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[sean]: welcome to

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[roger_mcfillin]: welcome

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[sean]: the radically

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[roger_mcfillin]: to the radically

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[sean]: genuine

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[roger_mcfillin]: genuine

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[sean]: podcast

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[roger_mcfillin]: podcast

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[sean]: you can

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[roger_mcfillin]: you

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[sean]: find

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[roger_mcfillin]: can

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[sean]: me

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[roger_mcfillin]: find

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[sean]: dr

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[roger_mcfillin]: me

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[sean]: roger mchlnon

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[roger_mcfillin]: roger

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[sean]: twitter

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[roger_mcfillin]: in on twitter

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[sean]: at dr

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[roger_mcfillin]: at

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[sean]: mcthillan

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[roger_mcfillin]: mcchillan

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[sean]: getting into some

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[roger_mcfillin]: getting

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[sean]: really

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[roger_mcfillin]: some

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[sean]: interesting

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[roger_mcfillin]: really interesting

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[sean]: conversations

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[roger_mcfillin]: conversations

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[sean]: on twitter

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[roger_mcfillin]: on twitter

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[sean]: and

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[roger_mcfillin]: and

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[sean]: the impact

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[roger_mcfillin]: the

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[sean]: of

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[roger_mcfillin]: impact

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[sean]: our

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[roger_mcfillin]: of our

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[sean]: podcast

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[roger_mcfillin]: podcast

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[sean]: is

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[roger_mcfillin]: is

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[sean]: somewhat far

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[roger_mcfillin]: somewhat

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[sean]: reaching

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[roger_mcfillin]: far

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[sean]: at

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[roger_mcfillin]: reaching

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[sean]: this point

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[roger_mcfillin]: at this point

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[sean]: and one of the

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[roger_mcfillin]: one of the

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[sean]: overarching

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[roger_mcfillin]: overarching

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[sean]: goals is

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[roger_mcfillin]: goals

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[sean]: to

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[roger_mcfillin]: is

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[sean]: promote

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[roger_mcfillin]: to promote

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[sean]: awareness

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[roger_mcfillin]: awareness

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[sean]: and attention

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[roger_mcfillin]: and attention

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[sean]: support informed

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[roger_mcfillin]: support

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[sean]: consent

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[roger_mcfillin]: informed consent

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[sean]: whenever you're

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[roger_mcfillin]: whenever

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[sean]: taking

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[roger_mcfillin]: you're

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[sean]: any

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[roger_mcfillin]: taking

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[sean]: farmasuticale

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[roger_mcfillin]: any farm suiticle

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[sean]: had a

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[roger_mcfillin]: had a

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[sean]: few

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[roger_mcfillin]: few

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[sean]: podcasts

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[roger_mcfillin]: podcasts

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[sean]: recently

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[roger_mcfillin]: recently

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[sean]: where we talked

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[roger_mcfillin]: where we

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[sean]: about

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[roger_mcfillin]: talked

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[sean]: some

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[roger_mcfillin]: about

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[sean]: of the

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[roger_mcfillin]: some of the

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[sean]: dubious

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[roger_mcfillin]: dubious

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[sean]: and fraudulent

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[roger_mcfillin]: and fraudulent

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[sean]: marketing

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[roger_mcfillin]: marketing

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[sean]: tactics

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[roger_mcfillin]: tactics

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[sean]: of the

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[roger_mcfillin]: of

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[sean]: pharmasutical

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[roger_mcfillin]: the pharmasutical

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[sean]: industry

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[roger_mcfillin]: industry

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[sean]: and how

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[roger_mcfillin]: and

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[sean]: many

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[roger_mcfillin]: how many

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[sean]: clients

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[roger_mcfillin]: clients

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[sean]: who have been

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[roger_mcfillin]: who have

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[sean]: taking

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[roger_mcfillin]: been

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[sean]: certain

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[roger_mcfillin]: taking

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[sean]: drugs

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[roger_mcfillin]: certain

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[sean]: are

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[roger_mcfillin]: drugs are

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[sean]: assuming

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[roger_mcfillin]: assuming

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[sean]: that

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[roger_mcfillin]: that

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[sean]: there is strong

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[roger_mcfillin]: there is

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[sean]: efficacy

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[roger_mcfillin]: strong efficacy

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[sean]: and safety

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[roger_mcfillin]: and

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[sean]: for

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[roger_mcfillin]: safety

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[sean]: the drugs

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[roger_mcfillin]: for

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[sean]: that

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[roger_mcfillin]: the

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[sean]: they're

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[roger_mcfillin]: drugs that

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[sean]: taking

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[roger_mcfillin]: they're taking

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[sean]: without

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[roger_mcfillin]: without

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[sean]: ing

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[roger_mcfillin]: in

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[sean]: much of a background

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[roger_mcfillin]: much of a background

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[sean]: information

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[roger_mcfillin]: information

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[sean]: on how

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[roger_mcfillin]: on

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[sean]: these drugs

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[roger_mcfillin]: how these drugs

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[sean]: came to

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[roger_mcfillin]: came

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[sean]: market

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[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

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[roger_mcfillin]: some

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[sean]: adverse

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[roger_mcfillin]: of the adverse

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[sean]: consequences

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[roger_mcfillin]: consequences

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[sean]: of these drugs

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[roger_mcfillin]: of these drugs

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[sean]: so i do

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[roger_mcfillin]: i do

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[sean]: certainly

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[roger_mcfillin]: certainly

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[sean]: want

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[roger_mcfillin]: want

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[sean]: our audience

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[roger_mcfillin]: our audience

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[sean]: to kind

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[roger_mcfillin]: to

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[sean]: of go

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[roger_mcfillin]: kind

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[sean]: back

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[roger_mcfillin]: of

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[sean]: and

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[roger_mcfillin]: go back

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[sean]: listen

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[roger_mcfillin]: and

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[sean]: to

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[roger_mcfillin]: listen

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[sean]: the

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[roger_mcfillin]: to the

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[sean]: couple of our

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[roger_mcfillin]: couple

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[sean]: previous

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[roger_mcfillin]: of our previous

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[sean]: podcasts

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[roger_mcfillin]: podcasts

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[sean]: where we

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[roger_mcfillin]: where we

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[sean]: high lighted

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[roger_mcfillin]: high

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[sean]: some

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[roger_mcfillin]: lighted

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[sean]: of this

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[roger_mcfillin]: some

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[sean]: issue

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[roger_mcfillin]: of this issue

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[sean]: but one of the

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[roger_mcfillin]: but

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[sean]: things

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[roger_mcfillin]: one

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[sean]: has

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[roger_mcfillin]: of

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[sean]: been

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[roger_mcfillin]: the things has

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[sean]: brought

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[roger_mcfillin]: been

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[sean]: to my

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[roger_mcfillin]: brought

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[sean]: attention

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[roger_mcfillin]: to my attention

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[sean]: and i've been

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[roger_mcfillin]: and i've

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[sean]: to be

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[roger_mcfillin]: been

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[sean]: honest

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[roger_mcfillin]: to

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[sean]: i've

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[roger_mcfillin]: be

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[sean]: been

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[roger_mcfillin]: honest

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[sean]: a

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[roger_mcfillin]: i've

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[sean]: bit

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[roger_mcfillin]: been a

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[sean]: hesitant

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[roger_mcfillin]: bit hesitant

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[sean]: to

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[roger_mcfillin]: to

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[sean]: go in this

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[roger_mcfillin]: go

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[sean]: direction

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[roger_mcfillin]: in this direction

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[sean]: on our podcast

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[roger_mcfillin]: on our podcast

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[sean]: because i just

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[roger_mcfillin]: because i

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[sean]: needed

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[roger_mcfillin]: just

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[sean]: more

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[roger_mcfillin]: needed more

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[sean]: information

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[roger_mcfillin]: information

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[sean]: and

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[roger_mcfillin]: and

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[sean]: luckily

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[roger_mcfillin]: luckily

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[sean]: i've

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[roger_mcfillin]: i've

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[sean]: a couple people

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[roger_mcfillin]: a couple

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[sean]: have reached

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[roger_mcfillin]: of people have

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[sean]: out

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[roger_mcfillin]: reached

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[sean]: to me

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[roger_mcfillin]: out to

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[sean]: to

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[roger_mcfillin]: me

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[sean]: talk

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00:01:22,407 --> 00:01:22,787
[roger_mcfillin]: to talk

275
00:01:22,585 --> 00:01:23,007
[sean]: more about

276
00:01:22,968 --> 00:01:23,148
[roger_mcfillin]: more

277
00:01:23,067 --> 00:01:23,569
[sean]: a specific

278
00:01:23,208 --> 00:01:23,950
[roger_mcfillin]: about a specific

279
00:01:23,649 --> 00:01:23,910
[sean]: issue

280
00:01:24,030 --> 00:01:24,270
[roger_mcfillin]: issue

281
00:01:24,643 --> 00:01:24,863
[sean]: it's an

282
00:01:25,032 --> 00:01:25,152
[roger_mcfillin]: it's

283
00:01:25,064 --> 00:01:25,465
[sean]: adverse

284
00:01:25,212 --> 00:01:25,854
[roger_mcfillin]: an adverse

285
00:01:25,946 --> 00:01:26,528
[sean]: reaction

286
00:01:26,335 --> 00:01:26,917
[roger_mcfillin]: reaction

287
00:01:26,969 --> 00:01:27,109
[sean]: to

288
00:01:27,358 --> 00:01:27,499
[roger_mcfillin]: to

289
00:01:27,691 --> 00:01:28,172
[sean]: commonly

290
00:01:28,080 --> 00:01:28,562
[roger_mcfillin]: commonly

291
00:01:28,293 --> 00:01:28,774
[sean]: prescribed

292
00:01:28,702 --> 00:01:29,183
[roger_mcfillin]: prescribed

293
00:01:28,874 --> 00:01:29,737
[sean]: anti depressince

294
00:01:29,263 --> 00:01:30,146
[roger_mcfillin]: anti depressence

295
00:01:30,398 --> 00:01:30,619
[sean]: s s

296
00:01:30,788 --> 00:01:30,808
[roger_mcfillin]: s

297
00:01:30,839 --> 00:01:30,860
[sean]: r

298
00:01:30,968 --> 00:01:31,289
[roger_mcfillin]: s r

299
00:01:31,241 --> 00:01:31,261
[sean]: s

300
00:01:31,630 --> 00:01:31,670
[roger_mcfillin]: s

301
00:01:33,064 --> 00:01:33,445
[sean]: s n r

302
00:01:33,655 --> 00:01:36,907
[roger_mcfillin]: nrizednselective

303
00:01:33,805 --> 00:01:39,614
[sean]: s what's an s n r selective
nor apenefrin

304
00:01:38,982 --> 00:01:40,723
[roger_mcfillin]: nor apeneffrreuptake

305
00:01:39,875 --> 00:01:41,337
[sean]: re uptake inhibit

306
00:01:41,424 --> 00:01:41,484
[roger_mcfillin]: in

307
00:01:41,618 --> 00:01:41,978
[sean]: similar

308
00:01:42,005 --> 00:01:42,365
[roger_mcfillin]: similar

309
00:01:42,179 --> 00:01:45,564
[sean]: in terms of n s s s
s r i in terms of what they're

310
00:01:45,469 --> 00:01:45,889
[roger_mcfillin]: what there

311
00:01:46,105 --> 00:01:46,526
[sean]: intended

312
00:01:46,490 --> 00:01:46,930
[roger_mcfillin]: intended

313
00:01:46,586 --> 00:01:46,987
[sean]: to use this

314
00:01:46,970 --> 00:01:47,030
[roger_mcfillin]: to

315
00:01:47,047 --> 00:01:47,187
[sean]: for

316
00:01:47,451 --> 00:01:47,611
[roger_mcfillin]: for

317
00:01:47,808 --> 00:01:48,108
[sean]: well the

318
00:01:48,212 --> 00:01:48,452
[roger_mcfillin]: well the

319
00:01:48,669 --> 00:01:49,210
[sean]: targeting

320
00:01:49,033 --> 00:01:49,554
[roger_mcfillin]: targeting

321
00:01:49,471 --> 00:01:50,032
[sean]: specific

322
00:01:49,834 --> 00:01:50,415
[roger_mcfillin]: specific

323
00:01:51,214 --> 00:01:51,955
[sean]: nero chemicals

324
00:01:51,617 --> 00:01:52,338
[roger_mcfillin]: nero chemicals

325
00:01:52,215 --> 00:01:52,416
[sean]: by

326
00:01:52,599 --> 00:01:52,799
[roger_mcfillin]: by

327
00:01:53,277 --> 00:01:53,638
[sean]: preventing

328
00:01:53,309 --> 00:01:53,909
[yassie_pirani]: yah

329
00:01:53,678 --> 00:01:53,758
[sean]: the

330
00:01:53,681 --> 00:01:54,021
[roger_mcfillin]: preventing

331
00:01:53,818 --> 00:01:54,359
[sean]: re uptake

332
00:01:54,081 --> 00:01:54,722
[roger_mcfillin]: the re uptake

333
00:01:54,419 --> 00:01:54,880
[sean]: in the cell

334
00:01:54,823 --> 00:01:55,003
[roger_mcfillin]: in the

335
00:01:54,940 --> 00:01:55,160
[sean]: and then

336
00:01:55,063 --> 00:01:55,263
[roger_mcfillin]: cell

337
00:01:55,260 --> 00:01:55,601
[sean]: flooding

338
00:01:55,343 --> 00:01:56,025
[roger_mcfillin]: and and flooding

339
00:01:55,841 --> 00:01:57,164
[sean]: the the nerves

340
00:01:57,006 --> 00:01:58,409
[roger_mcfillin]: the nervssinaps

341
00:01:57,724 --> 00:01:58,686
[sean]: an apse with that

342
00:01:58,629 --> 00:01:59,090
[roger_mcfillin]: with that

343
00:01:59,347 --> 00:01:59,628
[sean]: and so

344
00:01:59,751 --> 00:02:00,031
[roger_mcfillin]: and so

345
00:02:00,309 --> 00:02:00,910
[sean]: these two drugs

346
00:02:00,673 --> 00:02:01,274
[roger_mcfillin]: these two drugs

347
00:02:01,150 --> 00:02:01,931
[sean]: i mean those two

348
00:02:01,975 --> 00:02:02,136
[roger_mcfillin]: those

349
00:02:02,012 --> 00:02:02,372
[sean]: classes

350
00:02:02,196 --> 00:02:02,757
[roger_mcfillin]: two classes

351
00:02:02,452 --> 00:02:02,833
[sean]: of dogs

352
00:02:02,837 --> 00:02:02,897
[roger_mcfillin]: of

353
00:02:02,914 --> 00:02:03,014
[sean]: are

354
00:02:02,958 --> 00:02:03,238
[roger_mcfillin]: drugs

355
00:02:03,134 --> 00:02:03,455
[sean]: the most

356
00:02:03,318 --> 00:02:03,419
[roger_mcfillin]: are

357
00:02:03,516 --> 00:02:03,937
[sean]: commonly

358
00:02:03,539 --> 00:02:04,341
[roger_mcfillin]: the most commonly

359
00:02:04,057 --> 00:02:04,679
[sean]: prescribed

360
00:02:04,461 --> 00:02:05,082
[roger_mcfillin]: prescribed

361
00:02:04,779 --> 00:02:05,923
[sean]: to anti depressant

362
00:02:05,463 --> 00:02:06,305
[roger_mcfillin]: anti depressing

363
00:02:06,425 --> 00:02:06,866
[sean]: and we know

364
00:02:06,806 --> 00:02:07,026
[roger_mcfillin]: and we

365
00:02:07,066 --> 00:02:07,207
[sean]: that

366
00:02:07,087 --> 00:02:07,267
[roger_mcfillin]: know

367
00:02:07,267 --> 00:02:07,909
[sean]: the conditions

368
00:02:07,467 --> 00:02:08,289
[roger_mcfillin]: that the conditions

369
00:02:07,989 --> 00:02:08,350
[sean]: in which

370
00:02:08,369 --> 00:02:08,750
[roger_mcfillin]: in which

371
00:02:09,063 --> 00:02:09,724
[sean]: these drugs

372
00:02:09,512 --> 00:02:09,692
[roger_mcfillin]: ese

373
00:02:09,764 --> 00:02:09,864
[sean]: are

374
00:02:09,872 --> 00:02:10,132
[roger_mcfillin]: drugs

375
00:02:09,904 --> 00:02:10,365
[sean]: prescribed

376
00:02:10,172 --> 00:02:10,753
[roger_mcfillin]: are prescribed

377
00:02:10,425 --> 00:02:10,926
[sean]: extend way

378
00:02:10,813 --> 00:02:11,073
[roger_mcfillin]: extend

379
00:02:11,026 --> 00:02:11,387
[sean]: beyond

380
00:02:11,193 --> 00:02:11,754
[roger_mcfillin]: way beyond

381
00:02:11,668 --> 00:02:12,229
[sean]: just somebody

382
00:02:12,054 --> 00:02:12,254
[roger_mcfillin]: just

383
00:02:12,289 --> 00:02:12,349
[sean]: in

384
00:02:12,314 --> 00:02:12,615
[roger_mcfillin]: somebody

385
00:02:12,389 --> 00:02:12,910
[sean]: a depressive

386
00:02:12,675 --> 00:02:13,315
[roger_mcfillin]: in a depressive

387
00:02:13,111 --> 00:02:13,551
[sean]: episode

388
00:02:13,496 --> 00:02:13,936
[roger_mcfillin]: episode

389
00:02:14,483 --> 00:02:14,985
[sean]: and so there

390
00:02:14,857 --> 00:02:15,137
[roger_mcfillin]: and so

391
00:02:15,045 --> 00:02:15,126
[sean]: is

392
00:02:15,217 --> 00:02:15,378
[roger_mcfillin]: there

393
00:02:15,266 --> 00:02:15,286
[sean]: a

394
00:02:15,438 --> 00:02:15,698
[roger_mcfillin]: is a

395
00:02:15,748 --> 00:02:16,190
[sean]: common

396
00:02:16,138 --> 00:02:16,579
[roger_mcfillin]: common

397
00:02:16,793 --> 00:02:17,355
[sean]: side effect

398
00:02:17,179 --> 00:02:17,740
[roger_mcfillin]: side effect

399
00:02:17,657 --> 00:02:18,340
[sean]: unfortunately

400
00:02:18,040 --> 00:02:18,721
[roger_mcfillin]: unfortunately

401
00:02:19,423 --> 00:02:19,884
[sean]: i'm not even going

402
00:02:19,813 --> 00:02:19,913
[roger_mcfillin]: i'm

403
00:02:19,904 --> 00:02:19,944
[sean]: to

404
00:02:19,933 --> 00:02:20,033
[roger_mcfillin]: not

405
00:02:19,964 --> 00:02:20,084
[sean]: call

406
00:02:20,053 --> 00:02:20,154
[roger_mcfillin]: even

407
00:02:20,104 --> 00:02:20,164
[sean]: it

408
00:02:20,174 --> 00:02:20,274
[roger_mcfillin]: going

409
00:02:20,204 --> 00:02:20,385
[sean]: a side

410
00:02:20,294 --> 00:02:20,475
[roger_mcfillin]: to call

411
00:02:20,445 --> 00:02:20,605
[sean]: effect

412
00:02:20,595 --> 00:02:20,775
[roger_mcfillin]: a side

413
00:02:20,645 --> 00:02:20,825
[sean]: i don't

414
00:02:20,836 --> 00:02:20,996
[roger_mcfillin]: effect

415
00:02:20,845 --> 00:02:21,106
[sean]: even think

416
00:02:21,056 --> 00:02:21,217
[roger_mcfillin]: i don't

417
00:02:21,146 --> 00:02:21,306
[sean]: that's

418
00:02:21,237 --> 00:02:21,718
[roger_mcfillin]: even think that's

419
00:02:21,547 --> 00:02:22,047
[sean]: fair to

420
00:02:21,959 --> 00:02:22,180
[roger_mcfillin]: fair

421
00:02:22,088 --> 00:02:22,308
[sean]: call it

422
00:02:22,340 --> 00:02:22,440
[roger_mcfillin]: to

423
00:02:22,348 --> 00:02:22,588
[sean]: a side

424
00:02:22,500 --> 00:02:22,621
[roger_mcfillin]: call

425
00:02:22,628 --> 00:02:22,869
[sean]: effect

426
00:02:22,681 --> 00:02:22,962
[roger_mcfillin]: the side

427
00:02:22,989 --> 00:02:23,249
[sean]: because

428
00:02:23,042 --> 00:02:23,263
[roger_mcfillin]: effect

429
00:02:23,290 --> 00:02:23,410
[sean]: it's

430
00:02:23,403 --> 00:02:23,644
[roger_mcfillin]: because

431
00:02:23,470 --> 00:02:23,690
[sean]: almost

432
00:02:23,684 --> 00:02:23,804
[roger_mcfillin]: it's

433
00:02:23,750 --> 00:02:23,871
[sean]: like

434
00:02:23,865 --> 00:02:24,286
[roger_mcfillin]: almost like

435
00:02:24,351 --> 00:02:25,233
[sean]: under the assumption

436
00:02:24,747 --> 00:02:25,630
[roger_mcfillin]: under the assumption

437
00:02:25,854 --> 00:02:26,835
[sean]: that these drugs

438
00:02:26,662 --> 00:02:27,203
[roger_mcfillin]: these drugs

439
00:02:26,956 --> 00:02:27,396
[sean]: are highly

440
00:02:27,343 --> 00:02:27,423
[roger_mcfillin]: are

441
00:02:27,456 --> 00:02:27,937
[sean]: effective

442
00:02:27,504 --> 00:02:28,305
[roger_mcfillin]: highly effective

443
00:02:27,977 --> 00:02:28,558
[sean]: and then here's

444
00:02:28,345 --> 00:02:28,545
[roger_mcfillin]: and then

445
00:02:28,618 --> 00:02:28,899
[sean]: a side

446
00:02:28,726 --> 00:02:28,946
[roger_mcfillin]: here's

447
00:02:28,939 --> 00:02:29,139
[sean]: effect

448
00:02:29,006 --> 00:02:29,287
[roger_mcfillin]: a side

449
00:02:29,179 --> 00:02:29,280
[sean]: you

450
00:02:29,307 --> 00:02:29,527
[roger_mcfillin]: effect

451
00:02:29,320 --> 00:02:29,660
[sean]: just have

452
00:02:29,567 --> 00:02:29,827
[roger_mcfillin]: you just

453
00:02:29,720 --> 00:02:29,800
[sean]: to

454
00:02:29,888 --> 00:02:30,028
[roger_mcfillin]: have

455
00:02:29,941 --> 00:02:30,121
[sean]: deal

456
00:02:30,108 --> 00:02:30,188
[roger_mcfillin]: to

457
00:02:30,181 --> 00:02:30,301
[sean]: with

458
00:02:30,328 --> 00:02:30,509
[roger_mcfillin]: deal

459
00:02:30,381 --> 00:02:30,441
[sean]: and

460
00:02:30,569 --> 00:02:30,829
[roger_mcfillin]: with and

461
00:02:30,842 --> 00:02:31,063
[sean]: you know

462
00:02:31,230 --> 00:02:31,430
[roger_mcfillin]: you know

463
00:02:31,343 --> 00:02:31,503
[sean]: not

464
00:02:31,490 --> 00:02:31,590
[roger_mcfillin]: i'm

465
00:02:31,583 --> 00:02:31,663
[sean]: so

466
00:02:31,731 --> 00:02:31,891
[roger_mcfillin]: not

467
00:02:31,823 --> 00:02:32,123
[sean]: certain

468
00:02:31,971 --> 00:02:32,071
[roger_mcfillin]: so

469
00:02:32,204 --> 00:02:32,324
[sean]: that

470
00:02:32,231 --> 00:02:32,492
[roger_mcfillin]: certain

471
00:02:32,384 --> 00:02:32,644
[sean]: we have

472
00:02:32,612 --> 00:02:32,712
[roger_mcfillin]: that

473
00:02:32,684 --> 00:02:32,804
[sean]: that

474
00:02:32,772 --> 00:02:32,832
[roger_mcfillin]: we

475
00:02:32,864 --> 00:02:33,104
[sean]: data

476
00:02:32,913 --> 00:02:33,193
[roger_mcfillin]: have that

477
00:02:33,164 --> 00:02:33,365
[sean]: or that

478
00:02:33,273 --> 00:02:33,514
[roger_mcfillin]: data

479
00:02:33,425 --> 00:02:33,925
[sean]: information

480
00:02:33,574 --> 00:02:34,315
[roger_mcfillin]: or that information

481
00:02:34,385 --> 00:02:34,806
[sean]: so instead

482
00:02:34,776 --> 00:02:34,836
[roger_mcfillin]: so

483
00:02:34,846 --> 00:02:34,946
[sean]: i'm

484
00:02:34,936 --> 00:02:35,216
[roger_mcfillin]: instead

485
00:02:34,966 --> 00:02:35,366
[sean]: going to call

486
00:02:35,256 --> 00:02:35,477
[roger_mcfillin]: i'm going

487
00:02:35,426 --> 00:02:35,486
[sean]: it

488
00:02:35,517 --> 00:02:35,557
[roger_mcfillin]: to

489
00:02:35,547 --> 00:02:35,587
[sean]: an

490
00:02:35,597 --> 00:02:35,878
[roger_mcfillin]: call it

491
00:02:35,927 --> 00:02:36,427
[sean]: adverse

492
00:02:35,958 --> 00:02:36,819
[roger_mcfillin]: an adverse

493
00:02:36,768 --> 00:02:37,128
[sean]: effect

494
00:02:37,160 --> 00:02:37,500
[roger_mcfillin]: effect

495
00:02:37,228 --> 00:02:37,909
[sean]: or an adverse

496
00:02:37,640 --> 00:02:38,262
[roger_mcfillin]: or advert

497
00:02:38,009 --> 00:02:38,569
[sean]: consequence

498
00:02:38,402 --> 00:02:38,963
[roger_mcfillin]: consequence

499
00:02:38,649 --> 00:02:39,070
[sean]: to taking

500
00:02:39,023 --> 00:02:39,103
[roger_mcfillin]: to

501
00:02:39,110 --> 00:02:39,190
[sean]: the

502
00:02:39,183 --> 00:02:39,443
[roger_mcfillin]: taking

503
00:02:39,230 --> 00:02:39,430
[sean]: drug

504
00:02:39,484 --> 00:02:39,804
[roger_mcfillin]: the drug

505
00:02:40,291 --> 00:02:40,651
[sean]: and it's

506
00:02:40,686 --> 00:02:40,806
[roger_mcfillin]: and

507
00:02:40,691 --> 00:02:40,871
[sean]: around

508
00:02:40,926 --> 00:02:41,046
[roger_mcfillin]: it's

509
00:02:40,951 --> 00:02:41,232
[sean]: sexual

510
00:02:41,086 --> 00:02:41,267
[roger_mcfillin]: around

511
00:02:41,272 --> 00:02:41,672
[sean]: disfunction

512
00:02:41,327 --> 00:02:42,088
[roger_mcfillin]: sexual disfunction

513
00:02:42,253 --> 00:02:42,673
[sean]: we're going to get

514
00:02:42,629 --> 00:02:42,769
[roger_mcfillin]: we're

515
00:02:42,733 --> 00:02:42,994
[sean]: into

516
00:02:42,789 --> 00:02:43,410
[roger_mcfillin]: going to get into

517
00:02:43,595 --> 00:02:44,056
[sean]: the weeds

518
00:02:43,991 --> 00:02:44,091
[roger_mcfillin]: the

519
00:02:44,156 --> 00:02:44,216
[sean]: on

520
00:02:44,171 --> 00:02:44,452
[roger_mcfillin]: weeds

521
00:02:44,296 --> 00:02:44,636
[sean]: sexual

522
00:02:44,552 --> 00:02:45,033
[roger_mcfillin]: on sexual

523
00:02:44,717 --> 00:02:45,217
[sean]: disfunction

524
00:02:45,113 --> 00:02:45,614
[roger_mcfillin]: disfunction

525
00:02:45,518 --> 00:02:46,820
[sean]: it's it's disabling

526
00:02:46,495 --> 00:02:47,216
[roger_mcfillin]: it's disabling

527
00:02:47,321 --> 00:02:47,982
[sean]: it's impairing

528
00:02:47,717 --> 00:02:48,378
[roger_mcfillin]: it's impairing

529
00:02:48,303 --> 00:02:49,244
[sean]: and it's potentially

530
00:02:48,699 --> 00:02:49,640
[roger_mcfillin]: and it's potentially

531
00:02:49,805 --> 00:02:50,546
[sean]: could be something

532
00:02:50,382 --> 00:02:50,922
[roger_mcfillin]: be something

533
00:02:50,606 --> 00:02:50,787
[sean]: that

534
00:02:50,982 --> 00:02:51,163
[roger_mcfillin]: that

535
00:02:51,268 --> 00:02:51,748
[sean]: occurs

536
00:02:51,643 --> 00:02:52,104
[roger_mcfillin]: occurs

537
00:02:52,009 --> 00:02:52,570
[sean]: even after

538
00:02:52,384 --> 00:02:52,544
[roger_mcfillin]: even

539
00:02:52,650 --> 00:02:52,750
[sean]: you

540
00:02:52,724 --> 00:02:52,945
[roger_mcfillin]: after

541
00:02:52,850 --> 00:02:53,151
[sean]: stopped

542
00:02:53,045 --> 00:02:53,485
[roger_mcfillin]: you stop

543
00:02:53,271 --> 00:02:53,651
[sean]: the use of

544
00:02:53,646 --> 00:02:53,746
[roger_mcfillin]: the

545
00:02:53,692 --> 00:02:53,772
[sean]: the

546
00:02:53,806 --> 00:02:53,946
[roger_mcfillin]: use

547
00:02:53,812 --> 00:02:54,012
[sean]: drug

548
00:02:53,986 --> 00:02:54,406
[roger_mcfillin]: of the drug

549
00:02:54,376 --> 00:02:55,053
[sean]: yes so

550
00:02:55,348 --> 00:02:55,448
[roger_mcfillin]: so

551
00:02:55,354 --> 00:02:55,996
[sean]: on today's

552
00:02:55,768 --> 00:02:55,828
[roger_mcfillin]: on

553
00:02:56,056 --> 00:02:56,537
[sean]: podcast

554
00:02:56,149 --> 00:02:56,950
[roger_mcfillin]: today's podcast

555
00:02:56,638 --> 00:02:56,979
[sean]: i want to

556
00:02:57,030 --> 00:02:57,050
[roger_mcfillin]: i

557
00:02:57,059 --> 00:02:57,540
[sean]: welcome

558
00:02:57,130 --> 00:02:57,931
[roger_mcfillin]: want to welcome

559
00:02:58,313 --> 00:02:58,453
[sean]: two

560
00:02:58,702 --> 00:02:58,842
[roger_mcfillin]: two

561
00:02:59,214 --> 00:02:59,735
[sean]: advocates

562
00:02:59,603 --> 00:03:00,103
[roger_mcfillin]: advocates

563
00:03:00,356 --> 00:03:00,797
[sean]: who are

564
00:03:00,744 --> 00:03:00,844
[roger_mcfillin]: who

565
00:03:00,897 --> 00:03:01,358
[sean]: supporting

566
00:03:01,104 --> 00:03:01,745
[roger_mcfillin]: are supporting

567
00:03:01,418 --> 00:03:01,939
[sean]: awareness

568
00:03:01,805 --> 00:03:02,286
[roger_mcfillin]: awareness

569
00:03:02,259 --> 00:03:02,540
[sean]: in this

570
00:03:02,646 --> 00:03:02,926
[roger_mcfillin]: in this

571
00:03:03,081 --> 00:03:03,441
[sean]: research

572
00:03:03,467 --> 00:03:03,807
[roger_mcfillin]: research

573
00:03:03,541 --> 00:03:03,902
[sean]: is this

574
00:03:03,867 --> 00:03:04,048
[roger_mcfillin]: this

575
00:03:03,982 --> 00:03:04,122
[sean]: area

576
00:03:04,148 --> 00:03:04,308
[roger_mcfillin]: this

577
00:03:04,162 --> 00:03:04,262
[sean]: that

578
00:03:04,368 --> 00:03:04,648
[roger_mcfillin]: area that

579
00:03:04,743 --> 00:03:05,104
[sean]: highly

580
00:03:05,129 --> 00:03:05,509
[roger_mcfillin]: highly

581
00:03:05,244 --> 00:03:05,745
[sean]: requires

582
00:03:05,649 --> 00:03:06,110
[roger_mcfillin]: requires

583
00:03:05,825 --> 00:03:06,626
[sean]: more research

584
00:03:06,230 --> 00:03:07,011
[roger_mcfillin]: more research

585
00:03:07,227 --> 00:03:07,588
[sean]: first is

586
00:03:07,692 --> 00:03:07,812
[roger_mcfillin]: it

587
00:03:07,728 --> 00:03:07,969
[sean]: emily

588
00:03:07,892 --> 00:03:07,972
[roger_mcfillin]: is

589
00:03:08,069 --> 00:03:08,269
[sean]: grey

590
00:03:08,112 --> 00:03:08,353
[roger_mcfillin]: emily

591
00:03:08,449 --> 00:03:08,570
[sean]: she

592
00:03:08,453 --> 00:03:08,713
[roger_mcfillin]: gran

593
00:03:08,730 --> 00:03:08,830
[sean]: is

594
00:03:08,833 --> 00:03:08,913
[roger_mcfillin]: she

595
00:03:08,930 --> 00:03:09,431
[sean]: a medical

596
00:03:09,094 --> 00:03:09,815
[roger_mcfillin]: is a medical

597
00:03:09,591 --> 00:03:09,671
[sean]: at

598
00:03:09,975 --> 00:03:10,636
[roger_mcfillin]: attis

599
00:03:10,112 --> 00:03:10,875
[sean]: this using her

600
00:03:10,896 --> 00:03:11,096
[roger_mcfillin]: using

601
00:03:11,076 --> 00:03:11,157
[sean]: on

602
00:03:11,176 --> 00:03:11,297
[roger_mcfillin]: her

603
00:03:11,257 --> 00:03:12,021
[sean]: going personal

604
00:03:11,657 --> 00:03:12,378
[roger_mcfillin]: going personal

605
00:03:12,081 --> 00:03:12,564
[sean]: experience

606
00:03:12,458 --> 00:03:12,959
[roger_mcfillin]: experience

607
00:03:12,624 --> 00:03:12,925
[sean]: of p

608
00:03:13,019 --> 00:03:13,299
[roger_mcfillin]: of p

609
00:03:13,287 --> 00:03:13,589
[sean]: s s

610
00:03:13,660 --> 00:03:13,680
[roger_mcfillin]: s

611
00:03:13,669 --> 00:03:13,689
[sean]: d

612
00:03:13,920 --> 00:03:14,060
[roger_mcfillin]: s t

613
00:03:14,533 --> 00:03:15,054
[sean]: that is post

614
00:03:14,923 --> 00:03:15,427
[roger_mcfillin]: that is post

615
00:03:15,354 --> 00:03:15,715
[sean]: s s r

616
00:03:15,730 --> 00:03:15,770
[roger_mcfillin]: s

617
00:03:15,855 --> 00:03:15,915
[sean]: i

618
00:03:15,932 --> 00:03:16,316
[roger_mcfillin]: s r i

619
00:03:16,596 --> 00:03:17,057
[sean]: sexual dis

620
00:03:17,002 --> 00:03:17,302
[roger_mcfillin]: sexual

621
00:03:17,117 --> 00:03:17,418
[sean]: function

622
00:03:17,342 --> 00:03:17,442
[roger_mcfillin]: dis

623
00:03:17,478 --> 00:03:17,558
[sean]: so

624
00:03:17,502 --> 00:03:17,783
[roger_mcfillin]: function

625
00:03:17,598 --> 00:03:17,858
[sean]: we're going

626
00:03:17,883 --> 00:03:17,923
[roger_mcfillin]: so

627
00:03:17,898 --> 00:03:17,958
[sean]: to

628
00:03:17,983 --> 00:03:18,123
[roger_mcfillin]: we're

629
00:03:18,099 --> 00:03:18,319
[sean]: use

630
00:03:18,143 --> 00:03:18,684
[roger_mcfillin]: going to use

631
00:03:18,653 --> 00:03:19,200
[emily_]: hm

632
00:03:18,880 --> 00:03:18,900
[sean]: p

633
00:03:19,265 --> 00:03:19,285
[roger_mcfillin]: p

634
00:03:19,361 --> 00:03:19,701
[sean]: s s

635
00:03:19,725 --> 00:03:19,765
[roger_mcfillin]: s

636
00:03:19,862 --> 00:03:19,882
[sean]: d

637
00:03:20,066 --> 00:03:20,266
[roger_mcfillin]: s d

638
00:03:20,262 --> 00:03:20,523
[sean]: today

639
00:03:20,647 --> 00:03:20,907
[roger_mcfillin]: today

640
00:03:21,504 --> 00:03:21,905
[sean]: her goal is

641
00:03:21,888 --> 00:03:22,008
[roger_mcfillin]: her

642
00:03:21,945 --> 00:03:22,025
[sean]: to

643
00:03:22,048 --> 00:03:22,269
[roger_mcfillin]: goals

644
00:03:22,065 --> 00:03:22,646
[sean]: raise awareness

645
00:03:22,329 --> 00:03:22,609
[roger_mcfillin]: to raise

646
00:03:22,666 --> 00:03:22,726
[sean]: of

647
00:03:22,669 --> 00:03:23,030
[roger_mcfillin]: awareness

648
00:03:22,766 --> 00:03:23,227
[sean]: the disorder

649
00:03:23,070 --> 00:03:23,631
[roger_mcfillin]: of the disorder

650
00:03:23,968 --> 00:03:24,209
[sean]: among

651
00:03:24,342 --> 00:03:24,582
[roger_mcfillin]: among

652
00:03:24,529 --> 00:03:24,890
[sean]: health care

653
00:03:24,903 --> 00:03:25,064
[roger_mcfillin]: health

654
00:03:24,930 --> 00:03:25,571
[sean]: professionals

655
00:03:25,124 --> 00:03:25,946
[roger_mcfillin]: care professionals

656
00:03:25,972 --> 00:03:26,392
[sean]: and the gray

657
00:03:26,348 --> 00:03:26,628
[roger_mcfillin]: and the

658
00:03:26,613 --> 00:03:26,975
[sean]: public

659
00:03:26,669 --> 00:03:27,351
[roger_mcfillin]: greater public

660
00:03:27,257 --> 00:03:27,679
[sean]: she is one

661
00:03:27,652 --> 00:03:27,732
[roger_mcfillin]: she

662
00:03:27,719 --> 00:03:27,759
[sean]: of

663
00:03:27,792 --> 00:03:27,872
[roger_mcfillin]: is

664
00:03:27,799 --> 00:03:28,322
[sean]: the founders

665
00:03:27,993 --> 00:03:28,715
[roger_mcfillin]: one of the founders

666
00:03:28,422 --> 00:03:29,166
[sean]: of the registered

667
00:03:28,835 --> 00:03:29,537
[roger_mcfillin]: of the registered

668
00:03:29,407 --> 00:03:30,070
[sean]: non profit

669
00:03:29,798 --> 00:03:30,460
[roger_mcfillin]: non profit

670
00:03:30,663 --> 00:03:31,143
[sean]: canadian

671
00:03:31,052 --> 00:03:31,534
[roger_mcfillin]: canadian

672
00:03:31,284 --> 00:03:31,544
[sean]: post

673
00:03:31,695 --> 00:03:31,956
[roger_mcfillin]: post

674
00:03:31,925 --> 00:03:32,245
[sean]: s s

675
00:03:32,317 --> 00:03:32,358
[roger_mcfillin]: s

676
00:03:32,446 --> 00:03:32,506
[sean]: r

677
00:03:32,599 --> 00:03:32,639
[roger_mcfillin]: s

678
00:03:32,606 --> 00:03:33,107
[sean]: i sexual

679
00:03:32,840 --> 00:03:33,503
[roger_mcfillin]: r i sexual

680
00:03:33,407 --> 00:03:33,788
[sean]: function

681
00:03:33,603 --> 00:03:34,166
[roger_mcfillin]: dis function

682
00:03:33,948 --> 00:03:34,509
[sean]: society

683
00:03:34,347 --> 00:03:34,929
[roger_mcfillin]: society

684
00:03:35,170 --> 00:03:35,471
[sean]: she is

685
00:03:35,562 --> 00:03:35,662
[roger_mcfillin]: she

686
00:03:35,591 --> 00:03:35,731
[sean]: net

687
00:03:35,762 --> 00:03:35,843
[roger_mcfillin]: is

688
00:03:35,771 --> 00:03:36,072
[sean]: working

689
00:03:35,963 --> 00:03:36,103
[roger_mcfillin]: net

690
00:03:36,112 --> 00:03:36,252
[sean]: with

691
00:03:36,164 --> 00:03:36,445
[roger_mcfillin]: working

692
00:03:36,352 --> 00:03:36,372
[sean]: p

693
00:03:36,505 --> 00:03:36,625
[roger_mcfillin]: with

694
00:03:36,713 --> 00:03:36,733
[sean]: s

695
00:03:36,746 --> 00:03:36,766
[roger_mcfillin]: p

696
00:03:36,953 --> 00:03:37,073
[sean]: s d

697
00:03:37,107 --> 00:03:37,468
[roger_mcfillin]: s s d

698
00:03:38,015 --> 00:03:38,616
[sean]: survivors

699
00:03:38,411 --> 00:03:38,993
[roger_mcfillin]: survivors

700
00:03:38,996 --> 00:03:39,658
[sean]: and sufferers

701
00:03:39,394 --> 00:03:40,036
[roger_mcfillin]: and sufferers

702
00:03:39,738 --> 00:03:40,078
[sean]: around the

703
00:03:40,137 --> 00:03:40,337
[roger_mcfillin]: around

704
00:03:40,158 --> 00:03:40,439
[sean]: world

705
00:03:40,378 --> 00:03:40,458
[roger_mcfillin]: the

706
00:03:40,499 --> 00:03:40,579
[sean]: and

707
00:03:40,538 --> 00:03:40,819
[roger_mcfillin]: world

708
00:03:40,659 --> 00:03:40,739
[sean]: is

709
00:03:40,899 --> 00:03:41,140
[roger_mcfillin]: and is

710
00:03:41,260 --> 00:03:41,721
[sean]: working with

711
00:03:41,672 --> 00:03:41,932
[roger_mcfillin]: working

712
00:03:41,821 --> 00:03:42,342
[sean]: researchers

713
00:03:41,972 --> 00:03:42,693
[roger_mcfillin]: with researchers

714
00:03:42,402 --> 00:03:42,622
[sean]: at qu

715
00:03:42,793 --> 00:03:42,833
[roger_mcfillin]: at

716
00:03:42,803 --> 00:03:43,344
[sean]: university

717
00:03:42,893 --> 00:03:43,754
[roger_mcfillin]: queen's university

718
00:03:43,645 --> 00:03:44,266
[sean]: and the university

719
00:03:44,034 --> 00:03:44,655
[roger_mcfillin]: and university

720
00:03:44,286 --> 00:03:44,808
[sean]: of autoa

721
00:03:44,695 --> 00:03:45,195
[roger_mcfillin]: of autoa

722
00:03:45,269 --> 00:03:45,710
[sean]: to acquire

723
00:03:45,656 --> 00:03:46,116
[roger_mcfillin]: to acquire

724
00:03:45,850 --> 00:03:46,893
[sean]: more information

725
00:03:46,236 --> 00:03:47,257
[roger_mcfillin]: more information

726
00:03:47,133 --> 00:03:47,414
[sean]: about

727
00:03:47,518 --> 00:03:47,798
[roger_mcfillin]: about

728
00:03:47,534 --> 00:03:47,715
[sean]: this

729
00:03:47,918 --> 00:03:48,098
[roger_mcfillin]: this

730
00:03:47,975 --> 00:03:48,938
[sean]: understudied

731
00:03:48,359 --> 00:03:49,299
[roger_mcfillin]: under studied

732
00:03:49,238 --> 00:03:49,760
[sean]: condition

733
00:03:49,620 --> 00:03:50,120
[roger_mcfillin]: condition

734
00:03:49,980 --> 00:03:50,261
[sean]: emily

735
00:03:50,361 --> 00:03:50,641
[roger_mcfillin]: emily

736
00:03:50,963 --> 00:03:51,305
[sean]: welcome

737
00:03:51,352 --> 00:03:51,674
[roger_mcfillin]: welcome

738
00:03:51,466 --> 00:03:51,788
[sean]: to the

739
00:03:51,855 --> 00:03:51,956
[roger_mcfillin]: to

740
00:03:51,889 --> 00:03:52,331
[sean]: radically

741
00:03:52,077 --> 00:03:52,741
[roger_mcfillin]: the radically

742
00:03:52,412 --> 00:03:52,794
[sean]: genuine

743
00:03:52,822 --> 00:03:53,185
[roger_mcfillin]: genuine

744
00:03:52,875 --> 00:03:53,438
[sean]: podcast

745
00:03:53,265 --> 00:03:53,829
[roger_mcfillin]: podcast

746
00:03:54,420 --> 00:03:56,988
[emily_]: you very much drmchilland i'm glad to
be here

747
00:03:57,753 --> 00:03:58,154
[sean]: before we

748
00:03:58,142 --> 00:03:58,443
[roger_mcfillin]: before

749
00:03:58,234 --> 00:03:58,494
[sean]: get to

750
00:03:58,483 --> 00:03:58,563
[roger_mcfillin]: we

751
00:03:58,555 --> 00:03:58,615
[sean]: you

752
00:03:58,623 --> 00:03:58,743
[roger_mcfillin]: get

753
00:03:58,695 --> 00:03:59,176
[sean]: i also want

754
00:03:59,104 --> 00:03:59,364
[roger_mcfillin]: i also

755
00:03:59,216 --> 00:03:59,877
[sean]: to introduce

756
00:03:59,445 --> 00:04:00,266
[roger_mcfillin]: want to introduce

757
00:04:00,518 --> 00:04:02,301
[sean]: yaziprprani

758
00:04:00,907 --> 00:04:02,690
[roger_mcfillin]: yazipapprani

759
00:04:02,441 --> 00:04:03,603
[sean]: is a tramatherapist

760
00:04:02,830 --> 00:04:03,972
[roger_mcfillin]: is a tramatherapist

761
00:04:03,683 --> 00:04:04,765
[sean]: based in vancouver

762
00:04:04,072 --> 00:04:05,154
[roger_mcfillin]: based in vancouver

763
00:04:05,626 --> 00:04:06,027
[sean]: yasi is

764
00:04:06,015 --> 00:04:06,416
[roger_mcfillin]: yaziis

765
00:04:06,047 --> 00:04:06,428
[sean]: a register

766
00:04:06,456 --> 00:04:06,476
[roger_mcfillin]: a

767
00:04:06,468 --> 00:04:06,788
[sean]: clinical

768
00:04:06,516 --> 00:04:06,817
[roger_mcfillin]: register

769
00:04:06,848 --> 00:04:07,149
[sean]: councilor

770
00:04:06,857 --> 00:04:07,177
[roger_mcfillin]: clinical

771
00:04:07,189 --> 00:04:07,289
[sean]: with

772
00:04:07,237 --> 00:04:07,538
[roger_mcfillin]: councillor

773
00:04:07,329 --> 00:04:07,489
[sean]: the b

774
00:04:07,578 --> 00:04:07,678
[roger_mcfillin]: with

775
00:04:07,650 --> 00:04:07,670
[sean]: c

776
00:04:07,718 --> 00:04:07,798
[roger_mcfillin]: the

777
00:04:07,810 --> 00:04:08,391
[sean]: association

778
00:04:07,859 --> 00:04:08,760
[roger_mcfillin]: b c association

779
00:04:08,431 --> 00:04:08,832
[sean]: of clinical

780
00:04:08,820 --> 00:04:08,860
[roger_mcfillin]: of

781
00:04:08,932 --> 00:04:09,313
[sean]: councillors

782
00:04:08,940 --> 00:04:09,642
[roger_mcfillin]: clinical councilor

783
00:04:09,453 --> 00:04:10,174
[sean]: and a registered

784
00:04:09,842 --> 00:04:10,546
[roger_mcfillin]: and a registered

785
00:04:10,234 --> 00:04:10,755
[sean]: social worker

786
00:04:10,646 --> 00:04:10,888
[roger_mcfillin]: social

787
00:04:10,795 --> 00:04:10,995
[sean]: with the

788
00:04:10,948 --> 00:04:11,149
[roger_mcfillin]: worker

789
00:04:11,035 --> 00:04:11,075
[sean]: b

790
00:04:11,189 --> 00:04:11,310
[roger_mcfillin]: with

791
00:04:11,236 --> 00:04:11,276
[sean]: c

792
00:04:11,330 --> 00:04:11,470
[roger_mcfillin]: the b

793
00:04:11,456 --> 00:04:11,757
[sean]: college

794
00:04:11,651 --> 00:04:11,671
[roger_mcfillin]: c

795
00:04:11,817 --> 00:04:11,877
[sean]: of

796
00:04:11,852 --> 00:04:12,154
[roger_mcfillin]: college

797
00:04:12,057 --> 00:04:12,338
[sean]: social

798
00:04:12,214 --> 00:04:12,274
[roger_mcfillin]: of

799
00:04:12,418 --> 00:04:12,758
[sean]: workers

800
00:04:12,455 --> 00:04:13,139
[roger_mcfillin]: social workers

801
00:04:13,379 --> 00:04:13,760
[sean]: she works

802
00:04:13,782 --> 00:04:13,862
[roger_mcfillin]: she

803
00:04:13,800 --> 00:04:13,920
[sean]: with

804
00:04:13,942 --> 00:04:14,142
[roger_mcfillin]: works

805
00:04:14,020 --> 00:04:14,301
[sean]: people

806
00:04:14,182 --> 00:04:14,683
[roger_mcfillin]: with people

807
00:04:14,601 --> 00:04:15,082
[sean]: throughout the

808
00:04:14,984 --> 00:04:15,484
[roger_mcfillin]: throughout the

809
00:04:15,403 --> 00:04:15,823
[sean]: province

810
00:04:15,785 --> 00:04:16,206
[roger_mcfillin]: province

811
00:04:16,064 --> 00:04:16,124
[sean]: of

812
00:04:16,446 --> 00:04:16,526
[roger_mcfillin]: of

813
00:04:16,545 --> 00:04:17,386
[sean]: british columbia

814
00:04:16,927 --> 00:04:17,768
[roger_mcfillin]: british columbia

815
00:04:17,646 --> 00:04:17,987
[sean]: canada

816
00:04:18,000 --> 00:04:18,223
[emily_]: yeah

817
00:04:18,029 --> 00:04:18,369
[roger_mcfillin]: canada

818
00:04:18,047 --> 00:04:18,668
[sean]: show an you've never been

819
00:04:18,550 --> 00:04:18,750
[roger_mcfillin]: an you've

820
00:04:18,688 --> 00:04:18,748
[sean]: to

821
00:04:18,770 --> 00:04:19,050
[roger_mcfillin]: never been

822
00:04:18,969 --> 00:04:19,169
[sean]: british

823
00:04:19,070 --> 00:04:19,131
[roger_mcfillin]: the

824
00:04:19,209 --> 00:04:19,469
[sean]: columbia

825
00:04:19,351 --> 00:04:19,872
[roger_mcfillin]: french columbia

826
00:04:19,630 --> 00:04:20,231
[sean]: multiple times

827
00:04:20,012 --> 00:04:20,312
[roger_mcfillin]: multiple

828
00:04:20,491 --> 00:04:20,832
[sean]: beautiful

829
00:04:20,873 --> 00:04:21,234
[roger_mcfillin]: beautiful

830
00:04:20,972 --> 00:04:21,172
[sean]: area

831
00:04:21,354 --> 00:04:21,555
[roger_mcfillin]: area

832
00:04:21,373 --> 00:04:24,616
[sean]: i love vancouver it is probably my
favorite

833
00:04:24,640 --> 00:04:25,020
[roger_mcfillin]: favorite

834
00:04:24,856 --> 00:04:25,537
[sean]: destination

835
00:04:25,321 --> 00:04:25,581
[roger_mcfillin]: estin

836
00:04:25,737 --> 00:04:25,757
[sean]: i

837
00:04:25,802 --> 00:04:25,863
[roger_mcfillin]: and

838
00:04:25,837 --> 00:04:26,218
[sean]: was there

839
00:04:26,145 --> 00:04:26,609
[roger_mcfillin]: i was there

840
00:04:26,718 --> 00:04:27,279
[sean]: doing multiple

841
00:04:27,234 --> 00:04:27,275
[roger_mcfillin]: in

842
00:04:27,919 --> 00:04:28,380
[sean]: advertising

843
00:04:28,332 --> 00:04:28,774
[roger_mcfillin]: advertising

844
00:04:28,420 --> 00:04:29,040
[sean]: commercial shoots

845
00:04:28,814 --> 00:04:29,316
[roger_mcfillin]: comical she

846
00:04:29,321 --> 00:04:29,961
[sean]: and i just fell in

847
00:04:29,978 --> 00:04:30,099
[roger_mcfillin]: just

848
00:04:30,001 --> 00:04:30,222
[sean]: love with

849
00:04:30,139 --> 00:04:30,279
[roger_mcfillin]: fell

850
00:04:30,242 --> 00:04:31,964
[sean]: the city so in her

851
00:04:31,932 --> 00:04:32,013
[roger_mcfillin]: so

852
00:04:32,044 --> 00:04:32,344
[sean]: range

853
00:04:32,133 --> 00:04:32,734
[roger_mcfillin]: in her range

854
00:04:32,565 --> 00:04:32,665
[sean]: of

855
00:04:32,974 --> 00:04:33,054
[roger_mcfillin]: of

856
00:04:33,025 --> 00:04:33,446
[sean]: sexual and

857
00:04:33,415 --> 00:04:33,735
[roger_mcfillin]: sexual

858
00:04:33,486 --> 00:04:33,947
[sean]: reproductive

859
00:04:33,775 --> 00:04:34,336
[roger_mcfillin]: and reproductive

860
00:04:33,987 --> 00:04:34,648
[sean]: health concerns

861
00:04:34,376 --> 00:04:35,038
[roger_mcfillin]: health concerns

862
00:04:34,728 --> 00:04:34,969
[sean]: amongst

863
00:04:35,118 --> 00:04:35,358
[roger_mcfillin]: amongst

864
00:04:35,429 --> 00:04:35,810
[sean]: areas of her

865
00:04:35,799 --> 00:04:35,999
[roger_mcfillin]: areas

866
00:04:35,870 --> 00:04:36,371
[sean]: specialty

867
00:04:36,059 --> 00:04:36,780
[roger_mcfillin]: of specialty

868
00:04:36,892 --> 00:04:37,252
[sean]: she's worked

869
00:04:37,281 --> 00:04:37,442
[roger_mcfillin]: she's

870
00:04:37,413 --> 00:04:37,633
[sean]: many

871
00:04:37,462 --> 00:04:37,642
[roger_mcfillin]: worked

872
00:04:37,693 --> 00:04:37,974
[sean]: years

873
00:04:37,802 --> 00:04:38,363
[roger_mcfillin]: many years

874
00:04:38,214 --> 00:04:38,695
[sean]: in the areas

875
00:04:38,604 --> 00:04:38,784
[roger_mcfillin]: in the

876
00:04:38,735 --> 00:04:38,795
[sean]: of

877
00:04:38,864 --> 00:04:39,064
[roger_mcfillin]: areas

878
00:04:38,875 --> 00:04:39,196
[sean]: sexual

879
00:04:39,124 --> 00:04:39,184
[roger_mcfillin]: of

880
00:04:39,276 --> 00:04:39,336
[sean]: and

881
00:04:39,285 --> 00:04:39,605
[roger_mcfillin]: sexual

882
00:04:39,376 --> 00:04:39,616
[sean]: mental

883
00:04:39,665 --> 00:04:39,725
[roger_mcfillin]: and

884
00:04:39,676 --> 00:04:39,857
[sean]: health

885
00:04:39,765 --> 00:04:40,006
[roger_mcfillin]: mental

886
00:04:39,957 --> 00:04:40,017
[sean]: and

887
00:04:40,066 --> 00:04:40,246
[roger_mcfillin]: health

888
00:04:40,077 --> 00:04:40,378
[sean]: works from

889
00:04:40,326 --> 00:04:40,407
[roger_mcfillin]: and

890
00:04:40,438 --> 00:04:40,458
[sean]: a

891
00:04:40,467 --> 00:04:40,647
[roger_mcfillin]: works

892
00:04:40,498 --> 00:04:40,718
[sean]: tram

893
00:04:40,667 --> 00:04:40,767
[roger_mcfillin]: from

894
00:04:40,738 --> 00:04:40,818
[sean]: and

895
00:04:40,807 --> 00:04:41,048
[roger_mcfillin]: the tram

896
00:04:40,898 --> 00:04:41,159
[sean]: formed

897
00:04:41,128 --> 00:04:41,208
[roger_mcfillin]: and

898
00:04:41,259 --> 00:04:41,459
[sean]: anti

899
00:04:41,288 --> 00:04:41,548
[roger_mcfillin]: formed

900
00:04:41,520 --> 00:04:41,900
[sean]: oppressive

901
00:04:41,649 --> 00:04:42,290
[roger_mcfillin]: anti oppressive

902
00:04:41,940 --> 00:04:42,581
[sean]: and harm reduction

903
00:04:42,330 --> 00:04:42,951
[roger_mcfillin]: and harm reduction

904
00:04:42,641 --> 00:04:43,082
[sean]: approach

905
00:04:43,031 --> 00:04:43,271
[roger_mcfillin]: of pro

906
00:04:43,443 --> 00:04:43,984
[sean]: in her clinical

907
00:04:43,852 --> 00:04:44,393
[roger_mcfillin]: in her clinical

908
00:04:44,064 --> 00:04:44,525
[sean]: practice she

909
00:04:44,453 --> 00:04:44,794
[roger_mcfillin]: practice

910
00:04:44,665 --> 00:04:45,386
[sean]: specializes

911
00:04:44,834 --> 00:04:45,775
[roger_mcfillin]: she specializes

912
00:04:45,466 --> 00:04:45,967
[sean]: and supporting

913
00:04:45,856 --> 00:04:46,356
[roger_mcfillin]: and supporting

914
00:04:46,027 --> 00:04:46,648
[sean]: people who suffer

915
00:04:46,417 --> 00:04:46,717
[roger_mcfillin]: people who

916
00:04:46,728 --> 00:04:46,888
[sean]: from

917
00:04:46,797 --> 00:04:47,278
[roger_mcfillin]: suffer from

918
00:04:47,469 --> 00:04:47,670
[sean]: post

919
00:04:47,859 --> 00:04:48,059
[roger_mcfillin]: post

920
00:04:47,970 --> 00:04:48,231
[sean]: s s

921
00:04:48,340 --> 00:04:48,360
[roger_mcfillin]: s

922
00:04:48,411 --> 00:04:48,571
[sean]: r i

923
00:04:48,620 --> 00:04:48,640
[roger_mcfillin]: s

924
00:04:48,691 --> 00:04:48,992
[sean]: sexual

925
00:04:48,801 --> 00:04:48,961
[roger_mcfillin]: r i

926
00:04:49,072 --> 00:04:49,633
[sean]: disfunction

927
00:04:49,121 --> 00:04:50,003
[roger_mcfillin]: sexual dis function

928
00:04:50,174 --> 00:04:50,635
[sean]: her work with

929
00:04:50,583 --> 00:04:50,664
[roger_mcfillin]: her

930
00:04:50,675 --> 00:04:50,735
[sean]: the

931
00:04:50,744 --> 00:04:50,884
[roger_mcfillin]: work

932
00:04:50,775 --> 00:04:50,795
[sean]: p

933
00:04:50,924 --> 00:04:51,144
[roger_mcfillin]: with the

934
00:04:51,075 --> 00:04:51,095
[sean]: s

935
00:04:51,184 --> 00:04:51,205
[roger_mcfillin]: p

936
00:04:51,396 --> 00:04:51,416
[sean]: s

937
00:04:51,465 --> 00:04:51,485
[roger_mcfillin]: s

938
00:04:51,536 --> 00:04:51,556
[sean]: d

939
00:04:51,765 --> 00:04:51,785
[roger_mcfillin]: s

940
00:04:51,837 --> 00:04:52,318
[sean]: community

941
00:04:51,926 --> 00:04:52,707
[roger_mcfillin]: t community

942
00:04:52,798 --> 00:04:53,259
[sean]: uniquely

943
00:04:53,040 --> 00:04:53,260
[emily_]: yeah

944
00:04:53,188 --> 00:04:53,669
[roger_mcfillin]: uniquely

945
00:04:53,359 --> 00:04:53,680
[sean]: position

946
00:04:53,749 --> 00:04:54,129
[roger_mcfillin]: position

947
00:04:53,780 --> 00:04:54,341
[sean]: sort of educate

948
00:04:54,169 --> 00:04:54,370
[roger_mcfillin]: sort of

949
00:04:54,381 --> 00:04:54,601
[sean]: fellow

950
00:04:54,410 --> 00:04:54,710
[roger_mcfillin]: educate

951
00:04:54,641 --> 00:04:54,802
[sean]: health

952
00:04:54,770 --> 00:04:54,991
[roger_mcfillin]: fellow

953
00:04:54,842 --> 00:04:55,282
[sean]: care profess

954
00:04:55,031 --> 00:04:55,371
[roger_mcfillin]: health care

955
00:04:55,403 --> 00:04:55,583
[sean]: as

956
00:04:55,412 --> 00:04:55,952
[roger_mcfillin]: rofessionals

957
00:04:55,609 --> 00:04:55,749
[emily_]: yeah

958
00:04:55,984 --> 00:04:56,525
[sean]: in the public

959
00:04:56,353 --> 00:04:56,914
[roger_mcfillin]: and the public

960
00:04:56,945 --> 00:04:57,466
[sean]: on the real

961
00:04:57,335 --> 00:04:57,856
[roger_mcfillin]: on the real

962
00:04:58,167 --> 00:04:58,568
[sean]: impacts

963
00:04:58,557 --> 00:04:58,957
[roger_mcfillin]: impacts

964
00:04:58,688 --> 00:04:59,630
[sean]: of this disabling

965
00:04:59,078 --> 00:05:00,019
[roger_mcfillin]: of this disabling

966
00:04:59,810 --> 00:05:00,391
[sean]: condition

967
00:05:00,200 --> 00:05:00,760
[roger_mcfillin]: condition

968
00:05:01,152 --> 00:05:01,613
[sean]: i met with

969
00:05:01,542 --> 00:05:01,822
[roger_mcfillin]: i met

970
00:05:01,773 --> 00:05:02,054
[sean]: both

971
00:05:01,882 --> 00:05:02,443
[roger_mcfillin]: with both

972
00:05:02,494 --> 00:05:02,835
[sean]: yasi

973
00:05:02,884 --> 00:05:03,225
[roger_mcfillin]: yasi

974
00:05:03,196 --> 00:05:03,717
[sean]: and emily

975
00:05:03,585 --> 00:05:04,106
[roger_mcfillin]: and emily

976
00:05:04,197 --> 00:05:04,598
[sean]: before

977
00:05:04,587 --> 00:05:04,987
[roger_mcfillin]: before

978
00:05:04,658 --> 00:05:05,419
[sean]: this podcast

979
00:05:05,048 --> 00:05:05,829
[roger_mcfillin]: this podcast

980
00:05:05,520 --> 00:05:05,880
[sean]: just for

981
00:05:05,909 --> 00:05:06,290
[roger_mcfillin]: just for

982
00:05:06,561 --> 00:05:06,882
[sean]: a bit of a

983
00:05:06,951 --> 00:05:06,971
[roger_mcfillin]: a

984
00:05:06,962 --> 00:05:07,102
[sean]: pre

985
00:05:07,031 --> 00:05:07,131
[roger_mcfillin]: bit

986
00:05:07,142 --> 00:05:07,303
[sean]: dis

987
00:05:07,151 --> 00:05:07,271
[roger_mcfillin]: of a

988
00:05:07,343 --> 00:05:07,684
[sean]: cession

989
00:05:07,532 --> 00:05:08,073
[roger_mcfillin]: discussion

990
00:05:07,784 --> 00:05:08,306
[sean]: and they are

991
00:05:08,473 --> 00:05:08,674
[roger_mcfillin]: they're

992
00:05:08,527 --> 00:05:09,571
[sean]: both extremely

993
00:05:09,375 --> 00:05:09,956
[roger_mcfillin]: extremely

994
00:05:09,631 --> 00:05:10,253
[sean]: knowledgeable

995
00:05:10,016 --> 00:05:10,637
[roger_mcfillin]: knowledgeable

996
00:05:10,916 --> 00:05:11,177
[sean]: very

997
00:05:11,298 --> 00:05:11,539
[roger_mcfillin]: very

998
00:05:11,578 --> 00:05:12,120
[sean]: passionate

999
00:05:11,960 --> 00:05:12,520
[roger_mcfillin]: passionate

1000
00:05:13,203 --> 00:05:13,705
[sean]: as welcome

1001
00:05:13,592 --> 00:05:13,753
[roger_mcfillin]: as you

1002
00:05:13,745 --> 00:05:13,805
[sean]: to

1003
00:05:13,833 --> 00:05:14,094
[roger_mcfillin]: welcome

1004
00:05:13,845 --> 00:05:14,287
[sean]: the radically

1005
00:05:14,134 --> 00:05:14,315
[roger_mcfillin]: to the

1006
00:05:14,327 --> 00:05:14,608
[sean]: genuine

1007
00:05:14,375 --> 00:05:14,677
[roger_mcfillin]: radically

1008
00:05:14,648 --> 00:05:15,070
[sean]: podcast

1009
00:05:14,717 --> 00:05:15,460
[roger_mcfillin]: genuine podcast

1010
00:05:15,989 --> 00:05:17,636
[yassie_pirani]: thank you so much it's great to
be here

1011
00:05:18,924 --> 00:05:19,285
[sean]: so let's just

1012
00:05:19,314 --> 00:05:19,355
[roger_mcfillin]: so

1013
00:05:19,345 --> 00:05:19,506
[sean]: start

1014
00:05:19,415 --> 00:05:19,536
[roger_mcfillin]: let's

1015
00:05:19,546 --> 00:05:19,667
[sean]: with

1016
00:05:19,576 --> 00:05:19,899
[roger_mcfillin]: just start

1017
00:05:19,787 --> 00:05:20,028
[sean]: emily

1018
00:05:19,939 --> 00:05:20,443
[roger_mcfillin]: with emily

1019
00:05:20,429 --> 00:05:20,690
[sean]: i think

1020
00:05:20,825 --> 00:05:21,087
[roger_mcfillin]: i think

1021
00:05:22,354 --> 00:05:22,975
[sean]: the expected

1022
00:05:22,882 --> 00:05:23,363
[roger_mcfillin]: expected

1023
00:05:23,035 --> 00:05:23,436
[sean]: place to

1024
00:05:23,423 --> 00:05:23,683
[roger_mcfillin]: place

1025
00:05:23,496 --> 00:05:23,757
[sean]: start

1026
00:05:23,743 --> 00:05:23,824
[roger_mcfillin]: to

1027
00:05:23,877 --> 00:05:24,097
[sean]: emily

1028
00:05:23,904 --> 00:05:24,144
[roger_mcfillin]: start

1029
00:05:24,157 --> 00:05:24,418
[sean]: if you're

1030
00:05:24,265 --> 00:05:24,505
[roger_mcfillin]: emily

1031
00:05:24,438 --> 00:05:24,758
[sean]: willing

1032
00:05:24,545 --> 00:05:25,166
[roger_mcfillin]: if you're willing

1033
00:05:24,979 --> 00:05:25,420
[sean]: is just

1034
00:05:25,367 --> 00:05:25,467
[roger_mcfillin]: is

1035
00:05:25,480 --> 00:05:25,800
[sean]: to share

1036
00:05:25,667 --> 00:05:25,928
[roger_mcfillin]: just to

1037
00:05:25,881 --> 00:05:26,021
[sean]: your

1038
00:05:25,988 --> 00:05:26,188
[roger_mcfillin]: share

1039
00:05:26,121 --> 00:05:26,522
[sean]: story

1040
00:05:26,289 --> 00:05:26,910
[roger_mcfillin]: your story

1041
00:05:26,622 --> 00:05:26,963
[sean]: and talk

1042
00:05:27,010 --> 00:05:27,090
[roger_mcfillin]: and

1043
00:05:27,063 --> 00:05:27,323
[sean]: about

1044
00:05:27,170 --> 00:05:27,351
[roger_mcfillin]: talk

1045
00:05:27,423 --> 00:05:27,604
[sean]: your

1046
00:05:27,451 --> 00:05:27,992
[roger_mcfillin]: about your

1047
00:05:28,105 --> 00:05:28,485
[sean]: journey

1048
00:05:28,493 --> 00:05:28,894
[roger_mcfillin]: journey

1049
00:05:28,786 --> 00:05:29,247
[sean]: and what you

1050
00:05:29,335 --> 00:05:29,475
[roger_mcfillin]: what

1051
00:05:29,387 --> 00:05:29,547
[sean]: went

1052
00:05:29,555 --> 00:05:29,635
[roger_mcfillin]: you

1053
00:05:29,688 --> 00:05:29,948
[sean]: through

1054
00:05:29,776 --> 00:05:29,936
[roger_mcfillin]: went

1055
00:05:30,068 --> 00:05:30,169
[sean]: to

1056
00:05:30,076 --> 00:05:30,337
[roger_mcfillin]: through

1057
00:05:30,249 --> 00:05:30,389
[sean]: get

1058
00:05:30,477 --> 00:05:30,577
[roger_mcfillin]: to

1059
00:05:30,489 --> 00:05:30,790
[sean]: to this

1060
00:05:30,637 --> 00:05:30,778
[roger_mcfillin]: get

1061
00:05:30,870 --> 00:05:31,150
[sean]: place

1062
00:05:30,878 --> 00:05:31,179
[roger_mcfillin]: to this

1063
00:05:31,210 --> 00:05:31,271
[sean]: in

1064
00:05:31,259 --> 00:05:31,539
[roger_mcfillin]: place

1065
00:05:31,311 --> 00:05:31,731
[sean]: your career

1066
00:05:31,599 --> 00:05:32,120
[roger_mcfillin]: in your career

1067
00:05:33,531 --> 00:05:39,741
[emily_]: sure so when i was a teen
ager as many many teenagers do i suffered

1068
00:05:39,821 --> 00:05:45,751
[emily_]: from various what we might call mental
health problems but could so just be called

1069
00:05:46,212 --> 00:05:46,492
[emily_]: growing

1070
00:05:46,273 --> 00:05:46,293
[roger_mcfillin]: i

1071
00:05:46,593 --> 00:05:47,434
[emily_]: up you know

1072
00:05:47,562 --> 00:05:48,492
[roger_mcfillin]: yeah

1073
00:05:47,594 --> 00:05:49,698
[emily_]: i often suffered from low moods

1074
00:05:49,803 --> 00:05:49,884
[roger_mcfillin]: ah

1075
00:05:50,299 --> 00:05:54,486
[emily_]: i also struggled with body image i
had an eating disorder which caused me some

1076
00:05:54,646 --> 00:05:56,008
[emily_]: health issues for a little over

1077
00:05:56,014 --> 00:05:56,054
[roger_mcfillin]: an

1078
00:05:56,068 --> 00:06:02,479
[emily_]: a year um and when i was
seventeen years old at the recommendation of someifriends

1079
00:06:02,519 --> 00:06:07,327
[emily_]: of the family my parents took me
to talk to a psychiatrist and it was

1080
00:06:07,387 --> 00:06:12,255
[emily_]: a very kind of come table nonchalant
encounter i didn't have any negative experience with

1081
00:06:12,315 --> 00:06:16,683
[emily_]: the psychiatrist but she recommended that i
try s s

1082
00:06:16,699 --> 00:06:16,842
[roger_mcfillin]: yeah

1083
00:06:16,803 --> 00:06:21,992
[emily_]: r and see if that improved my
my mental health you know i was just

1084
00:06:22,092 --> 00:06:24,977
[emily_]: about to be heading off to college
she thought it would kind of help ease

1085
00:06:25,097 --> 00:06:31,608
[emily_]: the transition um and it was treated
as something very very normal and very very

1086
00:06:32,028 --> 00:06:38,569
[emily_]: safe so i started on the s
s rise and i did feel a perceived

1087
00:06:38,629 --> 00:06:43,537
[emily_]: reduction in my symptoms the s s
r i was on was sitalapram and i

1088
00:06:43,577 --> 00:06:48,152
[emily_]: was on at thirty mile rams a
day which is a very moderate normal dose

1089
00:06:48,453 --> 00:06:49,136
[emily_]: for an s s r

1090
00:06:49,753 --> 00:06:50,213
[sean]: let me ask you a

1091
00:06:50,210 --> 00:06:50,394
[emily_]: yeah

1092
00:06:50,233 --> 00:06:50,473
[sean]: question

1093
00:06:50,352 --> 00:06:50,532
[roger_mcfillin]: ask you

1094
00:06:50,513 --> 00:06:50,553
[sean]: so

1095
00:06:50,572 --> 00:06:50,833
[roger_mcfillin]: a question

1096
00:06:50,834 --> 00:06:50,914
[sean]: you

1097
00:06:50,913 --> 00:06:50,953
[roger_mcfillin]: so

1098
00:06:50,994 --> 00:06:51,494
[sean]: initially

1099
00:06:51,234 --> 00:06:51,895
[roger_mcfillin]: you initially

1100
00:06:52,035 --> 00:06:52,635
[sean]: experienced

1101
00:06:52,416 --> 00:06:53,037
[roger_mcfillin]: experienced

1102
00:06:52,816 --> 00:06:53,737
[sean]: a reduction

1103
00:06:53,218 --> 00:06:54,119
[roger_mcfillin]: a reduction

1104
00:06:54,017 --> 00:06:54,477
[sean]: in what you

1105
00:06:54,420 --> 00:06:54,901
[roger_mcfillin]: in what you

1106
00:06:54,878 --> 00:06:55,318
[sean]: identified

1107
00:06:55,262 --> 00:06:55,723
[roger_mcfillin]: identified

1108
00:06:55,378 --> 00:06:55,919
[sean]: as symptoms

1109
00:06:55,783 --> 00:06:56,324
[roger_mcfillin]: as symptoms

1110
00:06:55,979 --> 00:06:56,339
[sean]: what were the

1111
00:06:56,384 --> 00:06:56,484
[roger_mcfillin]: what

1112
00:06:56,399 --> 00:06:56,900
[sean]: reduction

1113
00:06:56,524 --> 00:06:57,306
[roger_mcfillin]: with the reduction

1114
00:06:57,120 --> 00:06:57,180
[sean]: of

1115
00:06:57,526 --> 00:06:57,586
[roger_mcfillin]: of

1116
00:06:57,540 --> 00:06:58,041
[sean]: symptoms that

1117
00:06:57,947 --> 00:06:58,308
[roger_mcfillin]: symptoms

1118
00:06:58,081 --> 00:06:58,341
[sean]: you did

1119
00:06:58,328 --> 00:06:58,448
[roger_mcfillin]: that

1120
00:06:58,421 --> 00:06:58,842
[sean]: experience

1121
00:06:58,488 --> 00:06:59,250
[roger_mcfillin]: you did experience

1122
00:06:58,902 --> 00:06:59,322
[sean]: initially

1123
00:06:58,950 --> 00:06:59,191
[emily_]: i just

1124
00:06:59,310 --> 00:06:59,711
[roger_mcfillin]: initially

1125
00:06:59,311 --> 00:07:04,619
[emily_]: i felt calmer i found it easier
to concentrate i felt less intense negative emotion

1126
00:07:05,653 --> 00:07:05,674
[sean]: a

1127
00:07:05,910 --> 00:07:11,358
[emily_]: so i would say her description of
it smoothing the transition was accurate um

1128
00:07:11,442 --> 00:07:11,826
[roger_mcfillin]: oh

1129
00:07:12,069 --> 00:07:13,070
[emily_]: m but i

1130
00:07:14,472 --> 00:07:14,692
[roger_mcfillin]: yeah

1131
00:07:14,740 --> 00:07:19,407
[emily_]: i stayed on it for several years
during my college years and i kept kind

1132
00:07:19,467 --> 00:07:20,068
[emily_]: of thinking well

1133
00:07:20,142 --> 00:07:20,306
[roger_mcfillin]: yeah

1134
00:07:20,189 --> 00:07:20,990
[emily_]: i should go off at some

1135
00:07:20,922 --> 00:07:21,085
[roger_mcfillin]: ye

1136
00:07:21,050 --> 00:07:25,578
[emily_]: point but you know i i think
it's making my life easier and i hadn't

1137
00:07:25,618 --> 00:07:30,910
[emily_]: really been warned about any negative effects
so i i guess the accurate way to

1138
00:07:30,950 --> 00:07:36,186
[emily_]: describe it is i developed a psychological
dependency on them um

1139
00:07:36,873 --> 00:07:37,273
[sean]: let me ask you

1140
00:07:37,232 --> 00:07:37,393
[emily_]: but

1141
00:07:37,242 --> 00:07:37,322
[roger_mcfillin]: let

1142
00:07:37,293 --> 00:07:37,413
[sean]: some

1143
00:07:37,342 --> 00:07:37,542
[roger_mcfillin]: me ask

1144
00:07:37,473 --> 00:07:37,854
[sean]: questions

1145
00:07:37,582 --> 00:07:38,264
[roger_mcfillin]: you some questions

1146
00:07:37,954 --> 00:07:38,334
[sean]: because i

1147
00:07:38,324 --> 00:07:38,544
[roger_mcfillin]: because

1148
00:07:38,414 --> 00:07:38,594
[sean]: think

1149
00:07:38,704 --> 00:07:38,965
[roger_mcfillin]: i think

1150
00:07:38,954 --> 00:07:39,475
[sean]: your story

1151
00:07:39,345 --> 00:07:39,866
[roger_mcfillin]: your story

1152
00:07:39,835 --> 00:07:40,276
[sean]: is really

1153
00:07:40,247 --> 00:07:40,327
[roger_mcfillin]: is

1154
00:07:40,336 --> 00:07:40,716
[sean]: interesting

1155
00:07:40,447 --> 00:07:41,108
[roger_mcfillin]: really interesting

1156
00:07:40,756 --> 00:07:41,497
[sean]: and it's important

1157
00:07:41,148 --> 00:07:41,890
[roger_mcfillin]: and it's important

1158
00:07:41,537 --> 00:07:41,817
[sean]: because

1159
00:07:41,930 --> 00:07:42,210
[roger_mcfillin]: because

1160
00:07:42,297 --> 00:07:42,758
[sean]: if our goal

1161
00:07:42,711 --> 00:07:42,931
[roger_mcfillin]: if our

1162
00:07:42,838 --> 00:07:42,978
[sean]: here

1163
00:07:42,991 --> 00:07:43,152
[roger_mcfillin]: goal

1164
00:07:43,018 --> 00:07:43,218
[sean]: is to

1165
00:07:43,232 --> 00:07:43,372
[roger_mcfillin]: here

1166
00:07:43,278 --> 00:07:43,458
[sean]: raise

1167
00:07:43,432 --> 00:07:43,492
[roger_mcfillin]: is

1168
00:07:43,518 --> 00:07:43,999
[sean]: awareness

1169
00:07:43,532 --> 00:07:44,414
[roger_mcfillin]: to raise awareness

1170
00:07:44,439 --> 00:07:44,779
[sean]: for health

1171
00:07:44,834 --> 00:07:44,955
[roger_mcfillin]: for

1172
00:07:44,839 --> 00:07:44,980
[sean]: care

1173
00:07:45,015 --> 00:07:45,175
[roger_mcfillin]: health

1174
00:07:45,060 --> 00:07:45,680
[sean]: professionals

1175
00:07:45,235 --> 00:07:46,077
[roger_mcfillin]: care professionals

1176
00:07:45,860 --> 00:07:46,281
[sean]: and those

1177
00:07:46,257 --> 00:07:46,357
[roger_mcfillin]: and

1178
00:07:46,361 --> 00:07:46,441
[sean]: who

1179
00:07:46,457 --> 00:07:46,678
[roger_mcfillin]: those

1180
00:07:46,561 --> 00:07:46,661
[sean]: are

1181
00:07:46,758 --> 00:07:47,058
[roger_mcfillin]: who are

1182
00:07:47,201 --> 00:07:47,782
[sean]: potentially

1183
00:07:47,599 --> 00:07:48,180
[roger_mcfillin]: potentially

1184
00:07:48,913 --> 00:07:49,374
[sean]: prescribe

1185
00:07:49,322 --> 00:07:49,764
[roger_mcfillin]: prescribe

1186
00:07:49,414 --> 00:07:49,915
[sean]: these drugs

1187
00:07:49,804 --> 00:07:50,305
[roger_mcfillin]: these drugs

1188
00:07:50,035 --> 00:07:50,255
[sean]: there's

1189
00:07:50,426 --> 00:07:50,647
[roger_mcfillin]: there's

1190
00:07:50,496 --> 00:07:50,856
[sean]: a number of

1191
00:07:50,887 --> 00:07:50,907
[roger_mcfillin]: a

1192
00:07:50,896 --> 00:07:51,077
[sean]: things

1193
00:07:50,968 --> 00:07:51,168
[roger_mcfillin]: number

1194
00:07:51,117 --> 00:07:51,237
[sean]: that

1195
00:07:51,208 --> 00:07:51,469
[roger_mcfillin]: of things

1196
00:07:51,397 --> 00:07:51,678
[sean]: didn't

1197
00:07:51,509 --> 00:07:52,071
[roger_mcfillin]: that didn't

1198
00:07:51,798 --> 00:07:52,138
[sean]: happen

1199
00:07:52,191 --> 00:07:52,532
[roger_mcfillin]: happen

1200
00:07:52,319 --> 00:07:52,679
[sean]: for you

1201
00:07:52,713 --> 00:07:52,813
[roger_mcfillin]: for

1202
00:07:52,820 --> 00:07:52,940
[sean]: that

1203
00:07:52,934 --> 00:07:53,074
[roger_mcfillin]: you

1204
00:07:52,980 --> 00:07:53,240
[sean]: we would

1205
00:07:53,215 --> 00:07:53,335
[roger_mcfillin]: that

1206
00:07:53,340 --> 00:07:53,501
[sean]: hope

1207
00:07:53,375 --> 00:07:53,656
[roger_mcfillin]: we would

1208
00:07:53,541 --> 00:07:53,962
[sean]: would happen

1209
00:07:53,736 --> 00:07:54,077
[roger_mcfillin]: hope would

1210
00:07:54,042 --> 00:07:54,082
[sean]: in

1211
00:07:54,118 --> 00:07:54,378
[roger_mcfillin]: happen

1212
00:07:54,122 --> 00:07:54,563
[sean]: the future

1213
00:07:54,439 --> 00:07:54,960
[roger_mcfillin]: in the future

1214
00:07:55,364 --> 00:07:55,925
[sean]: so the first

1215
00:07:55,762 --> 00:07:55,822
[roger_mcfillin]: so

1216
00:07:55,762 --> 00:07:56,430
[emily_]: hm

1217
00:07:55,942 --> 00:07:56,022
[roger_mcfillin]: the

1218
00:07:56,025 --> 00:07:56,225
[sean]: thing

1219
00:07:56,102 --> 00:07:56,603
[roger_mcfillin]: first thing

1220
00:07:56,426 --> 00:07:56,886
[sean]: is that

1221
00:07:56,824 --> 00:07:57,004
[roger_mcfillin]: is

1222
00:07:56,987 --> 00:07:57,087
[sean]: you

1223
00:07:57,125 --> 00:07:57,285
[roger_mcfillin]: that

1224
00:07:57,187 --> 00:07:57,347
[sean]: were

1225
00:07:57,385 --> 00:07:57,485
[roger_mcfillin]: you

1226
00:07:57,507 --> 00:07:57,708
[sean]: not

1227
00:07:57,586 --> 00:07:58,087
[roger_mcfillin]: were not

1228
00:07:57,888 --> 00:07:58,529
[sean]: informed

1229
00:07:58,267 --> 00:07:58,908
[roger_mcfillin]: informed

1230
00:07:58,810 --> 00:07:58,950
[sean]: of

1231
00:07:59,209 --> 00:07:59,329
[roger_mcfillin]: of

1232
00:07:59,350 --> 00:07:59,491
[sean]: any

1233
00:07:59,730 --> 00:07:59,870
[roger_mcfillin]: any

1234
00:07:59,911 --> 00:08:00,352
[sean]: potential

1235
00:08:00,291 --> 00:08:00,712
[roger_mcfillin]: potential

1236
00:08:00,853 --> 00:08:01,294
[sean]: adverse

1237
00:08:01,253 --> 00:08:01,714
[roger_mcfillin]: adverse

1238
00:08:01,455 --> 00:08:02,137
[sean]: consequences

1239
00:08:01,855 --> 00:08:02,536
[roger_mcfillin]: consequences

1240
00:08:01,980 --> 00:08:02,200
[emily_]: yeah

1241
00:08:02,217 --> 00:08:02,678
[sean]: to taking

1242
00:08:02,616 --> 00:08:02,717
[roger_mcfillin]: to

1243
00:08:02,738 --> 00:08:02,839
[sean]: the

1244
00:08:02,777 --> 00:08:03,077
[roger_mcfillin]: taking

1245
00:08:02,879 --> 00:08:03,220
[sean]: drug is

1246
00:08:03,157 --> 00:08:03,238
[roger_mcfillin]: the

1247
00:08:03,260 --> 00:08:03,380
[sean]: that

1248
00:08:03,278 --> 00:08:03,438
[roger_mcfillin]: drug

1249
00:08:03,420 --> 00:08:03,701
[sean]: correct

1250
00:08:03,538 --> 00:08:04,100
[roger_mcfillin]: is that correct

1251
00:08:04,524 --> 00:08:08,410
[emily_]: the only side effects that were mentioned
was she said that i might feel some

1252
00:08:08,591 --> 00:08:08,971
[emily_]: nausea

1253
00:08:09,034 --> 00:08:09,220
[roger_mcfillin]: yes

1254
00:08:09,111 --> 00:08:10,714
[emily_]: when coming on or off the drug

1255
00:08:11,223 --> 00:08:11,863
[sean]: yeah

1256
00:08:11,415 --> 00:08:16,744
[emily_]: there were there was absolutely no mention
sexual dis function either long lasting or temporary

1257
00:08:17,005 --> 00:08:21,492
[emily_]: she did not bring that up in
any capacity at one later meeting with her

1258
00:08:21,592 --> 00:08:27,264
[emily_]: because i've been experiencing some reduction in
libido on the drug i asked her is

1259
00:08:27,344 --> 00:08:32,253
[emily_]: it normal to like have less sexual
desire on this medication i brought that up

1260
00:08:32,313 --> 00:08:37,277
[emily_]: to her as a teenage patient and
she said yes that's normal but it will

1261
00:08:37,297 --> 00:08:38,999
[emily_]: go away when you come off the
medication

1262
00:08:39,403 --> 00:08:39,743
[sean]: okay so

1263
00:08:39,782 --> 00:08:39,962
[roger_mcfillin]: okay

1264
00:08:39,803 --> 00:08:39,903
[sean]: the

1265
00:08:39,930 --> 00:08:39,990
[emily_]: so

1266
00:08:39,943 --> 00:08:40,444
[sean]: assumption

1267
00:08:40,042 --> 00:08:40,843
[roger_mcfillin]: so the assumption

1268
00:08:40,412 --> 00:08:40,875
[emily_]: i trusted

1269
00:08:40,664 --> 00:08:40,925
[sean]: of the

1270
00:08:40,935 --> 00:08:41,096
[emily_]: that

1271
00:08:41,063 --> 00:08:41,123
[roger_mcfillin]: of

1272
00:08:41,125 --> 00:08:41,285
[sean]: health

1273
00:08:41,224 --> 00:08:41,324
[roger_mcfillin]: the

1274
00:08:41,345 --> 00:08:41,485
[sean]: care

1275
00:08:41,504 --> 00:08:41,684
[roger_mcfillin]: health

1276
00:08:41,585 --> 00:08:42,226
[sean]: professional

1277
00:08:41,724 --> 00:08:42,586
[roger_mcfillin]: care professional

1278
00:08:42,847 --> 00:08:43,288
[sean]: was that

1279
00:08:43,246 --> 00:08:43,447
[roger_mcfillin]: was

1280
00:08:43,328 --> 00:08:43,628
[sean]: that was

1281
00:08:43,547 --> 00:08:43,847
[roger_mcfillin]: that that

1282
00:08:43,768 --> 00:08:44,149
[sean]: possible

1283
00:08:43,927 --> 00:08:44,548
[roger_mcfillin]: was possible

1284
00:08:44,189 --> 00:08:44,569
[sean]: that it could

1285
00:08:44,588 --> 00:08:44,709
[roger_mcfillin]: that

1286
00:08:44,629 --> 00:08:44,910
[sean]: happen

1287
00:08:44,749 --> 00:08:45,329
[roger_mcfillin]: it could happen

1288
00:08:45,070 --> 00:08:45,410
[sean]: but it was

1289
00:08:45,470 --> 00:08:45,550
[roger_mcfillin]: but

1290
00:08:45,471 --> 00:08:45,671
[sean]: kind

1291
00:08:45,610 --> 00:08:45,790
[roger_mcfillin]: it was

1292
00:08:45,751 --> 00:08:45,811
[sean]: of

1293
00:08:45,870 --> 00:08:46,211
[roger_mcfillin]: kind of

1294
00:08:47,423 --> 00:08:47,824
[sean]: dismissed

1295
00:08:47,812 --> 00:08:48,213
[roger_mcfillin]: dismissed

1296
00:08:47,884 --> 00:08:48,465
[sean]: is not something

1297
00:08:48,273 --> 00:08:48,533
[roger_mcfillin]: is not

1298
00:08:48,505 --> 00:08:48,605
[sean]: that

1299
00:08:48,593 --> 00:08:48,874
[roger_mcfillin]: something

1300
00:08:48,645 --> 00:08:48,906
[sean]: could be

1301
00:08:48,894 --> 00:08:49,174
[roger_mcfillin]: that could

1302
00:08:49,046 --> 00:08:49,487
[sean]: serious

1303
00:08:49,235 --> 00:08:49,876
[roger_mcfillin]: be serious

1304
00:08:49,667 --> 00:08:49,727
[sean]: or

1305
00:08:50,056 --> 00:08:50,116
[roger_mcfillin]: or

1306
00:08:50,228 --> 00:08:50,689
[sean]: lasting

1307
00:08:50,617 --> 00:08:51,078
[roger_mcfillin]: lasting

1308
00:08:50,809 --> 00:08:51,230
[sean]: so maybe

1309
00:08:51,198 --> 00:08:51,278
[roger_mcfillin]: so

1310
00:08:51,270 --> 00:08:51,410
[sean]: while

1311
00:08:51,418 --> 00:08:51,619
[roger_mcfillin]: maybe

1312
00:08:51,450 --> 00:08:51,610
[sean]: you're

1313
00:08:51,510 --> 00:08:52,380
[emily_]: yeah

1314
00:08:51,659 --> 00:08:51,799
[roger_mcfillin]: while

1315
00:08:51,730 --> 00:08:51,790
[sean]: on

1316
00:08:51,839 --> 00:08:51,999
[roger_mcfillin]: you're

1317
00:08:51,851 --> 00:08:52,171
[sean]: the drug

1318
00:08:52,119 --> 00:08:52,179
[roger_mcfillin]: on

1319
00:08:52,231 --> 00:08:52,311
[sean]: you

1320
00:08:52,240 --> 00:08:52,320
[roger_mcfillin]: the

1321
00:08:52,351 --> 00:08:52,452
[sean]: can

1322
00:08:52,380 --> 00:08:52,560
[roger_mcfillin]: drug

1323
00:08:52,492 --> 00:08:53,033
[sean]: experience

1324
00:08:52,620 --> 00:08:53,422
[roger_mcfillin]: you could experience

1325
00:08:53,093 --> 00:08:53,533
[sean]: that but

1326
00:08:53,482 --> 00:08:53,902
[roger_mcfillin]: that but

1327
00:08:54,014 --> 00:08:54,255
[sean]: almost

1328
00:08:54,301 --> 00:08:54,583
[emily_]: yes

1329
00:08:54,315 --> 00:08:54,375
[sean]: the

1330
00:08:54,383 --> 00:08:54,644
[roger_mcfillin]: almost

1331
00:08:54,435 --> 00:08:54,815
[sean]: assumption

1332
00:08:54,704 --> 00:08:55,204
[roger_mcfillin]: the assumption

1333
00:08:54,876 --> 00:08:55,176
[sean]: would be

1334
00:08:55,265 --> 00:08:55,565
[roger_mcfillin]: would be

1335
00:08:55,937 --> 00:08:56,258
[sean]: once you

1336
00:08:56,326 --> 00:08:56,487
[roger_mcfillin]: once

1337
00:08:56,338 --> 00:08:56,598
[sean]: begin

1338
00:08:56,527 --> 00:08:56,627
[roger_mcfillin]: you

1339
00:08:56,719 --> 00:08:56,819
[sean]: to

1340
00:08:56,727 --> 00:08:56,987
[roger_mcfillin]: begin

1341
00:08:56,979 --> 00:08:57,260
[sean]: taper

1342
00:08:57,128 --> 00:08:57,228
[roger_mcfillin]: to

1343
00:08:57,320 --> 00:08:57,420
[sean]: off

1344
00:08:57,368 --> 00:08:57,649
[roger_mcfillin]: taper

1345
00:08:57,460 --> 00:08:57,700
[sean]: the drug

1346
00:08:57,709 --> 00:08:57,809
[roger_mcfillin]: off

1347
00:08:57,720 --> 00:08:57,981
[sean]: and stop

1348
00:08:57,849 --> 00:08:58,049
[roger_mcfillin]: the drug

1349
00:08:58,041 --> 00:08:58,121
[sean]: the

1350
00:08:58,129 --> 00:08:58,189
[roger_mcfillin]: and

1351
00:08:58,161 --> 00:08:58,341
[sean]: drug

1352
00:08:58,230 --> 00:08:58,690
[roger_mcfillin]: stuff the drug

1353
00:08:58,662 --> 00:08:58,762
[sean]: you

1354
00:08:59,071 --> 00:08:59,211
[roger_mcfillin]: year

1355
00:08:59,543 --> 00:08:59,885
[sean]: libido

1356
00:08:59,914 --> 00:09:00,276
[roger_mcfillin]: libido

1357
00:08:59,965 --> 00:09:00,489
[sean]: would return

1358
00:09:00,356 --> 00:09:00,879
[roger_mcfillin]: would return

1359
00:09:01,480 --> 00:09:06,268
[emily_]: yes and i do want to point
out that seventeen years old is right in

1360
00:09:06,288 --> 00:09:10,796
[emily_]: the middle of your sexual development it's
not a trivial thing it's an important part

1361
00:09:10,836 --> 00:09:16,206
[emily_]: of your life between ages seventeen and
your early twenties like the fact that kids

1362
00:09:16,286 --> 00:09:17,148
[emily_]: that age are being

1363
00:09:17,091 --> 00:09:17,112
[roger_mcfillin]: m

1364
00:09:17,228 --> 00:09:23,480
[emily_]: prescribed drugs that have sexual side effects
even even if they were guaranteed to just

1365
00:09:23,560 --> 00:09:27,024
[emily_]: be temporary that still a big deal
that still needs to be brought up in

1366
00:09:27,084 --> 00:09:30,447
[emily_]: a clinical setting that still needs to
be talked about cause it's going to impact

1367
00:09:30,507 --> 00:09:35,160
[emily_]: their relationship it's going to impact their
development yeah

1368
00:09:34,754 --> 00:09:35,177
[sean]: good point

1369
00:09:35,143 --> 00:09:35,546
[roger_mcfillin]: good point

1370
00:09:36,041 --> 00:09:39,627
[emily_]: and it did i wasn't i hadn't
had a serious relationship at that point in

1371
00:09:39,667 --> 00:09:44,415
[emily_]: my life but i entered into london
college and it absolutely did impact my relationship

1372
00:09:45,436 --> 00:09:52,087
[emily_]: i just wasn't sexually bone ding and
experiencing sexuality in a normal way um and

1373
00:09:52,428 --> 00:09:56,174
[emily_]: i knew something was wrong so i
decided that it was time for me to

1374
00:09:56,254 --> 00:10:01,344
[emily_]: taper off the medication i accurately identified
i think this is the s s i'm

1375
00:10:01,404 --> 00:10:06,264
[emily_]: gonna try and come off this medication
now um so under the supervision of a

1376
00:10:06,304 --> 00:10:11,432
[emily_]: doctor i reduced thirty milligrams to fifteen
milligrams did that for a couple of months

1377
00:10:11,572 --> 00:10:15,218
[emily_]: and then i started i tapered down
to nothing over the course of two weeks

1378
00:10:15,339 --> 00:10:20,765
[emily_]: from fifteen nelograms um but during all
this tapering i was not experiencing

1379
00:10:20,655 --> 00:10:20,858
[roger_mcfillin]: yeah

1380
00:10:20,925 --> 00:10:23,187
[emily_]: any return of libido

1381
00:10:24,081 --> 00:10:24,102
[roger_mcfillin]: m

1382
00:10:25,840 --> 00:10:31,709
[emily_]: then it's just after finishing the taper
fully so just a few days after coming

1383
00:10:31,810 --> 00:10:37,379
[emily_]: off the medication entirely i woke up
one morning and i immediately knew something has

1384
00:10:37,419 --> 00:10:43,784
[emily_]: happened something is different something very that
has happened in my body there was kind

1385
00:10:43,845 --> 00:10:49,819
[emily_]: of this feeling of overall sluggishness and
lack of vitality but i immediately notice sort

1386
00:10:49,859 --> 00:10:56,159
[emily_]: of a sensation of coldness in my
my private parts in my volva so i

1387
00:10:57,290 --> 00:11:02,779
[emily_]: like reach down was like what's going
on nd i had lost all forms of

1388
00:11:03,019 --> 00:11:10,011
[emily_]: orogenous sensation that sexual sensation in my
genitals and they were less sensitive um to

1389
00:11:10,051 --> 00:11:14,480
[emily_]: the touch as well and you know
it was very frightening it was a very

1390
00:11:14,680 --> 00:11:22,023
[emily_]: extreme sudden night and day change i
realized as i went through that day in

1391
00:11:22,063 --> 00:11:28,033
[emily_]: the next couple of days i'm not
feeling any hint of arousal i'm not feeling

1392
00:11:28,234 --> 00:11:33,623
[emily_]: any hint of desire i'm not feeling
it's like a switch has gone off my

1393
00:11:33,703 --> 00:11:39,232
[emily_]: entire sexuality is shut down and i'm
not even feeling fully emotionally present i can't

1394
00:11:39,292 --> 00:11:44,801
[emily_]: really feel anything towards the guy i
was day and at the time you know

1395
00:11:45,042 --> 00:11:49,589
[emily_]: i felt nothing whatsoever towards him even
emotionally it's like i've been entirely deerodicized

1396
00:11:50,442 --> 00:11:50,462
[roger_mcfillin]: m

1397
00:11:50,751 --> 00:11:55,299
[emily_]: so i got quite frightened and anxious
and i immediately made an appointment with my

1398
00:11:55,379 --> 00:12:00,407
[emily_]: doctor and i went to my doctor
and i was asking them about this and

1399
00:12:00,508 --> 00:12:03,332
[emily_]: all they could really say to me
was well give it some time you know

1400
00:12:03,432 --> 00:12:09,202
[emily_]: you might just be going through a
withdrawal they also said it could be the

1401
00:12:09,242 --> 00:12:14,291
[emily_]: return of your mental health problems you
know because you were coming off the s

1402
00:12:14,431 --> 00:12:16,394
[emily_]: s this could be a depressive

1403
00:12:16,191 --> 00:12:16,212
[roger_mcfillin]: m

1404
00:12:16,454 --> 00:12:21,773
[emily_]: symptom but i knew that it could
not be a time of depression because depression

1405
00:12:21,893 --> 00:12:26,500
[emily_]: doesn't make your clitteres feel like your
knuckle depression

1406
00:12:26,294 --> 00:12:26,376
[roger_mcfillin]: so

1407
00:12:26,580 --> 00:12:28,704
[emily_]: doesn't make every bit of a raging

1408
00:12:28,758 --> 00:12:28,778
[roger_mcfillin]: a

1409
00:12:28,784 --> 00:12:33,712
[emily_]: a sensation in your entire body switch
off like a light i had experienced what

1410
00:12:33,752 --> 00:12:37,559
[emily_]: was diagnosis depression and it did not
feel anything like that

1411
00:12:40,880 --> 00:12:46,329
[emily_]: to summarize have there's been no change
in that condition for the last three years

1412
00:12:46,469 --> 00:12:48,633
[emily_]: i have been off the medication entirely

1413
00:12:48,462 --> 00:12:48,482
[roger_mcfillin]: m

1414
00:12:48,733 --> 00:12:49,494
[emily_]: for three years

1415
00:12:50,082 --> 00:12:50,266
[roger_mcfillin]: yeah

1416
00:12:50,315 --> 00:12:59,750
[emily_]: i am still completely deerodicized um and
i've tried lifestyle changes i've tried dietary changes

1417
00:12:59,811 --> 00:13:04,518
[emily_]: aver to exercise i've tried you know
anything any natural healing

1418
00:13:04,431 --> 00:13:04,452
[roger_mcfillin]: m

1419
00:13:04,839 --> 00:13:10,566
[emily_]: that you expect i've tried those avenues
i've even tried some other medications to try

1420
00:13:10,606 --> 00:13:17,496
[emily_]: and correct it and they're just i
experienced brief relief or moderate relief actually on

1421
00:13:17,596 --> 00:13:22,005
[emily_]: and it seemed to sort of switch
it back partially but then that faded and

1422
00:13:22,386 --> 00:13:27,320
[emily_]: it ceased to have any improvement um
and now i'm back to square one being

1423
00:13:27,380 --> 00:13:35,639
[emily_]: completely a sexual so about two years
ago a year in having this i realized

1424
00:13:36,280 --> 00:13:39,966
[emily_]: i can't be silent about this something
has happened to me in connection with the

1425
00:13:40,066 --> 00:13:46,657
[emily_]: s s i had discovered online communities
where people were talking about exactly the same

1426
00:13:46,737 --> 00:13:51,565
[emily_]: symptoms that i was going through and
i also discovered the work of professor david

1427
00:13:51,605 --> 00:13:59,418
[emily_]: heale now he is a professor at
master university in ontario and he has been

1428
00:13:59,498 --> 00:14:04,767
[emily_]: working for many years to try and
bring light to post esisarisexual disfunction exactly what

1429
00:14:04,807 --> 00:14:09,954
[emily_]: i was experiencing and he'd been you
know advocating hard and trying to get attention

1430
00:14:10,014 --> 00:14:13,357
[emily_]: and research towards it and a lot
of it seemed to have fallen on deaf

1431
00:14:13,517 --> 00:14:18,805
[emily_]: ears from the medical community i saw
okay what's really needed here is patients themselves

1432
00:14:18,925 --> 00:14:22,431
[emily_]: who have experienced tees effects and need
to start coming forward and talking about it

1433
00:14:23,473 --> 00:14:30,565
[emily_]: there's a huge amount of shame and
fear around this subject um and someone's got

1434
00:14:30,625 --> 00:14:34,913
[emily_]: to be the one to stand up
and just be willing to admit this happened

1435
00:14:34,973 --> 00:14:39,831
[emily_]: to me and it needs to stop
happening to other people of course i would

1436
00:14:39,891 --> 00:14:45,961
[emily_]: love it if we could also find
research and found research and find treatment for

1437
00:14:46,042 --> 00:14:51,311
[emily_]: it but even if my advocacy the
only result is that i stop but more

1438
00:14:51,412 --> 00:14:55,427
[emily_]: teen agers from having their sexuality removed
that would be enough for me

1439
00:14:57,333 --> 00:14:58,054
[sean]: it's very brave

1440
00:14:57,923 --> 00:14:58,447
[roger_mcfillin]: very brave

1441
00:14:58,736 --> 00:14:59,177
[sean]: especially at

1442
00:14:59,182 --> 00:14:59,463
[roger_mcfillin]: specially

1443
00:14:59,217 --> 00:14:59,678
[sean]: a young age

1444
00:14:59,603 --> 00:14:59,664
[roger_mcfillin]: you

1445
00:14:59,758 --> 00:15:00,981
[sean]: emily how old are you now i'm
sorry

1446
00:15:01,230 --> 00:15:01,370
[roger_mcfillin]: or

1447
00:15:02,392 --> 00:15:08,370
[emily_]: i'm currently twenty six i was on
the medication from seventeen almost at eighteen to

1448
00:15:08,410 --> 00:15:09,075
[emily_]: age twenty three

1449
00:15:10,403 --> 00:15:11,947
[sean]: well unfortunately

1450
00:15:11,583 --> 00:15:12,327
[roger_mcfillin]: unfortunately

1451
00:15:12,067 --> 00:15:12,227
[sean]: your

1452
00:15:12,448 --> 00:15:12,629
[roger_mcfillin]: here

1453
00:15:12,788 --> 00:15:13,250
[sean]: story isn't

1454
00:15:13,172 --> 00:15:13,412
[roger_mcfillin]: story

1455
00:15:13,330 --> 00:15:13,610
[sean]: unique

1456
00:15:13,453 --> 00:15:13,954
[roger_mcfillin]: isn't musique

1457
00:15:14,051 --> 00:15:14,553
[sean]: and it's really

1458
00:15:14,416 --> 00:15:14,516
[roger_mcfillin]: and

1459
00:15:14,593 --> 00:15:14,913
[sean]: important

1460
00:15:14,597 --> 00:15:15,279
[roger_mcfillin]: it's really important

1461
00:15:14,994 --> 00:15:15,455
[sean]: for us

1462
00:15:15,399 --> 00:15:15,500
[roger_mcfillin]: for

1463
00:15:15,535 --> 00:15:15,735
[sean]: maybe

1464
00:15:15,720 --> 00:15:15,821
[roger_mcfillin]: us

1465
00:15:15,775 --> 00:15:15,836
[sean]: to

1466
00:15:15,921 --> 00:15:16,222
[roger_mcfillin]: maybe to

1467
00:15:16,377 --> 00:15:16,858
[sean]: try to get some

1468
00:15:16,764 --> 00:15:16,844
[roger_mcfillin]: try

1469
00:15:16,918 --> 00:15:17,580
[sean]: understanding

1470
00:15:16,925 --> 00:15:17,948
[roger_mcfillin]: to get some understanding

1471
00:15:17,820 --> 00:15:18,001
[sean]: of

1472
00:15:18,209 --> 00:15:18,350
[roger_mcfillin]: of

1473
00:15:19,683 --> 00:15:20,345
[sean]: what the prevalence

1474
00:15:20,072 --> 00:15:20,734
[roger_mcfillin]: what the prevalence

1475
00:15:20,425 --> 00:15:20,745
[sean]: rate of

1476
00:15:20,815 --> 00:15:21,015
[roger_mcfillin]: rate

1477
00:15:21,146 --> 00:15:21,768
[sean]: this condition

1478
00:15:21,417 --> 00:15:22,139
[roger_mcfillin]: of this condition

1479
00:15:21,888 --> 00:15:22,289
[sean]: is yeah

1480
00:15:22,279 --> 00:15:22,400
[roger_mcfillin]: is

1481
00:15:22,349 --> 00:15:22,650
[sean]: as i want

1482
00:15:22,580 --> 00:15:22,681
[roger_mcfillin]: yea

1483
00:15:22,690 --> 00:15:22,730
[sean]: to

1484
00:15:22,741 --> 00:15:22,781
[roger_mcfillin]: as

1485
00:15:22,750 --> 00:15:23,031
[sean]: bring you

1486
00:15:22,962 --> 00:15:23,122
[roger_mcfillin]: want to

1487
00:15:23,091 --> 00:15:23,151
[sean]: in

1488
00:15:23,162 --> 00:15:23,303
[roger_mcfillin]: bring

1489
00:15:23,291 --> 00:15:23,492
[sean]: here

1490
00:15:23,343 --> 00:15:23,885
[roger_mcfillin]: you in here

1491
00:15:23,873 --> 00:15:24,574
[sean]: are you aware

1492
00:15:24,266 --> 00:15:24,968
[roger_mcfillin]: are you aware

1493
00:15:24,675 --> 00:15:24,735
[sean]: of

1494
00:15:25,069 --> 00:15:25,149
[roger_mcfillin]: of

1495
00:15:25,557 --> 00:15:26,338
[sean]: kind of the prevalence

1496
00:15:26,073 --> 00:15:26,722
[roger_mcfillin]: of the prevalence

1497
00:15:26,419 --> 00:15:26,619
[sean]: rate

1498
00:15:26,804 --> 00:15:27,027
[roger_mcfillin]: rate

1499
00:15:27,281 --> 00:15:27,421
[sean]: of

1500
00:15:27,443 --> 00:15:27,587
[yassie_pirani]: ah

1501
00:15:28,163 --> 00:15:28,524
[sean]: this kind

1502
00:15:28,552 --> 00:15:28,673
[roger_mcfillin]: this

1503
00:15:28,565 --> 00:15:29,047
[sean]: of disorder

1504
00:15:28,774 --> 00:15:29,441
[roger_mcfillin]: kind of disorder

1505
00:15:29,107 --> 00:15:29,609
[sean]: or condition

1506
00:15:29,501 --> 00:15:30,006
[roger_mcfillin]: or condition

1507
00:15:30,659 --> 00:15:40,756
[yassie_pirani]: ah so that's a really good question
so unfortunately we don't have data we have

1508
00:15:41,557 --> 00:15:48,729
[yassie_pirani]: a queen ten city is putting together
some qualitative research collecting patient experiences collecting stories

1509
00:15:48,829 --> 00:15:51,994
[yassie_pirani]: about the condition so that s going
to be a survey that's going to be

1510
00:15:52,054 --> 00:15:57,794
[yassie_pirani]: open for a while on bat and
then hopefully then will that will generate some

1511
00:15:58,560 --> 00:15:59,460
[emily_]: yeah

1512
00:15:58,949 --> 00:16:08,004
[yassie_pirani]: quantitative research but at this time it's
it's really a lot of anecdotal research and

1513
00:16:08,084 --> 00:16:14,435
[yassie_pirani]: qualitative research in that you see avail
well um and it's really really really challenging

1514
00:16:14,455 --> 00:16:18,081
[yassie_pirani]: because so many people probably have p
s s d and don't know so just

1515
00:16:18,121 --> 00:16:23,009
[yassie_pirani]: to kind of just briefly go ju
scribe sorry explain what p s is it

1516
00:16:23,110 --> 00:16:26,984
[yassie_pirani]: is because i don't think we've we've
done that exactly yet so even though it's

1517
00:16:28,389 --> 00:16:32,816
[yassie_pirani]: estimated to be were we actually really
don't know the percentage of people who will

1518
00:16:32,836 --> 00:16:33,257
[yassie_pirani]: take anti

1519
00:16:33,096 --> 00:16:33,690
[emily_]: hm

1520
00:16:33,297 --> 00:16:38,145
[yassie_pirani]: presence will develop p s s t
and so it can be it's a variety

1521
00:16:38,185 --> 00:16:42,873
[yassie_pirani]: of symptoms that can begin either during
or soon after stopping an anti de present

1522
00:16:43,734 --> 00:16:49,384
[yassie_pirani]: so up to six months after and
may persist for months years are indefinitely after

1523
00:16:49,444 --> 00:16:56,175
[yassie_pirani]: stopping the medication and so there's currently
no reliable treatment and the symptoms include so

1524
00:16:56,275 --> 00:17:00,943
[yassie_pirani]: reduced genital sensation or what we call
genital anesthesia for a lot of people explain

1525
00:17:01,023 --> 00:17:04,890
[yassie_pirani]: it as they went to the dentist
and the lido cane god put in the

1526
00:17:04,910 --> 00:17:05,431
[yassie_pirani]: wrong place

1527
00:17:06,282 --> 00:17:06,302
[roger_mcfillin]: m

1528
00:17:06,390 --> 00:17:06,532
[emily_]: ye

1529
00:17:06,622 --> 00:17:06,643
[sean]: m

1530
00:17:06,653 --> 00:17:16,709
[yassie_pirani]: and never went away also erectile dis
function or decrease vaginal lubrication later inability orgasm

1531
00:17:16,790 --> 00:17:25,865
[yassie_pirani]: so anrgasmia pleasureless week or muted orgasms
decreased or absent libido reduced response to sexual

1532
00:17:25,985 --> 00:17:34,176
[yassie_pirani]: stimuli decreased or lack nocturnal erections premature
delayed ejaculation reduced nipple sensitivity or sensitivity an

1533
00:17:34,276 --> 00:17:37,811
[yassie_pirani]: other orogenous zones um a loss of
pnpeniland

1534
00:17:37,269 --> 00:17:37,290
[emily_]: m

1535
00:17:37,852 --> 00:17:38,573
[yassie_pirani]: clatoral size

1536
00:17:39,150 --> 00:17:39,498
[emily_]: oh

1537
00:17:39,735 --> 00:17:46,326
[yassie_pirani]: and that's the sexual side and what's
which is becoming you know more i mean

1538
00:17:46,426 --> 00:17:54,139
[yassie_pirani]: that's been recognized the by m h
regulatory becoming recognized by regular tory bodies and

1539
00:17:54,199 --> 00:17:58,326
[yassie_pirani]: in the medical community what's not being
recognized is the other symptoms that often a

1540
00:17:58,386 --> 00:18:03,154
[yassie_pirani]: company p s s d so um
that's th there's sexual symptoms so it's kind

1541
00:18:03,194 --> 00:18:03,234
[yassie_pirani]: of

1542
00:18:03,218 --> 00:18:03,239
[emily_]: a

1543
00:18:03,254 --> 00:18:04,396
[yassie_pirani]: what past is called but then

1544
00:18:04,350 --> 00:18:04,370
[emily_]: m

1545
00:18:04,416 --> 00:18:06,720
[yassie_pirani]: there's emotional and cognitive issues on

1546
00:18:06,669 --> 00:18:06,690
[emily_]: m

1547
00:18:06,760 --> 00:18:09,124
[yassie_pirani]: the r really actually i mean

1548
00:18:09,122 --> 00:18:09,570
[emily_]: okay

1549
00:18:09,524 --> 00:18:12,029
[yassie_pirani]: all of it's very disabling but the
cognate

1550
00:18:12,120 --> 00:18:12,383
[emily_]: oh

1551
00:18:12,209 --> 00:18:17,197
[yassie_pirani]: emotional issues i find my patients are
more disabling a sexual issues so those are

1552
00:18:17,538 --> 00:18:26,312
[yassie_pirani]: included reduced intensity of emotions so anhidonia
particularly rom antic and hidonia so feel ability

1553
00:18:26,372 --> 00:18:31,241
[yassie_pirani]: to feel romance but a lot of
people just feel generalized and hidoniaso in abel

1554
00:18:31,361 --> 00:18:37,611
[yassie_pirani]: inability to feel any form of pleasure
in life which is to not be able

1555
00:18:37,651 --> 00:18:42,459
[yassie_pirani]: to feel love and connection and bonding
and empathy my clients say just it really

1556
00:18:42,499 --> 00:18:50,773
[yassie_pirani]: makes them non human they really can't
participate and in relationships of any kind in

1557
00:18:50,853 --> 00:18:58,466
[yassie_pirani]: a meaningful way compromise memory for sleep
quality loss of creativity a lot of people

1558
00:18:58,546 --> 00:19:02,433
[yassie_pirani]: say you know they were once musicians
artists or painters they just that architecture

1559
00:19:01,980 --> 00:19:02,221
[emily_]: yeah

1560
00:19:02,473 --> 00:19:06,079
[yassie_pirani]: of their creative architecture of their brain
has been disrupted and

1561
00:19:06,419 --> 00:19:06,540
[emily_]: yeah

1562
00:19:07,060 --> 00:19:10,927
[yassie_pirani]: they just thought that there seems to
be some kind of connection with one sexual

1563
00:19:11,568 --> 00:19:16,296
[yassie_pirani]: sexual ity and creativity we seem to
find the capacity to dream at night time

1564
00:19:17,357 --> 00:19:21,444
[yassie_pirani]: a lot of people there just there
they no longer have dreams or imagination they

1565
00:19:21,484 --> 00:19:25,972
[yassie_pirani]: can't visualize anything in their heads any
more they can't talk their minds i um

1566
00:19:26,252 --> 00:19:33,544
[yassie_pirani]: and yeah brain fog cognitive slowing so
those symptoms are what we are really wanting

1567
00:19:33,604 --> 00:19:39,935
[yassie_pirani]: to bring attention to as well because
a lot of my clients will say it

1568
00:19:39,975 --> 00:19:45,624
[yassie_pirani]: should just be called post s s
r i cyndrum because the sexual umbrella is

1569
00:19:45,665 --> 00:19:49,210
[yassie_pirani]: just one but my experience over here
has not been reckon by that label so

1570
00:19:49,433 --> 00:19:49,596
[roger_mcfillin]: yeah

1571
00:19:49,770 --> 00:19:50,010
[yassie_pirani]: that's

1572
00:19:50,443 --> 00:19:51,030
[emily_]: hm

1573
00:19:51,051 --> 00:19:57,077
[yassie_pirani]: that's a little description of exactly what
pst is and we don't know the prevalence

1574
00:19:57,138 --> 00:19:57,538
[yassie_pirani]: at this time

1575
00:19:59,133 --> 00:19:59,675
[sean]: what's interesting

1576
00:19:59,523 --> 00:19:59,665
[roger_mcfillin]: what's

1577
00:19:59,715 --> 00:19:59,856
[sean]: here

1578
00:19:59,725 --> 00:20:00,070
[roger_mcfillin]: interesting

1579
00:19:59,916 --> 00:19:59,996
[sean]: is

1580
00:20:00,111 --> 00:20:00,395
[roger_mcfillin]: here is

1581
00:20:00,579 --> 00:20:01,322
[sean]: it's the challenge

1582
00:20:00,962 --> 00:20:01,684
[roger_mcfillin]: it's the challenge

1583
00:20:01,402 --> 00:20:01,764
[sean]: because of

1584
00:20:01,784 --> 00:20:02,045
[roger_mcfillin]: because

1585
00:20:01,824 --> 00:20:02,567
[sean]: the diversity

1586
00:20:02,105 --> 00:20:02,968
[roger_mcfillin]: of the diversity

1587
00:20:03,009 --> 00:20:03,129
[sean]: of

1588
00:20:03,389 --> 00:20:03,510
[roger_mcfillin]: of

1589
00:20:04,113 --> 00:20:04,393
[sean]: human

1590
00:20:04,502 --> 00:20:04,762
[roger_mcfillin]: human

1591
00:20:04,553 --> 00:20:05,014
[sean]: genetic

1592
00:20:04,942 --> 00:20:05,403
[roger_mcfillin]: genetic

1593
00:20:05,114 --> 00:20:05,455
[sean]: make up

1594
00:20:05,503 --> 00:20:05,864
[roger_mcfillin]: make up

1595
00:20:05,795 --> 00:20:06,176
[sean]: were so

1596
00:20:06,184 --> 00:20:06,345
[roger_mcfillin]: were

1597
00:20:06,316 --> 00:20:06,677
[sean]: different

1598
00:20:06,445 --> 00:20:07,066
[roger_mcfillin]: so different

1599
00:20:07,180 --> 00:20:07,324
[yassie_pirani]: yeah

1600
00:20:07,338 --> 00:20:07,438
[sean]: so

1601
00:20:07,727 --> 00:20:07,827
[roger_mcfillin]: so

1602
00:20:07,879 --> 00:20:08,420
[sean]: one person

1603
00:20:08,268 --> 00:20:08,789
[roger_mcfillin]: one person

1604
00:20:08,560 --> 00:20:09,081
[sean]: might take

1605
00:20:08,949 --> 00:20:09,149
[roger_mcfillin]: might

1606
00:20:09,141 --> 00:20:09,161
[sean]: a

1607
00:20:09,250 --> 00:20:09,450
[roger_mcfillin]: take

1608
00:20:09,261 --> 00:20:09,502
[sean]: drug

1609
00:20:09,550 --> 00:20:09,570
[roger_mcfillin]: a

1610
00:20:09,562 --> 00:20:09,662
[sean]: and

1611
00:20:09,650 --> 00:20:09,891
[roger_mcfillin]: drug

1612
00:20:09,702 --> 00:20:10,203
[sean]: experience

1613
00:20:09,951 --> 00:20:10,592
[roger_mcfillin]: and experience

1614
00:20:10,423 --> 00:20:10,844
[sean]: one thing

1615
00:20:10,812 --> 00:20:11,213
[roger_mcfillin]: one thing

1616
00:20:11,164 --> 00:20:11,725
[sean]: while another

1617
00:20:11,553 --> 00:20:12,094
[roger_mcfillin]: while another

1618
00:20:11,805 --> 00:20:12,346
[sean]: person might

1619
00:20:12,194 --> 00:20:12,455
[roger_mcfillin]: person

1620
00:20:12,406 --> 00:20:12,567
[sean]: take

1621
00:20:12,575 --> 00:20:12,735
[roger_mcfillin]: might

1622
00:20:12,607 --> 00:20:12,927
[sean]: the same

1623
00:20:12,795 --> 00:20:13,096
[roger_mcfillin]: take the

1624
00:20:13,007 --> 00:20:13,248
[sean]: drug

1625
00:20:13,136 --> 00:20:13,617
[roger_mcfillin]: same drug

1626
00:20:13,428 --> 00:20:13,729
[sean]: and not

1627
00:20:13,817 --> 00:20:13,897
[roger_mcfillin]: and

1628
00:20:13,969 --> 00:20:14,530
[sean]: experience

1629
00:20:13,977 --> 00:20:14,939
[roger_mcfillin]: not experience

1630
00:20:14,730 --> 00:20:15,071
[sean]: either that

1631
00:20:15,119 --> 00:20:15,280
[roger_mcfillin]: either

1632
00:20:15,171 --> 00:20:15,592
[sean]: benefit

1633
00:20:15,360 --> 00:20:15,981
[roger_mcfillin]: that benefit

1634
00:20:15,832 --> 00:20:16,313
[sean]: or any

1635
00:20:16,221 --> 00:20:16,301
[roger_mcfillin]: or

1636
00:20:16,473 --> 00:20:16,533
[sean]: of

1637
00:20:16,542 --> 00:20:16,702
[roger_mcfillin]: any

1638
00:20:16,613 --> 00:20:17,154
[sean]: the negative

1639
00:20:16,842 --> 00:20:17,523
[roger_mcfillin]: of the negative

1640
00:20:17,214 --> 00:20:17,855
[sean]: consequences

1641
00:20:17,583 --> 00:20:18,225
[roger_mcfillin]: consequences

1642
00:20:17,935 --> 00:20:18,215
[sean]: with it

1643
00:20:18,325 --> 00:20:18,585
[roger_mcfillin]: with it

1644
00:20:18,790 --> 00:20:18,954
[yassie_pirani]: yeah

1645
00:20:18,976 --> 00:20:19,296
[sean]: and i have

1646
00:20:19,367 --> 00:20:19,447
[roger_mcfillin]: and

1647
00:20:19,497 --> 00:20:19,677
[sean]: deep

1648
00:20:19,507 --> 00:20:19,667
[roger_mcfillin]: i have

1649
00:20:19,777 --> 00:20:20,137
[sean]: dived

1650
00:20:19,887 --> 00:20:20,509
[roger_mcfillin]: deep dived

1651
00:20:20,338 --> 00:20:20,738
[sean]: into

1652
00:20:20,749 --> 00:20:21,110
[roger_mcfillin]: into

1653
00:20:21,098 --> 00:20:21,879
[sean]: anti depressions

1654
00:20:21,490 --> 00:20:22,292
[roger_mcfillin]: anti de presence

1655
00:20:21,980 --> 00:20:22,420
[sean]: for the

1656
00:20:22,392 --> 00:20:22,532
[roger_mcfillin]: for

1657
00:20:22,500 --> 00:20:22,740
[sean]: past

1658
00:20:22,732 --> 00:20:22,832
[roger_mcfillin]: the

1659
00:20:22,861 --> 00:20:23,061
[sean]: couple

1660
00:20:22,893 --> 00:20:23,113
[roger_mcfillin]: past

1661
00:20:23,101 --> 00:20:23,381
[sean]: of years

1662
00:20:23,253 --> 00:20:23,434
[roger_mcfillin]: couple

1663
00:20:23,441 --> 00:20:23,461
[sean]: i

1664
00:20:23,494 --> 00:20:23,534
[roger_mcfillin]: of

1665
00:20:23,521 --> 00:20:23,641
[sean]: mean

1666
00:20:23,574 --> 00:20:24,295
[roger_mcfillin]: years i mean i've

1667
00:20:24,783 --> 00:20:25,206
[sean]: become so

1668
00:20:25,156 --> 00:20:25,417
[roger_mcfillin]: become

1669
00:20:25,178 --> 00:20:25,199
[yassie_pirani]: m

1670
00:20:25,307 --> 00:20:25,770
[sean]: obsessive

1671
00:20:25,497 --> 00:20:26,178
[roger_mcfillin]: so obsessive

1672
00:20:25,830 --> 00:20:26,213
[sean]: about it

1673
00:20:26,238 --> 00:20:26,599
[roger_mcfillin]: about it

1674
00:20:26,897 --> 00:20:27,098
[sean]: that

1675
00:20:27,280 --> 00:20:27,480
[roger_mcfillin]: that

1676
00:20:27,983 --> 00:20:28,383
[sean]: i want

1677
00:20:28,372 --> 00:20:28,392
[roger_mcfillin]: i

1678
00:20:28,463 --> 00:20:28,543
[sean]: to

1679
00:20:28,554 --> 00:20:28,776
[roger_mcfillin]: want

1680
00:20:28,643 --> 00:20:28,864
[sean]: find

1681
00:20:28,857 --> 00:20:29,281
[roger_mcfillin]: to find

1682
00:20:29,084 --> 00:20:29,284
[sean]: out

1683
00:20:29,484 --> 00:20:29,665
[roger_mcfillin]: out

1684
00:20:30,065 --> 00:20:30,386
[sean]: those

1685
00:20:30,462 --> 00:20:30,767
[roger_mcfillin]: those

1686
00:20:30,506 --> 00:20:30,646
[sean]: who

1687
00:20:30,909 --> 00:20:31,051
[roger_mcfillin]: who

1688
00:20:31,487 --> 00:20:31,808
[sean]: actually

1689
00:20:31,862 --> 00:20:32,182
[roger_mcfillin]: actually

1690
00:20:31,908 --> 00:20:32,328
[sean]: promote

1691
00:20:32,302 --> 00:20:32,683
[roger_mcfillin]: promote

1692
00:20:32,368 --> 00:20:32,669
[sean]: the drug

1693
00:20:32,743 --> 00:20:32,823
[roger_mcfillin]: the

1694
00:20:32,749 --> 00:20:32,989
[sean]: so there

1695
00:20:32,883 --> 00:20:33,064
[roger_mcfillin]: drug

1696
00:20:33,109 --> 00:20:33,209
[sean]: are

1697
00:20:33,124 --> 00:20:33,364
[roger_mcfillin]: so there

1698
00:20:33,310 --> 00:20:33,570
[sean]: people

1699
00:20:33,484 --> 00:20:33,584
[roger_mcfillin]: are

1700
00:20:33,650 --> 00:20:33,730
[sean]: out

1701
00:20:33,685 --> 00:20:33,945
[roger_mcfillin]: people

1702
00:20:33,770 --> 00:20:34,050
[sean]: there will

1703
00:20:34,025 --> 00:20:34,125
[roger_mcfillin]: out

1704
00:20:34,071 --> 00:20:34,151
[sean]: say

1705
00:20:34,145 --> 00:20:34,266
[roger_mcfillin]: there

1706
00:20:34,191 --> 00:20:34,291
[sean]: hey

1707
00:20:34,306 --> 00:20:34,426
[roger_mcfillin]: will

1708
00:20:34,331 --> 00:20:34,431
[sean]: it's

1709
00:20:34,466 --> 00:20:34,546
[roger_mcfillin]: say

1710
00:20:34,491 --> 00:20:34,691
[sean]: really

1711
00:20:34,566 --> 00:20:34,827
[roger_mcfillin]: hey it's

1712
00:20:34,731 --> 00:20:34,912
[sean]: helped

1713
00:20:34,867 --> 00:20:35,067
[roger_mcfillin]: really

1714
00:20:34,952 --> 00:20:35,012
[sean]: me

1715
00:20:35,107 --> 00:20:35,387
[roger_mcfillin]: help me

1716
00:20:35,663 --> 00:20:35,984
[sean]: and even

1717
00:20:36,049 --> 00:20:36,109
[roger_mcfillin]: and

1718
00:20:36,105 --> 00:20:36,407
[sean]: emily

1719
00:20:36,209 --> 00:20:36,790
[roger_mcfillin]: even emily

1720
00:20:36,527 --> 00:20:36,809
[sean]: here

1721
00:20:36,930 --> 00:20:37,230
[roger_mcfillin]: here

1722
00:20:37,743 --> 00:20:38,243
[sean]: recognize

1723
00:20:38,132 --> 00:20:38,653
[roger_mcfillin]: recognized

1724
00:20:38,344 --> 00:20:38,784
[sean]: as there was

1725
00:20:38,734 --> 00:20:38,995
[roger_mcfillin]: as there

1726
00:20:39,005 --> 00:20:39,265
[sean]: some

1727
00:20:39,075 --> 00:20:39,657
[roger_mcfillin]: was some

1728
00:20:39,720 --> 00:20:39,921
[emily_]: yeah

1729
00:20:39,766 --> 00:20:40,167
[sean]: effect

1730
00:20:40,158 --> 00:20:40,520
[roger_mcfillin]: effect

1731
00:20:40,888 --> 00:20:41,008
[sean]: and i

1732
00:20:40,989 --> 00:20:41,130
[emily_]: yeah

1733
00:20:41,088 --> 00:20:41,449
[sean]: try to make

1734
00:20:41,382 --> 00:20:41,562
[roger_mcfillin]: i try

1735
00:20:41,549 --> 00:20:41,749
[sean]: sense

1736
00:20:41,642 --> 00:20:41,822
[roger_mcfillin]: to make

1737
00:20:41,809 --> 00:20:42,070
[sean]: of that

1738
00:20:41,923 --> 00:20:42,444
[roger_mcfillin]: sense of that

1739
00:20:42,511 --> 00:20:42,831
[sean]: because it

1740
00:20:42,904 --> 00:20:43,125
[roger_mcfillin]: because

1741
00:20:42,931 --> 00:20:43,172
[sean]: really

1742
00:20:43,165 --> 00:20:43,205
[roger_mcfillin]: it

1743
00:20:43,272 --> 00:20:43,492
[sean]: seems

1744
00:20:43,305 --> 00:20:43,546
[roger_mcfillin]: really

1745
00:20:43,532 --> 00:20:43,632
[sean]: like

1746
00:20:43,646 --> 00:20:43,866
[roger_mcfillin]: seems

1747
00:20:43,673 --> 00:20:44,093
[sean]: it's actually

1748
00:20:43,906 --> 00:20:44,167
[roger_mcfillin]: like it's

1749
00:20:44,133 --> 00:20:44,173
[sean]: a

1750
00:20:44,207 --> 00:20:44,467
[roger_mcfillin]: actually

1751
00:20:44,274 --> 00:20:44,574
[sean]: small

1752
00:20:44,527 --> 00:20:44,547
[roger_mcfillin]: a

1753
00:20:44,634 --> 00:20:45,075
[sean]: percentage

1754
00:20:44,668 --> 00:20:45,449
[roger_mcfillin]: small percentage

1755
00:20:45,135 --> 00:20:45,736
[sean]: of people

1756
00:20:45,509 --> 00:20:45,569
[roger_mcfillin]: of

1757
00:20:45,680 --> 00:20:45,781
[yassie_pirani]: kay

1758
00:20:45,810 --> 00:20:46,130
[roger_mcfillin]: people

1759
00:20:46,657 --> 00:20:46,998
[sean]: and when

1760
00:20:47,042 --> 00:20:47,142
[roger_mcfillin]: and

1761
00:20:47,058 --> 00:20:47,619
[sean]: we compare

1762
00:20:47,242 --> 00:20:48,023
[roger_mcfillin]: when we compare

1763
00:20:47,699 --> 00:20:48,040
[sean]: the drug

1764
00:20:48,063 --> 00:20:48,163
[roger_mcfillin]: the

1765
00:20:48,200 --> 00:20:48,320
[sean]: to

1766
00:20:48,203 --> 00:20:48,423
[roger_mcfillin]: drug

1767
00:20:48,561 --> 00:20:49,082
[sean]: placebo

1768
00:20:48,564 --> 00:20:49,445
[roger_mcfillin]: to placebo

1769
00:20:49,522 --> 00:20:49,963
[sean]: there real

1770
00:20:49,885 --> 00:20:50,086
[roger_mcfillin]: there's

1771
00:20:50,083 --> 00:20:50,803
[sean]: controversy

1772
00:20:50,186 --> 00:20:51,187
[roger_mcfillin]: real controversy

1773
00:20:51,004 --> 00:20:51,404
[sean]: whether it

1774
00:20:51,407 --> 00:20:51,788
[roger_mcfillin]: whether it

1775
00:20:51,884 --> 00:20:52,485
[sean]: out performs

1776
00:20:52,288 --> 00:20:52,869
[roger_mcfillin]: out performs

1777
00:20:52,585 --> 00:20:53,105
[sean]: a placebo

1778
00:20:52,969 --> 00:20:53,510
[roger_mcfillin]: a placebo

1779
00:20:53,370 --> 00:20:53,572
[emily_]: oh

1780
00:20:53,546 --> 00:20:53,786
[sean]: at any

1781
00:20:53,930 --> 00:20:54,451
[roger_mcfillin]: at anyway

1782
00:20:54,967 --> 00:20:55,728
[sean]: in any meaningful

1783
00:20:55,362 --> 00:20:56,124
[roger_mcfillin]: in any meaningful

1784
00:20:55,828 --> 00:20:55,968
[sean]: way

1785
00:20:56,204 --> 00:20:56,344
[roger_mcfillin]: way

1786
00:20:56,969 --> 00:20:57,109
[sean]: but

1787
00:20:57,345 --> 00:20:57,486
[roger_mcfillin]: but

1788
00:20:57,409 --> 00:20:58,010
[sean]: what it is

1789
00:20:57,806 --> 00:20:58,387
[roger_mcfillin]: what it is

1790
00:20:58,330 --> 00:20:58,630
[sean]: it is

1791
00:20:58,707 --> 00:20:59,008
[roger_mcfillin]: it is

1792
00:20:58,910 --> 00:20:58,931
[sean]: a

1793
00:20:59,308 --> 00:20:59,348
[roger_mcfillin]: a

1794
00:20:59,411 --> 00:20:59,931
[sean]: psycho active

1795
00:20:59,809 --> 00:21:00,029
[roger_mcfillin]: psycho

1796
00:20:59,991 --> 00:21:00,472
[sean]: substance

1797
00:21:00,109 --> 00:21:00,851
[roger_mcfillin]: active substance

1798
00:21:01,173 --> 00:21:01,613
[sean]: that is

1799
00:21:01,562 --> 00:21:01,742
[roger_mcfillin]: that

1800
00:21:01,774 --> 00:21:02,094
[sean]: going

1801
00:21:01,923 --> 00:21:02,484
[roger_mcfillin]: is going

1802
00:21:02,254 --> 00:21:02,375
[sean]: to

1803
00:21:02,645 --> 00:21:02,765
[roger_mcfillin]: to

1804
00:21:02,875 --> 00:21:03,236
[sean]: alter

1805
00:21:03,247 --> 00:21:03,628
[roger_mcfillin]: alter

1806
00:21:03,797 --> 00:21:04,017
[sean]: your

1807
00:21:04,169 --> 00:21:04,430
[roger_mcfillin]: your

1808
00:21:04,518 --> 00:21:05,079
[sean]: cognitive

1809
00:21:04,912 --> 00:21:05,453
[roger_mcfillin]: cognitive

1810
00:21:05,460 --> 00:21:05,580
[sean]: and

1811
00:21:05,855 --> 00:21:05,995
[roger_mcfillin]: and

1812
00:21:06,101 --> 00:21:06,762
[sean]: physiological

1813
00:21:06,497 --> 00:21:07,159
[roger_mcfillin]: physiological

1814
00:21:06,810 --> 00:21:07,500
[emily_]: yeah

1815
00:21:06,862 --> 00:21:07,183
[sean]: states

1816
00:21:07,259 --> 00:21:07,600
[roger_mcfillin]: states

1817
00:21:07,984 --> 00:21:08,244
[sean]: and so

1818
00:21:08,362 --> 00:21:08,462
[roger_mcfillin]: and

1819
00:21:08,385 --> 00:21:08,465
[sean]: for

1820
00:21:08,522 --> 00:21:08,602
[roger_mcfillin]: so

1821
00:21:08,545 --> 00:21:08,825
[sean]: somebody

1822
00:21:08,762 --> 00:21:08,863
[roger_mcfillin]: for

1823
00:21:08,865 --> 00:21:08,966
[sean]: who

1824
00:21:08,923 --> 00:21:09,203
[roger_mcfillin]: somebody

1825
00:21:09,046 --> 00:21:09,226
[sean]: might

1826
00:21:09,263 --> 00:21:09,343
[roger_mcfillin]: who

1827
00:21:09,306 --> 00:21:09,406
[sean]: be

1828
00:21:09,423 --> 00:21:09,604
[roger_mcfillin]: might

1829
00:21:09,486 --> 00:21:10,228
[sean]: experiencing

1830
00:21:09,684 --> 00:21:10,585
[roger_mcfillin]: be experiencing

1831
00:21:10,789 --> 00:21:11,370
[sean]: intense

1832
00:21:11,166 --> 00:21:11,727
[roger_mcfillin]: intense

1833
00:21:11,450 --> 00:21:12,091
[sean]: emotional

1834
00:21:11,807 --> 00:21:12,488
[roger_mcfillin]: emotional

1835
00:21:12,211 --> 00:21:12,491
[sean]: pain

1836
00:21:12,588 --> 00:21:12,849
[roger_mcfillin]: pain

1837
00:21:13,032 --> 00:21:13,878
[sean]: or activity

1838
00:21:13,409 --> 00:21:14,271
[roger_mcfillin]: or re activity

1839
00:21:14,673 --> 00:21:15,233
[sean]: it's certainly

1840
00:21:15,062 --> 00:21:15,623
[roger_mcfillin]: it's certainly

1841
00:21:15,334 --> 00:21:15,814
[sean]: possible

1842
00:21:15,723 --> 00:21:16,204
[roger_mcfillin]: possible

1843
00:21:15,875 --> 00:21:16,335
[sean]: that some

1844
00:21:16,264 --> 00:21:16,384
[roger_mcfillin]: that

1845
00:21:16,395 --> 00:21:16,676
[sean]: people

1846
00:21:16,544 --> 00:21:17,065
[roger_mcfillin]: some people

1847
00:21:16,816 --> 00:21:17,036
[sean]: might

1848
00:21:17,206 --> 00:21:17,406
[roger_mcfillin]: might

1849
00:21:17,617 --> 00:21:18,158
[sean]: experience

1850
00:21:18,007 --> 00:21:18,548
[roger_mcfillin]: experience

1851
00:21:18,150 --> 00:21:18,456
[emily_]: oh

1852
00:21:18,238 --> 00:21:18,819
[sean]: an initial

1853
00:21:18,629 --> 00:21:19,210
[roger_mcfillin]: an initial

1854
00:21:19,420 --> 00:21:19,881
[sean]: positive

1855
00:21:19,811 --> 00:21:20,292
[roger_mcfillin]: positive

1856
00:21:19,941 --> 00:21:20,382
[sean]: response

1857
00:21:20,352 --> 00:21:20,753
[roger_mcfillin]: response

1858
00:21:20,422 --> 00:21:21,203
[sean]: to the dampening

1859
00:21:20,813 --> 00:21:21,594
[roger_mcfillin]: to the dampening

1860
00:21:21,464 --> 00:21:21,865
[sean]: of that

1861
00:21:21,855 --> 00:21:21,975
[roger_mcfillin]: of

1862
00:21:21,925 --> 00:21:22,345
[sean]: emotional

1863
00:21:22,115 --> 00:21:22,737
[roger_mcfillin]: that emotional

1864
00:21:22,405 --> 00:21:22,846
[sean]: experience

1865
00:21:22,777 --> 00:21:23,218
[roger_mcfillin]: experience

1866
00:21:22,866 --> 00:21:23,367
[sean]: whether we call

1867
00:21:23,258 --> 00:21:23,458
[roger_mcfillin]: whether

1868
00:21:23,427 --> 00:21:23,467
[sean]: it

1869
00:21:23,478 --> 00:21:23,538
[roger_mcfillin]: we

1870
00:21:23,507 --> 00:21:23,908
[sean]: emotional

1871
00:21:23,598 --> 00:21:24,300
[roger_mcfillin]: call it emotional

1872
00:21:23,968 --> 00:21:24,269
[sean]: numbing

1873
00:21:24,360 --> 00:21:24,660
[roger_mcfillin]: numbing

1874
00:21:24,990 --> 00:21:25,110
[sean]: or

1875
00:21:25,372 --> 00:21:25,493
[roger_mcfillin]: or

1876
00:21:25,831 --> 00:21:26,372
[sean]: an emotional

1877
00:21:26,196 --> 00:21:26,738
[roger_mcfillin]: an emotional

1878
00:21:26,452 --> 00:21:26,814
[sean]: blond in

1879
00:21:26,839 --> 00:21:27,221
[roger_mcfillin]: blunting

1880
00:21:26,894 --> 00:21:27,177
[sean]: effect

1881
00:21:27,281 --> 00:21:27,562
[roger_mcfillin]: effect

1882
00:21:27,620 --> 00:21:28,185
[sean]: that could

1883
00:21:28,005 --> 00:21:28,185
[roger_mcfillin]: that

1884
00:21:28,286 --> 00:21:28,407
[sean]: be

1885
00:21:28,326 --> 00:21:28,788
[roger_mcfillin]: could be

1886
00:21:29,283 --> 00:21:29,864
[sean]: or a percentage

1887
00:21:29,672 --> 00:21:30,259
[roger_mcfillin]: or a percentage

1888
00:21:29,904 --> 00:21:30,304
[sean]: of people

1889
00:21:30,300 --> 00:21:30,704
[roger_mcfillin]: of people

1890
00:21:30,945 --> 00:21:31,006
[sean]: it

1891
00:21:31,019 --> 00:21:31,267
[yassie_pirani]: yes

1892
00:21:31,046 --> 00:21:31,346
[sean]: could be

1893
00:21:31,432 --> 00:21:31,592
[roger_mcfillin]: could

1894
00:21:31,486 --> 00:21:32,007
[sean]: interpreted

1895
00:21:31,652 --> 00:21:32,394
[roger_mcfillin]: be interpreted

1896
00:21:32,127 --> 00:21:32,628
[sean]: as something

1897
00:21:32,535 --> 00:21:32,615
[roger_mcfillin]: as

1898
00:21:32,668 --> 00:21:32,768
[sean]: that

1899
00:21:32,715 --> 00:21:33,016
[roger_mcfillin]: something

1900
00:21:32,829 --> 00:21:32,889
[sean]: is

1901
00:21:33,056 --> 00:21:33,156
[roger_mcfillin]: that

1902
00:21:33,189 --> 00:21:33,369
[sean]: quite

1903
00:21:33,216 --> 00:21:33,277
[roger_mcfillin]: is

1904
00:21:33,450 --> 00:21:33,970
[sean]: relieving

1905
00:21:33,577 --> 00:21:34,339
[roger_mcfillin]: quite relieving

1906
00:21:34,331 --> 00:21:34,632
[sean]: so there

1907
00:21:34,720 --> 00:21:34,800
[roger_mcfillin]: so

1908
00:21:34,732 --> 00:21:34,872
[sean]: may

1909
00:21:34,841 --> 00:21:34,981
[roger_mcfillin]: there

1910
00:21:34,992 --> 00:21:35,072
[sean]: be

1911
00:21:35,121 --> 00:21:35,282
[roger_mcfillin]: may

1912
00:21:35,172 --> 00:21:35,333
[sean]: some

1913
00:21:35,382 --> 00:21:35,462
[roger_mcfillin]: be

1914
00:21:35,433 --> 00:21:35,854
[sean]: benefit

1915
00:21:35,562 --> 00:21:36,224
[roger_mcfillin]: some benefit

1916
00:21:36,214 --> 00:21:36,715
[sean]: the question

1917
00:21:36,585 --> 00:21:37,106
[roger_mcfillin]: the question

1918
00:21:36,795 --> 00:21:37,316
[sean]: is always

1919
00:21:37,187 --> 00:21:37,708
[roger_mcfillin]: is always

1920
00:21:37,576 --> 00:21:38,177
[sean]: at what cost

1921
00:21:37,969 --> 00:21:38,570
[roger_mcfillin]: at what cost

1922
00:21:38,919 --> 00:21:39,379
[sean]: so if there

1923
00:21:39,292 --> 00:21:39,513
[roger_mcfillin]: so if

1924
00:21:39,520 --> 00:21:39,640
[sean]: is

1925
00:21:39,573 --> 00:21:39,754
[roger_mcfillin]: there

1926
00:21:39,800 --> 00:21:39,840
[sean]: a

1927
00:21:39,894 --> 00:21:40,215
[roger_mcfillin]: is a

1928
00:21:40,201 --> 00:21:40,702
[sean]: emotional

1929
00:21:40,577 --> 00:21:41,078
[roger_mcfillin]: emotional

1930
00:21:40,822 --> 00:21:41,203
[sean]: blunting

1931
00:21:41,199 --> 00:21:41,701
[roger_mcfillin]: blunting

1932
00:21:41,824 --> 00:21:42,827
[sean]: or physiological

1933
00:21:42,202 --> 00:21:43,206
[roger_mcfillin]: or physiological

1934
00:21:42,968 --> 00:21:43,349
[sean]: shifts or

1935
00:21:43,366 --> 00:21:43,607
[roger_mcfillin]: shifts

1936
00:21:43,469 --> 00:21:43,930
[sean]: changes

1937
00:21:43,687 --> 00:21:44,330
[roger_mcfillin]: or changes

1938
00:21:44,723 --> 00:21:45,325
[sean]: your reaction

1939
00:21:45,112 --> 00:21:45,714
[roger_mcfillin]: your reaction

1940
00:21:45,426 --> 00:21:46,008
[sean]: to emotional

1941
00:21:45,775 --> 00:21:46,397
[roger_mcfillin]: through emotional

1942
00:21:46,108 --> 00:21:46,530
[sean]: stimuli

1943
00:21:46,497 --> 00:21:46,919
[roger_mcfillin]: stimuli

1944
00:21:47,333 --> 00:21:48,014
[sean]: it would make

1945
00:21:47,962 --> 00:21:48,122
[roger_mcfillin]: would

1946
00:21:48,095 --> 00:21:48,315
[sean]: sense

1947
00:21:48,223 --> 00:21:48,403
[roger_mcfillin]: make

1948
00:21:48,355 --> 00:21:48,616
[sean]: that there

1949
00:21:48,483 --> 00:21:48,704
[roger_mcfillin]: sense

1950
00:21:48,656 --> 00:21:48,716
[sean]: is

1951
00:21:48,724 --> 00:21:49,104
[roger_mcfillin]: that there is

1952
00:21:49,200 --> 00:21:49,423
[emily_]: yeah

1953
00:21:49,318 --> 00:21:49,739
[sean]: blunting

1954
00:21:49,706 --> 00:21:50,127
[roger_mcfillin]: blunting

1955
00:21:49,799 --> 00:21:50,180
[sean]: in other

1956
00:21:50,167 --> 00:21:50,227
[roger_mcfillin]: in

1957
00:21:50,241 --> 00:21:50,541
[sean]: ways

1958
00:21:50,387 --> 00:21:50,928
[roger_mcfillin]: other ways

1959
00:21:50,963 --> 00:21:51,665
[sean]: creativity

1960
00:21:51,349 --> 00:21:52,051
[roger_mcfillin]: creativity

1961
00:21:53,269 --> 00:21:53,911
[sean]: sexuality

1962
00:21:53,625 --> 00:21:54,269
[roger_mcfillin]: sexuality

1963
00:21:55,529 --> 00:21:55,672
[yassie_pirani]: ye

1964
00:21:55,704 --> 00:21:55,986
[sean]: vito

1965
00:21:56,093 --> 00:21:56,355
[roger_mcfillin]: b to

1966
00:21:57,389 --> 00:21:58,499
[yassie_pirani]: oh

1967
00:21:57,623 --> 00:21:58,044
[sean]: is that is

1968
00:21:57,992 --> 00:21:58,072
[roger_mcfillin]: is

1969
00:21:58,084 --> 00:21:58,204
[sean]: that

1970
00:21:58,112 --> 00:21:58,253
[roger_mcfillin]: that

1971
00:21:58,264 --> 00:21:58,404
[sean]: how

1972
00:21:58,353 --> 00:21:58,816
[roger_mcfillin]: is that how

1973
00:21:58,765 --> 00:21:59,206
[sean]: the two of

1974
00:21:59,157 --> 00:21:59,237
[roger_mcfillin]: the

1975
00:21:59,286 --> 00:21:59,407
[sean]: you

1976
00:21:59,318 --> 00:21:59,418
[roger_mcfillin]: two

1977
00:21:59,527 --> 00:21:59,687
[sean]: kind

1978
00:21:59,539 --> 00:21:59,780
[roger_mcfillin]: of you

1979
00:21:59,727 --> 00:22:00,008
[sean]: of think

1980
00:21:59,921 --> 00:22:00,081
[roger_mcfillin]: kind

1981
00:22:00,068 --> 00:22:00,128
[sean]: of

1982
00:22:00,121 --> 00:22:00,182
[roger_mcfillin]: of

1983
00:22:00,188 --> 00:22:00,249
[sean]: it

1984
00:22:00,242 --> 00:22:00,644
[roger_mcfillin]: think of it

1985
00:22:00,649 --> 00:22:01,090
[sean]: as i think

1986
00:22:01,026 --> 00:22:01,086
[roger_mcfillin]: as

1987
00:22:01,151 --> 00:22:01,351
[sean]: about

1988
00:22:01,206 --> 00:22:01,488
[roger_mcfillin]: i think

1989
00:22:01,411 --> 00:22:01,471
[sean]: it

1990
00:22:01,548 --> 00:22:01,849
[roger_mcfillin]: about it

1991
00:22:03,329 --> 00:22:07,115
[yassie_pirani]: yeah i a hundred per cent and
one thing that i

1992
00:22:07,124 --> 00:22:07,205
[roger_mcfillin]: oh

1993
00:22:07,195 --> 00:22:11,041
[yassie_pirani]: forgot to mention is a lot of
people just feel generally less tactile sensation all

1994
00:22:11,102 --> 00:22:16,771
[yassie_pirani]: over their body like their body is
numb they don't feel connected there's de personalization

1995
00:22:16,871 --> 00:22:22,140
[yassie_pirani]: and de realization people people experience and
just just a general lack of sensation like

1996
00:22:22,160 --> 00:22:26,868
[yassie_pirani]: they don't feel butterflies and they're got
any more that even they'll touch their skin

1997
00:22:27,048 --> 00:22:31,349
[yassie_pirani]: and have it's just it's just it's
just like somebody

1998
00:22:31,242 --> 00:22:31,323
[emily_]: ah

1999
00:22:31,409 --> 00:22:35,092
[yassie_pirani]: put a numbing jell all over their
body and people are so confused so there's

2000
00:22:35,132 --> 00:22:44,602
[yassie_pirani]: something deeply impacted in some people's nervous
system on and the emotions you know what

2001
00:22:44,662 --> 00:22:47,948
[yassie_pirani]: we're kind of coming to learn about
the connection of our motions and our nervous

2002
00:22:47,988 --> 00:22:48,709
[yassie_pirani]: system and how

2003
00:22:50,130 --> 00:22:50,150
[emily_]: m

2004
00:22:50,191 --> 00:22:55,020
[yassie_pirani]: of course then yeah if the drug
is kind of numbing some of what's going

2005
00:22:55,120 --> 00:22:59,872
[yassie_pirani]: on for people emotionally then there's physiological
numbing as well those

2006
00:22:59,743 --> 00:22:59,965
[sean]: yeah

2007
00:22:59,973 --> 00:23:01,336
[yassie_pirani]: things are connected because we're

2008
00:23:01,453 --> 00:23:01,673
[sean]: here's

2009
00:23:01,832 --> 00:23:02,073
[roger_mcfillin]: here's

2010
00:23:02,174 --> 00:23:02,414
[sean]: here's

2011
00:23:02,575 --> 00:23:02,817
[roger_mcfillin]: here's

2012
00:23:03,797 --> 00:23:04,337
[sean]: i always made

2013
00:23:04,333 --> 00:23:04,534
[roger_mcfillin]: always

2014
00:23:04,377 --> 00:23:04,999
[sean]: the assumption

2015
00:23:04,574 --> 00:23:04,756
[roger_mcfillin]: make

2016
00:23:05,119 --> 00:23:06,160
[sean]: that a side effect

2017
00:23:06,004 --> 00:23:06,085
[roger_mcfillin]: it

2018
00:23:06,761 --> 00:23:07,403
[sean]: while you're on a

2019
00:23:07,443 --> 00:23:07,524
[roger_mcfillin]: you

2020
00:23:07,483 --> 00:23:08,705
[sean]: drug is while you're

2021
00:23:08,712 --> 00:23:09,074
[roger_mcfillin]: while you're

2022
00:23:08,925 --> 00:23:09,486
[sean]: on the drug

2023
00:23:09,356 --> 00:23:09,416
[roger_mcfillin]: on

2024
00:23:09,907 --> 00:23:10,448
[sean]: and even if you

2025
00:23:10,442 --> 00:23:10,562
[roger_mcfillin]: even

2026
00:23:10,468 --> 00:23:10,608
[sean]: were

2027
00:23:10,643 --> 00:23:10,703
[roger_mcfillin]: if

2028
00:23:10,688 --> 00:23:11,489
[sean]: to read through

2029
00:23:11,365 --> 00:23:11,565
[roger_mcfillin]: red

2030
00:23:11,549 --> 00:23:13,012
[sean]: the list of side effects

2031
00:23:12,769 --> 00:23:13,050
[roger_mcfillin]: side of

2032
00:23:13,863 --> 00:23:14,364
[sean]: as you're taking

2033
00:23:14,352 --> 00:23:14,492
[roger_mcfillin]: you're

2034
00:23:14,405 --> 00:23:14,645
[sean]: a drug

2035
00:23:14,532 --> 00:23:14,733
[roger_mcfillin]: taking

2036
00:23:14,706 --> 00:23:14,806
[sean]: you

2037
00:23:14,793 --> 00:23:14,813
[roger_mcfillin]: a

2038
00:23:14,846 --> 00:23:18,138
[sean]: may think i feeling any of these
side effects i never really

2039
00:23:18,013 --> 00:23:18,195
[roger_mcfillin]: never

2040
00:23:18,239 --> 00:23:18,399
[sean]: think

2041
00:23:18,296 --> 00:23:18,518
[roger_mcfillin]: really

2042
00:23:18,479 --> 00:23:18,740
[sean]: about

2043
00:23:18,620 --> 00:23:19,125
[roger_mcfillin]: think about

2044
00:23:19,603 --> 00:23:19,883
[sean]: after

2045
00:23:20,012 --> 00:23:20,232
[roger_mcfillin]: after

2046
00:23:20,284 --> 00:23:21,546
[sean]: i am you know getting off

2047
00:23:21,594 --> 00:23:21,795
[roger_mcfillin]: getting

2048
00:23:21,606 --> 00:23:23,569
[sean]: the drug that there could be side
effects

2049
00:23:23,457 --> 00:23:23,638
[roger_mcfillin]: side

2050
00:23:23,649 --> 00:23:23,789
[sean]: that

2051
00:23:23,698 --> 00:23:23,958
[roger_mcfillin]: effects

2052
00:23:24,070 --> 00:23:24,630
[sean]: continue

2053
00:23:24,499 --> 00:23:25,040
[roger_mcfillin]: continue

2054
00:23:24,971 --> 00:23:25,091
[sean]: or

2055
00:23:25,380 --> 00:23:25,500
[roger_mcfillin]: or

2056
00:23:26,023 --> 00:23:26,764
[sean]: show themselves

2057
00:23:26,412 --> 00:23:27,156
[roger_mcfillin]: show themselves

2058
00:23:27,104 --> 00:23:27,505
[sean]: when i'm no

2059
00:23:27,518 --> 00:23:27,619
[roger_mcfillin]: when

2060
00:23:27,585 --> 00:23:27,846
[sean]: longer

2061
00:23:27,679 --> 00:23:27,760
[roger_mcfillin]: i'm

2062
00:23:27,720 --> 00:23:28,110
[emily_]: oh

2063
00:23:27,840 --> 00:23:27,900
[roger_mcfillin]: no

2064
00:23:27,946 --> 00:23:28,246
[sean]: taking

2065
00:23:28,001 --> 00:23:28,645
[roger_mcfillin]: longer picking

2066
00:23:28,527 --> 00:23:28,927
[sean]: the drug

2067
00:23:28,926 --> 00:23:29,268
[roger_mcfillin]: the drug

2068
00:23:29,528 --> 00:23:30,049
[sean]: so that makes

2069
00:23:30,052 --> 00:23:30,212
[roger_mcfillin]: this

2070
00:23:30,109 --> 00:23:30,370
[sean]: me think

2071
00:23:30,272 --> 00:23:30,433
[roger_mcfillin]: makes

2072
00:23:30,410 --> 00:23:30,530
[sean]: that

2073
00:23:30,493 --> 00:23:30,553
[roger_mcfillin]: me

2074
00:23:30,590 --> 00:23:30,730
[sean]: this

2075
00:23:30,614 --> 00:23:30,914
[roger_mcfillin]: think that

2076
00:23:30,851 --> 00:23:30,971
[sean]: is

2077
00:23:30,975 --> 00:23:31,115
[roger_mcfillin]: this

2078
00:23:31,211 --> 00:23:31,472
[sean]: very

2079
00:23:31,316 --> 00:23:31,837
[roger_mcfillin]: is very

2080
00:23:31,872 --> 00:23:32,594
[sean]: under reported

2081
00:23:32,259 --> 00:23:32,840
[roger_mcfillin]: under report

2082
00:23:33,209 --> 00:23:33,959
[yassie_pirani]: yeah

2083
00:23:33,435 --> 00:23:33,796
[sean]: and most

2084
00:23:33,822 --> 00:23:33,923
[roger_mcfillin]: and

2085
00:23:33,836 --> 00:23:34,036
[sean]: people

2086
00:23:34,043 --> 00:23:34,163
[roger_mcfillin]: most

2087
00:23:34,096 --> 00:23:34,236
[sean]: don't

2088
00:23:34,224 --> 00:23:34,404
[roger_mcfillin]: people

2089
00:23:34,296 --> 00:23:34,437
[sean]: even

2090
00:23:34,484 --> 00:23:34,625
[roger_mcfillin]: don't

2091
00:23:34,517 --> 00:23:34,677
[sean]: think

2092
00:23:34,685 --> 00:23:34,805
[roger_mcfillin]: even

2093
00:23:34,777 --> 00:23:35,058
[sean]: about

2094
00:23:34,906 --> 00:23:35,407
[roger_mcfillin]: think about

2095
00:23:35,538 --> 00:23:35,939
[sean]: the drug

2096
00:23:35,909 --> 00:23:35,989
[roger_mcfillin]: the

2097
00:23:36,039 --> 00:23:36,119
[sean]: as

2098
00:23:36,089 --> 00:23:36,370
[roger_mcfillin]: drug

2099
00:23:36,220 --> 00:23:36,700
[sean]: causing

2100
00:23:36,430 --> 00:23:37,032
[roger_mcfillin]: as causing

2101
00:23:37,181 --> 00:23:37,963
[sean]: this particle

2102
00:23:38,075 --> 00:23:38,557
[roger_mcfillin]: particular

2103
00:23:38,083 --> 00:23:39,289
[sean]: or side effect

2104
00:23:39,199 --> 00:23:39,339
[roger_mcfillin]: side

2105
00:23:39,291 --> 00:23:39,455
[yassie_pirani]: yeah

2106
00:23:39,480 --> 00:23:39,781
[roger_mcfillin]: section

2107
00:23:40,201 --> 00:23:40,463
[yassie_pirani]: hundred

2108
00:23:40,264 --> 00:23:40,467
[sean]: are you

2109
00:23:40,524 --> 00:23:40,868
[yassie_pirani]: percent

2110
00:23:40,588 --> 00:23:41,175
[sean]: experiencing

2111
00:23:40,653 --> 00:23:41,564
[roger_mcfillin]: are you experiencing

2112
00:23:41,030 --> 00:23:41,232
[yassie_pirani]: hundred

2113
00:23:41,236 --> 00:23:41,357
[sean]: that

2114
00:23:41,605 --> 00:23:41,746
[roger_mcfillin]: that

2115
00:23:43,669 --> 00:23:51,560
[yassie_pirani]: so many people would have no idea
that it's the medication and we just the

2116
00:23:51,640 --> 00:23:55,747
[yassie_pirani]: effects to people you know my clients
say like the damage to my brain and

2117
00:23:55,847 --> 00:23:56,548
[yassie_pirani]: nervous system

2118
00:23:56,640 --> 00:23:56,821
[emily_]: oh

2119
00:23:57,049 --> 00:23:58,051
[yassie_pirani]: is so much further

2120
00:23:57,780 --> 00:23:57,981
[emily_]: yeah

2121
00:23:58,131 --> 00:23:59,113
[yassie_pirani]: than a side effect

2122
00:23:59,638 --> 00:23:59,820
[emily_]: yeah

2123
00:23:59,693 --> 00:24:01,316
[yassie_pirani]: and those are the people who can
really

2124
00:24:01,170 --> 00:24:01,431
[emily_]: oh

2125
00:24:01,537 --> 00:24:03,079
[yassie_pirani]: link the drag two

2126
00:24:02,958 --> 00:24:03,180
[emily_]: yeah

2127
00:24:04,662 --> 00:24:05,924
[yassie_pirani]: to their symptoms but so many

2128
00:24:05,820 --> 00:24:06,001
[emily_]: oh

2129
00:24:06,024 --> 00:24:07,026
[yassie_pirani]: people will have such a

2130
00:24:07,008 --> 00:24:07,170
[emily_]: right

2131
00:24:07,186 --> 00:24:10,732
[yassie_pirani]: range of symptoms it will be really
some for some people it's really mild and

2132
00:24:10,792 --> 00:24:11,954
[yassie_pirani]: some people it's absolutely

2133
00:24:11,485 --> 00:24:11,547
[roger_mcfillin]: ye

2134
00:24:12,294 --> 00:24:15,159
[yassie_pirani]: like an on off switch like emily
was describing some

2135
00:24:15,124 --> 00:24:15,226
[sean]: oh

2136
00:24:15,199 --> 00:24:18,785
[yassie_pirani]: people it's in between and so so
many people don't know to attribute their symptoms

2137
00:24:19,166 --> 00:24:29,704
[yassie_pirani]: to the drug so it's it's really
really really under probably under recognized under reported

2138
00:24:30,445 --> 00:24:38,138
[yassie_pirani]: um and it's like roger you're saying
it's it really

2139
00:24:37,899 --> 00:24:37,920
[emily_]: m

2140
00:24:38,699 --> 00:24:42,072
[yassie_pirani]: oh it's a trade

2141
00:24:42,080 --> 00:24:42,141
[emily_]: ah

2142
00:24:42,152 --> 00:24:45,197
[yassie_pirani]: off it's a trade off because they

2143
00:24:45,309 --> 00:24:45,572
[emily_]: m yes

2144
00:24:45,998 --> 00:24:46,299
[yassie_pirani]: people

2145
00:24:46,740 --> 00:24:46,942
[emily_]: oh

2146
00:24:46,820 --> 00:24:50,706
[yassie_pirani]: you know will say p s s
d does not begin to compare to the

2147
00:24:50,766 --> 00:24:56,115
[yassie_pirani]: distress of the depression our anxiety that
they're originally seeking treatment for just goes so

2148
00:24:56,195 --> 00:25:04,249
[yassie_pirani]: much deeper likepssdrots your spirit and breaks
people and people choosing suicide over it and

2149
00:25:04,309 --> 00:25:05,972
[yassie_pirani]: that was so much more distressing

2150
00:25:05,580 --> 00:25:05,600
[emily_]: m

2151
00:25:06,032 --> 00:25:12,182
[yassie_pirani]: than the you know people are ending
up in the doctor's office for you know

2152
00:25:12,603 --> 00:25:17,210
[yassie_pirani]: losing a job or you know all
break up or all the things that are

2153
00:25:17,270 --> 00:25:17,751
[yassie_pirani]: painful

2154
00:25:17,476 --> 00:25:17,497
[emily_]: a

2155
00:25:17,811 --> 00:25:24,242
[yassie_pirani]: though it's life but we're medicalizing these
life experiences and and applying the bio medical

2156
00:25:24,322 --> 00:25:30,913
[yassie_pirani]: model a big way to mental health
and sort of dis easifying any heartbreak any

2157
00:25:31,374 --> 00:25:37,624
[yassie_pirani]: any any distress and not i think
it's just so important to kind of normalize

2158
00:25:37,664 --> 00:25:39,027
[yassie_pirani]: the ups and downs of life and

2159
00:25:39,600 --> 00:25:39,802
[emily_]: oh

2160
00:25:40,290 --> 00:25:41,362
[yassie_pirani]: we're kind of just

2161
00:25:41,784 --> 00:25:41,805
[emily_]: i

2162
00:25:43,700 --> 00:25:46,994
[yassie_pirani]: in a system where people are just
getting put on me so

2163
00:25:46,920 --> 00:25:47,002
[emily_]: ye

2164
00:25:47,094 --> 00:25:49,203
[yassie_pirani]: easily without without

2165
00:25:49,242 --> 00:25:49,365
[roger_mcfillin]: yeah

2166
00:25:49,403 --> 00:25:51,953
[yassie_pirani]: needful conversations about the risks involved such
as this

2167
00:25:53,203 --> 00:25:53,484
[sean]: somebody

2168
00:25:53,582 --> 00:25:53,883
[roger_mcfillin]: somebody

2169
00:25:53,865 --> 00:25:54,267
[sean]: tweeted

2170
00:25:54,264 --> 00:25:54,646
[roger_mcfillin]: tweated

2171
00:25:54,588 --> 00:25:55,331
[sean]: me recently

2172
00:25:54,967 --> 00:25:55,710
[roger_mcfillin]: me recently

2173
00:25:55,732 --> 00:25:56,435
[sean]: who stated

2174
00:25:56,111 --> 00:25:56,814
[roger_mcfillin]: who stated

2175
00:25:56,676 --> 00:25:57,418
[sean]: my depression

2176
00:25:57,055 --> 00:25:57,818
[roger_mcfillin]: my depression

2177
00:25:57,699 --> 00:25:57,940
[sean]: was

2178
00:25:58,099 --> 00:25:58,320
[roger_mcfillin]: was

2179
00:25:58,663 --> 00:25:59,344
[sean]: a vacation

2180
00:25:59,162 --> 00:25:59,723
[roger_mcfillin]: vacation

2181
00:25:59,424 --> 00:25:59,865
[sean]: at a five

2182
00:25:59,803 --> 00:25:59,923
[roger_mcfillin]: at a

2183
00:25:59,925 --> 00:26:00,125
[sean]: star

2184
00:26:00,023 --> 00:26:00,244
[roger_mcfillin]: five

2185
00:26:00,205 --> 00:26:00,566
[sean]: resort

2186
00:26:00,304 --> 00:26:00,524
[roger_mcfillin]: start

2187
00:26:00,826 --> 00:26:01,227
[sean]: compared

2188
00:26:01,205 --> 00:26:01,626
[roger_mcfillin]: compared

2189
00:26:01,347 --> 00:26:01,467
[sean]: to

2190
00:26:01,726 --> 00:26:01,826
[roger_mcfillin]: to

2191
00:26:01,928 --> 00:26:02,289
[sean]: p s

2192
00:26:02,307 --> 00:26:02,327
[roger_mcfillin]: p

2193
00:26:02,569 --> 00:26:02,589
[sean]: s

2194
00:26:02,628 --> 00:26:02,648
[roger_mcfillin]: s

2195
00:26:02,810 --> 00:26:02,830
[sean]: d

2196
00:26:03,208 --> 00:26:03,229
[roger_mcfillin]: d

2197
00:26:03,250 --> 00:26:03,831
[sean]: and the symptoms

2198
00:26:03,629 --> 00:26:04,230
[roger_mcfillin]: and the symptoms

2199
00:26:03,911 --> 00:26:04,252
[sean]: i have to

2200
00:26:04,290 --> 00:26:04,330
[roger_mcfillin]: i

2201
00:26:04,312 --> 00:26:04,653
[sean]: exhibit

2202
00:26:04,390 --> 00:26:05,032
[roger_mcfillin]: have to exhibit

2203
00:26:05,520 --> 00:26:06,109
[emily_]: oh

2204
00:26:05,554 --> 00:26:05,815
[sean]: and so

2205
00:26:05,933 --> 00:26:06,033
[roger_mcfillin]: and

2206
00:26:06,075 --> 00:26:06,095
[sean]: i

2207
00:26:06,093 --> 00:26:06,193
[roger_mcfillin]: so

2208
00:26:06,175 --> 00:26:06,456
[sean]: think you

2209
00:26:06,454 --> 00:26:06,474
[roger_mcfillin]: i

2210
00:26:06,516 --> 00:26:06,676
[sean]: made

2211
00:26:06,574 --> 00:26:06,835
[roger_mcfillin]: think you

2212
00:26:06,856 --> 00:26:06,916
[sean]: an

2213
00:26:06,870 --> 00:26:07,112
[emily_]: oh

2214
00:26:06,895 --> 00:26:07,035
[roger_mcfillin]: made

2215
00:26:07,137 --> 00:26:07,477
[sean]: excellent

2216
00:26:07,235 --> 00:26:07,876
[roger_mcfillin]: an excellent

2217
00:26:07,558 --> 00:26:07,978
[sean]: point yes

2218
00:26:07,936 --> 00:26:08,117
[roger_mcfillin]: point

2219
00:26:08,138 --> 00:26:08,339
[sean]: about

2220
00:26:08,237 --> 00:26:08,357
[roger_mcfillin]: as

2221
00:26:08,399 --> 00:26:08,479
[sean]: the

2222
00:26:08,537 --> 00:26:08,718
[roger_mcfillin]: about

2223
00:26:08,599 --> 00:26:09,581
[sean]: medicalization

2224
00:26:08,778 --> 00:26:09,940
[roger_mcfillin]: the medicalization

2225
00:26:10,182 --> 00:26:10,282
[sean]: of

2226
00:26:10,561 --> 00:26:10,661
[roger_mcfillin]: of

2227
00:26:10,972 --> 00:26:11,535
[sean]: m living

2228
00:26:11,625 --> 00:26:11,931
[roger_mcfillin]: living

2229
00:26:12,318 --> 00:26:12,680
[sean]: and we

2230
00:26:12,702 --> 00:26:12,782
[roger_mcfillin]: and

2231
00:26:12,740 --> 00:26:12,982
[sean]: can get

2232
00:26:13,003 --> 00:26:13,083
[roger_mcfillin]: we

2233
00:26:13,042 --> 00:26:13,223
[sean]: into

2234
00:26:13,123 --> 00:26:13,384
[roger_mcfillin]: can get

2235
00:26:13,323 --> 00:26:14,006
[sean]: philosophy

2236
00:26:13,424 --> 00:26:14,387
[roger_mcfillin]: into philosophy

2237
00:26:14,107 --> 00:26:14,428
[sean]: of this

2238
00:26:14,508 --> 00:26:14,568
[roger_mcfillin]: at

2239
00:26:14,609 --> 00:26:14,730
[sean]: but

2240
00:26:14,628 --> 00:26:15,110
[roger_mcfillin]: this but

2241
00:26:15,704 --> 00:26:16,146
[sean]: obviously

2242
00:26:16,082 --> 00:26:16,504
[roger_mcfillin]: obviously

2243
00:26:16,206 --> 00:26:16,929
[sean]: the emotions

2244
00:26:16,604 --> 00:26:17,307
[roger_mcfillin]: the emotions

2245
00:26:17,130 --> 00:26:17,512
[sean]: even when

2246
00:26:17,508 --> 00:26:17,689
[roger_mcfillin]: even

2247
00:26:17,552 --> 00:26:17,733
[sean]: they're

2248
00:26:17,770 --> 00:26:17,910
[roger_mcfillin]: when

2249
00:26:17,813 --> 00:26:18,275
[sean]: negative

2250
00:26:17,950 --> 00:26:18,634
[roger_mcfillin]: they're negative

2251
00:26:18,355 --> 00:26:18,697
[sean]: and they're

2252
00:26:18,734 --> 00:26:18,814
[roger_mcfillin]: and

2253
00:26:18,737 --> 00:26:19,279
[sean]: intense

2254
00:26:18,875 --> 00:26:19,638
[roger_mcfillin]: they're intense

2255
00:26:20,483 --> 00:26:20,983
[sean]: are certainly

2256
00:26:20,872 --> 00:26:21,352
[roger_mcfillin]: are certainly

2257
00:26:21,063 --> 00:26:21,484
[sean]: sending us

2258
00:26:21,453 --> 00:26:21,713
[roger_mcfillin]: sending

2259
00:26:21,544 --> 00:26:21,984
[sean]: a message

2260
00:26:21,773 --> 00:26:22,354
[roger_mcfillin]: us a message

2261
00:26:22,064 --> 00:26:22,605
[sean]: they're serving

2262
00:26:22,454 --> 00:26:22,634
[roger_mcfillin]: they're

2263
00:26:22,665 --> 00:26:22,745
[sean]: us

2264
00:26:22,694 --> 00:26:22,994
[roger_mcfillin]: serving

2265
00:26:22,805 --> 00:26:23,185
[sean]: in some

2266
00:26:23,035 --> 00:26:23,235
[roger_mcfillin]: us in

2267
00:26:23,306 --> 00:26:23,446
[sean]: way

2268
00:26:23,395 --> 00:26:23,836
[roger_mcfillin]: some way

2269
00:26:23,986 --> 00:26:24,206
[sean]: whether

2270
00:26:24,221 --> 00:26:24,363
[yassie_pirani]: sir

2271
00:26:24,266 --> 00:26:24,407
[sean]: there

2272
00:26:24,376 --> 00:26:24,596
[roger_mcfillin]: whether

2273
00:26:24,487 --> 00:26:24,607
[sean]: is

2274
00:26:24,636 --> 00:26:24,977
[roger_mcfillin]: there is

2275
00:26:25,027 --> 00:26:25,267
[sean]: some

2276
00:26:25,417 --> 00:26:25,638
[roger_mcfillin]: some

2277
00:26:26,449 --> 00:26:26,809
[sean]: problem

2278
00:26:26,839 --> 00:26:27,200
[roger_mcfillin]: problem

2279
00:26:26,909 --> 00:26:27,349
[sean]: we need to

2280
00:26:27,300 --> 00:26:27,380
[roger_mcfillin]: we

2281
00:26:27,430 --> 00:26:27,730
[sean]: face

2282
00:26:27,440 --> 00:26:28,101
[roger_mcfillin]: need to face

2283
00:26:28,289 --> 00:26:28,309
[yassie_pirani]: m

2284
00:26:28,431 --> 00:26:29,051
[sean]: or loss we

2285
00:26:29,003 --> 00:26:29,264
[roger_mcfillin]: loss

2286
00:26:29,111 --> 00:26:29,291
[sean]: need

2287
00:26:29,258 --> 00:26:29,279
[yassie_pirani]: m

2288
00:26:29,331 --> 00:26:29,411
[sean]: to

2289
00:26:29,344 --> 00:26:29,425
[roger_mcfillin]: we

2290
00:26:29,492 --> 00:26:29,832
[sean]: grieve

2291
00:26:29,505 --> 00:26:30,209
[roger_mcfillin]: need to grieve

2292
00:26:30,550 --> 00:26:30,571
[yassie_pirani]: m

2293
00:26:30,743 --> 00:26:31,263
[sean]: or something

2294
00:26:31,132 --> 00:26:31,212
[roger_mcfillin]: or

2295
00:26:31,304 --> 00:26:31,404
[sean]: that

2296
00:26:31,352 --> 00:26:31,652
[roger_mcfillin]: something

2297
00:26:31,444 --> 00:26:31,684
[sean]: we have

2298
00:26:31,693 --> 00:26:31,793
[roger_mcfillin]: that

2299
00:26:31,724 --> 00:26:31,864
[sean]: to do

2300
00:26:31,833 --> 00:26:31,893
[roger_mcfillin]: we

2301
00:26:31,925 --> 00:26:31,985
[sean]: to

2302
00:26:31,953 --> 00:26:32,073
[roger_mcfillin]: have

2303
00:26:32,025 --> 00:26:32,265
[sean]: change

2304
00:26:32,093 --> 00:26:32,374
[roger_mcfillin]: to do to

2305
00:26:32,325 --> 00:26:32,405
[sean]: our

2306
00:26:32,434 --> 00:26:32,654
[roger_mcfillin]: change

2307
00:26:32,465 --> 00:26:32,766
[sean]: lives

2308
00:26:32,714 --> 00:26:33,135
[roger_mcfillin]: our lives

2309
00:26:33,086 --> 00:26:33,507
[sean]: there's also

2310
00:26:33,455 --> 00:26:33,656
[roger_mcfillin]: there's

2311
00:26:33,647 --> 00:26:34,168
[sean]: potentially

2312
00:26:33,696 --> 00:26:34,557
[roger_mcfillin]: also potentially

2313
00:26:34,248 --> 00:26:34,569
[sean]: something

2314
00:26:34,637 --> 00:26:34,958
[roger_mcfillin]: something

2315
00:26:34,749 --> 00:26:35,170
[sean]: else that's

2316
00:26:35,138 --> 00:26:35,299
[roger_mcfillin]: else

2317
00:26:35,230 --> 00:26:35,450
[sean]: going

2318
00:26:35,379 --> 00:26:35,579
[roger_mcfillin]: that's

2319
00:26:35,551 --> 00:26:35,611
[sean]: on

2320
00:26:35,619 --> 00:26:35,839
[roger_mcfillin]: going

2321
00:26:35,691 --> 00:26:35,991
[sean]: with us

2322
00:26:35,920 --> 00:26:36,340
[roger_mcfillin]: on with us

2323
00:26:36,312 --> 00:26:36,733
[sean]: medically

2324
00:26:36,701 --> 00:26:37,122
[roger_mcfillin]: medically

2325
00:26:36,793 --> 00:26:37,133
[sean]: that needs

2326
00:26:37,182 --> 00:26:37,282
[roger_mcfillin]: that

2327
00:26:37,193 --> 00:26:37,434
[sean]: to be

2328
00:26:37,342 --> 00:26:37,642
[roger_mcfillin]: needs to

2329
00:26:37,694 --> 00:26:38,095
[sean]: addressed

2330
00:26:37,723 --> 00:26:38,484
[roger_mcfillin]: be addressed

2331
00:26:38,556 --> 00:26:38,656
[sean]: so

2332
00:26:38,945 --> 00:26:39,025
[roger_mcfillin]: so

2333
00:26:39,016 --> 00:26:39,337
[sean]: comment

2334
00:26:39,405 --> 00:26:39,726
[roger_mcfillin]: comment

2335
00:26:39,437 --> 00:26:40,018
[sean]: psychiatric

2336
00:26:39,826 --> 00:26:40,407
[roger_mcfillin]: psychiatric

2337
00:26:40,118 --> 00:26:40,479
[sean]: symptoms

2338
00:26:40,507 --> 00:26:40,868
[roger_mcfillin]: symptoms

2339
00:26:40,539 --> 00:26:40,920
[sean]: can also

2340
00:26:40,928 --> 00:26:41,028
[roger_mcfillin]: can

2341
00:26:41,040 --> 00:26:41,120
[sean]: be

2342
00:26:41,108 --> 00:26:41,309
[roger_mcfillin]: also

2343
00:26:41,220 --> 00:26:41,561
[sean]: related

2344
00:26:41,394 --> 00:26:41,435
[emily_]: m

2345
00:26:41,429 --> 00:26:41,950
[roger_mcfillin]: be related

2346
00:26:41,621 --> 00:26:42,222
[sean]: to a number

2347
00:26:42,010 --> 00:26:42,591
[roger_mcfillin]: to a number

2348
00:26:42,642 --> 00:26:43,424
[sean]: of other potential

2349
00:26:43,152 --> 00:26:43,813
[roger_mcfillin]: other potential

2350
00:26:43,504 --> 00:26:43,884
[sean]: causes

2351
00:26:43,893 --> 00:26:44,274
[roger_mcfillin]: causes

2352
00:26:44,085 --> 00:26:44,566
[sean]: emily was

2353
00:26:44,474 --> 00:26:44,714
[roger_mcfillin]: emily

2354
00:26:44,646 --> 00:26:45,086
[sean]: mentioning

2355
00:26:44,835 --> 00:26:45,456
[roger_mcfillin]: was mentioning

2356
00:26:45,527 --> 00:26:45,968
[sean]: struggling with

2357
00:26:45,897 --> 00:26:46,217
[roger_mcfillin]: struggling

2358
00:26:45,988 --> 00:26:46,268
[sean]: an eating

2359
00:26:46,237 --> 00:26:46,357
[roger_mcfillin]: with

2360
00:26:46,309 --> 00:26:46,669
[sean]: disorder

2361
00:26:46,377 --> 00:26:46,658
[roger_mcfillin]: an eating

2362
00:26:46,689 --> 00:26:46,809
[sean]: which

2363
00:26:46,698 --> 00:26:47,039
[roger_mcfillin]: disorder

2364
00:26:46,849 --> 00:26:47,010
[sean]: is an

2365
00:26:47,079 --> 00:26:47,199
[roger_mcfillin]: which

2366
00:26:47,130 --> 00:26:47,390
[sean]: area

2367
00:26:47,239 --> 00:26:47,780
[roger_mcfillin]: is an area

2368
00:26:47,511 --> 00:26:48,112
[sean]: of experts

2369
00:26:47,900 --> 00:26:48,461
[roger_mcfillin]: of experts

2370
00:26:48,172 --> 00:26:49,434
[sean]: from for me personally

2371
00:26:49,082 --> 00:26:49,844
[roger_mcfillin]: for me personally

2372
00:26:49,794 --> 00:26:50,075
[sean]: where i

2373
00:26:50,184 --> 00:26:50,324
[roger_mcfillin]: where

2374
00:26:50,215 --> 00:26:50,375
[sean]: work

2375
00:26:50,425 --> 00:26:50,445
[roger_mcfillin]: i

2376
00:26:50,455 --> 00:26:50,556
[sean]: with

2377
00:26:50,605 --> 00:26:50,805
[roger_mcfillin]: worked

2378
00:26:50,616 --> 00:26:51,016
[sean]: clients

2379
00:26:50,845 --> 00:26:51,386
[roger_mcfillin]: with clients

2380
00:26:51,697 --> 00:26:52,138
[sean]: and they

2381
00:26:52,088 --> 00:26:52,188
[roger_mcfillin]: and

2382
00:26:52,198 --> 00:26:52,599
[sean]: exhibit

2383
00:26:52,408 --> 00:26:52,989
[roger_mcfillin]: they exhibit

2384
00:26:52,819 --> 00:26:53,280
[sean]: symptoms

2385
00:26:53,210 --> 00:26:53,671
[roger_mcfillin]: symptoms

2386
00:26:53,901 --> 00:26:54,482
[sean]: that are psyche

2387
00:26:54,482 --> 00:26:54,562
[roger_mcfillin]: are

2388
00:26:54,602 --> 00:26:54,682
[sean]: at

2389
00:26:54,642 --> 00:26:55,303
[roger_mcfillin]: psychynatrican

2390
00:26:54,783 --> 00:26:55,283
[sean]: can nature

2391
00:26:55,383 --> 00:26:55,704
[roger_mcfillin]: nature

2392
00:26:55,484 --> 00:26:55,905
[sean]: depressed

2393
00:26:55,864 --> 00:26:56,285
[roger_mcfillin]: depressed

2394
00:26:55,985 --> 00:26:56,305
[sean]: mood

2395
00:26:56,385 --> 00:26:56,665
[roger_mcfillin]: mood

2396
00:26:56,546 --> 00:26:57,066
[sean]: anxiety

2397
00:26:56,926 --> 00:26:57,427
[roger_mcfillin]: anxiety

2398
00:26:57,127 --> 00:26:57,728
[sean]: and so forth

2399
00:26:57,507 --> 00:26:58,108
[roger_mcfillin]: and so forth

2400
00:26:58,389 --> 00:26:58,849
[sean]: and there's

2401
00:26:58,769 --> 00:26:58,889
[roger_mcfillin]: and

2402
00:26:58,889 --> 00:26:59,170
[sean]: a lot

2403
00:26:59,029 --> 00:26:59,230
[roger_mcfillin]: there's

2404
00:26:59,210 --> 00:26:59,250
[sean]: of

2405
00:26:59,270 --> 00:26:59,290
[roger_mcfillin]: a

2406
00:26:59,310 --> 00:26:59,731
[sean]: nutrient

2407
00:26:59,390 --> 00:27:00,091
[roger_mcfillin]: lot of nutrient

2408
00:26:59,771 --> 00:27:00,392
[sean]: deficiencies

2409
00:27:00,151 --> 00:27:00,772
[roger_mcfillin]: deficiencies

2410
00:27:00,973 --> 00:27:01,233
[sean]: there

2411
00:27:01,353 --> 00:27:01,614
[roger_mcfillin]: there

2412
00:27:01,394 --> 00:27:01,935
[sean]: their body

2413
00:27:01,794 --> 00:27:02,315
[roger_mcfillin]: their body

2414
00:27:02,115 --> 00:27:02,215
[sean]: is

2415
00:27:02,130 --> 00:27:02,150
[emily_]: m

2416
00:27:02,335 --> 00:27:02,536
[sean]: sick

2417
00:27:02,515 --> 00:27:02,595
[roger_mcfillin]: is

2418
00:27:02,656 --> 00:27:02,776
[sean]: it's

2419
00:27:02,736 --> 00:27:02,936
[roger_mcfillin]: sick

2420
00:27:02,956 --> 00:27:03,137
[sean]: ill

2421
00:27:03,056 --> 00:27:03,517
[roger_mcfillin]: it's ill

2422
00:27:03,778 --> 00:27:03,878
[sean]: and

2423
00:27:04,158 --> 00:27:04,258
[roger_mcfillin]: and

2424
00:27:04,260 --> 00:27:04,528
[emily_]: oh

2425
00:27:04,339 --> 00:27:04,960
[sean]: and their brain

2426
00:27:04,719 --> 00:27:05,320
[roger_mcfillin]: end their brain

2427
00:27:05,040 --> 00:27:05,621
[sean]: is deprived

2428
00:27:05,440 --> 00:27:06,001
[roger_mcfillin]: is deprived

2429
00:27:05,701 --> 00:27:06,442
[sean]: of necessary

2430
00:27:06,081 --> 00:27:06,802
[roger_mcfillin]: of cessary

2431
00:27:07,083 --> 00:27:07,384
[sean]: fats

2432
00:27:07,463 --> 00:27:07,764
[roger_mcfillin]: fats

2433
00:27:07,484 --> 00:27:08,205
[sean]: and proteins

2434
00:27:07,864 --> 00:27:08,585
[roger_mcfillin]: and proteins

2435
00:27:08,265 --> 00:27:08,806
[sean]: for development

2436
00:27:08,665 --> 00:27:09,186
[roger_mcfillin]: for development

2437
00:27:08,846 --> 00:27:09,327
[sean]: and so forth

2438
00:27:09,226 --> 00:27:09,427
[roger_mcfillin]: and so

2439
00:27:09,347 --> 00:27:09,567
[sean]: so they

2440
00:27:09,527 --> 00:27:09,687
[roger_mcfillin]: forth

2441
00:27:09,627 --> 00:27:09,968
[sean]: exhibit

2442
00:27:09,747 --> 00:27:10,348
[roger_mcfillin]: so they exhibit

2443
00:27:10,068 --> 00:27:10,449
[sean]: depressed

2444
00:27:10,448 --> 00:27:10,829
[roger_mcfillin]: depressed

2445
00:27:10,509 --> 00:27:10,930
[sean]: mood and so

2446
00:27:10,909 --> 00:27:11,069
[roger_mcfillin]: mood

2447
00:27:11,050 --> 00:27:11,250
[sean]: forth

2448
00:27:11,109 --> 00:27:11,330
[roger_mcfillin]: and so

2449
00:27:11,390 --> 00:27:11,511
[sean]: but

2450
00:27:11,430 --> 00:27:11,650
[roger_mcfillin]: forth

2451
00:27:12,031 --> 00:27:12,672
[sean]: what the underlying

2452
00:27:12,572 --> 00:27:13,052
[roger_mcfillin]: the underlying

2453
00:27:12,753 --> 00:27:13,173
[sean]: problem is

2454
00:27:13,133 --> 00:27:13,433
[roger_mcfillin]: problem

2455
00:27:13,253 --> 00:27:13,894
[sean]: a starvation

2456
00:27:13,493 --> 00:27:14,254
[roger_mcfillin]: is a starvation

2457
00:27:14,495 --> 00:27:15,036
[sean]: and it presents

2458
00:27:14,875 --> 00:27:15,055
[roger_mcfillin]: and it

2459
00:27:15,076 --> 00:27:15,357
[sean]: itself

2460
00:27:15,095 --> 00:27:15,736
[roger_mcfillin]: presents itself

2461
00:27:15,517 --> 00:27:15,637
[sean]: as

2462
00:27:15,876 --> 00:27:15,977
[roger_mcfillin]: as

2463
00:27:15,878 --> 00:27:16,479
[sean]: a psychiatric

2464
00:27:16,257 --> 00:27:16,858
[roger_mcfillin]: a psychiatric

2465
00:27:16,519 --> 00:27:16,920
[sean]: condition

2466
00:27:16,620 --> 00:27:17,310
[emily_]: oh

2467
00:27:16,898 --> 00:27:17,278
[roger_mcfillin]: condition

2468
00:27:17,340 --> 00:27:17,841
[sean]: so the idea

2469
00:27:17,719 --> 00:27:17,939
[roger_mcfillin]: so the

2470
00:27:17,921 --> 00:27:17,981
[sean]: to

2471
00:27:18,000 --> 00:27:18,220
[roger_mcfillin]: idea

2472
00:27:18,061 --> 00:27:18,182
[sean]: try

2473
00:27:18,300 --> 00:27:18,380
[roger_mcfillin]: to

2474
00:27:18,302 --> 00:27:18,402
[sean]: to

2475
00:27:18,420 --> 00:27:18,781
[roger_mcfillin]: try to

2476
00:27:19,443 --> 00:27:19,904
[sean]: treat some

2477
00:27:19,833 --> 00:27:20,054
[roger_mcfillin]: treat

2478
00:27:19,945 --> 00:27:20,205
[sean]: of these

2479
00:27:20,175 --> 00:27:20,296
[roger_mcfillin]: some

2480
00:27:20,286 --> 00:27:20,787
[sean]: conditions

2481
00:27:20,336 --> 00:27:21,161
[roger_mcfillin]: of these conditions

2482
00:27:21,389 --> 00:27:21,870
[sean]: that have

2483
00:27:21,765 --> 00:27:22,248
[roger_mcfillin]: that have

2484
00:27:23,163 --> 00:27:23,764
[sean]: other causes

2485
00:27:23,552 --> 00:27:24,137
[roger_mcfillin]: other causes

2486
00:27:24,625 --> 00:27:25,126
[sean]: and their

2487
00:27:25,022 --> 00:27:25,502
[roger_mcfillin]: and their

2488
00:27:25,386 --> 00:27:25,947
[sean]: their purpose

2489
00:27:26,022 --> 00:27:26,343
[roger_mcfillin]: purpose

2490
00:27:26,067 --> 00:27:26,348
[sean]: at one

2491
00:27:26,423 --> 00:27:26,483
[roger_mcfillin]: and

2492
00:27:26,568 --> 00:27:26,909
[sean]: person's

2493
00:27:26,663 --> 00:27:27,303
[roger_mcfillin]: one person's

2494
00:27:26,969 --> 00:27:27,269
[sean]: life at

2495
00:27:27,344 --> 00:27:27,644
[roger_mcfillin]: life at

2496
00:27:27,790 --> 00:27:28,331
[sean]: a specific

2497
00:27:28,164 --> 00:27:28,705
[roger_mcfillin]: a specific

2498
00:27:28,411 --> 00:27:28,832
[sean]: time is

2499
00:27:28,785 --> 00:27:29,065
[roger_mcfillin]: time

2500
00:27:28,892 --> 00:27:29,193
[sean]: to try

2501
00:27:29,145 --> 00:27:29,345
[roger_mcfillin]: is to

2502
00:27:29,273 --> 00:27:29,373
[sean]: to

2503
00:27:29,425 --> 00:27:29,565
[roger_mcfillin]: try

2504
00:27:29,553 --> 00:27:29,814
[sean]: numb

2505
00:27:29,645 --> 00:27:30,166
[roger_mcfillin]: to numb

2506
00:27:30,034 --> 00:27:30,635
[sean]: or to alter

2507
00:27:30,546 --> 00:27:30,626
[roger_mcfillin]: to

2508
00:27:30,695 --> 00:27:30,775
[sean]: or

2509
00:27:30,766 --> 00:27:31,027
[roger_mcfillin]: alter

2510
00:27:30,835 --> 00:27:31,056
[sean]: change

2511
00:27:31,067 --> 00:27:31,147
[roger_mcfillin]: or

2512
00:27:31,096 --> 00:27:31,196
[sean]: that

2513
00:27:31,207 --> 00:27:31,427
[roger_mcfillin]: change

2514
00:27:31,236 --> 00:27:31,957
[sean]: physiological

2515
00:27:31,467 --> 00:27:32,348
[roger_mcfillin]: that physiological

2516
00:27:32,037 --> 00:27:32,278
[sean]: state

2517
00:27:32,408 --> 00:27:32,648
[roger_mcfillin]: state

2518
00:27:32,738 --> 00:27:33,179
[sean]: to assume

2519
00:27:33,128 --> 00:27:33,208
[roger_mcfillin]: to

2520
00:27:33,219 --> 00:27:33,319
[sean]: that

2521
00:27:33,288 --> 00:27:33,569
[roger_mcfillin]: assume

2522
00:27:33,360 --> 00:27:33,660
[sean]: that has

2523
00:27:33,589 --> 00:27:33,689
[roger_mcfillin]: that

2524
00:27:33,700 --> 00:27:33,840
[sean]: some

2525
00:27:33,729 --> 00:27:34,009
[roger_mcfillin]: that has

2526
00:27:33,920 --> 00:27:34,081
[sean]: sort

2527
00:27:34,089 --> 00:27:34,229
[roger_mcfillin]: some

2528
00:27:34,141 --> 00:27:34,201
[sean]: of

2529
00:27:34,289 --> 00:27:34,469
[roger_mcfillin]: sort

2530
00:27:34,501 --> 00:27:34,942
[sean]: benefit

2531
00:27:34,509 --> 00:27:35,330
[roger_mcfillin]: of benefit

2532
00:27:35,263 --> 00:27:35,465
[sean]: think

2533
00:27:35,510 --> 00:27:35,831
[roger_mcfillin]: i think

2534
00:27:35,727 --> 00:27:35,928
[sean]: is

2535
00:27:36,111 --> 00:27:37,402
[roger_mcfillin]: is now

2536
00:27:37,313 --> 00:27:38,014
[sean]: unfortunately

2537
00:27:37,702 --> 00:27:38,404
[roger_mcfillin]: unfortunately

2538
00:27:38,075 --> 00:27:38,495
[sean]: a direction

2539
00:27:38,464 --> 00:27:38,884
[roger_mcfillin]: a direction

2540
00:27:38,555 --> 00:27:39,056
[sean]: where we've gone

2541
00:27:38,925 --> 00:27:39,445
[roger_mcfillin]: where we've got

2542
00:27:39,337 --> 00:27:39,858
[sean]: in society

2543
00:27:39,846 --> 00:27:40,227
[roger_mcfillin]: society

2544
00:27:39,898 --> 00:27:40,158
[sean]: that has

2545
00:27:40,287 --> 00:27:40,387
[roger_mcfillin]: that

2546
00:27:40,318 --> 00:27:40,559
[sean]: worse

2547
00:27:40,467 --> 00:27:40,527
[roger_mcfillin]: is

2548
00:27:40,659 --> 00:27:40,719
[sean]: an

2549
00:27:40,707 --> 00:27:40,928
[roger_mcfillin]: worse

2550
00:27:40,839 --> 00:27:40,939
[sean]: the

2551
00:27:40,988 --> 00:27:41,088
[roger_mcfillin]: than

2552
00:27:40,999 --> 00:27:41,360
[sean]: way that

2553
00:27:41,228 --> 00:27:41,509
[roger_mcfillin]: the way

2554
00:27:41,420 --> 00:27:41,500
[sean]: we

2555
00:27:41,609 --> 00:27:41,729
[roger_mcfillin]: that

2556
00:27:41,620 --> 00:27:41,841
[sean]: deal

2557
00:27:41,809 --> 00:27:42,190
[roger_mcfillin]: we deal

2558
00:27:42,342 --> 00:27:43,003
[sean]: with the struggles

2559
00:27:42,711 --> 00:27:43,392
[roger_mcfillin]: with the struggles

2560
00:27:43,479 --> 00:27:43,500
[emily_]: m

2561
00:27:43,564 --> 00:27:43,844
[sean]: living

2562
00:27:43,793 --> 00:27:44,253
[roger_mcfillin]: of living

2563
00:27:44,004 --> 00:27:44,445
[sean]: versus

2564
00:27:44,394 --> 00:27:44,834
[roger_mcfillin]: versus

2565
00:27:44,786 --> 00:27:45,807
[sean]: some advancement

2566
00:27:45,175 --> 00:27:46,197
[roger_mcfillin]: some advancement

2567
00:27:46,248 --> 00:27:46,609
[sean]: medically

2568
00:27:46,637 --> 00:27:46,998
[roger_mcfillin]: medically

2569
00:27:46,649 --> 00:27:47,070
[sean]: i want to bring

2570
00:27:47,038 --> 00:27:47,198
[roger_mcfillin]: i want

2571
00:27:47,130 --> 00:27:47,350
[sean]: emily

2572
00:27:47,238 --> 00:27:47,459
[roger_mcfillin]: to bring

2573
00:27:47,450 --> 00:27:47,630
[sean]: back

2574
00:27:47,519 --> 00:27:47,739
[roger_mcfillin]: emily

2575
00:27:47,771 --> 00:27:47,851
[sean]: in

2576
00:27:47,839 --> 00:27:48,000
[roger_mcfillin]: back

2577
00:27:47,931 --> 00:27:48,091
[sean]: here

2578
00:27:48,160 --> 00:27:48,220
[roger_mcfillin]: in

2579
00:27:48,211 --> 00:27:48,432
[sean]: because

2580
00:27:48,320 --> 00:27:48,460
[roger_mcfillin]: here

2581
00:27:48,472 --> 00:27:48,572
[sean]: she

2582
00:27:48,581 --> 00:27:48,821
[roger_mcfillin]: because

2583
00:27:48,652 --> 00:27:48,752
[sean]: may

2584
00:27:48,861 --> 00:27:49,101
[roger_mcfillin]: she may

2585
00:27:49,254 --> 00:27:49,695
[sean]: have some more

2586
00:27:49,645 --> 00:27:49,765
[roger_mcfillin]: have

2587
00:27:49,735 --> 00:27:50,217
[sean]: information

2588
00:27:49,826 --> 00:27:50,610
[roger_mcfillin]: some more information

2589
00:27:50,277 --> 00:27:50,718
[sean]: on this i know

2590
00:27:50,671 --> 00:27:50,872
[roger_mcfillin]: on this

2591
00:27:50,879 --> 00:27:51,561
[sean]: anecdotally

2592
00:27:50,912 --> 00:27:51,958
[roger_mcfillin]: i know anecdotally

2593
00:27:52,203 --> 00:27:52,723
[sean]: it is quite

2594
00:27:52,592 --> 00:27:52,752
[roger_mcfillin]: it is

2595
00:27:52,824 --> 00:27:53,184
[sean]: common

2596
00:27:52,892 --> 00:27:53,573
[roger_mcfillin]: quite common

2597
00:27:53,645 --> 00:27:54,306
[sean]: for my clients

2598
00:27:54,033 --> 00:27:54,674
[roger_mcfillin]: for my clients

2599
00:27:54,366 --> 00:27:54,927
[sean]: to report

2600
00:27:54,734 --> 00:27:55,295
[roger_mcfillin]: to report

2601
00:27:55,348 --> 00:27:55,528
[sean]: some

2602
00:27:55,736 --> 00:27:55,896
[roger_mcfillin]: some

2603
00:27:55,809 --> 00:27:56,369
[sean]: changes

2604
00:27:56,196 --> 00:27:56,737
[roger_mcfillin]: changes

2605
00:27:56,590 --> 00:27:57,231
[sean]: in their sexual

2606
00:27:56,977 --> 00:27:57,618
[roger_mcfillin]: in their sexual

2607
00:27:57,331 --> 00:27:57,812
[sean]: functioning

2608
00:27:57,718 --> 00:27:58,159
[roger_mcfillin]: functioning

2609
00:27:58,172 --> 00:27:58,553
[sean]: decrease

2610
00:27:58,559 --> 00:27:58,960
[roger_mcfillin]: decrease

2611
00:27:58,633 --> 00:27:59,154
[sean]: in libido

2612
00:27:59,020 --> 00:27:59,541
[roger_mcfillin]: in libido

2613
00:27:59,996 --> 00:28:00,156
[sean]: um

2614
00:28:00,362 --> 00:28:00,522
[roger_mcfillin]: um

2615
00:28:00,677 --> 00:28:00,997
[sean]: changes

2616
00:28:01,063 --> 00:28:01,383
[roger_mcfillin]: changes

2617
00:28:01,077 --> 00:28:01,799
[sean]: in relationship

2618
00:28:01,444 --> 00:28:02,165
[roger_mcfillin]: in relationship

2619
00:28:02,299 --> 00:28:02,400
[sean]: and

2620
00:28:02,666 --> 00:28:02,786
[roger_mcfillin]: and

2621
00:28:02,800 --> 00:28:03,241
[sean]: i know we don't

2622
00:28:03,167 --> 00:28:03,347
[roger_mcfillin]: i know

2623
00:28:03,281 --> 00:28:03,401
[sean]: have

2624
00:28:03,387 --> 00:28:03,607
[roger_mcfillin]: we don't

2625
00:28:03,501 --> 00:28:03,622
[sean]: any

2626
00:28:03,648 --> 00:28:03,768
[roger_mcfillin]: have

2627
00:28:03,702 --> 00:28:03,842
[sean]: like

2628
00:28:03,868 --> 00:28:04,008
[roger_mcfillin]: any

2629
00:28:04,002 --> 00:28:04,383
[sean]: clue or

2630
00:28:04,389 --> 00:28:04,709
[roger_mcfillin]: clear

2631
00:28:04,743 --> 00:28:05,104
[sean]: data

2632
00:28:05,150 --> 00:28:05,511
[roger_mcfillin]: data

2633
00:28:05,244 --> 00:28:05,705
[sean]: that might

2634
00:28:05,651 --> 00:28:05,791
[roger_mcfillin]: that

2635
00:28:05,865 --> 00:28:06,366
[sean]: suggest

2636
00:28:05,892 --> 00:28:06,753
[roger_mcfillin]: might suggest

2637
00:28:06,486 --> 00:28:06,847
[sean]: that we

2638
00:28:06,893 --> 00:28:07,054
[roger_mcfillin]: that

2639
00:28:07,007 --> 00:28:07,167
[sean]: know

2640
00:28:07,174 --> 00:28:07,534
[roger_mcfillin]: we know

2641
00:28:07,428 --> 00:28:08,009
[sean]: the percentage

2642
00:28:07,815 --> 00:28:08,396
[roger_mcfillin]: the percentage

2643
00:28:08,049 --> 00:28:08,510
[sean]: of people that

2644
00:28:08,456 --> 00:28:08,496
[roger_mcfillin]: of

2645
00:28:08,530 --> 00:28:08,590
[sean]: are

2646
00:28:08,576 --> 00:28:08,777
[roger_mcfillin]: people

2647
00:28:08,630 --> 00:28:09,211
[sean]: gonna experience

2648
00:28:08,797 --> 00:28:09,598
[roger_mcfillin]: that are going experience

2649
00:28:09,231 --> 00:28:09,872
[sean]: this adverse

2650
00:28:09,658 --> 00:28:10,259
[roger_mcfillin]: his adverse

2651
00:28:10,193 --> 00:28:10,573
[sean]: effect

2652
00:28:10,580 --> 00:28:10,981
[roger_mcfillin]: effect

2653
00:28:11,154 --> 00:28:11,715
[sean]: but in

2654
00:28:11,702 --> 00:28:11,762
[roger_mcfillin]: and

2655
00:28:11,775 --> 00:28:12,176
[sean]: your work

2656
00:28:12,043 --> 00:28:12,264
[roger_mcfillin]: in your

2657
00:28:12,296 --> 00:28:12,536
[sean]: emily

2658
00:28:12,364 --> 00:28:12,545
[roger_mcfillin]: work

2659
00:28:12,617 --> 00:28:12,717
[sean]: are

2660
00:28:12,665 --> 00:28:12,886
[roger_mcfillin]: emily

2661
00:28:12,757 --> 00:28:13,198
[sean]: you getting

2662
00:28:13,007 --> 00:28:13,247
[roger_mcfillin]: are you

2663
00:28:13,238 --> 00:28:13,298
[sean]: an

2664
00:28:13,308 --> 00:28:13,569
[roger_mcfillin]: getting

2665
00:28:13,338 --> 00:28:13,819
[sean]: understanding

2666
00:28:13,609 --> 00:28:14,191
[roger_mcfillin]: an understanding

2667
00:28:14,319 --> 00:28:14,780
[sean]: of maybe how

2668
00:28:14,693 --> 00:28:14,974
[roger_mcfillin]: of maybe

2669
00:28:14,900 --> 00:28:15,281
[sean]: common

2670
00:28:15,054 --> 00:28:15,636
[roger_mcfillin]: how common

2671
00:28:15,401 --> 00:28:15,862
[sean]: something like

2672
00:28:15,776 --> 00:28:16,078
[roger_mcfillin]: something

2673
00:28:15,882 --> 00:28:16,162
[sean]: this is

2674
00:28:16,118 --> 00:28:16,619
[roger_mcfillin]: like this is

2675
00:28:17,593 --> 00:28:22,944
[emily_]: i think what we're dealing with is
anyway it's a lot more common than one

2676
00:28:22,984 --> 00:28:28,493
[emily_]: would think based on the amount of
literature there is so here's an example a

2677
00:28:28,573 --> 00:28:34,343
[emily_]: friend of mine i made through advocacy
who also suffers o p s d she

2678
00:28:34,803 --> 00:28:39,692
[emily_]: made a tender profile in her and
set it to her city and in it

2679
00:28:39,752 --> 00:28:44,439
[emily_]: she didn't show her face but she
described p s s and said i'm jus

2680
00:28:44,540 --> 00:28:48,220
[emily_]: looking to connect with other people out
there who might have it and she said

2681
00:28:48,280 --> 00:28:57,013
[emily_]: the the area for availability to ten
kilometers in either direction and within a few

2682
00:28:57,073 --> 00:28:58,135
[emily_]: days she was getting

2683
00:28:58,146 --> 00:28:58,228
[roger_mcfillin]: ah

2684
00:28:58,215 --> 00:29:03,465
[emily_]: messages from people who lived within her
vicinity that had p

2685
00:29:03,492 --> 00:29:04,572
[roger_mcfillin]: oh

2686
00:29:03,665 --> 00:29:08,352
[emily_]: s s t that had come across
her profile so this is not a rare

2687
00:29:08,512 --> 00:29:12,738
[emily_]: thing there's someone in your town there's
someone on your block who has p

2688
00:29:12,818 --> 00:29:12,839
[yassie_pirani]: m

2689
00:29:12,938 --> 00:29:13,218
[emily_]: s s d

2690
00:29:13,799 --> 00:29:14,041
[yassie_pirani]: yeah

2691
00:29:15,270 --> 00:29:20,357
[emily_]: it's probably far far more common than
is ever discussed just like many other forms

2692
00:29:20,457 --> 00:29:21,299
[emily_]: of sexual trauma

2693
00:29:22,310 --> 00:29:22,351
[yassie_pirani]: a

2694
00:29:22,751 --> 00:29:26,566
[emily_]: um and i just want to add
on to something that was speaking of earlier

2695
00:29:26,706 --> 00:29:26,967
[emily_]: about

2696
00:29:27,359 --> 00:29:27,379
[yassie_pirani]: m

2697
00:29:27,910 --> 00:29:30,476
[emily_]: accompanying symptoms so when i

2698
00:29:30,518 --> 00:29:30,539
[yassie_pirani]: m

2699
00:29:31,137 --> 00:29:35,946
[emily_]: was experiencing what was diagnosed as depression
in high school i could still finish high

2700
00:29:35,986 --> 00:29:41,274
[emily_]: school when i was on the medication
i was doing finding university when i developed

2701
00:29:41,294 --> 00:29:45,361
[emily_]: psisdifyou're coming off the medication i experienced
such emotional

2702
00:29:45,368 --> 00:29:45,389
[yassie_pirani]: m

2703
00:29:45,461 --> 00:29:51,251
[emily_]: trauma and also accompanying physical fatigue and
cognitive impacts

2704
00:29:51,072 --> 00:29:51,175
[yassie_pirani]: oh

2705
00:29:51,311 --> 00:29:56,059
[emily_]: like brain fag and inability to think
straight or carry a work load that i

2706
00:29:56,099 --> 00:30:03,348
[emily_]: had to ahletif university so that is
both a that also makes it more difficult

2707
00:30:03,709 --> 00:30:07,455
[emily_]: for people to address the problem of
p s s t and it makes it

2708
00:30:07,495 --> 00:30:11,402
[emily_]: more difficult for them to communicate to
the people around them because it comes with

2709
00:30:11,482 --> 00:30:19,936
[emily_]: these accompanying symptoms of deep deep fatigue
and lack of vitality so i think people

2710
00:30:20,096 --> 00:30:24,956
[emily_]: who acquire p s st often just
kind of slowly fading into the background

2711
00:30:27,586 --> 00:30:30,335
[sean]: if if someone does suspect they may

2712
00:30:30,365 --> 00:30:30,466
[roger_mcfillin]: they

2713
00:30:30,415 --> 00:30:30,616
[sean]: have

2714
00:30:30,566 --> 00:30:30,747
[roger_mcfillin]: made

2715
00:30:30,736 --> 00:30:33,944
[sean]: p s s d how do they

2716
00:30:33,912 --> 00:30:33,992
[roger_mcfillin]: how

2717
00:30:34,024 --> 00:30:34,124
[sean]: go

2718
00:30:34,092 --> 00:30:34,172
[roger_mcfillin]: did

2719
00:30:34,245 --> 00:30:34,586
[sean]: about

2720
00:30:34,293 --> 00:30:34,513
[roger_mcfillin]: it go

2721
00:30:34,706 --> 00:30:35,027
[sean]: trying

2722
00:30:34,834 --> 00:30:34,954
[roger_mcfillin]: out

2723
00:30:35,167 --> 00:30:37,293
[sean]: to confirm because maybe people

2724
00:30:37,140 --> 00:30:37,381
[roger_mcfillin]: maybe

2725
00:30:37,373 --> 00:30:37,453
[sean]: are

2726
00:30:37,481 --> 00:30:37,682
[roger_mcfillin]: people

2727
00:30:37,513 --> 00:30:39,077
[sean]: on the fence and not understanding

2728
00:30:39,025 --> 00:30:39,306
[roger_mcfillin]: stand

2729
00:30:39,178 --> 00:30:42,285
[sean]: because awareness is so low what resources

2730
00:30:41,813 --> 00:30:42,196
[roger_mcfillin]: what is

2731
00:30:42,545 --> 00:30:43,927
[sean]: exist if someone even

2732
00:30:44,002 --> 00:30:44,042
[roger_mcfillin]: on

2733
00:30:44,007 --> 00:30:46,331
[sean]: go to a doctor could a doctor
properly

2734
00:30:46,422 --> 00:30:47,210
[roger_mcfillin]: perley

2735
00:30:47,093 --> 00:30:47,594
[sean]: confirm or

2736
00:30:47,663 --> 00:30:47,804
[roger_mcfillin]: for

2737
00:30:47,674 --> 00:30:50,141
[sean]: deny whether or not it's happening

2738
00:30:50,408 --> 00:30:50,429
[roger_mcfillin]: i

2739
00:30:51,661 --> 00:30:57,330
[emily_]: there is there has been recently published
an official diagnostic criteria and it was developed

2740
00:30:57,370 --> 00:31:02,799
[emily_]: by a wide range of medical professionals
from thirty nine different universities and i can

2741
00:31:03,220 --> 00:31:08,909
[emily_]: link that to you afterwards the problem
is that was developed in europe so this

2742
00:31:08,949 --> 00:31:14,919
[emily_]: is starting to gain more awareness and
recognition across the european union but especially in

2743
00:31:15,180 --> 00:31:20,336
[emily_]: america were really behind on awareness so
chances are when you go to a doctor

2744
00:31:21,700 --> 00:31:24,945
[emily_]: this is changing now but a lot
of the time they haven't even heard of

2745
00:31:25,005 --> 00:31:26,728
[emily_]: p s s so they

2746
00:31:26,828 --> 00:31:26,849
[yassie_pirani]: m

2747
00:31:26,888 --> 00:31:30,735
[emily_]: may just be genuinely in the dark
but what you're experiencing as much as the

2748
00:31:30,775 --> 00:31:36,813
[emily_]: patient is there's a tendency to suggs
that it's the mental health issue returning there's

2749
00:31:36,894 --> 00:31:43,237
[emily_]: also just often sort of a bold
face just denial that it's possible that these

2750
00:31:43,277 --> 00:31:47,544
[emily_]: effects can be the result of a
medication and so patients may leave the doctor's

2751
00:31:47,604 --> 00:31:51,771
[emily_]: office just saying well i guess it
can't be the medication it must be something

2752
00:31:51,851 --> 00:31:56,778
[emily_]: else and they may spend years trying
other things trying to fix other things on

2753
00:31:57,680 --> 00:32:02,871
[emily_]: not being able to confirm that it
is p s s t m generally we

2754
00:32:02,911 --> 00:32:10,063
[emily_]: would say if you have significant sexual
disfunction that was not present before taking the

2755
00:32:10,103 --> 00:32:18,550
[emily_]: medication and that lasts three to six
months after totally tapering off the medication we

2756
00:32:18,611 --> 00:32:23,053
[emily_]: would consider it to be p s
s t we're not able yet to confirm

2757
00:32:23,233 --> 00:32:27,981
[emily_]: bio markers there's no particular test that
can be done on someone that can confirm

2758
00:32:28,041 --> 00:32:33,009
[emily_]: that it's p s st a big
clue is if there is tact nothing in

2759
00:32:33,049 --> 00:32:39,857
[emily_]: there tall area because it's hard you
know if it's lowered libido then it could

2760
00:32:39,917 --> 00:32:45,707
[emily_]: maybe be other things tactialnumming after taking
an is quite distinct that's quite a distinct

2761
00:32:45,807 --> 00:32:46,568
[emily_]: discreet symptom

2762
00:32:46,668 --> 00:32:47,263
[sean]: hm

2763
00:32:47,812 --> 00:32:53,522
[emily_]: um there are some medical professionals who
are ware of past and are willing to

2764
00:32:53,562 --> 00:32:56,988
[emily_]: diagnose it and i can make i
can link you a list of them afterwards

2765
00:32:57,068 --> 00:32:57,349
[emily_]: as well

2766
00:32:58,014 --> 00:32:58,196
[sean]: great

2767
00:32:59,309 --> 00:33:03,776
[yassie_pirani]: i find it's really common for people
when they if they do gain the courage

2768
00:33:03,876 --> 00:33:07,943
[yassie_pirani]: to speak to their doctor which is
often a journey that i work with practice

2769
00:33:08,003 --> 00:33:09,466
[yassie_pirani]: folks feel so much

2770
00:33:09,351 --> 00:33:09,573
[emily_]: yeah

2771
00:33:10,467 --> 00:33:17,198
[yassie_pirani]: mistrust um they've gotten p s s
t it's because the health care professional didn't

2772
00:33:17,299 --> 00:33:20,744
[yassie_pirani]: have the equipment to warn them about
the risk so there's a lot of mistrust

2773
00:33:20,844 --> 00:33:26,634
[yassie_pirani]: already coming in when going into doctor's
office after that experience oftentimes people have spoken

2774
00:33:26,694 --> 00:33:31,743
[yassie_pirani]: to their families or communities and they're
shamed or minimize so the strength and courage

2775
00:33:31,803 --> 00:33:34,547
[yassie_pirani]: it takes to even go into a
doctor's office and say hey i think i

2776
00:33:34,607 --> 00:33:39,536
[yassie_pirani]: have p s s t his it's
immense and it's really common for people to

2777
00:33:39,576 --> 00:33:46,708
[yassie_pirani]: experience miniimization and dismissal of their pscpssdsymptoms
is a valid health care concern

2778
00:33:46,569 --> 00:33:46,590
[emily_]: m

2779
00:33:47,289 --> 00:33:48,370
[yassie_pirani]: which compound suffering

2780
00:33:48,210 --> 00:33:49,050
[emily_]: oh

2781
00:33:49,011 --> 00:33:54,821
[yassie_pirani]: often the greatest contributor i find to
thoughts of suicide is well not actually the

2782
00:33:54,881 --> 00:33:59,653
[yassie_pirani]: injury itself often times it is but
the experience of having their concerns to messed

2783
00:34:00,239 --> 00:34:05,227
[yassie_pirani]: the denial of pit is a real
and serious health care issue creates the conditions

2784
00:34:05,287 --> 00:34:11,217
[yassie_pirani]: in which people too often blame themselves
and self blame can further distrep relationships self

2785
00:34:11,297 --> 00:34:16,225
[yassie_pirani]: worth and ident in sending people into
a spiral of shame and self loathing and

2786
00:34:16,566 --> 00:34:21,935
[yassie_pirani]: read it's reached completely retrometizing for people
to have to not be to not be

2787
00:34:21,975 --> 00:34:27,204
[yassie_pirani]: validated and believed on many people with
this sexual trauma from p s s t

2788
00:34:27,524 --> 00:34:28,145
[yassie_pirani]: drop parallels

2789
00:34:27,870 --> 00:34:28,114
[emily_]: oh

2790
00:34:28,225 --> 00:34:29,367
[yassie_pirani]: to sexual assault made

2791
00:34:29,310 --> 00:34:29,572
[emily_]: oh

2792
00:34:30,890 --> 00:34:34,255
[yassie_pirani]: to drop parallels to sexual assaults to
make sense of their experiences

2793
00:34:33,930 --> 00:34:34,212
[emily_]: oh

2794
00:34:34,396 --> 00:34:39,264
[yassie_pirani]: as they feel strongly that a violence
been done to them and sexual violence framework

2795
00:34:39,364 --> 00:34:43,891
[yassie_pirani]: is useful for these suffers to understand
their experience particularly because of the power and

2796
00:34:43,932 --> 00:34:51,890
[yassie_pirani]: authority tiveferentials involved the dynamics around consent
and the shame experienced when speaking out sufferers

2797
00:34:51,970 --> 00:34:57,259
[yassie_pirani]: of p s just as survivors of
sexual other sexual violences need to be reminded

2798
00:34:57,299 --> 00:35:00,003
[yassie_pirani]: that their trauma is not their faults
and that they have the right to feel

2799
00:35:00,124 --> 00:35:04,896
[yassie_pirani]: rage devastation grief confusion and their emotion
related to their experience

2800
00:35:06,373 --> 00:35:06,734
[sean]: yeah yeah

2801
00:35:06,752 --> 00:35:06,872
[roger_mcfillin]: yeah

2802
00:35:06,914 --> 00:35:06,994
[sean]: you

2803
00:35:06,952 --> 00:35:07,132
[roger_mcfillin]: yeah

2804
00:35:07,294 --> 00:35:07,976
[sean]: re you jumped

2805
00:35:07,934 --> 00:35:08,034
[roger_mcfillin]: you

2806
00:35:08,036 --> 00:35:08,096
[sean]: in

2807
00:35:08,114 --> 00:35:08,334
[roger_mcfillin]: jumped

2808
00:35:08,136 --> 00:35:08,597
[sean]: there because

2809
00:35:08,415 --> 00:35:08,675
[roger_mcfillin]: in there

2810
00:35:08,617 --> 00:35:08,757
[sean]: i was

2811
00:35:08,755 --> 00:35:08,976
[roger_mcfillin]: because

2812
00:35:08,777 --> 00:35:08,957
[sean]: going to

2813
00:35:08,996 --> 00:35:09,276
[roger_mcfillin]: i was going

2814
00:35:09,218 --> 00:35:09,298
[sean]: go

2815
00:35:09,296 --> 00:35:09,356
[roger_mcfillin]: to

2816
00:35:09,378 --> 00:35:09,558
[sean]: down

2817
00:35:09,597 --> 00:35:09,657
[roger_mcfillin]: go

2818
00:35:09,618 --> 00:35:09,759
[sean]: that

2819
00:35:09,757 --> 00:35:09,937
[roger_mcfillin]: down

2820
00:35:09,859 --> 00:35:10,119
[sean]: lens

2821
00:35:09,997 --> 00:35:10,137
[roger_mcfillin]: that

2822
00:35:10,199 --> 00:35:10,259
[sean]: as

2823
00:35:10,258 --> 00:35:10,538
[roger_mcfillin]: lends

2824
00:35:10,340 --> 00:35:10,580
[sean]: far as

2825
00:35:10,598 --> 00:35:10,658
[roger_mcfillin]: as

2826
00:35:10,680 --> 00:35:10,941
[sean]: asking

2827
00:35:10,718 --> 00:35:10,959
[roger_mcfillin]: far as

2828
00:35:10,981 --> 00:35:11,061
[sean]: you

2829
00:35:11,059 --> 00:35:11,299
[roger_mcfillin]: asking

2830
00:35:11,101 --> 00:35:11,742
[sean]: some questions

2831
00:35:11,360 --> 00:35:12,121
[roger_mcfillin]: you some questions

2832
00:35:11,802 --> 00:35:12,163
[sean]: because i know

2833
00:35:12,201 --> 00:35:12,381
[roger_mcfillin]: because

2834
00:35:12,223 --> 00:35:12,423
[sean]: you do

2835
00:35:12,401 --> 00:35:12,541
[roger_mcfillin]: i know

2836
00:35:12,503 --> 00:35:12,643
[sean]: work

2837
00:35:12,602 --> 00:35:12,662
[roger_mcfillin]: you

2838
00:35:12,703 --> 00:35:12,824
[sean]: from

2839
00:35:12,722 --> 00:35:12,802
[roger_mcfillin]: do

2840
00:35:12,864 --> 00:35:12,904
[sean]: a

2841
00:35:12,882 --> 00:35:13,022
[roger_mcfillin]: work

2842
00:35:12,964 --> 00:35:13,264
[sean]: trauma

2843
00:35:13,082 --> 00:35:13,623
[roger_mcfillin]: from a trauma

2844
00:35:13,385 --> 00:35:13,825
[sean]: and formed

2845
00:35:13,743 --> 00:35:14,224
[roger_mcfillin]: and formed

2846
00:35:13,946 --> 00:35:14,647
[sean]: perspective

2847
00:35:14,344 --> 00:35:15,006
[roger_mcfillin]: perspective

2848
00:35:15,268 --> 00:35:15,728
[sean]: and this

2849
00:35:15,647 --> 00:35:15,727
[roger_mcfillin]: and

2850
00:35:15,909 --> 00:35:16,229
[sean]: clearly

2851
00:35:15,967 --> 00:35:16,608
[roger_mcfillin]: this clearly

2852
00:35:16,530 --> 00:35:17,311
[sean]: to me represents

2853
00:35:16,909 --> 00:35:17,690
[roger_mcfillin]: to me represents

2854
00:35:17,391 --> 00:35:17,672
[sean]: medical

2855
00:35:17,770 --> 00:35:18,071
[roger_mcfillin]: medical

2856
00:35:17,772 --> 00:35:18,092
[sean]: trauma

2857
00:35:18,171 --> 00:35:18,471
[roger_mcfillin]: trauma

2858
00:35:18,754 --> 00:35:18,994
[sean]: are you

2859
00:35:19,056 --> 00:35:19,589
[yassie_pirani]: hm

2860
00:35:19,132 --> 00:35:19,412
[roger_mcfillin]: are you

2861
00:35:19,455 --> 00:35:19,735
[sean]: do your

2862
00:35:19,833 --> 00:35:19,913
[roger_mcfillin]: do

2863
00:35:19,876 --> 00:35:20,336
[sean]: clients

2864
00:35:20,013 --> 00:35:20,733
[roger_mcfillin]: your clients

2865
00:35:20,396 --> 00:35:20,737
[sean]: that you're

2866
00:35:20,773 --> 00:35:20,894
[roger_mcfillin]: that

2867
00:35:20,797 --> 00:35:21,098
[sean]: working

2868
00:35:20,934 --> 00:35:21,474
[roger_mcfillin]: you're working

2869
00:35:21,178 --> 00:35:21,759
[sean]: with also

2870
00:35:21,594 --> 00:35:22,115
[roger_mcfillin]: with also

2871
00:35:22,039 --> 00:35:22,540
[sean]: exhibit

2872
00:35:22,415 --> 00:35:22,915
[roger_mcfillin]: exhibit

2873
00:35:22,680 --> 00:35:23,141
[sean]: symptoms

2874
00:35:23,075 --> 00:35:23,516
[roger_mcfillin]: symptoms

2875
00:35:23,362 --> 00:35:23,482
[sean]: of

2876
00:35:23,736 --> 00:35:23,876
[roger_mcfillin]: of

2877
00:35:24,083 --> 00:35:24,644
[sean]: post dramatic

2878
00:35:24,457 --> 00:35:25,017
[roger_mcfillin]: post dramatic

2879
00:35:24,744 --> 00:35:25,085
[sean]: stress

2880
00:35:25,097 --> 00:35:25,458
[roger_mcfillin]: stress

2881
00:35:25,305 --> 00:35:25,726
[sean]: in a way

2882
00:35:25,678 --> 00:35:25,838
[roger_mcfillin]: in a

2883
00:35:25,866 --> 00:35:26,026
[sean]: that

2884
00:35:25,938 --> 00:35:26,398
[roger_mcfillin]: way that

2885
00:35:26,327 --> 00:35:26,808
[sean]: one would

2886
00:35:26,699 --> 00:35:27,179
[roger_mcfillin]: one would

2887
00:35:27,008 --> 00:35:27,889
[sean]: if they experienced

2888
00:35:27,379 --> 00:35:28,260
[roger_mcfillin]: if they experienced

2889
00:35:28,190 --> 00:35:28,871
[sean]: another dramatic

2890
00:35:28,580 --> 00:35:29,261
[roger_mcfillin]: another dramatic

2891
00:35:28,931 --> 00:35:29,172
[sean]: event

2892
00:35:29,321 --> 00:35:29,541
[roger_mcfillin]: event

2893
00:35:29,820 --> 00:35:30,021
[emily_]: oh

2894
00:35:29,959 --> 00:35:33,924
[yassie_pirani]: absolutely absolutely and people are triggered

2895
00:35:33,759 --> 00:35:33,780
[emily_]: m

2896
00:35:34,485 --> 00:35:41,064
[yassie_pirani]: the thing that's so hard about this
is the triggers are everywhere i mean a

2897
00:35:41,204 --> 00:35:44,950
[yassie_pirani]: love song at the mall i mean
sex and relationships

2898
00:35:44,760 --> 00:35:45,131
[emily_]: oh

2899
00:35:45,030 --> 00:35:49,398
[yassie_pirani]: and love it's everywhere i mean you
go to a friend's house and people are

2900
00:35:49,438 --> 00:35:54,065
[yassie_pirani]: talking about who dating and you know
who's hot and who you know like it's

2901
00:35:54,186 --> 00:36:00,075
[yassie_pirani]: just it's it's inescapable we don't realize
how much or how much our culture really

2902
00:36:00,115 --> 00:36:04,322
[yassie_pirani]: revolves around romance and sex until you
until you get p s s d and

2903
00:36:04,362 --> 00:36:09,571
[yassie_pirani]: you're triggered constantly because there's reminders of
what what's happened to you and what's been

2904
00:36:09,611 --> 00:36:18,992
[yassie_pirani]: stolen from you so it's really really
hard for people it's definitely a a lot

2905
00:36:19,174 --> 00:36:23,454
[yassie_pirani]: i mean most people say that the
p s s t has given them p

2906
00:36:23,574 --> 00:36:24,957
[yassie_pirani]: t s d yeh

2907
00:36:25,033 --> 00:36:26,334
[sean]: yeah i

2908
00:36:26,345 --> 00:36:27,000
[emily_]: hm

2909
00:36:26,394 --> 00:36:26,734
[sean]: work with

2910
00:36:26,684 --> 00:36:26,924
[roger_mcfillin]: i work

2911
00:36:26,814 --> 00:36:27,155
[sean]: sexual

2912
00:36:27,005 --> 00:36:27,566
[roger_mcfillin]: with sexual

2913
00:36:27,295 --> 00:36:27,615
[sean]: trauma

2914
00:36:27,686 --> 00:36:28,007
[roger_mcfillin]: trauma

2915
00:36:28,075 --> 00:36:28,636
[sean]: survivors

2916
00:36:28,468 --> 00:36:29,050
[roger_mcfillin]: survivors

2917
00:36:28,776 --> 00:36:30,157
[sean]: and you know as you're probably

2918
00:36:30,033 --> 00:36:30,254
[roger_mcfillin]: as you're

2919
00:36:30,197 --> 00:36:30,358
[sean]: well

2920
00:36:30,294 --> 00:36:30,535
[roger_mcfillin]: probably

2921
00:36:30,398 --> 00:36:30,798
[sean]: aware

2922
00:36:30,575 --> 00:36:31,138
[roger_mcfillin]: well aware

2923
00:36:31,659 --> 00:36:32,219
[sean]: that component

2924
00:36:32,042 --> 00:36:32,604
[roger_mcfillin]: that component

2925
00:36:32,259 --> 00:36:32,560
[sean]: of self

2926
00:36:32,644 --> 00:36:32,704
[roger_mcfillin]: of

2927
00:36:32,680 --> 00:36:33,020
[sean]: blame

2928
00:36:32,764 --> 00:36:33,406
[roger_mcfillin]: self blame

2929
00:36:33,080 --> 00:36:33,481
[sean]: is really

2930
00:36:33,466 --> 00:36:33,526
[roger_mcfillin]: is

2931
00:36:33,541 --> 00:36:34,201
[sean]: problematic

2932
00:36:33,626 --> 00:36:34,568
[roger_mcfillin]: really problematic

2933
00:36:34,582 --> 00:36:34,762
[sean]: as

2934
00:36:34,969 --> 00:36:35,150
[roger_mcfillin]: as

2935
00:36:35,623 --> 00:36:36,144
[sean]: it does get

2936
00:36:36,032 --> 00:36:36,333
[roger_mcfillin]: it does

2937
00:36:36,204 --> 00:36:36,384
[sean]: in the

2938
00:36:36,413 --> 00:36:36,533
[roger_mcfillin]: get

2939
00:36:36,424 --> 00:36:36,584
[sean]: way

2940
00:36:36,593 --> 00:36:36,774
[roger_mcfillin]: in the

2941
00:36:36,705 --> 00:36:36,765
[sean]: of

2942
00:36:36,834 --> 00:36:36,974
[roger_mcfillin]: way

2943
00:36:36,845 --> 00:36:37,206
[sean]: being able

2944
00:36:37,075 --> 00:36:37,396
[roger_mcfillin]: of being

2945
00:36:37,266 --> 00:36:37,566
[sean]: to take

2946
00:36:37,436 --> 00:36:37,737
[roger_mcfillin]: able to

2947
00:36:37,687 --> 00:36:37,967
[sean]: steps

2948
00:36:37,797 --> 00:36:38,358
[roger_mcfillin]: take steps

2949
00:36:38,127 --> 00:36:38,548
[sean]: forward

2950
00:36:38,519 --> 00:36:38,940
[roger_mcfillin]: forward

2951
00:36:39,490 --> 00:36:39,570
[sean]: and

2952
00:36:39,852 --> 00:36:39,952
[roger_mcfillin]: and

2953
00:36:39,911 --> 00:36:40,332
[sean]: it's really

2954
00:36:40,293 --> 00:36:40,714
[roger_mcfillin]: it's really

2955
00:36:40,752 --> 00:36:41,113
[sean]: even when we

2956
00:36:41,134 --> 00:36:41,254
[roger_mcfillin]: even

2957
00:36:41,153 --> 00:36:41,293
[sean]: look

2958
00:36:41,295 --> 00:36:41,395
[roger_mcfillin]: when

2959
00:36:41,354 --> 00:36:41,494
[sean]: into

2960
00:36:41,435 --> 00:36:41,675
[roger_mcfillin]: we look

2961
00:36:41,554 --> 00:36:42,095
[sean]: our literature

2962
00:36:41,715 --> 00:36:42,456
[roger_mcfillin]: into our literature

2963
00:36:42,175 --> 00:36:42,636
[sean]: it's really

2964
00:36:42,537 --> 00:36:42,677
[roger_mcfillin]: it's

2965
00:36:42,676 --> 00:36:43,017
[sean]: a major

2966
00:36:42,777 --> 00:36:43,077
[roger_mcfillin]: really a

2967
00:36:43,077 --> 00:36:43,458
[sean]: factor

2968
00:36:43,118 --> 00:36:43,839
[roger_mcfillin]: major factor

2969
00:36:43,538 --> 00:36:44,199
[sean]: in the development

2970
00:36:43,899 --> 00:36:44,580
[roger_mcfillin]: in the development

2971
00:36:44,239 --> 00:36:44,540
[sean]: of p t

2972
00:36:44,620 --> 00:36:44,680
[roger_mcfillin]: of

2973
00:36:44,740 --> 00:36:44,760
[sean]: s

2974
00:36:44,740 --> 00:36:45,201
[roger_mcfillin]: ptst

2975
00:36:44,800 --> 00:36:45,421
[sean]: d symptoms

2976
00:36:45,401 --> 00:36:45,802
[roger_mcfillin]: symptoms

2977
00:36:46,283 --> 00:36:46,524
[sean]: have to

2978
00:36:46,563 --> 00:36:46,583
[roger_mcfillin]: i

2979
00:36:46,604 --> 00:36:47,105
[sean]: imagine

2980
00:36:46,663 --> 00:36:47,485
[roger_mcfillin]: have to imagine

2981
00:36:47,186 --> 00:36:47,848
[sean]: when it comes

2982
00:36:47,565 --> 00:36:48,226
[roger_mcfillin]: when it comes

2983
00:36:48,028 --> 00:36:48,148
[sean]: to

2984
00:36:48,406 --> 00:36:48,527
[roger_mcfillin]: to

2985
00:36:48,710 --> 00:36:48,991
[sean]: turning

2986
00:36:49,087 --> 00:36:49,408
[roger_mcfillin]: turning

2987
00:36:49,091 --> 00:36:49,212
[sean]: to

2988
00:36:49,488 --> 00:36:49,608
[roger_mcfillin]: to

2989
00:36:49,633 --> 00:36:50,536
[sean]: s s r eyes

2990
00:36:50,550 --> 00:36:50,630
[roger_mcfillin]: our

2991
00:36:50,576 --> 00:36:50,796
[sean]: and then

2992
00:36:50,770 --> 00:36:50,911
[roger_mcfillin]: eyes

2993
00:36:50,877 --> 00:36:51,378
[sean]: developing

2994
00:36:50,971 --> 00:36:51,311
[roger_mcfillin]: and then de

2995
00:36:51,418 --> 00:36:51,559
[sean]: this

2996
00:36:51,592 --> 00:36:51,733
[roger_mcfillin]: think

2997
00:36:51,619 --> 00:36:52,080
[sean]: condition

2998
00:36:51,834 --> 00:36:52,438
[roger_mcfillin]: is condition

2999
00:36:53,253 --> 00:36:53,834
[sean]: self blame

3000
00:36:53,642 --> 00:36:54,203
[roger_mcfillin]: self blame

3001
00:36:54,295 --> 00:36:54,435
[sean]: is

3002
00:36:54,664 --> 00:36:54,804
[roger_mcfillin]: is

3003
00:36:54,915 --> 00:36:55,336
[sean]: got to be

3004
00:36:55,284 --> 00:36:55,725
[roger_mcfillin]: got to be

3005
00:36:55,716 --> 00:36:56,057
[sean]: one of the

3006
00:36:56,086 --> 00:36:56,186
[roger_mcfillin]: one

3007
00:36:56,137 --> 00:36:56,598
[sean]: challenges

3008
00:36:56,246 --> 00:36:56,967
[roger_mcfillin]: of the challenges

3009
00:36:56,638 --> 00:36:56,938
[sean]: that you

3010
00:36:57,027 --> 00:36:57,147
[roger_mcfillin]: that

3011
00:36:57,075 --> 00:36:57,810
[emily_]: hm

3012
00:36:57,078 --> 00:36:57,319
[sean]: face

3013
00:36:57,227 --> 00:36:57,327
[roger_mcfillin]: you

3014
00:36:57,399 --> 00:36:57,459
[sean]: and

3015
00:36:57,447 --> 00:36:57,728
[roger_mcfillin]: face

3016
00:36:57,519 --> 00:36:57,940
[sean]: being able

3017
00:36:57,788 --> 00:36:58,088
[roger_mcfillin]: and being

3018
00:36:58,000 --> 00:36:58,520
[sean]: to support

3019
00:36:58,148 --> 00:36:58,909
[roger_mcfillin]: able to support

3020
00:36:58,620 --> 00:36:58,941
[sean]: people

3021
00:36:59,010 --> 00:36:59,310
[roger_mcfillin]: people

3022
00:36:59,101 --> 00:36:59,522
[sean]: clinically

3023
00:36:59,470 --> 00:36:59,891
[roger_mcfillin]: clinically

3024
00:37:01,140 --> 00:37:08,412
[yassie_pirani]: yeah yeah it's massive because it's really
really challenging for people to find people in

3025
00:37:08,452 --> 00:37:17,166
[yassie_pirani]: their network to validate their experience yea
people do not get that it's hard to

3026
00:37:17,226 --> 00:37:22,615
[yassie_pirani]: find people to really recognize the depth
of the

3027
00:37:22,662 --> 00:37:22,763
[emily_]: ah

3028
00:37:22,675 --> 00:37:27,964
[yassie_pirani]: violence that has happened and to um
to remind people that it's not their fault

3029
00:37:28,024 --> 00:37:31,550
[yassie_pirani]: and that and that they have nothing
to be ashamed about and that that you

3030
00:37:31,610 --> 00:37:37,279
[yassie_pirani]: know they shouldn't be blaming themselves because
it's so it's so i can think of

3031
00:37:37,339 --> 00:37:42,247
[yassie_pirani]: a more stigmatized health care condition first
you have to tell your community whoever you

3032
00:37:42,328 --> 00:37:45,974
[yassie_pirani]: are leaning to for support first you
have to say that you are on psychiatric

3033
00:37:46,054 --> 00:37:52,545
[yassie_pirani]: medications which carries stigma and then you
have to say that you have been chemically

3034
00:37:52,625 --> 00:38:03,143
[yassie_pirani]: castrated essentially um so the intersection of
those reality it makes it extremely difficult for

3035
00:38:03,203 --> 00:38:07,252
[yassie_pirani]: people to speak out and get the
support they need from their families from their

3036
00:38:07,292 --> 00:38:11,260
[yassie_pirani]: communities and because people haven't heard of
p s s t it's just it's so

3037
00:38:11,420 --> 00:38:20,434
[yassie_pirani]: often minimized as an issue it's really
rare for people i find to find somebody

3038
00:38:20,494 --> 00:38:25,422
[yassie_pirani]: in their life to just say wow
that you know i don't know a lot

3039
00:38:25,482 --> 00:38:29,910
[yassie_pirani]: about that let me learn more about
your experience a lot of ople really don't

3040
00:38:29,970 --> 00:38:38,578
[yassie_pirani]: want to acknowledge that this is real
because it's so confronting to the status quote

3041
00:38:38,739 --> 00:38:43,533
[yassie_pirani]: of how we asses an treat people
with mental health issues and there's a lot

3042
00:38:43,633 --> 00:38:52,374
[yassie_pirani]: of it's there's a lot of he
a nuance that needs to be part of

3043
00:38:52,414 --> 00:38:58,013
[yassie_pirani]: the discussion when we're bringing light to
the risks of s s r is a

3044
00:38:58,053 --> 00:39:00,456
[yassie_pirani]: lot of people who are on the
medication do

3045
00:39:04,621 --> 00:39:08,865
[yassie_pirani]: do you feel attacked when the drugs
are being critigued and so people who are

3046
00:39:08,885 --> 00:39:11,348
[yassie_pirani]: crutiguing the medicationsum

3047
00:39:09,999 --> 00:39:10,020
[emily_]: m

3048
00:39:12,419 --> 00:39:17,567
[yassie_pirani]: we're trying to have more robust conversations
about efficacy and safety can be kind of

3049
00:39:17,627 --> 00:39:22,415
[yassie_pirani]: just put into a camp of conspire
like oh your conspiracy theorist kind of thing

3050
00:39:23,222 --> 00:39:23,403
[emily_]: yeah

3051
00:39:25,985 --> 00:39:26,066
[sean]: ah

3052
00:39:26,319 --> 00:39:27,585
[yassie_pirani]: emily say something

3053
00:39:28,471 --> 00:39:33,097
[emily_]: yeah i was going to just completely
concur that people who are currently on the

3054
00:39:33,137 --> 00:39:33,718
[emily_]: medication

3055
00:39:34,632 --> 00:39:34,912
[roger_mcfillin]: oh

3056
00:39:35,340 --> 00:39:39,808
[emily_]: they have a tendency to get defensive
when we're just talking about the

3057
00:39:40,721 --> 00:39:40,962
[roger_mcfillin]: yeah

3058
00:39:40,910 --> 00:39:46,099
[emily_]: long term effects that we've experienced i
think they experience it is some kind of

3059
00:39:46,139 --> 00:39:50,927
[emily_]: attack on their choices and i'm not
looking to take choice away from people i'm

3060
00:39:50,987 --> 00:39:53,231
[emily_]: actually e trying to enable them ormed
choice

3061
00:39:54,353 --> 00:39:55,325
[roger_mcfillin]: oh

3062
00:39:54,413 --> 00:39:55,054
[emily_]: and so too

3063
00:39:54,943 --> 00:39:55,663
[sean]: yeah

3064
00:39:55,194 --> 00:40:01,084
[emily_]: like we're not trying to make people
feel ashamed for taking medication we just want

3065
00:40:01,164 --> 00:40:06,472
[emily_]: people to go into that knowing what
they are taking knowing more about what they're

3066
00:40:06,492 --> 00:40:10,197
[emily_]: putting in their body and what the
potential lunt consequences of it are they have

3067
00:40:10,257 --> 00:40:11,319
[emily_]: a right to know that

3068
00:40:13,079 --> 00:40:13,221
[sean]: good

3069
00:40:13,080 --> 00:40:13,244
[yassie_pirani]: yeah

3070
00:40:13,282 --> 00:40:13,465
[sean]: point

3071
00:40:13,514 --> 00:40:13,635
[emily_]: um

3072
00:40:13,645 --> 00:40:13,850
[roger_mcfillin]: point

3073
00:40:14,259 --> 00:40:14,280
[emily_]: m

3074
00:40:14,672 --> 00:40:14,873
[yassie_pirani]: i think

3075
00:40:14,881 --> 00:40:15,023
[sean]: um

3076
00:40:15,054 --> 00:40:15,659
[yassie_pirani]: lost

3077
00:40:15,292 --> 00:40:15,413
[roger_mcfillin]: um

3078
00:40:16,049 --> 00:40:16,251
[yassie_pirani]: sorry

3079
00:40:16,173 --> 00:40:16,354
[sean]: sorry

3080
00:40:16,562 --> 00:40:16,743
[roger_mcfillin]: sorry

3081
00:40:16,676 --> 00:40:17,078
[sean]: red yasi

3082
00:40:17,307 --> 00:40:17,347
[roger_mcfillin]: as

3083
00:40:17,709 --> 00:40:20,173
[yassie_pirani]: so to say a lot of people
feel pressure to kind of tone down the

3084
00:40:20,273 --> 00:40:27,285
[yassie_pirani]: impact of this on their lives because
of due to the stigma against speaking frankly

3085
00:40:27,505 --> 00:40:32,413
[yassie_pirani]: about sexuality and the taboo of critics
sing mental health medication in any way um

3086
00:40:32,682 --> 00:40:32,984
[roger_mcfillin]: yeah

3087
00:40:32,733 --> 00:40:35,418
[yassie_pirani]: so yeah that just really really really
complicates things

3088
00:40:36,483 --> 00:40:37,050
[emily_]: hm

3089
00:40:36,853 --> 00:40:37,233
[sean]: agree and

3090
00:40:37,293 --> 00:40:37,493
[roger_mcfillin]: three

3091
00:40:37,314 --> 00:40:37,514
[sean]: i think

3092
00:40:37,553 --> 00:40:37,613
[roger_mcfillin]: and

3093
00:40:37,554 --> 00:40:37,674
[sean]: that

3094
00:40:37,693 --> 00:40:37,713
[roger_mcfillin]: i

3095
00:40:37,714 --> 00:40:37,835
[sean]: all

3096
00:40:37,774 --> 00:40:37,894
[roger_mcfillin]: think

3097
00:40:37,875 --> 00:40:38,075
[sean]: ties

3098
00:40:37,954 --> 00:40:38,074
[roger_mcfillin]: that

3099
00:40:38,175 --> 00:40:39,578
[sean]: into the under reporting

3100
00:40:39,236 --> 00:40:39,557
[roger_mcfillin]: under

3101
00:40:39,859 --> 00:40:42,824
[sean]: of this this effect yeah it's really

3102
00:40:42,703 --> 00:40:42,964
[roger_mcfillin]: yeah it's

3103
00:40:42,884 --> 00:40:43,224
[sean]: important

3104
00:40:43,004 --> 00:40:43,204
[roger_mcfillin]: really

3105
00:40:43,265 --> 00:40:43,565
[sean]: because

3106
00:40:43,265 --> 00:40:43,947
[roger_mcfillin]: important because

3107
00:40:43,885 --> 00:40:44,266
[sean]: this isn't

3108
00:40:44,288 --> 00:40:44,649
[roger_mcfillin]: this isn't

3109
00:40:44,687 --> 00:40:45,107
[sean]: about pill

3110
00:40:45,070 --> 00:40:45,270
[roger_mcfillin]: about

3111
00:40:45,187 --> 00:40:45,508
[sean]: shaming

3112
00:40:45,331 --> 00:40:45,491
[roger_mcfillin]: pill

3113
00:40:45,548 --> 00:40:45,688
[sean]: this

3114
00:40:45,571 --> 00:40:45,892
[roger_mcfillin]: steaming

3115
00:40:45,748 --> 00:40:46,109
[sean]: is about

3116
00:40:45,932 --> 00:40:46,213
[roger_mcfillin]: this is

3117
00:40:46,209 --> 00:40:46,750
[sean]: providing

3118
00:40:46,293 --> 00:40:47,136
[roger_mcfillin]: about providing

3119
00:40:47,451 --> 00:40:48,071
[sean]: informed

3120
00:40:47,838 --> 00:40:48,480
[roger_mcfillin]: informed

3121
00:40:49,323 --> 00:40:49,763
[sean]: consent

3122
00:40:49,702 --> 00:40:50,122
[roger_mcfillin]: consent

3123
00:40:50,184 --> 00:40:50,384
[sean]: you know

3124
00:40:50,563 --> 00:40:50,623
[roger_mcfillin]: you

3125
00:40:50,650 --> 00:40:50,835
[emily_]: yeah

3126
00:40:50,683 --> 00:40:50,783
[roger_mcfillin]: know

3127
00:40:50,705 --> 00:40:51,306
[sean]: having people

3128
00:40:51,084 --> 00:40:51,685
[roger_mcfillin]: having people

3129
00:40:51,466 --> 00:40:51,947
[sean]: be able

3130
00:40:51,845 --> 00:40:51,925
[roger_mcfillin]: be

3131
00:40:52,047 --> 00:40:52,147
[sean]: to

3132
00:40:52,126 --> 00:40:52,326
[roger_mcfillin]: able

3133
00:40:52,308 --> 00:40:52,828
[sean]: consent

3134
00:40:52,426 --> 00:40:53,207
[roger_mcfillin]: to consent

3135
00:40:52,949 --> 00:40:53,530
[sean]: to the medical

3136
00:40:53,328 --> 00:40:53,929
[roger_mcfillin]: to the medical

3137
00:40:53,630 --> 00:40:53,970
[sean]: treatment

3138
00:40:54,009 --> 00:40:54,349
[roger_mcfillin]: treatment

3139
00:40:54,010 --> 00:40:54,571
[sean]: that they choose

3140
00:40:54,389 --> 00:40:54,630
[roger_mcfillin]: that they

3141
00:40:54,611 --> 00:40:54,712
[sean]: by

3142
00:40:54,710 --> 00:40:54,950
[roger_mcfillin]: choose

3143
00:40:54,772 --> 00:40:54,972
[sean]: getting

3144
00:40:55,010 --> 00:40:55,351
[roger_mcfillin]: by getting

3145
00:40:55,172 --> 00:40:55,533
[sean]: all the

3146
00:40:55,551 --> 00:40:55,732
[roger_mcfillin]: all

3147
00:40:55,573 --> 00:40:55,954
[sean]: available

3148
00:40:55,832 --> 00:40:56,333
[roger_mcfillin]: the available

3149
00:40:56,014 --> 00:40:56,454
[sean]: information

3150
00:40:56,393 --> 00:40:56,833
[roger_mcfillin]: information

3151
00:40:56,515 --> 00:40:57,116
[sean]: i feel like sometimes

3152
00:40:56,894 --> 00:40:57,174
[roger_mcfillin]: i feel like

3153
00:40:57,136 --> 00:40:57,276
[sean]: we're

3154
00:40:57,214 --> 00:40:57,475
[roger_mcfillin]: sometimes

3155
00:40:57,316 --> 00:40:57,556
[sean]: behind

3156
00:40:57,515 --> 00:40:57,655
[roger_mcfillin]: we're

3157
00:40:57,616 --> 00:40:57,696
[sean]: the

3158
00:40:57,695 --> 00:40:57,955
[roger_mcfillin]: behind

3159
00:40:57,817 --> 00:40:58,017
[sean]: iron

3160
00:40:57,995 --> 00:40:58,076
[roger_mcfillin]: the

3161
00:40:58,137 --> 00:40:58,438
[sean]: curtain

3162
00:40:58,196 --> 00:40:58,837
[roger_mcfillin]: iron curtain

3163
00:40:58,558 --> 00:40:58,959
[sean]: here in the

3164
00:40:58,937 --> 00:40:59,117
[roger_mcfillin]: here

3165
00:40:58,999 --> 00:40:59,319
[sean]: western

3166
00:40:59,177 --> 00:40:59,678
[roger_mcfillin]: in the western

3167
00:40:59,379 --> 00:40:59,640
[sean]: world

3168
00:40:59,730 --> 00:41:00,074
[emily_]: oh

3169
00:40:59,758 --> 00:41:00,019
[roger_mcfillin]: world

3170
00:41:00,080 --> 00:41:00,301
[sean]: when it

3171
00:41:00,329 --> 00:41:00,349
[yassie_pirani]: m

3172
00:41:00,341 --> 00:41:00,561
[sean]: comes

3173
00:41:00,459 --> 00:41:00,680
[roger_mcfillin]: when it

3174
00:41:00,641 --> 00:41:00,742
[sean]: to

3175
00:41:00,720 --> 00:41:01,141
[roger_mcfillin]: comes to

3176
00:41:01,863 --> 00:41:02,625
[sean]: adequate information

3177
00:41:02,222 --> 00:41:03,003
[roger_mcfillin]: out of information

3178
00:41:02,685 --> 00:41:03,226
[sean]: and when

3179
00:41:03,371 --> 00:41:03,391
[emily_]: a

3180
00:41:03,446 --> 00:41:03,546
[sean]: you

3181
00:41:03,451 --> 00:41:03,612
[emily_]: great

3182
00:41:03,483 --> 00:41:03,604
[roger_mcfillin]: when

3183
00:41:03,606 --> 00:41:03,707
[sean]: talk

3184
00:41:03,653 --> 00:41:03,834
[emily_]: way to

3185
00:41:03,787 --> 00:41:03,927
[sean]: about

3186
00:41:03,824 --> 00:41:03,924
[roger_mcfillin]: you

3187
00:41:03,874 --> 00:41:03,995
[emily_]: put

3188
00:41:03,967 --> 00:41:04,107
[sean]: eighty

3189
00:41:03,984 --> 00:41:04,104
[roger_mcfillin]: talk

3190
00:41:04,056 --> 00:41:04,096
[emily_]: it

3191
00:41:04,164 --> 00:41:04,304
[roger_mcfillin]: about

3192
00:41:04,187 --> 00:41:04,448
[sean]: per cent

3193
00:41:04,344 --> 00:41:04,485
[roger_mcfillin]: eighty

3194
00:41:04,488 --> 00:41:04,668
[sean]: of these

3195
00:41:04,565 --> 00:41:04,645
[roger_mcfillin]: per

3196
00:41:04,688 --> 00:41:04,888
[sean]: drugs

3197
00:41:04,725 --> 00:41:05,045
[roger_mcfillin]: cent of these

3198
00:41:04,949 --> 00:41:05,109
[sean]: being

3199
00:41:05,065 --> 00:41:05,285
[roger_mcfillin]: drugs

3200
00:41:05,209 --> 00:41:05,670
[sean]: prescribed

3201
00:41:05,345 --> 00:41:06,046
[roger_mcfillin]: being prescribed

3202
00:41:05,710 --> 00:41:06,151
[sean]: in primary

3203
00:41:06,086 --> 00:41:06,547
[roger_mcfillin]: in primary

3204
00:41:06,231 --> 00:41:06,892
[sean]: care settings

3205
00:41:06,607 --> 00:41:07,248
[roger_mcfillin]: care settings

3206
00:41:07,493 --> 00:41:07,994
[sean]: they are getting

3207
00:41:07,868 --> 00:41:08,369
[roger_mcfillin]: they are getting

3208
00:41:08,234 --> 00:41:08,875
[sean]: infultrated

3209
00:41:08,609 --> 00:41:09,270
[roger_mcfillin]: infultrated

3210
00:41:09,035 --> 00:41:09,196
[sean]: with

3211
00:41:09,410 --> 00:41:09,590
[roger_mcfillin]: with

3212
00:41:09,536 --> 00:41:10,057
[sean]: parma data

3213
00:41:09,910 --> 00:41:10,431
[roger_mcfillin]: parma data

3214
00:41:10,718 --> 00:41:11,079
[sean]: and the

3215
00:41:11,040 --> 00:41:11,285
[emily_]: oh

3216
00:41:11,103 --> 00:41:11,450
[roger_mcfillin]: and the

3217
00:41:11,780 --> 00:41:12,221
[sean]: continuing

3218
00:41:12,142 --> 00:41:12,585
[roger_mcfillin]: continuing

3219
00:41:12,581 --> 00:41:12,882
[sean]: medical

3220
00:41:12,947 --> 00:41:13,289
[roger_mcfillin]: medical

3221
00:41:12,982 --> 00:41:13,303
[sean]: educate

3222
00:41:13,349 --> 00:41:13,812
[roger_mcfillin]: education

3223
00:41:13,403 --> 00:41:13,966
[sean]: and credits are

3224
00:41:13,913 --> 00:41:14,215
[roger_mcfillin]: credits

3225
00:41:14,067 --> 00:41:14,369
[sean]: often

3226
00:41:14,295 --> 00:41:14,738
[roger_mcfillin]: are often

3227
00:41:15,133 --> 00:41:15,593
[sean]: sponsored

3228
00:41:15,512 --> 00:41:15,972
[roger_mcfillin]: sponsored

3229
00:41:15,714 --> 00:41:16,154
[sean]: by the

3230
00:41:16,113 --> 00:41:16,213
[roger_mcfillin]: by

3231
00:41:16,194 --> 00:41:16,755
[sean]: parmasutical

3232
00:41:16,389 --> 00:41:16,410
[emily_]: m

3233
00:41:16,453 --> 00:41:17,094
[roger_mcfillin]: the parmasutical

3234
00:41:16,775 --> 00:41:17,076
[sean]: industry

3235
00:41:17,154 --> 00:41:17,475
[roger_mcfillin]: industry

3236
00:41:17,216 --> 00:41:17,316
[sean]: so

3237
00:41:17,595 --> 00:41:17,695
[roger_mcfillin]: so

3238
00:41:17,917 --> 00:41:18,298
[sean]: what has

3239
00:41:18,296 --> 00:41:18,437
[roger_mcfillin]: what

3240
00:41:18,378 --> 00:41:18,759
[sean]: to happen

3241
00:41:18,517 --> 00:41:18,817
[roger_mcfillin]: has to

3242
00:41:18,839 --> 00:41:18,879
[sean]: is

3243
00:41:18,877 --> 00:41:19,158
[roger_mcfillin]: happen

3244
00:41:18,919 --> 00:41:19,199
[sean]: it has to

3245
00:41:19,218 --> 00:41:19,258
[roger_mcfillin]: is

3246
00:41:19,239 --> 00:41:19,280
[sean]: be

3247
00:41:19,318 --> 00:41:19,358
[roger_mcfillin]: it

3248
00:41:19,320 --> 00:41:19,440
[sean]: these

3249
00:41:19,398 --> 00:41:19,498
[roger_mcfillin]: has

3250
00:41:19,480 --> 00:41:19,680
[sean]: grass

3251
00:41:19,538 --> 00:41:19,799
[roger_mcfillin]: to be these

3252
00:41:19,760 --> 00:41:19,941
[sean]: roots

3253
00:41:19,859 --> 00:41:20,079
[roger_mcfillin]: grass

3254
00:41:20,141 --> 00:41:20,522
[sean]: efforts

3255
00:41:20,159 --> 00:41:20,881
[roger_mcfillin]: roots efforts

3256
00:41:21,062 --> 00:41:21,303
[sean]: with

3257
00:41:21,452 --> 00:41:21,713
[roger_mcfillin]: with

3258
00:41:21,684 --> 00:41:22,485
[sean]: organizations

3259
00:41:22,055 --> 00:41:22,859
[roger_mcfillin]: organizations

3260
00:41:22,380 --> 00:41:22,400
[emily_]: m

3261
00:41:23,146 --> 00:41:23,366
[sean]: like

3262
00:41:23,502 --> 00:41:23,722
[roger_mcfillin]: like

3263
00:41:23,727 --> 00:41:24,088
[sean]: m p

3264
00:41:24,103 --> 00:41:24,123
[roger_mcfillin]: m

3265
00:41:24,348 --> 00:41:24,368
[sean]: s

3266
00:41:24,423 --> 00:41:24,443
[roger_mcfillin]: p

3267
00:41:24,548 --> 00:41:24,648
[sean]: s d

3268
00:41:24,704 --> 00:41:24,724
[roger_mcfillin]: s

3269
00:41:24,869 --> 00:41:25,290
[sean]: canada

3270
00:41:24,904 --> 00:41:25,665
[roger_mcfillin]: s t canada

3271
00:41:25,971 --> 00:41:26,091
[sean]: and

3272
00:41:26,326 --> 00:41:26,467
[roger_mcfillin]: and

3273
00:41:26,411 --> 00:41:26,712
[sean]: others

3274
00:41:26,767 --> 00:41:27,068
[roger_mcfillin]: others

3275
00:41:26,892 --> 00:41:27,533
[sean]: who trying

3276
00:41:27,268 --> 00:41:27,528
[roger_mcfillin]: who are

3277
00:41:27,593 --> 00:41:27,674
[sean]: to

3278
00:41:27,628 --> 00:41:27,909
[roger_mcfillin]: trying

3279
00:41:27,714 --> 00:41:27,934
[sean]: bring

3280
00:41:27,969 --> 00:41:28,290
[roger_mcfillin]: to bring

3281
00:41:28,194 --> 00:41:28,635
[sean]: awareness

3282
00:41:28,590 --> 00:41:29,031
[roger_mcfillin]: awareness

3283
00:41:28,695 --> 00:41:29,196
[sean]: and attention

3284
00:41:29,071 --> 00:41:29,552
[roger_mcfillin]: and intention

3285
00:41:29,316 --> 00:41:29,737
[sean]: through the

3286
00:41:29,712 --> 00:41:29,932
[roger_mcfillin]: through

3287
00:41:29,797 --> 00:41:30,258
[sean]: stories

3288
00:41:30,032 --> 00:41:30,633
[roger_mcfillin]: the stories

3289
00:41:30,518 --> 00:41:30,618
[sean]: and

3290
00:41:30,914 --> 00:41:31,014
[roger_mcfillin]: and

3291
00:41:31,079 --> 00:41:31,360
[sean]: all the

3292
00:41:31,455 --> 00:41:31,575
[roger_mcfillin]: all

3293
00:41:31,520 --> 00:41:31,981
[sean]: information

3294
00:41:31,655 --> 00:41:32,356
[roger_mcfillin]: the information

3295
00:41:32,021 --> 00:41:32,381
[sean]: and try to

3296
00:41:32,416 --> 00:41:32,477
[roger_mcfillin]: and

3297
00:41:32,421 --> 00:41:32,582
[sean]: fund

3298
00:41:32,537 --> 00:41:32,617
[roger_mcfillin]: try

3299
00:41:32,642 --> 00:41:33,123
[sean]: themselves

3300
00:41:32,717 --> 00:41:33,498
[roger_mcfillin]: to find themselves

3301
00:41:33,223 --> 00:41:34,144
[sean]: some some way of

3302
00:41:34,179 --> 00:41:34,300
[roger_mcfillin]: some

3303
00:41:34,204 --> 00:41:34,525
[sean]: gathering

3304
00:41:34,340 --> 00:41:34,540
[roger_mcfillin]: way of

3305
00:41:34,565 --> 00:41:34,645
[sean]: the

3306
00:41:34,600 --> 00:41:34,921
[roger_mcfillin]: gathering

3307
00:41:34,685 --> 00:41:34,906
[sean]: data

3308
00:41:34,961 --> 00:41:35,041
[roger_mcfillin]: the

3309
00:41:34,966 --> 00:41:35,226
[sean]: because

3310
00:41:35,061 --> 00:41:35,301
[roger_mcfillin]: data

3311
00:41:35,266 --> 00:41:35,587
[sean]: it's just

3312
00:41:35,622 --> 00:41:35,762
[roger_mcfillin]: it's

3313
00:41:35,647 --> 00:41:35,787
[sean]: not

3314
00:41:35,802 --> 00:41:35,943
[roger_mcfillin]: just

3315
00:41:35,867 --> 00:41:36,067
[sean]: going

3316
00:41:36,023 --> 00:41:36,163
[roger_mcfillin]: not

3317
00:41:36,148 --> 00:41:36,208
[sean]: to

3318
00:41:36,223 --> 00:41:36,444
[roger_mcfillin]: going

3319
00:41:36,268 --> 00:41:36,348
[sean]: be

3320
00:41:36,504 --> 00:41:36,744
[roger_mcfillin]: to be

3321
00:41:37,129 --> 00:41:37,991
[sean]: economically

3322
00:41:37,486 --> 00:41:38,368
[roger_mcfillin]: economically

3323
00:41:38,171 --> 00:41:38,752
[sean]: motivated

3324
00:41:38,548 --> 00:41:39,129
[roger_mcfillin]: motivated

3325
00:41:38,852 --> 00:41:39,277
[sean]: on on

3326
00:41:39,230 --> 00:41:39,290
[roger_mcfillin]: on

3327
00:41:40,554 --> 00:41:41,015
[sean]: from the far

3328
00:41:40,942 --> 00:41:41,083
[roger_mcfillin]: from

3329
00:41:41,055 --> 00:41:41,716
[sean]: masgitleinjury

3330
00:41:41,163 --> 00:41:41,744
[roger_mcfillin]: the farm a super

3331
00:41:42,057 --> 00:41:42,918
[sean]: industry or the

3332
00:41:42,866 --> 00:41:43,066
[roger_mcfillin]: or the

3333
00:41:42,999 --> 00:41:43,740
[sean]: medical authority

3334
00:41:43,367 --> 00:41:44,108
[roger_mcfillin]: medical authority

3335
00:41:43,780 --> 00:41:44,121
[sean]: i feel like

3336
00:41:44,168 --> 00:41:44,528
[roger_mcfillin]: i feel like

3337
00:41:44,622 --> 00:41:45,043
[sean]: we are in

3338
00:41:44,989 --> 00:41:45,069
[roger_mcfillin]: we

3339
00:41:45,083 --> 00:41:45,103
[sean]: a

3340
00:41:45,149 --> 00:41:45,250
[roger_mcfillin]: are

3341
00:41:45,283 --> 00:41:45,544
[sean]: very

3342
00:41:45,350 --> 00:41:45,490
[roger_mcfillin]: in a

3343
00:41:45,664 --> 00:41:46,185
[sean]: challenging

3344
00:41:45,670 --> 00:41:46,572
[roger_mcfillin]: very challenging

3345
00:41:46,345 --> 00:41:46,646
[sean]: place

3346
00:41:46,712 --> 00:41:47,013
[roger_mcfillin]: place

3347
00:41:46,766 --> 00:41:47,227
[sean]: because these

3348
00:41:47,133 --> 00:41:47,393
[roger_mcfillin]: because

3349
00:41:47,267 --> 00:41:47,468
[sean]: drugs

3350
00:41:47,453 --> 00:41:47,594
[roger_mcfillin]: these

3351
00:41:47,528 --> 00:41:47,608
[sean]: are

3352
00:41:47,634 --> 00:41:47,854
[roger_mcfillin]: drugs

3353
00:41:47,748 --> 00:41:47,868
[sean]: so

3354
00:41:47,894 --> 00:41:47,974
[roger_mcfillin]: are

3355
00:41:48,069 --> 00:41:48,470
[sean]: widely

3356
00:41:48,134 --> 00:41:48,856
[roger_mcfillin]: so widely

3357
00:41:48,630 --> 00:41:49,331
[sean]: prescribed

3358
00:41:49,016 --> 00:41:49,697
[roger_mcfillin]: prescribed

3359
00:41:50,043 --> 00:41:50,163
[sean]: it's

3360
00:41:50,278 --> 00:41:50,398
[roger_mcfillin]: that

3361
00:41:50,303 --> 00:41:50,544
[sean]: very

3362
00:41:50,438 --> 00:41:50,558
[roger_mcfillin]: it's

3363
00:41:50,485 --> 00:41:51,120
[emily_]: hm

3364
00:41:50,644 --> 00:41:51,165
[sean]: difficult

3365
00:41:50,699 --> 00:41:51,560
[roger_mcfillin]: very difficult

3366
00:41:51,345 --> 00:41:51,545
[sean]: for

3367
00:41:51,760 --> 00:41:51,881
[roger_mcfillin]: for

3368
00:41:51,846 --> 00:41:51,886
[sean]: a

3369
00:41:51,981 --> 00:41:52,061
[roger_mcfillin]: our

3370
00:41:52,006 --> 00:41:52,327
[sean]: medical

3371
00:41:52,382 --> 00:41:52,722
[roger_mcfillin]: medical

3372
00:41:52,407 --> 00:41:52,928
[sean]: professional

3373
00:41:52,782 --> 00:41:53,304
[roger_mcfillin]: professional

3374
00:41:53,108 --> 00:41:53,228
[sean]: to

3375
00:41:53,484 --> 00:41:53,584
[roger_mcfillin]: to

3376
00:41:53,529 --> 00:41:54,110
[sean]: really face

3377
00:41:53,905 --> 00:41:54,126
[roger_mcfillin]: really

3378
00:41:54,150 --> 00:41:54,230
[sean]: and

3379
00:41:54,246 --> 00:41:54,446
[roger_mcfillin]: face

3380
00:41:54,270 --> 00:41:54,570
[sean]: accept

3381
00:41:54,527 --> 00:41:54,607
[roger_mcfillin]: and

3382
00:41:54,610 --> 00:41:54,751
[sean]: this

3383
00:41:54,667 --> 00:41:54,927
[roger_mcfillin]: accept

3384
00:41:54,891 --> 00:41:55,151
[sean]: fully

3385
00:41:54,988 --> 00:41:55,148
[roger_mcfillin]: this

3386
00:41:55,231 --> 00:41:55,472
[sean]: because

3387
00:41:55,268 --> 00:41:55,549
[roger_mcfillin]: fully

3388
00:41:55,512 --> 00:41:55,712
[sean]: they're

3389
00:41:55,609 --> 00:41:55,850
[roger_mcfillin]: because

3390
00:41:55,792 --> 00:41:55,933
[sean]: so

3391
00:41:55,890 --> 00:41:56,311
[roger_mcfillin]: they're so

3392
00:41:56,634 --> 00:41:57,175
[sean]: complicit

3393
00:41:57,012 --> 00:41:57,534
[roger_mcfillin]: complicit

3394
00:41:57,255 --> 00:41:57,575
[sean]: in this

3395
00:41:57,634 --> 00:41:57,955
[roger_mcfillin]: in this

3396
00:41:58,079 --> 00:41:58,099
[yassie_pirani]: m

3397
00:41:58,236 --> 00:41:58,757
[sean]: because they

3398
00:41:58,616 --> 00:41:58,897
[roger_mcfillin]: because

3399
00:41:58,817 --> 00:41:58,918
[sean]: are

3400
00:41:58,957 --> 00:41:59,097
[roger_mcfillin]: they

3401
00:41:59,118 --> 00:41:59,739
[sean]: prescribing

3402
00:41:59,197 --> 00:42:00,120
[roger_mcfillin]: are prescribing

3403
00:41:59,799 --> 00:41:59,999
[sean]: them

3404
00:41:59,970 --> 00:42:00,238
[emily_]: oh

3405
00:42:00,180 --> 00:42:00,380
[roger_mcfillin]: them

3406
00:42:00,640 --> 00:42:01,201
[sean]: without

3407
00:42:01,042 --> 00:42:01,571
[roger_mcfillin]: without

3408
00:42:02,043 --> 00:42:02,984
[sean]: full understanding

3409
00:42:02,422 --> 00:42:03,365
[roger_mcfillin]: full understanding

3410
00:42:03,064 --> 00:42:03,525
[sean]: of what the

3411
00:42:03,445 --> 00:42:03,485
[roger_mcfillin]: of

3412
00:42:03,585 --> 00:42:03,926
[sean]: effects

3413
00:42:03,586 --> 00:42:04,308
[roger_mcfillin]: what the effects

3414
00:42:04,166 --> 00:42:04,547
[sean]: are which

3415
00:42:04,548 --> 00:42:04,689
[roger_mcfillin]: are

3416
00:42:04,647 --> 00:42:04,827
[sean]: leads

3417
00:42:04,789 --> 00:42:04,930
[roger_mcfillin]: which

3418
00:42:04,887 --> 00:42:05,087
[sean]: to my

3419
00:42:05,030 --> 00:42:05,210
[roger_mcfillin]: leads

3420
00:42:05,168 --> 00:42:05,328
[sean]: next

3421
00:42:05,271 --> 00:42:05,732
[roger_mcfillin]: to my next

3422
00:42:05,628 --> 00:42:05,989
[sean]: question

3423
00:42:06,013 --> 00:42:06,374
[roger_mcfillin]: question

3424
00:42:06,029 --> 00:42:06,530
[sean]: because emily

3425
00:42:06,414 --> 00:42:06,594
[roger_mcfillin]: because

3426
00:42:06,650 --> 00:42:06,890
[sean]: touched

3427
00:42:06,695 --> 00:42:06,915
[roger_mcfillin]: emily

3428
00:42:06,950 --> 00:42:07,010
[sean]: on

3429
00:42:07,036 --> 00:42:07,276
[roger_mcfillin]: touched

3430
00:42:07,050 --> 00:42:07,671
[sean]: this earlier

3431
00:42:07,357 --> 00:42:08,059
[roger_mcfillin]: on this earlier

3432
00:42:09,153 --> 00:42:09,933
[sean]: my concern

3433
00:42:09,542 --> 00:42:10,302
[roger_mcfillin]: my concern

3434
00:42:10,094 --> 00:42:10,494
[sean]: is they're

3435
00:42:10,483 --> 00:42:10,563
[roger_mcfillin]: is

3436
00:42:10,674 --> 00:42:10,834
[sean]: so

3437
00:42:10,683 --> 00:42:11,203
[roger_mcfillin]: there so

3438
00:42:11,115 --> 00:42:11,655
[sean]: frequently

3439
00:42:11,504 --> 00:42:12,044
[roger_mcfillin]: frequently

3440
00:42:11,775 --> 00:42:12,316
[sean]: prescribed

3441
00:42:12,164 --> 00:42:12,685
[roger_mcfillin]: prescribed

3442
00:42:12,516 --> 00:42:13,157
[sean]: off label

3443
00:42:12,885 --> 00:42:13,546
[roger_mcfillin]: off label

3444
00:42:13,898 --> 00:42:14,979
[sean]: and they're experimental

3445
00:42:14,287 --> 00:42:15,388
[roger_mcfillin]: and they're experimental

3446
00:42:15,179 --> 00:42:15,399
[sean]: for

3447
00:42:15,588 --> 00:42:15,808
[roger_mcfillin]: for

3448
00:42:15,740 --> 00:42:15,980
[sean]: young

3449
00:42:16,109 --> 00:42:16,349
[roger_mcfillin]: young

3450
00:42:16,120 --> 00:42:16,701
[sean]: developing

3451
00:42:16,489 --> 00:42:17,070
[roger_mcfillin]: developing

3452
00:42:16,781 --> 00:42:17,141
[sean]: children

3453
00:42:17,170 --> 00:42:17,530
[roger_mcfillin]: children

3454
00:42:17,201 --> 00:42:17,862
[sean]: and teen agers

3455
00:42:17,590 --> 00:42:18,251
[roger_mcfillin]: and teen agers

3456
00:42:18,733 --> 00:42:19,501
[sean]: emily mentioned

3457
00:42:19,113 --> 00:42:19,877
[roger_mcfillin]: emily mentioned

3458
00:42:19,643 --> 00:42:19,825
[sean]: how

3459
00:42:20,037 --> 00:42:20,198
[roger_mcfillin]: how

3460
00:42:20,943 --> 00:42:21,671
[sean]: how valuable

3461
00:42:21,332 --> 00:42:22,060
[roger_mcfillin]: how valuable

3462
00:42:21,711 --> 00:42:22,317
[sean]: and important

3463
00:42:22,080 --> 00:42:22,706
[roger_mcfillin]: and important

3464
00:42:23,143 --> 00:42:23,944
[sean]: the development

3465
00:42:23,512 --> 00:42:24,313
[roger_mcfillin]: the development

3466
00:42:24,225 --> 00:42:24,705
[sean]: this period

3467
00:42:24,614 --> 00:42:24,734
[roger_mcfillin]: this

3468
00:42:24,745 --> 00:42:24,785
[sean]: in

3469
00:42:24,814 --> 00:42:25,074
[roger_mcfillin]: period

3470
00:42:24,846 --> 00:42:25,306
[sean]: development

3471
00:42:25,114 --> 00:42:25,695
[roger_mcfillin]: in development

3472
00:42:25,427 --> 00:42:25,847
[sean]: is for

3473
00:42:25,816 --> 00:42:25,936
[roger_mcfillin]: is

3474
00:42:26,028 --> 00:42:26,468
[sean]: continued

3475
00:42:26,096 --> 00:42:26,837
[roger_mcfillin]: for continued

3476
00:42:27,250 --> 00:42:27,971
[sean]: sexuality

3477
00:42:27,619 --> 00:42:28,340
[roger_mcfillin]: sexuality

3478
00:42:28,151 --> 00:42:28,852
[sean]: understanding your

3479
00:42:28,760 --> 00:42:29,121
[roger_mcfillin]: standing

3480
00:42:28,932 --> 00:42:29,613
[sean]: sexuality

3481
00:42:29,141 --> 00:42:29,982
[roger_mcfillin]: your sexuality

3482
00:42:29,854 --> 00:42:30,635
[sean]: your experience

3483
00:42:30,283 --> 00:42:31,004
[roger_mcfillin]: or experience

3484
00:42:30,755 --> 00:42:31,116
[sean]: obviously

3485
00:42:31,144 --> 00:42:31,505
[roger_mcfillin]: obviously

3486
00:42:31,156 --> 00:42:32,158
[sean]: it's a it's a time

3487
00:42:32,106 --> 00:42:32,527
[roger_mcfillin]: a time

3488
00:42:32,699 --> 00:42:33,440
[sean]: in development

3489
00:42:33,068 --> 00:42:33,809
[roger_mcfillin]: in development

3490
00:42:33,580 --> 00:42:33,921
[sean]: where we're

3491
00:42:33,949 --> 00:42:34,129
[roger_mcfillin]: where

3492
00:42:33,981 --> 00:42:34,101
[sean]: just

3493
00:42:34,169 --> 00:42:34,310
[roger_mcfillin]: we're

3494
00:42:34,181 --> 00:42:34,321
[sean]: kind

3495
00:42:34,350 --> 00:42:34,490
[roger_mcfillin]: just

3496
00:42:34,361 --> 00:42:34,421
[sean]: of

3497
00:42:34,550 --> 00:42:34,710
[roger_mcfillin]: kind

3498
00:42:34,602 --> 00:42:34,982
[sean]: bala

3499
00:42:34,750 --> 00:42:35,131
[roger_mcfillin]: of by

3500
00:42:35,143 --> 00:42:35,503
[sean]: jically

3501
00:42:35,211 --> 00:42:35,612
[roger_mcfillin]: a jac

3502
00:42:36,064 --> 00:42:36,324
[sean]: kind of

3503
00:42:36,433 --> 00:42:36,593
[roger_mcfillin]: kind

3504
00:42:36,484 --> 00:42:36,805
[sean]: frame

3505
00:42:36,653 --> 00:42:37,173
[roger_mcfillin]: of frame

3506
00:42:36,965 --> 00:42:37,746
[sean]: to reproduce

3507
00:42:37,354 --> 00:42:38,155
[roger_mcfillin]: to reproduce

3508
00:42:37,846 --> 00:42:38,186
[sean]: so there's

3509
00:42:38,215 --> 00:42:38,555
[roger_mcfillin]: so there's

3510
00:42:38,707 --> 00:42:39,147
[sean]: intense

3511
00:42:39,096 --> 00:42:39,536
[roger_mcfillin]: intense

3512
00:42:39,227 --> 00:42:39,708
[sean]: emotions

3513
00:42:39,596 --> 00:42:40,077
[roger_mcfillin]: emotions

3514
00:42:39,788 --> 00:42:40,469
[sean]: and hormonal

3515
00:42:40,197 --> 00:42:40,858
[roger_mcfillin]: and hormonal

3516
00:42:40,549 --> 00:42:40,949
[sean]: reactions

3517
00:42:40,938 --> 00:42:41,318
[roger_mcfillin]: reactions

3518
00:42:40,989 --> 00:42:41,550
[sean]: and responses

3519
00:42:41,378 --> 00:42:41,939
[roger_mcfillin]: and responses

3520
00:42:41,610 --> 00:42:42,050
[sean]: that occurred

3521
00:42:41,979 --> 00:42:42,079
[roger_mcfillin]: that

3522
00:42:42,090 --> 00:42:42,251
[sean]: during

3523
00:42:42,139 --> 00:42:42,439
[roger_mcfillin]: occurred

3524
00:42:42,291 --> 00:42:43,011
[sean]: this developmental

3525
00:42:42,459 --> 00:42:43,401
[roger_mcfillin]: during this developmental

3526
00:42:43,092 --> 00:42:43,412
[sean]: period

3527
00:42:43,481 --> 00:42:43,801
[roger_mcfillin]: period

3528
00:42:44,164 --> 00:42:44,425
[sean]: and what

3529
00:42:44,370 --> 00:42:45,059
[emily_]: oh

3530
00:42:44,543 --> 00:42:44,623
[roger_mcfillin]: and

3531
00:42:44,626 --> 00:42:44,747
[sean]: i'm

3532
00:42:44,663 --> 00:42:44,804
[roger_mcfillin]: what

3533
00:42:44,867 --> 00:42:45,169
[sean]: seeing

3534
00:42:45,005 --> 00:42:45,548
[roger_mcfillin]: i'm seeing

3535
00:42:46,333 --> 00:42:46,675
[sean]: and in

3536
00:42:46,692 --> 00:42:46,852
[roger_mcfillin]: and

3537
00:42:46,775 --> 00:42:47,197
[sean]: contact

3538
00:42:47,013 --> 00:42:47,554
[roger_mcfillin]: in contact

3539
00:42:47,257 --> 00:42:47,739
[sean]: with people

3540
00:42:47,634 --> 00:42:47,754
[roger_mcfillin]: with

3541
00:42:47,819 --> 00:42:48,040
[sean]: around

3542
00:42:47,854 --> 00:42:48,135
[roger_mcfillin]: people

3543
00:42:48,080 --> 00:42:48,160
[sean]: the

3544
00:42:48,195 --> 00:42:48,415
[roger_mcfillin]: around

3545
00:42:48,220 --> 00:42:48,501
[sean]: world

3546
00:42:48,455 --> 00:42:48,876
[roger_mcfillin]: the world

3547
00:42:48,883 --> 00:42:48,963
[sean]: we

3548
00:42:48,930 --> 00:42:49,530
[emily_]: yeah

3549
00:42:49,023 --> 00:42:49,304
[sean]: see this

3550
00:42:49,257 --> 00:42:49,337
[roger_mcfillin]: we

3551
00:42:49,365 --> 00:42:49,846
[sean]: developing

3552
00:42:49,397 --> 00:42:50,218
[roger_mcfillin]: see this developing

3553
00:42:49,770 --> 00:42:49,974
[emily_]: oh

3554
00:42:49,927 --> 00:42:50,308
[sean]: movement

3555
00:42:50,299 --> 00:42:50,679
[roger_mcfillin]: movement

3556
00:42:50,509 --> 00:42:50,870
[sean]: around

3557
00:42:50,626 --> 00:42:50,790
[emily_]: yeah

3558
00:42:50,880 --> 00:42:51,240
[roger_mcfillin]: around

3559
00:42:51,643 --> 00:42:52,225
[sean]: identifying

3560
00:42:52,022 --> 00:42:52,582
[roger_mcfillin]: identifying

3561
00:42:52,285 --> 00:42:52,545
[sean]: as a

3562
00:42:52,683 --> 00:42:52,743
[roger_mcfillin]: as

3563
00:42:52,706 --> 00:42:53,107
[sean]: sexual

3564
00:42:52,883 --> 00:42:53,484
[roger_mcfillin]: a sexual

3565
00:42:53,909 --> 00:42:53,990
[sean]: and

3566
00:42:54,285 --> 00:42:54,365
[roger_mcfillin]: and

3567
00:42:54,391 --> 00:42:54,832
[sean]: there so

3568
00:42:54,726 --> 00:42:54,966
[roger_mcfillin]: there are

3569
00:42:54,932 --> 00:42:55,173
[sean]: many

3570
00:42:55,086 --> 00:42:55,527
[roger_mcfillin]: so many

3571
00:42:55,855 --> 00:42:56,537
[sean]: young people

3572
00:42:56,228 --> 00:42:56,889
[roger_mcfillin]: young people

3573
00:42:56,617 --> 00:42:57,119
[sean]: that are being

3574
00:42:57,009 --> 00:42:57,249
[roger_mcfillin]: that are

3575
00:42:57,199 --> 00:42:57,901
[sean]: prescribed

3576
00:42:57,309 --> 00:42:58,271
[roger_mcfillin]: being prescribed

3577
00:42:58,843 --> 00:42:59,063
[sean]: s s

3578
00:42:59,222 --> 00:42:59,242
[roger_mcfillin]: s

3579
00:42:59,264 --> 00:42:59,284
[sean]: r

3580
00:42:59,422 --> 00:42:59,663
[roger_mcfillin]: s r

3581
00:42:59,644 --> 00:42:59,725
[sean]: is

3582
00:43:00,004 --> 00:43:00,084
[roger_mcfillin]: is

3583
00:43:00,286 --> 00:43:00,907
[sean]: in particular

3584
00:43:00,666 --> 00:43:01,288
[roger_mcfillin]: in particular

3585
00:43:01,047 --> 00:43:01,468
[sean]: more so

3586
00:43:01,428 --> 00:43:01,849
[roger_mcfillin]: more so

3587
00:43:02,029 --> 00:43:02,490
[sean]: adolescent

3588
00:43:02,591 --> 00:43:02,872
[roger_mcfillin]: lessen

3589
00:43:02,610 --> 00:43:03,091
[sean]: females

3590
00:43:03,173 --> 00:43:03,454
[roger_mcfillin]: males

3591
00:43:04,153 --> 00:43:04,613
[sean]: i'm really

3592
00:43:04,376 --> 00:43:04,637
[roger_mcfillin]: that i'm

3593
00:43:04,734 --> 00:43:05,375
[sean]: concerned

3594
00:43:04,757 --> 00:43:05,780
[roger_mcfillin]: really concerned

3595
00:43:05,430 --> 00:43:05,692
[emily_]: yeah

3596
00:43:05,876 --> 00:43:06,577
[sean]: that the drugs

3597
00:43:06,483 --> 00:43:06,583
[roger_mcfillin]: the

3598
00:43:06,637 --> 00:43:07,278
[sean]: themselves

3599
00:43:06,664 --> 00:43:07,649
[roger_mcfillin]: drugs themselves

3600
00:43:07,438 --> 00:43:07,779
[sean]: could be

3601
00:43:07,830 --> 00:43:08,172
[roger_mcfillin]: could be

3602
00:43:08,119 --> 00:43:08,600
[sean]: in some

3603
00:43:08,493 --> 00:43:08,554
[roger_mcfillin]: in

3604
00:43:08,740 --> 00:43:08,921
[sean]: way

3605
00:43:08,775 --> 00:43:09,318
[roger_mcfillin]: some way

3606
00:43:09,722 --> 00:43:09,842
[sean]: um

3607
00:43:10,112 --> 00:43:10,252
[roger_mcfillin]: um

3608
00:43:10,443 --> 00:43:10,904
[sean]: impeding

3609
00:43:10,812 --> 00:43:11,273
[roger_mcfillin]: impeding

3610
00:43:10,984 --> 00:43:11,285
[sean]: normal

3611
00:43:11,373 --> 00:43:11,653
[roger_mcfillin]: normal

3612
00:43:11,405 --> 00:43:11,866
[sean]: sexual

3613
00:43:11,773 --> 00:43:12,194
[roger_mcfillin]: sexual

3614
00:43:11,986 --> 00:43:12,587
[sean]: development

3615
00:43:12,354 --> 00:43:12,934
[roger_mcfillin]: development

3616
00:43:12,867 --> 00:43:13,929
[sean]: and understanding

3617
00:43:13,235 --> 00:43:14,276
[roger_mcfillin]: and understanding

3618
00:43:14,931 --> 00:43:15,391
[sean]: you know who

3619
00:43:15,297 --> 00:43:15,517
[roger_mcfillin]: you know

3620
00:43:15,552 --> 00:43:15,672
[sean]: you

3621
00:43:15,637 --> 00:43:15,777
[roger_mcfillin]: who

3622
00:43:15,892 --> 00:43:15,992
[sean]: are

3623
00:43:15,917 --> 00:43:16,037
[roger_mcfillin]: you

3624
00:43:16,133 --> 00:43:16,513
[sean]: tracted

3625
00:43:16,258 --> 00:43:16,898
[roger_mcfillin]: are attracted

3626
00:43:16,573 --> 00:43:17,034
[sean]: to or what

3627
00:43:16,978 --> 00:43:17,078
[roger_mcfillin]: to

3628
00:43:17,114 --> 00:43:17,214
[sean]: you

3629
00:43:17,179 --> 00:43:17,239
[roger_mcfillin]: or

3630
00:43:17,271 --> 00:43:17,311
[emily_]: m

3631
00:43:17,315 --> 00:43:17,916
[sean]: experience

3632
00:43:17,319 --> 00:43:18,320
[roger_mcfillin]: what you experience

3633
00:43:17,996 --> 00:43:18,597
[sean]: or experiencing

3634
00:43:18,380 --> 00:43:19,000
[roger_mcfillin]: or experiencing

3635
00:43:18,777 --> 00:43:19,218
[sean]: normal

3636
00:43:19,160 --> 00:43:19,581
[roger_mcfillin]: normal

3637
00:43:19,506 --> 00:43:19,526
[emily_]: h

3638
00:43:19,839 --> 00:43:20,199
[sean]: sexual

3639
00:43:20,292 --> 00:43:20,572
[roger_mcfillin]: actual

3640
00:43:20,320 --> 00:43:20,841
[sean]: functioning

3641
00:43:20,550 --> 00:43:20,756
[emily_]: yeah

3642
00:43:20,693 --> 00:43:21,214
[roger_mcfillin]: functioning

3643
00:43:20,901 --> 00:43:21,301
[sean]: that would

3644
00:43:21,294 --> 00:43:21,415
[roger_mcfillin]: that

3645
00:43:21,361 --> 00:43:21,482
[sean]: be

3646
00:43:21,515 --> 00:43:21,816
[roger_mcfillin]: would be

3647
00:43:21,902 --> 00:43:22,303
[sean]: exhibited

3648
00:43:22,277 --> 00:43:22,698
[roger_mcfillin]: exhibited

3649
00:43:22,363 --> 00:43:22,884
[sean]: that age

3650
00:43:22,738 --> 00:43:22,878
[roger_mcfillin]: that

3651
00:43:22,964 --> 00:43:23,245
[sean]: range

3652
00:43:23,099 --> 00:43:23,640
[roger_mcfillin]: age range

3653
00:43:23,745 --> 00:43:24,206
[sean]: do we have any

3654
00:43:24,232 --> 00:43:24,272
[roger_mcfillin]: we

3655
00:43:24,286 --> 00:43:24,747
[sean]: information

3656
00:43:24,312 --> 00:43:25,113
[roger_mcfillin]: have any information

3657
00:43:24,807 --> 00:43:25,849
[sean]: or even just

3658
00:43:25,874 --> 00:43:26,015
[roger_mcfillin]: even

3659
00:43:25,949 --> 00:43:26,049
[sean]: your

3660
00:43:26,075 --> 00:43:26,215
[roger_mcfillin]: just

3661
00:43:26,109 --> 00:43:26,490
[sean]: thoughts

3662
00:43:26,235 --> 00:43:26,856
[roger_mcfillin]: to your thoughts

3663
00:43:26,871 --> 00:43:27,111
[sean]: is this

3664
00:43:27,237 --> 00:43:27,297
[roger_mcfillin]: is

3665
00:43:27,251 --> 00:43:27,552
[sean]: rise

3666
00:43:27,357 --> 00:43:27,477
[roger_mcfillin]: this

3667
00:43:27,612 --> 00:43:27,672
[sean]: and

3668
00:43:27,617 --> 00:43:27,918
[roger_mcfillin]: rise

3669
00:43:27,732 --> 00:43:27,992
[sean]: identi

3670
00:43:27,978 --> 00:43:28,819
[roger_mcfillin]: and identifying

3671
00:43:28,233 --> 00:43:29,276
[sean]: ying as a

3672
00:43:29,380 --> 00:43:29,480
[roger_mcfillin]: as

3673
00:43:29,456 --> 00:43:29,837
[sean]: sexual

3674
00:43:29,641 --> 00:43:30,222
[roger_mcfillin]: a sexual

3675
00:43:29,998 --> 00:43:30,920
[sean]: could it be potentially

3676
00:43:30,402 --> 00:43:31,303
[roger_mcfillin]: could be potentially

3677
00:43:31,000 --> 00:43:31,261
[sean]: linked

3678
00:43:31,384 --> 00:43:31,644
[roger_mcfillin]: linked

3679
00:43:31,401 --> 00:43:31,642
[sean]: to the

3680
00:43:31,784 --> 00:43:31,864
[roger_mcfillin]: to

3681
00:43:31,802 --> 00:43:32,123
[sean]: rise

3682
00:43:31,924 --> 00:43:32,505
[roger_mcfillin]: the rise

3683
00:43:32,223 --> 00:43:32,664
[sean]: and drugs

3684
00:43:32,606 --> 00:43:32,666
[roger_mcfillin]: and

3685
00:43:32,724 --> 00:43:32,845
[sean]: that

3686
00:43:32,766 --> 00:43:33,066
[roger_mcfillin]: drugs

3687
00:43:32,885 --> 00:43:33,306
[sean]: we're giving

3688
00:43:33,106 --> 00:43:33,407
[roger_mcfillin]: that we're

3689
00:43:33,446 --> 00:43:33,647
[sean]: these

3690
00:43:33,447 --> 00:43:34,028
[roger_mcfillin]: giving these

3691
00:43:34,208 --> 00:43:34,850
[sean]: young developing

3692
00:43:34,589 --> 00:43:35,230
[roger_mcfillin]: young developing

3693
00:43:34,890 --> 00:43:35,371
[sean]: teen agers

3694
00:43:35,290 --> 00:43:35,751
[roger_mcfillin]: teenagers

3695
00:43:36,210 --> 00:43:41,456
[emily_]: ye i think that's a very very
important question obviously i don't have any definitive

3696
00:43:41,596 --> 00:43:45,304
[emily_]: answer on that because it hasn't been
studied

3697
00:43:45,042 --> 00:43:45,732
[roger_mcfillin]: oh

3698
00:43:45,364 --> 00:43:48,572
[emily_]: it hasn't been properly studied why we're
seeing this a sexual

3699
00:43:48,462 --> 00:43:48,707
[roger_mcfillin]: oh

3700
00:43:48,673 --> 00:43:54,445
[emily_]: movement i think it's it's always a
possibility that some people are that way naturally

3701
00:43:54,885 --> 00:44:00,154
[emily_]: but when you have drugs being commonly
prescribed to millions of people in canada alone

3702
00:44:01,056 --> 00:44:06,152
[emily_]: that we know can interfere with sexual
develop and m this is obviously going to

3703
00:44:06,192 --> 00:44:10,399
[emily_]: be having some kind of systemic impact
and i think that there is just such

3704
00:44:10,459 --> 00:44:16,088
[emily_]: a taboo over examining that impact that
it could be causing lots of things not

3705
00:44:16,168 --> 00:44:22,020
[emily_]: many effects that we can't confirm so
personally it would not surprise me if a

3706
00:44:22,120 --> 00:44:25,487
[emily_]: lot of the people who identifies a
sexual or or at least some of them

3707
00:44:27,070 --> 00:44:32,338
[emily_]: had an interrupted sexual development as a
result of psychiatric medication i do personally know

3708
00:44:32,419 --> 00:44:34,803
[emily_]: i mean i mean at this point
i've talked to hundreds of people with p

3709
00:44:35,003 --> 00:44:39,791
[emily_]: s s t i've read the posts
of many more and i do have personally

3710
00:44:39,851 --> 00:44:45,323
[emily_]: spoken to people who were prescribed rise
at age eleven or age twelve and they

3711
00:44:45,423 --> 00:44:51,775
[emily_]: just never experienced normal what they would
describe as normal sexual development from that point

3712
00:44:51,875 --> 00:44:59,588
[emily_]: onwards so i do know i have
spoken directly to people who are what society

3713
00:44:59,648 --> 00:45:07,336
[emily_]: would deem sexual who personally attribute their
sexuality to psychiatric medication particularly s s r

3714
00:45:07,476 --> 00:45:07,656
[emily_]: is

3715
00:45:07,808 --> 00:45:07,829
[yassie_pirani]: m

3716
00:45:08,757 --> 00:45:15,352
[emily_]: so it definitely is something that's happening
what what percentage of those people what percentage

3717
00:45:15,392 --> 00:45:21,742
[emily_]: of people who identify as a sexual
are affected by arise what percentage element has

3718
00:45:21,783 --> 00:45:24,208
[emily_]: nothing to do with that we don't
have that information

3719
00:45:25,609 --> 00:45:33,476
[yassie_pirani]: it's really difficult because with people who
have p s s d on the onset

3720
00:45:33,353 --> 00:45:33,474
[roger_mcfillin]: oh

3721
00:45:33,516 --> 00:45:35,539
[yassie_pirani]: of pssdouknoas adults the

3722
00:45:35,430 --> 00:45:35,657
[emily_]: oh

3723
00:45:36,421 --> 00:45:44,494
[yassie_pirani]: have a base line to compare to
be you were robbed of your sexuality before

3724
00:45:44,555 --> 00:45:46,518
[yassie_pirani]: you had the capacity to develop your

3725
00:45:46,440 --> 00:45:47,100
[emily_]: yeah

3726
00:45:46,578 --> 00:45:48,822
[yassie_pirani]: sexuality as

3727
00:45:49,260 --> 00:45:49,280
[emily_]: m

3728
00:45:50,024 --> 00:45:53,890
[yassie_pirani]: as you know can happen and i
have clients who know the r these medications

3729
00:45:54,752 --> 00:45:58,518
[yassie_pirani]: obviously the symptom really ranges but i
mean i have some clients who they do

3730
00:45:58,638 --> 00:46:03,787
[yassie_pirani]: have their romantic attraction and arouse but
their genitals are numb and they have norgasmea

3731
00:46:04,307 --> 00:46:07,913
[yassie_pirani]: and they have they've been diagnosed p
c there's no other reason why they would

3732
00:46:07,954 --> 00:46:08,755
[yassie_pirani]: have those symptoms

3733
00:46:09,090 --> 00:46:09,376
[emily_]: yeah

3734
00:46:10,077 --> 00:46:20,512
[yassie_pirani]: so there are there are very clearly
impacts develop mentally too somebody's body sexually by

3735
00:46:20,572 --> 00:46:27,820
[yassie_pirani]: these medications and so any range of
those symptoms can impact samedis sexual response

3736
00:46:27,650 --> 00:46:27,811
[emily_]: right

3737
00:46:28,581 --> 00:46:36,134
[yassie_pirani]: system and identity development that correlates with
what has or hasn't been able to develop

3738
00:46:36,214 --> 00:46:42,024
[yassie_pirani]: sexually so i mean it only makes
sense we we we don't know obviously we

3739
00:46:42,064 --> 00:46:45,329
[yassie_pirani]: don't have numbers we don't have data
we desperately need more data of all kinds

3740
00:46:45,389 --> 00:46:49,476
[yassie_pirani]: of about p s s d but
yeah for when i see my clinical practice

3741
00:46:49,596 --> 00:46:56,356
[yassie_pirani]: it for or would makes sense that
that is a part of the movement that

3742
00:46:56,376 --> 00:46:56,717
[yassie_pirani]: we're seeing

3743
00:46:58,171 --> 00:47:01,757
[emily_]: and while there has been not the
early enough study on this and there's much

3744
00:47:01,797 --> 00:47:04,682
[emily_]: much more required there has been one
very

3745
00:47:04,752 --> 00:47:05,442
[roger_mcfillin]: yeah

3746
00:47:04,802 --> 00:47:10,251
[emily_]: interesting paper that was published in twenty
twenty in the journal of sexual medicine it

3747
00:47:10,331 --> 00:47:17,263
[emily_]: is by tyranny laurens ph d and
it's titled antidepressent use during development may impair

3748
00:47:17,343 --> 00:47:19,086
[emily_]: women's sexual desire and adulthood

3749
00:47:19,828 --> 00:47:19,848
[sean]: m

3750
00:47:20,127 --> 00:47:23,601
[emily_]: and this is one of the this
is this is i think should be a

3751
00:47:23,681 --> 00:47:25,424
[emily_]: jumping off point for more studies

3752
00:47:25,769 --> 00:47:25,789
[yassie_pirani]: m

3753
00:47:26,085 --> 00:47:29,189
[emily_]: um the i'll read you the introduction
here is that okay

3754
00:47:30,094 --> 00:47:30,256
[sean]: please

3755
00:47:30,465 --> 00:47:30,671
[roger_mcfillin]: please

3756
00:47:31,741 --> 00:47:35,868
[emily_]: it says although antidepressents are well known
because sexual side effects and adults the long

3757
00:47:35,908 --> 00:47:40,876
[emily_]: term effects of anti depressant use during
development on adult sexual adult sexual function is

3758
00:47:41,016 --> 00:47:46,003
[emily_]: unknown the aim of the stuf is
to explore differences in sexual desire and sexual

3759
00:47:46,063 --> 00:47:53,592
[emily_]: behavior between adults who did versus did
not use antidepressince during childhood methods an online

3760
00:47:53,673 --> 00:47:58,240
[emily_]: survey of six hundred and ten young
adults who were sixty six percent women assessed

3761
00:47:58,320 --> 00:48:03,429
[emily_]: childhood and current mental health and use
of anti depressence and other psychiatric medications before

3762
00:48:03,469 --> 00:48:09,337
[emily_]: the age of sixteen and currently partnered
and solitary sexual desire and frequency of masturbation

3763
00:48:09,457 --> 00:48:16,076
[emily_]: and partner sexual activity and presents were
coded into either selective sara tone and reupticeinhibitors

3764
00:48:16,196 --> 00:48:23,236
[emily_]: or other non s s antidepressente and
here are the results for women childhood s

3765
00:48:23,377 --> 00:48:29,347
[emily_]: s r use was associated with significantly
lower sexual desire desire for an attractive other

3766
00:48:29,467 --> 00:48:34,956
[emily_]: and frequency of masturbation this was true
even when controlling for childhood mental health concerns

3767
00:48:35,256 --> 00:48:40,024
[emily_]: current mental health and current anti depressant
use and i will happily link you that

3768
00:48:40,104 --> 00:48:45,453
[emily_]: study because i think it's really intrig
in place to start and we should be

3769
00:48:45,345 --> 00:48:45,427
[roger_mcfillin]: ah

3770
00:48:46,134 --> 00:48:49,578
[emily_]: umreplicating that on a much much wider
level

3771
00:48:50,259 --> 00:48:57,151
[yassie_pirani]: and rodent studies show that the sexual
development sorry sexual basically mirror all of that

3772
00:48:58,172 --> 00:49:02,923
[yassie_pirani]: in what you shared emily and there's
a lot of rodents more rodent studies so

3773
00:49:03,465 --> 00:49:05,976
[yassie_pirani]: i mean we just we need more
research

3774
00:49:07,123 --> 00:49:07,764
[sean]: i'll include a link

3775
00:49:07,672 --> 00:49:08,094
[roger_mcfillin]: includally

3776
00:49:07,824 --> 00:49:11,409
[sean]: to that study in the show summary
yeah an

3777
00:49:11,375 --> 00:49:11,496
[roger_mcfillin]: yeah

3778
00:49:11,469 --> 00:49:11,689
[sean]: emily

3779
00:49:11,878 --> 00:49:12,039
[roger_mcfillin]: mile

3780
00:49:11,969 --> 00:49:12,170
[sean]: i am

3781
00:49:12,340 --> 00:49:12,541
[roger_mcfillin]: i am

3782
00:49:12,530 --> 00:49:13,051
[sean]: interested

3783
00:49:12,903 --> 00:49:13,426
[roger_mcfillin]: interested

3784
00:49:13,371 --> 00:49:13,492
[sean]: in

3785
00:49:13,747 --> 00:49:13,868
[roger_mcfillin]: in

3786
00:49:15,113 --> 00:49:15,433
[sean]: hoping

3787
00:49:15,472 --> 00:49:15,812
[roger_mcfillin]: coping

3788
00:49:16,495 --> 00:49:16,936
[sean]: the clinical

3789
00:49:16,894 --> 00:49:16,974
[roger_mcfillin]: the

3790
00:49:16,976 --> 00:49:17,116
[sean]: work

3791
00:49:16,994 --> 00:49:17,315
[roger_mcfillin]: clinical

3792
00:49:17,156 --> 00:49:17,396
[sean]: that's

3793
00:49:17,355 --> 00:49:17,495
[roger_mcfillin]: work

3794
00:49:17,456 --> 00:49:17,757
[sean]: done

3795
00:49:17,555 --> 00:49:18,116
[roger_mcfillin]: that's done

3796
00:49:18,238 --> 00:49:18,899
[sean]: how you approach

3797
00:49:18,617 --> 00:49:19,238
[roger_mcfillin]: how you approach

3798
00:49:19,259 --> 00:49:19,820
[sean]: your life

3799
00:49:19,639 --> 00:49:20,199
[roger_mcfillin]: your life

3800
00:49:20,081 --> 00:49:20,181
[sean]: and

3801
00:49:20,500 --> 00:49:20,580
[roger_mcfillin]: and

3802
00:49:20,682 --> 00:49:21,163
[sean]: the clients

3803
00:49:21,061 --> 00:49:21,542
[roger_mcfillin]: the clients

3804
00:49:21,223 --> 00:49:21,303
[sean]: who

3805
00:49:21,602 --> 00:49:21,682
[roger_mcfillin]: who

3806
00:49:21,623 --> 00:49:22,164
[sean]: are suffering

3807
00:49:22,002 --> 00:49:22,523
[roger_mcfillin]: are suffering

3808
00:49:22,224 --> 00:49:22,585
[sean]: from this

3809
00:49:22,603 --> 00:49:22,764
[roger_mcfillin]: from

3810
00:49:22,785 --> 00:49:23,206
[sean]: how they

3811
00:49:23,164 --> 00:49:23,605
[roger_mcfillin]: how they

3812
00:49:23,847 --> 00:49:24,188
[sean]: come to

3813
00:49:24,246 --> 00:49:24,366
[roger_mcfillin]: come

3814
00:49:24,248 --> 00:49:24,969
[sean]: some acceptance

3815
00:49:24,487 --> 00:49:25,328
[roger_mcfillin]: to some acceptance

3816
00:49:25,149 --> 00:49:25,550
[sean]: and how they

3817
00:49:25,528 --> 00:49:25,608
[roger_mcfillin]: and

3818
00:49:25,610 --> 00:49:25,830
[sean]: cope

3819
00:49:25,669 --> 00:49:25,909
[roger_mcfillin]: how they

3820
00:49:25,931 --> 00:49:25,991
[sean]: and

3821
00:49:25,989 --> 00:49:26,169
[roger_mcfillin]: cope

3822
00:49:26,131 --> 00:49:26,331
[sean]: create

3823
00:49:26,330 --> 00:49:26,390
[roger_mcfillin]: and

3824
00:49:26,371 --> 00:49:26,592
[sean]: a life

3825
00:49:26,510 --> 00:49:26,951
[roger_mcfillin]: create a life

3826
00:49:27,173 --> 00:49:27,514
[sean]: value

3827
00:49:27,532 --> 00:49:27,893
[roger_mcfillin]: value

3828
00:49:27,635 --> 00:49:28,417
[sean]: purpose one that's

3829
00:49:28,516 --> 00:49:28,817
[roger_mcfillin]: one that's

3830
00:49:28,919 --> 00:49:29,501
[sean]: worth living

3831
00:49:29,298 --> 00:49:29,861
[roger_mcfillin]: worth living

3832
00:49:30,204 --> 00:49:30,806
[sean]: i'm interested

3833
00:49:30,583 --> 00:49:31,186
[roger_mcfillin]: i'm interested

3834
00:49:30,907 --> 00:49:31,248
[sean]: to know

3835
00:49:31,306 --> 00:49:31,627
[roger_mcfillin]: to know

3836
00:49:31,649 --> 00:49:31,750
[sean]: in

3837
00:49:32,029 --> 00:49:32,129
[roger_mcfillin]: in

3838
00:49:33,183 --> 00:49:34,324
[sean]: intimate relationships

3839
00:49:33,572 --> 00:49:34,696
[roger_mcfillin]: intimate relationships

3840
00:49:34,524 --> 00:49:34,624
[sean]: and

3841
00:49:34,916 --> 00:49:35,016
[roger_mcfillin]: and

3842
00:49:34,925 --> 00:49:35,786
[sean]: with their partners

3843
00:49:35,297 --> 00:49:36,160
[roger_mcfillin]: with their partners

3844
00:49:36,707 --> 00:49:37,067
[sean]: how they

3845
00:49:37,082 --> 00:49:37,203
[roger_mcfillin]: how

3846
00:49:37,147 --> 00:49:37,207
[sean]: are

3847
00:49:37,323 --> 00:49:37,584
[roger_mcfillin]: they're

3848
00:49:37,367 --> 00:49:37,688
[sean]: able to

3849
00:49:37,745 --> 00:49:37,905
[roger_mcfillin]: able

3850
00:49:37,748 --> 00:49:37,988
[sean]: kind of

3851
00:49:38,006 --> 00:49:38,066
[roger_mcfillin]: to

3852
00:49:38,068 --> 00:49:38,428
[sean]: adapt

3853
00:49:38,106 --> 00:49:38,788
[roger_mcfillin]: kind of adapt

3854
00:49:38,889 --> 00:49:39,269
[sean]: so any

3855
00:49:39,270 --> 00:49:39,351
[roger_mcfillin]: so

3856
00:49:39,329 --> 00:49:39,830
[sean]: information

3857
00:49:39,511 --> 00:49:40,194
[roger_mcfillin]: any information

3858
00:49:39,870 --> 00:49:40,370
[sean]: that you can

3859
00:49:40,274 --> 00:49:40,736
[roger_mcfillin]: that you can

3860
00:49:40,891 --> 00:49:41,472
[sean]: provide about

3861
00:49:41,278 --> 00:49:41,860
[roger_mcfillin]: provide about

3862
00:49:42,543 --> 00:49:43,245
[sean]: we know clinically

3863
00:49:42,912 --> 00:49:43,634
[roger_mcfillin]: we know clinically

3864
00:49:43,305 --> 00:49:43,646
[sean]: to be able

3865
00:49:43,674 --> 00:49:43,754
[roger_mcfillin]: to

3866
00:49:43,686 --> 00:49:44,147
[sean]: to support

3867
00:49:43,794 --> 00:49:44,496
[roger_mcfillin]: be able to support

3868
00:49:44,248 --> 00:49:44,709
[sean]: people who

3869
00:49:44,656 --> 00:49:44,857
[roger_mcfillin]: people

3870
00:49:44,769 --> 00:49:45,070
[sean]: are going

3871
00:49:44,997 --> 00:49:45,077
[roger_mcfillin]: who

3872
00:49:45,110 --> 00:49:45,290
[sean]: through

3873
00:49:45,138 --> 00:49:45,438
[roger_mcfillin]: are going

3874
00:49:45,311 --> 00:49:45,451
[sean]: this

3875
00:49:45,478 --> 00:49:45,659
[roger_mcfillin]: through

3876
00:49:47,669 --> 00:49:51,155
[yassie_pirani]: so in my work of understanding more
about the lived experience with people with p

3877
00:49:51,335 --> 00:49:56,203
[yassie_pirani]: s d i've just come to learn
how immense the ripple effects are this condition

3878
00:49:57,205 --> 00:50:04,497
[yassie_pirani]: can beyond people's lives as relationships self
esteem quality of life motivation identity and many

3879
00:50:04,557 --> 00:50:11,408
[yassie_pirani]: other aspects the loss of sexual identity
and expression can have devastating consequences on mental

3880
00:50:11,529 --> 00:50:14,514
[yassie_pirani]: health of course and really shatter one's
identity and self worth

3881
00:50:14,679 --> 00:50:14,700
[emily_]: m

3882
00:50:15,996 --> 00:50:22,247
[yassie_pirani]: and be a really big reading process
so a lot of the work is

3883
00:50:22,172 --> 00:50:22,436
[emily_]: okay

3884
00:50:23,088 --> 00:50:25,974
[yassie_pirani]: moving to grief and to a place
of

3885
00:50:26,700 --> 00:50:27,420
[emily_]: yeah

3886
00:50:26,755 --> 00:50:27,557
[yassie_pirani]: of acceptance

3887
00:50:28,020 --> 00:50:28,281
[emily_]: oh

3888
00:50:28,800 --> 00:50:36,223
[yassie_pirani]: m p p s s t it's
only when somebody's sexuality is removed when people

3889
00:50:36,284 --> 00:50:42,013
[yassie_pirani]: realize how intrinsic it is to their
self expression and sense of empowerment um so

3890
00:50:42,254 --> 00:50:48,444
[yassie_pirani]: people feel this experience is profoundly s
empowering injury and

3891
00:50:48,968 --> 00:50:48,989
[roger_mcfillin]: a

3892
00:50:49,325 --> 00:50:53,212
[yassie_pirani]: really can shape have such an impact
on somebody's identity

3893
00:50:53,353 --> 00:50:53,434
[emily_]: ah

3894
00:50:53,632 --> 00:50:58,600
[yassie_pirani]: especially you know in terms of figuring
out somebody's sexual orientation or membership in the

3895
00:50:58,640 --> 00:51:01,164
[yassie_pirani]: queer community is it

3896
00:51:01,294 --> 00:51:01,315
[roger_mcfillin]: i

3897
00:51:01,584 --> 00:51:09,566
[yassie_pirani]: really really is so so life altering
and and again depending on the symptom profile

3898
00:51:09,626 --> 00:51:15,195
[yassie_pirani]: for some people it's absolutely catastrophic and
some people are impacted less profoundly depending on

3899
00:51:15,415 --> 00:51:24,646
[yassie_pirani]: what symptoms they get and so it
really i find it's a spectrum and for

3900
00:51:24,726 --> 00:51:32,528
[yassie_pirani]: some people on one end they're entirely
sexually and emotionally non functional and some people

3901
00:51:32,608 --> 00:51:36,995
[yassie_pirani]: it's just kind of my mild to
moderate libido reduction that doesn't strongly impact their

3902
00:51:37,036 --> 00:51:42,819
[yassie_pirani]: life in a big way so it's
really up to you know i find um

3903
00:51:43,441 --> 00:51:48,640
[yassie_pirani]: following the following the lead on on
the pap on the patient experience

3904
00:51:48,035 --> 00:51:48,732
[roger_mcfillin]: okay

3905
00:51:49,080 --> 00:51:53,724
[yassie_pirani]: and really using their language and their
frame of reference to understand how it's impacted

3906
00:51:53,764 --> 00:52:00,762
[yassie_pirani]: them is so important in terms of
hoping i mean it just it so depends

3907
00:52:00,822 --> 00:52:06,071
[yassie_pirani]: on the symptom profile um you know
for most people it really is grief it's

3908
00:52:06,752 --> 00:52:14,385
[yassie_pirani]: shock process and developing the capacity to
build community with other people who have p

3909
00:52:14,585 --> 00:52:19,934
[yassie_pirani]: s s t is really important because
it's just so hard for people so alienating

3910
00:52:20,856 --> 00:52:26,465
[yassie_pirani]: such an alienating experience people can't seem
to get the support or understanding that they

3911
00:52:26,565 --> 00:52:34,439
[yassie_pirani]: need from people who haven't had this
condition so there's there's something that is real

3912
00:52:34,639 --> 00:52:37,923
[yassie_pirani]: quite profound about being able to connect
and talk to other people who've had this

3913
00:52:37,963 --> 00:52:44,798
[yassie_pirani]: happened to them as well and really
i find

3914
00:52:49,551 --> 00:52:54,319
[yassie_pirani]: people it's so healing for people to
be believed by their health care providers to

3915
00:52:54,780 --> 00:52:58,306
[yassie_pirani]: be believed by people in positions and
authority who are supposed to be safe guarding

3916
00:52:58,326 --> 00:53:03,594
[yassie_pirani]: their well being how healing is for
people to actually just have somebody say recognize

3917
00:53:03,635 --> 00:53:09,264
[yassie_pirani]: this and say this is real and
here's the diagnosis un this is something wrong

3918
00:53:09,344 --> 00:53:12,029
[yassie_pirani]: that you know happened to you and
it's not your fault like that and it's

3919
00:53:12,049 --> 00:53:15,554
[yassie_pirani]: self is immense and it's really hard
for people to come by it's a lot

3920
00:53:15,655 --> 00:53:17,918
[yassie_pirani]: easier to have your doctor believe

3921
00:53:17,592 --> 00:53:17,755
[emily_]: yeah

3922
00:53:17,998 --> 00:53:23,287
[yassie_pirani]: you if you were a victim of
other kinds of sexual violence this this type

3923
00:53:23,347 --> 00:53:28,817
[yassie_pirani]: of sexual violence it's really hard to
be believed and to be validated and believed

3924
00:53:28,997 --> 00:53:37,651
[yassie_pirani]: is a corner stone of the healing
process so it's it's so important that we

3925
00:53:37,752 --> 00:53:41,057
[yassie_pirani]: build more awareness about this so people
can at least have their

3926
00:53:41,160 --> 00:53:41,383
[emily_]: oh

3927
00:53:42,349 --> 00:53:45,976
[yassie_pirani]: pain recognized and validated as something real

3928
00:53:47,370 --> 00:53:53,347
[emily_]: yeah yeah i agree with all of
that i tell you that i mean having

3929
00:53:53,407 --> 00:54:00,038
[emily_]: your sexuality chemically removed and the attendant
symptoms of cognitive dis function it isn't really

3930
00:54:00,118 --> 00:54:04,866
[emily_]: something your god to get over it's
going to be something that hurts you for

3931
00:54:04,927 --> 00:54:09,374
[emily_]: the rest of your life and it's
goin o come in waves like any grieving

3932
00:54:09,434 --> 00:54:14,342
[emily_]: process and i think describing as grieving
processes you're very accurate you know i went

3933
00:54:14,462 --> 00:54:19,150
[emily_]: through all of the stages of grief
coming to terms with the fact that this

3934
00:54:19,210 --> 00:54:22,676
[emily_]: was going to be most likely was
going to be something i would have to

3935
00:54:22,716 --> 00:54:28,585
[emily_]: live with for the rest of my
life the things i found that were conducive

3936
00:54:28,686 --> 00:54:36,761
[emily_]: to learning how to cope were removing
self blame from the equation reaching out to

3937
00:54:36,821 --> 00:54:40,186
[emily_]: other people who had p s s
t you know like she described there is

3938
00:54:40,226 --> 00:54:45,295
[emily_]: an incredible feeling of isolation but being
able to build a community of people around

3939
00:54:45,335 --> 00:54:48,362
[emily_]: me who have gone through the same
thing and can kind of come in write

3940
00:54:48,422 --> 00:54:53,785
[emily_]: about it that did make me feel
more supported unless alone and also

3941
00:54:54,141 --> 00:54:54,162
[roger_mcfillin]: m

3942
00:54:54,186 --> 00:54:58,253
[emily_]: i did eventually start getting through both
people in my life and some of the

3943
00:54:58,293 --> 00:55:03,962
[emily_]: people in the medical community here in
b c you know and i have done

3944
00:55:04,082 --> 00:55:09,812
[emily_]: presentations to the b c union of
social workers a colleague of ours did a

3945
00:55:09,952 --> 00:55:18,326
[emily_]: presentation to the b c psychiatric college
so the feeling of actually making some progress

3946
00:55:18,787 --> 00:55:23,123
[emily_]: has enabled me to create some meaning
out of it and gain a sense of

3947
00:55:23,283 --> 00:55:27,270
[emily_]: calm and it gives me some of
my control back you know it's not just

3948
00:55:27,330 --> 00:55:31,276
[emily_]: something that is being done to me
it is something that i do have i

3949
00:55:31,357 --> 00:55:37,134
[emily_]: do have a measure of control within
this ation um in my personal life it

3950
00:55:37,174 --> 00:55:41,086
[emily_]: has simply had to be learning how
not to think about it all the time

3951
00:55:41,367 --> 00:55:47,396
[emily_]: just truly having to develop the capacity
to compartmentalize and of the people i have

3952
00:55:47,456 --> 00:55:55,165
[emily_]: known who have experienced i'm not going
to say healing but increase in their ability

3953
00:55:55,225 --> 00:55:58,771
[emily_]: to cope compartmentalization is often a big
part of it just being

3954
00:55:58,671 --> 00:55:58,692
[roger_mcfillin]: m

3955
00:55:58,891 --> 00:56:01,495
[emily_]: able to set it aside okay okay
i will focus on

3956
00:56:01,791 --> 00:56:01,892
[yassie_pirani]: oh

3957
00:56:02,056 --> 00:56:07,585
[emily_]: other aspects of my life because this
ass fact is just destroyed but of course

3958
00:56:08,146 --> 00:56:13,155
[emily_]: the ripple effects throughout your life are
incredible you know you don't really have access

3959
00:56:13,235 --> 00:56:18,704
[emily_]: to the normal social environment that young
people inhabit the primary

3960
00:56:18,642 --> 00:56:19,302
[roger_mcfillin]: yeah

3961
00:56:18,784 --> 00:56:21,989
[emily_]: person in most people's life is their
partner you know you may move to different

3962
00:56:22,050 --> 00:56:25,676
[emily_]: cities you may or may not be
close to your family most people

3963
00:56:25,559 --> 00:56:25,742
[yassie_pirani]: oh

3964
00:56:26,136 --> 00:56:30,300
[emily_]: the number one person in their life
is suppose um

3965
00:56:30,209 --> 00:56:31,079
[yassie_pirani]: oh

3966
00:56:30,350 --> 00:56:32,953
[emily_]: and then after that they're children but
if

3967
00:56:32,969 --> 00:56:33,333
[yassie_pirani]: oh

3968
00:56:32,993 --> 00:56:39,031
[emily_]: you don't have the ability really to
have supposed to have a relationship how are

3969
00:56:39,051 --> 00:56:48,415
[emily_]: you going to build a family so
the people who manage to deal with p

3970
00:56:48,655 --> 00:56:53,924
[emily_]: s s t in a less desperate
way are the people who are able to

3971
00:56:54,004 --> 00:56:58,800
[emily_]: build relationships outside of sort of that
tum

3972
00:56:59,742 --> 00:57:00,402
[roger_mcfillin]: yeah

3973
00:57:01,020 --> 00:57:06,647
[emily_]: who are able to build platonic relationships
that don't rely on a romantic connection but

3974
00:57:06,687 --> 00:57:08,268
[emily_]: for some people that's very very difficult

3975
00:57:09,219 --> 00:57:09,733
[sean]: hm

3976
00:57:09,605 --> 00:57:10,092
[roger_mcfillin]: hm

3977
00:57:10,619 --> 00:57:13,564
[yassie_pirani]: yet your everything you're saying emily

3978
00:57:13,512 --> 00:57:13,697
[roger_mcfillin]: yeah

3979
00:57:13,624 --> 00:57:17,089
[yassie_pirani]: is so important i mean of course
to have your ability to experience an intimate

3980
00:57:17,129 --> 00:57:21,397
[yassie_pirani]: relationship and feel at home in your
own body and to have functioning emotions completely

3981
00:57:21,497 --> 00:57:23,139
[yassie_pirani]: removed by medicatio that was meant

3982
00:57:23,142 --> 00:57:23,422
[roger_mcfillin]: yeah

3983
00:57:23,200 --> 00:57:29,430
[yassie_pirani]: to alleviate your emotional distress is such
a catastrophic thing to happen to someone and

3984
00:57:29,730 --> 00:57:34,098
[yassie_pirani]: so for most people it's not just
a traumatic event but a trauma that is

3985
00:57:34,238 --> 00:57:37,984
[yassie_pirani]: ongoing and nature remains unresolved it's sort
of hard to

3986
00:57:37,941 --> 00:57:37,962
[roger_mcfillin]: m

3987
00:57:38,064 --> 00:57:43,854
[yassie_pirani]: heal from a trauma when it's kind
of and continuing to happen to other

3988
00:57:43,834 --> 00:57:43,895
[roger_mcfillin]: so

3989
00:57:43,934 --> 00:57:47,320
[yassie_pirani]: people around you as well and just
to know that there every day there's

3990
00:57:47,280 --> 00:57:47,481
[emily_]: oh

3991
00:57:47,360 --> 00:57:52,729
[yassie_pirani]: somebody who's at risk of having this
happen makes it really hard to feel like

3992
00:57:52,789 --> 00:57:59,600
[yassie_pirani]: you can have your own trauma resolve
because of this nobody's we don't have informed

3993
00:57:59,640 --> 00:58:05,730
[yassie_pirani]: consent practices that are that are stopping
this harm so many people yet really need

3994
00:58:05,851 --> 00:58:12,382
[yassie_pirani]: on going emotional and psychological support i
found sharing your story

3995
00:58:12,015 --> 00:58:12,077
[roger_mcfillin]: ah

3996
00:58:12,562 --> 00:58:18,372
[yassie_pirani]: and raising awareness can reduce that helplessness
and hopelessness and finding community so yeah like

3997
00:58:19,233 --> 00:58:24,202
[yassie_pirani]: finding ways to not to to reduce
sense of aliens the sense of alienation and

3998
00:58:24,262 --> 00:58:28,951
[yassie_pirani]: despair like like emily was mentioning yeah
year

3999
00:58:29,730 --> 00:58:30,480
[emily_]: yeah

4000
00:58:29,763 --> 00:58:30,088
[sean]: well said

4001
00:58:30,134 --> 00:58:30,275
[roger_mcfillin]: well

4002
00:58:30,148 --> 00:58:30,311
[sean]: thank

4003
00:58:30,315 --> 00:58:30,476
[roger_mcfillin]: said

4004
00:58:30,372 --> 00:58:30,473
[sean]: you

4005
00:58:30,516 --> 00:58:30,858
[roger_mcfillin]: thank you

4006
00:58:31,613 --> 00:58:32,455
[sean]: many clinicians

4007
00:58:31,972 --> 00:58:32,492
[roger_mcfillin]: many clinic

4008
00:58:32,636 --> 00:58:33,057
[sean]: out there

4009
00:58:33,033 --> 00:58:33,133
[roger_mcfillin]: out

4010
00:58:33,177 --> 00:58:33,238
[sean]: and

4011
00:58:33,193 --> 00:58:33,434
[roger_mcfillin]: there

4012
00:58:33,358 --> 00:58:33,659
[sean]: medical

4013
00:58:33,534 --> 00:58:33,594
[roger_mcfillin]: and

4014
00:58:33,699 --> 00:58:34,281
[sean]: professionals

4015
00:58:33,754 --> 00:58:34,656
[roger_mcfillin]: medical professionals

4016
00:58:35,043 --> 00:58:35,364
[sean]: have been

4017
00:58:35,397 --> 00:58:35,757
[roger_mcfillin]: have been

4018
00:58:35,625 --> 00:58:36,447
[sean]: kind of conditioned

4019
00:58:35,998 --> 00:58:36,218
[roger_mcfillin]: kind of

4020
00:58:36,300 --> 00:58:36,320
[emily_]: m

4021
00:58:36,338 --> 00:58:36,739
[roger_mcfillin]: condition

4022
00:58:36,508 --> 00:58:37,009
[sean]: and taught

4023
00:58:37,079 --> 00:58:37,360
[roger_mcfillin]: caught

4024
00:58:37,129 --> 00:58:37,450
[sean]: through

4025
00:58:37,520 --> 00:58:37,801
[roger_mcfillin]: through

4026
00:58:38,273 --> 00:58:38,814
[sean]: guide lines

4027
00:58:38,642 --> 00:58:38,882
[roger_mcfillin]: guide

4028
00:58:38,834 --> 00:58:38,954
[sean]: that

4029
00:58:38,922 --> 00:58:39,143
[roger_mcfillin]: lines

4030
00:58:39,014 --> 00:58:39,455
[sean]: are supposed

4031
00:58:39,384 --> 00:58:39,484
[roger_mcfillin]: are

4032
00:58:39,475 --> 00:58:39,535
[sean]: to

4033
00:58:39,544 --> 00:58:39,805
[roger_mcfillin]: supposed

4034
00:58:39,575 --> 00:58:39,976
[sean]: be evidence

4035
00:58:39,865 --> 00:58:40,005
[roger_mcfillin]: to be

4036
00:58:40,036 --> 00:58:40,257
[sean]: based

4037
00:58:40,065 --> 00:58:40,346
[roger_mcfillin]: evidence

4038
00:58:40,317 --> 00:58:40,357
[sean]: in

4039
00:58:40,406 --> 00:58:40,607
[roger_mcfillin]: be

4040
00:58:40,417 --> 00:58:40,778
[sean]: research

4041
00:58:40,807 --> 00:58:41,148
[roger_mcfillin]: research

4042
00:58:40,838 --> 00:58:41,259
[sean]: supported

4043
00:58:41,208 --> 00:58:41,629
[roger_mcfillin]: supported

4044
00:58:41,860 --> 00:58:42,481
[sean]: that when someone

4045
00:58:42,231 --> 00:58:42,872
[roger_mcfillin]: that when someone

4046
00:58:42,601 --> 00:58:43,323
[sean]: is suffering

4047
00:58:42,973 --> 00:58:43,715
[roger_mcfillin]: is suffering

4048
00:58:43,463 --> 00:58:44,064
[sean]: emotionally

4049
00:58:43,855 --> 00:58:44,436
[roger_mcfillin]: emotionally

4050
00:58:44,144 --> 00:58:44,605
[sean]: a front line

4051
00:58:44,637 --> 00:58:44,777
[roger_mcfillin]: front

4052
00:58:44,686 --> 00:58:45,006
[sean]: treatment

4053
00:58:44,837 --> 00:58:45,399
[roger_mcfillin]: line treatment

4054
00:58:45,126 --> 00:58:45,507
[sean]: would be

4055
00:58:45,519 --> 00:58:45,860
[roger_mcfillin]: would be

4056
00:58:46,549 --> 00:58:46,750
[sean]: n s

4057
00:58:46,864 --> 00:58:46,944
[roger_mcfillin]: and

4058
00:58:46,910 --> 00:58:46,950
[sean]: s

4059
00:58:47,085 --> 00:58:47,125
[roger_mcfillin]: s

4060
00:58:47,231 --> 00:58:47,291
[sean]: r

4061
00:58:47,266 --> 00:58:47,286
[roger_mcfillin]: s

4062
00:58:47,411 --> 00:58:47,431
[sean]: i

4063
00:58:47,608 --> 00:58:47,649
[roger_mcfillin]: r

4064
00:58:47,700 --> 00:58:48,022
[emily_]: yes

4065
00:58:47,789 --> 00:58:47,830
[roger_mcfillin]: i

4066
00:58:48,263 --> 00:58:48,803
[sean]: it's almost

4067
00:58:48,635 --> 00:58:49,178
[roger_mcfillin]: it's almost

4068
00:58:49,605 --> 00:58:50,166
[sean]: so widely

4069
00:58:49,982 --> 00:58:50,524
[roger_mcfillin]: so widely

4070
00:58:50,226 --> 00:58:50,647
[sean]: accepted

4071
00:58:50,604 --> 00:58:51,045
[roger_mcfillin]: accepted

4072
00:58:50,727 --> 00:58:50,887
[sean]: now

4073
00:58:51,106 --> 00:58:51,246
[roger_mcfillin]: now

4074
00:58:51,147 --> 00:58:52,169
[sean]: that it's not

4075
00:58:52,069 --> 00:58:52,550
[roger_mcfillin]: it's not

4076
00:58:52,530 --> 00:58:53,091
[sean]: even thought

4077
00:58:52,912 --> 00:58:53,092
[roger_mcfillin]: even

4078
00:58:53,131 --> 00:58:53,371
[sean]: about

4079
00:58:53,253 --> 00:58:53,453
[roger_mcfillin]: thought

4080
00:58:53,471 --> 00:58:53,531
[sean]: as

4081
00:58:53,514 --> 00:58:53,935
[roger_mcfillin]: about as

4082
00:58:53,972 --> 00:58:54,473
[sean]: potentially

4083
00:58:54,356 --> 00:58:54,838
[roger_mcfillin]: potentially

4084
00:58:54,553 --> 00:58:54,974
[sean]: a risky

4085
00:58:54,938 --> 00:58:55,360
[roger_mcfillin]: a risky

4086
00:58:55,595 --> 00:58:56,416
[sean]: medical intervention

4087
00:58:55,952 --> 00:58:56,773
[roger_mcfillin]: medical intervention

4088
00:58:56,997 --> 00:58:57,518
[sean]: what advice

4089
00:58:57,354 --> 00:58:57,855
[roger_mcfillin]: what advice

4090
00:58:58,039 --> 00:58:58,600
[sean]: can you give

4091
00:58:58,396 --> 00:58:58,937
[roger_mcfillin]: can you give

4092
00:58:58,760 --> 00:58:58,880
[sean]: to

4093
00:58:59,137 --> 00:58:59,237
[roger_mcfillin]: to

4094
00:58:59,501 --> 00:59:00,022
[sean]: both medical

4095
00:58:59,838 --> 00:59:00,038
[roger_mcfillin]: both

4096
00:59:00,062 --> 00:59:00,202
[sean]: profs

4097
00:59:00,098 --> 00:59:00,379
[roger_mcfillin]: medical

4098
00:59:00,263 --> 00:59:00,646
[sean]: ationals

4099
00:59:00,419 --> 00:59:01,020
[roger_mcfillin]: professionals

4100
00:59:00,908 --> 00:59:01,331
[sean]: and those

4101
00:59:01,300 --> 00:59:01,681
[roger_mcfillin]: and those

4102
00:59:01,472 --> 00:59:01,593
[sean]: who

4103
00:59:01,821 --> 00:59:01,921
[roger_mcfillin]: who

4104
00:59:01,976 --> 00:59:02,117
[sean]: are

4105
00:59:02,342 --> 00:59:02,522
[roger_mcfillin]: are

4106
00:59:03,503 --> 00:59:03,543
[sean]: in

4107
00:59:03,905 --> 00:59:03,945
[roger_mcfillin]: in

4108
00:59:03,944 --> 00:59:04,124
[sean]: doing

4109
00:59:04,346 --> 00:59:04,506
[roger_mcfillin]: doing

4110
00:59:04,485 --> 00:59:04,866
[sean]: conducting

4111
00:59:04,886 --> 00:59:05,247
[roger_mcfillin]: conducting

4112
00:59:04,906 --> 00:59:05,266
[sean]: clinical

4113
00:59:05,307 --> 00:59:05,648
[roger_mcfillin]: clinical

4114
00:59:05,346 --> 00:59:05,787
[sean]: work and

4115
00:59:05,728 --> 00:59:05,968
[roger_mcfillin]: work

4116
00:59:05,907 --> 00:59:06,629
[sean]: recommending

4117
00:59:06,088 --> 00:59:07,010
[roger_mcfillin]: and recommending

4118
00:59:06,789 --> 00:59:07,530
[sean]: their patients

4119
00:59:07,190 --> 00:59:07,891
[roger_mcfillin]: their patients

4120
00:59:07,611 --> 00:59:08,172
[sean]: go seek out

4121
00:59:08,212 --> 00:59:08,393
[roger_mcfillin]: seek

4122
00:59:08,252 --> 00:59:08,853
[sean]: a consult

4123
00:59:08,453 --> 00:59:09,215
[roger_mcfillin]: out to consult

4124
00:59:08,993 --> 00:59:09,133
[sean]: for

4125
00:59:09,356 --> 00:59:09,476
[roger_mcfillin]: for

4126
00:59:10,135 --> 00:59:10,656
[sean]: medication

4127
00:59:10,499 --> 00:59:10,981
[roger_mcfillin]: medication

4128
00:59:10,856 --> 00:59:11,538
[sean]: evaluation

4129
00:59:11,302 --> 00:59:11,843
[roger_mcfillin]: valuation

4130
00:59:11,678 --> 00:59:11,818
[sean]: what

4131
00:59:12,044 --> 00:59:12,205
[roger_mcfillin]: what

4132
00:59:12,219 --> 00:59:12,620
[sean]: advice

4133
00:59:12,606 --> 00:59:12,987
[roger_mcfillin]: advice

4134
00:59:12,720 --> 00:59:13,020
[sean]: would you

4135
00:59:13,107 --> 00:59:13,268
[roger_mcfillin]: would

4136
00:59:13,281 --> 00:59:13,441
[sean]: give

4137
00:59:13,328 --> 00:59:13,408
[roger_mcfillin]: you

4138
00:59:13,501 --> 00:59:13,662
[sean]: them

4139
00:59:13,669 --> 00:59:14,030
[roger_mcfillin]: give them

4140
00:59:15,001 --> 00:59:17,434
[emily_]: ah he do you want to go
first

4141
00:59:17,789 --> 00:59:24,961
[yassie_pirani]: i think i think there's so many
ways to look at human distress and mental

4142
00:59:25,041 --> 00:59:30,069
[yassie_pirani]: illness and suffering and i think one
of the disease model the bio cal model

4143
00:59:30,590 --> 00:59:36,469
[yassie_pirani]: that we have predominantly for mental illness
right now in the medical community on is

4144
00:59:38,633 --> 00:59:42,559
[yassie_pirani]: if if you have a mental illness
in our culture or to have any periods

4145
00:59:42,599 --> 00:59:46,265
[yassie_pirani]: of darkness or suffering it's wrong and
it means you're off track and it needs

4146
00:59:46,325 --> 00:59:49,711
[yassie_pirani]: to need to be fixed and i
think a lot we can learn from spiritual

4147
00:59:49,771 --> 00:59:52,476
[yassie_pirani]: paradoms that see someone who is truly
trying to be in the

4148
00:59:52,431 --> 00:59:52,452
[roger_mcfillin]: m

4149
00:59:52,796 --> 00:59:57,825
[yassie_pirani]: awake in their life will go through
suffering because life is sad and difficult and

4150
00:59:57,905 --> 01:00:01,110
[yassie_pirani]: hard and as you get closer to
knowing your heart you're going to find pain

4151
01:00:01,171 --> 01:00:06,301
[yassie_pirani]: there and it doesn't mean you're messing
up means you're really committed to learning and

4152
01:00:06,341 --> 01:00:17,404
[yassie_pirani]: being awake and growing sometimes a we
we go through pain and it brings us

4153
01:00:18,629 --> 01:00:21,133
[yassie_pirani]: brings us to a place that we
wouldn't

4154
01:00:21,270 --> 01:00:21,494
[emily_]: ye

4155
01:00:21,393 --> 01:00:25,200
[yassie_pirani]: have gotten to otherwise and there is
value there is value in being with our

4156
01:00:25,280 --> 01:00:29,266
[yassie_pirani]: suffering and being with our pain and
i think that value needs to be acknowledged

4157
01:00:29,286 --> 01:00:36,171
[yassie_pirani]: and recognized of course um you know
we we also need to be looking at

4158
01:00:36,953 --> 01:00:43,003
[yassie_pirani]: bigger social context around what it is
is causing distress do we need um political

4159
01:00:43,083 --> 01:00:47,430
[yassie_pirani]: interventions to what's happening with the economy
like all these kinds of environmental

4160
01:00:47,472 --> 01:00:48,072
[roger_mcfillin]: yeah

4161
01:00:47,510 --> 01:00:53,099
[yassie_pirani]: factors like are suicide rates going up
because teen agers brains or they're on their

4162
01:00:53,119 --> 01:00:56,826
[yassie_pirani]: phones too much and their ten their
brains are tan no it's it's we're living

4163
01:00:56,866 --> 01:01:01,674
[yassie_pirani]: in a terrifying world the scientists are
saying we're in ecological

4164
01:01:01,283 --> 01:01:01,384
[roger_mcfillin]: ah

4165
01:01:01,814 --> 01:01:07,864
[yassie_pirani]: armegetan i mean that's terrifying for young
people and the prospects for finding stability

4166
01:01:07,586 --> 01:01:07,872
[roger_mcfillin]: right

4167
01:01:07,904 --> 01:01:11,250
[yassie_pirani]: and security and such a such a
tumultue it's changing

4168
01:01:11,472 --> 01:01:11,715
[roger_mcfillin]: yes

4169
01:01:12,251 --> 01:01:12,852
[yassie_pirani]: ecosystem

4170
01:01:13,182 --> 01:01:15,132
[roger_mcfillin]: yeah

4171
01:01:13,513 --> 01:01:15,196
[yassie_pirani]: that we're finding ourselves in in the
world these

4172
01:01:15,120 --> 01:01:15,320
[emily_]: oh

4173
01:01:15,236 --> 01:01:19,283
[yassie_pirani]: days know those things are need to
be recognized and we need we need social

4174
01:01:19,383 --> 01:01:25,233
[yassie_pirani]: change i think and to put all
the blame on somebody brain or or you

4175
01:01:25,273 --> 01:01:30,362
[yassie_pirani]: know just okay this there's a disease
process and you need medication that's one lens

4176
01:01:30,442 --> 01:01:32,986
[yassie_pirani]: but there's all these other lenses that
we need to be looking at in terms

4177
01:01:33,046 --> 01:01:38,094
[yassie_pirani]: of what makes somebody have good mental
have good mental health do they have access

4178
01:01:38,175 --> 01:01:44,866
[yassie_pirani]: to do they have access to the
kind of what kind of quality of life

4179
01:01:44,926 --> 01:01:48,116
[yassie_pirani]: are they living based on their associate
com mike status et cetera et cetera

4180
01:01:49,563 --> 01:01:50,164
[sean]: so the idea

4181
01:01:49,932 --> 01:01:50,193
[roger_mcfillin]: so the

4182
01:01:50,225 --> 01:01:50,365
[sean]: that

4183
01:01:50,293 --> 01:01:50,513
[roger_mcfillin]: idea

4184
01:01:50,465 --> 01:01:50,806
[sean]: somebody

4185
01:01:50,634 --> 01:01:51,174
[roger_mcfillin]: that somebody

4186
01:01:50,906 --> 01:01:51,507
[sean]: experiences

4187
01:01:51,295 --> 01:01:51,876
[roger_mcfillin]: experiences

4188
01:01:51,827 --> 01:01:52,128
[sean]: what would

4189
01:01:52,196 --> 01:01:52,316
[roger_mcfillin]: what

4190
01:01:52,328 --> 01:01:52,388
[sean]: be

4191
01:01:52,356 --> 01:01:52,477
[roger_mcfillin]: would

4192
01:01:52,448 --> 01:01:52,829
[sean]: considered

4193
01:01:52,697 --> 01:01:53,198
[roger_mcfillin]: be considered

4194
01:01:52,929 --> 01:01:53,370
[sean]: normal and

4195
01:01:53,318 --> 01:01:53,619
[roger_mcfillin]: normal

4196
01:01:53,430 --> 01:01:53,911
[sean]: expected

4197
01:01:53,679 --> 01:01:54,280
[roger_mcfillin]: and expected

4198
01:01:53,951 --> 01:01:54,391
[sean]: emotions

4199
01:01:54,340 --> 01:01:54,780
[roger_mcfillin]: emotions

4200
01:01:54,472 --> 01:01:54,812
[sean]: given the

4201
01:01:54,841 --> 01:01:55,021
[roger_mcfillin]: given

4202
01:01:54,872 --> 01:01:55,153
[sean]: events

4203
01:01:55,101 --> 01:01:55,181
[roger_mcfillin]: the

4204
01:01:55,213 --> 01:01:55,253
[sean]: of

4205
01:01:55,261 --> 01:01:55,522
[roger_mcfillin]: events

4206
01:01:55,293 --> 01:01:55,634
[sean]: their life

4207
01:01:55,582 --> 01:01:55,642
[roger_mcfillin]: of

4208
01:01:55,654 --> 01:01:55,754
[sean]: that

4209
01:01:55,682 --> 01:01:55,822
[roger_mcfillin]: their

4210
01:01:55,794 --> 01:01:55,954
[sean]: they're

4211
01:01:55,862 --> 01:01:56,003
[roger_mcfillin]: life

4212
01:01:56,014 --> 01:01:56,295
[sean]: facing

4213
01:01:56,043 --> 01:01:56,343
[roger_mcfillin]: that they're

4214
01:01:56,335 --> 01:01:56,455
[sean]: with

4215
01:01:56,383 --> 01:01:56,664
[roger_mcfillin]: facing

4216
01:01:56,495 --> 01:01:56,876
[sean]: the idea

4217
01:01:56,704 --> 01:01:57,265
[roger_mcfillin]: with the idea

4218
01:01:57,316 --> 01:01:58,038
[sean]: of identifying

4219
01:01:57,866 --> 01:01:58,407
[roger_mcfillin]: identifying

4220
01:01:58,098 --> 01:01:58,438
[sean]: it as

4221
01:01:58,467 --> 01:01:58,547
[roger_mcfillin]: it

4222
01:01:58,558 --> 01:01:58,598
[sean]: an

4223
01:01:58,727 --> 01:01:58,807
[roger_mcfillin]: as

4224
01:01:58,759 --> 01:01:59,099
[sean]: illness

4225
01:01:58,927 --> 01:01:59,488
[roger_mcfillin]: an illness

4226
01:01:59,360 --> 01:02:00,101
[sean]: is extremely

4227
01:01:59,749 --> 01:02:00,490
[roger_mcfillin]: is extremely

4228
01:02:00,341 --> 01:02:00,722
[sean]: harmful

4229
01:02:00,730 --> 01:02:01,071
[roger_mcfillin]: harmful

4230
01:02:01,245 --> 01:02:01,527
[sean]: and it's

4231
01:02:01,613 --> 01:02:01,693
[roger_mcfillin]: and

4232
01:02:01,648 --> 01:02:01,669
[sean]: a

4233
01:02:01,753 --> 01:02:01,914
[roger_mcfillin]: it's

4234
01:02:01,891 --> 01:02:02,355
[sean]: it's a world

4235
01:02:02,256 --> 01:02:02,437
[roger_mcfillin]: it's a

4236
01:02:02,435 --> 01:02:02,597
[sean]: view

4237
01:02:02,517 --> 01:02:02,959
[roger_mcfillin]: world view

4238
01:02:03,273 --> 01:02:03,513
[sean]: that

4239
01:02:03,652 --> 01:02:03,872
[roger_mcfillin]: that

4240
01:02:03,720 --> 01:02:04,182
[emily_]: oh

4241
01:02:03,813 --> 01:02:04,234
[sean]: creates

4242
01:02:04,213 --> 01:02:04,593
[roger_mcfillin]: creates

4243
01:02:04,915 --> 01:02:05,336
[sean]: tremendous

4244
01:02:05,294 --> 01:02:05,715
[roger_mcfillin]: tremendous

4245
01:02:05,396 --> 01:02:05,677
[sean]: amounts

4246
01:02:05,609 --> 01:02:05,790
[emily_]: yeah

4247
01:02:05,775 --> 01:02:05,995
[roger_mcfillin]: amount

4248
01:02:05,817 --> 01:02:06,718
[sean]: of dependency

4249
01:02:06,196 --> 01:02:07,117
[roger_mcfillin]: of dependency

4250
01:02:07,279 --> 01:02:07,980
[sean]: vulnerability

4251
01:02:07,658 --> 01:02:08,359
[roger_mcfillin]: vulnerability

4252
01:02:08,521 --> 01:02:08,822
[sean]: and it's a

4253
01:02:08,880 --> 01:02:08,960
[roger_mcfillin]: and

4254
01:02:08,942 --> 01:02:09,323
[sean]: harmful

4255
01:02:09,021 --> 01:02:09,722
[roger_mcfillin]: it's a harmful

4256
01:02:09,463 --> 01:02:09,723
[sean]: idea

4257
01:02:09,842 --> 01:02:10,102
[roger_mcfillin]: idea

4258
01:02:10,244 --> 01:02:10,625
[sean]: and we have

4259
01:02:10,603 --> 01:02:10,703
[roger_mcfillin]: and

4260
01:02:10,665 --> 01:02:10,805
[sean]: to be

4261
01:02:10,783 --> 01:02:11,004
[roger_mcfillin]: we have

4262
01:02:10,885 --> 01:02:11,066
[sean]: open

4263
01:02:11,044 --> 01:02:11,184
[roger_mcfillin]: to be

4264
01:02:11,126 --> 01:02:11,326
[sean]: about

4265
01:02:11,264 --> 01:02:11,425
[roger_mcfillin]: open

4266
01:02:11,386 --> 01:02:11,566
[sean]: that

4267
01:02:11,505 --> 01:02:11,705
[roger_mcfillin]: about

4268
01:02:11,747 --> 01:02:11,827
[sean]: we

4269
01:02:11,765 --> 01:02:11,905
[roger_mcfillin]: that

4270
01:02:11,887 --> 01:02:12,147
[sean]: have to

4271
01:02:12,126 --> 01:02:12,186
[roger_mcfillin]: we

4272
01:02:12,207 --> 01:02:12,288
[sean]: be

4273
01:02:12,266 --> 01:02:12,506
[roger_mcfillin]: have to

4274
01:02:12,488 --> 01:02:12,708
[sean]: very

4275
01:02:12,566 --> 01:02:12,647
[roger_mcfillin]: be

4276
01:02:12,808 --> 01:02:13,009
[sean]: very

4277
01:02:12,867 --> 01:02:13,087
[roger_mcfillin]: very

4278
01:02:13,149 --> 01:02:13,429
[sean]: clear

4279
01:02:13,187 --> 01:02:13,808
[roger_mcfillin]: very clear

4280
01:02:13,970 --> 01:02:14,291
[sean]: that our

4281
01:02:14,329 --> 01:02:14,490
[roger_mcfillin]: that

4282
01:02:14,351 --> 01:02:14,852
[sean]: emotional

4283
01:02:14,570 --> 01:02:15,231
[roger_mcfillin]: our emotional

4284
01:02:14,912 --> 01:02:15,253
[sean]: experien

4285
01:02:15,291 --> 01:02:15,591
[roger_mcfillin]: experin

4286
01:02:15,353 --> 01:02:16,074
[sean]: it is related

4287
01:02:15,732 --> 01:02:16,413
[roger_mcfillin]: does it relate

4288
01:02:16,134 --> 01:02:16,655
[sean]: to stressful

4289
01:02:16,493 --> 01:02:17,014
[roger_mcfillin]: to stressful

4290
01:02:16,715 --> 01:02:17,136
[sean]: and adverse

4291
01:02:17,074 --> 01:02:17,535
[roger_mcfillin]: and adverse

4292
01:02:17,216 --> 01:02:17,737
[sean]: conditions

4293
01:02:17,595 --> 01:02:18,096
[roger_mcfillin]: conditions

4294
01:02:17,998 --> 01:02:18,499
[sean]: are normal

4295
01:02:18,377 --> 01:02:18,477
[roger_mcfillin]: are

4296
01:02:18,559 --> 01:02:18,619
[sean]: and

4297
01:02:18,617 --> 01:02:18,918
[roger_mcfillin]: normal

4298
01:02:18,679 --> 01:02:19,120
[sean]: expected

4299
01:02:18,938 --> 01:02:19,479
[roger_mcfillin]: and expected

4300
01:02:19,140 --> 01:02:19,822
[sean]: and there's a purpose

4301
01:02:19,539 --> 01:02:20,201
[roger_mcfillin]: an there's a purpose

4302
01:02:19,922 --> 01:02:20,242
[sean]: for them

4303
01:02:20,301 --> 01:02:20,641
[roger_mcfillin]: for them

4304
01:02:20,743 --> 01:02:21,144
[sean]: and so to

4305
01:02:21,122 --> 01:02:21,203
[roger_mcfillin]: and

4306
01:02:21,224 --> 01:02:21,525
[sean]: quickly

4307
01:02:21,263 --> 01:02:21,884
[roger_mcfillin]: so to quickly

4308
01:02:21,605 --> 01:02:22,006
[sean]: label that

4309
01:02:21,984 --> 01:02:22,225
[roger_mcfillin]: label

4310
01:02:22,066 --> 01:02:22,327
[sean]: in some

4311
01:02:22,265 --> 01:02:22,385
[roger_mcfillin]: that

4312
01:02:22,387 --> 01:02:22,787
[sean]: disease

4313
01:02:22,445 --> 01:02:23,166
[roger_mcfillin]: is some disease

4314
01:02:22,848 --> 01:02:23,128
[sean]: state

4315
01:02:23,207 --> 01:02:23,507
[roger_mcfillin]: state

4316
01:02:23,329 --> 01:02:23,569
[sean]: is a

4317
01:02:23,708 --> 01:02:23,788
[roger_mcfillin]: is

4318
01:02:23,850 --> 01:02:24,310
[sean]: harmful

4319
01:02:23,908 --> 01:02:24,669
[roger_mcfillin]: a harmful

4320
01:02:24,411 --> 01:02:24,731
[sean]: idea

4321
01:02:24,790 --> 01:02:25,070
[roger_mcfillin]: idea

4322
01:02:25,453 --> 01:02:25,753
[sean]: could lead

4323
01:02:25,813 --> 01:02:25,954
[roger_mcfillin]: could

4324
01:02:25,813 --> 01:02:25,954
[sean]: to a

4325
01:02:25,994 --> 01:02:26,116
[roger_mcfillin]: lead

4326
01:02:26,054 --> 01:02:26,394
[sean]: harmful

4327
01:02:26,176 --> 01:02:26,762
[roger_mcfillin]: to a harmful

4328
01:02:26,454 --> 01:02:26,815
[sean]: medical

4329
01:02:26,843 --> 01:02:27,166
[roger_mcfillin]: medical

4330
01:02:27,436 --> 01:02:27,957
[sean]: intervention

4331
01:02:27,802 --> 01:02:28,302
[roger_mcfillin]: intervention

4332
01:02:28,538 --> 01:02:28,878
[sean]: emily you

4333
01:02:28,903 --> 01:02:29,143
[roger_mcfillin]: emily

4334
01:02:29,019 --> 01:02:29,139
[sean]: are

4335
01:02:29,183 --> 01:02:29,504
[roger_mcfillin]: you are

4336
01:02:29,540 --> 01:02:30,161
[sean]: you know somebody

4337
01:02:29,924 --> 01:02:30,525
[roger_mcfillin]: you know somebody

4338
01:02:30,241 --> 01:02:30,641
[sean]: who was

4339
01:02:30,625 --> 01:02:31,025
[roger_mcfillin]: who was

4340
01:02:31,002 --> 01:02:31,563
[sean]: at seventeen

4341
01:02:31,386 --> 01:02:32,507
[roger_mcfillin]: at seventeen was

4342
01:02:32,024 --> 01:02:32,905
[sean]: was placed in that

4343
01:02:32,808 --> 01:02:33,028
[roger_mcfillin]: placed

4344
01:02:32,945 --> 01:02:33,306
[sean]: position

4345
01:02:33,068 --> 01:02:33,649
[roger_mcfillin]: in that position

4346
01:02:33,346 --> 01:02:33,726
[sean]: i'm sure if

4347
01:02:33,729 --> 01:02:33,809
[roger_mcfillin]: i'm

4348
01:02:33,767 --> 01:02:33,827
[sean]: you

4349
01:02:33,849 --> 01:02:33,969
[roger_mcfillin]: sure

4350
01:02:33,867 --> 01:02:34,027
[sean]: would

4351
01:02:34,029 --> 01:02:34,089
[roger_mcfillin]: if

4352
01:02:34,127 --> 01:02:34,207
[sean]: you

4353
01:02:34,129 --> 01:02:34,209
[roger_mcfillin]: you

4354
01:02:34,227 --> 01:02:34,368
[sean]: would

4355
01:02:34,269 --> 01:02:34,590
[roger_mcfillin]: would you

4356
01:02:34,628 --> 01:02:35,109
[sean]: look back

4357
01:02:34,990 --> 01:02:35,491
[roger_mcfillin]: look back

4358
01:02:36,110 --> 01:02:37,152
[sean]: you you prefer

4359
01:02:36,883 --> 01:02:37,504
[roger_mcfillin]: you prefer

4360
01:02:37,212 --> 01:02:37,594
[sean]: to able to

4361
01:02:37,584 --> 01:02:37,644
[roger_mcfillin]: to

4362
01:02:37,634 --> 01:02:37,774
[sean]: deal

4363
01:02:37,684 --> 01:02:37,884
[roger_mcfillin]: be able

4364
01:02:37,835 --> 01:02:37,935
[sean]: with

4365
01:02:37,925 --> 01:02:37,965
[roger_mcfillin]: to

4366
01:02:37,975 --> 01:02:38,076
[sean]: what

4367
01:02:38,025 --> 01:02:38,165
[roger_mcfillin]: deal

4368
01:02:38,136 --> 01:02:38,216
[sean]: you

4369
01:02:38,205 --> 01:02:38,305
[roger_mcfillin]: with

4370
01:02:38,276 --> 01:02:38,357
[sean]: are

4371
01:02:38,345 --> 01:02:38,465
[roger_mcfillin]: what

4372
01:02:38,417 --> 01:02:38,698
[sean]: feeling

4373
01:02:38,526 --> 01:02:39,066
[roger_mcfillin]: you are feeling

4374
01:02:38,939 --> 01:02:39,481
[sean]: in different

4375
01:02:39,307 --> 01:02:39,848
[roger_mcfillin]: in different

4376
01:02:39,522 --> 01:02:39,823
[sean]: ways

4377
01:02:39,888 --> 01:02:40,188
[roger_mcfillin]: ways

4378
01:02:39,984 --> 01:02:40,365
[sean]: but you

4379
01:02:40,349 --> 01:02:40,489
[roger_mcfillin]: but

4380
01:02:40,486 --> 01:02:40,586
[sean]: are

4381
01:02:40,649 --> 01:02:40,950
[roger_mcfillin]: you were

4382
01:02:40,867 --> 01:02:41,349
[sean]: provided

4383
01:02:41,230 --> 01:02:41,711
[roger_mcfillin]: provided

4384
01:02:41,510 --> 01:02:41,630
[sean]: what

4385
01:02:41,931 --> 01:02:41,991
[roger_mcfillin]: at

4386
01:02:42,233 --> 01:02:42,753
[sean]: it amounted

4387
01:02:42,552 --> 01:02:43,133
[roger_mcfillin]: what amounted

4388
01:02:42,833 --> 01:02:43,894
[sean]: to to believe somewhat

4389
01:02:43,654 --> 01:02:43,975
[roger_mcfillin]: to believe

4390
01:02:43,934 --> 01:02:43,974
[sean]: of

4391
01:02:44,035 --> 01:02:44,275
[roger_mcfillin]: somewhat

4392
01:02:44,054 --> 01:02:44,454
[sean]: a kind

4393
01:02:44,315 --> 01:02:44,475
[roger_mcfillin]: of a

4394
01:02:44,494 --> 01:02:44,655
[sean]: of a

4395
01:02:44,716 --> 01:02:44,836
[roger_mcfillin]: kind

4396
01:02:44,855 --> 01:02:44,875
[sean]: a

4397
01:02:44,896 --> 01:02:44,936
[roger_mcfillin]: of

4398
01:02:45,075 --> 01:02:45,555
[sean]: quick fix

4399
01:02:45,457 --> 01:02:45,657
[roger_mcfillin]: quick

4400
01:02:45,696 --> 01:02:45,756
[sean]: to

4401
01:02:45,758 --> 01:02:45,938
[roger_mcfillin]: fix

4402
01:02:45,816 --> 01:02:46,116
[sean]: kind of

4403
01:02:46,078 --> 01:02:46,399
[roger_mcfillin]: to kind

4404
01:02:46,436 --> 01:02:46,636
[sean]: help

4405
01:02:46,459 --> 01:02:46,519
[roger_mcfillin]: of

4406
01:02:46,620 --> 01:02:47,220
[emily_]: oh

4407
01:02:46,736 --> 01:02:46,837
[sean]: you

4408
01:02:46,819 --> 01:02:47,240
[roger_mcfillin]: help you

4409
01:02:47,237 --> 01:02:47,577
[sean]: in dealing

4410
01:02:47,621 --> 01:02:47,661
[roger_mcfillin]: in

4411
01:02:47,657 --> 01:02:47,757
[sean]: with

4412
01:02:47,741 --> 01:02:47,961
[roger_mcfillin]: dealing

4413
01:02:47,817 --> 01:02:47,937
[sean]: what

4414
01:02:47,981 --> 01:02:48,081
[roger_mcfillin]: with

4415
01:02:47,998 --> 01:02:48,298
[sean]: you were

4416
01:02:48,202 --> 01:02:48,642
[roger_mcfillin]: like you were

4417
01:02:48,558 --> 01:02:48,978
[sean]: dealing with

4418
01:02:48,923 --> 01:02:49,183
[roger_mcfillin]: dealing

4419
01:02:49,038 --> 01:02:49,499
[sean]: what advice

4420
01:02:49,243 --> 01:02:49,524
[roger_mcfillin]: with what

4421
01:02:49,579 --> 01:02:49,719
[sean]: would

4422
01:02:49,584 --> 01:02:49,864
[roger_mcfillin]: advice

4423
01:02:49,759 --> 01:02:49,999
[sean]: you give

4424
01:02:49,965 --> 01:02:50,085
[roger_mcfillin]: would

4425
01:02:50,079 --> 01:02:50,159
[sean]: to

4426
01:02:50,125 --> 01:02:50,205
[roger_mcfillin]: you

4427
01:02:50,199 --> 01:02:50,320
[sean]: that

4428
01:02:50,245 --> 01:02:50,365
[roger_mcfillin]: give

4429
01:02:50,400 --> 01:02:50,700
[sean]: medical

4430
01:02:50,445 --> 01:02:50,706
[roger_mcfillin]: to that

4431
01:02:50,760 --> 01:02:51,280
[sean]: professional

4432
01:02:50,766 --> 01:02:51,627
[roger_mcfillin]: medical professional

4433
01:02:51,701 --> 01:02:52,141
[sean]: who you

4434
01:02:52,088 --> 01:02:52,168
[roger_mcfillin]: who

4435
01:02:52,201 --> 01:02:53,042
[sean]: initially consulted

4436
01:02:52,609 --> 01:02:53,410
[roger_mcfillin]: initially consulted

4437
01:02:53,082 --> 01:02:53,222
[sean]: with

4438
01:02:53,451 --> 01:02:53,591
[roger_mcfillin]: with

4439
01:02:54,600 --> 01:02:57,086
[emily_]: yuh simply that

4440
01:03:00,900 --> 01:03:06,042
[emily_]: when you don't know the long term
effects of medication you know it can interfere

4441
01:03:06,082 --> 01:03:11,151
[emily_]: with sexual development and you know that
it is common for ten ages to go

4442
01:03:11,331 --> 01:03:17,882
[emily_]: through not just temporary periods sometimes even
years of emotional tribulanceis there eveloping is it

4443
01:03:18,102 --> 01:03:26,136
[emily_]: really the less dangerous option to prescribe
that medication i recognize that all medical professionals

4444
01:03:26,236 --> 01:03:30,287
[emily_]: have to make tough calls sometimes they
have to sometimes choose the less dangerous or

4445
01:03:30,427 --> 01:03:39,446
[emily_]: perceived less harmful approach but why was
that the less dangerous approach to put a

4446
01:03:39,807 --> 01:03:44,314
[emily_]: certain drug a certain chemical who that
they don't know the long term effects of

4447
01:03:44,975 --> 01:03:51,453
[emily_]: into a teenage body a very critical
developmental period i just don't understand so i

4448
01:03:51,493 --> 01:03:54,448
[emily_]: think i would just tell her to
maybe

4449
01:03:54,054 --> 01:03:54,075
[roger_mcfillin]: i

4450
01:03:56,793 --> 01:04:02,264
[emily_]: i think that much better ways of
coping for me at the time would have

4451
01:04:02,324 --> 01:04:08,455
[emily_]: been more psychologically focused or frankly even
just letting me grow up just leaving well

4452
01:04:08,495 --> 01:04:11,340
[emily_]: enough alone it probably would have worked
itself out in time

4453
01:04:13,394 --> 01:04:13,854
[sean]: yeah there's that

4454
01:04:13,764 --> 01:04:14,086
[roger_mcfillin]: yeah there's

4455
01:04:14,075 --> 01:04:14,215
[sean]: that

4456
01:04:14,106 --> 01:04:14,568
[roger_mcfillin]: that at

4457
01:04:14,816 --> 01:04:15,417
[sean]: that concept

4458
01:04:15,212 --> 01:04:15,775
[roger_mcfillin]: that concept

4459
01:04:15,557 --> 01:04:15,658
[sean]: of

4460
01:04:15,956 --> 01:04:16,036
[roger_mcfillin]: of

4461
01:04:17,100 --> 01:04:17,461
[sean]: watchful

4462
01:04:17,482 --> 01:04:17,664
[roger_mcfillin]: watch

4463
01:04:17,521 --> 01:04:17,781
[sean]: waiting

4464
01:04:17,724 --> 01:04:17,845
[roger_mcfillin]: for

4465
01:04:18,843 --> 01:04:19,003
[sean]: which

4466
01:04:19,192 --> 01:04:19,372
[roger_mcfillin]: which

4467
01:04:19,344 --> 01:04:19,805
[sean]: we don't use

4468
01:04:19,733 --> 01:04:19,793
[roger_mcfillin]: we

4469
01:04:19,736 --> 01:04:20,250
[emily_]: hm

4470
01:04:19,833 --> 01:04:19,994
[roger_mcfillin]: don't

4471
01:04:19,865 --> 01:04:20,126
[sean]: enough

4472
01:04:20,074 --> 01:04:20,474
[roger_mcfillin]: use enough

4473
01:04:20,467 --> 01:04:20,928
[sean]: it's just

4474
01:04:20,835 --> 01:04:21,276
[roger_mcfillin]: it's just

4475
01:04:21,108 --> 01:04:21,549
[sean]: being able

4476
01:04:21,476 --> 01:04:21,696
[roger_mcfillin]: being

4477
01:04:21,609 --> 01:04:21,689
[sean]: to

4478
01:04:21,756 --> 01:04:21,917
[roger_mcfillin]: able

4479
01:04:21,790 --> 01:04:21,930
[sean]: not

4480
01:04:21,977 --> 01:04:22,057
[roger_mcfillin]: to

4481
01:04:21,990 --> 01:04:22,371
[sean]: intervene

4482
01:04:22,177 --> 01:04:22,398
[roger_mcfillin]: not in

4483
01:04:23,103 --> 01:04:23,464
[sean]: and let

4484
01:04:23,479 --> 01:04:23,600
[roger_mcfillin]: and

4485
01:04:23,504 --> 01:04:24,005
[sean]: the natural

4486
01:04:23,720 --> 01:04:24,401
[roger_mcfillin]: let the natural

4487
01:04:24,145 --> 01:04:24,747
[sean]: progression

4488
01:04:24,521 --> 01:04:25,122
[roger_mcfillin]: progression

4489
01:04:25,208 --> 01:04:25,328
[sean]: of

4490
01:04:25,563 --> 01:04:25,683
[roger_mcfillin]: of

4491
01:04:25,609 --> 01:04:26,631
[sean]: a what we call

4492
01:04:26,444 --> 01:04:26,725
[roger_mcfillin]: what we

4493
01:04:26,732 --> 01:04:27,253
[sean]: episodes

4494
01:04:26,805 --> 01:04:27,606
[roger_mcfillin]: call episodes

4495
01:04:27,333 --> 01:04:27,694
[sean]: to be able

4496
01:04:27,706 --> 01:04:27,766
[roger_mcfillin]: to

4497
01:04:27,754 --> 01:04:27,814
[sean]: to

4498
01:04:27,827 --> 01:04:27,867
[roger_mcfillin]: be

4499
01:04:27,854 --> 01:04:28,015
[sean]: play

4500
01:04:27,947 --> 01:04:28,067
[roger_mcfillin]: able

4501
01:04:28,075 --> 01:04:28,376
[sean]: itself

4502
01:04:28,127 --> 01:04:28,748
[roger_mcfillin]: to play itself

4503
01:04:28,536 --> 01:04:29,238
[sean]: out in somewhat

4504
01:04:28,908 --> 01:04:29,630
[roger_mcfillin]: out in somewhat

4505
01:04:29,779 --> 01:04:30,180
[sean]: a different

4506
01:04:30,170 --> 01:04:30,190
[roger_mcfillin]: a

4507
01:04:30,220 --> 01:04:30,401
[sean]: kind

4508
01:04:30,271 --> 01:04:30,551
[roger_mcfillin]: different

4509
01:04:30,461 --> 01:04:30,521
[sean]: of

4510
01:04:30,591 --> 01:04:30,771
[roger_mcfillin]: kind

4511
01:04:31,223 --> 01:04:31,703
[sean]: approach

4512
01:04:31,582 --> 01:04:32,042
[roger_mcfillin]: approach

4513
01:04:32,364 --> 01:04:32,884
[sean]: the watchful

4514
01:04:32,744 --> 01:04:33,244
[roger_mcfillin]: the watchful

4515
01:04:32,984 --> 01:04:33,504
[sean]: part meaning

4516
01:04:33,365 --> 01:04:33,565
[roger_mcfillin]: part

4517
01:04:33,565 --> 01:04:33,625
[sean]: we

4518
01:04:33,625 --> 01:04:33,865
[roger_mcfillin]: meaning

4519
01:04:33,705 --> 01:04:33,965
[sean]: take it

4520
01:04:33,946 --> 01:04:34,006
[roger_mcfillin]: we

4521
01:04:34,045 --> 01:04:34,525
[sean]: seriously

4522
01:04:34,086 --> 01:04:34,887
[roger_mcfillin]: take it seriously

4523
01:04:34,625 --> 01:04:34,986
[sean]: and maybe

4524
01:04:35,007 --> 01:04:35,087
[roger_mcfillin]: and

4525
01:04:35,046 --> 01:04:35,246
[sean]: that's

4526
01:04:35,148 --> 01:04:35,388
[roger_mcfillin]: maybe

4527
01:04:35,286 --> 01:04:35,546
[sean]: the need

4528
01:04:35,428 --> 01:04:35,608
[roger_mcfillin]: that's

4529
01:04:35,606 --> 01:04:35,706
[sean]: for

4530
01:04:35,648 --> 01:04:35,749
[roger_mcfillin]: the

4531
01:04:35,786 --> 01:04:35,947
[sean]: some

4532
01:04:35,789 --> 01:04:36,089
[roger_mcfillin]: need for

4533
01:04:36,047 --> 01:04:36,447
[sean]: emotional

4534
01:04:36,169 --> 01:04:36,850
[roger_mcfillin]: some emotional

4535
01:04:36,547 --> 01:04:36,967
[sean]: support

4536
01:04:36,910 --> 01:04:37,331
[roger_mcfillin]: support

4537
01:04:37,048 --> 01:04:37,488
[sean]: or family

4538
01:04:37,431 --> 01:04:37,471
[roger_mcfillin]: or

4539
01:04:37,568 --> 01:04:37,628
[sean]: or

4540
01:04:37,572 --> 01:04:37,872
[roger_mcfillin]: family

4541
01:04:37,688 --> 01:04:38,128
[sean]: community

4542
01:04:37,952 --> 01:04:38,493
[roger_mcfillin]: or community

4543
01:04:38,689 --> 01:04:39,129
[sean]: to be able

4544
01:04:39,054 --> 01:04:39,274
[roger_mcfillin]: to be

4545
01:04:39,249 --> 01:04:39,309
[sean]: to

4546
01:04:39,334 --> 01:04:39,495
[roger_mcfillin]: able

4547
01:04:39,410 --> 01:04:39,690
[sean]: assist

4548
01:04:39,635 --> 01:04:39,715
[roger_mcfillin]: to

4549
01:04:39,750 --> 01:04:39,870
[sean]: that

4550
01:04:39,795 --> 01:04:40,056
[roger_mcfillin]: assist

4551
01:04:39,930 --> 01:04:40,190
[sean]: person

4552
01:04:40,116 --> 01:04:40,256
[roger_mcfillin]: that

4553
01:04:40,250 --> 01:04:40,330
[sean]: who

4554
01:04:40,316 --> 01:04:40,577
[roger_mcfillin]: person

4555
01:04:40,430 --> 01:04:40,951
[sean]: is struggling

4556
01:04:40,637 --> 01:04:41,338
[roger_mcfillin]: who is struggling

4557
01:04:41,211 --> 01:04:41,511
[sean]: maybe

4558
01:04:41,598 --> 01:04:41,859
[roger_mcfillin]: maybe

4559
01:04:41,912 --> 01:04:42,192
[sean]: even a

4560
01:04:42,279 --> 01:04:42,560
[roger_mcfillin]: even a

4561
01:04:43,183 --> 01:04:44,083
[sean]: know less restrictive

4562
01:04:43,662 --> 01:04:44,466
[roger_mcfillin]: a less restrictive

4563
01:04:44,223 --> 01:04:44,684
[sean]: intervention

4564
01:04:44,607 --> 01:04:45,069
[roger_mcfillin]: intervention

4565
01:04:44,804 --> 01:04:45,084
[sean]: like a

4566
01:04:45,189 --> 01:04:45,330
[roger_mcfillin]: like

4567
01:04:45,324 --> 01:04:45,445
[sean]: like

4568
01:04:45,430 --> 01:04:45,451
[roger_mcfillin]: a

4569
01:04:45,485 --> 01:04:45,965
[sean]: a therapy

4570
01:04:45,712 --> 01:04:46,315
[roger_mcfillin]: like a therapy

4571
01:04:46,465 --> 01:04:46,766
[sean]: might be

4572
01:04:46,837 --> 01:04:47,139
[roger_mcfillin]: might be

4573
01:04:47,386 --> 01:04:48,207
[sean]: you know necessary

4574
01:04:48,042 --> 01:04:48,523
[roger_mcfillin]: necessary

4575
01:04:48,267 --> 01:04:48,887
[sean]: or recommended

4576
01:04:48,644 --> 01:04:49,245
[roger_mcfillin]: or recommended

4577
01:04:49,848 --> 01:04:50,329
[sean]: but the idea

4578
01:04:50,208 --> 01:04:50,449
[roger_mcfillin]: but the

4579
01:04:50,369 --> 01:04:50,789
[sean]: that everything

4580
01:04:50,509 --> 01:04:50,850
[roger_mcfillin]: idea that

4581
01:04:50,829 --> 01:04:50,949
[sean]: has

4582
01:04:50,890 --> 01:04:51,171
[roger_mcfillin]: everything

4583
01:04:50,989 --> 01:04:51,169
[sean]: to be

4584
01:04:51,211 --> 01:04:51,331
[roger_mcfillin]: has

4585
01:04:51,370 --> 01:04:51,730
[sean]: quickly

4586
01:04:51,391 --> 01:04:52,093
[roger_mcfillin]: to be quickly

4587
01:04:51,830 --> 01:04:52,290
[sean]: intervened

4588
01:04:52,294 --> 01:04:52,655
[roger_mcfillin]: devine

4589
01:04:52,350 --> 01:04:52,791
[sean]: with with

4590
01:04:52,715 --> 01:04:52,835
[roger_mcfillin]: with

4591
01:04:52,851 --> 01:04:53,171
[sean]: a pill

4592
01:04:53,056 --> 01:04:53,517
[roger_mcfillin]: with a pill

4593
01:04:53,551 --> 01:04:53,912
[sean]: obviously

4594
01:04:53,938 --> 01:04:54,319
[roger_mcfillin]: obviously

4595
01:04:53,972 --> 01:04:54,112
[sean]: has

4596
01:04:54,360 --> 01:04:54,500
[roger_mcfillin]: has

4597
01:04:54,803 --> 01:04:55,668
[sean]: great consequences

4598
01:04:55,172 --> 01:04:56,018
[roger_mcfillin]: great consequences

4599
01:04:57,419 --> 01:05:01,666
[yassie_pirani]: there's a variety of treatment options that
that are known to be effective for people

4600
01:05:01,726 --> 01:05:06,213
[yassie_pirani]: with anxiety and depression and under other
mental health issues that have significantly less risk

4601
01:05:06,293 --> 01:05:14,207
[yassie_pirani]: of harm associated for example therapy attention
exercise do does your doctor teach you about

4602
01:05:14,247 --> 01:05:18,133
[yassie_pirani]: these things typically now when you go
to the hospital for an episode do they

4603
01:05:18,694 --> 01:05:19,055
[yassie_pirani]: teach you

4604
01:05:19,152 --> 01:05:20,502
[roger_mcfillin]: yeah

4605
01:05:19,175 --> 01:05:23,843
[yassie_pirani]: grounding and breathing and all its kinds
of tools do you learn them in school

4606
01:05:24,527 --> 01:05:24,610
[roger_mcfillin]: ah

4607
01:05:25,025 --> 01:05:30,494
[yassie_pirani]: most people don't i mean maybe that's
changing now hopefully but i didn't and you

4608
01:05:30,534 --> 01:05:37,645
[yassie_pirani]: know there's the research just on xerciseumis
quite profound and i think

4609
01:05:38,562 --> 01:05:38,684
[roger_mcfillin]: ye

4610
01:05:40,249 --> 01:05:45,898
[yassie_pirani]: the we just going going physicians don't
know what's at stake right you know who

4611
01:05:45,978 --> 01:05:49,344
[yassie_pirani]: aren't aware of these patients are going
in they don't know what's at stake and

4612
01:05:49,384 --> 01:05:53,691
[yassie_pirani]: the true risks of these drugs and
so until we we just need wider awareness

4613
01:05:53,731 --> 01:05:57,678
[yassie_pirani]: who need more of these conversations happening
because it's just so important for people to

4614
01:05:57,698 --> 01:06:01,304
[yassie_pirani]: be able to access all the information
and then way the true risks and benefits

4615
01:06:01,364 --> 01:06:06,653
[yassie_pirani]: of all options so they can decide
what themselves what risks they're willing to take

4616
01:06:07,174 --> 01:06:12,002
[yassie_pirani]: and i think it also engages questions
around okay is there accessible for people pills

4617
01:06:12,042 --> 01:06:17,950
[yassie_pirani]: are accessible medications accept accessible is living
in in

4618
01:06:17,946 --> 01:06:17,967
[roger_mcfillin]: i

4619
01:06:17,990 --> 01:06:20,715
[yassie_pirani]: a community where you have support and

4620
01:06:20,652 --> 01:06:20,672
[roger_mcfillin]: m

4621
01:06:20,975 --> 01:06:27,286
[yassie_pirani]: access to clean water and nutritious food
and nature are those things accessible for everybody

4622
01:06:27,586 --> 01:06:32,294
[yassie_pirani]: or people you know they're working three
jobs like they don't you know they don't

4623
01:06:32,334 --> 01:06:32,775
[yassie_pirani]: have they

4624
01:06:32,730 --> 01:06:32,750
[emily_]: o

4625
01:06:32,855 --> 01:06:37,823
[yassie_pirani]: can't they can't afford private therapy and
the weight less for their ping the public

4626
01:06:37,863 --> 01:06:41,830
[yassie_pirani]: health system so so long so those
are all things we need to be also

4627
01:06:41,930 --> 01:06:43,953
[yassie_pirani]: addressing as well we're looking at informed
consent

4628
01:06:43,620 --> 01:06:43,884
[emily_]: oh

4629
01:06:44,254 --> 01:06:49,362
[yassie_pirani]: is somebody exercising informed consent when all
of those other options aren't actually financially accessible

4630
01:06:49,442 --> 01:06:53,390
[yassie_pirani]: for them and the pills are really
the only thing that's being told to but

4631
01:06:53,952 --> 01:06:55,017
[yassie_pirani]: offered by their doctors

4632
01:06:55,372 --> 01:06:55,554
[roger_mcfillin]: yeah

4633
01:06:55,921 --> 01:06:56,986
[yassie_pirani]: it's not true for in content

4634
01:06:59,253 --> 01:06:59,273
[roger_mcfillin]: a

4635
01:06:59,604 --> 01:07:00,006
[sean]: good point

4636
01:06:59,998 --> 01:07:00,381
[roger_mcfillin]: good point

4637
01:07:01,573 --> 01:07:02,335
[sean]: you guys are amazing

4638
01:07:01,932 --> 01:07:02,673
[roger_mcfillin]: you guys are amazing

4639
01:07:02,756 --> 01:07:03,117
[sean]: i couldn't

4640
01:07:03,133 --> 01:07:03,153
[roger_mcfillin]: i

4641
01:07:03,157 --> 01:07:03,578
[sean]: imagine

4642
01:07:03,233 --> 01:07:03,914
[roger_mcfillin]: couldn't imagine

4643
01:07:03,658 --> 01:07:04,019
[sean]: two better

4644
01:07:04,015 --> 01:07:04,115
[roger_mcfillin]: to

4645
01:07:04,100 --> 01:07:04,481
[sean]: voices

4646
01:07:04,195 --> 01:07:04,856
[roger_mcfillin]: better voices

4647
01:07:04,601 --> 01:07:04,922
[sean]: for this

4648
01:07:04,976 --> 01:07:05,317
[roger_mcfillin]: for this

4649
01:07:05,644 --> 01:07:06,045
[sean]: serious

4650
01:07:06,018 --> 01:07:06,418
[roger_mcfillin]: serious

4651
01:07:06,186 --> 01:07:06,707
[sean]: complex

4652
01:07:06,558 --> 01:07:07,059
[roger_mcfillin]: complex

4653
01:07:06,827 --> 01:07:07,369
[sean]: and challenging

4654
01:07:07,199 --> 01:07:07,740
[roger_mcfillin]: and challenging

4655
01:07:07,449 --> 01:07:07,710
[sean]: issue

4656
01:07:07,820 --> 01:07:08,081
[roger_mcfillin]: issue

4657
01:07:09,513 --> 01:07:09,873
[sean]: where can

4658
01:07:09,892 --> 01:07:10,072
[roger_mcfillin]: where

4659
01:07:09,954 --> 01:07:10,254
[sean]: people

4660
01:07:10,133 --> 01:07:10,654
[roger_mcfillin]: can people

4661
01:07:10,875 --> 01:07:11,376
[sean]: find you

4662
01:07:11,257 --> 01:07:11,538
[roger_mcfillin]: find

4663
01:07:11,536 --> 01:07:11,576
[sean]: or

4664
01:07:11,618 --> 01:07:11,738
[roger_mcfillin]: you

4665
01:07:11,656 --> 01:07:11,877
[sean]: how can

4666
01:07:11,919 --> 01:07:11,979
[roger_mcfillin]: or

4667
01:07:11,937 --> 01:07:11,977
[sean]: we

4668
01:07:12,039 --> 01:07:12,120
[roger_mcfillin]: how

4669
01:07:12,057 --> 01:07:12,197
[sean]: bring

4670
01:07:12,180 --> 01:07:12,260
[roger_mcfillin]: can

4671
01:07:12,257 --> 01:07:12,678
[sean]: attention

4672
01:07:12,320 --> 01:07:13,083
[roger_mcfillin]: we bring attention

4673
01:07:12,798 --> 01:07:13,179
[sean]: to some of

4674
01:07:13,183 --> 01:07:13,264
[roger_mcfillin]: to

4675
01:07:13,219 --> 01:07:13,499
[sean]: the work

4676
01:07:13,344 --> 01:07:13,565
[roger_mcfillin]: some of

4677
01:07:13,539 --> 01:07:13,640
[sean]: that

4678
01:07:13,605 --> 01:07:13,685
[roger_mcfillin]: the

4679
01:07:13,700 --> 01:07:13,860
[sean]: you're

4680
01:07:13,725 --> 01:07:14,026
[roger_mcfillin]: work that

4681
01:07:13,940 --> 01:07:14,221
[sean]: doing

4682
01:07:14,066 --> 01:07:14,608
[roger_mcfillin]: you're doing

4683
01:07:15,683 --> 01:07:16,167
[sean]: for we close

4684
01:07:16,042 --> 01:07:16,324
[roger_mcfillin]: for we

4685
01:07:16,247 --> 01:07:16,408
[sean]: today

4686
01:07:16,365 --> 01:07:16,788
[roger_mcfillin]: close today

4687
01:07:19,351 --> 01:07:23,959
[emily_]: we have a website for the canadian
p s s t society it's a w

4688
01:07:24,379 --> 01:07:29,268
[emily_]: w dot p s s t canada
dot c a i'd also like to draw

4689
01:07:29,348 --> 01:07:34,918
[emily_]: some attention to new p s s
d focused organization that recently started up based

4690
01:07:34,978 --> 01:07:39,367
[emily_]: in australia called the p s s
d network and it can be found at

4691
01:07:39,447 --> 01:07:44,736
[emily_]: p s s t network dot or
they've hit the ground running and have already

4692
01:07:44,836 --> 01:07:45,758
[emily_]: done a photo

4693
01:07:45,702 --> 01:07:46,206
[roger_mcfillin]: uh

4694
01:07:45,878 --> 01:07:47,761
[emily_]: campaign to try and raise awareness about

4695
01:07:47,721 --> 01:07:47,742
[roger_mcfillin]: h

4696
01:07:47,801 --> 01:07:54,172
[emily_]: p s s t we've also seen
a lot of organization starting up around the

4697
01:07:54,212 --> 01:07:59,360
[emily_]: world in the past few years there's
a very active one in germany called pssdhillfa

4698
01:07:59,561 --> 01:08:04,549
[emily_]: hill face belt h i l f
e m and you can access their site

4699
01:08:04,589 --> 01:08:07,955
[emily_]: and you can so they have a
english translation button on the side if you

4700
01:08:08,015 --> 01:08:12,502
[emily_]: want to keep track of their activities
the work of professor david healy is a

4701
01:08:12,662 --> 01:08:15,567
[emily_]: great place to get an over view
of p s s t he has a

4702
01:08:15,667 --> 01:08:22,680
[emily_]: large of the available literature linked on
his websiteum

4703
01:08:23,109 --> 01:08:23,590
[yassie_pirani]: risk dot

4704
01:08:23,620 --> 01:08:23,781
[emily_]: yeah

4705
01:08:23,771 --> 01:08:23,811
[yassie_pirani]: or

4706
01:08:23,962 --> 01:08:24,828
[emily_]: and risk

4707
01:08:24,734 --> 01:08:24,754
[yassie_pirani]: i

4708
01:08:24,908 --> 01:08:30,606
[emily_]: dot or yeah yeah and also if
you visit the p s st canada website

4709
01:08:30,806 --> 01:08:37,818
[emily_]: we have a page under resources of
many different other organizations and we also have

4710
01:08:37,918 --> 01:08:40,287
[emily_]: a compilation of a mike sources that
you can access

4711
01:08:42,963 --> 01:08:43,163
[sean]: great

4712
01:08:43,322 --> 01:08:43,522
[roger_mcfillin]: great

4713
01:08:43,684 --> 01:08:44,065
[sean]: thank you

4714
01:08:44,063 --> 01:08:44,424
[roger_mcfillin]: thank you

4715
01:08:45,026 --> 01:08:45,407
[sean]: i want to thank

4716
01:08:45,385 --> 01:08:45,405
[roger_mcfillin]: i

4717
01:08:45,447 --> 01:08:45,547
[sean]: you

4718
01:08:45,465 --> 01:08:45,645
[roger_mcfillin]: want to

4719
01:08:45,647 --> 01:08:45,908
[sean]: both

4720
01:08:45,665 --> 01:08:46,306
[roger_mcfillin]: thank you both

4721
01:08:46,429 --> 01:08:47,010
[sean]: for having

4722
01:08:46,807 --> 01:08:46,927
[roger_mcfillin]: for

4723
01:08:47,050 --> 01:08:47,430
[sean]: a radically

4724
01:08:47,168 --> 01:08:47,368
[roger_mcfillin]: having

4725
01:08:47,450 --> 01:08:47,751
[sean]: genuine

4726
01:08:47,488 --> 01:08:47,789
[roger_mcfillin]: radically

4727
01:08:47,791 --> 01:08:48,332
[sean]: conversation

4728
01:08:47,829 --> 01:08:48,710
[roger_mcfillin]: genuine conversation

4729
01:08:48,392 --> 01:08:48,692
[sean]: with us

4730
01:08:48,770 --> 01:08:49,071
[roger_mcfillin]: with us

4731
01:08:49,374 --> 01:08:49,734
[sean]: obviously

4732
01:08:49,439 --> 01:08:49,687
[yassie_pirani]: yeah

4733
01:08:49,732 --> 01:08:50,093
[roger_mcfillin]: obviously

4734
01:08:49,774 --> 01:08:50,235
[sean]: there is some

4735
01:08:50,133 --> 01:08:50,293
[roger_mcfillin]: there

4736
01:08:50,295 --> 01:08:50,796
[sean]: momentum

4737
01:08:50,334 --> 01:08:51,196
[roger_mcfillin]: is momentum

4738
01:08:50,996 --> 01:08:51,537
[sean]: that is moving

4739
01:08:51,357 --> 01:08:51,598
[roger_mcfillin]: that is

4740
01:08:51,577 --> 01:08:51,737
[sean]: in the

4741
01:08:51,678 --> 01:08:51,899
[roger_mcfillin]: moving

4742
01:08:51,757 --> 01:08:51,898
[sean]: right

4743
01:08:51,939 --> 01:08:51,999
[roger_mcfillin]: in

4744
01:08:51,998 --> 01:08:52,459
[sean]: direction

4745
01:08:52,019 --> 01:08:52,801
[roger_mcfillin]: the right direction

4746
01:08:52,679 --> 01:08:53,200
[sean]: to greater

4747
01:08:53,062 --> 01:08:53,143
[roger_mcfillin]: to

4748
01:08:53,280 --> 01:08:53,540
[sean]: inform

4749
01:08:53,323 --> 01:08:53,564
[roger_mcfillin]: greater

4750
01:08:53,506 --> 01:08:54,060
[emily_]: hm

4751
01:08:53,661 --> 01:08:53,721
[sean]: the

4752
01:08:53,664 --> 01:08:53,885
[roger_mcfillin]: nor

4753
01:08:53,801 --> 01:08:54,141
[sean]: public

4754
01:08:54,166 --> 01:08:54,507
[roger_mcfillin]: public

4755
01:08:54,282 --> 01:08:54,742
[sean]: and medical

4756
01:08:54,647 --> 01:08:55,189
[roger_mcfillin]: and medical

4757
01:08:55,873 --> 01:08:56,334
[sean]: and mental health

4758
01:08:56,232 --> 01:08:56,312
[roger_mcfillin]: and

4759
01:08:56,280 --> 01:08:56,940
[emily_]: oh

4760
01:08:56,352 --> 01:08:56,693
[roger_mcfillin]: mental

4761
01:08:56,394 --> 01:08:56,915
[sean]: professionals

4762
01:08:56,773 --> 01:08:57,294
[roger_mcfillin]: professionals

4763
01:08:56,975 --> 01:08:57,516
[sean]: about this really

4764
01:08:57,354 --> 01:08:57,655
[roger_mcfillin]: about this

4765
01:08:57,556 --> 01:08:57,857
[sean]: important

4766
01:08:57,695 --> 01:08:57,875
[roger_mcfillin]: really

4767
01:08:57,897 --> 01:08:58,138
[sean]: issue

4768
01:08:57,936 --> 01:08:58,497
[roger_mcfillin]: important issue

4769
01:08:58,719 --> 01:08:59,120
[sean]: thank you so

4770
01:08:59,078 --> 01:08:59,218
[roger_mcfillin]: thank

4771
01:08:59,180 --> 01:08:59,320
[sean]: much

4772
01:08:59,258 --> 01:08:59,318
[roger_mcfillin]: you

4773
01:08:59,360 --> 01:08:59,440
[sean]: for

4774
01:08:59,399 --> 01:08:59,479
[roger_mcfillin]: so

4775
01:08:59,501 --> 01:08:59,701
[sean]: coming

4776
01:08:59,559 --> 01:08:59,819
[roger_mcfillin]: much for

4777
01:08:59,801 --> 01:08:59,881
[sean]: on

4778
01:08:59,880 --> 01:09:00,260
[roger_mcfillin]: coming on

4779
01:09:01,200 --> 01:09:03,288
[emily_]: thank you very much mchillan

4780
01:09:04,289 --> 01:09:04,652
[yassie_pirani]: thank you

4781
01:09:05,683 --> 01:09:06,168
[sean]: thank you both

4782
01:09:06,050 --> 01:09:06,232
[yassie_pirani]: yes

4783
01:09:06,070 --> 01:09:06,512
[roger_mcfillin]: thank you both