Host: Anti-Aging Psychologist Dr. Michael Brickey

Guest:  Dr. David D. Clarke

Broadcast and podcast starting: June 22, 2009 on webtalkradio.net. After 6-29-09 the podcast is also on the links below

 

 Stress Illness: The Missed Diagnosis When Doctors Can’t Find Anything Wrong [56:43m]: Play Now | Play in Popup | Download

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Every year millions of people go to their doctors with very real illness, see several specialists, go through endless tests only to be told, “We can’t find anything wrong with you.” Often the problem is caused by a illnesses largely ignored by medical schools-stress illnesses. Today Dr. David Clarke shares with us how to recognize stress illnesses and what to do about them.

The problem isn’t that therapists don’t know how to deal with childhood issues, stress, PTSD, depression, and anxiety. The problem is that patients with stress illnesses go to their physicians or emergency rooms with real illnesses. The physicians focus on physical causes and have little training in psychological causes. When the tests find nothing, most just keep looking or refer to a specialist. Few of these patients would go directly to a psychologist but even if they did, many psychologists, since they haven’t had training in dealing with patients who present with ostensibly physical illnesses, would be distracted by or intimidated by the physical illnesses.

Thus, the patients go on a wild goose chase and the problems persist for years-possibly even a lifetime. I would try to come up with a statistic like half of all doctor visits are stress related, but that is an artificial statistic as stress and physical causes are usually co-conspirators in illnesses. The good news is that most psychologists and mental health professionals are very familiar with how to treat stress illnesses, including those arising from lousy childhoods or trauma.

Dr. Clarke’s book, They Can’t Find Anything Wrong, and the training he is doing is sorely needed. It would help if doctors put some stress related questions on their screening histories. Medicine is very protocol driven. If medical decision trees say refer to a psychologist or other qualified mental health professional when the usual tests for the presenting problem aren’t finding anything wrong, many of these patients would get the help they need.

The ultimate solution would be to have a psychologist in every primary care physician’s office and many specialist’s offices as well. The doctor could walk over and introduce the patient to the psychologist or mental health professional and make an appointment. That can be especially important to grease the path since many of these patients are probably reluctant to see their illness as having a psychological cause. I note the American Psychological Association is increasingly advocating for psychologists to be in primary care physician’s offices. The Ageless Lifestyles® show with cardiologist Dr. Joel Okner and cardiopsychologist Dr. Jeremy Clorfene provides an excellent illustration of how this can work in a specialty practice as well.

When children grow up in dysfunctional families, they often make decisions at a very young age about what script to follow. Some act out. Some develop abysmal self-esteem and become physical or emotional punching bags. Some turn to alcohol or drugs. Some become junior social workers trying to please everyone and avoid conflict or strife. Some have to sacrifice their childhoods and parent parents or sibs. Many try to cope by being perfect. Thus, many patients whose stress illness had childhood origins seem so responsible and effective that few suspect anything is wrong psychologically.

To recap the solution Dr. Clarke recommends, the first two steps are diagnostic-first, consider stress as a possible cause and second, search for sources and connections. Creating a stress inventory and periodically adding to the list can help. Then it is on to seeking whatever solution or therapy will be more helpful. Some of the strategies Dr. Clarke especially likes include giving yourself permission to play, scheduling time for yourself, writing letters, observing children and imagining them experiencing the stresses, time-limited support groups, and becoming the person you always wanted to be. I especially like the becoming the person you always wanted to be as the goal shouldn’t be just the absence of headaches, backaches, stomach aches and the like, but having a wonderful life.

Dr. Clarke’s fascinating book is in layman’s language, very readable, and a bargain at only $16.95.

Dr. Clarke’s website is www.stressillness.com. Dr. Brickey’s other websites are www.DrBrickey.com and www.Anti-Aging-Speaker.com.

Host: Anti-Aging Psychologist Dr. Michael Brickey

Guest: Natural Health Nutritionist Dr. Gary Null

Broadcast and podcast starting: June 8, 2009 on webtalkradio.net. After 6-15-09 the podcast is also on the links below

 

 Alternative Health Approaches to Better Health [56:08m]: Play Now | Play in Popup | Download

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There is a rich literature on natural cures for headaches, digestive problems, allergies, and other health problems. But how do you tell help from hype? Is it safe and does it work? Natural Health Nutritionist Dr. Gary Null is the author of 70 books on health including his most recent book, Be a Healthy Woman, has been studying and advising millions on alternative health and natural healing for three decades. Today he shares his knowledge with us.

Dr. Null has never shared his real secret to health and longevity. With more than 70 books, more than 20 films, competing in marathons, counseling thousands, and bridging  nutrition, self-development, politics, and even pet care. I’m convinced that he has figured out how to clone himself. Dr. Null’s is a renaissance man who has an extraordinarily holistic view of health and wellness including physical, mental, and spiritual. He is into mindfulness and is a wonderful story teller.

His books excoriate  caffeine, alcohol, and meat. At a more controversial level, he advocates removing mercury fillings from teeth, chelation, magnet therapy, and questions the safety of vaccines. The sources he typically cites are experts he has interviewed. If you are looking for traditional research that footnotes lots of references, you will be frustrated. If you are looking for new ideas to consider or try, you are at a feast.

A note on his references to some people living well into Mediterranean, Eastern European, and Eastern countries living extremely long lives are controversial: The oldest well documented centenarian was Jeanne Calment, a Frenchwoman who lived to 122. There are many claims of people living much longer but researchers as skeptical as documentation is poor and their cultures revere living long which gives an incentive to exaggerate.

The concept that that the biggest factor in health and longevity is being happy is profound. Also profound is his epiphany that getting healthier starts with beliefs and values. I was also impressed with how Gary generally supported a Mediterranean diet but emphasized how you eat is as important as what you eat. Thus, slow leisurely meals with family do wonders for your health.

Dr. Null’s website is www.GaryNull.com. Dr. Brickey’s other websites are www.DrBrickey.com and www.Anti-Aging-Speaker.com.

Host: Anti-Aging Psychologist Dr. Michael Brickey

Guests Dr. Paula Forman and Dr. Jeff Johnson

Broadcast and podcast starting: May 25, 2009 on webtalkradio.net. After 6-1-09 the podcast is also on the links below

 

 Baby Boomers and Boomeritis [54:19m]: Play Now | Play in Popup | Download

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How does a narcissistic generation that was determined to reshape the world deal with career crashes, job burnout, divorce, empty nests, aging parents, and deciding whether to retire? Psychologist Dr. Jeff Johnson and Sociologist Dr. Paula Forman, authors of The Hourglass Solution: A Boomer’s Guide to the Rest of Your Life, help us think out how what is unique about Boomers and how to generatively handle Boomer life transitions.

I didn’t highlight it in the interview but their metaphor is that in middle age many Boomers often feel that they are trapped by previous choices, and their lives are funneling into an increasingly narrow channel. Dr. Johnson and Dr. Forman see the dilemma as analogous to the narrow section of an hourglass.

The key to getting through this narrow passage and into the bottom part of the hourglass is realizing there are always options. They emphasize looking to other Boomers for role models and success stories to see new options and get unstuck. It make take courage to make the changes, but the ensuing renewed sense of purpose is usually well worth the risk.

They see Baby Boomers as still destined to change the world-because of their generation’s size, values, ideals, and sense of entitlement. They were also clear that most Boomers find traditional retirement unsatisfying. That is because most Boomers get bored with retirement and because so much of our identity derives from what we do vocationally or avocationally. It is time to retire the word retirement and have a new vision for Greater Adulthood.

So often discussion about Boomers is just nostalgia and trivia. I found it fascinating to explore the Boomer experience and how it is evolving. In particular, I was fascinated by their image of Boomers having a very strong sense of entitlement, very broad boundaries, and a willingness to take on all responsibilities including careers, micromanaging their kids and caring for their aging parents. The downside can be difficulty in prioritizing and difficulty in trying to do everything.

Clearly, Boomers will continue to have a profound effect on our culture. Dr. Johnson and Dr. Forman view Boomers through the lens of psychology, sociology, advertising, their own experience, and hundreds of interviews with Boomers. Their perspective has a pride in Boomerdom and encourages embracing choice and learning from other Boomers.

Their website is www.TheHourGlassSolution.com. Dr. Brickey’s other websites are www.DrBrickey.com and www.Anti-Aging-Speaker.com.

P.S. If you have a good term for what term should replace retirement, I’d love to hear it, share it with other listeners, and I’ll also pass it on to Dr. Johnson and Dr. Forman. Just send an email to radio@AgelessLifestyles.com.

Host: Anti-Aging Psychologist Dr. Michael Brickey

Guest: Preventive Health Researcher Dr. Duke Johnson

Broadcast and podcast starting: May 11, 2009 on webtalkradio.net. After 5-18-09 the podcast is also on the links below

 

 How to Prevent Heart Disease, Cancer, and Other Chronic Diseases [54:19m]: Play Now | Play in Popup | Download

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When health study results are announced, the news feeds us sketchy, piecemeal results with little attention to the quality or limitations of the study. Radio and TV thrives on the diet of the week and sensationalism.  No wonder Americans are confused about what to do to be healthier. Research is becoming increasingly clear, however, that there is a common denominator to heart disease, cancer, diabetes, arthritis, and other chronic diseases. Dr. Duke Johnson, author of The Optimal Health Revolution, shares with us what that commonality is and how it can guide us in preventing chronic diseases.

Most health and wellness gurus and authors emphasize their niche or try to be comprehensive and cover diet and exercise. Dr. Johnson or Dr. Duke as he is often called, presents a very holistic approach with avoiding inflammation as a key integrating concept. In interviews, I try to focus on what is most unique about the expert and their area of greatest expertise. Consequently, time did not permit going into all of the issues and recommendations Optimal Health covers.

To recap Dr. Johnson’s big picture, a century ago, most Americans died from acute illnesses. Today modern medicine can prevent or cure most acute illnesses. We also are better educated, more informed, and have money to take care of ourselves. Consequently it is the chronic diseases like cardiovascular disease, cancer, and diabetes that kills most Americans. In the last decade, researchers are increasingly converging on inflammation as the common denominator of most chronic diseases. We also are seeing a convergence on the Mediterranean diet. Thus, Dr. Johnson’s comments on how few people in Mediterranean countries are following that diet anymore is an important heads up. We need to be following the principles and not the current practices.

Of course we are also seeing a convergence on the importance of exercise-both cardiovascular and strength (and I might add flexibility and balance). Most researchers also give a passing nod to the importance of stress. I really like way Dr. Johnson not only underscores stress, but also ties it to a sense of purpose and whether how you use your time fits with your values and purpose.

Some take aways are to, at least once, include a C-reactive protein test in your next physical, avoid high fructose corn syrup, and choose whole grain rather than multi-grain. I also note that in his book Dr. Johnson recommended investing in a whole house water filter. I heartily agree. Including the plumbing bill you should be able to do this for about $600 and about $15 a month in filters and charcoal material.

Dr. Johnson’s website is www.DrDukeJohnson.com. Dr. Brickey’s other websites are www.DrBrickey.com and www.Anti-Aging-Speaker.com.

Host: Anti-Aging Psychologist Dr. Michael Brickey

Guests: Preventive Cardiologist Dr. Michael Ozner

Broadcast and podcast starting: April 27, 2009 on webtalkradio.net. After 5-4-09 the podcast is also on the links below

 

 Bypass Surgery and Stents Usually Do More Harm Than Good [59:34m]: Play Now | Play in Popup | Download

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Three major research studies show that bypass surgery doesn’t prevent heart attacks or death any more than conservative medical treatment. Further, research shows that angioplasties (with or without stents) don’t prevent heart attacks or deaths any more than conservative medical treatment. There is little research to contradict these well designed, peer reviewed studies published in prominent medical journals. Nevertheless, 1.5 million Americans a year have angioplasties or bypass surgery.

Dr. Ozner is very polite and doesn’t go for the jugular. He has his data speak. Cardiac surgery costs at least $60 billion a year and is the star and major profit center of most hospitals. While the medical profession is increasingly emphasizing evidence-based procedures, if it applies evidence-based criteria to cardiac surgery, it will kill the golden goose. It’s amazing that while the data has been around for decades, cardiologists continue to urge angioplasties and by-pass surgeries extensively despite it not having any better results than conservative medical treatment, in most cases. I surprised that Dr. Ozner’s colleagues haven’t tried to tar and feather him for threatening their lucrative careers.

I have been trying to sort out how different experts and organizations are emphasizing different causes of cardiovascular. In rejecting the plumbing analogy for cardiovascular disease, Dr. Ozner’s book describes a process that leads to cardiovascular disease. The process starts with excess LDL cholesterol burrowing into the artery walls, joining triglycerides, oxidizing, and prompting inflammation and its aftermath. An intervention at any stage of this process can help. Thus lowering cholesterol helps, lowering triglycerides helps, anti-oxidants help, balancing Omega 3 and Omega 6 fatty acids helps, as does good nutrition, exercise, and stress management. Unchecked, the ultimate problem becomes inflammation, which is not only key to cardiovascular disease but also most chronic diseases.

For those who resist following detailed regimes, the basic principles of the Mediterranean or his Miami Mediterranean diet are simple: lots of fresh fruits and vegetables, nuts, whole grains, lean protein (especially from small cold water fish), and eschewing processed food. I also note that Dr. Ozner’s emphasis on stress nicely reinforced the show we had with Cardiologist Dr. Joel Okner and cardiac psychologist Dr. Jeremy Clorfene.

Overall I think The Great American Heart Hoax is the most important cardiology book in the last hundred years. Hopefully it will be a wake-up call for having cardiology become more evidence-based and more holistic. Dr. Ozner’s website is www.DrOzner.com. Dr. Brickey’s other websites are www.DrBrickey.com and www.Anti-Aging-Speaker.com.

Host: Anti-Aging Psychologist Dr. Michael Brickey

Guests: Elsa Hoffmann and Sharon Textor-Black

Broadcast and podcast starting: April 13, 2009 on webtalkradio.net. After 4-19-09 the podcast is also on the links below

 

 Living to 100 and Loving It [36:33m]: Play Now | Play in Popup | Download

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***Click here for information on the 2009 Therapist Leadership Conference***

Only a third of Americans want to live to 100. Why? They imagine that living to 100 means being in a nursing home, crippled with arthritis, your mind destroyed by Alzheimer’s, and the highlight of your day-nursing home food. That is a possibility, but certainly not a necessity. Today we are going to talk with 101 year old Elsa Hoffman and her granddaughter/biographer Sharon Textor-Black on how living to 100 can be fabulous.

What makes Elsa such a vital person at 101? The genetic lottery probably accounts for about 25% of her success. Let me cite four other factors that contribute to her longevity:

1.     There are hundreds of studies that indicate optimists live longer, healthier, happier lives. Elsa is an absolute master at optimism. Sharon sees Elsa’s childhood as Prussian. Elsa sees her childhood as great lessons in discipline and attention to detail. While Elsa wanted to be a teacher, she sees her father’s insistence on business school having served her very well.

2.     One of the most difficult challenges in living a long life is dealing with the death of friends and family. Even the death of her son and her beloved husband didn’t throw her for very long. She has a view of death that it is a natural event and leads to an even better place. Further, for those who are suffering in pain, as her son did, it is a reprieve from suffering.

3.     She has a sense of purpose. Her purpose is to draw others out, help people connect, and help people feel better. For a couple of decades she and her husband ran a resort in Florida. It was a place where no one was a stranger and guests gathered around the piano for singing. Nothing makes her happier than to connect people. If that weren’t purpose enough, she has always done a lot of charitable and funding raising. I also note she has a wide variety of interests and activities-including travel, cards, baking, and reading. The variety helps keep the interests fresh and by having a variety, if one activity becomes unavailable, she has several others to keep life enjoyable.

4. She takes care of herself, with eating well, walking, getting good health care, and being prudent with money. There are two aspects of taking care of herself that are a matter of style rather than necessity. She finds dressing well and always looking good helps her feel good about herself and shows respect to others. She also doesn’t mind acknowledging that she has had a-one-facelift-because she wants to look her best. Their website is www.ElsasOwnBlueZone.com. Dr. Brickey’s other websites are www.DrBrickey.com and www.Anti-Aging-Speaker.com. ***********************

Host: Anti-Aging Psychologist Dr. Michael Brickey

Guest: Dr. Ryan Niemiec

Broadcast and podcast starting: March 30, 2009 on webtalkradio.net. After 4-6-09 the podcast is also on the links below

 

 Positive Psychology, Movies and Aging Well [51:45m]: Play Now | Play in Popup | Download

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Historically psychology has focused on what’s wrong. In clinical psychology, the emphasis on pathology was reinforced by insurance companies only paying for treatment of diagnosable conditions. Ten years ago Martin Seligman launched the field of positive psychology and made it the theme of his presidency of the American Psychological Association. Dr. Ryan Niemiec helps us look at movies from the perspective of positive psychology and see how that lens can help us live longer, healthier, happier lives.


Movies can have a tremendous influence on the quality of our lives. Often we dismiss them as mere entertainment. Just as a food critic notices and appreciates nuances in food because he or she looks for the nuances and studies them, we too can get more out of movies if we ask ourselves more questions about them. Movie critics tend to focus on acting, photography, and entertainment value. Positive psychology focuses on role models and character strengths and virtues, with a goal of helping us learn to live better lives. You might think of positive psychology as self-help made scientific. Dr. Niemiec obviously loves psychology and loves movies and like a food critic is teaching us to be more sophisticated, and to get more out of movies. Unlike the food critic, the process is nonfattening.

Dr. Niemiec is the Education Director at the Via Institute on Character. He is the principle author of Positive Psychology at the Movies and Movies and Mental Illness. His website is www.viacharacter.net. Dr. Brickey’s other websites are www.DrBrickey.com and www.Anti-Aging-Speaker.com. ***********************

Host: Anti-Aging Psychologist Dr. Michael Brickey

Guest: Martine Ehrenclou

Broadcast and podcast starting: March 23, 2009 on webtalkradio.net. After 3-30-09 the podcast is also on the links below

 

 How to Survive a Hospital Stay [44:52m]: Play Now | Play in Popup | Download

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Hospitals are dangerous places. 5% of patients leave with infections they acquired at the hospital and 5% experience medication errors. There are drug interactions, miscommunications, falls, unhealthy food, and neglect. Most people put a lot of planning into going on a vacation, and do no planning for a hospital stay. To help you come out alive and healthy, you need to know how the system works and how to work the system. Martine Ehrenclou, author of Critical Conditions: The Essential Hospital Guide to Get Your Loved One Out Alive has researched and distilled what you need to know and do to defend yourself in a hospital and achieve the best possible outcome

Information on Critical Conditions is at www.criticalconditions.com. Dr. Brickey’s other websites are www.DrBrickey.com and www.Anti-Aging-Speaker.com.

Host: Anti-Aging Psychologist Dr. Michael Brickey

Guests: Cardiologist Dr. Joel Okner and Cardiac Psychologist Jeremy Clorfene

Broadcast and podcast starting: March 16, 2009 on webtalkradio.net. After 3-23-09 the podcast is also on the links below

 

 What You Need To Know About Heart Disease [56:24m]: Play Now | Play in Popup | Download

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If you or someone you love has a heart attack, the cardiologist probably gives you a brief technical assessment. Anxiety levels are so high you only hear a small fraction of what the doctor says, and remember even less. Typically, there is no discussion about the psychological factors and dealing with the stress, changes, and how different your life has become. Cardiologist Dr. Joel Okner and Cardiac Psychologist Dr. Jeremy Clorfene stepped in to fill the gap with their just released book, The No Bull Book On Heart Disease: Real Answers To Winning Back Your Heart and Health.

It is easy to miss how unique their message is. First, they put cardiology in language that lay people can understand and use. In their book, in particular, they take you step-by-step through exactly what happens physically and emotionally with various diagnoses, tests, and surgeries. That kind of information is surprisingly hard to find.

The even more profound thing they do is address how heart disease impacts patients and families emotionally. Managed care initially offered great promise. Kiser Permanente in particular, was very good at offering supportive and preventive services to help subscribers avoid even bigger problems down the road. Thus, managed care done right would encourage every heart disease patient to see a cardiac psychologist. But most of managed care deteriorated to cost containment. Consequently, we are left with a perfect storm that largely ignores cardiac psychological needs. Pharmaceutical companies advertise pills as the solution. Patients want pills and quick fixes, and compensation for doctors encourages 5-minute-medicine. Even the rehab programs medicalized rehab and made it mostly about diet, exercise, and physical therapy.

The Okner and Clorofene message is that pills may be necessary but without addressing stress, lifestyle, exercise, and nutrition, a heart attack or stroke is just around the corner.

My suggestion for finding a psychologist who is particularly familiar with heart disease and other health problems is to contact a hospital’s Medical Staff office and ask for a list of psychologists who are on the medical staff or affiliate staff. Then compare that list to psychologists covered by your insurance.

Dr. Okner and Dr. Clorfene practice in Chicago and host a weekly two-hour Radio call in show, “The Doctors Are In” on WKRS 1220 AM. Information on their book is at www.nobulldocs.com. Dr. Brickey’s other websites are www.DrBrickey.com and www.Anti-Aging-Speaker.com.

Host: Anti-Aging Psychologist Dr. Michael Brickey

Guest: Dr. Beth Ross

Broadcast and podcast starting: March 9, 2009 on webtalkradio.net. After 3-16-09 the podcast is also on the links below

 

 High Unemployment Creates Job Opportunities [47:49m]: Play Now | Play in Popup | Download

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As Betty Davis said in All About Eve, “Fasten your seat belts, it’s going to be a bumpy night.” Unemployment rates are approaching 10% and you can hear the fear in a lot of conversations. But the very nature of change invariably creates new opportunities. Employers who are reluctant to hire full-time employees often seek free lancers, consultants, and part-timers to get the work done. Creative job seekers are using bridge jobs to get their foot in the door, gain new experience, and build a resume. Career Coach and Executive Search expert Dr. Beth Ross emphasizes creative approaches to dealing with a topsy turvy job market.

In his new book Outliers, Malcolm Gladwell, the author of Blink and of Tipping Point, analyzes what determines what people have extraordinarily successful careers. While IQ helps, after about 130 it doesn’t matter. One factor is what he calls the 10,000 hour rule-that it takes about 10,000 hours of study in a cognitively complex field to master it. That may sound intimidating but it is only 40 hours a week for five years-not much longer than it takes to get a college degree.

With longer and longer lifespans and better health at older ages, it become quite feasible for people in their 50s, 60s, or 70s to learn a new professions and perform it at a mastery level for many years. Of course, some jobs require college degrees or certifications. But some primarily require experience - hence the concept of bridge jobs for changing careers - either to escape burnout and seek more interesting work, or because one’s niche is becoming as obsolete as drying up and like VCRs and 8-track tapes.

Gladwell points out another factor, being in the right place at the right time. Bill Gates and Steve Jobs got in on the ground floor of the computer industry. Few of us are going to be that successful or famous, but the same principle applies-and fortunately with a shorter time frame. When Beth Ross talked about researching what jobs are hot, she was talking about opportunity timing.

Let me give a concrete example. There are more nursing homes than there are McDonald’s restaurants and each one has an administrator. What does it take to be a nursing home administrator? You need business management skills, HR skills, and some knowledge of gerontology and healthcare. What are the credentialing requirements? While it varies from state to state, typically you need a college degree, five courses-nursing home administration, healthcare financial management, legal issues in healthcare, gerontology, and personnel management. Your probably also need a supervised internship. You could get a bridge job in a nursing home, such as an admissions coordinator, and take course part-time. Or you could go to school full time for a semester or two and seek the job. The average salary is $90,000. While we hope the Eden revolutions change nursing homes into more home like, resident-centered facilities where people would want to live, with 1.6 nursing home patients and almost a million assisted living residents in the US, there are a lot of jobs and the aging population is going to expand the demand.

In our interview, Dr. Ross talked about the importance of talking with everyone. People considering a career change to a job like nursing home administrator, would want to talk with everyone they know who knows anything about nursing homes. They should visit nursing homes, learn about the field, and then decide if it is a good move. I’m not pushing that job but I thought a concrete example would help.

As for career coaching, I’ll restate my rule of thumb, that while always helpful, career counseling is most critical when reinventing a career, taking a creative or uncharted course, honing resume and interview skills, or when getting a job soon is critical.

Career Coach Dr. Beth Ross does career counseling, executive coaching, coaching on nitty-gritty issues like interviewing, resume writing, and salary negotiation, and is a professional speaker. She is based in New York City but also does a lot of work with Silicon Valley near San Francisco. Her website is www.BethRoss.com.  Dr. Brickey’s websites include DrBrickey.com and Anti-Aging-Speaker.com. One particularly good resource for job information and job trends is the Occupational Outlook Handbook at http://www.bls.gov/oco/www.bls.gov and in the reference section of almost every library.