sean]: you
• 8:52
  [roger_mcfillin]: the
• 8:52
  [sean]: can
• 8:52
  [roger_mcfillin]: drug
• 8:52
  [sean]: experience
• 8:52
  [roger_mcfillin]: you could experience
• 8:53
  [sean]: that but
• 8:53
  [roger_mcfillin]: that but
• 8:54
  [sean]: almost
• 8:54
  [emily_]: yes
• 8:54
  [sean]: the
• 8:54
  [roger_mcfillin]: almost
• 8:54
  [sean]: assumption
• 8:54
  [roger_mcfillin]: the assumption
• 8:54
  [sean]: would be
• 8:55
  [roger_mcfillin]: would be
• 8:55
  [sean]: once you
• 8:56
  [roger_mcfillin]: once
• 8:56
  [sean]: begin
• 8:56
  [roger_mcfillin]: you
• 8:56
  [sean]: to
• 8:56
  [roger_mcfillin]: begin
• 8:56
  [sean]: taper
• 8:57
  [roger_mcfillin]: to
• 8:57
  [sean]: off
• 8:57
  [roger_mcfillin]: taper
• 8:57
  [sean]: the drug
• 8:57
  [roger_mcfillin]: off
• 8:57
  [sean]: and stop
• 8:57
  [roger_mcfillin]: the drug
• 8:58
  [sean]: the
• 8:58
  [roger_mcfillin]: and
• 8:58
  [sean]: drug
• 8:58
  [roger_mcfillin]: stuff the drug
• 8:58
  [sean]: you
• 8:59
  [roger_mcfillin]: year
• 8:59
  [sean]: libido
• 8:59
  [roger_mcfillin]: libido
• 8:59
  [sean]: would return
• 9:00
  [roger_mcfillin]: would return
• 9:01
  [emily_]: yes and i do want to point out that seventeen years old is right in
• 9:06
  [emily_]: the middle of your sexual development it's not a trivial thing it's an important part
• 9:10
  [emily_]: of your life between ages seventeen and your early twenties like the fact that kids
• 9:16
  [emily_]: that age are being
• 9:17
  [roger_mcfillin]: m
• 9:17
  [emily_]: prescribed drugs that have sexual side effects even even if they were guaranteed to just
• 9:23
  [emily_]: be temporary that still a big deal that still needs to be brought up in
• 9:27
  [emily_]: a clinical setting that still needs to be talked about cause it's going to impact
• 9:30
  [emily_]: their relationship it's going to impact their development yeah
• 9:34
  [sean]: good point
• 9:35
  [roger_mcfillin]: good point
• 9:36
  [emily_]: and it did i wasn't i hadn't had a serious relationship at that point in
• 9:39
  [emily_]: my life but i entered into london college and it absolutely did impact my relationship
• 9:45
  [emily_]: i just wasn't sexually bone ding and experiencing sexuality in a normal way um and
• 9:52
  [emily_]: i knew something was wrong so i decided that it was time for me to
• 9:56
  [emily_]: taper off the medication i accurately identified i think this is the s s i'm
• 10:01
  [emily_]: gonna try and come off this medication now um so under the supervision of a
• 10:06
  [emily_]: doctor i reduced thirty milligrams to fifteen milligrams did that for a couple of months
• 10:11
  [emily_]: and then i started i tapered down to nothing over the course of two weeks
• 10:15
  [emily_]: from fifteen nelograms um but during all this tapering i was not experiencing
• 10:20
  [roger_mcfillin]: yeah
• 10:20
  [emily_]: any return of libido
• 10:24
  [roger_mcfillin]: m
• 10:25
  [emily_]: then it's just after finishing the taper fully so just a few days after coming
• 10:31
  [emily_]: off the medication entirely i woke up one morning and i immediately knew something has
• 10:37
  [emily_]: happened something is different something very that has happened in my body there was kind
• 10:43
  [emily_]: of this feeling of overall sluggishness and lack of vitality but i immediately notice sort
• 10:49
  [emily_]: of a sensation of coldness in my my private parts in my volva so i
• 10:57
  [emily_]: like reach down was like what's going on nd i had lost all forms of
• 11:03
  [emily_]: orogenous sensation that sexual sensation in my genitals and they were less sensitive um to
• 11:10
  [emily_]: the touch as well and you know it was very frightening it was a very
• 11:14
  [emily_]: extreme sudden night and day change i realized as i went through that day in
• 11:22
  [emily_]: the next couple of days i'm not feeling any hint of arousal i'm not feeling
• 11:28
  [emily_]: any hint of desire i'm not feeling it's like a switch has gone off my
• 11:33
  [emily_]: entire sexuality is shut down and i'm not even feeling fully emotionally present i can't
• 11:39
  [emily_]: really feel anything towards the guy i was day and at the time you know
• 11:45
  [emily_]: i felt nothing whatsoever towards him even emotionally it's like i've been entirely deerodicized
• 11:50
  [roger_mcfillin]: m
• 11:50
  [emily_]: so i got quite frightened and anxious and i immediately made an appointment with my
• 11:55
  [emily_]: doctor and i went to my doctor and i was asking them about this and
• 12:00
  [emily_]: all they could really say to me was well give it some time you know
• 12:03
  [emily_]: you might just be going through a withdrawal they also said it could be the
• 12:09
  [emily_]: return of your mental health problems you know because you were coming off the s
• 12:14
  [emily_]: s this could be a depressive
• 12:16
  [roger_mcfillin]: m
• 12:16
  [emily_]: symptom but i knew that it could not be a time of depression because depression
• 12:21
  [emily_]: doesn't make your clitteres feel like your knuckle depression
• 12:26
  [roger_mcfillin]: so
• 12:26
  [emily_]: doesn't make every bit of a raging
• 12:28
  [roger_mcfillin]: a
• 12:28
  [emily_]: a sensation in your entire body switch off like a light i had experienced what
• 12:33
  [emily_]: was diagnosis depression and it did not feel anything like that
• 12:40
  [emily_]: to summarize have there's been no change in that condition for the last three years
• 12:46
  [emily_]: i have been off the medication entirely
• 12:48
  [roger_mcfillin]: m
• 12:48
  [emily_]: for three years
• 12:50
  [roger_mcfillin]: yeah
• 12:50
  [emily_]: i am still completely deerodicized um and i've tried lifestyle changes i've tried dietary changes
• 12:59
  [emily_]: aver to exercise i've tried you know anything any natural healing
• 13:04
  [roger_mcfillin]: m
• 13:04
  [emily_]: that you expect i've tried those avenues i've even tried some other medications to try
• 13:10
  [emily_]: and correct it and they're just i experienced brief relief or moderate relief actually on
• 13:17
  [emily_]: and it seemed to sort of switch it back partially but then that faded and
• 13:22
  [emily_]: it ceased to have any improvement um and now i'm back to square one being
• 13:27
  [emily_]: completely a sexual so about two years ago a year in having this i realized
• 13:36
  [emily_]: i can't be silent about this something has happened to me in connection with the
• 13:40
  [emily_]: s s i had discovered online communities where people were talking about exactly the same
• 13:46
  [emily_]: symptoms that i was going through and i also discovered the work of professor david
• 13:51
  [emily_]: heale now he is a professor at master university in ontario and he has been
• 13:59
  [emily_]: working for many years to try and bring light to post esisarisexual disfunction exactly what
• 14:04
  [emily_]: i was experiencing and he'd been you know advocating hard and trying to get attention
• 14:10
  [emily_]: and research towards it and a lot of it seemed to have fallen on deaf
• 14:13
  [emily_]: ears from the medical community i saw okay what's really needed here is patients themselves
• 14:18
  [emily_]: who have experienced tees effects and need to start coming forward and talking about it
• 14:23
  [emily_]: there's a huge amount of shame and fear around this subject um and someone's got
• 14:30
  [emily_]: to be the one to stand up and just be willing to admit this happened
• 14:34
  [emily_]: to me and it needs to stop happening to other people of course i would
• 14:39
  [emily_]: love it if we could also find research and found research and find treatment for
• 14:46
  [emily_]: it but even if my advocacy the only result is that i stop but more
• 14:51
  [emily_]: teen agers from having their sexuality removed that would be enough for me
• 14:57
  [sean]: it's very brave
• 14:57
  [roger_mcfillin]: very brave
• 14:58
  [sean]: especially at
• 14:59
  [roger_mcfillin]: specially
• 14:59
  [sean]: a young age
• 14:59
  [roger_mcfillin]: you
• 14:59
  [sean]: emily how old are you now i'm sorry
• 15:01
  [roger_mcfillin]: or
• 15:02
  [emily_]: i'm currently twenty six i was on the medication from seventeen almost at eighteen to
• 15:08
  [emily_]: age twenty three
• 15:10
  [sean]: well unfortunately
• 15:11
  [roger_mcfillin]: unfortunately
• 15:12
  [sean]: your
• 15:12
  [roger_mcfillin]: here
• 15:12
  [sean]: story isn't
• 15:13
  [roger_mcfillin]: story
• 15:13
  [sean]: unique
• 15:13
  [roger_mcfillin]: isn't musique
• 15:14
  [sean]: and it's really
• 15:14
  [roger_mcfillin]: and
• 15:14
  [sean]: important
• 15:14
  [roger_mcfillin]: it's really important
• 15:14
  [sean]: for us
• 15:15
  [roger_mcfillin]: for
• 15:15
  [sean]: maybe
• 15:15
  [roger_mcfillin]: us
• 15:15
  [sean]: to
• 15:15
  [roger_mcfillin]: maybe to
• 15:16
  [sean]: try to get some
• 15:16
  [roger_mcfillin]: try
• 15:16
  [sean]: understanding
• 15:16
  [roger_mcfillin]: to get some understanding
• 15:17
  [sean]: of
• 15:18
  [roger_mcfillin]: of
• 15:19
  [sean]: what the prevalence
• 15:20
  [roger_mcfillin]: what the prevalence
• 15:20
  [sean]: rate of
• 15:20
  [roger_mcfillin]: rate
• 15:21
  [sean]: this condition
• 15:21
  [roger_mcfillin]: of this condition
• 15:21
  [sean]: is yeah
• 15:22
  [roger_mcfillin]: is
• 15:22
  [sean]: as i want
• 15:22
  [roger_mcfillin]: yea
• 15:22
  [sean]: to
• 15:22
  [roger_mcfillin]: as
• 15:22
  [sean]: bring you
• 15:22
  [roger_mcfillin]: want to
• 15:23
  [sean]: in
• 15:23
  [roger_mcfillin]: bring
• 15:23
  [sean]: here
• 15:23
  [roger_mcfillin]: you in here
• 15:23
  [sean]: are you aware
• 15:24
  [roger_mcfillin]: are you aware
• 15:24
  [sean]: of
• 15:25
  [roger_mcfillin]: of
• 15:25
  [sean]: kind of the prevalence
• 15:26
  [roger_mcfillin]: of the prevalence
• 15:26
  [sean]: rate
• 15:26
  [roger_mcfillin]: rate
• 15:27
  [sean]: of
• 15:27
  [yassie_pirani]: ah
• 15:28
  [sean]: this kind
• 15:28
  [roger_mcfillin]: this
• 15:28
  [sean]: of disorder
• 15:28
  [roger_mcfillin]: kind of disorder
• 15:29
  [sean]: or condition
• 15:29
  [roger_mcfillin]: or condition
• 15:30
  [yassie_pirani]: ah so that's a really good question so unfortunately we don't have data we have
• 15:41
  [yassie_pirani]: a queen ten city is putting together some qualitative research collecting patient experiences collecting stories
• 15:48
  [yassie_pirani]: about the condition so that s going to be a survey that's going to be
• 15:52
  [yassie_pirani]: open for a while on bat and then hopefully then will that will generate some
• 15:58
  [emily_]: yeah
• 15:58
  [yassie_pirani]: quantitative research but at this time it's it's really a lot of anecdotal research and
• 16:08
  [yassie_pirani]: qualitative research in that you see avail well um and it's really really really challenging
• 16:14
  [yassie_pirani]: because so many people probably have p s s d and don't know so just
• 16:18
  [yassie_pirani]: to kind of just briefly go ju scribe sorry explain what p s is it
• 16:23
  [yassie_pirani]: is because i don't think we've we've done that exactly yet so even though it's
• 16:28
  [yassie_pirani]: estimated to be were we actually really don't know the percentage of people who will
• 16:32
  [yassie_pirani]: take anti
• 16:33
  [emily_]: hm
• 16:33
  [yassie_pirani]: presence will develop p s s t and so it can be it's a variety
• 16:38
  [yassie_pirani]: of symptoms that can begin either during or soon after stopping an anti de present
• 16:43
  [yassie_pirani]: so up to six months after and may persist for months years are indefinitely after
• 16:49
  [yassie_pirani]: stopping the medication and so there's currently no reliable treatment and the symptoms include so
• 16:56
  [yassie_pirani]: reduced genital sensation or what we call genital anesthesia for a lot of people explain
• 17:01
  [yassie_pirani]: it as they went to the dentist and the lido cane god put in the
• 17:04
  [yassie_pirani]: wrong place
• 17:06
  [roger_mcfillin]: m
• 17:06
  [emily_]: ye
• 17:06
  [sean]: m
• 17:06
  [yassie_pirani]: and never went away also erectile dis function or decrease vaginal lubrication later inability orgasm
• 17:16
  [yassie_pirani]: so anrgasmia pleasureless week or muted orgasms decreased or absent libido reduced response to sexual
• 17:25
  [yassie_pirani]: stimuli decreased or lack nocturnal erections premature delayed ejaculation reduced nipple sensitivity or sensitivity an
• 17:34
  [yassie_pirani]: other orogenous zones um a loss of pnpeniland
• 17:37
  [emily_]: m
• 17:37
  [yassie_pirani]: clatoral size
• 17:39
  [emily_]: oh
• 17:39
  [yassie_pirani]: and that's the sexual side and what's which is becoming you know more i mean
• 17:46
  [yassie_pirani]: that's been recognized the by m h regulatory becoming recognized by regular tory bodies and
• 17:54
  [yassie_pirani]: in the medical community what's not being recognized is the other symptoms that often a
• 17:58
  [yassie_pirani]: company p s s d so um that's th there's sexual symptoms so it's kind
• 18:03
  [yassie_pirani]: of
• 18:03
  [emily_]: a
• 18:03
  [yassie_pirani]: what past is called but then
• 18:04
  [emily_]: m
• 18:04
  [yassie_pirani]: there's emotional and cognitive issues on
• 18:06
  [emily_]: m
• 18:06
  [yassie_pirani]: the r really actually i mean
• 18:09
  [emily_]: okay
• 18:09
  [yassie_pirani]: all of it's very disabling but the cognate
• 18:12
  [emily_]: oh
• 18:12
  [yassie_pirani]: emotional issues i find my patients are more disabling a sexual issues so those are
• 18:17
  [yassie_pirani]: included reduced intensity of emotions so anhidonia particularly rom antic and hidonia so feel ability
• 18:26
  [yassie_pirani]: to feel romance but a lot of people just feel generalized and hidoniaso in abel
• 18:31
  [yassie_pirani]: inability to feel any form of pleasure in life which is to not be able
• 18:37
  [yassie_pirani]: to feel love and connection and bonding and empathy my clients say just it really
• 18:42
  [yassie_pirani]: makes them non human they really can't participate and in relationships of any kind in
• 18:50
  [yassie_pirani]: a meaningful way compromise memory for sleep quality loss of creativity a lot of people
• 18:58
  [yassie_pirani]: say you know they were once musicians artists or painters they just that architecture
• 19:01
  [emily_]: yeah
• 19:02
  [yassie_pirani]: of their creative architecture of their brain has been disrupted and
• 19:06
  [emily_]: yeah
• 19:07
  [yassie_pirani]: they just thought that there seems to be some kind of connection with one sexual
• 19:11
  [yassie_pirani]: sexual ity and creativity we seem to find the capacity to dream at night time
• 19:17
  [yassie_pirani]: a lot of people there just there they no longer have dreams or imagination they
• 19:21
  [yassie_pirani]: can't visualize anything in their heads any more they can't talk their minds i um
• 19:26
  [yassie_pirani]: and yeah brain fog cognitive slowing so those symptoms are what we are really wanting
• 19:33
  [yassie_pirani]: to bring attention to as well because a lot of my clients will say it
• 19:39
  [yassie_pirani]: should just be called post s s r i cyndrum because the sexual umbrella is
• 19:45
  [yassie_pirani]: just one but my experience over here has not been reckon by that label so
• 19:49
  [roger_mcfillin]: yeah
• 19:49
  [yassie_pirani]: that's
• 19:50
  [emily_]: hm
• 19:51
  [yassie_pirani]: that's a little description of exactly what pst is and we don't know the prevalence
• 19:57
  [yassie_pirani]: at this time
• 19:59
  [sean]: what's interesting
• 19:59
  [roger_mcfillin]: what's
• 19:59
  [sean]: here
• 19:59
  [roger_mcfillin]: interesting
• 19:59
  [sean]: is
• 20:00
  [roger_mcfillin]: here is
• 20:00
  [sean]: it's the challenge
• 20:00
  [roger_mcfillin]: it's the challenge
• 20:01
  [sean]: because of
• 20:01
  [roger_mcfillin]: because
• 20:01
  [sean]: the diversity
• 20:02
  [roger_mcfillin]: of the diversity
• 20:03
  [sean]: of
• 20:03
  [roger_mcfillin]: of
• 20:04
  [sean]: human
• 20:04
  [roger_mcfillin]: human
• 20:04
  [sean]: genetic
• 20:04
  [roger_mcfillin]: genetic
• 20:05
  [sean]: make up
• 20:05
  [roger_mcfillin]: make up
• 20:05
  [sean]: were so
• 20:06
  [roger_mcfillin]: were
• 20:06
  [sean]: different
• 20:06
  [roger_mcfillin]: so different
• 20:07
  [yassie_pirani]: yeah
• 20:07
  [sean]: so
• 20:07
  [roger_mcfillin]: so
• 20:07
  [sean]: one person
• 20:08
  [roger_mcfillin]: one person
• 20:08
  [sean]: might take
• 20:08
  [roger_mcfillin]: might
• 20:09
  [sean]: a
• 20:09
  [roger_mcfillin]: take
• 20:09
  [sean]: drug
• 20:09
  [roger_mcfillin]: a
• 20:09
  [sean]: and
• 20:09
  [roger_mcfillin]: drug
• 20:09
  [sean]: experience
• 20:09
  [roger_mcfillin]: and experience
• 20:10
  [sean]: one thing
• 20:10
  [roger_mcfillin]: one thing
• 20:11
  [sean]: while another
• 20:11
  [roger_mcfillin]: while another
• 20:11
  [sean]: person might
• 20:12
  [roger_mcfillin]: person
• 20:12
  [sean]: take
• 20:12
  [roger_mcfillin]: might
• 20:12
  [sean]: the same
• 20:12
  [roger_mcfillin]: take the
• 20:13
  [sean]: drug
• 20:13
  [roger_mcfillin]: same drug
• 20:13
  [sean]: and not
• 20:13
  [roger_mcfillin]: and
• 20:13
  [sean]: experience
• 20:13
  [roger_mcfillin]: not experience
• 20:14
  [sean]: either that
• 20:15
  [roger_mcfillin]: either
• 20:15
  [sean]: benefit
• 20:15
  [roger_mcfillin]: that benefit
• 20:15
  [sean]: or any
• 20:16
  [roger_mcfillin]: or
• 20:16
  [sean]: of
• 20:16
  [roger_mcfillin]: any
• 20:16
  [sean]: the negative
• 20:16
  [roger_mcfillin]: of the negative
• 20:17
  [sean]: consequences
• 20:17
  [roger_mcfillin]: consequences
• 20:17
  [sean]: with it
• 20:18
  [roger_mcfillin]: with it
• 20:18
  [yassie_pirani]: yeah
• 20:18
  [sean]: and i have
• 20:19
  [roger_mcfillin]: and
• 20:19
  [sean]: deep
• 20:19
  [roger_mcfillin]: i have
• 20:19
  [sean]: dived
• 20:19
  [roger_mcfillin]: deep dived
• 20:20
  [sean]: into
• 20:20
  [roger_mcfillin]: into
• 20:21
  [sean]: anti depressions
• 20:21
  [roger_mcfillin]: anti de presence
• 20:21
  [sean]: for the
• 20:22
  [roger_mcfillin]: for
• 20:22
  [sean]: past
• 20:22
  [roger_mcfillin]: the
• 20:22
  [sean]: couple
• 20:22
  [roger_mcfillin]: past
• 20:23
  [sean]: of years
• 20:23
  [roger_mcfillin]: couple
• 20:23
  [sean]: i
• 20:23
  [roger_mcfillin]: of
• 20:23
  [sean]: mean
• 20:23
  [roger_mcfillin]: years i mean i've
• 20:24
  [sean]: become so
• 20:25
  [roger_mcfillin]: become
• 20:25
  [yassie_pirani]: m
• 20:25
  [sean]: obsessive
• 20:25
  [roger_mcfillin]: so obsessive
• 20:25
  [sean]: about it
• 20:26
  [roger_mcfillin]: about it
• 20:26
  [sean]: that
• 20:27
  [roger_mcfillin]: that
• 20:27
  [sean]: i want
• 20:28
  [roger_mcfillin]: i
• 20:28
  [sean]: to
• 20:28
  [roger_mcfillin]: want
• 20:28
  [sean]: find
• 20:28
  [roger_mcfillin]: to find
• 20:29
  [sean]: out
• 20:29
  [roger_mcfillin]: out
• 20:30
  [sean]: those
• 20:30
  [roger_mcfillin]: those
• 20:30
  [sean]: who
• 20:30
  [roger_mcfillin]: who
• 20:31
  [sean]: actually
• 20:31
  [roger_mcfillin]: actually
• 20:31
  [sean]: promote
• 20:32
  [roger_mcfillin]: promote
• 20:32
  [sean]: the drug
• 20:32
  [roger_mcfillin]: the
• 20:32
  [sean]: so there
• 20:32
  [roger_mcfillin]: drug
• 20:33
  [sean]: are
• 20:33
  [roger_mcfillin]: so there
• 20:33
  [sean]: people
• 20:33
  [roger_mcfillin]: are
• 20:33
  [sean]: out
• 20:33
  [roger_mcfillin]: people
• 20:33
  [sean]: there will
• 20:34
  [roger_mcfillin]: out
• 20:34
  [sean]: say
• 20:34
  [roger_mcfillin]: there
• 20:34
  [sean]: hey
• 20:34
  [roger_mcfillin]: will
• 20:34
  [sean]: it's
• 20:34
  [roger_mcfillin]: say
• 20:34
  [sean]: really
• 20:34
  [roger_mcfillin]: hey it's
• 20:34
  [sean]: helped
• 20:34
  [roger_mcfillin]: really
• 20:34
  [sean]: me
• 20:35
  [roger_mcfillin]: help me
• 20:35
  [sean]: and even
• 20:36
  [roger_mcfillin]: and
• 20:36
  [sean]: emily
• 20:36
  [roger_mcfillin]: even emily
• 20:36
  [sean]: here
• 20:36
  [roger_mcfillin]: here
• 20:37
  [sean]: recognize
• 20:38
  [roger_mcfillin]: recognized
• 20:38
  [sean]: as there was
• 20:38
  [roger_mcfillin]: as there
• 20:39
  [sean]: some
• 20:39
  [roger_mcfillin]: was some
• 20:39
  [emily_]: yeah
• 20:39
  [sean]: effect
• 20:40
  [roger_mcfillin]: effect
• 20:40
  [sean]: and i
• 20:40
  [emily_]: yeah
• 20:41
  [sean]: try to make
• 20:41
  [roger_mcfillin]: i try
• 20:41
  [sean]: sense
• 20:41
  [roger_mcfillin]: to make
• 20:41
  [sean]: of that
• 20:41
  [roger_mcfillin]: sense of that
• 20:42
  [sean]: because it
• 20:42
  [roger_mcfillin]: because
• 20:42
  [sean]: really
• 20:43
  [roger_mcfillin]: it
• 20:43
  [sean]: seems
• 20:43
  [roger_mcfillin]: really
• 20:43
  [sean]: like
• 20:43
  [roger_mcfillin]: seems
• 20:43
  [sean]: it's actually
• 20:43
  [roger_mcfillin]: like it's
• 20:44
  [sean]: a
• 20:44
  [roger_mcfillin]: actually
• 20:44
  [sean]: small
• 20:44
  [roger_mcfillin]: a
• 20:44
  [sean]: percentage
• 20:44
  [roger_mcfillin]: small percentage
• 20:45
  [sean]: of people
• 20:45
  [roger_mcfillin]: of
• 20:45
  [yassie_pirani]: kay
• 20:45
  [roger_mcfillin]: people
• 20:46
  [sean]: and when
• 20:47
  [roger_mcfillin]: and
• 20:47
  [sean]: we compare
• 20:47
  [roger_mcfillin]: when we compare
• 20:47
  [sean]: the drug
• 20:48
  [roger_mcfillin]: the
• 20:48
  [sean]: to
• 20:48
  [roger_mcfillin]: drug
• 20:48
  [sean]: placebo
• 20:48
  [roger_mcfillin]: to placebo
• 20:49
  [sean]: there real
• 20:49
  [roger_mcfillin]: there's
• 20:50
  [sean]: controversy
• 20:50
  [roger_mcfillin]: real controversy
• 20:51
  [sean]: whether it
• 20:51
  [roger_mcfillin]: whether it
• 20:51
  [sean]: out performs
• 20:52
  [roger_mcfillin]: out performs
• 20:52
  [sean]: a placebo
• 20:52
  [roger_mcfillin]: a placebo
• 20:53
  [emily_]: oh
• 20:53
  [sean]: at any
• 20:53
  [roger_mcfillin]: at anyway
• 20:54
  [sean]: in any meaningful
• 20:55
  [roger_mcfillin]: in any meaningful
• 20:55
  [sean]: way
• 20:56
  [roger_mcfillin]: way
• 20:56
  [sean]: but
• 20:57
  [roger_mcfillin]: but
• 20:57
  [sean]: what it is
• 20:57
  [roger_mcfillin]: what it is
• 20:58
  [sean]: it is
• 20:58
  [roger_mcfillin]: it is
• 20:58
  [sean]: a
• 20:59
  [roger_mcfillin]: a
• 20:59
  [sean]: psycho active
• 20:59
  [roger_mcfillin]: psycho
• 20:59
  [sean]: substance
• 21:00
  [roger_mcfillin]: active substance
• 21:01
  [sean]: that is
• 21:01
  [roger_mcfillin]: that
• 21:01
  [sean]: going
• 21:01
  [roger_mcfillin]: is going
• 21:02
  [sean]: to
• 21:02
  [roger_mcfillin]: to
• 21:02
  [sean]: alter
• 21:03
  [roger_mcfillin]: alter
• 21:03
  [sean]: your
• 21:04
  [roger_mcfillin]: your
• 21:04
  [sean]: cognitive
• 21:04
  [roger_mcfillin]: cognitive
• 21:05
  [sean]: and
• 21:05
  [roger_mcfillin]: and
• 21:06
  [sean]: physiological
• 21:06
  [roger_mcfillin]: physiological
• 21:06
  [emily_]: yeah
• 21:06
  [sean]: states
• 21:07
  [roger_mcfillin]: states
• 21:07
  [sean]: and so
• 21:08
  [roger_mcfillin]: and
• 21:08
  [sean]: for
• 21:08
  [roger_mcfillin]: so
• 21:08
  [sean]: somebody
• 21:08
  [roger_mcfillin]: for
• 21:08
  [sean]: who
• 21:08
  [roger_mcfillin]: somebody
• 21:09
  [sean]: might
• 21:09
  [roger_mcfillin]: who
• 21:09
  [sean]: be
• 21:09
  [roger_mcfillin]: might
• 21:09
  [sean]: experiencing
• 21:09
  [roger_mcfillin]: be experiencing
• 21:10
  [sean]: intense
• 21:11
  [roger_mcfillin]: intense
• 21:11
  [sean]: emotional
• 21:11
  [roger_mcfillin]: emotional
• 21:12
  [sean]: pain
• 21:12
  [roger_mcfillin]: pain
• 21:13
  [sean]: or activity
• 21:13
  [roger_mcfillin]: or re activity
• 21:14
  [sean]: it's certainly
• 21:15
  [roger_mcfillin]: it's certainly
• 21:15
  [sean]: possible
• 21:15
  [roger_mcfillin]: possible
• 21:15
  [sean]: that some
• 21:16
  [roger_mcfillin]: that
• 21:16
  [sean]: people
• 21:16
  [roger_mcfillin]: some people
• 21:16
  [sean]: might
• 21:17
  [roger_mcfillin]: might
• 21:17
  [sean]: experience
• 21:18
  [roger_mcfillin]: experience
• 21:18
  [emily_]: oh
• 21:18
  [sean]: an initial
• 21:18
  [roger_mcfillin]: an initial
• 21:19
  [sean]: positive
• 21:19
  [roger_mcfillin]: positive
• 21:19
  [sean]: response
• 21:20
  [roger_mcfillin]: response
• 21:20
  [sean]: to the dampening
• 21:20
  [roger_mcfillin]: to the dampening
• 21:21
  [sean]: of that
• 21:21
  [roger_mcfillin]: of
• 21:21
  [sean]: emotional
• 21:22
  [roger_mcfillin]: that emotional
• 21:22
  [sean]: experience
• 21:22
  [roger_mcfillin]: experience
• 21:22
  [sean]: whether we call
• 21:23
  [roger_mcfillin]: whether
• 21:23
  [sean]: it
• 21:23
  [roger_mcfillin]: we
• 21:23
  [sean]: emotional
• 21:23
  [roger_mcfillin]: call it emotional
• 21:23
  [sean]: numbing
• 21:24
  [roger_mcfillin]: numbing
• 21:24
  [sean]: or
• 21:25
  [roger_mcfillin]: or
• 21:25
  [sean]: an emotional
• 21:26
  [roger_mcfillin]: an emotional
• 21:26
  [sean]: blond in
• 21:26
  [roger_mcfillin]: blunting
• 21:26
  [sean]: effect
• 21:27
  [roger_mcfillin]: effect
• 21:27
  [sean]: that could
• 21:28
  [roger_mcfillin]: that
• 21:28
  [sean]: be
• 21:28
  [roger_mcfillin]: could be
• 21:29
  [sean]: or a percentage
• 21:29
  [roger_mcfillin]: or a percentage
• 21:29
  [sean]: of people
• 21:30
  [roger_mcfillin]: of people
• 21:30
  [sean]: it
• 21:31
  [yassie_pirani]: yes
• 21:31
  [sean]: could be
• 21:31
  [roger_mcfillin]: could
• 21:31
  [sean]: interpreted
• 21:31
  [roger_mcfillin]: be interpreted
• 21:32
  [sean]: as something
• 21:32
  [roger_mcfillin]: as
• 21:32
  [sean]: that
• 21:32
  [roger_mcfillin]: something
• 21:32
  [sean]: is
• 21:33
  [roger_mcfillin]: that
• 21:33
  [sean]: quite
• 21:33
  [roger_mcfillin]: is
• 21:33
  [sean]: relieving
• 21:33
  [roger_mcfillin]: quite relieving
• 21:34
  [sean]: so there
• 21:34
  [roger_mcfillin]: so
• 21:34
  [sean]: may
• 21:34
  [roger_mcfillin]: there
• 21:34
  [sean]: be
• 21:35
  [roger_mcfillin]: may
• 21:35
  [sean]: some
• 21:35
  [roger_mcfillin]: be
• 21:35
  [sean]: benefit
• 21:35
  [roger_mcfillin]: some benefit
• 21:36
  [sean]: the question
• 21:36
  [roger_mcfillin]: the question
• 21:36
  [sean]: is always
• 21:37
  [roger_mcfillin]: is always
• 21:37
  [sean]: at what cost
• 21:37
  [roger_mcfillin]: at what cost
• 21:38
  [sean]: so if there
• 21:39
  [roger_mcfillin]: so if
• 21:39
  [sean]: is
• 21:39
  [roger_mcfillin]: there
• 21:39
  [sean]: a
• 21:39
  [roger_mcfillin]: is a
• 21:40
  [sean]: emotional
• 21:40
  [roger_mcfillin]: emotional
• 21:40
  [sean]: blunting
• 21:41
  [roger_mcfillin]: blunting
• 21:41
  [sean]: or physiological
• 21:42
  [roger_mcfillin]: or physiological
• 21:42
  [sean]: shifts or
• 21:43
  [roger_mcfillin]: shifts
• 21:43
  [sean]: changes
• 21:43
  [roger_mcfillin]: or changes
• 21:44
  [sean]: your reaction
• 21:45
  [roger_mcfillin]: your reaction
• 21:45
  [sean]: to emotional
• 21:45
  [roger_mcfillin]: through emotional
• 21:46
  [sean]: stimuli
• 21:46
  [roger_mcfillin]: stimuli
• 21:47
  [sean]: it would make
• 21:47
  [roger_mcfillin]: would
• 21:48
  [sean]: sense
• 21:48
  [roger_mcfillin]: make
• 21:48
  [sean]: that there
• 21:48
  [roger_mcfillin]: sense
• 21:48
  [sean]: is
• 21:48
  [roger_mcfillin]: that there is
• 21:49
  [emily_]: yeah
• 21:49
  [sean]: blunting
• 21:49
  [roger_mcfillin]: blunting
• 21:49
  [sean]: in other
• 21:50
  [roger_mcfillin]: in
• 21:50
  [sean]: ways
• 21:50
  [roger_mcfillin]: other ways
• 21:50
  [sean]: creativity
• 21:51
  [roger_mcfillin]: creativity
• 21:53
  [sean]: sexuality
• 21:53
  [roger_mcfillin]: sexuality
• 21:55
  [yassie_pirani]: ye
• 21:55
  [sean]: vito
• 21:56
  [roger_mcfillin]: b to
• 21:57
  [yassie_pirani]: oh
• 21:57
  [sean]: is that is
• 21:57
  [roger_mcfillin]: is
• 21:58
  [sean]: that
• 21:58
  [roger_mcfillin]: that
• 21:58
  [sean]: how
• 21:58
  [roger_mcfillin]: is that how
• 21:58
  [sean]: the two of
• 21:59
  [roger_mcfillin]: the
• 21:59
  [sean]: you
• 21:59
  [roger_mcfillin]: two
• 21:59
  [sean]: kind
• 21:59
  [roger_mcfillin]: of you
• 21:59
  [sean]: of think
• 21:59
  [roger_mcfillin]: kind
• 22:00
  [sean]: of
• 22:00
  [roger_mcfillin]: of
• 22:00
  [sean]: it
• 22:00
  [roger_mcfillin]: think of it
• 22:00
  [sean]: as i think
• 22:01
  [roger_mcfillin]: as
• 22:01
  [sean]: about
• 22:01
  [roger_mcfillin]: i think
• 22:01
  [sean]: it
• 22:01
  [roger_mcfillin]: about it
• 22:03
  [yassie_pirani]: yeah i a hundred per cent and one thing that i
• 22:07
  [roger_mcfillin]: oh
• 22:07
  [yassie_pirani]: forgot to mention is a lot of people just feel generally less tactile sensation all
• 22:11
  [yassie_pirani]: over their body like their body is numb they don't feel connected there's de personalization
• 22:16
  [yassie_pirani]: and de realization people people experience and just just a general lack of sensation like
• 22:22
  [yassie_pirani]: they don't feel butterflies and they're got any more that even they'll touch their skin
• 22:27
  [yassie_pirani]: and have it's just it's just it's just like somebody
• 22:31
  [emily_]: ah
• 22:31
  [yassie_pirani]: put a numbing jell all over their body and people are so confused so there's
• 22:35
  [yassie_pirani]: something deeply impacted in some people's nervous system on and the emotions you know what
• 22:44
  [yassie_pirani]: we're kind of coming to learn about the connection of our motions and our nervous
• 22:47
  [yassie_pirani]: system and how
• 22:50
  [emily_]: m
• 22:50
  [yassie_pirani]: of course then yeah if the drug is kind of numbing some of what's going
• 22:55
  [yassie_pirani]: on for people emotionally then there's physiological numbing as well those
• 22:59
  [sean]: yeah
• 22:59
  [yassie_pirani]: things are connected because we're
• 23:01
  [sean]: here's
• 23:01
  [roger_mcfillin]: here's
• 23:02
  [sean]: here's
• 23:02
  [roger_mcfillin]: here's
• 23:03
  [sean]: i always made
• 23:04
  [roger_mcfillin]: always
• 23:04
  [sean]: the assumption
• 23:04
  [roger_mcfillin]: make
• 23:05
  [sean]: that a side effect
• 23:06
  [roger_mcfillin]: it
• 23:06
  [sean]: while you're on a
• 23:07
  [roger_mcfillin]: you
• 23:07
  [sean]: drug is while you're
• 23:08
  [roger_mcfillin]: while you're
• 23:08
  [sean]: on the drug
• 23:09
  [roger_mcfillin]: on
• 23:09
  [sean]: and even if you
• 23:10
  [roger_mcfillin]: even
• 23:10
  [sean]: were
• 23:10
  [roger_mcfillin]: if
• 23:10
  [sean]: to read through
• 23:11
  [roger_mcfillin]: red
• 23:11
  [sean]: the list of side effects
• 23:12
  [roger_mcfillin]: side of
• 23:13
  [sean]: as you're taking
• 23:14
  [roger_mcfillin]: you're
• 23:14
  [sean]: a drug
• 23:14
  [roger_mcfillin]: taking
• 23:14
  [sean]: you
• 23:14
  [roger_mcfillin]: a
• 23:14
  [sean]: may think i feeling any of these side effects i never really
• 23:18
  [roger_mcfillin]: never
• 23:18
  [sean]: think
• 23:18
  [roger_mcfillin]: really
• 23:18
  [sean]: about
• 23:18
  [roger_mcfillin]: think about
• 23:19
  [sean]: after
• 23:20
  [roger_mcfillin]: after
• 23:20
  [sean]: i am you know getting off
• 23:21
  [roger_mcfillin]: getting
• 23:21
  [sean]: the drug that there could be side effects
• 23:23
  [roger_mcfillin]: side
• 23:23
  [sean]: that
• 23:23
  [roger_mcfillin]: effects
• 23:24
  [sean]: continue
• 23:24
  [roger_mcfillin]: continue
• 23:24
  [sean]: or
• 23:25
  [roger_mcfillin]: or
• 23:26
  [sean]: show themselves
• 23:26
  [roger_mcfillin]: show themselves
• 23:27
  [sean]: when i'm no
• 23:27
  [roger_mcfillin]: when
• 23:27
  [sean]: longer
• 23:27
  [roger_mcfillin]: i'm
• 23:27
  [emily_]: oh
• 23:27
  [roger_mcfillin]: no
• 23:27
  [sean]: taking
• 23:28
  [roger_mcfillin]: longer picking
• 23:28
  [sean]: the drug
• 23:28
  [roger_mcfillin]: the drug
• 23:29
  [sean]: so that makes
• 23:30
  [roger_mcfillin]: this
• 23:30
  [sean]: me think
• 23:30
  [roger_mcfillin]: makes
• 23:30
  [sean]: that
• 23:30
  [roger_mcfillin]: me
• 23:30
  [sean]: this
• 23:30
  [roger_mcfillin]: think that
• 23:30
  [sean]: is
• 23:30
  [roger_mcfillin]: this
• 23:31
  [sean]: very
• 23:31
  [roger_mcfillin]: is very
• 23:31
  [sean]: under reported
• 23:32
  [roger_mcfillin]: under report
• 23:33
  [yassie_pirani]: yeah
• 23:33
  [sean]: and most
• 23:33
  [roger_mcfillin]: and
• 23:33
  [sean]: people
• 23:34
  [roger_mcfillin]: most
• 23:34
  [sean]: don't
• 23:34
  [roger_mcfillin]: people
• 23:34
  [sean]: even
• 23:34
  [roger_mcfillin]: don't
• 23:34
  [sean]: think
• 23:34
  [roger_mcfillin]: even
• 23:34
  [sean]: about
• 23:34
  [roger_mcfillin]: think about
• 23:35
  [sean]: the drug
• 23:35
  [roger_mcfillin]: the
• 23:36
  [sean]: as
• 23:36
  [roger_mcfillin]: drug
• 23:36
  [sean]: causing
• 23:36
  [roger_mcfillin]: as causing
• 23:37
  [sean]: this particle
• 23:38
  [roger_mcfillin]: particular
• 23:38
  [sean]: or side effect
• 23:39
  [roger_mcfillin]: side
• 23:39
  [yassie_pirani]: yeah
• 23:39
  [roger_mcfillin]: section
• 23:40
  [yassie_pirani]: hundred
• 23:40
  [sean]: are you
• 23:40
  [yassie_pirani]: percent
• 23:40
  [sean]: experiencing
• 23:40
  [roger_mcfillin]: are you experiencing
• 23:41
  [yassie_pirani]: hundred
• 23:41
  [sean]: that
• 23:41
  [roger_mcfillin]: that
• 23:43
  [yassie_pirani]: so many people would have no idea that it's the medication and we just the
• 23:51
  [yassie_pirani]: effects to people you know my clients say like the damage to my brain and
• 23:55
  [yassie_pirani]: nervous system
• 23:56
  [emily_]: oh
• 23:57
  [yassie_pirani]: is so much further
• 23:57
  [emily_]: yeah
• 23:58
  [yassie_pirani]: than a side effect
• 23:59
  [emily_]: yeah
• 23:59
  [yassie_pirani]: and those are the people who can really
• 24:01
  [emily_]: oh
• 24:01
  [yassie_pirani]: link the drag two
• 24:02
  [emily_]: yeah
• 24:04
  [yassie_pirani]: to their symptoms but so many
• 24:05
  [emily_]: oh
• 24:06
  [yassie_pirani]: people will have such a
• 24:07
  [emily_]: right
• 24:07
  [yassie_pirani]: range of symptoms it will be really some for some people it's really mild and
• 24:10
  [yassie_pirani]: some people it's absolutely
• 24:11
  [roger_mcfillin]: ye
• 24:12
  [yassie_pirani]: like an on off switch like emily was describing some
• 24:15
  [sean]: oh
• 24:15
  [yassie_pirani]: people it's in between and so so many people don't know to attribute their symptoms
• 24:19
  [yassie_pirani]: to the drug so it's it's really really really under probably under recognized under reported
• 24:30
  [yassie_pirani]: um and it's like roger you're saying it's it really
• 24:37
  [emily_]: m
• 24:38
  [yassie_pirani]: oh it's a trade
• 24:42
  [emily_]: ah
• 24:42
  [yassie_pirani]: off it's a trade off because they
• 24:45
  [emily_]: m yes
• 24:45
  [yassie_pirani]: people
• 24:46
  [emily_]: oh
• 24:46
  [yassie_pirani]: you know will say p s s d does not begin to compare to the
• 24:50
  [yassie_pirani]: distress of the depression our anxiety that they're originally seeking treatment for just goes so
• 24:56
  [yassie_pirani]: much deeper likepssdrots your spirit and breaks people and people choosing suicide over it and
• 25:04
  [yassie_pirani]: that was so much more distressing
• 25:05
  [emily_]: m
• 25:06
  [yassie_pirani]: than the you know people are ending up in the doctor's office for you know
• 25:12
  [yassie_pirani]: losing a job or you know all break up or all the things that are
• 25:17
  [yassie_pirani]: painful
• 25:17
  [emily_]: a
• 25:17
  [yassie_pirani]: though it's life but we're medicalizing these life experiences and and applying the bio medical
• 25:24
  [yassie_pirani]: model a big way to mental health and sort of dis easifying any heartbreak any
• 25:31
  [yassie_pirani]: any any distress and not i think it's just so important to kind of normalize
• 25:37
  [yassie_pirani]: the ups and downs of life and
• 25:39
  [emily_]: oh
• 25:40
  [yassie_pirani]: we're kind of just
• 25:41
  [emily_]: i
• 25:43
  [yassie_pirani]: in a system where people are just getting put on me so
• 25:46
  [emily_]: ye
• 25:47
  [yassie_pirani]: easily without without
• 25:49
  [roger_mcfillin]: yeah
• 25:49
  [yassie_pirani]: needful conversations about the risks involved such as this
• 25:53
  [sean]: somebody
• 25:53
  [roger_mcfillin]: somebody
• 25:53
  [sean]: tweeted
• 25:54
  [roger_mcfillin]: tweated
• 25:54
  [sean]: me recently
• 25:54
  [roger_mcfillin]: me recently
• 25:55
  [sean]: who stated
• 25:56
  [roger_mcfillin]: who stated
• 25:56
  [sean]: my depression
• 25:57
  [roger_mcfillin]: my depression
• 25:57
  [sean]: was
• 25:58
  [roger_mcfillin]: was
• 25:58
  [sean]: a vacation
• 25:59
  [roger_mcfillin]: vacation
• 25:59
  [sean]: at a five
• 25:59
  [roger_mcfillin]: at a
• 25:59
  [sean]: star
• 26:00
  [roger_mcfillin]: five
• 26:00
  [sean]: resort
• 26:00
  [roger_mcfillin]: start
• 26:00
  [sean]: compared
• 26:01
  [roger_mcfillin]: compared
• 26:01
  [sean]: to
• 26:01
  [roger_mcfillin]: to
• 26:01
  [sean]: p s
• 26:02
  [roger_mcfillin]: p
• 26:02
  [sean]: s
• 26:02
  [roger_mcfillin]: s
• 26:02
  [sean]: d
• 26:03
  [roger_mcfillin]: d
• 26:03
  [sean]: and the symptoms
• 26:03
  [roger_mcfillin]: and the symptoms
• 26:03
  [sean]: i have to
• 26:04
  [roger_mcfillin]: i
• 26:04
  [sean]: exhibit
• 26:04
  [roger_mcfillin]: have to exhibit
• 26:05
  [emily_]: oh
• 26:05
  [sean]: and so
• 26:05
  [roger_mcfillin]: and
• 26:06
  [sean]: i
• 26:06
  [roger_mcfillin]: so
• 26:06
  [sean]: think you
• 26:06
  [roger_mcfillin]: i
• 26:06
  [sean]: made
• 26:06
  [roger_mcfillin]: think you
• 26:06
  [sean]: an
• 26:06
  [emily_]: oh
• 26:06
  [roger_mcfillin]: made
• 26:07
  [sean]: excellent
• 26:07
  [roger_mcfillin]: an excellent
• 26:07
  [sean]: point yes
• 26:07
  [roger_mcfillin]: point
• 26:08
  [sean]: about
• 26:08
  [roger_mcfillin]: as
• 26:08
  [sean]: the
• 26:08
  [roger_mcfillin]: about
• 26:08
  [sean]: medicalization
• 26:08
  [roger_mcfillin]: the medicalization
• 26:10
  [sean]: of
• 26:10
  [roger_mcfillin]: of
• 26:10
  [sean]: m living
• 26:11
  [roger_mcfillin]: living
• 26:12
  [sean]: and we
• 26:12
  [roger_mcfillin]: and
• 26:12
  [sean]: can get
• 26:13
  [roger_mcfillin]: we
• 26:13
  [sean]: into
• 26:13
  [roger_mcfillin]: can get
• 26:13
  [sean]: philosophy
• 26:13
  [roger_mcfillin]: into philosophy
• 26:14
  [sean]: of this
• 26:14
  [roger_mcfillin]: at
• 26:14
  [sean]: but
• 26:14
  [roger_mcfillin]: this but
• 26:15
  [sean]: obviously
• 26:16
  [roger_mcfillin]: obviously
• 26:16
  [sean]: the emotions
• 26:16
  [roger_mcfillin]: the emotions
• 26:17
  [sean]: even when
• 26:17
  [roger_mcfillin]: even
• 26:17
  [sean]: they're
• 26:17
  [roger_mcfillin]: when
• 26:17
  [sean]: negative
• 26:17
  [roger_mcfillin]: they're negative
• 26:18
  [sean]: and they're
• 26:18
  [roger_mcfillin]: and
• 26:18
  [sean]: intense
• 26:18
  [roger_mcfillin]: they're intense
• 26:20
  [sean]: are certainly
• 26:20
  [roger_mcfillin]: are certainly
• 26:21
  [sean]: sending us
• 26:21
  [roger_mcfillin]: sending
• 26:21
  [sean]: a message
• 26:21
  [roger_mcfillin]: us a message
• 26:22
  [sean]: they're serving
• 26:22
  [roger_mcfillin]: they're
• 26:22
  [sean]: us
• 26:22
  [roger_mcfillin]: serving
• 26:22
  [sean]: in some
• 26:23
  [roger_mcfillin]: us in
• 26:23
  [sean]: way
• 26:23
  [roger_mcfillin]: some way
• 26:23
  [sean]: whether
• 26:24
  [yassie_pirani]: sir
• 26:24
  [sean]: there
• 26:24
  [roger_mcfillin]: whether
• 26:24
  [sean]: is
• 26:24
  [roger_mcfillin]: there is
• 26:25
  [sean]: some
• 26:25
  [roger_mcfillin]: some
• 26:26
  [sean]: problem
• 26:26
  [roger_mcfillin]: problem
• 26:26
  [sean]: we need to
• 26:27
  [roger_mcfillin]: we
• 26:27
  [sean]: face
• 26:27
  [roger_mcfillin]: need to face
• 26:28
  [yassie_pirani]: m
• 26:28
  [sean]: or loss we
• 26:29
  [roger_mcfillin]: loss
• 26:29
  [sean]: need
• 26:29
  [yassie_pirani]: m
• 26:29
  [sean]: to
• 26:29
  [roger_mcfillin]: we
• 26:29
  [sean]: grieve
• 26:29
  [roger_mcfillin]: need to grieve
• 26:30
  [yassie_pirani]: m
• 26:30
  [sean]: or something
• 26:31
  [roger_mcfillin]: or
• 26:31
  [sean]: that
• 26:31
  [roger_mcfillin]: something
• 26:31
  [sean]: we have
• 26:31
  [roger_mcfillin]: that
• 26:31
  [sean]: to do
• 26:31
  [roger_mcfillin]: we
• 26:31
  [sean]: to
• 26:31
  [roger_mcfillin]: have
• 26:32
  [sean]: change
• 26:32
  [roger_mcfillin]: to do to
• 26:32
  [sean]: our
• 26:32
  [roger_mcfillin]: change
• 26:32
  [sean]: lives
• 26:32
  [roger_mcfillin]: our lives
• 26:33
  [sean]: there's also
• 26:33
  [roger_mcfillin]: there's
• 26:33
  [sean]: potentially
• 26:33
  [roger_mcfillin]: also potentially
• 26:34
  [sean]: something
• 26:34
  [roger_mcfillin]: something
• 26:34
  [sean]: else that's
• 26:35
  [roger_mcfillin]: else
• 26:35
  [sean]: going
• 26:35
  [roger_mcfillin]: that's
• 26:35
  [sean]: on
• 26:35
  [roger_mcfillin]: going
• 26:35
  [sean]: with us
• 26:35
  [roger_mcfillin]: on with us
• 26:36
  [sean]: medically
• 26:36
  [roger_mcfillin]: medically
• 26:36
  [sean]: that needs
• 26:37
  [roger_mcfillin]: that
• 26:37
  [sean]: to be
• 26:37
  [roger_mcfillin]: needs to
• 26:37
  [sean]: addressed
• 26:37
  [roger_mcfillin]: be addressed
• 26:38
  [sean]: so
• 26:38
  [roger_mcfillin]: so
• 26:39
  [sean]: comment
• 26:39
  [roger_mcfillin]: comment
• 26:39
  [sean]: psychiatric
• 26:39
  [roger_mcfillin]: psychiatric
• 26:40
  [sean]: symptoms
• 26:40
  [roger_mcfillin]: symptoms
• 26:40
  [sean]: can also
• 26:40
  [roger_mcfillin]: can
• 26:41
  [sean]: be
• 26:41
  [roger_mcfillin]: also
• 26:41
  [sean]: related
• 26:41
  [emily_]: m
• 26:41
  [roger_mcfillin]: be related
• 26:41
  [sean]: to a number
• 26:42
  [roger_mcfillin]: to a number
• 26:42
  [sean]: of other potential
• 26:43
  [roger_mcfillin]: other potential
• 26:43
  [sean]: causes
• 26:43
  [roger_mcfillin]: causes
• 26:44
  [sean]: emily was
• 26:44
  [roger_mcfillin]: emily
• 26:44
  [sean]: mentioning
• 26:44
  [roger_mcfillin]: was mentioning
• 26:45
  [sean]: struggling with
• 26:45
  [roger_mcfillin]: struggling
• 26:45
  [sean]: an eating
• 26:46
  [roger_mcfillin]: with
• 26:46
  [sean]: disorder
• 26:46
  [roger_mcfillin]: an eating
• 26:46
  [sean]: which
• 26:46
  [roger_mcfillin]: disorder
• 26:46
  [sean]: is an
• 26:47
  [roger_mcfillin]: which
• 26:47
  [sean]: area
• 26:47
  [roger_mcfillin]: is an area
• 26:47
  [sean]: of experts
• 26:47
  [roger_mcfillin]: of experts
• 26:48
  [sean]: from for me personally
• 26:49
  [roger_mcfillin]: for me personally
• 26:49
  [sean]: where i
• 26:50
  [roger_mcfillin]: where
• 26:50
  [sean]: work
• 26:50
  [roger_mcfillin]: i
• 26:50
  [sean]: with
• 26:50
  [roger_mcfillin]: worked
• 26:50
  [sean]: clients
• 26:50
  [roger_mcfillin]: with clients
• 26:51
  [sean]: and they
• 26:52
  [roger_mcfillin]: and
• 26:52
  [sean]: exhibit
• 26:52
  [roger_mcfillin]: they exhibit
• 26:52
  [sean]: symptoms
• 26:53
  [roger_mcfillin]: symptoms
• 26:53
  [sean]: that are psyche
• 26:54
  [roger_mcfillin]: are
• 26:54
  [sean]: at
• 26:54
  [roger_mcfillin]: psychynatrican
• 26:54
  [sean]: can nature
• 26:55
  [roger_mcfillin]: nature
• 26:55
  [sean]: depressed
• 26:55
  [roger_mcfillin]: depressed
• 26:55
  [sean]: mood
• 26:56
  [roger_mcfillin]: mood
• 26:56
  [sean]: anxiety
• 26:56
  [roger_mcfillin]: anxiety
• 26:57
  [sean]: and so forth
• 26:57
  [roger_mcfillin]: and so forth
• 26:58
  [sean]: and there's
• 26:58
  [roger_mcfillin]: and
• 26:58
  [sean]: a lot
• 26:59
  [roger_mcfillin]: there's
• 26:59
  [sean]: of
• 26:59
  [roger_mcfillin]: a
• 26:59
  [sean]: nutrient
• 26:59
  [roger_mcfillin]: lot of nutrient
• 26:59
  [sean]: deficiencies
• 27:00
  [roger_mcfillin]: deficiencies
• 27:00
  [sean]: there
• 27:01
  [roger_mcfillin]: there
• 27:01
  [sean]: their body
• 27:01
  [roger_mcfillin]: their body
• 27:02
  [sean]: is
• 27:02
  [emily_]: m
• 27:02
  [sean]: sick
• 27:02
  [roger_mcfillin]: is
• 27:02
  [sean]: it's
• 27:02
  [roger_mcfillin]: sick
• 27:02
  [sean]: ill
• 27:03
  [roger_mcfillin]: it's ill
• 27:03
  [sean]: and
• 27:04
  [roger_mcfillin]: and
• 27:04
  [emily_]: oh
• 27:04
  [sean]: and their brain
• 27:04
  [roger_mcfillin]: end their brain
• 27:05
  [sean]: is deprived
• 27:05
  [roger_mcfillin]: is deprived
• 27:05
  [sean]: of necessary
• 27:06
  [roger_mcfillin]: of cessary
• 27:07
  [sean]: fats
• 27:07
  [roger_mcfillin]: fats
• 27:07
  [sean]: and proteins
• 27:07
  [roger_mcfillin]: and proteins
• 27:08
  [sean]: for development
• 27:08
  [roger_mcfillin]: for development
• 27:08
  [sean]: and so forth
• 27:09
  [roger_mcfillin]: and so
• 27:09
  [sean]: so they
• 27:09
  [roger_mcfillin]: forth
• 27:09
  [sean]: exhibit
• 27:09
  [roger_mcfillin]: so they exhibit
• 27:10
  [sean]: depressed
• 27:10
  [roger_mcfillin]: depressed
• 27:10
  [sean]: mood and so
• 27:10
  [roger_mcfillin]: mood
• 27:11
  [sean]: forth
• 27:11
  [roger_mcfillin]: and so
• 27:11
  [sean]: but
• 27:11
  [roger_mcfillin]: forth
• 27:12
  [sean]: what the underlying
• 27:12
  [roger_mcfillin]: the underlying
• 27:12
  [sean]: problem is
• 27:13
  [roger_mcfillin]: problem
• 27:13
  [sean]: a starvation
• 27:13
  [roger_mcfillin]: is a starvation
• 27:14
  [sean]: and it presents
• 27:14
  [roger_mcfillin]: and it
• 27:15
  [sean]: itself
• 27:15
  [roger_mcfillin]: presents itself
• 27:15
  [sean]: as
• 27:15
  [roger_mcfillin]: as
• 27:15
  [sean]: a psychiatric
• 27:16
  [roger_mcfillin]: a psychiatric
• 27:16
  [sean]: condition
• 27:16
  [emily_]: oh
• 27:16
  [roger_mcfillin]: condition
• 27:17
  [sean]: so the idea
• 27:17
  [roger_mcfillin]: so the
• 27:17
  [sean]: to
• 27:18
  [roger_mcfillin]: idea
• 27:18
  [sean]: try
• 27:18
  [roger_mcfillin]: to
• 27:18
  [sean]: to
• 27:18
  [roger_mcfillin]: try to
• 27:19
  [sean]: treat some
• 27:19
  [roger_mcfillin]: treat
• 27:19
  [sean]: of these
• 27:20
  [roger_mcfillin]: some
• 27:20
  [sean]: conditions
• 27:20
  [roger_mcfillin]: of these conditions
• 27:21
  [sean]: that have
• 27:21
  [roger_mcfillin]: that have
• 27:23
  [sean]: other causes
• 27:23
  [roger_mcfillin]: other causes
• 27:24
  [sean]: and their
• 27:25
  [roger_mcfillin]: and their
• 27:25
  [sean]: their purpose
• 27:26
  [roger_mcfillin]: purpose
• 27:26
  [sean]: at one
• 27:26
  [roger_mcfillin]: and
• 27:26
  [sean]: person's
• 27:26
  [roger_mcfillin]: one person's
• 27:26
  [sean]: life at
• 27:27
  [roger_mcfillin]: life at
• 27:27
  [sean]: a specific
• 27:28
  [roger_mcfillin]: a specific
• 27:28
  [sean]: time is
• 27:28
  [roger_mcfillin]: time
• 27:28
  [sean]: to try
• 27:29
  [roger_mcfillin]: is to
• 27:29
  [sean]: to
• 27:29
  [roger_mcfillin]: try
• 27:29
  [sean]: numb
• 27:29
  [roger_mcfillin]: to numb
• 27:30
  [sean]: or to alter
• 27:30
  [roger_mcfillin]: to
• 27:30
  [sean]: or
• 27:30
  [roger_mcfillin]: alter
• 27:30
  [sean]: change
• 27:31
  [roger_mcfillin]: or
• 27:31
  [sean]: that
• 27:31
  [roger_mcfillin]: change
• 27:31
  [sean]: physiological
• 27:31
  [roger_mcfillin]: that physiological
• 27:32
  [sean]: state
• 27:32
  [roger_mcfillin]: state
• 27:32
  [sean]: to assume
• 27:33
  [roger_mcfillin]: to
• 27:33
  [sean]: that
• 27:33
  [roger_mcfillin]: assume
• 27:33
  [sean]: that has
• 27:33
  [roger_mcfillin]: that
• 27:33
  [sean]: some
• 27:33
  [roger_mcfillin]: that has
• 27:33
  [sean]: sort
• 27:34
  [roger_mcfillin]: some
• 27:34
  [sean]: of
• 27:34
  [roger_mcfillin]: sort
• 27:34
  [sean]: benefit
• 27:34
  [roger_mcfillin]: of benefit
• 27:35
  [sean]: think
• 27:35
  [roger_mcfillin]: i think
• 27:35
  [sean]: is
• 27:36
  [roger_mcfillin]: is now
• 27:37
  [sean]: unfortunately
• 27:37
  [roger_mcfillin]: unfortunately
• 27:38
  [sean]: a direction
• 27:38
  [roger_mcfillin]: a direction
• 27:38
  [sean]: where we've gone
• 27:38
  [roger_mcfillin]: where we've got
• 27:39
  [sean]: in society
• 27:39
  [roger_mcfillin]: society
• 27:39
  [sean]: that has
• 27:40
  [roger_mcfillin]: that
• 27:40
  [sean]: worse
• 27:40
  [roger_mcfillin]: is
• 27:40
  [sean]: an
• 27:40
  [roger_mcfillin]: worse
• 27:40
  [sean]: the
• 27:40
  [roger_mcfillin]: than
• 27:40
  [sean]: way that
• 27:41
  [roger_mcfillin]: the way
• 27:41
  [sean]: we
• 27:41
  [roger_mcfillin]: that
• 27:41
  [sean]: deal
• 27:41
  [roger_mcfillin]: we deal
• 27:42
  [sean]: with the struggles
• 27:42
  [roger_mcfillin]: with the struggles
• 27:43
  [emily_]: m
• 27:43
  [sean]: living
• 27:43
  [roger_mcfillin]: of living
• 27:44
  [sean]: versus
• 27:44
  [roger_mcfillin]: versus
• 27:44
  [sean]: some advancement
• 27:45
  [roger_mcfillin]: some advancement
• 27:46
  [sean]: medically
• 27:46
  [roger_mcfillin]: medically
• 27:46
  [sean]: i want to bring
• 27:47
  [roger_mcfillin]: i want
• 27:47
  [sean]: emily
• 27:47
  [roger_mcfillin]: to bring
• 27:47
  [sean]: back
• 27:47
  [roger_mcfillin]: emily
• 27:47
  [sean]: in
• 27:47
  [roger_mcfillin]: back
• 27:47
  [sean]: here
• 27:48
  [roger_mcfillin]: in
• 27:48
  [sean]: because
• 27:48
  [roger_mcfillin]: here
• 27:48
  [sean]: she
• 27:48
  [roger_mcfillin]: because
• 27:48
  [sean]: may
• 27:48
  [roger_mcfillin]: she may
• 27:49
  [sean]: have some more
• 27:49
  [roger_mcfillin]: have
• 27:49
  [sean]: information
• 27:49
  [roger_mcfillin]: some more information
• 27:50
  [sean]: on this i know
• 27:50
  [roger_mcfillin]: on this
• 27:50
  [sean]: anecdotally
• 27:50
  [roger_mcfillin]: i know anecdotally
• 27:52
  [sean]: it is quite
• 27:52
  [roger_mcfillin]: it is
• 27:52
  [sean]: common
• 27:52
  [roger_mcfillin]: quite common
• 27:53
  [sean]: for my clients
• 27:54
  [roger_mcfillin]: for my clients
• 27:54
  [sean]: to report
• 27:54
  [roger_mcfillin]: to report
• 27:55
  [sean]: some
• 27:55
  [roger_mcfillin]: some
• 27:55
  [sean]: changes
• 27:56
  [roger_mcfillin]: changes
• 27:56
  [sean]: in their sexual
• 27:56
  [roger_mcfillin]: in their sexual
• 27:57
  [sean]: functioning
• 27:57
  [roger_mcfillin]: functioning
• 27:58
  [sean]: decrease
• 27:58
  [roger_mcfillin]: decrease
• 27:58
  [sean]: in libido
• 27:59
  [roger_mcfillin]: in libido
• 27:59
  [sean]: um
• 28:00
  [roger_mcfillin]: um
• 28:00
  [sean]: changes
• 28:01
  [roger_mcfillin]: changes
• 28:01
  [sean]: in relationship
• 28:01
  [roger_mcfillin]: in relationship
• 28:02
  [sean]: and
• 28:02
  [roger_mcfillin]: and
• 28:02
  [sean]: i know we don't
• 28:03
  [roger_mcfillin]: i know
• 28:03
  [sean]: have
• 28:03
  [roger_mcfillin]: we don't
• 28:03
  [sean]: any
• 28:03
  [roger_mcfillin]: have
• 28:03
  [sean]: like
• 28:03
  [roger_mcfillin]: any
• 28:04
  [sean]: clue or
• 28:04
  [roger_mcfillin]: clear
• 28:04
  [sean]: data
• 28:05
  [roger_mcfillin]: data
• 28:05
  [sean]: that might
• 28:05
  [roger_mcfillin]: that
• 28:05
  [sean]: suggest
• 28:05
  [roger_mcfillin]: might suggest
• 28:06
  [sean]: that we
• 28:06
  [roger_mcfillin]: that
• 28:07
  [sean]: know
• 28:07
  [roger_mcfillin]: we know
• 28:07
  [sean]: the percentage
• 28:07
  [roger_mcfillin]: the percentage
• 28:08
  [sean]: of people that
• 28:08
  [roger_mcfillin]: of
• 28:08
  [sean]: are
• 28:08
  [roger_mcfillin]: people
• 28:08
  [sean]: gonna experience
• 28:08
  [roger_mcfillin]: that are going experience
• 28:09
  [sean]: this adverse
• 28:09
  [roger_mcfillin]: his adverse
• 28:10
  [sean]: effect
• 28:10
  [roger_mcfillin]: effect
• 28:11
  [sean]: but in
• 28:11
  [roger_mcfillin]: and
• 28:11
  [sean]: your work
• 28:12
  [roger_mcfillin]: in your
• 28:12
  [sean]: emily
• 28:12
  [roger_mcfillin]: work
• 28:12
  [sean]: are
• 28:12
  [roger_mcfillin]: emily
• 28:12
  [sean]: you getting
• 28:13
  [roger_mcfillin]: are you
• 28:13
  [sean]: an
• 28:13
  [roger_mcfillin]: getting
• 28:13
  [sean]: understanding
• 28:13
  [roger_mcfillin]: an understanding
• 28:14
  [sean]: of maybe how
• 28:14
  [roger_mcfillin]: of maybe
• 28:14
  [sean]: common
• 28:15
  [roger_mcfillin]: how common
• 28:15
  [sean]: something like
• 28:15
  [roger_mcfillin]: something
• 28:15
  [sean]: this is
• 28:16
  [roger_mcfillin]: like this is
• 28:17
  [emily_]: i think what we're dealing with is anyway it's a lot more common than one
• 28:22
  [emily_]: would think based on the amount of literature there is so here's an example a
• 28:28
  [emily_]: friend of mine i made through advocacy who also suffers o p s d she
• 28:34
  [emily_]: made a tender profile in her and set it to her city and in it
• 28:39
  [emily_]: she didn't show her face but she described p s s and said i'm jus
• 28:44
  [emily_]: looking to connect with other people out there who might have it and she said
• 28:48
  [emily_]: the the area for availability to ten kilometers in either direction and within a few
• 28:57
  [emily_]: days she was getting
• 28:58
  [roger_mcfillin]: ah
• 28:58
  [emily_]: messages from people who lived within her vicinity that had p
• 29:03
  [roger_mcfillin]: oh
• 29:03
  [emily_]: s s t that had come across her profile so this is not a rare
• 29:08
  [emily_]: thing there's someone in your town there's someone on your block who has p
• 29:12
  [yassie_pirani]: m
• 29:12
  [emily_]: s s d
• 29:13
  [yassie_pirani]: yeah
• 29:15
  [emily_]: it's probably far far more common than is ever discussed just like many other forms
• 29:20
  [emily_]: of sexual trauma
• 29:22
  [yassie_pirani]: a
• 29:22
  [emily_]: um and i just want to add on to something that was speaking of earlier
• 29:26
  [emily_]: about
• 29:27
  [yassie_pirani]: m
• 29:27
  [emily_]: accompanying symptoms so when i
• 29:30
  [yassie_pirani]: m
• 29:31
  [emily_]: was experiencing what was diagnosed as depression in high school i could still finish high
• 29:35
  [emily_]: school when i was on the medication i was doing finding university when i developed
• 29:41
  [emily_]: psisdifyou're coming off the medication i experienced such emotional
• 29:45
  [yassie_pirani]: m
• 29:45
  [emily_]: trauma and also accompanying physical fatigue and cognitive impacts
• 29:51
  [yassie_pirani]: oh
• 29:51
  [emily_]: like brain fag and inability to think straight or carry a work load that i
• 29:56
  [emily_]: had to ahletif university so that is both a that also makes it more difficult
• 30:03
  [emily_]: for people to address the problem of p s s t and it makes it
• 30:07
  [emily_]: more difficult for them to communicate to the people around them because it comes with
• 30:11
  [emily_]: these accompanying symptoms of deep deep fatigue and lack of vitality so i think people
• 30:20
  [emily_]: who acquire p s st often just kind of slowly fading into the background
• 30:27
  [sean]: if if someone does suspect they may
• 30:30
  [roger_mcfillin]: they
• 30:30
  [sean]: have
• 30:30
  [roger_mcfillin]: made
• 30:30
  [sean]: p s s d how do they
• 30:33
  [roger_mcfillin]: how
• 30:34
  [sean]: go
• 30:34
  [roger_mcfillin]: did
• 30:34
  [sean]: about
• 30:34
  [roger_mcfillin]: it go
• 30:34
  [sean]: trying
• 30:34
  [roger_mcfillin]: out
• 30:35
  [sean]: to confirm because maybe people
• 30:37
  [roger_mcfillin]: maybe
• 30:37
  [sean]: are
• 30:37
  [roger_mcfillin]: people
• 30:37
  [sean]: on the fence and not understanding
• 30:39
  [roger_mcfillin]: stand
• 30:39
  [sean]: because awareness is so low what resources
• 30:41
  [roger_mcfillin]: what is
• 30:42
  [sean]: exist if someone even
• 30:44
  [roger_mcfillin]: on
• 30:44
  [sean]: go to a doctor could a doctor properly
• 30:46
  [roger_mcfillin]: perley
• 30:47
  [sean]: confirm or
• 30:47
  [roger_mcfillin]: for
• 30:47
  [sean]: deny whether or not it's happening
• 30:50
  [roger_mcfillin]: i
• 30:51
  [emily_]: there is there has been recently published an official diagnostic criteria and it was developed
• 30:57
  [emily_]: by a wide range of medical professionals from thirty nine different universities and i can
• 31:03
  [emily_]: link that to you afterwards the problem is that was developed in europe so this
• 31:08
  [emily_]: is starting to gain more awareness and recognition across the european union but especially in
• 31:15
  [emily_]: america were really behind on awareness so chances are when you go to a doctor
• 31:21
  [emily_]: this is changing now but a lot of the time they haven't even heard of
• 31:25
  [emily_]: p s s so they
• 31:26
  [yassie_pirani]: m
• 31:26
  [emily_]: may just be genuinely in the dark but what you're experiencing as much as the
• 31:30
  [emily_]: patient is there's a tendency to suggs that it's the mental health issue returning there's
• 31:36
  [emily_]: also just often sort of a bold face just denial that it's possible that these
• 31:43
  [emily_]: effects can be the result of a medication and so patients may leave the doctor's
• 31:47
  [emily_]: office just saying well i guess it can't be the medication it must be something
• 31:51
  [emily_]: else and they may spend years trying other things trying to fix other things on
• 31:57
  [emily_]: not being able to confirm that it is p s s t m generally we
• 32:02
  [emily_]: would say if you have significant sexual disfunction that was not present before taking the
• 32:10
  [emily_]: medication and that lasts three to six months after totally tapering off the medication we
• 32:18
  [emily_]: would consider it to be p s s t we're not able yet to confirm
• 32:23
  [emily_]: bio markers there's no particular test that can be done on someone that can confirm
• 32:28
  [emily_]: that it's p s st a big clue is if there is tact nothing in
• 32:33
  [emily_]: there tall area because it's hard you know if it's lowered libido then it could
• 32:39
  [emily_]: maybe be other things tactialnumming after taking an is quite distinct that's quite a distinct
• 32:45
  [emily_]: discreet symptom
• 32:46
  [sean]: hm
• 32:47
  [emily_]: um there are some medical professionals who are ware of past and are willing to
• 32:53
  [emily_]: diagnose it and i can make i can link you a list of them afterwards
• 32:57
  [emily_]: as well
• 32:58
  [sean]: great
• 32:59
  [yassie_pirani]: i find it's really common for people when they if they do gain the courage
• 33:03
  [yassie_pirani]: to speak to their doctor which is often a journey that i work with practice
• 33:08
  [yassie_pirani]: folks feel so much
• 33:09
  [emily_]: yeah
• 33:10
  [yassie_pirani]: mistrust um they've gotten p s s t it's because the health care professional didn't
• 33:17
  [yassie_pirani]: have the equipment to warn them about the risk so there's a lot of mistrust
• 33:20
  [yassie_pirani]: already coming in when going into doctor's office after that experience oftentimes people have spoken
• 33:26
  [yassie_pirani]: to their families or communities and they're shamed or minimize so the strength and courage
• 33:31
  [yassie_pirani]: it takes to even go into a doctor's office and say hey i think i
• 33:34
  [yassie_pirani]: have p s s t his it's immense and it's really common for people to
• 33:39
  [yassie_pirani]: experience miniimization and dismissal of their pscpssdsymptoms is a valid health care concern
• 33:46
  [emily_]: m
• 33:47
  [yassie_pirani]: which compound suffering
• 33:48
  [emily_]: oh
• 33:49
  [yassie_pirani]: often the greatest contributor i find to thoughts of suicide is well not actually the
• 33:54
  [yassie_pirani]: injury itself often times it is but the experience of having their concerns to messed
• 34:00
  [yassie_pirani]: the denial of pit is a real and serious health care issue creates the conditions
• 34:05
  [yassie_pirani]: in which people too often blame themselves and self blame can further distrep relationships self
• 34:11
  [yassie_pirani]: worth and ident in sending people into a spiral of shame and self loathing and
• 34:16
  [yassie_pirani]: read it's reached completely retrometizing for people to have to not be to not be
• 34:21
  [yassie_pirani]: validated and believed on many people with this sexual trauma from p s s t
• 34:27
  [yassie_pirani]: drop parallels
• 34:27
  [emily_]: oh
• 34:28
  [yassie_pirani]: to sexual assault made
• 34:29
  [emily_]: oh
• 34:30
  [yassie_pirani]: to drop parallels to sexual assaults to make sense of their experiences
• 34:33
  [emily_]: oh
• 34:34
  [yassie_pirani]: as they feel strongly that a violence been done to them and sexual violence framework
• 34:39
  [yassie_pirani]: is useful for these suffers to understand their experience particularly because of the power and
• 34:43
  [yassie_pirani]: authority tiveferentials involved the dynamics around consent and the shame experienced when speaking out sufferers
• 34:51
  [yassie_pirani]: of p s just as survivors of sexual other sexual violences need to be reminded
• 34:57
  [yassie_pirani]: that their trauma is not their faults and that they have the right to feel
• 35:00
  [yassie_pirani]: rage devastation grief confusion and their emotion related to their experience
• 35:06
  [sean]: yeah yeah
• 35:06
  [roger_mcfillin]: yeah
• 35:06
  [sean]: you
• 35:06
  [roger_mcfillin]: yeah
• 35:07
  [sean]: re you jumped
• 35:07
  [roger_mcfillin]: you
• 35:08
  [sean]: in
• 35:08
  [roger_mcfillin]: jumped
• 35:08
  [sean]: there because
• 35:08
  [roger_mcfillin]: in there
• 35:08
  [sean]: i was
• 35:08
  [roger_mcfillin]: because
• 35:08
  [sean]: going to
• 35:08
  [roger_mcfillin]: i was going
• 35:09
  [sean]: go
• 35:09
  [roger_mcfillin]: to
• 35:09
  [sean]: down
• 35:09
  [roger_mcfillin]: go
• 35:09
  [sean]: that
• 35:09
  [roger_mcfillin]: down
• 35:09
  [sean]: lens
• 35:09
  [roger_mcfillin]: that
• 35:10
  [sean]: as
• 35:10
  [roger_mcfillin]: lends
• 35:10
  [sean]: far as
• 35:10
  [roger_mcfillin]: as
• 35:10
  [sean]: asking
• 35:10
  [roger_mcfillin]: far as
• 35:10
  [sean]: you
• 35:11
  [roger_mcfillin]: asking
• 35:11
  [sean]: some questions
• 35:11
  [roger_mcfillin]: you some questions
• 35:11
  [sean]: because i know
• 35:12
  [roger_mcfillin]: because
• 35:12
  [sean]: you do
• 35:12
  [roger_mcfillin]: i know
• 35:12
  [sean]: work
• 35:12
  [roger_mcfillin]: you
• 35:12
  [sean]: from
• 35:12
  [roger_mcfillin]: do
• 35:12
  [sean]: a
• 35:12
  [roger_mcfillin]: work
• 35:12
  [sean]: trauma
• 35:13
  [roger_mcfillin]: from a trauma
• 35:13
  [sean]: and formed
• 35:13
  [roger_mcfillin]: and formed
• 35:13
  [sean]: perspective
• 35:14
  [roger_mcfillin]: perspective
• 35:15
  [sean]: and this
• 35:15
  [roger_mcfillin]: and
• 35:15
  [sean]: clearly
• 35:15
  [roger_mcfillin]: this clearly
• 35:16
  [sean]: to me represents
• 35:16
  [roger_mcfillin]: to me represents
• 35:17
  [sean]: medical
• 35:17
  [roger_mcfillin]: medical
• 35:17
  [sean]: trauma
• 35:18
  [roger_mcfillin]: trauma
• 35:18
  [sean]: are you
• 35:19
  [yassie_pirani]: hm
• 35:19
  [roger_mcfillin]: are you
• 35:19
  [sean]: do your
• 35:19
  [roger_mcfillin]: do
• 35:19
  [sean]: clients
• 35:20
  [roger_mcfillin]: your clients
• 35:20
  [sean]: that you're
• 35:20
  [roger_mcfillin]: that
• 35:20
  [sean]: working
• 35:20
  [roger_mcfillin]: you're working
• 35:21
  [sean]: with also
• 35:21
  [roger_mcfillin]: with also
• 35:22
  [sean]: exhibit
• 35:22
  [roger_mcfillin]: exhibit
• 35:22
  [sean]: symptoms
• 35:23
  [roger_mcfillin]: symptoms
• 35:23
  [sean]: of
• 35:23
  [roger_mcfillin]: of
• 35:24
  [sean]: post dramatic
• 35:24
  [roger_mcfillin]: post dramatic
• 35:24
  [sean]: stress
• 35:25
  [roger_mcfillin]: stress
• 35:25
  [sean]: in a way
• 35:25
  [roger_mcfillin]: in a
• 35:25
  [sean]: that
• 35:25
  [roger_mcfillin]: way that
• 35:26
  [sean]: one would
• 35:26
  [roger_mcfillin]: one would
• 35:27
  [sean]: if they experienced
• 35:27
  [roger_mcfillin]: if they experienced
• 35:28
  [sean]: another dramatic
• 35:28
  [roger_mcfillin]: another dramatic
• 35:28
  [sean]: event
• 35:29
  [roger_mcfillin]: event
• 35:29
  [emily_]: oh
• 35:29
  [yassie_pirani]: absolutely absolutely and people are triggered
• 35:33
  [emily_]: m
• 35:34
  [yassie_pirani]: the thing that's so hard about this is the triggers are everywhere i mean a
• 35:41
  [yassie_pirani]: love song at the mall i mean sex and relationships
• 35:44
  [emily_]: oh
• 35:45
  [yassie_pirani]: and love it's everywhere i mean you go to a friend's house and people are
• 35:49
  [yassie_pirani]: talking about who dating and you know who's hot and who you know like it's
• 35:54
  [yassie_pirani]: just it's it's inescapable we don't realize how much or how much our culture really
• 36:00
  [yassie_pirani]: revolves around romance and sex until you until you get p s s d and
• 36:04
  [yassie_pirani]: you're triggered constantly because there's reminders of what what's happened to you and what's been
• 36:09
  [yassie_pirani]: stolen from you so it's really really hard for people it's definitely a a lot
• 36:19
  [yassie_pirani]: i mean most people say that the p s s t has given them p
• 36:23
  [yassie_pirani]: t s d yeh
• 36:25
  [sean]: yeah i
• 36:26
  [emily_]: hm
• 36:26
  [sean]: work with
• 36:26
  [roger_mcfillin]: i work
• 36:26
  [sean]: sexual
• 36:27
  [roger_mcfillin]: with sexual
• 36:27
  [sean]: trauma
• 36:27
  [roger_mcfillin]: trauma
• 36:28
  [sean]: survivors
• 36:28
  [roger_mcfillin]: survivors
• 36:28
  [sean]: and you know as you're probably
• 36:30
  [roger_mcfillin]: as you're
• 36:30
  [sean]: well
• 36:30
  [roger_mcfillin]: probably
• 36:30
  [sean]: aware
• 36:30
  [roger_mcfillin]: well aware
• 36:31
  [sean]: that component
• 36:32
  [roger_mcfillin]: that component
• 36:32
  [sean]: of self
• 36:32
  [roger_mcfillin]: of
• 36:32
  [sean]: blame
• 36:32
  [roger_mcfillin]: self blame
• 36:33
  [sean]: is really
• 36:33
  [roger_mcfillin]: is
• 36:33
  [sean]: problematic
• 36:33
  [roger_mcfillin]: really problematic
• 36:34
  [sean]: as
• 36:34
  [roger_mcfillin]: as
• 36:35
  [sean]: it does get
• 36:36
  [roger_mcfillin]: it does
• 36:36
  [sean]: in the
• 36:36
  [roger_mcfillin]: get
• 36:36
  [sean]: way
• 36:36
  [roger_mcfillin]: in the
• 36:36
  [sean]: of
• 36:36
  [roger_mcfillin]: way
• 36:36
  [sean]: being able
• 36:37
  [roger_mcfillin]: of being
• 36:37
  [sean]: to take
• 36:37
  [roger_mcfillin]: able to
• 36:37
  [sean]: steps
• 36:37
  [roger_mcfillin]: take steps
• 36:38
  [sean]: forward
• 36:38
  [roger_mcfillin]: forward
• 36:39
  [sean]: and
• 36:39
  [roger_mcfillin]: and
• 36:39
  [sean]: it's really
• 36:40
  [roger_mcfillin]: it's really
• 36:40
  [sean]: even when we
• 36:41
  [roger_mcfillin]: even
• 36:41
  [sean]: look
• 36:41
  [roger_mcfillin]: when
• 36:41
  [sean]: into
• 36:41
  [roger_mcfillin]: we look
• 36:41
  [sean]: our literature
• 36:41
  [roger_mcfillin]: into our literature
• 36:42
  [sean]: it's really
• 36:42
  [roger_mcfillin]: it's
• 36:42
  [sean]: a major
• 36:42
  [roger_mcfillin]: really a
• 36:43
  [sean]: factor
• 36:43
  [roger_mcfillin]: major factor
• 36:43
  [sean]: in the development
• 36:43
  [roger_mcfillin]: in the development
• 36:44
  [sean]: of p t
• 36:44
  [roger_mcfillin]: of
• 36:44
  [sean]: s
• 36:44
  [roger_mcfillin]: ptst
• 36:44
  [sean]: d symptoms
• 36:45
  [roger_mcfillin]: symptoms
• 36:46
  [sean]: have to
• 36:46
  [roger_mcfillin]: i
• 36:46
  [sean]: imagine
• 36:46
  [roger_mcfillin]: have to imagine
• 36:47
  [sean]: when it comes
• 36:47
  [roger_mcfillin]: when it comes
• 36:48
  [sean]: to
• 36:48
  [roger_mcfillin]: to
• 36:48
  [sean]: turning
• 36:49
  [roger_mcfillin]: turning
• 36:49
  [sean]: to
• 36:49
  [roger_mcfillin]: to
• 36:49
  [sean]: s s r eyes
• 36:50
  [roger_mcfillin]: our
• 36:50
  [sean]: and then
• 36:50
  [roger_mcfillin]: eyes
• 36:50
  [sean]: developing
• 36:50
  [roger_mcfillin]: and then de
• 36:51
  [sean]: this
• 36:51
  [roger_mcfillin]: think
• 36:51
  [sean]: condition
• 36:51
  [roger_mcfillin]: is condition
• 36:53
  [sean]: self blame
• 36:53
  [roger_mcfillin]: self blame
• 36:54
  [sean]: is
• 36:54
  [roger_mcfillin]: is
• 36:54
  [sean]: got to be
• 36:55
  [roger_mcfillin]: got to be
• 36:55
  [sean]: one of the
• 36:56
  [roger_mcfillin]: one
• 36:56
  [sean]: challenges
• 36:56
  [roger_mcfillin]: of the challenges
• 36:56
  [sean]: that you
• 36:57
  [roger_mcfillin]: that
• 36:57
  [emily_]: hm
• 36:57
  [sean]: face
• 36:57
  [roger_mcfillin]: you
• 36:57
  [sean]: and
• 36:57
  [roger_mcfillin]: face
• 36:57
  [sean]: being able
• 36:57
  [roger_mcfillin]: and being
• 36:58
  [sean]: to support
• 36:58
  [roger_mcfillin]: able to support
• 36:58
  [sean]: people
• 36:59
  [roger_mcfillin]: people
• 36:59
  [sean]: clinically
• 36:59
  [roger_mcfillin]: clinically
• 37:01
  [yassie_pirani]: yeah yeah it's massive because it's really really challenging for people to find people in
• 37:08
  [yassie_pirani]: their network to validate their experience yea people do not get that it's hard to
• 37:17
  [yassie_pirani]: find people to really recognize the depth of the
• 37:22
  [emily_]: ah
• 37:22
  [yassie_pirani]: violence that has happened and to um to remind people that it's not their fault
• 37:28
  [yassie_pirani]: and that and that they have nothing to be ashamed about and that that you
• 37:31
  [yassie_pirani]: know they shouldn't be blaming themselves because it's so it's so i can think of
• 37:37
  [yassie_pirani]: a more stigmatized health care condition first you have to tell your community whoever you
• 37:42
  [yassie_pirani]: are leaning to for support first you have to say that you are on psychiatric
• 37:46
  [yassie_pirani]: medications which carries stigma and then you have to say that you have been chemically
• 37:52
  [yassie_pirani]: castrated essentially um so the intersection of those reality it makes it extremely difficult for
• 38:03
  [yassie_pirani]: people to speak out and get the support they need from their families from their
• 38:07
  [yassie_pirani]: communities and because people haven't heard of p s s t it's just it's so
• 38:11
  [yassie_pirani]: often minimized as an issue it's really rare for people i find to find somebody
• 38:20
  [yassie_pirani]: in their life to just say wow that you know i don't know a lot
• 38:25
  [yassie_pirani]: about that let me learn more about your experience a lot of ople really don't
• 38:29
  [yassie_pirani]: want to acknowledge that this is real because it's so confronting to the status quote
• 38:38
  [yassie_pirani]: of how we asses an treat people with mental health issues and there's a lot
• 38:43
  [yassie_pirani]: of it's there's a lot of he a nuance that needs to be part of
• 38:52
  [yassie_pirani]: the discussion when we're bringing light to the risks of s s r is a
• 38:58
  [yassie_pirani]: lot of people who are on the medication do
• 39:04
  [yassie_pirani]: do you feel attacked when the drugs are being critigued and so people who are
• 39:08
  [yassie_pirani]: crutiguing the medicationsum
• 39:09
  [emily_]: m
• 39:12
  [yassie_pirani]: we're trying to have more robust conversations about efficacy and safety can be kind of
• 39:17
  [yassie_pirani]: just put into a camp of conspire like oh your conspiracy theorist kind of thing
• 39:23
  [emily_]: yeah
• 39:25
  [sean]: ah
• 39:26
  [yassie_pirani]: emily say something
• 39:28
  [emily_]: yeah i was going to just completely concur that people who are currently on the
• 39:33
  [emily_]: medication
• 39:34
  [roger_mcfillin]: oh
• 39:35
  [emily_]: they have a tendency to get defensive when we're just talking about the
• 39:40
  [roger_mcfillin]: yeah
• 39:40
  [emily_]: long term effects that we've experienced i think they experience it is some kind of
• 39:46
  [emily_]: attack on their choices and i'm not looking to take choice away from people i'm
• 39:50
  [emily_]: actually e trying to enable them ormed choice
• 39:54
  [roger_mcfillin]: oh
• 39:54
  [emily_]: and so too
• 39:54
  [sean]: yeah
• 39:55
  [emily_]: like we're not trying to make people feel ashamed for taking medication we just want
• 40:01
  [emily_]: people to go into that knowing what they are taking knowing more about what they're
• 40:06
  [emily_]: putting in their body and what the potential lunt consequences of it are they have
• 40:10
  [emily_]: a right to know that
• 40:13
  [sean]: good
• 40:13
  [yassie_pirani]: yeah
• 40:13
  [sean]: point
• 40:13
  [emily_]: um
• 40:13
  [roger_mcfillin]: point
• 40:14
  [emily_]: m
• 40:14
  [yassie_pirani]: i think
• 40:14
  [sean]: um
• 40:15
  [yassie_pirani]: lost
• 40:15
  [roger_mcfillin]: um
• 40:16
  [yassie_pirani]: sorry
• 40:16
  [sean]: sorry
• 40:16
  [roger_mcfillin]: sorry
• 40:16
  [sean]: red yasi
• 40:17
  [roger_mcfillin]: as
• 40:17
  [yassie_pirani]: so to say a lot of people feel pressure to kind of tone down the
• 40:20
  [yassie_pirani]: impact of this on their lives because of due to the stigma against speaking frankly
• 40:27
  [yassie_pirani]: about sexuality and the taboo of critics sing mental health medication in any way um
• 40:32
  [roger_mcfillin]: yeah
• 40:32
  [yassie_pirani]: so yeah that just really really really complicates things
• 40:36
  [emily_]: hm
• 40:36
  [sean]: agree and
• 40:37
  [roger_mcfillin]: three
• 40:37
  [sean]: i think
• 40:37
  [roger_mcfillin]: and
• 40:37
  [sean]: that
• 40:37
  [roger_mcfillin]: i
• 40:37
  [sean]: all
• 40:37
  [roger_mcfillin]: think
• 40:37
  [sean]: ties
• 40:37
  [roger_mcfillin]: that
• 40:38
  [sean]: into the under reporting
• 40:39
  [roger_mcfillin]: under
• 40:39
  [sean]: of this this effect yeah it's really
• 40:42
  [roger_mcfillin]: yeah it's
• 40:42
  [sean]: important
• 40:43
  [roger_mcfillin]: really
• 40:43
  [sean]: because
• 40:43
  [roger_mcfillin]: important because
• 40:43
  [sean]: this isn't
• 40:44
  [roger_mcfillin]: this isn't
• 40:44
  [sean]: about pill
• 40:45
  [roger_mcfillin]: about
• 40:45
  [sean]: shaming
• 40:45
  [roger_mcfillin]: pill
• 40:45
  [sean]: this
• 40:45
  [roger_mcfillin]: steaming
• 40:45
  [sean]: is about
• 40:45
  [roger_mcfillin]: this is
• 40:46
  [sean]: providing
• 40:46
  [roger_mcfillin]: about providing
• 40:47
  [sean]: informed
• 40:47
  [roger_mcfillin]: informed
• 40:49
  [sean]: consent
• 40:49
  [roger_mcfillin]: consent
• 40:50
  [sean]: you know
• 40:50
  [roger_mcfillin]: you
• 40:50
  [emily_]: yeah
• 40:50
  [roger_mcfillin]: know
• 40:50
  [sean]: having people
• 40:51
  [roger_mcfillin]: having people
• 40:51
  [sean]: be able
• 40:51
  [roger_mcfillin]: be
• 40:52
  [sean]: to
• 40:52
  [roger_mcfillin]: able
• 40:52
  [sean]: consent
• 40:52
  [roger_mcfillin]: to consent
• 40:52
  [sean]: to the medical
• 40:53
  [roger_mcfillin]: to the medical
• 40:53
  [sean]: treatment
• 40:54
  [roger_mcfillin]: treatment
• 40:54
  [sean]: that they choose
• 40:54
  [roger_mcfillin]: that they
• 40:54
  [sean]: by
• 40:54
  [roger_mcfillin]: choose
• 40:54
  [sean]: getting
• 40:55
  [roger_mcfillin]: by getting
• 40:55
  [sean]: all the
• 40:55
  [roger_mcfillin]: all
• 40:55
  [sean]: available
• 40:55
  [roger_mcfillin]: the available
• 40:56
  [sean]: information
• 40:56
  [roger_mcfillin]: information
• 40:56
  [sean]: i feel like sometimes
• 40:56
  [roger_mcfillin]: i feel like
• 40:57
  [sean]: we're
• 40:57
  [roger_mcfillin]: sometimes
• 40:57
  [sean]: behind
• 40:57
  [roger_mcfillin]: we're
• 40:57
  [sean]: the
• 40:57
  [roger_mcfillin]: behind
• 40:57
  [sean]: iron
• 40:57
  [roger_mcfillin]: the
• 40:58
  [sean]: curtain
• 40:58
  [roger_mcfillin]: iron curtain
• 40:58
  [sean]: here in the
• 40:58
  [roger_mcfillin]: here
• 40:58
  [sean]: western
• 40:59
  [roger_mcfillin]: in the western
• 40:59
  [sean]: world
• 40:59
  [emily_]: oh
• 40:59
  [roger_mcfillin]: world
• 41:00
  [sean]: when it
• 41:00
  [yassie_pirani]: m
• 41:00
  [sean]: comes
• 41:00
  [roger_mcfillin]: when it
• 41:00
  [sean]: to
• 41:00
  [roger_mcfillin]: comes to
• 41:01
  [sean]: adequate information
• 41:02
  [roger_mcfillin]: out of information
• 41:02
  [sean]: and when
• 41:03
  [emily_]: a
• 41:03
  [sean]: you
• 41:03
  [emily_]: great
• 41:03
  [roger_mcfillin]: when
• 41:03
  [sean]: talk
• 41:03
  [emily_]: way to
• 41:03
  [sean]: about
• 41:03
  [roger_mcfillin]: you
• 41:03
  [emily_]: put
• 41:03
  [sean]: eighty
• 41:03
  [roger_mcfillin]: talk
• 41:04
  [emily_]: it
• 41:04
  [roger_mcfillin]: about
• 41:04
  [sean]: per cent
• 41:04
  [roger_mcfillin]: eighty
• 41:04
  [sean]: of these
• 41:04
  [roger_mcfillin]: per
• 41:04
  [sean]: drugs
• 41:04
  [roger_mcfillin]: cent of these
• 41:04
  [sean]: being
• 41:05
  [roger_mcfillin]: drugs
• 41:05
  [sean]: prescribed
• 41:05
  [roger_mcfillin]: being prescribed
• 41:05
  [sean]: in primary
• 41:06
  [roger_mcfillin]: in primary
• 41:06
  [sean]: care settings
• 41:06
  [roger_mcfillin]: care settings
• 41:07
  [sean]: they are getting
• 41:07
  [roger_mcfillin]: they are getting
• 41:08
  [sean]: infultrated
• 41:08
  [roger_mcfillin]: infultrated
• 41:09
  [sean]: with
• 41:09
  [roger_mcfillin]: with
• 41:09
  [sean]: parma data
• 41:09
  [roger_mcfillin]: parma data
• 41:10
  [sean]: and the
• 41:11
  [emily_]: oh
• 41:11
  [roger_mcfillin]: and the
• 41:11
  [sean]: continuing
• 41:12
  [roger_mcfillin]: continuing
• 41:12
  [sean]: medical
• 41:12
  [roger_mcfillin]: medical
• 41:12
  [sean]: educate
• 41:13
  [roger_mcfillin]: education
• 41:13
  [sean]: and credits are
• 41:13
  [roger_mcfillin]: credits
• 41:14
  [sean]: often
• 41:14
  [roger_mcfillin]: are often
• 41:15
  [sean]: sponsored
• 41:15
  [roger_mcfillin]: sponsored
• 41:15
  [sean]: by the
• 41:16
  [roger_mcfillin]: by
• 41:16
  [sean]: parmasutical
• 41:16
  [emily_]: m
• 41:16
  [roger_mcfillin]: the parmasutical
• 41:16
  [sean]: industry
• 41:17
  [roger_mcfillin]: industry
• 41:17
  [sean]: so
• 41:17
  [roger_mcfillin]: so
• 41:17
  [sean]: what has
• 41:18
  [roger_mcfillin]: what
• 41:18
  [sean]: to happen
• 41:18
  [roger_mcfillin]: has to
• 41:18
  [sean]: is
• 41:18
  [roger_mcfillin]: happen
• 41:18
  [sean]: it has to
• 41:19
  [roger_mcfillin]: is
• 41:19
  [sean]: be
• 41:19
  [roger_mcfillin]: it
• 41:19
  [sean]: these
• 41:19
  [roger_mcfillin]: has
• 41:19
  [sean]: grass
• 41:19
  [roger_mcfillin]: to be these
• 41:19
  [sean]: roots
• 41:19
  [roger_mcfillin]: grass
• 41:20
  [sean]: efforts
• 41:20
  [roger_mcfillin]: roots efforts
• 41:21
  [sean]: with
• 41:21
  [roger_mcfillin]: with
• 41:21
  [sean]: organizations
• 41:22
  [roger_mcfillin]: organizations
• 41:22
  [emily_]: m
• 41:23
  [sean]: like
• 41:23
  [roger_mcfillin]: like
• 41:23
  [sean]: m p
• 41:24
  [roger_mcfillin]: m
• 41:24
  [sean]: s
• 41:24
  [roger_mcfillin]: p
• 41:24
  [sean]: s d
• 41:24
  [roger_mcfillin]: s
• 41:24
  [sean]: canada
• 41:24
  [roger_mcfillin]: s t canada
• 41:25
  [sean]: and
• 41:26
  [roger_mcfillin]: and
• 41:26
  [sean]: others
• 41:26
  [roger_mcfillin]: others
• 41:26
  [sean]: who trying
• 41:27
  [roger_mcfillin]: who are
• 41:27
  [sean]: to
• 41:27
  [roger_mcfillin]: trying
• 41:27
  [sean]: bring
• 41:27
  [roger_mcfillin]: to bring
• 41:28
  [sean]: awareness
• 41:28
  [roger_mcfillin]: awareness
• 41:28
  [sean]: and attention
• 41:29
  [roger_mcfillin]: and intention
• 41:29
  [sean]: through the
• 41:29
  [roger_mcfillin]: through
• 41:29
  [sean]: stories
• 41:30
  [roger_mcfillin]: the stories
• 41:30
  [sean]: and
• 41:30
  [roger_mcfillin]: and
• 41:31
  [sean]: all the
• 41:31
  [roger_mcfillin]: all
• 41:31
  [sean]: information
• 41:31
  [roger_mcfillin]: the information
• 41:32
  [sean]: and try to
• 41:32
  [roger_mcfillin]: and
• 41:32
  [sean]: fund
• 41:32
  [roger_mcfillin]: try
• 41:32
  [sean]: themselves
• 41:32
  [roger_mcfillin]: to find themselves
• 41:33
  [sean]: some some way of
• 41:34
  [roger_mcfillin]: some
• 41:34
  [sean]: gathering
• 41:34
  [roger_mcfillin]: way of
• 41:34
  [sean]: the
• 41:34
  [roger_mcfillin]: gathering
• 41:34
  [sean]: data
• 41:34
  [roger_mcfillin]: the
• 41:34
  [sean]: because
• 41:35
  [roger_mcfillin]: data
• 41:35
  [sean]: it's just
• 41:35
  [roger_mcfillin]: it's
• 41:35
  [sean]: not
• 41:35
  [roger_mcfillin]: just
• 41:35
  [sean]: going
• 41:36
  [roger_mcfillin]: not
• 41:36
  [sean]: to
• 41:36
  [roger_mcfillin]: going
• 41:36
  [sean]: be
• 41:36
  [roger_mcfillin]: to be
• 41:37
  [sean]: economically
• 41:37
  [roger_mcfillin]: economically
• 41:38
  [sean]: motivated
• 41:38
  [roger_mcfillin]: motivated
• 41:38
  [sean]: on on
• 41:39
  [roger_mcfillin]: on
• 41:40
  [sean]: from the far
• 41:40
  [roger_mcfillin]: from
• 41:41
  [sean]: masgitleinjury
• 41:41
  [roger_mcfillin]: the farm a super
• 41:42
  [sean]: industry or the
• 41:42
  [roger_mcfillin]: or the
• 41:42
  [sean]: medical authority
• 41:43
  [roger_mcfillin]: medical authority
• 41:43
  [sean]: i feel like
• 41:44
  [roger_mcfillin]: i feel like
• 41:44
  [sean]: we are in
• 41:44
  [roger_mcfillin]: we
• 41:45
  [sean]: a
• 41:45
  [roger_mcfillin]: are
• 41:45
  [sean]: very
• 41:45
  [roger_mcfillin]: in a
• 41:45
  [sean]: challenging
• 41:45
  [roger_mcfillin]: very challenging
• 41:46
  [sean]: place
• 41:46
  [roger_mcfillin]: place
• 41:46
  [sean]: because these
• 41:47
  [roger_mcfillin]: because
• 41:47
  [sean]: drugs
• 41:47
  [roger_mcfillin]: these
• 41:47
  [sean]: are
• 41:47
  [roger_mcfillin]: drugs
• 41:47
  [sean]: so
• 41:47
  [roger_mcfillin]: are
• 41:48
  [sean]: widely
• 41:48
  [roger_mcfillin]: so widely
• 41:48
  [sean]: prescribed
• 41:49
  [roger_mcfillin]: prescribed
• 41:50
  [sean]: it's
• 41:50
  [roger_mcfillin]: that
• 41:50
  [sean]: very
• 41:50
  [roger_mcfillin]: it's
• 41:50
  [emily_]: hm
• 41:50
  [sean]: difficult
• 41:50
  [roger_mcfillin]: very difficult
• 41:51
  [sean]: for
• 41:51
  [roger_mcfillin]: for
• 41:51
  [sean]: a
• 41:51
  [roger_mcfillin]: our
• 41:52
  [sean]: medical
• 41:52
  [roger_mcfillin]: medical
• 41:52
  [sean]: professional
• 41:52
  [roger_mcfillin]: professional
• 41:53
  [sean]: to
• 41:53
  [roger_mcfillin]: to
• 41:53
  [sean]: really face
• 41:53
  [roger_mcfillin]: really
• 41:54
  [sean]: and
• 41:54
  [roger_mcfillin]: face
• 41:54
  [sean]: accept
• 41:54
  [roger_mcfillin]: and
• 41:54
  [sean]: this
• 41:54
  [roger_mcfillin]: accept
• 41:54
  [sean]: fully
• 41:54
  [roger_mcfillin]: this
• 41:55
  [sean]: because
• 41:55
  [roger_mcfillin]: fully
• 41:55
  [sean]: they're
• 41:55
  [roger_mcfillin]: because
• 41:55
  [sean]: so
• 41:55
  [roger_mcfillin]: they're so
• 41:56
  [sean]: complicit
• 41:57
  [roger_mcfillin]: complicit
• 41:57
  [sean]: in this
• 41:57
  [roger_mcfillin]: in this
• 41:58
  [yassie_pirani]: m
• 41:58
  [sean]: because they
• 41:58
  [roger_mcfillin]: because
• 41:58
  [sean]: are
• 41:58
  [roger_mcfillin]: they
• 41:59
  [sean]: prescribing
• 41:59
  [roger_mcfillin]: are prescribing
• 41:59
  [sean]: them
• 41:59
  [emily_]: oh
• 42:00
  [roger_mcfillin]: them
• 42:00
  [sean]: without
• 42:01
  [roger_mcfillin]: without
• 42:02
  [sean]: full understanding
• 42:02
  [roger_mcfillin]: full understanding
• 42:03
  [sean]: of what the
• 42:03
  [roger_mcfillin]: of
• 42:03
  [sean]: effects
• 42:03
  [roger_mcfillin]: what the effects
• 42:04
  [sean]: are which
• 42:04
  [roger_mcfillin]: are
• 42:04
  [sean]: leads
• 42:04
  [roger_mcfillin]: which
• 42:04
  [sean]: to my
• 42:05
  [roger_mcfillin]: leads
• 42:05
  [sean]: next
• 42:05
  [roger_mcfillin]: to my next
• 42:05
  [sean]: question
• 42:06
  [roger_mcfillin]: question
• 42:06
  [sean]: because emily
• 42:06
  [roger_mcfillin]: because
• 42:06
  [sean]: touched
• 42:06
  [roger_mcfillin]: emily
• 42:06
  [sean]: on
• 42:07
  [roger_mcfillin]: touched
• 42:07
  [sean]: this earlier
• 42:07
  [roger_mcfillin]: on this earlier
• 42:09
  [sean]: my concern
• 42:09
  [roger_mcfillin]: my concern
• 42:10
  [sean]: is they're
• 42:10
  [roger_mcfillin]: is
• 42:10
  [sean]: so
• 42:10
  [roger_mcfillin]: there so
• 42:11
  [sean]: frequently
• 42:11
  [roger_mcfillin]: frequently
• 42:11
  [sean]: prescribed
• 42:12
  [roger_mcfillin]: prescribed
• 42:12
  [sean]: off label
• 42:12
  [roger_mcfillin]: off label
• 42:13
  [sean]: and they're experimental
• 42:14
  [roger_mcfillin]: and they're experimental
• 42:15
  [sean]: for
• 42:15
  [roger_mcfillin]: for
• 42:15
  [sean]: young
• 42:16
  [roger_mcfillin]: young
• 42:16
  [sean]: developing
• 42:16
  [roger_mcfillin]: developing
• 42:16
  [sean]: children
• 42:17
  [roger_mcfillin]: children
• 42:17
  [sean]: and teen agers
• 42:17
  [roger_mcfillin]: and teen agers
• 42:18
  [sean]: emily mentioned
• 42:19
  [roger_mcfillin]: emily mentioned
• 42:19
  [sean]: how
• 42:20
  [roger_mcfillin]: how
• 42:20
  [sean]: how valuable
• 42:21
  [roger_mcfillin]: how valuable
• 42:21
  [sean]: and important
• 42:22
  [roger_mcfillin]: and important
• 42:23
  [sean]: the development
• 42:23
  [roger_mcfillin]: the development
• 42:24
  [sean]: this period
• 42:24
  [roger_mcfillin]: this
• 42:24
  [sean]: in
• 42:24
  [roger_mcfillin]: period
• 42:24
  [sean]: development
• 42:25
  [roger_mcfillin]: in development
• 42:25
  [sean]: is for
• 42:25
  [roger_mcfillin]: is
• 42:26
  [sean]: continued
• 42:26
  [roger_mcfillin]: for continued
• 42:27
  [sean]: sexuality
• 42:27
  [roger_mcfillin]: sexuality
• 42:28
  [sean]: understanding your
• 42:28
  [roger_mcfillin]: standing
• 42:28
  [sean]: sexuality
• 42:29
  [roger_mcfillin]: your sexuality
• 42:29
  [sean]: your experience
• 42:30
  [roger_mcfillin]: or experience
• 42:30
  [sean]: obviously
• 42:31
  [roger_mcfillin]: obviously
• 42:31
  [sean]: it's a it's a time
• 42:32
  [roger_mcfillin]: a time
• 42:32
  [sean]: in development
• 42:33
  [roger_mcfillin]: in development
• 42:33
  [sean]: where we're
• 42:33
  [roger_mcfillin]: where
• 42:33
  [sean]: just
• 42:34
  [roger_mcfillin]: we're
• 42:34
  [sean]: kind
• 42:34
  [roger_mcfillin]: just
• 42:34
  [sean]: of
• 42:34
  [roger_mcfillin]: kind
• 42:34
  [sean]: bala
• 42:34
  [roger_mcfillin]: of by
• 42:35
  [sean]: jically
• 42:35
  [roger_mcfillin]: a jac
• 42:36
  [sean]: kind of
• 42:36
  [roger_mcfillin]: kind
• 42:36
  [sean]: frame
• 42:36
  [roger_mcfillin]: of frame
• 42:36
  [sean]: to reproduce
• 42:37
  [roger_mcfillin]: to reproduce
• 42:37
  [sean]: so there's
• 42:38
  [roger_mcfillin]: so there's
• 42:38
  [sean]: intense
• 42:39
  [roger_mcfillin]: intense
• 42:39
  [sean]: emotions
• 42:39
  [roger_mcfillin]: emotions
• 42:39
  [sean]: and hormonal
• 42:40
  [roger_mcfillin]: and hormonal
• 42:40
  [sean]: reactions
• 42:40
  [roger_mcfillin]: reactions
• 42:40
  [sean]: and responses
• 42:41
  [roger_mcfillin]: and responses
• 42:41
  [sean]: that occurred
• 42:41
  [roger_mcfillin]: that
• 42:42
  [sean]: during
• 42:42
  [roger_mcfillin]: occurred
• 42:42
  [sean]: this developmental
• 42:42
  [roger_mcfillin]: during this developmental
• 42:43
  [sean]: period
• 42:43
  [roger_mcfillin]: period
• 42:44
  [sean]: and what
• 42:44
  [emily_]: oh
• 42:44
  [roger_mcfillin]: and
• 42:44
  [sean]: i'm
• 42:44
  [roger_mcfillin]: what
• 42:44
  [sean]: seeing
• 42:45
  [roger_mcfillin]: i'm seeing
• 42:46
  [sean]: and in
• 42:46
  [roger_mcfillin]: and
• 42:46
  [sean]: contact
• 42:47
  [roger_mcfillin]: in contact
• 42:47
  [sean]: with people
• 42:47
  [roger_mcfillin]: with
• 42:47
  [sean]: around
• 42:47
  [roger_mcfillin]: people
• 42:48
  [sean]: the
• 42:48
  [roger_mcfillin]: around
• 42:48
  [sean]: world
• 42:48
  [roger_mcfillin]: the world
• 42:48
  [sean]: we
• 42:48
  [emily_]: yeah
• 42:49
  [sean]: see this
• 42:49
  [roger_mcfillin]: we
• 42:49
  [sean]: developing
• 42:49
  [roger_mcfillin]: see this developing
• 42:49
  [emily_]: oh
• 42:49
  [sean]: movement
• 42:50
  [roger_mcfillin]: movement
• 42:50
  [sean]: around
• 42:50
  [emily_]: yeah
• 42:50
  [roger_mcfillin]: around
• 42:51
  [sean]: identifying
• 42:52
  [roger_mcfillin]: identifying
• 42:52
  [sean]: as a
• 42:52
  [roger_mcfillin]: as
• 42:52
  [sean]: sexual
• 42:52
  [roger_mcfillin]: a sexual
• 42:53
  [sean]: and
• 42:54
  [roger_mcfillin]: and
• 42:54
  [sean]: there so
• 42:54
  [roger_mcfillin]: there are
• 42:54
  [sean]: many
• 42:55
  [roger_mcfillin]: so many
• 42:55
  [sean]: young people
• 42:56
  [roger_mcfillin]: young people
• 42:56
  [sean]: that are being
• 42:57
  [roger_mcfillin]: that are
• 42:57
  [sean]: prescribed
• 42:57
  [roger_mcfillin]: being prescribed
• 42:58
  [sean]: s s
• 42:59
  [roger_mcfillin]: s
• 42:59
  [sean]: r
• 42:59
  [roger_mcfillin]: s r
• 42:59
  [sean]: is
• 43:00
  [roger_mcfillin]: is
• 43:00
  [sean]: in particular
• 43:00
  [roger_mcfillin]: in particular
• 43:01
  [sean]: more so
• 43:01
  [roger_mcfillin]: more so
• 43:02
  [sean]: adolescent
• 43:02
  [roger_mcfillin]: lessen
• 43:02
  [sean]: females
• 43:03
  [roger_mcfillin]: males
• 43:04
  [sean]: i'm really
• 43:04
  [roger_mcfillin]: that i'm
• 43:04
  [sean]: concerned
• 43:04
  [roger_mcfillin]: really concerned
• 43:05
  [emily_]: yeah
• 43:05
  [sean]: that the drugs
• 43:06
  [roger_mcfillin]: the
• 43:06
  [sean]: themselves
• 43:06
  [roger_mcfillin]: drugs themselves
• 43:07
  [sean]: could be
• 43:07
  [roger_mcfillin]: could be
• 43:08
  [sean]: in some
• 43:08
  [roger_mcfillin]: in
• 43:08
  [sean]: way
• 43:08
  [roger_mcfillin]: some way
• 43:09
  [sean]: um
• 43:10
  [roger_mcfillin]: um
• 43:10
  [sean]: impeding
• 43:10
  [roger_mcfillin]: impeding
• 43:10
  [sean]: normal
• 43:11
  [roger_mcfillin]: normal
• 43:11
  [sean]: sexual
• 43:11
  [roger_mcfillin]: sexual
• 43:11
  [sean]: development
• 43:12
  [roger_mcfillin]: development
• 43:12
  [sean]: and understanding
• 43:13
  [roger_mcfillin]: and understanding
• 43:14
  [sean]: you know who
• 43:15
  [roger_mcfillin]: you know
• 43:15
  [sean]: you
• 43:15
  [roger_mcfillin]: who
• 43:15
  [sean]: are
• 43:15
  [roger_mcfillin]: you
• 43:16
  [sean]: tracted
• 43:16
  [roger_mcfillin]: are attracted
• 43:16
  [sean]: to or what
• 43:16
  [roger_mcfillin]: to
• 43:17
  [sean]: you
• 43:17
  [roger_mcfillin]: or
• 43:17
  [emily_]: m
• 43:17
  [sean]: experience
• 43:17
  [roger_mcfillin]: what you experience
• 43:17
  [sean]: or experiencing
• 43:18
  [roger_mcfillin]: or experiencing
• 43:18
  [sean]: normal
• 43:19
  [roger_mcfillin]: normal
• 43:19
  [emily_]: h
• 43:19
  [sean]: sexual
• 43:20
  [roger_mcfillin]: actual
• 43:20
  [sean]: functioning
• 43:20
  [emily_]: yeah
• 43:20
  [roger_mcfillin]: functioning
• 43:20
  [sean]: that would
• 43:21
  [roger_mcfillin]: that
• 43:21
  [sean]: be
• 43:21
  [roger_mcfillin]: would be
• 43:21
  [sean]: exhibited
• 43:22
  [roger_mcfillin]: exhibited
• 43:22
  [sean]: that age
• 43:22
  [roger_mcfillin]: that
• 43:22
  [sean]: range
• 43:23
  [roger_mcfillin]: age range
• 43:23
  [sean]: do we have any
• 43:24
  [roger_mcfillin]: we
• 43:24
  [sean]: information
• 43:24
  [roger_mcfillin]: have any information
• 43:24
  [sean]: or even just
• 43:25
  [roger_mcfillin]: even
• 43:25
  [sean]: your
• 43:26
  [roger_mcfillin]: just
• 43:26
  [sean]: thoughts
• 43:26
  [roger_mcfillin]: to your thoughts
• 43:26
  [sean]: is this
• 43:27
  [roger_mcfillin]: is
• 43:27
  [sean]: rise
• 43:27
  [roger_mcfillin]: this
• 43:27
  [sean]: and
• 43:27
  [roger_mcfillin]: rise
• 43:27
  [sean]: identi
• 43:27
  [roger_mcfillin]: and identifying
• 43:28
  [sean]: ying as a
• 43:29
  [roger_mcfillin]: as
• 43:29
  [sean]: sexual
• 43:29
  [roger_mcfillin]: a sexual
• 43:29
  [sean]: could it be potentially
• 43:30
  [roger_mcfillin]: could be potentially
• 43:31
  [sean]: linked
• 43:31
  [roger_mcfillin]: linked
• 43:31
  [sean]: to the
• 43:31
  [roger_mcfillin]: to
• 43:31
  [sean]: rise
• 43:31
  [roger_mcfillin]: the rise
• 43:32
  [sean]: and drugs
• 43:32
  [roger_mcfillin]: and
• 43:32
  [sean]: that
• 43:32
  [roger_mcfillin]: drugs
• 43:32
  [sean]: we're giving
• 43:33
  [roger_mcfillin]: that we're
• 43:33
  [sean]: these
• 43:33
  [roger_mcfillin]: giving these
• 43:34
  [sean]: young developing
• 43:34
  [roger_mcfillin]: young developing
• 43:34
  [sean]: teen agers
• 43:35
  [roger_mcfillin]: teenagers
• 43:36
  [emily_]: ye i think that's a very very important question obviously i don't have any definitive
• 43:41
  [emily_]: answer on that because it hasn't been studied
• 43:45
  [roger_mcfillin]: oh
• 43:45
  [emily_]: it hasn't been properly studied why we're seeing this a sexual
• 43:48
  [roger_mcfillin]: oh
• 43:48
  [emily_]: movement i think it's it's always a possibility that some people are that way naturally
• 43:54
  [emily_]: but when you have drugs being commonly prescribed to millions of people in canada alone
• 44:01
  [emily_]: that we know can interfere with sexual develop and m this is obviously going to
• 44:06
  [emily_]: be having some kind of systemic impact and i think that there is just such
• 44:10
  [emily_]: a taboo over examining that impact that it could be causing lots of things not
• 44:16
  [emily_]: many effects that we can't confirm so personally it would not surprise me if a
• 44:22
  [emily_]: lot of the people who identifies a sexual or or at least some of them
• 44:27
  [emily_]: had an interrupted sexual development as a result of psychiatric medication i do personally know
• 44:32
  [emily_]: i mean i mean at this point i've talked to hundreds of people with p
• 44:35
  [emily_]: s s t i've read the posts of many more and i do have personally
• 44:39
  [emily_]: spoken to people who were prescribed rise at age eleven or age twelve and they
• 44:45
  [emily_]: just never experienced normal what they would describe as normal sexual development from that point
• 44:51
  [emily_]: onwards so i do know i have spoken directly to people who are what society
• 44:59
  [emily_]: would deem sexual who personally attribute their sexuality to psychiatric medication particularly s s r
• 45:07
  [emily_]: is
• 45:07
  [yassie_pirani]: m
• 45:08
  [emily_]: so it definitely is something that's happening what what percentage of those people what percentage
• 45:15
  [emily_]: of people who identify as a sexual are affected by arise what percentage element has
• 45:21
  [emily_]: nothing to do with that we don't have that information
• 45:25
  [yassie_pirani]: it's really difficult because with people who have p s s d on the onset
• 45:33
  [roger_mcfillin]: oh
• 45:33
  [yassie_pirani]: of pssdouknoas adults the
• 45:35
  [emily_]: oh
• 45:36
  [yassie_pirani]: have a base line to compare to be you were robbed of your sexuality before
• 45:44
  [yassie_pirani]: you had the capacity to develop your
• 45:46
  [emily_]: yeah
• 45:46
  [yassie_pirani]: sexuality as
• 45:49
  [emily_]: m
• 45:50
  [yassie_pirani]: as you know can happen and i have clients who know the r these medications
• 45:54
  [yassie_pirani]: obviously the symptom really ranges but i mean i have some clients who they do
• 45:58
  [yassie_pirani]: have their romantic attraction and arouse but their genitals are numb and they have norgasmea
• 46:04
  [yassie_pirani]: and they have they've been diagnosed p c there's no other reason why they would
• 46:07
  [yassie_pirani]: have those symptoms
• 46:09
  [emily_]: yeah
• 46:10
  [yassie_pirani]: so there are there are very clearly impacts develop mentally too somebody's body sexually by
• 46:20
  [yassie_pirani]: these medications and so any range of those symptoms can impact samedis sexual response
• 46:27
  [emily_]: right
• 46:28
  [yassie_pirani]: system and identity development that correlates with what has or hasn't been able to develop
• 46:36
  [yassie_pirani]: sexually so i mean it only makes sense we we we don't know obviously we
• 46:42
  [yassie_pirani]: don't have numbers we don't have data we desperately need more data of all kinds
• 46:45
  [yassie_pirani]: of about p s s d but yeah for when i see my clinical practice
• 46:49
  [yassie_pirani]: it for or would makes sense that that is a part of the movement that
• 46:56
  [yassie_pirani]: we're seeing
• 46:58
  [emily_]: and while there has been not the early enough study on this and there's much
• 47:01
  [emily_]: much more required there has been one very
• 47:04
  [roger_mcfillin]: yeah
• 47:04
  [emily_]: interesting paper that was published in twenty twenty in the journal of sexual medicine it
• 47:10
  [emily_]: is by tyranny laurens ph d and it's titled antidepressent use during development may impair
• 47:17
  [emily_]: women's sexual desire and adulthood
• 47:19
  [sean]: m
• 47:20
  [emily_]: and this is one of the this is this is i think should be a
• 47:23
  [emily_]: jumping off point for more studies
• 47:25
  [yassie_pirani]: m
• 47:26
  [emily_]: um the i'll read you the introduction here is that okay
• 47:30
  [sean]: please
• 47:30
  [roger_mcfillin]: please
• 47:31
  [emily_]: it says although antidepressents are well known because sexual side effects and adults the long
• 47:35
  [emily_]: term effects of anti depressant use during development on adult sexual adult sexual function is
• 47:41
  [emily_]: unknown the aim of the stuf is to explore differences in sexual desire and sexual
• 47:46
  [emily_]: behavior between adults who did versus did not use antidepressince during childhood methods an online
• 47:53
  [emily_]: survey of six hundred and ten young adults who were sixty six percent women assessed
• 47:58
  [emily_]: childhood and current mental health and use of anti depressence and other psychiatric medications before
• 48:03
  [emily_]: the age of sixteen and currently partnered and solitary sexual desire and frequency of masturbation
• 48:09
  [emily_]: and partner sexual activity and presents were coded into either selective sara tone and reupticeinhibitors
• 48:16
  [emily_]: or other non s s antidepressente and here are the results for women childhood s
• 48:23
  [emily_]: s r use was associated with significantly lower sexual desire desire for an attractive other
• 48:29
  [emily_]: and frequency of masturbation this was true even when controlling for childhood mental health concerns
• 48:35
  [emily_]: current mental health and current anti depressant use and i will happily link you that
• 48:40
  [emily_]: study because i think it's really intrig in place to start and we should be
• 48:45
  [roger_mcfillin]: ah
• 48:46
  [emily_]: umreplicating that on a much much wider level
• 48:50
  [yassie_pirani]: and rodent studies show that the sexual development sorry sexual basically mirror all of that
• 48:58
  [yassie_pirani]: in what you shared emily and there's a lot of rodents more rodent studies so
• 49:03
  [yassie_pirani]: i mean we just we need more research
• 49:07
  [sean]: i'll include a link
• 49:07
  [roger_mcfillin]: includally
• 49:07
  [sean]: to that study in the show summary yeah an
• 49:11
  [roger_mcfillin]: yeah
• 49:11
  [sean]: emily
• 49:11
  [roger_mcfillin]: mile
• 49:11
  [sean]: i am
• 49:12
  [roger_mcfillin]: i am
• 49:12
  [sean]: interested
• 49:12
  [roger_mcfillin]: interested
• 49:13
  [sean]: in
• 49:13
  [roger_mcfillin]: in
• 49:15
  [sean]: hoping
• 49:15
  [roger_mcfillin]: coping
• 49:16
  [sean]: the clinical
• 49:16
  [roger_mcfillin]: the
• 49:16
  [sean]: work
• 49:16
  [roger_mcfillin]: clinical
• 49:17
  [sean]: that's
• 49:17
  [roger_mcfillin]: work
• 49:17
  [sean]: done
• 49:17
  [roger_mcfillin]: that's done
• 49:18
  [sean]: how you approach
• 49:18
  [roger_mcfillin]: how you approach
• 49:19
  [sean]: your life
• 49:19
  [roger_mcfillin]: your life
• 49:20
  [sean]: and
• 49:20
  [roger_mcfillin]: and
• 49:20
  [sean]: the clients
• 49:21
  [roger_mcfillin]: the clients
• 49:21
  [sean]: who
• 49:21
  [roger_mcfillin]: who
• 49:21
  [sean]: are suffering
• 49:22
  [roger_mcfillin]: are suffering
• 49:22
  [sean]: from this
• 49:22
  [roger_mcfillin]: from
• 49:22
  [sean]: how they
• 49:23
  [roger_mcfillin]: how they
• 49:23
  [sean]: come to
• 49:24
  [roger_mcfillin]: come
• 49:24
  [sean]: some acceptance
• 49:24
  [roger_mcfillin]: to some acceptance
• 49:25
  [sean]: and how they
• 49:25
  [roger_mcfillin]: and
• 49:25
  [sean]: cope
• 49:25
  [roger_mcfillin]: how they
• 49:25
  [sean]: and
• 49:25
  [roger_mcfillin]: cope
• 49:26
  [sean]: create
• 49:26
  [roger_mcfillin]: and
• 49:26
  [sean]: a life
• 49:26
  [roger_mcfillin]: create a life
• 49:27
  [sean]: value
• 49:27
  [roger_mcfillin]: value
• 49:27
  [sean]: purpose one that's
• 49:28
  [roger_mcfillin]: one that's
• 49:28
  [sean]: worth living
• 49:29
  [roger_mcfillin]: worth living
• 49:30
  [sean]: i'm interested
• 49:30
  [roger_mcfillin]: i'm interested
• 49:30
  [sean]: to know
• 49:31
  [roger_mcfillin]: to know
• 49:31
  [sean]: in
• 49:32
  [roger_mcfillin]: in
• 49:33
  [sean]: intimate relationships
• 49:33
  [roger_mcfillin]: intimate relationships
• 49:34
  [sean]: and
• 49:34
  [roger_mcfillin]: and
• 49:34
  [sean]: with their partners
• 49:35
  [roger_mcfillin]: with their partners
• 49:36
  [sean]: how they
• 49:37
  [roger_mcfillin]: how
• 49:37
  [sean]: are
• 49:37
  [roger_mcfillin]: they're
• 49:37
  [sean]: able to
• 49:37
  [roger_mcfillin]: able
• 49:37
  [sean]: kind of
• 49:38
  [roger_mcfillin]: to
• 49:38
  [sean]: adapt
• 49:38
  [roger_mcfillin]: kind of adapt
• 49:38
  [sean]: so any
• 49:39
  [roger_mcfillin]: so
• 49:39
  [sean]: information
• 49:39
  [roger_mcfillin]: any information
• 49:39
  [sean]: that you can
• 49:40
  [roger_mcfillin]: that you can
• 49:40
  [sean]: provide about
• 49:41
  [roger_mcfillin]: provide about
• 49:42
  [sean]: we know clinically
• 49:42
  [roger_mcfillin]: we know clinically
• 49:43
  [sean]: to be able
• 49:43
  [roger_mcfillin]: to
• 49:43
  [sean]: to support
• 49:43
  [roger_mcfillin]: be able to support
• 49:44
  [sean]: people who
• 49:44
  [roger_mcfillin]: people
• 49:44
  [sean]: are going
• 49:44
  [roger_mcfillin]: who
• 49:45
  [sean]: through
• 49:45
  [roger_mcfillin]: are going
• 49:45
  [sean]: this
• 49:45
  [roger_mcfillin]: through
• 49:47
  [yassie_pirani]: so in my work of understanding more about the lived experience with people with p
• 49:51
  [yassie_pirani]: s d i've just come to learn how immense the ripple effects are this condition
• 49:57
  [yassie_pirani]: can beyond people's lives as relationships self esteem quality of life motivation identity and many
• 50:04
  [yassie_pirani]: other aspects the loss of sexual identity and expression can have devastating consequences on mental
• 50:11
  [yassie_pirani]: health of course and really shatter one's identity and self worth
• 50:14
  [emily_]: m
• 50:15
  [yassie_pirani]: and be a really big reading process so a lot of the work is
• 50:22
  [emily_]: okay
• 50:23
  [yassie_pirani]: moving to grief and to a place of
• 50:26
  [emily_]: yeah
• 50:26
  [yassie_pirani]: of acceptance
• 50:28
  [emily_]: oh
• 50:28
  [yassie_pirani]: m p p s s t it's only when somebody's sexuality is removed when people
• 50:36
  [yassie_pirani]: realize how intrinsic it is to their self expression and sense of empowerment um so
• 50:42
  [yassie_pirani]: people feel this experience is profoundly s empowering injury and
• 50:48
  [roger_mcfillin]: a
• 50:49
  [yassie_pirani]: really can shape have such an impact on somebody's identity
• 50:53
  [emily_]: ah
• 50:53
  [yassie_pirani]: especially you know in terms of figuring out somebody's sexual orientation or membership in the
• 50:58
  [yassie_pirani]: queer community is it
• 51:01
  [roger_mcfillin]: i
• 51:01
  [yassie_pirani]: really really is so so life altering and and again depending on the symptom profile
• 51:09
  [yassie_pirani]: for some people it's absolutely catastrophic and some people are impacted less profoundly depending on
• 51:15
  [yassie_pirani]: what symptoms they get and so it really i find it's a spectrum and for
• 51:24
  [yassie_pirani]: some people on one end they're entirely sexually and emotionally non functional and some people
• 51:32
  [yassie_pirani]: it's just kind of my mild to moderate libido reduction that doesn't strongly impact their
• 51:37
  [yassie_pirani]: life in a big way so it's really up to you know i find um
• 51:43
  [yassie_pirani]: following the following the lead on on the pap on the patient experience
• 51:48
  [roger_mcfillin]: okay
• 51:49
  [yassie_pirani]: and really using their language and their frame of reference to understand how it's impacted
• 51:53
  [yassie_pirani]: them is so important in terms of hoping i mean it just it so depends
• 52:00
  [yassie_pirani]: on the symptom profile um you know for most people it really is grief it's
• 52:06
  [yassie_pirani]: shock process and developing the capacity to build community with other people who have p
• 52:14
  [yassie_pirani]: s s t is really important because it's just so hard for people so alienating
• 52:20
  [yassie_pirani]: such an alienating experience people can't seem to get the support or understanding that they
• 52:26
  [yassie_pirani]: need from people who haven't had this condition so there's there's something that is real
• 52:34
  [yassie_pirani]: quite profound about being able to connect and talk to other people who've had this
• 52:37
  [yassie_pirani]: happened to them as well and really i find
• 52:49
  [yassie_pirani]: people it's so healing for people to be believed by their health care providers to
• 52:54
  [yassie_pirani]: be believed by people in positions and authority who are supposed to be safe guarding
• 52:58
  [yassie_pirani]: their well being how healing is for people to actually just have somebody say recognize
• 53:03
  [yassie_pirani]: this and say this is real and here's the diagnosis un this is something wrong
• 53:09
  [yassie_pirani]: that you know happened to you and it's not your fault like that and it's
• 53:12
  [yassie_pirani]: self is immense and it's really hard for people to come by it's a lot
• 53:15
  [yassie_pirani]: easier to have your doctor believe
• 53:17
  [emily_]: yeah
• 53:17
  [yassie_pirani]: you if you were a victim of other kinds of sexual violence this this type
• 53:23
  [yassie_pirani]: of sexual violence it's really hard to be believed and to be validated and believed
• 53:28
  [yassie_pirani]: is a corner stone of the healing process so it's it's so important that we
• 53:37
  [yassie_pirani]: build more awareness about this so people can at least have their
• 53:41
  [emily_]: oh
• 53:42
  [yassie_pirani]: pain recognized and validated as something real
• 53:47
  [emily_]: yeah yeah i agree with all of that i tell you that i mean having
• 53:53
  [emily_]: your sexuality chemically removed and the attendant symptoms of cognitive dis function it isn't really
• 54:00
  [emily_]: something your god to get over it's going to be something that hurts you for
• 54:04
  [emily_]: the rest of your life and it's goin o come in waves like any grieving
• 54:09
  [emily_]: process and i think describing as grieving processes you're very accurate you know i went
• 54:14
  [emily_]: through all of the stages of grief coming to terms with the fact that this
• 54:19
  [emily_]: was going to be most likely was going to be something i would have to
• 54:22
  [emily_]: live with for the rest of my life the things i found that were conducive
• 54:28
  [emily_]: to learning how to cope were removing self blame from the equation reaching out to
• 54:36
  [emily_]: other people who had p s s t you know like she described there is
• 54:40
  [emily_]: an incredible feeling of isolation but being able to build a community of people around
• 54:45
  [emily_]: me who have gone through the same thing and can kind of come in write
• 54:48
  [emily_]: about it that did make me feel more supported unless alone and also
• 54:54
  [roger_mcfillin]: m
• 54:54
  [emily_]: i did eventually start getting through both people in my life and some of the
• 54:58
  [emily_]: people in the medical community here in b c you know and i have done
• 55:04
  [emily_]: presentations to the b c union of social workers a colleague of ours did a
• 55:09
  [emily_]: presentation to the b c psychiatric college so the feeling of actually making some progress
• 55:18
  [emily_]: has enabled me to create some meaning out of it and gain a sense of
• 55:23
  [emily_]: calm and it gives me some of my control back you know it's not just
• 55:27
  [emily_]: something that is being done to me it is something that i do have i
• 55:31
  [emily_]: do have a measure of control within this ation um in my personal life it
• 55:37
  [emily_]: has simply had to be learning how not to think about it all the time
• 55:41
  [emily_]: just truly having to develop the capacity to compartmentalize and of the people i have
• 55:47
  [emily_]: known who have experienced i'm not going to say healing but increase in their ability
• 55:55
  [emily_]: to cope compartmentalization is often a big part of it just being
• 55:58
  [roger_mcfillin]: m
• 55:58
  [emily_]: able to set it aside okay okay i will focus on
• 56:01
  [yassie_pirani]: oh
• 56:02
  [emily_]: other aspects of my life because this ass fact is just destroyed but of course
• 56:08
  [emily_]: the ripple effects throughout your life are incredible you know you don't really have access
• 56:13
  [emily_]: to the normal social environment that young people inhabit the primary
• 56:18
  [roger_mcfillin]: yeah
• 56:18
  [emily_]: person in most people's life is their partner you know you may move to different
• 56:22
  [emily_]: cities you may or may not be close to your family most people
• 56:25
  [yassie_pirani]: oh
• 56:26
  [emily_]: the number one person in their life is suppose um
• 56:30
  [yassie_pirani]: oh
• 56:30
  [emily_]: and then after that they're children but if
• 56:32
  [yassie_pirani]: oh
• 56:32
  [emily_]: you don't have the ability really to have supposed to have a relationship how are
• 56:39
  [emily_]: you going to build a family so the people who manage to deal with p
• 56:48
  [emily_]: s s t in a less desperate way are the people who are able to
• 56:54
  [emily_]: build relationships outside of sort of that tum
• 56:59
  [roger_mcfillin]: yeah
• 57:01
  [emily_]: who are able to build platonic relationships that don't rely on a romantic connection but
• 57:06
  [emily_]: for some people that's very very difficult
• 57:09
  [sean]: hm
• 57:09
  [roger_mcfillin]: hm
• 57:10
  [yassie_pirani]: yet your everything you're saying emily
• 57:13
  [roger_mcfillin]: yeah
• 57:13
  [yassie_pirani]: is so important i mean of course to have your ability to experience an intimate
• 57:17
  [yassie_pirani]: relationship and feel at home in your own body and to have functioning emotions completely
• 57:21
  [yassie_pirani]: removed by medicatio that was meant
• 57:23
  [roger_mcfillin]: yeah
• 57:23
  [yassie_pirani]: to alleviate your emotional distress is such a catastrophic thing to happen to someone and
• 57:29
  [yassie_pirani]: so for most people it's not just a traumatic event but a trauma that is
• 57:34
  [yassie_pirani]: ongoing and nature remains unresolved it's sort of hard to
• 57:37
  [roger_mcfillin]: m
• 57:38
  [yassie_pirani]: heal from a trauma when it's kind of and continuing to happen to other
• 57:43
  [roger_mcfillin]: so
• 57:43
  [yassie_pirani]: people around you as well and just to know that there every day there's
• 57:47
  [emily_]: oh
• 57:47
  [yassie_pirani]: somebody who's at risk of having this happen makes it really hard to feel like
• 57:52
  [yassie_pirani]: you can have your own trauma resolve because of this nobody's we don't have informed
• 57:59
  [yassie_pirani]: consent practices that are that are stopping this harm so many people yet really need
• 58:05
  [yassie_pirani]: on going emotional and psychological support i found sharing your story
• 58:12
  [roger_mcfillin]: ah
• 58:12
  [yassie_pirani]: and raising awareness can reduce that helplessness and hopelessness and finding community so yeah like
• 58:19
  [yassie_pirani]: finding ways to not to to reduce sense of aliens the sense of alienation and
• 58:24
  [yassie_pirani]: despair like like emily was mentioning yeah year
• 58:29
  [emily_]: yeah
• 58:29
  [sean]: well said
• 58:30
  [roger_mcfillin]: well
• 58:30
  [sean]: thank
• 58:30
  [roger_mcfillin]: said
• 58:30
  [sean]: you
• 58:30
  [roger_mcfillin]: thank you
• 58:31
  [sean]: many clinicians
• 58:31
  [roger_mcfillin]: many clinic
• 58:32
  [sean]: out there
• 58:33
  [roger_mcfillin]: out
• 58:33
  [sean]: and
• 58:33
  [roger_mcfillin]: there
• 58:33
  [sean]: medical
• 58:33
  [roger_mcfillin]: and
• 58:33
  [sean]: professionals
• 58:33
  [roger_mcfillin]: medical professionals
• 58:35
  [sean]: have been
• 58:35
  [roger_mcfillin]: have been
• 58:35
  [sean]: kind of conditioned
• 58:35
  [roger_mcfillin]: kind of
• 58:36
  [emily_]: m
• 58:36
  [roger_mcfillin]: condition
• 58:36
  [sean]: and taught
• 58:37
  [roger_mcfillin]: caught
• 58:37
  [sean]: through
• 58:37
  [roger_mcfillin]: through
• 58:38
  [sean]: guide lines
• 58:38
  [roger_mcfillin]: guide
• 58:38
  [sean]: that
• 58:38
  [roger_mcfillin]: lines
• 58:39
  [sean]: are supposed
• 58:39
  [roger_mcfillin]: are
• 58:39
  [sean]: to
• 58:39
  [roger_mcfillin]: supposed
• 58:39
  [sean]: be evidence
• 58:39
  [roger_mcfillin]: to be
• 58:40
  [sean]: based
• 58:40
  [roger_mcfillin]: evidence
• 58:40
  [sean]: in
• 58:40
  [roger_mcfillin]: be
• 58:40
  [sean]: research
• 58:40
  [roger_mcfillin]: research
• 58:40
  [sean]: supported
• 58:41
  [roger_mcfillin]: supported
• 58:41
  [sean]: that when someone
• 58:42
  [roger_mcfillin]: that when someone
• 58:42
  [sean]: is suffering
• 58:42
  [roger_mcfillin]: is suffering
• 58:43
  [sean]: emotionally
• 58:43
  [roger_mcfillin]: emotionally
• 58:44
  [sean]: a front line
• 58:44
  [roger_mcfillin]: front
• 58:44
  [sean]: treatment
• 58:44
  [roger_mcfillin]: line treatment
• 58:45
  [sean]: would be
• 58:45
  [roger_mcfillin]: would be
• 58:46
  [sean]: n s
• 58:46
  [roger_mcfillin]: and
• 58:46
  [sean]: s
• 58:47
  [roger_mcfillin]: s
• 58:47
  [sean]: r
• 58:47
  [roger_mcfillin]: s
• 58:47
  [sean]: i
• 58:47
  [roger_mcfillin]: r
• 58:47
  [emily_]: yes
• 58:47
  [roger_mcfillin]: i
• 58:48
  [sean]: it's almost
• 58:48
  [roger_mcfillin]: it's almost
• 58:49
  [sean]: so widely
• 58:49
  [roger_mcfillin]: so widely
• 58:50
  [sean]: accepted
• 58:50
  [roger_mcfillin]: accepted
• 58:50
  [sean]: now
• 58:51
  [roger_mcfillin]: now
• 58:51
  [sean]: that it's not
• 58:52
  [roger_mcfillin]: it's not
• 58:52
  [sean]: even thought
• 58:52
  [roger_mcfillin]: even
• 58:53
  [sean]: about
• 58:53
  [roger_mcfillin]: thought
• 58:53
  [sean]: as
• 58:53
  [roger_mcfillin]: about as
• 58:53
  [sean]: potentially
• 58:54
  [roger_mcfillin]: potentially
• 58:54
  [sean]: a risky
• 58:54
  [roger_mcfillin]: a risky
• 58:55
  [sean]: medical intervention
• 58:55
  [roger_mcfillin]: medical intervention
• 58:56
  [sean]: what advice
• 58:57
  [roger_mcfillin]: what advice
• 58:58
  [sean]: can you give
• 58:58
  [roger_mcfillin]: can you give
• 58:58
  [sean]: to
• 58:59
  [roger_mcfillin]: to
• 58:59
  [sean]: both medical
• 58:59
  [roger_mcfillin]: both
• 59:00
  [sean]: profs
• 59:00
  [roger_mcfillin]: medical
• 59:00
  [sean]: ationals
• 59:00
  [roger_mcfillin]: professionals
• 59:00
  [sean]: and those
• 59:01
  [roger_mcfillin]: and those
• 59:01
  [sean]: who
• 59:01
  [roger_mcfillin]: who
• 59:01
  [sean]: are
• 59:02
  [roger_mcfillin]: are
• 59:03
  [sean]: in
• 59:03
  [roger_mcfillin]: in
• 59:03
  [sean]: doing
• 59:04
  [roger_mcfillin]: doing
• 59:04
  [sean]: conducting
• 59:04
  [roger_mcfillin]: conducting
• 59:04
  [sean]: clinical
• 59:05
  [roger_mcfillin]: clinical
• 59:05
  [sean]: work and
• 59:05
  [roger_mcfillin]: work
• 59:05
  [sean]: recommending
• 59:06
  [roger_mcfillin]: and recommending
• 59:06
  [sean]: their patients
• 59:07
  [roger_mcfillin]: their patients
• 59:07
  [sean]: go seek out
• 59:08
  [roger_mcfillin]: seek
• 59:08
  [sean]: a consult
• 59:08
  [roger_mcfillin]: out to consult
• 59:08
  [sean]: for
• 59:09
  [roger_mcfillin]: for
• 59:10
  [sean]: medication
• 59:10
  [roger_mcfillin]: medication
• 59:10
  [sean]: evaluation
• 59:11
  [roger_mcfillin]: valuation
• 59:11
  [sean]: what
• 59:12
  [roger_mcfillin]: what
• 59:12
  [sean]: advice
• 59:12
  [roger_mcfillin]: advice
• 59:12
  [sean]: would you
• 59:13
  [roger_mcfillin]: would
• 59:13
  [sean]: give
• 59:13
  [roger_mcfillin]: you
• 59:13
  [sean]: them
• 59:13
  [roger_mcfillin]: give them
• 59:15
  [emily_]: ah he do you want to go first
• 59:17
  [yassie_pirani]: i think i think there's so many ways to look at human distress and mental
• 59:25
  [yassie_pirani]: illness and suffering and i think one of the disease model the bio cal model
• 59:30
  [yassie_pirani]: that we have predominantly for mental illness right now in the medical community on is
• 59:38
  [yassie_pirani]: if if you have a mental illness in our culture or to have any periods
• 59:42
  [yassie_pirani]: of darkness or suffering it's wrong and it means you're off track and it needs
• 59:46
  [yassie_pirani]: to need to be fixed and i think a lot we can learn from spiritual
• 59:49
  [yassie_pirani]: paradoms that see someone who is truly trying to be in the
• 59:52
  [roger_mcfillin]: m
• 59:52
  [yassie_pirani]: awake in their life will go through suffering because life is sad and difficult and
• 59:57
  [yassie_pirani]: hard and as you get closer to knowing your heart you're going to find pain
• 1:00:01
  [yassie_pirani]: there and it doesn't mean you're messing up means you're really committed to learning and
• 1:00:06
  [yassie_pirani]: being awake and growing sometimes a we we go through pain and it brings us
• 1:00:18
  [yassie_pirani]: brings us to a place that we wouldn't
• 1:00:21
  [emily_]: ye
• 1:00:21
  [yassie_pirani]: have gotten to otherwise and there is value there is value in being with our
• 1:00:25
  [yassie_pirani]: suffering and being with our pain and i think that value needs to be acknowledged
• 1:00:29
  [yassie_pirani]: and recognized of course um you know we we also need to be looking at
• 1:00:36
  [yassie_pirani]: bigger social context around what it is is causing distress do we need um political
• 1:00:43
  [yassie_pirani]: interventions to what's happening with the economy like all these kinds of environmental
• 1:00:47
  [roger_mcfillin]: yeah
• 1:00:47
  [yassie_pirani]: factors like are suicide rates going up because teen agers brains or they're on their
• 1:00:53
  [yassie_pirani]: phones too much and their ten their brains are tan no it's it's we're living
• 1:00:56
  [yassie_pirani]: in a terrifying world the scientists are saying we're in ecological
• 1:01:01
  [roger_mcfillin]: ah
• 1:01:01
  [yassie_pirani]: armegetan i mean that's terrifying for young people and the prospects for finding stability
• 1:01:07
  [roger_mcfillin]: right
• 1:01:07
  [yassie_pirani]: and security and such a such a tumultue it's changing
• 1:01:11
  [roger_mcfillin]: yes
• 1:01:12
  [yassie_pirani]: ecosystem
• 1:01:13
  [roger_mcfillin]: yeah
• 1:01:13
  [yassie_pirani]: that we're finding ourselves in in the world these
• 1:01:15
  [emily_]: oh
• 1:01:15
  [yassie_pirani]: days know those things are need to be recognized and we need we need social
• 1:01:19
  [yassie_pirani]: change i think and to put all the blame on somebody brain or or you
• 1:01:25
  [yassie_pirani]: know just okay this there's a disease process and you need medication that's one lens
• 1:01:30
  [yassie_pirani]: but there's all these other lenses that we need to be looking at in terms
• 1:01:33
  [yassie_pirani]: of what makes somebody have good mental have good mental health do they have access
• 1:01:38
  [yassie_pirani]: to do they have access to the kind of what kind of quality of life
• 1:01:44
  [yassie_pirani]: are they living based on their associate com mike status et cetera et cetera
• 1:01:49
  [sean]: so the idea
• 1:01:49
  [roger_mcfillin]: so the
• 1:01:50
  [sean]: that
• 1:01:50
  [roger_mcfillin]: idea
• 1:01:50
  [sean]: somebody
• 1:01:50
  [roger_mcfillin]: that somebody
• 1:01:50
  [sean]: experiences
• 1:01:51
  [roger_mcfillin]: experiences
• 1:01:51
  [sean]: what would
• 1:01:52
  [roger_mcfillin]: what
• 1:01:52
  [sean]: be
• 1:01:52
  [roger_mcfillin]: would
• 1:01:52
  [sean]: considered
• 1:01:52
  [roger_mcfillin]: be considered
• 1:01:52
  [sean]: normal and
• 1:01:53
  [roger_mcfillin]: normal
• 1:01:53
  [sean]: expected
• 1:01:53
  [roger_mcfillin]: and expected
• 1:01:53
  [sean]: emotions
• 1:01:54
  [roger_mcfillin]: emotions
• 1:01:54
  [sean]: given the
• 1:01:54
  [roger_mcfillin]: given
• 1:01:54
  [sean]: events
• 1:01:55
  [roger_mcfillin]: the
• 1:01:55
  [sean]: of
• 1:01:55
  [roger_mcfillin]: events
• 1:01:55
  [sean]: their life
• 1:01:55
  [roger_mcfillin]: of
• 1:01:55
  [sean]: that
• 1:01:55
  [roger_mcfillin]: their
• 1:01:55
  [sean]: they're
• 1:01:55
  [roger_mcfillin]: life
• 1:01:56
  [sean]: facing
• 1:01:56
  [roger_mcfillin]: that they're
• 1:01:56
  [sean]: with
• 1:01:56
  [roger_mcfillin]: facing
• 1:01:56
  [sean]: the idea
• 1:01:56
  [roger_mcfillin]: with the idea
• 1:01:57
  [sean]: of identifying
• 1:01:57
  [roger_mcfillin]: identifying
• 1:01:58
  [sean]: it as
• 1:01:58
  [roger_mcfillin]: it
• 1:01:58
  [sean]: an
• 1:01:58
  [roger_mcfillin]: as
• 1:01:58
  [sean]: illness
• 1:01:58
  [roger_mcfillin]: an illness
• 1:01:59
  [sean]: is extremely
• 1:01:59
  [roger_mcfillin]: is extremely
• 1:02:00
  [sean]: harmful
• 1:02:00
  [roger_mcfillin]: harmful
• 1:02:01
  [sean]: and it's
• 1:02:01
  [roger_mcfillin]: and
• 1:02:01
  [sean]: a
• 1:02:01
  [roger_mcfillin]: it's
• 1:02:01
  [sean]: it's a world
• 1:02:02
  [roger_mcfillin]: it's a
• 1:02:02
  [sean]: view
• 1:02:02
  [roger_mcfillin]: world view
• 1:02:03
  [sean]: that
• 1:02:03
  [roger_mcfillin]: that
• 1:02:03
  [emily_]: oh
• 1:02:03
  [sean]: creates
• 1:02:04
  [roger_mcfillin]: creates
• 1:02:04
  [sean]: tremendous
• 1:02:05
  [roger_mcfillin]: tremendous
• 1:02:05
  [sean]: amounts
• 1:02:05
  [emily_]: yeah
• 1:02:05
  [roger_mcfillin]: amount
• 1:02:05
  [sean]: of dependency
• 1:02:06
  [roger_mcfillin]: of dependency
• 1:02:07
  [sean]: vulnerability
• 1:02:07
  [roger_mcfillin]: vulnerability
• 1:02:08
  [sean]: and it's a
• 1:02:08
  [roger_mcfillin]: and
• 1:02:08
  [sean]: harmful
• 1:02:09
  [roger_mcfillin]: it's a harmful
• 1:02:09
  [sean]: idea
• 1:02:09
  [roger_mcfillin]: idea
• 1:02:10
  [sean]: and we have
• 1:02:10
  [roger_mcfillin]: and
• 1:02:10
  [sean]: to be
• 1:02:10
  [roger_mcfillin]: we have
• 1:02:10
  [sean]: open
• 1:02:11
  [roger_mcfillin]: to be
• 1:02:11
  [sean]: about
• 1:02:11
  [roger_mcfillin]: open
• 1:02:11
  [sean]: that
• 1:02:11
  [roger_mcfillin]: about
• 1:02:11
  [sean]: we
• 1:02:11
  [roger_mcfillin]: that
• 1:02:11
  [sean]: have to
• 1:02:12
  [roger_mcfillin]: we
• 1:02:12
  [sean]: be
• 1:02:12
  [roger_mcfillin]: have to
• 1:02:12
  [sean]: very
• 1:02:12
  [roger_mcfillin]: be
• 1:02:12
  [sean]: very
• 1:02:12
  [roger_mcfillin]: very
• 1:02:13
  [sean]: clear
• 1:02:13
  [roger_mcfillin]: very clear
• 1:02:13
  [sean]: that our
• 1:02:14
  [roger_mcfillin]: that
• 1:02:14
  [sean]: emotional
• 1:02:14
  [roger_mcfillin]: our emotional
• 1:02:14
  [sean]: experien
• 1:02:15
  [roger_mcfillin]: experin
• 1:02:15
  [sean]: it is related
• 1:02:15
  [roger_mcfillin]: does it relate
• 1:02:16
  [sean]: to stressful
• 1:02:16
  [roger_mcfillin]: to stressful
• 1:02:16
  [sean]: and adverse
• 1:02:17
  [roger_mcfillin]: and adverse
• 1:02:17
  [sean]: conditions
• 1:02:17
  [roger_mcfillin]: conditions
• 1:02:17
  [sean]: are normal
• 1:02:18
  [roger_mcfillin]: are
• 1:02:18
  [sean]: and
• 1:02:18
  [roger_mcfillin]: normal
• 1:02:18
  [sean]: expected
• 1:02:18
  [roger_mcfillin]: and expected
• 1:02:19
  [sean]: and there's a purpose
• 1:02:19
  [roger_mcfillin]: an there's a purpose
• 1:02:19
  [sean]: for them
• 1:02:20
  [roger_mcfillin]: for them
• 1:02:20
  [sean]: and so to
• 1:02:21
  [roger_mcfillin]: and
• 1:02:21
  [sean]: quickly
• 1:02:21
  [roger_mcfillin]: so to quickly
• 1:02:21
  [sean]: label that
• 1:02:21
  [roger_mcfillin]: label
• 1:02:22
  [sean]: in some
• 1:02:22
  [roger_mcfillin]: that
• 1:02:22
  [sean]: disease
• 1:02:22
  [roger_mcfillin]: is some disease
• 1:02:22
  [sean]: state
• 1:02:23
  [roger_mcfillin]: state
• 1:02:23
  [sean]: is a
• 1:02:23
  [roger_mcfillin]: is
• 1:02:23
  [sean]: harmful
• 1:02:23
  [roger_mcfillin]: a harmful
• 1:02:24
  [sean]: idea
• 1:02:24
  [roger_mcfillin]: idea
• 1:02:25
  [sean]: could lead
• 1:02:25
  [roger_mcfillin]: could
• 1:02:25
  [sean]: to a
• 1:02:25
  [roger_mcfillin]: lead
• 1:02:26
  [sean]: harmful
• 1:02:26
  [roger_mcfillin]: to a harmful
• 1:02:26
  [sean]: medical
• 1:02:26
  [roger_mcfillin]: medical
• 1:02:27
  [sean]: intervention
• 1:02:27
  [roger_mcfillin]: intervention
• 1:02:28
  [sean]: emily you
• 1:02:28
  [roger_mcfillin]: emily
• 1:02:29
  [sean]: are
• 1:02:29
  [roger_mcfillin]: you are
• 1:02:29
  [sean]: you know somebody
• 1:02:29
  [roger_mcfillin]: you know somebody
• 1:02:30
  [sean]: who was
• 1:02:30
  [roger_mcfillin]: who was
• 1:02:31
  [sean]: at seventeen
• 1:02:31
  [roger_mcfillin]: at seventeen was
• 1:02:32
  [sean]: was placed in that
• 1:02:32
  [roger_mcfillin]: placed
• 1:02:32
  [sean]: position
• 1:02:33
  [roger_mcfillin]: in that position
• 1:02:33
  [sean]: i'm sure if
• 1:02:33
  [roger_mcfillin]: i'm
• 1:02:33
  [sean]: you
• 1:02:33
  [roger_mcfillin]: sure
• 1:02:33
  [sean]: would
• 1:02:34
  [roger_mcfillin]: if
• 1:02:34
  [sean]: you
• 1:02:34
  [roger_mcfillin]: you
• 1:02:34
  [sean]: would
• 1:02:34
  [roger_mcfillin]: would you
• 1:02:34
  [sean]: look back
• 1:02:34
  [roger_mcfillin]: look back
• 1:02:36
  [sean]: you you prefer
• 1:02:36
  [roger_mcfillin]: you prefer
• 1:02:37
  [sean]: to able to
• 1:02:37
  [roger_mcfillin]: to
• 1:02:37
  [sean]: deal
• 1:02:37
  [roger_mcfillin]: be able
• 1:02:37
  [sean]: with
• 1:02:37
  [roger_mcfillin]: to
• 1:02:37
  [sean]: what
• 1:02:38
  [roger_mcfillin]: deal
• 1:02:38
  [sean]: you
• 1:02:38
  [roger_mcfillin]: with
• 1:02:38
  [sean]: are
• 1:02:38
  [roger_mcfillin]: what
• 1:02:38
  [sean]: feeling
• 1:02:38
  [roger_mcfillin]: you are feeling
• 1:02:38
  [sean]: in different
• 1:02:39
  [roger_mcfillin]: in different
• 1:02:39
  [sean]: ways
• 1:02:39
  [roger_mcfillin]: ways
• 1:02:39
  [sean]: but you
• 1:02:40
  [roger_mcfillin]: but
• 1:02:40
  [sean]: are
• 1:02:40
  [roger_mcfillin]: you were
• 1:02:40
  [sean]: provided
• 1:02:41
  [roger_mcfillin]: provided
• 1:02:41
  [sean]: what
• 1:02:41
  [roger_mcfillin]: at
• 1:02:42
  [sean]: it amounted
• 1:02:42
  [roger_mcfillin]: what amounted
• 1:02:42
  [sean]: to to believe somewhat
• 1:02:43
  [roger_mcfillin]: to believe
• 1:02:43
  [sean]: of
• 1:02:44
  [roger_mcfillin]: somewhat
• 1:02:44
  [sean]: a kind
• 1:02:44
  [roger_mcfillin]: of a
• 1:02:44
  [sean]: of a
• 1:02:44
  [roger_mcfillin]: kind
• 1:02:44
  [sean]: a
• 1:02:44
  [roger_mcfillin]: of
• 1:02:45
  [sean]: quick fix
• 1:02:45
  [roger_mcfillin]: quick
• 1:02:45
  [sean]: to
• 1:02:45
  [roger_mcfillin]: fix
• 1:02:45
  [sean]: kind of
• 1:02:46
  [roger_mcfillin]: to kind
• 1:02:46
  [sean]: help
• 1:02:46
  [roger_mcfillin]: of
• 1:02:46
  [emily_]: oh
• 1:02:46
  [sean]: you
• 1:02:46
  [roger_mcfillin]: help you
• 1:02:47
  [sean]: in dealing
• 1:02:47
  [roger_mcfillin]: in
• 1:02:47
  [sean]: with
• 1:02:47
  [roger_mcfillin]: dealing
• 1:02:47
  [sean]: what
• 1:02:47
  [roger_mcfillin]: with
• 1:02:47
  [sean]: you were
• 1:02:48
  [roger_mcfillin]: like you were
• 1:02:48
  [sean]: dealing with
• 1:02:48
  [roger_mcfillin]: dealing
• 1:02:49
  [sean]: what advice
• 1:02:49
  [roger_mcfillin]: with what
• 1:02:49
  [sean]: would
• 1:02:49
  [roger_mcfillin]: advice
• 1:02:49
  [sean]: you give
• 1:02:49
  [roger_mcfillin]: would
• 1:02:50
  [sean]: to
• 1:02:50
  [roger_mcfillin]: you
• 1:02:50
  [sean]: that
• 1:02:50
  [roger_mcfillin]: give
• 1:02:50
  [sean]: medical
• 1:02:50
  [roger_mcfillin]: to that
• 1:02:50
  [sean]: professional
• 1:02:50
  [roger_mcfillin]: medical professional
• 1:02:51
  [sean]: who you
• 1:02:52
  [roger_mcfillin]: who
• 1:02:52
  [sean]: initially consulted
• 1:02:52
  [roger_mcfillin]: initially consulted
• 1:02:53
  [sean]: with
• 1:02:53
  [roger_mcfillin]: with
• 1:02:54
  [emily_]: yuh simply that
• 1:03:00
  [emily_]: when you don't know the long term effects of medication you know it can interfere
• 1:03:06
  [emily_]: with sexual development and you know that it is common for ten ages to go
• 1:03:11
  [emily_]: through not just temporary periods sometimes even years of emotional tribulanceis there eveloping is it
• 1:03:18
  [emily_]: really the less dangerous option to prescribe that medication i recognize that all medical professionals
• 1:03:26
  [emily_]: have to make tough calls sometimes they have to sometimes choose the less dangerous or
• 1:03:30
  [emily_]: perceived less harmful approach but why was that the less dangerous approach to put a
• 1:03:39
  [emily_]: certain drug a certain chemical who that they don't know the long term effects of
• 1:03:44
  [emily_]: into a teenage body a very critical developmental period i just don't understand so i
• 1:03:51
  [emily_]: think i would just tell her to maybe
• 1:03:54
  [roger_mcfillin]: i
• 1:03:56
  [emily_]: i think that much better ways of coping for me at the time would have
• 1:04:02
  [emily_]: been more psychologically focused or frankly even just letting me grow up just leaving well
• 1:04:08
  [emily_]: enough alone it probably would have worked itself out in time
• 1:04:13
  [sean]: yeah there's that
• 1:04:13
  [roger_mcfillin]: yeah there's
• 1:04:14
  [sean]: that
• 1:04:14
  [roger_mcfillin]: that at
• 1:04:14
  [sean]: that concept
• 1:04:15
  [roger_mcfillin]: that concept
• 1:04:15
  [sean]: of
• 1:04:15
  [roger_mcfillin]: of
• 1:04:17
  [sean]: watchful
• 1:04:17
  [roger_mcfillin]: watch
• 1:04:17
  [sean]: waiting
• 1:04:17
  [roger_mcfillin]: for
• 1:04:18
  [sean]: which
• 1:04:19
  [roger_mcfillin]: which
• 1:04:19
  [sean]: we don't use
• 1:04:19
  [roger_mcfillin]: we
• 1:04:19
  [emily_]: hm
• 1:04:19
  [roger_mcfillin]: don't
• 1:04:19
  [sean]: enough
• 1:04:20
  [roger_mcfillin]: use enough
• 1:04:20
  [sean]: it's just
• 1:04:20
  [roger_mcfillin]: it's just
• 1:04:21
  [sean]: being able
• 1:04:21
  [roger_mcfillin]: being
• 1:04:21
  [sean]: to
• 1:04:21
  [roger_mcfillin]: able
• 1:04:21
  [sean]: not
• 1:04:21
  [roger_mcfillin]: to
• 1:04:21
  [sean]: intervene
• 1:04:22
  [roger_mcfillin]: not in
• 1:04:23
  [sean]: and let
• 1:04:23
  [roger_mcfillin]: and
• 1:04:23
  [sean]: the natural
• 1:04:23
  [roger_mcfillin]: let the natural
• 1:04:24
  [sean]: progression
• 1:04:24
  [roger_mcfillin]: progression
• 1:04:25
  [sean]: of
• 1:04:25
  [roger_mcfillin]: of
• 1:04:25
  [sean]: a what we call
• 1:04:26
  [roger_mcfillin]: what we
• 1:04:26
  [sean]: episodes
• 1:04:26
  [roger_mcfillin]: call episodes
• 1:04:27
  [sean]: to be able
• 1:04:27
  [roger_mcfillin]: to
• 1:04:27
  [sean]: to
• 1:04:27
  [roger_mcfillin]: be
• 1:04:27
  [sean]: play
• 1:04:27
  [roger_mcfillin]: able
• 1:04:28
  [sean]: itself
• 1:04:28
  [roger_mcfillin]: to play itself
• 1:04:28
  [sean]: out in somewhat
• 1:04:28
  [roger_mcfillin]: out in somewhat
• 1:04:29
  [sean]: a different
• 1:04:30
  [roger_mcfillin]: a
• 1:04:30
  [sean]: kind
• 1:04:30
  [roger_mcfillin]: different
• 1:04:30
  [sean]: of
• 1:04:30
  [roger_mcfillin]: kind
• 1:04:31
  [sean]: approach
• 1:04:31
  [roger_mcfillin]: approach
• 1:04:32
  [sean]: the watchful
• 1:04:32
  [roger_mcfillin]: the watchful
• 1:04:32
  [sean]: part meaning
• 1:04:33
  [roger_mcfillin]: part
• 1:04:33
  [sean]: we
• 1:04:33
  [roger_mcfillin]: meaning
• 1:04:33
  [sean]: take it
• 1:04:33
  [roger_mcfillin]: we
• 1:04:34
  [sean]: seriously
• 1:04:34
  [roger_mcfillin]: take it seriously
• 1:04:34
  [sean]: and maybe
• 1:04:35
  [roger_mcfillin]: and
• 1:04:35
  [sean]: that's
• 1:04:35
  [roger_mcfillin]: maybe
• 1:04:35
  [sean]: the need
• 1:04:35
  [roger_mcfillin]: that's
• 1:04:35
  [sean]: for
• 1:04:35
  [roger_mcfillin]: the
• 1:04:35
  [sean]: some
• 1:04:35
  [roger_mcfillin]: need for
• 1:04:36
  [sean]: emotional
• 1:04:36
  [roger_mcfillin]: some emotional
• 1:04:36
  [sean]: support
• 1:04:36
  [roger_mcfillin]: support
• 1:04:37
  [sean]: or family
• 1:04:37
  [roger_mcfillin]: or
• 1:04:37
  [sean]: or
• 1:04:37
  [roger_mcfillin]: family
• 1:04:37
  [sean]: community
• 1:04:37
  [roger_mcfillin]: or community
• 1:04:38
  [sean]: to be able
• 1:04:39
  [roger_mcfillin]: to be
• 1:04:39
  [sean]: to
• 1:04:39
  [roger_mcfillin]: able
• 1:04:39
  [sean]: assist
• 1:04:39
  [roger_mcfillin]: to
• 1:04:39
  [sean]: that
• 1:04:39
  [roger_mcfillin]: assist
• 1:04:39
  [sean]: person
• 1:04:40
  [roger_mcfillin]: that
• 1:04:40
  [sean]: who
• 1:04:40
  [roger_mcfillin]: person
• 1:04:40
  [sean]: is struggling
• 1:04:40
  [roger_mcfillin]: who is struggling
• 1:04:41
  [sean]: maybe
• 1:04:41
  [roger_mcfillin]: maybe
• 1:04:41
  [sean]: even a
• 1:04:42
  [roger_mcfillin]: even a
• 1:04:43
  [sean]: know less restrictive
• 1:04:43
  [roger_mcfillin]: a less restrictive
• 1:04:44
  [sean]: intervention
• 1:04:44
  [roger_mcfillin]: intervention
• 1:04:44
  [sean]: like a
• 1:04:45
  [roger_mcfillin]: like
• 1:04:45
  [sean]: like
• 1:04:45
  [roger_mcfillin]: a
• 1:04:45
  [sean]: a therapy
• 1:04:45
  [roger_mcfillin]: like a therapy
• 1:04:46
  [sean]: might be
• 1:04:46
  [roger_mcfillin]: might be
• 1:04:47
  [sean]: you know necessary
• 1:04:48
  [roger_mcfillin]: necessary
• 1:04:48
  [sean]: or recommended
• 1:04:48
  [roger_mcfillin]: or recommended
• 1:04:49
  [sean]: but the idea
• 1:04:50
  [roger_mcfillin]: but the
• 1:04:50
  [sean]: that everything
• 1:04:50
  [roger_mcfillin]: idea that
• 1:04:50
  [sean]: has
• 1:04:50
  [roger_mcfillin]: everything
• 1:04:50
  [sean]: to be
• 1:04:51
  [roger_mcfillin]: has
• 1:04:51
  [sean]: quickly
• 1:04:51
  [roger_mcfillin]: to be quickly
• 1:04:51
  [sean]: intervened
• 1:04:52
  [roger_mcfillin]: devine
• 1:04:52
  [sean]: with with
• 1:04:52
  [roger_mcfillin]: with
• 1:04:52
  [sean]: a pill
• 1:04:53
  [roger_mcfillin]: with a pill
• 1:04:53
  [sean]: obviously
• 1:04:53
  [roger_mcfillin]: obviously
• 1:04:53
  [sean]: has
• 1:04:54
  [roger_mcfillin]: has
• 1:04:54
  [sean]: great consequences
• 1:04:55
  [roger_mcfillin]: great consequences
• 1:04:57
  [yassie_pirani]: there's a variety of treatment options that that are known to be effective for people
• 1:05:01
  [yassie_pirani]: with anxiety and depression and under other mental health issues that have significantly less risk
• 1:05:06
  [yassie_pirani]: of harm associated for example therapy attention exercise do does your doctor teach you about
• 1:05:14
  [yassie_pirani]: these things typically now when you go to the hospital for an episode do they
• 1:05:18
  [yassie_pirani]: teach you
• 1:05:19
  [roger_mcfillin]: yeah
• 1:05:19
  [yassie_pirani]: grounding and breathing and all its kinds of tools do you learn them in school
• 1:05:24
  [roger_mcfillin]: ah
• 1:05:25
  [yassie_pirani]: most people don't i mean maybe that's changing now hopefully but i didn't and you
• 1:05:30
  [yassie_pirani]: know there's the research just on xerciseumis quite profound and i think
• 1:05:38
  [roger_mcfillin]: ye
• 1:05:40
  [yassie_pirani]: the we just going going physicians don't know what's at stake right you know who
• 1:05:45
  [yassie_pirani]: aren't aware of these patients are going in they don't know what's at stake and
• 1:05:49
  [yassie_pirani]: the true risks of these drugs and so until we we just need wider awareness
• 1:05:53
  [yassie_pirani]: who need more of these conversations happening because it's just so important for people to
• 1:05:57
  [yassie_pirani]: be able to access all the information and then way the true risks and benefits
• 1:06:01
  [yassie_pirani]: of all options so they can decide what themselves what risks they're willing to take
• 1:06:07
  [yassie_pirani]: and i think it also engages questions around okay is there accessible for people pills
• 1:06:12
  [yassie_pirani]: are accessible medications accept accessible is living in in
• 1:06:17
  [roger_mcfillin]: i
• 1:06:17
  [yassie_pirani]: a community where you have support and
• 1:06:20
  [roger_mcfillin]: m
• 1:06:20
  [yassie_pirani]: access to clean water and nutritious food and nature are those things accessible for everybody
• 1:06:27
  [yassie_pirani]: or people you know they're working three jobs like they don't you know they don't
• 1:06:32
  [yassie_pirani]: have they
• 1:06:32
  [emily_]: o
• 1:06:32
  [yassie_pirani]: can't they can't afford private therapy and the weight less for their ping the public
• 1:06:37
  [yassie_pirani]: health system so so long so those are all things we need to be also
• 1:06:41
  [yassie_pirani]: addressing as well we're looking at informed consent
• 1:06:43
  [emily_]: oh
• 1:06:44
  [yassie_pirani]: is somebody exercising informed consent when all of those other options aren't actually financially accessible
• 1:06:49
  [yassie_pirani]: for them and the pills are really the only thing that's being told to but
• 1:06:53
  [yassie_pirani]: offered by their doctors
• 1:06:55
  [roger_mcfillin]: yeah
• 1:06:55
  [yassie_pirani]: it's not true for in content
• 1:06:59
  [roger_mcfillin]: a
• 1:06:59
  [sean]: good point
• 1:06:59
  [roger_mcfillin]: good point
• 1:07:01
  [sean]: you guys are amazing
• 1:07:01
  [roger_mcfillin]: you guys are amazing
• 1:07:02
  [sean]: i couldn't
• 1:07:03
  [roger_mcfillin]: i
• 1:07:03
  [sean]: imagine
• 1:07:03
  [roger_mcfillin]: couldn't imagine
• 1:07:03
  [sean]: two better
• 1:07:04
  [roger_mcfillin]: to
• 1:07:04
  [sean]: voices
• 1:07:04
  [roger_mcfillin]: better voices
• 1:07:04
  [sean]: for this
• 1:07:04
  [roger_mcfillin]: for this
• 1:07:05
  [sean]: serious
• 1:07:06
  [roger_mcfillin]: serious
• 1:07:06
  [sean]: complex
• 1:07:06
  [roger_mcfillin]: complex
• 1:07:06
  [sean]: and challenging
• 1:07:07
  [roger_mcfillin]: and challenging
• 1:07:07
  [sean]: issue
• 1:07:07
  [roger_mcfillin]: issue
• 1:07:09
  [sean]: where can
• 1:07:09
  [roger_mcfillin]: where
• 1:07:09
  [sean]: people
• 1:07:10
  [roger_mcfillin]: can people
• 1:07:10
  [sean]: find you
• 1:07:11
  [roger_mcfillin]: find
• 1:07:11
  [sean]: or
• 1:07:11
  [roger_mcfillin]: you
• 1:07:11
  [sean]: how can
• 1:07:11
  [roger_mcfillin]: or
• 1:07:11
  [sean]: we
• 1:07:12
  [roger_mcfillin]: how
• 1:07:12
  [sean]: bring
• 1:07:12
  [roger_mcfillin]: can
• 1:07:12
  [sean]: attention
• 1:07:12
  [roger_mcfillin]: we bring attention
• 1:07:12
  [sean]: to some of
• 1:07:13
  [roger_mcfillin]: to
• 1:07:13
  [sean]: the work
• 1:07:13
  [roger_mcfillin]: some of
• 1:07:13
  [sean]: that
• 1:07:13
  [roger_mcfillin]: the
• 1:07:13
  [sean]: you're
• 1:07:13
  [roger_mcfillin]: work that
• 1:07:13
  [sean]: doing
• 1:07:14
  [roger_mcfillin]: you're doing
• 1:07:15
  [sean]: for we close
• 1:07:16
  [roger_mcfillin]: for we
• 1:07:16
  [sean]: today
• 1:07:16
  [roger_mcfillin]: close today
• 1:07:19
  [emily_]: we have a website for the canadian p s s t society it's a w
• 1:07:24
  [emily_]: w dot p s s t canada dot c a i'd also like to draw
• 1:07:29
  [emily_]: some attention to new p s s d focused organization that recently started up based
• 1:07:34
  [emily_]: in australia called the p s s d network and it can be found at
• 1:07:39
  [emily_]: p s s t network dot or they've hit the ground running and have already
• 1:07:44
  [emily_]: done a photo
• 1:07:45
  [roger_mcfillin]: uh
• 1:07:45
  [emily_]: campaign to try and raise awareness about
• 1:07:47
  [roger_mcfillin]: h
• 1:07:47
  [emily_]: p s s t we've also seen a lot of organization starting up around the
• 1:07:54
  [emily_]: world in the past few years there's a very active one in germany called pssdhillfa
• 1:07:59
  [emily_]: hill face belt h i l f e m and you can access their site
• 1:08:04
  [emily_]: and you can so they have a english translation button on the side if you
• 1:08:08
  [emily_]: want to keep track of their activities the work of professor david healy is a
• 1:08:12
  [emily_]: great place to get an over view of p s s t he has a
• 1:08:15
  [emily_]: large of the available literature linked on his websiteum
• 1:08:23
  [yassie_pirani]: risk dot
• 1:08:23
  [emily_]: yeah
• 1:08:23
  [yassie_pirani]: or
• 1:08:23
  [emily_]: and risk
• 1:08:24
  [yassie_pirani]: i
• 1:08:24
  [emily_]: dot or yeah yeah and also if you visit the p s st canada website
• 1:08:30
  [emily_]: we have a page under resources of many different other organizations and we also have
• 1:08:37
  [emily_]: a compilation of a mike sources that you can access
• 1:08:42
  [sean]: great
• 1:08:43
  [roger_mcfillin]: great
• 1:08:43
  [sean]: thank you
• 1:08:44
  [roger_mcfillin]: thank you
• 1:08:45
  [sean]: i want to thank
• 1:08:45
  [roger_mcfillin]: i
• 1:08:45
  [sean]: you
• 1:08:45
  [roger_mcfillin]: want to
• 1:08:45
  [sean]: both
• 1:08:45
  [roger_mcfillin]: thank you both
• 1:08:46
  [sean]: for having
• 1:08:46
  [roger_mcfillin]: for
• 1:08:47
  [sean]: a radically
• 1:08:47
  [roger_mcfillin]: having
• 1:08:47
  [sean]: genuine
• 1:08:47
  [roger_mcfillin]: radically
• 1:08:47
  [sean]: conversation
• 1:08:47
  [roger_mcfillin]: genuine conversation
• 1:08:48
  [sean]: with us
• 1:08:48
  [roger_mcfillin]: with us
• 1:08:49
  [sean]: obviously
• 1:08:49
  [yassie_pirani]: yeah
• 1:08:49
  [roger_mcfillin]: obviously
• 1:08:49
  [sean]: there is some
• 1:08:50
  [roger_mcfillin]: there
• 1:08:50
  [sean]: momentum
• 1:08:50
  [roger_mcfillin]: is momentum
• 1:08:50
  [sean]: that is moving
• 1:08:51
  [roger_mcfillin]: that is
• 1:08:51
  [sean]: in the
• 1:08:51
  [roger_mcfillin]: moving
• 1:08:51
  [sean]: right
• 1:08:51
  [roger_mcfillin]: in
• 1:08:51
  [sean]: direction
• 1:08:52
  [roger_mcfillin]: the right direction
• 1:08:52
  [sean]: to greater
• 1:08:53
  [roger_mcfillin]: to
• 1:08:53
  [sean]: inform
• 1:08:53
  [roger_mcfillin]: greater
• 1:08:53
  [emily_]: hm
• 1:08:53
  [sean]: the
• 1:08:53
  [roger_mcfillin]: nor
• 1:08:53
  [sean]: public
• 1:08:54
  [roger_mcfillin]: public
• 1:08:54
  [sean]: and medical
• 1:08:54
  [roger_mcfillin]: and medical
• 1:08:55
  [sean]: and mental health
• 1:08:56
  [roger_mcfillin]: and
• 1:08:56
  [emily_]: oh
• 1:08:56
  [roger_mcfillin]: mental
• 1:08:56
  [sean]: professionals
• 1:08:56
  [roger_mcfillin]: professionals
• 1:08:56
  [sean]: about this really
• 1:08:57
  [roger_mcfillin]: about this
• 1:08:57
  [sean]: important
• 1:08:57
  [roger_mcfillin]: really
• 1:08:57
  [sean]: issue
• 1:08:57
  [roger_mcfillin]: important issue
• 1:08:58
  [sean]: thank you so
• 1:08:59
  [roger_mcfillin]: thank
• 1:08:59
  [sean]: much
• 1:08:59
  [roger_mcfillin]: you
• 1:08:59
  [sean]: for
• 1:08:59
  [roger_mcfillin]: so
• 1:08:59
  [sean]: coming
• 1:08:59
  [roger_mcfillin]: much for
• 1:08:59
  [sean]: on
• 1:08:59
  [roger_mcfillin]: coming on
• 1:09:01
  [emily_]: thank you very much mchillan
• 1:09:04
  [yassie_pirani]: thank you
• 1:09:05
  [sean]: thank you both
• 1:09:06
  [yassie_pirani]: yes
• 1:09:06
  [roger_mcfillin]: thank you both