This episode was prerecorded as part of a live continuing education webinar. On-demand CEUs are still available for this presentation through all CEUs. Register at allceus.com slash counselor toolbox. I'd like to welcome everybody to today's presentation on cognitive processing therapy. And we're really going to talk about how to use CPT tools, not only with PTSD, but also how we can use it with anxiety and chronic conditions that our clients may experience. We'll learn the goals of CPT, discuss how it can be applied to people with chronic conditions, anxiety or trauma issues, and identify some of the common tools used in CPT, which can be helpful with many clients. So CPT or cognitive processing therapy is based on social cognitive theory, which focuses on how the event or symptoms are construed and coped with by a person who's trying to regain a sense of mastery and control in his or her life. So when we think about PTSD, you know, that one seems obvious. They're going along their schema for this just world is, you know, what they have. And then all of a sudden something very unfortunate happens to them. And their schemas and their perception of what is happening and what can be trusted is turned upside down. So they want to get a sense of control back. When we think of our PTSD symptoms, you know, the flashbacks, the emotional numbing, all of the symptoms that you may typically encounter with PTSD, you can see how the body is trying to protect the person and how they're trying to sort of integrate what happened into their view of the world and people and life in general. We can also see similar things if somebody's diagnosed, for example, with a chronic illness, because prior to that diagnosis, they were going along and they've envisioned their life to be one thing. And then all of a sudden they're diagnosed with a chronic illness, whatever that is, which may or may not be life-threatening, but it does alter what they expected their life to be. So there is a trauma there. There is a loss. There is some grief to be dealt with. With people with generalized anxiety, for example, they may also experience a loss of a sense of control in their life. They may be worried about things constantly and feel like they are disempowered, unable to control what's going on in their lives and which exacerbates their anxiety, which goes down this downward spiral. So cognitive processing therapy takes what's going on or the symptoms that the person is experiencing. And it says, okay, you've got these right now, radical acceptance. How are you coping with them? What types of things are you telling yourself? And are those approaches helping you or are they making things worse? Emotions such as fear, anger or sadness may emanate directly from the trauma or condition. And in CPT, they call these primary emotions. In ACT, acceptance and commitment therapy, they call this clean discomfort. These are feelings that happen. They're natural emotions. They're your body's way of saying you need to protect yourself or there was something important that you lost. And those are natural and they will go away if they're not fed. If they continue to be fed, the person may get stuck. And CPT really helps people look at those stuck points. We're not saying that they shouldn't feel out of control. We're not saying that they shouldn't feel angry or sad or whatever they're feeling. What we're looking at is the duration of that emotional reaction and what's keeping them stuck there. Secondary or manufactured emotions or an ACT, they call this dirty discomfort, may also result from faulty interpretations made by the person. So if they interpret that they should have been able to do something or this shouldn't be happening to them. Those shoulda coulda wouldas often come in there. There's also a lot of other feelings that compound the initial feeling of fear and anger like guilt at feeling angry or guilt at feeling sadness. So there are a lot of layers that we're dealing with. What we want people again to realize is the initial emotions are very natural and they're there to protect them. Social cognitive theories focus more on the content of the thoughts and the effect that is distorted cognitions have on emotional responses to behavior. So it's really looking at what are you thinking and how is that affecting you now? How is that affecting you emotionally and what can we do to help you feel emotionally better? In order to reconcile the information about the current situation with prior schemas, people tend to do one of three things. Assimilate, accommodate or over accommodate. And if you remember back to Piaget, you might be thinking I've heard those words before. Assimilation is altering information to match prior beliefs. So you're remembering whatever happened in a way that you can fit it into your prior schema. So if you believe that your parents are supposed to be good people and they punish you, then it's important to take a look at how you might be changing those thoughts. Accommodation is altering beliefs in order to incorporate the new information. So you have this schema that your parents are good people, but then they are abusive. So do you hold on to this schema? Do you hold on to this idea that your parents are good people or do you start to change that? So either way, you're trying to basically work this new piece of information into your narrative. Over accommodation is altering your beliefs about oneself and the world to the extreme in order to feel safer and more in control. And this is when you get into those cognitive distortions, the all or nothing thinking, and I can never ever do this again. Obviously, anything that deals with cognitive, we're probably going to talk about cognitive distortions, and we will get there. But it's important to understand how assimilation and accommodation, we do this every day. It's when it's done to the extreme or when it's done based on faulty information that it can start causing problems. So five major dimensions that maybe be disrupted by traumatic events. Safety, if you don't feel safe in your own skin, if you don't feel safe in your home. Trust, not only your ability to trust other people, but your ability to trust yourself. Power and control. What amount of self efficacy do you have in certain situations? What can you control? And remember, remember that over accommodation, sometimes people go to one of two extremes. They either start trying to control everything so they never have to feel out of control again. Or they give up and they're like, I can't affect change on anything.  Either aspect of over accommodation is going to be problematic. Esteem, how they feel about themselves in terms of how they handle the situation. And in terms of how they're proceeding in their life henceforth and forevermore. What does this event, what does this diagnosis, what does this thing say about them? And intimacy or their ability to be able to be close to other people, trust other people. Now all five of these are not necessarily disrupted for every single person. It depends on the incident, the situation, the trauma, the diagnosis. But it is important to look at each one of these and see where people might have started altering their schema or over accommodating. Do they feel like they can never be safe again, that they can never trust themselves again? Do they feel like they have no power? Do they feel like their esteem, you know, took a nosedive? Do they feel like it's not safe to be intimate with anyone anymore? Obviously, that's one set of extremes. So those are things we're going to look at. And those are things we often look at in an assessment anyway. But paying attention to those and hearing the disruption that may be caused by whatever the trauma is. So CPT itself is a 12 session protocol. And in your class, there are links to the CPT manual. And there's also a great free course put on by the University of South Carolina Med School, I believe, that is also linked in your course. If you want to get in depth in working with CPT. But for now, the 12 session protocol starts out with an introduction. This is what CPT is. Then we move on to talking about what is the meaning of this event for you. So we have people start writing an impact statement. What happened in the event, not necessarily in great detail, but what happened? And how has it impacted you, your feelings, your relationships, the way you interact with others, etc. They move on to identification of thoughts and feelings about the event. Because now that we see how you assign meaning to the event, what you've basically come to understand the event as. Now we have to look at those underlying thoughts and feelings and try to figure out what's feeding that schema. Going back to remembering the event, so looking in more clear detail and looking at some cognitive errors that people may make in the midst of trauma or extreme distress and start identifying stuck points. And these are those unhelpful thoughts that often come up and keep people stuck telling them they should have done something differently. Then we introduce the challenging questions worksheet, which y'all know is one of my favorites. And start helping people identify problematic thinking in CPT. It's called problematic thinking. These are your cognitive distortions safety. How do you feel safe? How do you start feeling safe in your own skin? How do you start feeling safe in the world now that this thing has happened and it can't unhappen? How do you start learning to trust yourself and others? What do you and don't you have power and control over? Then we work on building a self-esteem and intimacy and finish up wrapping it up by re-examining the meaning of the event in this person's life once they've had a chance to really look at it through a few different lenses. So it's important to really emphasize to clients that there are two kinds of emotions that follow traumatic events, the natural or universal. Those are the things that are going to happen no matter who you are or where you are, fear if there's danger, anger if there's a threat and you could be intentionally harmed. Joy or happiness with positive events and sadness with losses. Natural emotions have a course and they won't continue on forever. And this is one of those things we hear in a lot of different approaches. We hear it in DBT, we hear it in ACT, that emotions will come and go. We can let them come and we don't have to latch on to them. We can unhook from our emotions. So that's something that is underscored in a lot of different approaches to helping people deal with traumatic events and situations. Manufactured feelings result not directly in response to the event but based on how you interpret it. So if you're in a car crash and somebody else is at fault or you interpret somebody else's at fault, how is that going to affect you differently? Then if you're in the same car crash and you interpret yourself at fault and I'm not going to go into the gory details of what happened. But people are going to respond differently emotionally and cognitively based on how they interpret an event. If they interpret something happening as punishment from their higher power, they're going to interpret it differently than if they interpret it as karma or just a random event. So we want to help them understand how they're interpreting this event. And it's not for us to say whether that's right or wrong, but I want them to look at it with their eyes wide open and get all the facts. Because a lot of times when people are in distress, whether they've been diagnosed with a chronic illness or they've been victimized or something has happened, they've got a certain amount of tunnel vision. And when they start to try to remember it and make sense of it and put the pieces together and fit it into their schema, things get altered a little bit. Think about fish stories. When people tell fish stories, that fish gets a little bit bigger each time. The same sort of thing happens when we go back to memories. They get adjusted just a little bit each time to make them fit better into our schema sometimes. So what are our goals? We want to help clients recognize and modify what they're saying to themselves. These are their stuck points. If they're saying that they didn't deserve to survive, well, that's probably going to keep them stuck in a pretty dark place. If they say to themselves on the other hand, I did the best I could, and I acted justifiably, they're probably going to be able to move further. So it takes over the course of 12 weeks or so, and it really depends on the client. But you're going to continue to identify certain stuck points. And there are some clues in here that we'll talk about about how to identify stuck points. We want to help clients identify how the condition, their chronic condition or diagnosis or the event if they were traumatized impacted their views of themselves, other people and the world. Why do they think it happened to them? And how has it changed or strengthened their views about themselves or other people and the world in general? Now remember, we're going to come back to these same questions at the end of the 12 sessions and have people look at this again and say, do I still feel the same way? We want to help people address the content of the meaning derived from the traumatic memory and help them accommodate or accept the traumatic event or condition. What happened? You know, this is reality and discover ways to successfully integrate it into their life narrative. So if they're diagnosed with MS, if they are diagnosed with generalized anxiety that they can't seem to get a hold on, if they are, if they experience a trauma, whatever it is, it is. So we want to kind of infuse a little radical acceptance here and say, all right, now how do you improve the next moment? How do you move forward? We'll help them determine the impact of the traumatic event or condition on beliefs about themselves and others and begin to normalize the grief process and differentiate it from PTSD, anxiety or depressive symptoms. A lot of people will experience very, very similar emotions after a trauma or a significant loss or something. It's not necessarily going to develop into PTSD. Some people will have this rush of emotions and be completely overwhelmed, but it will normalize out and they will be able to deal with it. What we recognize is certain people end up developing stuck points from their interpretation of what's going on, which can keep them in this negative spiral. We want to begin to assist them in viewing their relationship with the person who died or whatever the event was that caused the PTSD symptoms or their relationship with themselves. If they were diagnosed with a chronic illness or something and they're not ever going to be, quote, the same person they were 30 minutes ago before they got the diagnosis. We need to help them look at the relationship is different now, but it's not necessarily finished. We'll help them label thoughts and emotions in response to events and introduce the idea that changing thoughts can change the intensity or type of emotions that are experienced. We'll begin challenging self blame and guilt with regard to the symptoms or event through Socratic questioning. Now Socratic questioning is when we really use basically our best motivational interviewing techniques to help people look at objectively at what they're saying and see if what they're saying kind of jibes with what they're feeling. And we're going to assign clients to write a detailed account of the trauma or the course of the symptoms and precipitating events. Help me understand how we got here. A lot of us do that if we have clients write write an autobiography, but, you know, it is a technique you can use. We will start discussing 2020 hindsight, because when things happen, you know, if somebody, for example, developed a drinking problem. And they look back and they said, Well, I shouldn't have I should have seen it coming. I should have seen all these things happening. Well, in 2020 hindsight, probably, but we want to pay attention to the fact that you didn't and we're here and you can't change the past. So we want to look at assigning blame or responsibility, but we want to encourage people not to beat themselves up over things that they probably wouldn't have seen anyway. We want to help them contextualize the event, whatever happened, and look at not only just that little narrow swath of what they're remembering, but who else was there? What else was going on? What else could be could could have contributed to this situation and get a broader picture of what's going on? Educate the patient about the distinction between blame and responsibility. Responsibility relates to one's actions in a situation that contribute to a certain outcome.  Are you responsible? Sure. Blame in CPT world is a combination of responsibility and intentionality. Did you intend to crash into somebody?  It's kind of like talking about the difference between forgiveness and acceptance. So Socratic questions help people start looking at the logic of what they're thinking and their beliefs. Clarification questions help patients examine beliefs by requesting more information. So if somebody was at a, if somebody's a rape victim and they said, well, I should have fought back harder or I should have done more, I should have done something differently. A clarification question might be, well, what do you think you could have done or what else could you have done in that situation? And, you know, there's probably not a lot more that they could have done, but if they come up with things that we want to look at how realistic it was that that could have happened. Probing assumptions challenge the patient's unquestioned beliefs that underlie their stuck points. It's my fault. So, okay, it's your fault. Help me understand how all of this is your fault. What exactly happened? What did you do where you are responsible for this happening? Probing reasons and evidence help patients examine the actual evidence supporting their beliefs. So we start looking at, you know, what, when you tell me what happened, I see this chain of events. I see, you know, maybe you were walking home in the dark or whatever happened. So let's look at the actual evidence supporting the beliefs that it's your fault. And, you know, should you be able to walk home or walk through the parking garage in the dark? And the person's probably going to say, well, yeah. Questioning viewpoints and perspectives encourages patients to come up with alternate perspectives. And this is the whole turn it around. If this were your best friend were in your situation, would you be blaming her or him for being victimized or for being in this situation? And a lot of times when you turn the tables and get them to step outside of themselves, the answer is not so clear. Or maybe it is. A lot of times the client will go, of course not. I wouldn't blame them. So then we start saying, well, what would you be telling them to help them look at their specific thought patterns, their cognitions that surround. Well, if this happened to somebody else, it wouldn't be their fault. It would and all the other positive things that can help them get unstuck. And then we can take those thoughts and juxtapose them with what they're telling themselves and say, well, if it's not your friend's fault, then why do you think it's your fault? Analyzing implications helps patients examine the unpleasant outcomes that logically hold from logically flow from holding maladaptive beliefs. So we want to look at, okay, you firmly believe it's your fault. What are the implications of that? How is that impacting your life? What is the benefit to holding on to this belief that it's your fault? How is it going to benefit you henceforth and forevermore? Is this how you want to live? And generally, if they're in our office, the answer to that question is no. So we can say, all right, what do we need to do next? And questions about questions place the focus back on the patient when potentially inappropriate questions get asked of the therapist. So if the client says, well, what would you have done? Or do you think that this should happen when if X happens, Y should happen? Asking us to judge, asking us to formulate ideas isn't necessarily in the best interest of the client. And it's going to depend on the client and the relationship you have with the client. Obviously, how you answer which questions about your personal views on things. But questions about questions, turn it back around. Why is it important for you to know what my feelings are about this situation? So stuck points are often the most difficult parts to revisit. So if the person is telling you this story about what happened and they get choked up, they get stuck telling the story, or they suddenly jump over from one event to another without transition, we might want to back up a little bit and help me understand how we got from point A to point B. If the person avoids the full details, and we may not know what the full details are, but we can stop if it seems like it's a stuck point and get a little bit more information about who else was there, what was motivating this particular action that the person was taking. If it's something they can't write about every time they try to write, they just stop. Or if they can read it to you, but it sounds numb or intellectualized, they're just kind of reading like they're reading this five o'clock news, or they're suddenly flooded with emotions. Those are all important parts to take a look at. I worked with one person who was a law enforcement officer, he responded to a traffic crash on the interstate. The truck driver was pinned inside his vehicle and the officer was trying to get him out. Long story short, officer wasn't able to get him out before the truck exploded, so the officer had to back off and watch this man alive get perished in the truck. So there were periods when he was telling his story, where he would jump from, I was doing this, then it was over. And there's a lot between when he was trying to get the seatbelt unbuckled to quote when it was over. So we needed to go back and take a look at, you know, what happened, what were you thinking, who else was there, what responsibility did you have in this. And you know how do you feel about what's going on. A stuck point also can happen when there's a conflict between your old beliefs and the reality of the situation. In his particular situation, he was, he became a cop so he could help people. And in this particular situation, he wasn't able to save someone, he wasn't able to help someone. So there's a conflict. So he's looking for what he could have done differently, what he should have done differently. And trying to make meaning and sense out of something that was just didn't make sense. Stuck points can also happen if there's an experience that confirms a prior negative belief that somebody had about themselves. So if, you know, in the case of domestic violence, for example, if someone believes that they are deserving to be beaten and deserving to be treated that way, then they may get stuck there and have difficulty moving past it. Common stuck points. I have no right to feel happiness or take a break, give myself a mental break from being angry and feeling despair, looking a little bit survivor guilt here. I could have prevented this if only, you know, and again, we've been talking a lot about traumas, but if we're looking at things that happened to a person chronic illnesses, they may be looking back over their life and said, well, if I wouldn't have smoked for 20 years, I could have prevented this. If I had this fill in the blank, this wouldn't have happened. This can't be happening. It's just a bad dream, which, you know, I can see people trying to distance themselves going, this is this isn't real, but then it also keeps them from working through it. So we need to talk about what reality is my life is over and I am broken or faulty. So these are all common things that we hear, all common stuck points that we hear in people who've experienced trauma or gotten diagnosed with some sort of chronic physical or mental health illness. So when these things happen, there is a loss. Now it can be a loss because of a death, you know, obviously in PTSD, there are often deaths, not always. But there are also losses if, like I said, you are going along and you're living a healthy lifestyle and all of a sudden you have a stroke and you lose function of half of your body. There's going to be some loss and grieving there. So it's important for us to help people understand that there are a lot of misconceptions about mourning and losses. Number one, we grieve things that are not only death. We grieve things that represent losses of a part of our self or our self-esteem. Grief and mourning decline in a steadily decreasing fashion over time. This is not true. Yes, over time it can get easier, but that's not true for everybody. If they get stuck, it may not decline. So if they're just expecting they're going to sit there and have the same thoughts and do the same things that are keeping them stuck and their grief and mourning is going to go down, they're probably mistaken. All losses prompt the same type of mourning. No.  There's been deaths. There's been expected deaths. There's been unexpected deaths. There's been job losses. There's been all kinds of things. Did you mourn the same way for each one? The answer is probably no. Some are going to be more intense. Some are going to be more devastating. Some are going to hit you in different ways. To be healthy after a loss, the mourner must put it out of mind. And some people will tell clients this. I don't think that's healthy. My personal thought and CPT agrees. The mourner needs to make sense of it and integrate it into their narrative. Now there's a time and a place to stress tolerance and all to be able to take a mental vacation from it and say, you know what, I'm not going to think about that right now. But it's also important that the mourner is able to eventually take that information and integrate it into the narrative. Grief will affect the mourner psychologically, but will not interfere in other ways. Well, I think we can all find that laughable because when someone is depressed, anxious, angry, you know, all the stages of grief, denial, anger, bargaining, depression and acceptance. Well, anger and depression affect a lot of things. It affects your work product. It affects your relationships. It affects your self-esteem. So we need to understand that grief is a whole person influencing thing. The intensity and length of mourning are a testimony to the importance of the loss. And this is something that some people feel guilty if they don't feel like they mourn for quote, long enough. And what we really want to look at is whether the person made sense of what happened and the intensity and length of mourning is going to be different for each person. Partly based on their coping skills, their social support and, you know, whether they get stuck or whether they're able to move forward. When one mourns a death, one mourns only the loss of that person and nothing else. Well, no, that's not true.  So your life is changed when someone important to you is gone. Losing something unexpectedly is the same as losing something you anticipated. No. And in the presentation on complicated grief, we talked about the fact that when something unanticipated happens, it really shakes up a person's sense of control of the world, which can throw them into a tailspin because when something's anticipated, they can get closure on it. If it's unanticipated, it's like they're always henceforth and forever more feeling like they've got to wait for the other shoe to drop. Mourning is over in a year. No. Now, for a lot of people, it gets easier after a year, but it often takes going through certain anniversaries and things. Now, not everybody needs the whole year.  And finally, the last myth of mourning is time heals all wounds and most people when they're mourning really want to grit their teeth when somebody says this because it hurts right now. And in time, yes, you can probably move forward. But again, if they get stuck, it's not going to, which is why we want to help them look at how to integrate this new plot twist, if you will, into the narrative of their life. So we start looking at ABC worksheets. You know, they've given us their general overview of what happened, how it's impacting them, how they make meaning out of it. Then we want to give them ABC worksheets so they can start becoming aware of what they're telling themselves on a day-to-day basis about their goodness, about their safety, about whether their intuition is trustworthy, about what other people are trustworthy, etc. So we all know these, the activating event, something happens. The belief is what they tell themselves about the event, which leads to the emotional reaction and behavioral urges. So having them go through these and have them dispute beliefs, looking for realism, identify more alternate, helpful thoughts that they could tell themselves in the future. So in office, we're probably going to look at some thoughts that they have about the traumatic situation. But outside, you know, between sessions, I also want them to use these worksheets, dealing with other thoughts that cause them distress, because a lot of times those same themes of loss of trust, loss of safety, loss of esteem are going to permeate other areas of their life and other thought patterns. So helping them see how this negativity or this stuck interpretation, if you will, of the trauma is negatively impacting them in the present in all areas of their life is going to be important. And then we have them evaluate their reactions, determine if there are more helpful ways of responding to the emotion and urges. So something happens, they get upset. That's one of those natural emotions there. Okay, sure.  Is that helpful? What other helpful ways could help you move past this and respond to the emotion and urges in a way that moves you towards things that are important and meaningful in your life. Reviewing the ABC sheets for themes, like I said, it permeates throughout what they tell themselves at work when they're driving and their parenting and their relationships. So I want to look for themes of anger and guilt and their emotions. If somebody feels like they should have, maybe they were driving a car and they got into a car wreck and their wife was terribly, terribly injured. So that person, henceforth and forevermore feels angry at themselves and guilty for causing their wife to get so terribly injured that whenever that person wants something, the husband responds with, of course, I will. And the husband is miserable. The husband is stuck with anger and guilt for something that happened 10 years ago. So we want to look at what's going on here. Faulty schemas, global, internal, stable and negative. So looking for things that say, I am a bad person. I can never trust the world again. You know, all those all are none thinking. And identify emotions and reactions that flow logically from expressed thoughts. So if somebody says, you know, I'm worthless. I deserve, I don't deserve to be happy. Well, then we want to talk about what logically flows from that. If you tell yourself you don't deserve to be happy, then what's going to happen? And what is it that you are wanting? What's your goal? What are you wanting your future to look like? We want to encourage patients to use I feel or my reaction to this is for feelings instead of getting too caught up in descriptions. We can also have them use the phrase, my belief is or I think for thoughts. So help them separate thoughts and feelings. Now I don't get too stuck on this because some people, especially if you go back to Myers-Briggs, the thinkers tend to not like to use the feeling word so much. We focus on reactions and beliefs, but those can get a little bit muddy. And I don't want to hand pack people at this point, but that's my personal choice to let them kind of figure out what they're feeling or reacting and what they're believing. So the challenging questions worksheet. Remember I said when people are get bad news when they're experiencing trauma, they tend to get tunnel vision and they only see certain parts and remember certain parts. Now your brain does that to kind of help you sometimes too. So it's important to think back to the HPA access and all the things that your brain does to protect you. But in retrospect, you know, they're in our office now. So let's look at this belief. If you believe that it's all my fault and I don't ever deserve to be happy. So you ask them what's the evidence for and against this. So it's all my fault and have the person list the evidence. Is this belief based on habit or based on facts? If somebody starts telling themselves that an event that happened was all their fault. A lot of times that way of thinking and interpreting will carry on to other things that they do. So everything becomes all their fault and then they're carrying the weight of the world on their shoulders. So is your belief based on the habit of just assuming that everything's all your fault or is it based on facts? Was it all your fault? Are your interpretations of the situation too far removed from reality to be accurate? Sometimes people have rethought the situation so many different times that and, you know, they believe that they should have been able to go in and just magically make something happen differently. Well, that's, is there any way in reality that this could have happened? Are you thinking in all or none terms? Are you using words or phrases that are extreme or exaggerated like always, forever, never need, should, must, can't and every time? Are you taking the situation out of context and only focusing on one aspect of the event? So let's go back to the car crash. If this person's driving and they, they're driving along, it's raining, it's storming, it's dark, they're on a two lane road, they're coming over a hill and they get into a car crash. Now it sounds to me like there were some other things contributing to this car crash besides, you know, it wasn't a sunny day at noon and they were, you know, driving on a four lane road. So we want to look at all the contributing factors to this. I think a lot of us have been driving. We just had a gully washer here a couple of weeks ago and I was driving my kids to martial arts and the entire street, not just the size, the entire street had like an inch of water on it in places and you'd hit that inch and your car would want to pull really hard to one side or the other. It's a little bit scary. So that's one of those things that you need to help people remember what were all the factors going in there is the source of the information reliable. You know, do you have concrete information or are you just kind of spitballing what you think happened? Do you have the police report? Do you remember what happened?  Are you confusing low probability with a high probability? So if their belief is that they will never, it's never safe to drive. And if they go out, they're going to get into a car wreck. Well, is that low probability or high probability? And that's one of those tricky ones. If you really want to look at statistics, it could get dicey. But likely, you know, most people drive every day and don't get into car wrecks or at least not into devastating car wrecks. So let's look at the validity of some of these assumptions you're making. Are your judgments based on feelings rather than facts? If it feels scary to get into that car again, which it would after a devastating car wreck. Does that mean that driving is terrifyingly dangerous? Or are you basing your judgment or your thought on feelings? Are you focused on irrelevant factors? And, you know, people could be looking at, I can't even think of an irrelevant factor right now. But a lot of times people, when they're trying to make sense of something, they're grasping for straws and they're trying to find some evidence to support what they're thinking, whether it's a stuck point thinking or helpful thinking. I love the challenging questions worksheet because it really encourages people to look more broadly at the situation. When people, when law enforcement officers go to crime scenes, I mean, think about it. They interview four different witnesses and they will get four different accounts of what happened because each one of those witnesses was paying attention to something slightly different. So very rarely do people have the entire picture of what happened. And those four witnesses may have different interpretations of the event and place blame on different people. Same thing for this person. We need to help them figure out what their interpretation is, but I want them to get a more three-dimensional view of what happened, if you will. Problematic thinking patterns that are seen frequently with people who have been traumatized or experienced a significant devastating loss, self-blame, mind-reading, emotional reasoning, overgeneralizing from a single incident and all or nothing. So all of these are really addressed in the challenging questions worksheet. Looking at, you know, was it your fault? You know, what other factors are playing into it? Are you using emotional reasoning or facts? How likely is this to happen again? Are you assuming everything's dangerous because of one thing that happened? Even if they don't believe it completely to begin with, if we can convince patients to modify their language, it will often have an immediate effect on the severity of their secondary emotions. So take out all of those all or nothing words. Take out all of those shoulda coulda words. Encourage them to look at some of those unhelpful ways of self-talk that they use, that they can adjust, tweak just a little bit. People often jump to conclusions when the evidence is lacking or even contradictory because we want to make sense of it. We want to gain control of something that left us feeling completely out of control, which can freak them out. It can keep them stuck or it can lead them down the wrong, lead them to an incorrect conclusion. Some people will exaggerate or minimize a situation. A lot of times they may exaggerate how much control they had and minimize the good stuff they did. They can disregard important aspects of the situation. For example, in a wartime situation, if somebody was acting on orders, that could be an important aspect of the situation. Over-simplifying things as either good or bad or right or wrong. Most of us know why we have all those classes on ethics we have to take. There's a lot of gray area in here. Very rarely is something 100% good or 100% right. So we need to help them walk the middle path and look at what happened. Over-generalizing from a single incident, mind reading, and emotional reasoning. So the Challenging Beliefs Worksheet, which is also in that manual, is very, very similar to the ABCs. It has people describe the situation, identify their thoughts related to the situation, use the Challenging Questions Worksheet to examine their automatic thoughts, each one of them, use the Problematic Thinking Pattern Sheet to go back and identify any cognitive distortions, and then figure out how can we alter the cognitive distortions to create more healthy and helpful self-talk and interpretations. Stuck points may be conflicts between prior beliefs and current beliefs that create unpleasant emotions and problematic or unhealthy behavior. When an old and new belief are in conflict, people often develop a certain amount of self-distrust. So the law enforcement officer I talked about, he got into this because he believed he was a good person and he wanted to help people, yet he stepped back and was unable to help this person. Now, initially, he saw that as a weakness, and he didn't take into account the fact that there was no way to get this guy out, and if he would have died, he would have left his children and wife without a father and husband and all the other stuff that folded in on it. So he was very distrustful of himself and of his own self-image. He wasn't sure who he was anymore. This can generalize to other areas of functioning, and the person may have difficulty making everyday decisions. So if they don't feel like they can affect change, if they don't know who they are, if they don't feel like they have any control in the world, they may not be able to effectively make decisions. And trust becomes an either-or concept in which people tend to not be trusted, including themselves, unless there's an overwhelming evidence to the contrary. So they don't trust themselves, they withdraw. They're just like, I can't put myself out there. I can't trust my own judgment, and I certainly can't trust other people. Power and self-efficacy needs to be encouraged because a lot of times people feel like they can't change what's going on.  So we want to help people identify what challenges they have right now and what can they solve? What do they have control over? We want to help them use the ABCs and the challenging questions worksheet to address over accommodation, so they don't try to have complete control over everything or abdicate control over everything. We want to help them have a moderate locus of control, understanding that there are certain things you can change and certain things you've got to accept because you can't change them. We'll help them learn adaptive-balanced beliefs about the ability to control people and events and develop assertive communication skills. Self-concept beliefs are really important for us to help people work on towards the end. We've really worked through the trauma, but they still are not feeling great about themselves. They're not trusting themselves. They're trying to figure out who they are now that whatever this is has happened. So we want to help them develop the expectation that they can meet challenges. We want to help them identify negative beliefs and alter them to find the positive. Sometimes they have the belief that they have to be in control all the time and that any sign of vulnerability represents a sign of weakness and powerlessness. Well, this is when that Socratic questioning comes in and you can say, really? So tell me about other people in your life who are completely invulnerable and they're not going to have any. So we want to talk about their expectations for other people. We want to, if they have kids, we want to talk about how do you feel when they express vulnerability to you and what do you do to help them? Chronic conditions, losses and traumas can all provoke stuck points, which can prevent people from accepting life on life's terms. So for example, we've been talking a lot about trauma, but if somebody has generalized anxiety and they are with panic and they have these panic attacks frequently. They're starting to get a little agoraphobic maybe. The more they focus on the panic attacks, the more likely they are to trigger a panic attack. The more likely they are to get scared to go out into the world and become more agoraphobic. So we want to help people relook at this situation, relook at the anxiety and understand it, work it into their self-talk instead of telling themselves that no matter what I do, no matter where I go, no matter how stupid, what else could they tell themselves? We want to help them examine self-defeating thoughts, which are keeping them stuck and negatively impacting multiple areas of life. So thinking again about anxiety with panic and agoraphobia, if they tell themselves that they're no good to anybody and that it's not safe to go out in the world, how are these thoughts keeping you stuck? If they tell yourself it's not safe to go out in the world, then you have to go out in the world, is that going to likely increase your anxiety and possibly trigger a panic attack? It may. Now, they may not be able to control all of their panic attacks. Probably won't be able to. But if we help them see how their cognitions can increase their anxiety and set them up, then we can also help them see how their cognitions can decrease their anxiety and buffer them with some negative outcomes. The goals are to help clients understand cognitive distortions, learn how to identify unhelpful self-talk, not only around the event or the condition, but also in their life, how it permeates other areas of their life. Learn to dispute stuck points using cognitive processing, using the challenging questions worksheet to look for the facts. If they're having a panic attack and they're like, oh my gosh, I feel like I'm going to die. What's the evidence for and against this? Are you basing your current reactions on feelings or facts? Some of this just helps them get through the distress tolerance period, so for their heart rate to go down or whatever. Obviously, we don't want to minimize, you know, in case they're having a heart attack, but working with their care team, working with the client, helping them identify what they tell themselves that can ramp them up and cause more problems. And we want to help them accommodate the event or condition into their current schema, which is a really gibberish way of saying we want to help them take this plot twist and figure out how to write it into the script of their life because it's happened. So where is this character going to go from here? If you enjoy this podcast, please like and subscribe either in your podcast player or on YouTube. You can attend and participate by subscribing at allceuse.com slash counselor toolbox. This episode has been brought to you in part by allceuse.com providing 24-7 multimedia continuing education and pre-certification training to counselors, therapists and nurses since 2006.


T.F. News update. Good morning folks, this is Steve Rhodes coming to you live from the shores of sunny Delray Beach, Florida. This is your 11 a.m. update. We've got a mixed bag out there. You've got the Dow S&P and Nasdaq trading higher. Nasdaq is off one point and the Russell's down nine points. That's about a half percent. Summars are off four points. That's two tenths percent to the downside. Gold's off eight bucks, trading at 17.14. Silver's up 11 cents, trading at 17.99. Light's recruit is flat, trading at 86.82. Natural gas off 38 cents. $8.40 is the print there. Let's go take a look at nine panel market update chart. We begin with the Eastman in the upper left hand corner. What we see here as long as price stays above 39.0350, that is the buy the D point, the A to B equals CD pattern. That pattern remains in effect. We've got the spot follow tenics, which is still above its 50-day exponential moving average. It's always dangerous and you get those quick rug pulls like we saw take place on Friday out there. Its key level is 24.21. That's the 50-day. The Nasdaq needs to continue to close above 12.01, 7.75. That's the bullish hammer candle. That confirmed it's by the D point pattern. You close below that, that suggests we had lower. If we take a look at the US dollar index, it's in breakout mode. There's no topping signal. It's above the top of its profiles. It's above its greenhouse that are in chains on, which is not shown here. It is bullish. Gold is attempting to form a new daily profile. It is bullish in structure. We will not have confirmation of this profile until this evening. If it takes hold, support is at 1756.30. No, that can't be right. Maybe hold on a minute here. Support is at 170710. Between 1707 and 1731, that's the bullish structure. The profile closed above 1731, would suggest to move up to 1762. Silver also attempting to form a new bullish structure daily profile. Its support levels are potentially at 1759 to 1797. A close above 1797 suggests a move to 1879. Lights recruit, testing the bottom of its daily profile. It's rising trend lines, really trading between trend line support and trend line resistance. Natural gas, which has a TD9 count top, is pulling back to test support. That's the bottom of its daily profile. That's at $8.22. Air price closed below that. Then we've got some other signal coming from natural gas. 30 year treasury, no bottoming pattern continuing to move lower for the 30 year treasury. Let me see here if I can get to the larger charts momentarily. Get out to the 30 year treasury here. Here we go. So now we've got our four panel. The key level for the 30 year treasury is going to be 1 to 3101. You close below that. That says we're headed lower, like 1.21. Folks, stay tuned for the Trader Zed Show, but if you're off to start your Tuesday, have a terrific one, and we'll look forward to seeing you again soon. Take care now.


I've noticed recently that some Linux distributions, such as MXLinux for example, have a feature that when you plug in a game controller or joystick, by default it starts controlling your mouse cursor, which is an awesome feature if you're looking to do this. And there's a few different ways to do this. But it's a little annoying if you don't want this to happen. So I'm going to show you today what's probably happening on most of these distributions, why it's happening, and a quick way to just stop it from happening. And in a future video, I'll go over better options on how you can program the controller to do that, quick and easy so you can set up how you want. So let's go ahead and have a look at this. So if you are on a Linux distribution that does have this feature and you do not want it, the package that is probably the culprit is Xserver Xorg Input Joystick. If you use the package, use whatever package manager you use, but if you're using an aptitude, aptitude search for that package, and it will show that package, and if it's installed, this P will be an I. I do not currently have it installed. But if this is an I, that means it is installed. Now you could go into your Xorg configuration file and disable it or change how it works. But if you're not wanting this feature and you just want to get rivet, the easiest way to do this is probably just pseudo aptitude, remove, and that package. And again, whatever package manager you use. Once you do that, you'll probably have to restart Xorg or just restart your machine. And that will take effect. And if you don't want that feature, it should be removed. Now again, there are other ways to do this. And I'm going to go over them because in the future, you might want that feature, that functionality be able to program the joystick control the mouse and the buttons to be button presses on the keyboard. And there are multiple ways to do this. I'm going to show you some options that I like. But yeah, watch out for that video in the future. But if you were having this issue and you wanted to get rid of it, I hope you found this useful. Please visit filmsbychrist.com. That's Chris of the K. There's a link in the description to my website. There you can go to the sports section. You can support me through Patreon, PayPal, LibrePay, even though I don't think anyone's ever supported me through LibrePay. And I do appreciate that. If you can't support financially, think about liking, sharing, subscribing, commenting, all that good stuff. I thank you for watching as always. I hope that you have a great day.


Hi everyone and welcome back to another episode of our Pokemon VGC 2019 Battle Series It is Friday We're ending up the week with this team that we've played all week this week You can see on your screen right in front of you now. It is Tappafini met across Yveltal, Incineroar, Groudon and Thunderous Incarnate. I will get it right. The team is down in the description as always There is a poker face a roll paste if you'd like to take it away try it out. Do so Let me know how you get on with it I hope you have a lot of fun with this team. So we're gonna kick straight into it today One of the big things I would like to ask you guys going into next week would be is would you like to see me? Continue this team with a few changes or a brand new coat all together So do leave your comments down below as always if you do enjoy this content do drop a like on the video It does massively help the channel and also do subscribe Yeah, do subscribe for more Pokemon content. That's the thing Well hop over because we've got a rating of 1732 at the minute, which is pretty nice So we'll see how far we can push this team and it would be nice to continue with it next week to see how far we can Actually push this team see if we can get any upper echelons of 1800 We haven't had necrosis vision 2 for a little while so we'll kick off with that one today Hopefully it doesn't take too long to find our first opponent and if it does ladies and gentlemen boys and girls We will cut right to the chase when we bump into someone on the ladder So we'll be right back and we got a next opponent the episode. We've already played Xavier I think this week so it's gonna be a little bit of a rematch Which would be a nice one to go into kicking us off today, so let's jump straight into team preview Okay, so Xavier is running your team of tapu lele selgo requires a dustman across my cartona and that the cephalon So we did play Xavier earlier in the week The selgo was a bit of a problem for us to deal with maybe we look at dealing with that a little bit differently today We did sack it for our tapu finni and I don't know if we're gonna get away with doing the same sort of thing again today And maybe we'll be better going for in-signal And tapu finni is a lead here Do we do that do we do that do we do that I could lead Hmm, I do like the idea of bringing med across to this game I really do now the cephalon does cause us a few issues, but we do have eval to we could rely on for that Maybe a go in-signal and med across It's just if we go med across it's just hard to get this switch out Although they have to lead scarf and so we're gonna be slower anyway. I bring eval to and tapu finni maybe to this one Let's do it. I think I'm quite happy with doing this These four Pokemon. Yeah, I think they can do the job for us here. So let's get into it Good luck to Xavier and you'll pick a two outfit and And yeah, this cell goal like I say is a bit is a bit difficult to deal with It's just about kind of getting the sacrifice for it. So it is gonna probably final down but something and All the acid spray that we saw previously. So there's like game two, isn't it? We are gonna see the tapu lele cell go come out for us here again We do lead the med across this time now This is a lot better for us. The thing is I think one of the things that the cell go can't do is just freely go for that But the lele is not really putting too much pressure on us at all. We're kind of forcing the excel goal to go for The final gambit Which we could do into hmm, I Think when you look at my opponents team the things that we would kind of prefer like if it is gonna Final gambit like we could final gambit into like the type of finish is the one thing that I would kind of prefer to get rid of So go for the lele with the fake out switch the med across out into the finny The met across is going to be really important to us here. The incineroar as well were not in too much trouble With the finny going the incineroar going down here from final gamut because we've got more HP than the the cell Goal so if it does decide to find a gamut that's what I would imagine it goes for the met across To get rid of it. You don't see an acid spray. It's gonna be into incineroar here And I mean the one thing we've got going for us now is like I Think yeah, I think like finny will take an acid spray moon blast Right now from the lele and we can switch into met across again now and go for a Cover a light screen, but we're probably better off going for a nice wind here Into both targets, so let's see what what what happens right now Final gambit. It's gonna be into Ooh into the met across That's the one thing we didn't want to get rid of Dang, okay moon blasts coming out from the lele Into a finny We do get the icy wind off. It's just decent because it does make It's a little bit easier for us to deal with that. I guess going into these next few turns, so I will bring any beltel This is my speed lele probably does still at speed our beltel But we will get a misty seed boost, which is the big thing here for us And have an incineroar around as well does help against the requires and especially now where we can protect the beltel bring in incineroar for tap of finny and and Get the intimidate onto the requiser, which is pretty huge and kind of preserving that double dark core for potentially what would be the Dismantling the cosmic in the back is way more beneficial for us than maybe Having met across in hindsight anyway And I'm just gonna protect the beltel here because I can expect maybe a double up into that slot And I'm just gonna bring in incineroar get that all important intimidate onto the requiser So there's the intimidate there we go Access to fake out going into the next turn, which is really nice We are gonna see the requiser mega evolve and the big thing is here I think what we could potentially do as well fake other requires a go for a tailwind And then try and maybe get a tap of finny back onto the field with that he'll pull support It could be so so big for our beltel support here dragon ascent Going into the beltel moonlasts into the beltel. Yeah, there's a double up, so I Mean one thing I'm probably more tempted to do is actually fake out the tapu lele Because I feel like the requiser might be sashed and it might want to Are as a bandit like if it's banded we do get punished for that And And then we have extreme speed to deal with so we're probably better off taking a moonblast rather than Yeah, and there's a moonblast. Okay, so the next turn If it is banded requiser we can deal with it And get a u-turn out onto the lele Is it gonna be enough though? I don't I really don't know if it is gonna be enough I think what I might do is just u-turn out onto the requiser Just to play it safe Get finny onto the field. So we've got that heel pull support and then we can then we can Okay, we're gonna see extreme speed So it's not banded requiser. It's probably life warp doll and we definitely see a moonblast into that slot as well I think but the next turn at least we can get The heel pulls from finny into that slot Yeah, doubling up into the eval tool Missy turn does disappear No, I think I go for the only problem is doing this is like I am leaving The lele a little bit unchecked, which I'm not massively comfortable with So I could foul play I could snarl and then switch in now. I need to heal pulse. I need to heal pulse Good light screen. The heel pulsing is better. Can light screen the next turn? Yeah, so I'll heal pulse this turn Okay, we're quite as gonna protect and that's fine They're far play into that slot Because the moonblast still gonna do good chunk of damage to us Maybe this is where we protect and go icy wind Again, I'm trying just reduce the speed that requires a Hmm There's a protect. Hopefully we see it double up. Oh, it's gone for the double protect. It does fail though We don't miss any target, which is a big thing here I think for us because our tailwind will be ending soon and we need to make sure that we are at speeding like Tapu finny will out speed the lele. I don't think we're gonna out speed the request But that requires is definitely in foul play range now till when does put her out The request that probably goes for a protect again But I mean if it does then we're just in the same exact Situation as we were before and I'm gonna go for a heel pulse into you battle All goes for extreme speed. That's fine because you take that Are you kidding? mean that's a game there like Crit extreme speed. Are you joke? I like are you actually kidding? Well, yeah, there's no point of playing on now. I don't really well I mean we'll play on just it's just it's so frustrating when stuff like that happens It's just we haven't got a dog type attack on Incinero So if it is the the alternate cosmic makes things so much difficult and like Finney's just gonna go down now Like a berry is not gonna get propped. I mean we can You can try and light screen, I guess Yeah, and there's a dragon descent. It's gonna be into finny. Yeah Hmm nothing like RNG to spoil a good plan. I feel like we had that pretty much wrapped up there Like we take the extreme speed to minus one it's not gonna be doing that much damage We get the heel pulse we take the the moon blast pick up the knockout onto the requiser We'll see what the last Pokemon is now I guess and if it is that doesn't mean the cross ma to the old friend across ma I Mean they don't have a way. It's caught on or even okay But at that point we have Incinero on the back to bring in to intimidate to actually deal with the cart on us So I mean, yeah What can you do we got really unlucky against Xavier like earlier in the week and again, it's happening RNG It's screwing us must have a magical RNG card.  That's the big thing. It's so frustrating now this game It times isn't it?  It's easy saying Still would like to flip a table throw my DS at the window But we won't do that this time And we'll pick some music we'll hop over to our normal screen and we can have a look at our score 17 16 Still not the end of the world. We've got elite four. We've got Ziggle, I don't know if that's even how you pronounce it, but let's get into team preview They are playing a team of don't wings to cross my salamence ground on Venus. Oh Incinero and tapiole. I wonder if there's a jewel mega with the mega venus. Oh, maybe and mega salamence We've got to tailwind support here We've got the psychic mod between the dawn wings, which is gonna be altering across my and the tapiole Timid it fake add support from the incineroar. We've got the ground on which is gonna bring the sun ground attacks Potentially eruption the the venus is gonna be tricky because it probably will have chlorophyll sleep powder That's something that we need to watch out for Salamence as well. It's got tailwind. So there's a speed control support I didn't feel like eval tools good here and in general I think it will lead eval tool type of finny I'm gonna bring incineroar for sure because we need the intimidate support This is one where we bring ground on maybe ground on could be good Well thunderous could be decent as well It's just a psychic terrains a little bit awkward and thunderous doesn't really do that well against ground on or venus all Metagross could be decent actually. Yeah Metagross could be quite good. Just seeing the opposing incineroar Which I do worry about a little bit and makes me probably want to bring ground on more than the metagross here. I think so Yeah, we'll go we'll go with it The only thing where I would want to bring metagross is because it's it's decent against the lele It's a good switch in there It's a good switch in for the Z move from the alternate cross mode But it is dawn wings variant so you gotta worry about that a little bit because it has got the the moon guys beam And so it does put me off slightly, but there's the lele there's the salamence I mean the first thing that we can we are going to be able to do is is get a variety of psychic training Which is nice and I think straight away. I want to withdraw Finney into incineroar probably protect you felt also at least we've got some sort of option to fake out potentially the next turn and Try and match tail and which I would imagine the salamence going for now there's always the threat that my opponent could double up into the Veltel with double edge and Moonblast which would not be ideal for us So I think it will just do that and keeping our terrain in the back kind of Keeps us on the front foot I feel because I think the lele probably does if it might want to stay in and try moonblast this turn But it definitely switches out the following turn to try and Maneuver and construct that bold position late game where the ultra across my comes in so you can switch in and get your psychic Turn up for that Z move. That's a big thing and If they have brought that of course, so we are just gonna See the mega salamence mega of all we'll get the incineroar onto the field get that intimidate onto the salamence Which is quite important for us. I think going forward And we will see the protect from the Veltel Just in case the double up comes out this turn There's the moonblast from the lele into that slot and the salamence going for the double edge Into that slot so doubling up so as we kind of Thought that would be the case Okay, so we will go for the tailwind here. I think Does the lele switch out? Do we do we predict the lele to switch out? I think what we could potentially Do we fake out the lele? Could fake out the lele. I just don't want to take double edge moonblast damage into the Veltel. Yeah There's a part of me that's like do we just you turn there, but no, I don't think we do Okay, so we're going to see the salamence match our tailwind just fine Completely fine and we'll match the tailwind back. So that's good. We're keeping up keeping up with them, aren't we? Um, no, right so the salamence is still a bit of a problem. I think you know, we have got the intimidate onto it I think we can go for you turn Into the lele this turn pretty safely protect our Veltel. So again, we don't want that double up, you know from my opponent That's the one thing there's moonblast into that slot once again. I'm gonna see the double edge yep into that slot so we're gonna get this free you turn out and The more that we can do this the better really and we can also we can switch in our and zero back in for To have a finny this next time. We don't want to reveal. We've got the ground on in the back just yet We want to just sit tight on that This next turn obviously what we could potentially do is I see wind and foul play and the lele Or we could snarl Yeah No, I think we foul play now the lily that we snarl we snarl we snarl snarl and we I mean Could I see wind and then we can heal post the next turn as well. That's the big thing and I think We may I think we take a moonblast double edge with the Veltel Okay, we're not gonna see this salamence staying. So this is fine ground. I'm gonna come out Do you don't mind at all because now we can we can we can totally do there the heel pulse The heel pulse turn next turn So Lily will get to moonblast finally into the sea belt. I'll have to have avoided it for so long. There's moonblast Okay, take that a little bit better than what I thought it's maybe not max Come on really Huh this taboo lele got like bright powder or something ridiculous like that lately has Frustrating super frustrating Okay, let's let's protect you Veltel this turn. Let's go for another. I mean we could go It could go light screen Light screen is not a bad idea because it dampens the effectiveness of the taboo lele Salamence gonna come in. Okay. I see wind would have been better Hindsight it's a great thing, but we're gonna see fire punch. Maybe from the ground on. Yeah into the Veltel Yeah, that makes a lot of sense Tailwinds pitter out on both ends of the field And I think Do we go for do we go for it? Or do we go for icy wind tailwind? double-edge probably gets us From the salamence, but I mean the tailwind if they do that then that's fine I think I'm Trying get I'm gonna get incineroid If you lose the Veltel here, that's fine.  That's a big thing. I think for us right now Getting the intimidate on to both these physical attackers or predominantly physical attackers is more important There's a double edge. So you're not going for that Yeah, so that intimidate coming in super handy first So we're now gonna get a tailwind up and put ourselves in a position where we can kind of try and capitalize even if we lose You Veltel here gonna see sword stance from the ground on now Just really interesting because now we're kind of we're gonna be able to kind of pin the ground on in By faking out the salamence denying their tailwind and and file playing into the ground on because with that boost the file Played 100% takes it down ground on probably protects here I would say but we don't want to leave it alone because it could punish us Really badly we want it. Yeah. Okay. There's the salamence coming in Tabulae coming out. Okay. Does the ground on protect though? That's the thing Even if it protects this next turn, it's still gonna go down No protect. We are gonna speed it We'll get the file play and pick up the knockout onto the ground on making things a bit easier for our ground on when we bring It back in later And tabulae coming in tabulae in now gonna be in file play range You know before when it was out on the field and one of the reasons why it didn't go for it Was because it was minus two alongside that salamence, which is minus two We know the tabulae is scarfed. So that's something that we can definitely pick up a knockout on And I think the salamence definitely either goes tailwind or targets down our evelta here But evelta's done so much work for us And I think what I'll do as well. I'll just get some chip damage onto the salamence I'll just you turn out onto it with incinerole Like I say the file playing now will pick up the knockout onto the lele now the lele switching out Okay, that's fine. The cross were coming in I really don't mind that at all because this might be enough to pick up the knockout there Can we very close? Yep, one hit kill and now salamence finny versus the world. So Hipe the voice. There we go. Can we take it? Evelta withstands it. Oh, it's a beast. Okay. This is great Because now we get finny and we've got a tailwind still up. We can heal pulse We can take down the lele and then the salamence versus the world which is Just super fine, and it works out pretty well for us here We get a terrain up. I know it's gonna be overwritten obviously with the psychic terrain But it doesn't really matter at this point. We've got one turn a tailwind left And I think that's pretty much all we we're gonna need to close this one out Because the salamence can't afford to hyper voice here, I don't think I think it has to double edge the Evelta Will far play the lele for sure and we will heal pulse Evelta and my opponent just forfeits a very good game to my opponent and although we started Pretty rough with the RNG there at least we come back and finish on a high to go into the weekend Which is really nice for the team So we will make some changes maybe to the team and depending on comments What I hear from you guys going into next week or we might come back with something brand new going into next week So do leave your comments. Let me know guys have an amazing weekend Have a fantastic weekend and now I'll all catch up with you on on Monday next week So just them until then have a good one and take care of yourselves. So until then bye. Bye


Here students, in this topic we shall discuss what are triads and the membrane receptors in these triads. Here students, in a skeletal muscle fiber, a T-tubule is associated with two terminal cisternae of sarcoplasmic reticulum on its both sides. This arrangement, in which three tubes or sacs are closely associated with each other, this forms a structure which is called a triad. These triads are located at the junction between A and I bands of sarcoma, where A and I bands are joining, and these triads are found at the same place. There are thousands of triads like this near the partial skeletal muscle fiber, which are visible when we cut the longitudinal section of the muscle. Dear students, these triads form the anatomical basis of excitation-contraction coupling. Due to which the A stimulus excites the muscle and causes its contraction. Triads affect the close association of T-tubules and sarcoplasmic reticulum because of which the action potential of T-tubules affects the sarcoplasmic reticulum and releases calcium ions. Dear students, there are specialized receptors in this triad region, which are involved in the release of calcium ions. These specialized channel proteins in the membrane of sarcoplasmic reticulum are known as ryanodine receptors. When these ryanodine receptors open, calcium ions are released from the sarcoplasmic reticulum. Now we shall discuss the mechanism of opening of ryanodine receptors. When ryanodine receptors open, when action potential comes in T-tubules, it affects the ryanodine receptors. The mechanism for this opening is that there is a receptor in the membrane of T-tubules called dihydropyridine receptors. These receptors are actually a cluster of proteins and this cluster is a voltage-sensitive cluster of proteins and these receptors are activated when action potential is present in T-tubules. When action potential is in T-tubules, dihydropyridine receptors are activated which means that they change their conformation. In this activated state, these dihydropyridine receptors physically interact or mechanically interact with the ryanodine receptors present in the membrane of the terminal system of sarcoplasmic reticulum. As a result, they also change the conformation of these ryanodine receptors. Here we can see that in a triad, both the membrane which is closely associated with each other has the ryanodine receptors of the terminal system. Whereas in T-tubules, dihydropyridine receptors are present. Due to their close proximity, when dihydropyridine receptors are activated, they mechanically stimulate the ryanodine receptors which are activated then they are open as a result of this. Due to their opening, sarcoplasmic reticulum starts releasing calcium ions. The release of calcium ions causes the contraction to happen.


Today, I'm going to show you a really cool and unique way of sharing your photos with your friends and family. What's up nerds? Today is Monday and that means poll day. Ready, set, go. Are you a Mac or a PC user? Card is right here. Now, today I want to show you a super cool thing that you probably didn't know Lightroom could do. This is only going to work if you're a Lightroom creative cloud user. But if you have the creative cloud, this is awesome. And really, it's a way for you to share photos, kind of similar to as if you had a website soldered because it gives you an online gallery or a way to share an online gallery with someone. So I want to just jump into Lightroom and show you exactly what it is I'm talking about because a lot of you might find this really helpful and it's super fun if you know how to do it. So the very first thing we need to do, before we do anything, we have to make sure that we are using the Lightroom mobile. So the way that we're going to do that is you're going to head on up to where your identity plate here is up in the left and you're going to right-click near it and you're going to turn on sync with Lightroom mobile. Most of you by default will probably have this turned off. So you're going to want to select it or click it so that it's activated. Another way you could do this is click on the identity plate in the left hand corner and you'll see sync with Lightroom mobile sign in. So if I click sign in, this will also open up my Lightroom mobile stuff and I can type in my credentials. Okay, so now that we have chosen to turn our syncing on and sign into Lightroom mobile, this stuff is ready to use. So here's what we're going to do. We're going to head underneath where our collections are and we're going to make a new collection by hitting on the plus button and create a collection. It's important to note that this will not work with smart collections or collection set. It will only work if you create a collection, just a plain old collection. So that's what we're going to do. I'm going to just call mine share for right now.  Now, the next thing is we want to select whatever photos it is that you want to share with your friends and family online.  So I'm going to just select this row here and I'm going to go ahead and drag those into the share option. And so now you'll notice that in my share collection, I've added six photos. If I go ahead and select that, you'll see here are the six photos that I put into this collection. Now, the next thing we want to do is to the left of the word share or this little collection, you should see a box, just a plain old box. But if you click on that box, you're actually going to start syncing this collection with your light removal stuff. You will know that it's syncing because a little pop will appear as well. You're going to see this like a double arrow thing going on to the left of your collection, just like I have here. What that means is this is now being shared. So what we need to do now is right click on the shared collection and we're going to get some options here. You're going to see that there is an option called light removal links. If you make the collection public, this will only work if you click make the collection public. This will start the process and then we're going to right click on the shared collection again, going back to light removal links. And this time when we go under light removal links, we're going to see that we have now activated an option that says copy public link. This is actually the link, the web link that you would share with your friends and family or whoever you want to see these pictures. Now think about this, if you're a new photographer who's doing things for friends or maybe you have clients that are paying you to take pictures of their friends and family, whether you're paid or not. This is a great way to share all the photos that you captured. Kind of like a proofing gallery, so to speak. You could send this link to them. They can open it and see all the pictures that you've taken and then they can make decisions. I'll show you what that means in just a second. So I'm going to copy this public link and then let's go to a browser. I'm going to paste that link into the browser. I'm also going to paste this link in the comments down below. So if you guys want to check out these photos, leave comments just so you can kind of see how this works. Go ahead and knock yourself out. So this is the link you would share. And what's going to happen when you open the link is this box or these photos that you've shared with people are going to appear. And what's great is if they were to sign in, what this is going to do is it's going to allow them to select a photo. They can just click on the photo. And then over on the right-hand side, there's a little bit, there's a comment box. So they can click on this comment box and they can leave a comment. So now that comment has been posted. You can also hit the heart button if you want to like. This is basically just like a thumbs up button. And so now your client or your friend or your mom has seen the photos you wanted to share, left a comment, liked it. And then what happens now, if we go back to Lightroom, when we get back over to Lightroom, you're going to notice that there's a new icon in the bottom right-hand corner of this photo. It's a little yellow speech bubble. This tells me that someone has left a comment on my photo. So when I select this photo and I head on over to the right-hand panel here underneath metadata, keywords, all of that stuff, you're going to see there's a comments box. And if I open that up, I can see that I've liked the photo and I can also see the comment that I left. This photo is awesome. And so if your friends or family or clients are leaving comments or liking stuff, you'll actually see this right here in your Lightroom catalog. When the bubble has not been read, it's yellow. And when it has been read, it changes from yellow down to gray to let you know that there is a comment, but you've already read it. You can't reply, so that's probably the one downside. You can't reply to their comment or you can't thumbs up their comment. But you can see all the comments that they've left to you. And I think that that's a really cool way of communicating with the people you want to share this photo with. But this, again, is only going to work if you are on Adobe Creative Cloud. But I think it's really awesome and it's a tool that's probably not being used by most of you out there. So hopefully you find this useful and fun. Create some collections, share them with friends and family. I think they'll get a kick out of it. Other than that, don't forget to follow us on Instagram at Photonertunite. And don't forget to hashtag your pictures with PNFL because we have been doing a photo of the week. We've already done two and we will be doing another photo of the week this Wednesday. But in order to participate, you've got to follow us on Instagram and you got to use the hashtag. So we see what you guys are up to out there. That's all I've got. Hopefully you enjoyed this video. Thank you so much for watching. Have a great day, everybody.