therapy

&SLIDER OP/ED 

Intersexuality and the Care of the Transgender Child

June 1, 2021June 16, 2021 Cameron S. Schaeffer, MD, FACS, FAAP abdominal testis, activist, adolescent gender-identity, androgen, androgenized, approach superior, arena of adolescent gender-identity, board-certified urologist, body-changing, body-changing steroid, CAH patient, Cameron Schaeffer, care of the Transgender child, chaos reign, child 's inchoate transgenderism, Cincinnati child, Cincinnati child 's hospital, cleft scrotum, clinic, clinic child, clinic phenomenon, clinic phenomenon of physician, clinician, cloacal, cloacal exstrophy, comprehensive female, counseled love, diminutive phallus, dysfunctional androgen receptor, elevated level of fetal androgen, emerge marketplace, emotional subject, exam table, exstrophy, FAAP, female CAH patient, fetal androgen, gender, gender clinic, gender-identity, genitalia, girl 's pantie, image001 Cameron Schaeffer, important sex organ, Intersex patient, judgment, judgment of a single surgeon, judgment of a team of specialist, labium majorae, laundry day, light-hearted remark, majorae, male genital reconstruction, MD-UPDATE, medical good practice, normal anatomy, normal enzyme, Nuremburg trial, path of body-changing steroid, patience, pediatric gender clinic, pediatric urologist, phallus, physician, plastic surgeon urge patience, potential fertility of a patient, pressure of activist, prudence, scrotum, single surgeon, sister 's clothes, solid foundation of data, surgeon, surgeon urge patience, surgery, testosterone receptor, therapy, tomboy, torrent of angst, transgender, Transgender health clinic, Transgender individual, transgenderism, triple board-certified urologist, urologist, virilize, well-adjusted woman, well-intentioned compassion, wokeness, XY, XY cloacal exstrophy patient, XY patient

Editor’s Introduction: Culture, medical best practices, and legislation are colliding in the arena of adolescent gender-identity and sexuality. MD-Update asked

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&FRONT Mental Wellness 

How to Get to a Breakthrough without Having a Breakdown

June 1, 2021June 16, 2021 Jan Anderson, PSYD, LPCC afloat hold pattern, authentic human connection, autopilot mode, bad boyfriend, boyfriend, brain, brain 's need, breakdown, brief description of rain, client, comfort balm, comfort of the familiar fake, compassion, conflict aspect, conflict aspect of complex situation, counsel session, critic attack, crowd of stranger, curiosity, disorient sense, disorient sense of discomfort, emotional risk-taking, familiar fake, field of awareness, friendly curiosity, good type of guy, human programme, inner adrenaline junkie, inner critic attack, less-functional, less-functional behavior pattern, narcissistic boyfriend, neuroscientist, present moment, present-moment reward, present-moment reward of therapy, rain, reward, reward option, sensation, session, survival-inspired, therapist, therapy, too-bad-to-keep-it, too-good-to-rock-the-boat, unsettle experience, wave of sensation, window of tolerance, wonder change, young adult life

“Why do you keep going back if it’s making you feel worse?” my boyfriend asked. We were talking about one

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Complementary Care 

Demand for Medical Nutrition Therapy Increases During COVID-19

April 1, 2021June 16, 2021 Mary Branham academy of nutrition, appointment, average of four hours more, chi, chi saint, COVID-19, diabetes, dietitian, eastern Kentucky community, follow-up appointment, four hours more, individual stress, individualized nutrition treatment plan, initial appointment, Joseph, Joseph health, Joseph Heath, Karen Klefot, Klefot, lifestyle, lifestyle assessment, medical nutrition therapy, medical nutrition therapy increase, nutrition, nutrition plan, nutrition therapy, nutrition therapy process, nutrition treatment plan, OnePoll, OnePoll survey, outpatient, outpatient diabetes educator, pandemic, rd, recent OnePoll survey, referral, registered dietitian, specialized supplement, therapy, use of specialized supplement, wide variety of patient

LEXINGTON While it’s been over a year since COVID-19 was classified as a pandemic, taking a toll on countries worldwide,

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Public Health 

Obesity Prevention and Weight Loss a Community Effort

February 1, 2021April 14, 2021 Brian Boisseau, CHFS, DPH, DPQI activity opportunity, bariatric, barrier, behavior therapy portion of weight loss, CHFS, determinant, diabetes, DPQI, evidence-based, evidence-based program, first-line strategy, Frankfort, FRANKFORT excess weight, harsh picture, harsh picture of the consequence of obesity, image001 Brian Boisseau, impact of obesity, individual medical cost burden, initial weight loss, Kentucky, Kentucky department, Kentucky physical activity, lifestyle, lifestyle change program, line evidence-based weight loss strategy, long-term weight loss success, national diabetes prevention program, NHLBI, NHLBI obesity education initiative, nutrition, nutrition program, nutritious food, obesity, obesity prevention, overall population health, person 's risk of develop type 2 diabetes, person of normal weight, physical activity, physical activity opportunity, population health, public health, public health initiative, quality-of-life outcome, SDOH, social determinant, social determinant of health, strategy, success of initial weight loss, surgery, therapy, type 2, type 2 diabetes, weight loss success, weight loss surgery, weight-loss, wide range of health

FRANKFORT Excess weight and obesity are serious threats to the health and wellbeing of many people. In Kentucky, over 36%

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Cover Story 

One Heart, A Team of Doctors

February 1, 2021April 14, 2021 Donna Ison access technique, Ahmad, Ahmad khan, Alexandra Rogers, aortic valve replacement, aortic valve stenosis, baptist health, biophysics, Brian Kaebnick, cardiac anesthesiologist, cardiac catherization lab, cardiologist, cardiology, cardiothoracic, cardiothoracic surgeon, catherization, catherization lab, Christopher Semder, combined skill, coordinator, critical component of the team, director of the cardiac catherization lab, diverse train, ECMO, Emory, Emory university, fellowship, Flaherty, general surgery residency, good outcome, graduate of new York medical college, heart nurse coordinator, heart program, heart team, image001 photography, image002 Christopher Semder, image003 Sebastian Pagni, image004 William Dillon, individual skill set, interventional cardiologist, join physician, Kaebnick, khan, knowledge of a team of talented cardiac specialist, La Plata medical school, lead patient, leaflet, Louisville, Louisville 's structural heart team, medical degree, medicine, Michael Flaherty, Michael P., modality, necessary test, new York medical college, option, outcome, oxygenation, P., Pagni, physician, physician function, procedure, regurgitation, replacement, residency, Sebastian Pagni, Semder, service interaction, stenosis, stroke, structural heart nurse coordinator, structural heart program, structural heart team, structural heart team 's medical director, sub-team of cardiac anesthesiologist, surgeon, surgery, surgery residency, surgical director, surgical director of structural heart program, surgical director of the structural heart team, talented cardiac specialist, TAVR, TAVR-based, TAVR-based modality, team 's medical director, team approach, team of doctor, therapy, trained set, trained set of people, transcatheter, UofL, Valhalla, valve, valve repair, valve replacement, valve stenosis, William Dillon

LOUISVILLE Each Monday, the Structural Heart Team at Baptist Health Louisville brings its diverse training, accumulated experience, and individual skill

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Mental Wellness 

How to Ask for Help If You’re a Perfectionist

February 1, 2021April 14, 2021 Jan Anderson, PSYD, LPCC ability of therapy, actionable change, airline captain, B., big predictor, book coach, book therapist, book-writing, book-writing phobia, bout of profound confusion, Brett Steenbarger, brief psychotherapy, client, client-counselor, client-counselor relationship, confrontational, counsel, divorce, Dr. John Gottman, end of discussion, entrepreneurial mode, environment of hope, ever-expanding morass, exhilarate high, exhilarate high of productivity, expert Dr. John Gottman, exploration of new pattern, face-saving way, favorite face-saving way, focused change effort, good therapist, hand-on-the-doorknob, hand-on-the-doorknob comment, increased empathy, increased expertise, intensive one-on-one therapy, new pattern, old pattern of thought, one-and-done marriage therapy session, one-on-one therapy, ongoing reinforcement, perfectionist, perfectionist tendency, perfectionistic professional, period of absolute clarity, personal counsel experience, personal turn point, plenty personal, powerful emotional experience, pre-marital, pre-marital counsel, professional development, profound confusion, rehearsal of the new pattern, relationship go, science of brief psychotherapy, starter marriage, strength of the client-counselor relationship, stuckness, therapeutic alliance, therapist, therapist 's help, therapy, tortured-reasoning, tricky part, troublesome period, true perfectionist, unhappy couple, use of a supportive relationship, well-meaning adage

I’m writing a book. There, I’ve said it. So almost five years into the process, I guess it’s actually going

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Special Section 

Moving Parts and Minds

December 1, 2020February 17, 2021 Pat Henderson academic standpoint, aspect of Parkinson 's, brain, brain stimulation, care of old patient, career arc, case of Justin T., chronic problem, constipation, DBS, deep brain stimulation, disorder, early sign, emergence of Nourianz, gut, gut check, hairdresser wind, image001 photo, institute 's resource, istradefylline, Justin Phillips, Justin T., levodopa, levodopa pump, Louisville, love of neuroscience, medication, move part, movement disorder, movement disorder fellowship, nervous system, neuroscience, Norton, Norton Healthcare Justin, Norton Healthcare Justin T., Norton neuroscience institute, Norton neuroscience institute 's medical director, Norton neuroscience institute 's medical director of movement disorder, nose, Nourianz, old standby, outpatient practice, Parkinson, Parkinson 's disease, Parkinson 's disease specialist, Parkinson 's treatment, Parkinson 's work, pathology, Phillips, polio, promise option, psycho-biology, son of an auto mechanic, symptom, T, therapy, tried-and-true medication, UK medical center, UofL, UofL school, UofL school of medicine, variety of medical therapy

LOUISVILLE How did the son of an auto mechanic and a hairdresser wind up as a movement disorders and Parkinson’s

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Special Section 

Against the Grain: The Cutting Edge of Migraine Treatments

December 1, 2020February 17, 2021 Jim Kelsey anti-CGRP, anti-CGRP monoclonal antibody, antibody, attention seek, Botox, Botox injection, brain stem, CGRP, chi, chi saint, Chumley, Chumley serve, clinical neurophysiology fellowship, clinical Neurophysiology lab, combination of genetics, cut edge of migraine treatment, director of the clinical Neurophysiology lab, disease condition, disorder of neuropeptides, Dr. Chumley, female migraine patient, Gil Dunn Warren Chumley, grade science project, grain, headache, history of stroke, image001 photo, injection, Joseph, Joseph health, Joseph medical group, Lexington, medical science liaison, medication, meninges, migraine, migraine patient, migraine treatment, monoclonal, national level meet, neurologist, neurology, neurology more thing, neurophysiology, neurophysiology fellowship, Neurophysiology lab, office hour see patient, patient age 18, radiologist father, science liaison, science project, therapy, track cross, treatment option, university of Kentucky college of medicine, Warren Chumley

LEXINGTON While many fourth graders find a science project to be nothing but a headache, Warren Chumley, MD, found it

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Headlines 

The 14th Annual UofL Depression Center Conference Goes Virtual

December 1, 2020February 17, 2021 Jan Anderson, PSYD, LPCC anxiety disorder program, Beck, Beck image003, Beck image003 photo, Boadie Dunlop, boost psychotherapy modality 's effectiveness, breakthrough therapy, CBT, clinical practice, COVID-19, current drug therapy, current psychedelic craze, depression, depression center conference, director of the mood, disorder, Dunlop, Dunlop 's presentation, Dunlop image002, Dunlop image002 photo, endure complete relief, essential component of treatment, fast lane of psychiatric drug treatment, FDA, image001 photo, importance of the set, intolerable side effect, market approval, MDMA, MDMA-assisted, MDMA-assisted therapy, medication-assisted, medication-assisted psychotherapy model, medication-assisted psychotherapy model of care, party drug ecstasy, PhD, photo, presentation, professor, psilocybin, psychedelic, psychedelic craze, psychedelic research, psychedelic trip, psychiatric disorder, psychiatric drug treatment, psychiatry, psychotherapy, psychotherapy modality 's effectiveness, rampant abuse, resilience, stand-alone treatment, therapy, treat depression, treatment-resistant, UofL, UofL depression center, UofL depression center conference, virtual event, weak experimental design, weak experimental design of psychedelic research

LOUISVILLE After weak experimental designs of psychedelics research in the 1950s, rampant abuse in the 1960s, and a global ban

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Headlines 

UofL Receives $11.5 Million to Advance Cancer Immunotherapies

October 1, 2020December 1, 2020 MD-Update Staff biomedical research excellence, brown cancer center, cancer, cancer cell, cancer center, cancer immunology, cancer immunotherapy, cancer patient, cancer research, cancer treatment, charity, checkpoint, chemotherapy, Chuanlin, Chuanlin ding, clinical trial, CoBRE, deadly challenge, development of new immunotherapy, ding, director of the brown cancer center, director of the UofL center, exist strength, field of immunotherapy, five, five year grant, forefront of the clinical development of a new generation, health-designated, health-designated center, image001 photo, immune cell, immune system, immunology, immunotherapy, inhibitor, investigator, James Graham Brown, James Graham Brown cancer center, Jason Chesney, Kosair, Kosair charity, Louisville, Louisville cancer, lung, million of cancer patient, national institute of health-designated center of biomedical research excellence, Neeli Bendapudi, new center, new immunotherapy, new investigator, PhD, PhD student Anne, PhD student Anne geller, power of the immune system, researcher, survival of cancer patient, T, T cell, therapy, Tom Fougerousse, Trent, university 's grand challenge, university of Louisville, UofL, UofL center, UofL health, UofL Kosair, UofL Kosair charity, UofL president, Yan, young investigator, Yunke Wang

LOUISVILLE Cancer remains one of the most difficult and deadly challenges in human health, affecting Kentuckians at a higher rate

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