What's going on everyone Sam here with late in sports cards do rip in 22 top triple threads baseball hobby 18 bucks full master case break number 26 tiered random team style. Here's a look again at your random results as always You can find it on the website under the results tab as well as the link in chat I want to give a special shout out to Ken a that is my old boss back in Connecticut owner of Ken's cards and Central Connecticut check it out for sure Thank you as always Ken for the support and let's get started one of the main reasons I got really into the hobby to is because I'd go there I wish there was a there would have been a shop Yeah, I feel like this is something I could have got into like when you're younger. Yeah, definitely Yeah, I got that for sure Ever letting us have Sam Just thinking of late Yeah, oh, yeah Right exactly We're just ruined everybody's day there right. We've got a Nolan Ryan to 199 for the shrews and Frank Thomas to 99 for the white socks Big hurt Bryson stop rookie Ozzie Smith first since going to the inks We've got a Josh Donaldson 23 of 36 hot streaks JD there you go, Ken and Rookie Otto las newt by 68 out of 199 going to the Cardinals Raymond H. Congrats Raymond There you go, buddy more spots coming in. Thank you guys One mosaic three box mixer another spot for the four box NFL mosaic mixer of mixers tonight I kind of like And that's tough Roy Campanella the 125 E2 oh it's a 199 Base base and base nice one here going back to the Cardinals Raymond H. We've got Yadir Molina triple threads autograph relic card gold parallel Yadir Molina nice one Raymond. Congrats, buddy. One of the best catchers of this generation and Jared Kalnick that is three of nine going to the Mariners Congrats Seattle that is Jason H. Congrats, Jason pretty cash money if we got a book out of this Donnie He's so casually the really cash money Babe roots to 259 and triple Jones to 299 base base and base nice one here is gonna be going to the Marlins jazz chiseled 46 out of 75 Jersey Otto that is on card as well player worn jazz the cover cover boy Wouldn't you like to know cover boy? Alex Bregman 24 out of 48 for the Astros is your Jersey Guard game used break Bregman, would you like to know? Frankie Lindor to 299 and pink Nolan Arnato to 125 base and base we've got Justin Verlander 13 out of 18 rookie of the year and Cy Young a little bit of damage on The Verlander on the bottom there. I will send out an empty box and wrapper with that Astros Yes, perfect corner should be As long as the two mosaics filled then yeah, we should be good the mosaic. I mean the mosaic IMAC mixers. Yeah, we should be good to go Should be good So going to the Astros on that one and then going to the Orioles got Ryan Mountcastle That is four out of 75 at Jersey Otto Congrats Baltimore or three box NBA mixers coming in. Thank you Yes, this is the last baseball break of the night Evan. Yes, it is Yes, sir, and we're on to basketball up next. We got four of the print Prism multi-sello Boxes that'll be next and then we've got some mixers and then a full case of IMAC tiered Tiered random team style might be something there down. Yeah, I don't know Yes Well, that'd be cool. It's a 199 Albert pools and Bo Jackson a 259. I try to be encouraging you just laugh at me. Yes What what is this? What base base and base did you you should have gotten an email? You should have gotten an email DC we've got a Yari Molina Nolan Aronato Paul Goldschmidt all game used for the Cardinals I thought you were just like joking is like an NBA logo man, but then I realized they are also MLB So I thought I thought I basically thought you were like, oh like an NFL shield. I thought that's what you know You're being serious. That's why I left. I apologize got Shreya Mancini 30 out of 50 I met in this in this pack right there. That's why oh Nice one there congrats Orioles that all right, so that's where the confusion I thought you meant there was like all like a logo man in this pack what could happen theoretically, but Yes, right exactly We're good. We're we're back. We're back. We're back Rollercoon, you know 150 and Peter Lanzo to 199. They have Wi-Fi went down again Glitched right there, man say a Suzuki Mike Schmidt first hit is gonna be Ryan Howard double-digit home runs 18 of 18 for the Phillies this one there Philadelphia Peter M on that one grads Peter by Whit Merrifield 8 out of 27 for the Royals this one there Scott F with the Royals and Brandon Crawford 30 out of 36 going to the Giants nice when they're saying Fran Nick a on that one 2 299 and Jerinder and 150 base You've got going to the Royals Salvador Perez walk off home walk off times two three of 27 nice one there Royals and then and Alex Manoa that is 34 out of 99 or Alec Manoa excuse me for the Blue Jays This one there Toronto Ryan C each your own a 75 Randy Johnson a 299 Base base this one here going to Ken in the Yankees. We've got Dave Winfield three of three Winfield winner Congrats on that For the Yankees nice one there Ken and then going to the Mariners. That is Jared Kellanick. Grats on that one there Jason H Number four of 18. We are down to just four to go on the first three box NBA mixer So thank you guys for that We have a couple of breaks that need to be filled after we've got the Yo, yes the um Mosaic four box mixer for football that needs a little bit of love as well as the Zenith first thought the lines and then spectra Divisions at the end of the night. So a few more breaks with spots tonight guys So the 299 round the Cunha and Javi Baez the 125 That's one of the ones right there rookie is the Four box or three box NBA mixer O'Neill cruise rookie Well as a few other toward the end of the night and I might trouts 21 multi homer homers 22 out of 36 for the angels and then a Logan Webb Jersey Auto for the Giants There's number 75 14 of 75 on the web Juan Sojo the 259 and Trevor story the 299 base base Cool one here. We've got going to the Cubs on the triple auto It's gonna be Andre Dawson, Ryan Sandberg and Mark Grace 3 of 27 nice one there Cubs Matthew T on the tier tier 2 hit congrats on that again 3 of 27 And then Boba chef that is 18 out of 27 for the blue Jays Both lows What both lows? That's his name on Instagram both lows. Yeah Probably can hold on. Oh, look, give me one second here DC Um That's Matt's MOB breaks that's not gonna be on this channel that would have been over on the Layton baseball channel And yes that most likely did go today, let me drop you a link to his His channel There you go. Go check on that that Matt does breaks over on his channel not on the main channel So that's why it might have been confusing So that's the Layton baseball channel right there Matt will be streaming or Doug stream nice J Rod to 150 on the teal kind of color match and Boba chef to 50 on the onyx and no problem base We've got a Joe Maurer To strike success to a 27 for the twins They do let me dress like this at work. Oh, yeah Carl trade Turner to 48 game use bat for the Dodgers Wander franco onyx to 50 nice one there raise congrats Tom nice wander as well as a green Chris Bryant to 259 base base base nice one here going to Ken. We've got Glaber day 8 of 9 October offense Glaber Torres nice one there congrats Ken It's a one color two color two color on the patches for the Yankees followed by Reed Detmer's 8 out of 25 Gold RPA Ricky Gershiotto for the Heloos Ty Cobb to 199 and blue Cal Ripken to 25 the Ironman for the Orioles Shane Boz Goldie and Mike Trout. It's up. You see also to answer your text. You see. Yes. We do mookie bets. That is 13 of 18 Game used for the Dodgers So girl stop Carl And another Trey Mancini 41 of 99 going to the Orioles Wraths on that O's But it's it's in line before yours as well. It's it's before yours That's Jacob de Grom to 125 and a orange chipper to 199 got Tristan Mackenzie 83 out of 99 on card Jersey Otto for the Guardians And Yadir Molina another one to 36 for the Cardinals nice one there. Stop J Blasen How you doing, buddy? Our photo spot another photo spot and a another zenith first off the line spot as well Buster Posey to 299 and Shane Bieber to 150 here my daughter At least it's going to a good place J Blasen. That's Josh Lowe 22 out of 75 Jersey Otto for the raise nice one there raise Another Josh Lowe Josh Lowe pack right there this time Jersey rookie Jersey 35 of 36 Mike trout to 150 Bobby Whitt to 199 great numbered cards there 100 green rookie Cal Ripken cool one here. We've got Greg Maddox a professor for 36 game use memorabilia for the Braves nice one there Braves and Kind of a color match secondary color match state Cronin worth 24 of 25 Jersey Otto for the Padres Congrats pods Our three box MBA mixer spot coming I believe we're down to either two or three to go now on the first one And then we still got to fill the second one and then we need to show some love to the mosaic a four box mixer as well For some first off the line did sell out. So thank you guys on that one only. I believe six breaks with spots left tonight What's up, you know what I like I Like photos funny dude. That's that's a good one. That's a really freaking good one Mani Machado to 259 J rod to 299 Good rookie numbered stuff to Jairan Durand CJ Abrams Shohei There's a Bryce Harper that is 13 and 27 going to the Phillies second Third in home and rookie Otto Luis heel that is 18 out of 50 going to the Yankees Congrats again Ken Bryce Harper 42 out of 99 for the Phillies and Frankie Lindor to 259 for the Mets base base and base the Torkelson rookie We've got Brian de la Cruz 39 out of 50 for the Marlins nice one there Marlins on the tier two and Tim Anderson that is 16 out of 48 going to the White Sox I really like cards. I like cards I Like photos I like photos When I went to tell forest and Sean about the new thing that I found funny I was like they're like oh god here. We go and I'm like no Donnie found it funny, too And the forest and Sean were like great, you know like you shake a stick and Donnie laughs Wow, I Mean they're not wrong I like photos there you go The Lonzo to 125 Fernando Tatis to 75 base base base Nice one here going to the Dodgers Freddie Freeman triple threads autograph rally card amber parallel and be free Congrats LA Nice one there Dodgers Matthew T and Garrett Cole 18 out of 36 for the inks Rice and stop to 125 Juan Soto to 99 for the Padres Yeah, you did you went nuts shame you did really well, dude Did really well Jay Ram nice one there 16 out of 36 for the Guardians And nice one here going to the Guardians as well Raymond H on the tier two. We got a Steven a quan hit the quan, baby Nice one there. Congrats Hit the quan That just text me goes love the outfit tonight Nice one there One does for a show starts tonight now he quit of course quit. That's why that's the only reason I'm here Just filling in for a day Temporary replacement. They're like, ooh, this is the best we got yikes Then I'm like, I'm here and they're like, okay They're like, they're like, yeah, I guess if we're going down this road will matter for Donnie in there, too Barry Larkin at 259 Wander to 299 base base base The head is Jim Tomek 25 of 27 for the Phillies four years 190 homers Nice one there and Joe Adele four out of 27 for the Angels nice one there. Halo's Joe Adele I want to hold the breath Here comes the happy birthday We've got nice one-of-one printing plate George Brett for the Royals congrats on that. Hey, thanks Shane Appreciate it man. And Shane Bieber to 299 Donnie turns three today My birthday Donnie was three We've got Ken Griffey Jr. a rod and Ichiro the Mariners on the triple Brats on that one and a Jorge Soler 26 out of 7 or Out of 72 interesting numbering 26 out of 72 for the Marlins former World Series MVP Jorge Soler More three box NBA mixers coming in. Thank you guys some zenith photos and mosaics spots coming in Thank you there Christopher K So breaks are getting breaks are getting there guys. I appreciate it Oh Benjamin button. Oh Okay, I was gonna say that has to be an error for sure to 72 I meant to be to 75, but Air card one-of-one top topler equals top-loading codler Berserk so Clemente to 99 green Eloy Jimenez the 259. I think it fits the base Bobby Whit rookie Yeah, Nolan Ryan that is 16 of 18 for the Astros Out of 27 or out of 75. Yeah, this one is legitimately out of 72 Like take a look at that right there. See if that can focus that is legitimately out of 72 Looks like they meant to print five, but somehow a two got there and Bobby Dalbeck Jersey Auto 39 of 50 for the Red Sox Yeah, let Donnie on the machine Crazy Randy Johnson big unit to 199 and Peter Lonzo to 75. That's what I'm saying Sean Urshane, that's what I'm saying dude. So yeah We've got Jim Tomei four years 190 homers this time for 17 out of 18 Another oh no, that was in an orange nice one there again for the Phillies and Paul Goldschmidt that is 15 out of 48. Yeah true Spencer Sad reality of that redemption errone in here. So I'll be Perez to 150 Roy Campanella to 199 It's a Jayrod rookie base and base That's Christian Yelich 16 out of 27 Leather and lumber for the brew crew and nice one here rookie autograph card Amethyst parallel hunter green for the Reds nice one since he Nick a on the tier two hit That's hunter green to 150 and Carlos Correa to 199 base base Marlins doing fairly well here a second jazz chiseled this time 59 of 99 nice one Marlins on the Jersey Auto and Noah Cinder guard nice Thor going to the Angels three of three Game use Jersey for my breakout pitchers for this season.  So ha Oh Legal is trying it. Yeah. Yes. He is trying to take my easy No, he's gonna do he's gonna like wait until the last round. He's gonna take all my picks just to annoy me Even if he doesn't agree True Paul Goldschmidt to 259 Hank Aaron to 299 but I wasn't such a genius I would have fallen for that. Oh, that's nasty. That's really nasty We've got Ruby going to William K Hey, how about a Xander Bogarts? one of one What is that shortstop stat line with a bunch of patches in there? Holy cow? That's nasty. Congrats on that. There we go Red Sox We'll get that into a mag for you. Awesome. Awesome patches going in there and Bobby doll back 18 of 99 pretty good Scott. How are you? Yeah, I'll see like a big let's see a big soda or something That'd be awesome Matthew or big Cruz auto See this orange be a soda Shane boss to 259 and Shrey Turner to 299 base base Going to the Yankees. We've got Glavor Torres again 18 of 18 going to Ken 50 games 10 homers Nice one there for the Yankees Bunch more spots coming in. Thank you guys some more zenith mixers Three more three box NBA mixers more impeccable as well Appreciate y'all picking up some steam here, and we've got a Austin Meadows Vice-Forest crime He's making origami out of the triple Threads guards. Yeah, stop it. I guess you guys can't see it It's not that impressive Was that a white whale as well white whale coming up now white white whale Tray Turner 259 and O'Neill Cruz the 299 that was there go Matthew nice Cruz Bass and bass as well as we'll start with the Jersey is gonna be Dan's be swanson Two of 18 and who lands land into a limb swan Boy, we've got Steven Strasburg decade of dominance White whale one of one go into the mats Ken a on the tier two congrats Ken Nice one, buddy. That's awesome so cool Awesome Strasburg One of one for the Nats. I'm a white whale We'll get that magged Shane boss the 259 and Freddie Freeman to 299 base base We've got Austin Riley for the Braves. That's 11 out of 36 October clutch Three box NBA mixer another two more three box NBA mixers so many orders Corbin Burns nice one there is Going to the brew group 15 out of 50 Jersey auto paper beluga Ryan Sandberg to 125 and Jacob the ground to 199 base We've got going to the White Sox Jose a brave Nice one there one of 18 little bit of a damage on the back corner there back Bottom right. We'll send an empty box and wrapper with the White Sox And Luke Voight for the Padres Jersey auto nice one there 60 out of 75 each year out of 125 Jared Kalnick to 199 base base base This one here is for the Royals Emmanuel Rivera is 33 out of 50 Congrats Scott F. That Reed Dettmer's rookie Jersey Guard for the Angels under just five to go on our first three box NBA mixer Then we got 20 to go on our mosaic Four box mixer as well. Definitely need to show some love that one Then we've got some of our zenith photo and mosaic mixers As well as our impeccable and spectra They making yourself laugh there aren't you Got Rafi Devers the 150 Onyx Rhino, it's just 50 for the Cubs Base base base nice one here going to Ken again We've got power in the middle Labor Torus 12 of 27 for the inks Max Kepler 34 of 36 for the twins I would change Joe legally skill of you will joke.  I really don't that is mark McGuire and Babe Ruth to 99 base base base Going to the Dodgers. We've got Walker Bueller six of nine 2.7 era Lot of glabors in this case for sure and Corbin burns 36 and 99 For the brew crew. Oh boy Carl's back. Oh God. Oh God What is going on here? I'm ran out of material Donnie is What's it called? I'm a Donnie's using it up make work on me YouTube's home page is down interesting YouTube's home page is down So he will click on late in sports cards true Just going way too violent on the internet Rafi diverse to 75 and Tom Sievert to 299 base base and Wander rookie That's going to be triple for the Braves chipper Freeman Akunya all game used 18 out of 36 And nice on-card Elliott's Ramos 25 of 75 rookie out of for the Giants Last pack of the break everybody Dude, I almost had my number. It's not what is perfect. Yeah, you really did That's pretty wild Ricky Henderson to 99 Derek Jeter to 299 base base base Matthew Matthew Right on the end buddy. How about Fernando Tatis three of nine? No time to lose Nice one there. Congrats, buddy Said that Padre spots a little too quiet. We said we're gonna get loud on the last pack of the break Nice one there, buddy. You can have this one And Gavin Lux three of 27 going to the doiers. All right guys, let's do a quick recap. Oh, Rony Recaparino Rikapsky Yes, sir last box magic, you know it, you know that you know that happens Matthew, you know it Everyone is semi mean and sarcastic We've got Kevin Lux triple Braves Walker Bueller Max Kepler Reed Detmer's Jose Abreu Austin Riley that is Dan B. Swanson Austin Meadows Noah Cindergarde Christian Yelich Paul Goldschmidt Nolan Ryan Triple of the Mariners Joe Adele Jose Ramirez Garrett Cole Tim Anderson Bryce Harper Greg Maddox Josh Lowe Yadier Molina that is Mookie Betts Glavor Taurus Joshua here. It's up Joshua Trey Turner Boba Shatt Mike trout Jared Kalanick Salvi Perez Brandon Crawford Whitmere Fields triple of the Cardinals Justin Verlander Alex Bregman Jared Kalanick Josh Donaldson. Am I not seeing some of our chat? Oh No, there's Joshua. It's up Joshua Donnie Ingalls All right, we've got What illegal says pretty funny Elliot Ramos Corbin Burns that is labor Taurus manual Rivera Luke Voight Corbin Burns labor Torres Bobby Dalbeck Jazz Chisholm Hunter Green Jim Tome Bobby Dalbeck Jorge Soler Got Jim Tome Freddie Freeman Brian De La Cruz Louise Heel Jake Cronenworth Josh Lowe Trisha Mackenzie Trey Mancini Reed Detmer's Joe Maurer Logan Webb Dave Winfield Alex Manoa Ryan Howard Trey Mancini Ryan Mountcastle Jazz Chisholm Yadier Molina Lars Newt Larr Why is the chat like wanting me to take SATs and One-of-one George Brett for the Royals. Well, they're saying because you asked too many questions the SAT tutor would just take it for you Make it easier All right guys, we had the triple of Andre Dawson Ryan Sandberg and Mark Grace for the Cubs we had a Stephen Kwan to 199 on the on-card auto This Ingalls He got a one-of-one Zander Bogarts for the Red Sox a really cool Fernando Tautis three of nine Jersey Auto for the Padres and then a one-of-one white whale Stephen Strasburg going to the Nets Congrats again Ken that will do it for the break guys. Thanks again for the fill next up. We've got BKB


Don't blame yourself Apostle Paul, Holy Spirit warned Apostle Paul about going to Jerusalem Explicitly and numerous times God told Paul if you go to Jerusalem, they'll lock you up But you never see Paul Blaming God After going in Chase now, we don't know exactly whether it was his mistake or it was God's will fully It's a very debatable subject and I've read it so much even this week Theologians are disagreeing one with another and I'm gonna leave that for theologians to do that in a seminary But what I want to leave it to here is I've never seen once Apostle Paul Blaming himself and saying man, I should have stayed away from Jerusalem You don't see Paul saying God. Where are you? God? How is it that this hand got bitten by a snake and you healed it, but you can't remove my chains How is it God at these hands healed the heathens But you can't deliver these hands out of chain How is it God? I was in prison in one city and you shook the whole city to get me out And now I've been here for five years and I'm still in my chains.  I Just had an opportunity to minister to one particular person who made a decision to commit abortion Many years ago in this particular person wonderful person begin to Break down and cry and say that ever since that day I tried to do good things to prove That I'm better person and this person goes on to say says that the harder I tried The worst I got so I've gotten so worse and this person begin to mention the things that they were currently doing That I was like, oh my goodness. How are you able to do this? And and this person said that I let myself a seam drop so low All because I've done something so bad that I cannot forgive myself. I Asked this person. Have you asked God for forgiveness and this person says there has not been a day I ask God for forgiveness and I asked this person second question. Have you received forgiveness? And this is what this person said. I don't know what you're talking about. I Said asking for forgiveness and receiving forgiveness are two different things. I Let this person in the prayer and I said after this prayer God Forgave you. I want you to stop asking for that and when the thought of guilt comes in you tell yourself I've been forgiven. It is wrong to make another car payment after you receive the letter that your car is paid in full. I Said you no longer need to pay for your sin if Jesus died to pay for your sin and this person said well But I cannot forgive for what I've done.  When did you elevate yourself higher than God that you can release yourself? forgive yourself If God being holy can forgive you being sinful listen, you're not holier than God not to forgive yourself Loose yourself. Just let yourself go and simply say I've done it. That was wrong. I won't do it again If you keep blaming you will relieve it again But if you receive forgiveness not ask what you've done million times But receive that Jesus died on the cross and that was enough. I don't have to pay another day for my sin Because Jesus is cross and his blood your life will change in Jesus name now. Does that mean there's no consequences? Does that mean that you call your? Jail Pen County jail is simply see I know I owe you guys 12,000 but Jesus paid all of my debts. Amen No, those debts you still have to pay Those tickets you still have to pay Maybe supernaturally God will give you breakthrough But you still have to take care of some of those things but we're talking about between you and God Can somebody say man? You can overcome you're not going to be Restricted even if you're afflicted a man about us is the more Egyptians afflicted Israel the more they multiplied You will succeed in spite of that in Jesus mighty name


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 behavior modification, goal setting, and avoiding common traps. So we're going to go through some behavior modification because I found that over the years, when I've worked with clinicians who've been in the field forever, as well as students who are just coming out of graduate school, many of them have never really been exposed to basic principles of behavior modification, which is one of your first traps, if you will, in not being able to help clients set really reliable goal plans or relapse prevention plans. So we're going to look at some of the basics, I mean, basic basics. We're not going to get into schedules or reinforcement and all that kind of stuff today. We're really going to focus more on discriminative stimuli reinforcers and punishers, which should sound pretty familiar. We're going to explore how behavior modification in general can be useful in practice and how we can help clients understand what triggers their behavior and how to create environments that are conducive to their new behaviors. How can we encourage them to trigger and, you know, going back to last week's presentations on triggers, how can we encourage them to trigger or remember to use their current behaviors? So why do we care? Change means doing something different or modifying a response. Right now, what we're doing, we're pretty well conditioned to do. If you think about mindfulness or mindlessness, if you will, a lot of times we're operating on this basic principle of we get up when we hear the alarm or, for me, the rooster crows and start on our day without really thinking about what we're doing because each thing in the environment, sound, smell, time, whatever triggers another behavior and we don't stop to question. So that's one of the things we want to encourage clients to do is to look at why did you do that? Even the good things.  Well, the rooster crowed and I knew I had to get to work and what else is going on and how can we make as many of those triggers or stimuli, if you will, positive that encourage excitement and happiness and all that stuff. The response can be a neurochemical one.  Behavior modification principles will help you understand why some of the reason, why people act or react the way they do and it'll help them understand it. You know, I'm a firm believer that when we create treatment plans, when we help people recover, get happy, whatever you want to call it, we're not doing it to them. We're engaging in a process with them to empower them to learn more about themselves and learn how to create these plans and achieve their goals in the future. You know, teach a man to fish and he can eat for a lifetime. So we want clients to not be dependent on us. Behavior modification does focus pretty much on the observable, measurable conditions to the exclusion of cognitive interpretation. So we want to kind of hedge that a little bit in when we approach treatment, because behaviorists are not going to talk about how somebody feels. We are. We're going to talk about what makes you feel happy. So we're kind of diverging here from strict behavior modification and moving more into goal-setting and awareness and relapse prevention. In its truest form, behavior modification is concerned only with observable, measurable behaviors, stimuli and reinforcement and or punishment. So when we ask a client, what prompt did you to do that? And when you do backwards chaining, you're going to ask them, what triggered it? What was going on that made you think to do this or that? When we talk about behavior change, and this is one of the keys and this is one of the traps, we need to make sure that they're setting goals that are observable and measurable. That way, when they've achieved their goal, they can answer the question, I know I have achieved my goal because or we can put in the conditional statement for the treatment plan, you will know when you have achieved this goal as evidenced by is what we used to put in our treatment plans where I came from. But it's something that any person on the street, any other clinician, any peer can look at and go, yeah, you've done these things. And it can be reduced crying episodes from every single day to two times a week or reduce the intensity of crying episodes.  So we want to help clients identify anchor points, if you will, measurable anchor points so they can see that they're making progress. They're not going to go from crying every single day and not wanting to get out of bed to being happy, quote unquote, in a week or even in a month probably. So we want to be able to say what is one symptom or what is one thing that you can see that says I am depressed right now and how will it be different when you're not depressed? And so we'll stick with crying episodes. Right now I'm crying every single day two, three, four times a day. And it just, it's overwhelming. It feels like I'm always crying. Okay, always we can't measure, but we can measure how many times the person cries each day and have them keep a log of that so they can see that over time, as they're starting to use their new skills, they're crying a little bit less. And you know, when we're dealing with people who have grief and loss issues, crying is therapeutic. Crying can be very on point, but sometimes they'll feel like they're never going to get past it. So we can help them see, you know, over time how they're starting to accept the loss, not forget the person, not forget whatever it is, but to accept it and create a new reality around life given that loss. So we can help them sort of start finding anchor points is the best word I have for it. Traditional behavior modification can be quite useful in simplifying a stimulus and reaction. So if somebody startles when they hear a door slam, that's perfectly normal. We can help people see how that's functional, how that's a survival based skill. And then we can go on to talk about, okay, now in your past, when you've heard a door slam, what did that mean to you? And why did that cause the startle response? And why is it currently causing the response? Because you've been conditioned to associate, I have one client who, well, several clients, but who grew up in environments that were very abusive and hostile.  And that's a survival reaction. The body goes, well, when I heard that before, it was really bad mojo. So, you know, I need to let you know that there could be a problem. And I find with my clients by helping them see how it makes sense, you know, from a certain point of view, they can step back and look at it and go, okay, it makes sense because back then, that sound represented a threat. Right now, am I safe? Does it represent a threat? So it gives them the ability to understand their reaction and then to take cognitive charge of it and move on. Integrating the cognitive interpretations, fear, anger, you know, those feeling labels we put on it can help people in identifying and addressing what's causing their distress. So we can ask them, what is it that makes you anxious?  But if we can say, what are five things that you think of from your past, what are five memories you have that you can think of that make you feel or made you feel really anxious? And then let's talk about in the present, when something reminds you, or that you experience something similar to that situation, how is it impacting you? And then they can start to deal with those. Understanding what causes their feelings can give people a greater sense of empowerment because they can understand, all right, I felt scared for a second because my body was trying to protect me, or I felt angry for a second because I thought I might have to fight off a threat. However, I can use my new skills and overcome that realize it's not a big deal. So let's talk about puppies. I love puppies. And I help people start to see how they learn from their environment based on, in very primitive ways. So puppy, puppy number one, tackles puppy number two. And there's a threat, you know, puppy number one's like, oh, no, you didn't. And if they're playing, you know, this is how they play and how theoretically in the wild they would learn to fight and survive. So puppy number two responds by tackling puppy number one. So there's a counter threat. Both puppies get a surge of adrenaline because it's, you know, this is all play and everything, but they're also mimicking what they're supposed to learn to survive when they get older. The puppy that dominates receives a dopamine surge, which reinforces the prior behaviors to do that again. So the puppy that wins is like, oh yeah, I'm first one at the food dish. And that teaches the puppy that these behaviors are okay. However, if the mother dog, you know, maybe puppy number one decided to take on mama.  If they start getting too rough for playing, playing too hard, mama will put them in their place and they learn from that sound. Okay, what I just did, there was an immediate connection between playing too rough and either mama snapping at them or barking sternly at them. The puppy learns. So this is how when we were infants, we started learning and we associated pleasurable things that we would want to do again. So we want to have people figure out in their environment what things have you learned that are threatening, what things have you learned are positive and reinforcing. We also learn things. So for example, Sally goes to the pet store and a puppy comes out, sits in her lap and puts its head on her leg. This is what my first dog out of college did. He came right out of the kennel, sat down, put his head on my leg. I was like, oh, I have to have that dog. This contact with an animal and it can be with humans too, causes the release of dopamine and oxytocin, which are both reward chemicals, makes you happy. So there was a surge of contentment or neurochemicals. But helping people understand where those feelings come from can help kind of take some of the mystery out of why they feel the way they feel. If they can look at it from a pure survival and bonding standpoint, what is the benefit to me of this reaction? Now, if Sally had previously had a threatening experience with a dog, when she saw it and it started coming over to her, she may have backed away because the fight or flight reaction would have kicked in and she would have may have gotten afraid. So what are my points? The brain receives signals and based on prior learning responds with either fight or flight, no reaction, or pleasure, happy, let's do it again. And I think there are all, everybody has things that there's kind of no reaction. I look in the refrigerator and I'm like, okay, I got to go to the grocery store. I'm not happy or sad about it. It's just something that's got to be done. If, you know, I look in the refrigerator and I see that there's something really good to eat, then that might trigger a positive reaction. It's important to remember that some people can label the same physiological responses, increased heart rate, sweating, rapid breathing as fear or exhilaration. So think about writing a roller coaster.  They terrify me. But some people take that same physiological response and they're like, wow, what a rush. Helping clients understand when they start feeling that feeling, if they've always called it fear, then they may be erroneously labeling things so they can step back and go, all right, what's going on? I had worked with one client who when he would start to get really happy and feel exhilaration, you know, his heart would start racing and all those things. And he always interpreted it as anxiety. He was like, okay, when's the other shoe gonna drop? Because I'm feeling anxious right now. So we started looking at how many times he felt that happy feeling and something bad didn't immediately happen. So he was able to start unhooking from that physiological response and instead of automatically labeling it as anxiety that there was impending doom, he was able to start looking at it as tentatively possibly maybe a good thing. People with anxiety, anger or depression may need to recondition that X, whatever X is anymore, is not actually a threat anymore. So when they hear cabinet door slam, they may need to recondition that so they learn through systematic desensitization that that is not a threat anymore. And my clients that have negative stress responses to sound loud door slamming, I encourage them to always stop, take a breath and assess the situation, get re-grounded in the present so they can realize. And sometimes they do mindfulness activities, identifying four things they see, three things they hear, two things they smile in order to let that adrenaline rush past so they can focus. So part of behavior change and lasting behavior change is to help people understand what things in their environment might be triggering or reminding them of things that are unpleasant or were unpleasant and figuring out what to do about it. Encourage them to relabel things. I already talked about excited versus terrified. Some people when their blood sugar drops, they'll start to get shaky and jittery and they can actually kind of trigger a panic attack. And so if you're working with somebody who has panic attacks, you might want to encourage them to look and ask themselves when was the last time I ate. What are three other explanations for why I might be feeling this way in order to recondition that physiological sensation to be something that's more benign? Some people misconstrue stressed and hungry because whenever they were stressed, angry, anxious before, they were given food or they ate to self-soothe. We know that eating, especially some of our highly processed foods, goes kind of straight to our pleasure centers. It is an understandable reaction for a lot of our clients who are emotional eaters or food addicts or whatever they want to call themselves, helping them differentiate this and start learning to correctly label what they're feeling in terms of, am I feeling stressed? Am I eating? Because I'm hungry. What does hungry feel like and what does stressed feel like?   Fat is an adjective, but it's not a feeling. So what does fat mean to you? Many times, if they're feeling helpless, anxious, worthless, depressed, all of those feelings may go into what they call fat. So we want to look at in what way does fat represent those things to you? In the acceptance and commitment therapy approach, we encourage people to unhook their feelings from their descriptions so they can say X, whatever it is, the door slamming is causing me to have the feeling that I'm getting ready to get in trouble or I'm in danger. That's easier to deal with than X is causing me to be scared. If I'm having the feeling that I'm scared, well I can let feelings float away just like clouds go through the sky. Giving people different techniques to handle some of their stressors and some of their reactions to environmental triggers is important to helping them be successful at continuing to maintain motivation and move forward in their treatment plan. In American culture, we often use non-feeling words to describe emotional states. So not everybody's going to feel comfortable using words like happy, mad, sad, glad, angry, scared. That's fine. But encouraging them to understand how they're feeling, you know, if they say, I feel like I got kicked in the gut. Okay, what does that mean to you? You know, you can't breathe. Tell me what the feeling, tell me what the physiological things are going on that makes you feel that way. What does it feel like to get kicked in the gut? Part of recovery is identifying those physiological responses and labeling it with some sort of a feeling word or a descriptive phrase so the people can say, somebody can say, you know, when I feel like I got kicked in the gut, I need to do this in order to, you know, keep moving forward in my recovery process. If you're dealing with people who have addictions, you know, they may respond to feelings, especially distressful feelings by having the urge to use or self harm. So it's important for them to understand and have a word for what's going on so they can start describing it. Even if it's not one of our, like I said, traditional feeling words, but they can describe it to someone and say, I feel like I got kicked in the gut. And whoever they're describing it to knows that that's a danger place. Something that evokes an unconditioned or automatic response in an infant and an adult is an unconditioned stimulus. So we all have unconditioned stimuli, loud noises.  If an adult is sitting in a quiet library and a car backfires right outside the window, they're going to startle. That's part of our innate reaction. And being able to just identify that and go, yep, that's, you know, a unconditioned stimulus. That's something that I was trained to do. My body was kind of wired to do in order to protect me. No big deal. Go back to whatever you're doing. Pain is another one that you didn't need to be trained for. When you feel pain, your body has certain responses and reactions. So we want to encourage people to be more aware of how they're feeling. Because we know that most people when they are in pain, tend to be a little bit grumpier, maybe depressed, feel helpless and hopeless if the pain goes on long enough. So you know that pain is going to negatively impact mood. We want to help people see why does pain do that? Well, because back in the primitive times, when we were in pain, it usually meant that we were sort of the weakest link in the herd. So if a hungry lion was coming towards us, we were probably the one that was going to get taken out. So pain increases our stress response. It puts us on higher alert, which can be exhausting and it can increase anxiety. And if it goes on for long enough, it can increase depression. Helping people see something as simple as pain may need to be addressed in order to prevent or help intervene in depression and anxiety. Excessive cold and heat. Think about a baby. Babies, when they get cold, they cry. When they get hot, they cry.   Again, it's a response that your body wants to maintain homeostasis. So it's going to make you uncomfortable. So you want to get to a place where you can be comfortable. And contact. Like we talked about earlier, human contact generally produces a release of oxytocin. So it's generally a pleasant response. Now, this can be reconditioned in people who are survivors of abuse. So don't assume that contact is always positive. But in some people, it can be. So helping people understand why they respond certain ways, it may not have anything to do with, you know, prior experiences that may be just the way they were wired. It's one of those unconditioned responses and stimuli. That's okay.  Conditioned stimuli in general have no meaning to a person, but over learning, over time and learning experiences, people develop an understanding of them. Yellow lights to me mean slow down because it's getting ready to turn red. Yellow lights to my mother mean gun it because I don't want to sit at the red light. So a yellow light means something completely different to us. Conditioned stimuli and responses can be traced back again to that fight, flea, forget, and repeat sort of scenario. Something triggers your fight or flea reaction. That means there's a threat. You either need to fight it or get away for survival. Forget, it means, you know, it's just not even worth responding to. And repeat is the, let's do that again, because that's good for survival, such as eating. So discriminative stimuli, all things being equal is the stimulus which triggers the reaction. Discriminative stimuli, think about when you go into different scenarios and you just know how to act. When you go into church, you know how to act versus how to act when you go into a gym versus how to act when you go to your grandmother's house. Because there are certain things in those environments that say, okay, this is a different environment. And when you're in an environment like this, this is how you behave. When I go into an old folks home, you know, it reminds me of my grandmother's house. So typically, that's how I'm going to behave, react and feel. Because it's the stimuli in those environments are similar. They smell the same. They look the same. They're often the same sort of knickknacks and things hung on the walls. Think about going to work. If you're having a good day, what things trigger a good day for you? You know, if you get up and the sun is shining and maybe you even woke up before your alarm, oh my gosh, you had a good night's sleep, what other things trigger, what other stimuli trigger a good day? Maybe you have a good breakfast or skip breakfast or whatever it is you do. But there are also things, if you're getting up and going to work, that can trigger a bad day. You can't find your keys. I'm famous for that. You're running late.  That's another one of those I'm famous for. So there are a lot of things in the environment that can happen that can trigger a bad day. It can trigger a bad mood. So helping people understand that just because certain things happen doesn't mean you have to stay stuck there. Okay. You couldn't find your keys.  You got into the car and you realized that you still needed to get gas on the way to work. It was just a bad morning, a bad chain of events. But does it mean you have to continue with that chain of events? This is how you feel in the moment using some DBT sort of skills here. What can you do to improve the next moment? When you get to the office, are there things in your environment that you see that make you forget that you had a bad day? Maybe you walk in and the receptionist greets you with a smile. What other things might trigger a change of mood? Try to encourage people to have positive triggers in their environment. So when they get to work, they're looking around going, this is a good place to work. I'm happy. Or at least this is a good job and these are all the reasons I'm here. Whatever it is that helps them feel positive, encouraged, and motivated. If things go on for too long and people try to change it and try to change it and it doesn't seem to work, then people may give up. So it's important to help people understand why they're feeling the way they are and address all of the reasons. For example, with depression, somebody may start by trying to address their depression by going to counseling and taking antidepressants. And we know from experience and research and everything else that a large percentage of people will not respond positively or respond at all to certain antidepressants or maybe not to any, which is why there are multiple antidepressants out there. So if somebody has tried counseling, they've tried antidepressants and nothing seems to work, then they may feel helpless and just be like, why am I even going to try anymore? It's up to us to say, okay, let's look at what else might be going on that might be triggering this depression. And we want to look broadly, encourage them to get a physical exam to evaluate their vitamin D levels, their iron levels, their thyroid functioning. There's a lot of things that can cause depression. So we want to help people avoid learned helplessness. We want to have them have hope that something is going to work in order to do that. And one of the best ways to do that is to make sure that in their treatment plan, they have frequent rewards for small steps. So going from, you know, back to the person that cries multiple times a day every day, going from that to maybe crying twice a day every day and getting through the lion's share of the day without crying. That's a huge step. So we want to make sure that they get, they notice it and they provide themselves some sort of reward or reinforcement for what's gone on and how successful they've become. So encourage them to look back over and see the progress, even incremental, because baby steps are still steps and the smaller and more consistent the steps the more likely they are to stick in the long run. So measurable responses, excitatory responses produce fight or flight. And these are people's basic feelings of anger or fear. So we want to help them understand that when their body dumps these chemicals, they're going to feel one of those two things. Sometimes there's going to be no reaction. And sometimes they may continue to dump excitatory chemicals enough where basically they've run out and that's overly simplified. But the balance of neurotransmitters get out of whack and they don't have the energy anymore. Their HPA axis is kind of shutting down going, there's no sense fighting this anymore, we're not going to win. So I'm going to hold on to the excitatory neurochemicals. What happens? No excitatory neurochemicals, no excitement, no anger, no fear, but well, not much, but also no happiness. So all those middle of the road feelings, happy, sad, glad, you know, the body's just not there. It doesn't have the energy to produce those right now. The only time it's going to respond is when there's an extreme threat. Think about clients you've worked with who've had clinical depression and just nothing seemed to do it. Nothing seemed to get them happy. Nothing seemed to get them really all that upset either. They were just like whatever. This is that learned helplessness and where we don't want people to be. So encouraging them to see small steps, small successes. Stimuli that present a threat of pain or death can trigger the excitatory fight or flight response. Through experiences, people learn what threats they can defeat through anger or will defeat them through anxiety. So when we're working with somebody who has anger or anxiety issues or both, we want to help them understand the fight or flight reaction and help them understand where does that come from? What is triggering you to feel threatened? And in what way is getting angry helping you defeat this threat? And how else could you do it that might be more helpful to you? So help them identify the threat. Why it was labeled either a controllable threat or an uncontrollable threat. And oftentimes this goes back into the past looking at prior learning experiences and breaking down parts of the situation into controllable and uncontrollable.   Okay. So the threat was you got a bad review. And potentially your job's in jeopardy. So yeah, I can see why that would trigger a threat. So what parts of that are controllable? What can you do about it? If you feel like it was an unfair evaluation, what can you do about it? There are certain things that are uncontrollable like your boss's opinion about certain behaviors and what led up to it. So how can you deal with the uncontrollable things? And what can you do to improve the next moment? You may not be able to improve your evaluation or you may be able to appeal to human resources. Either way, helping clients understand their feeling, unhook from it for a second and figure out what is the next best action to help me achieve my goal. Getting angry, screaming at them, throwing your evaluation at them, none of those are probably not going to do any good. They'll probably do more harm. So helping clients learn how to unhook when they feel, even when they feel stimulated to act out. Basic fears that tend to cause people to feel threatened, loss of control of some sort.    Other people may retreat, go look for a new job. But it gives the person a sense of control. Isolation and rejection. We are meant to be kind of together in order for survival. Primitive reasons for this, the need for us to be together is to prevent or to help us prevent death and procreate, keep the species going on. So we're not supposed to be hermits living alone. Which is why we can feel very devastated when we perceive that we are being isolated or rejected. And we can help clients look at the, how big the situation is. You know, is it one person that doesn't like you? Or are you constantly isolated and rejected? You know, let's take a look at what is going on and is this worth getting upset about? What parts are in your control and what parts are not? Some of these fears can be counter conditioned. So we want to ask them, you know, it may feel devastating right now, but is it going to kill you? I mean, is it totally a life-threatening situation that this person rejected you? No. I mean, it may feel like your heart's being ripped out, but is it likely that it will actually kill you? No. Let's look at the exceptions.  You may be by one person or a group of people, but are there exceptions? Are there people who accept you? And let's examine alternate explanations. Maybe they're acting, rejecting towards you. Is it because of you? Or is it because of something that's going on with them? Or, you know, working with families in hospitals, you may go in and try to offer support to them and see what they need, provide some case management, and sometimes they tell you to go away. And it can feel a little odd, but recognizing that, you know, they may not be rejecting you. They are caught up in their own stuff right now, and they need time and space, so it may not be about you. Same thing is true for our clients. You know, we have to ask them, you know, did whoever was rejecting you have other stuff going on?  So encouraging them to find, I always use the number three. What are three alternate explanations for why that person may have behaved in a manner that seemed rejecting? And the unknown. Most of us don't like ambivalence and the unknown. So we want to look at whatever situation you're approaching that is making you feel stressed out because you don't know what to expect. What's the probability it will end in death and pain? I don't like going to chamber of commerce mixers. I'm not good at it. I'm not good at walking into a room where I know no one and making small talk. So going to one of those things tends to cause a little bit of anxiety in me. And I can look at this and I can realize that, you know, I don't know if I'm going to know anybody there. I don't know what I'm going to say.  So the unknown, big deal for me. So asking myself, you know, what's the probability this is going to end badly? I can work myself up and create a situation where that will happen or, you know, I can look at it and go, you know, low probability. And how many other times have you confronted an unknown and the outcome was positive or at least neutral? So how many other times have you gone into a situation like this and it didn't turn out catastrophically? Encouraging people to look for exceptions. So they're not constantly associating a certain stimulus, like going to a chamber of commerce mixer or going to a family reunion as being negative. You want to have them try to find the exceptions to that so they can walk the middle path, feel a little bit more comfortable about what they're heading into. And failure, none of us likes to fail. However, what's the probability that if somebody fails at something, it's going to result in death or extreme pain? Probably not huge. So we want to encourage clients when they start feeling anxious about either attempting change in treatment or attempting change in anything, whether it's trying to get a new job or whatever. If they start getting anxious about it, anxious about going into a job interview, okay, what's the probability that if you completely bomb the interview, your life is going to fall apart? And have them look at realistically what might be going on? Encourage them to look at how many other times they've tried something similar and failed and the outcome was at least neutral. And how can they make failure into a positive or at least neutral experience? Encouraging them to look at prior treatment failures, instead of looking at them as failures, looking at them as learning experiences. What do they need to do this time? What do they need to do differently that they haven't done in the past? And I personally feel and I'm not just doing it to do lip service to it, but I personally feel that if a client has relapsed, we need to look back because we both missed something. You know, part of our job as clinicians is to help people see their blind spots. And, you know, they may not have known, we may not have seen, you know, it may have been not preventable. But I look at it and I go, okay, what can we learn from there that we didn't see before and how can we improve this? Helping them feel accepted, supported, valued and look at failure as something, you know, a little bit less devastating. Mindlessness can cause people to fail to identify positive stimuli in their environment. How many times have you driven to and from work and not really noticed you were just off in La La Land versus how many times have you driven to work and noticed the hawks on the power line or the bunnies on the side in the grass on the side of the road or the deer that almost ran out in front of you. Yeah, I live out in the moon docks, but I digress. Sometimes driving to work and just noticing the sunrise can make you feel happy, but if you're not paying attention, if you're being mindless, you won't get that positive chemical rush, if you will. Remind clients that they can't be miserable and happy at the same time. Bathwater again. So even if they're having a not so good to a neutral day, if they open themselves up to positivity, it's going to increase their mood. You know, it may not take away all the sting of it. They may have had a really crappy morning, but it can take the edge off of it. And if you have enough experiences taking the edge off of it, then lo and behold, you may feel pretty good by the time you get to work. Negative stimuli produce adrenaline, which causes the fight or flight reaction, and little things can lead up and lead to a big reaction. So think about water and the dam. You know, every little drop, not going to do much to a dam, but over time enough water builds up, it may cause the dam to collapse. So we need to encourage clients to also identify negative stimuli, stressors that happened, and deal with them, either choosing to identify them and go, you know what, not even worth my energy, or to do something to change the situation or how they feel about the situation, instead of just stuffing it back there. How many clients do we have that have talked to us about how they were biting their tongue, they were sucking it up, they had a stiff upper lip, whatever they wanted to say. And then all of a sudden, the straw that broke the camel's back and out came a litany of done me wrongs. If we don't want people to get to that point, we want to encourage them to handle the stressors as they come up, because it takes a lot of energy to hold back that dam of negativity, if you will. Negative stimuli can be reconditioned as neutral. So find the positive of things. Maybe you get a bad evaluation. That can be pretty devastating. What's the positive in that? Well, you still have your job and you know what you need to do to improve. So encourage them to, as Lynna Hand would say, walk the middle path. If something is frustrating, maybe you don't like a rainy day, and it is gray and cloudy and just outside. You can get upset about it and frustrated that it's like that, but it's not going to change the situation. Or as one of you pointed out this morning, you can be grateful that you have to be in the office today when it's like that outside and it's going to be beautiful during the long weekend. So choose not to exert your energy on it and or find, you know, an explanation that can help you feel a little bit better about it. Add and notice positive stimuli. Notice, I said notice it, don't just put it there, is vital. So when you're having a bad day, there are things that remind you to smile.  Positive stimuli in the environment can include smells, sights, sounds and feel. Encourage clients to use their memories. Thinking about positive memories they've had in the past. What sights, smells, sounds and feels are associated with that. What makes them remember those times? Because that's going to help them trigger happy memories.  And preferably that's just going to kind of pop up like their screensaver. So they see it, it makes them smile and they move on. Now I find that for a lot of us having stimuli that are not constant keeps us from habituating to them. I have a picture of my dog Brewster on on my desktop right now. And I pretty much habituated to it. I look at it, I'm like, yeah, that's boo boo. And I go to work. The first couple of weeks when I walked in, I could feel myself get a smile across my face when I would see it. So encourage them to use slideshows. We do that on the TV at home. We have family picture slideshow that just recirculates as a screensaver or whatever it's called, when we're not actually watching TV. And I regularly look up and I see a picture that makes me smile because it's not the same one. And it reminds me of a good day. Putting it together, we want to have people understand what they experience when they're scared or angry and how they differentiate it. We want to help them figure out what they experience when they're happy. What does it feel like to be happy? And encourage them to meditate on that. You know, how does their body feel and what things make them happy? Encourage them to do guided imagery in order to get into that space. Use stimuli in the environment to increase your happy responses and increase the feeling of control and self-efficacy. For our clients, when they graduated a certain phase of treatment, we would give them a certificate. So they didn't have to get all the way through. They just had to reach certain stages to remind them. So they had a visual reminder of how much progress they've made before and after pictures can always be helpful, you know, so they can feel like they're making progress. Put things in their environment that help increase their self-esteem and remind them that they are accepted, that they are loved, that they are valuable, that they are all that in a bag of chips. Whether it's a journal that they keep in their desk somewhere or pictures of diplomas and their family and whatever else it is that makes them feel loved, accepted and respected. And increase feelings of confidence. So what can you put in your environment that makes you feel like, yeah, I've got life and this job and the world kind of by the tail right now. That's going to differ for each person, but we want them to feel empowered, hopeful and courageous. How can they use discriminative stimuli to decrease angry responses? So what can they put in their environment to remind them when they get angry to take a breath? You know, I keep my rosary on my desk and whenever I start feeling stressed, it's just an automatic response to reach out and grab it. Everybody can find their own cue, can find their own trigger, can find their own thing to put in their environment that helps them feel calmer. They've got those fidget spinner things right now. That can help some people when they feel anxious or fearful. I know if I'm not grabbing on my rosary, unfortunately, one of the things I do is bite my fingernails. So that's my response. Decrease learned helplessness. So encourage people to remember what they are capable of doing and focus on those things that they can't, they can. And in my office and at home, I have a have tapestries with the serenity prayer on it. That works for me. What's going to work for your client to remind them that there are some things they can't change, but there are a lot of things they can change in their environment. And one of you offered that individuals with memory loss and dementia tend to benefit from reminders about their physical state in relation to their current mood. So reminding them that when they feel painful, it may cause them to feel crankier. People with dementia and memory loss also tend to get disoriented sometimes when they wake up in the middle of the night or even just during the day. So having stimuli in the environment, things in the environment remind them of where they are and the people that are important to them can be important to help them get grounded and not feel scared because they can't kind of get their bearings. My grandmother fell and broke her hip and was in the hospital and is now in a rehab facility, which she really doesn't like.  But in order to remind her of what she's got coming up, we have, you know, pictures from the place where she actually lives, the assisted living community. And people are coming to visit her. She's getting phone calls. So there are a lot of things in her environment to remind her just stick it through for this next two weeks. Don't give up and you're going to get to go back to where you want. So it's empowering to her and it encourages her to do her PT because she knows the faster she gets it done and gets strong again, the faster she can get out of there. Stimula can be reconditioned in order to change the biochemical response. So you don't always have to see a dog and have a terror response. If you were terrified as a child, it can be reconditioned. You don't always have to see a spider and freak the freak out. I love jumping spiders. There are some spiders I'm not too cool with, but jumping spiders are awesome. And you know, some people are just like, oh my gosh, and they want to get away from it. I'm running towards it, looking at it going, aren't you cute? So we can teach ourselves to not be afraid of things by providing new information that educates us that this is not a threat. People with a logical or experimental mindset often respond well to behavior modification techniques. So you can help them do an AB trial when this is in your environment, or when you don't sleep well, how do you feel? And when you do sleep well, how do you feel? So you draw the conclusion. It's also empowering to them because it's not some magic that we're doing. We're helping them see that it is within themselves and it's developing self-awareness of what triggers their moods that can help them keep moving forward. So one thing I do want to mention before we move on to questions, we are going to be doing a conference in Nashville, and I'm not, I know some of you are on, you know, total opposite sides of the country. In February of 2018, it's a grassroots conference designed by clinicians, for clinicians. It's not going to be one of those fancy shindigs with a lot of sales booths and reps. That's what we're trying to get away from. And focus more on getting students to do poster presentations and presentations on topics that are of interest to y'all instead of trying to push a particular agency or sponsors agenda. We haven't decided where we're going to have it at. The planning committee is still kind of working on it. We are offering, or there will be offered, 20 CEUs, $99 in advance of $149 at the door, and that includes all of your CEUs, obviously doesn't include your lodging. People can come for one day. Registration will open in October of 2017. Just putting a bug in your ear in case you know of anybody or you work for an agency that might be willing to send you. The theme is addressing the growing problem of co-encuring disorders. We tried to keep it really broad because again, I want to know what you guys are interested in and I'm going to kind of judge that and we're going to select presentations based on what you submit because that technically or theoretically is what you're interested in. Special needs of rural populations, trans diagnostic approaches to treatment, techniques and effectiveness of technology assistive therapy, prevention and early intervention strategies for co-occurring disorders. Now, I'm using real broad general terms. It can be prevention and early intervention for anxiety or bullying or, you know, I'm not necessarily prescribing certain specific topics. I'm just trying to throw out ideas for people. So if you've got a colleague who needs to present, if you want to present, if you know a student who has at least a master's, they don't have to be licensed yet, who is interested in presenting, they can join our Facebook group at allcews.com slash conference and that'll take you to the Facebook group instead of having to, yeah, it's a short link. Anyway, would love to hear from them, would love for students to get involved so they can, you know, start participating in the professional development process. So now that that spills done, what questions do you have and how do you think you can use a fresher understanding or a more in-depth understanding of discriminative stimuli in helping clients more effectively maintain their motivation and keep moving forward and maybe identify some of the reasons previous attempts at change have failed? And for those of you who are new to our webinars, if you have somewhere else to go, please feel free to go take the, take the quiz, the Q and A portion at the end is completely optional. I know you may have a client coming up in a couple of minutes. And I think one of the best ways to learn how and learn how important environmental stimuli are in maintaining motivation or corrupting your mood, for example, is by doing what you said and applying it to ourselves. We can also help clients see when they walk into our office or when we're talking about it with them, you can point out things in your environment that are meaningful to you and that make you happy or help you maintain focus. Maybe you have a prayer statue or a Buddha statue or something that you look at when you need to kind of reground and you can help them see how putting those environment stimuli in their environment can be helpful. The other cool thing with behavior modification is it's very scientific, if you will. So if we step out of the emotion driven role and we say, let's explore all the possibilities this might be happening, you know, because sometimes clients don't want to see, even though we see something is so brutally obvious, sometimes clients aren't ready to see that. So we can step back and start brainstorming all the different options, put them out on a piece of paper for them, have them take it home and think about it and obviously include the thing that we're trying to get them to see and talk about it the next day in order for them to kind of ponder on it because they may have some walls up, if you will, or resistances to seeing something. So sometimes letting them mull it over might help them feel a little bit less resistant or not unwilling to look at things. Okay, y'all have an amazing long weekend. It's, I don't even know what it's supposed to be like here, but, you know, I always look forward to a long weekend. If any of y'all need anything, have any questions, feel free to shoot me an email. Otherwise, I will see you next week and, you know, hopefully hear from you sooner. Oh yeah, it's Tuesday, isn't it? Sorry. I guess I'll see you on Thursday then. Thanks. Welcome to our weekly book review. Each week, I review a book I believe would be helpful to the general public and or clinicians. I'm never paid to do the reviews, however, in some instances, I may receive a small commission if you purchase the item, which helps to fray the cost of our podcast and providing the free educational videos. The cost to you, however, remains the same. Today, we're going to talk about DBT Made Simple, which if you've taken any of my DBT courses, you know, I love this book. It's written by Sherry Van Dyke. The first part briefly covers the theory behind DBT and explains how it differs from a lot of the traditional therapy approaches that we learned in clinical courses. The second part focuses on strategies for individual client sessions and what a DBT therapist would do and what it might look like. Now, if you are not a DBT therapist, which you won't be by reading this book, you have to go through a whole lot more training, but you have a greater understanding about what a DBT therapist does so you can decide whether you want to pursue that course of training. The third section teaches the four core DBT skills, mindfulness, distress, tolerance, emotion regulation, and interpersonal effectiveness. I know you've heard me talk about those frequently. So the book kind of goes like this. It starts out with DBT theory and then it moves on to what you as the clinician or maybe as the individual need to know about changing behaviors and behavioral therapy in general. The next section is strategies for individual sessions and then she really moves into practical tools that we can give clients for dealing with emotional dysregulation. Starting with seven mindfulness activities and a section on dealing with resistance or problems implementing daily mindfulness. And this is one of the first books that I found on mindfulness that actually addresses succinctly the problems that we face when we try to get clients to implement mindfulness practices on a daily basis. Then it moves on to techniques for reducing emotional reactivity, specifically eliminating cognitive and physical vulnerabilities, and she introduces in this point the three states of mind, your wise mind, your rational mind, and your emotional mind. Then she moves on to providing information about distress, tolerance skills, and ways to reduce painful emotions. Following this she goes into increasing positive emotions because you know you got to put something if you get rid of the negative, you got to increase the positive, goal setting, and building mastery so people have a greater sense of personal empowerment and confidence. She wraps up the book with interpersonal effectiveness skills including how to ask for what you need and balancing enjoyable activities with responsibilities. Now my favorite parts of this book are the fact that it contains worksheets and sample cases to help a therapist get started. I really think this is a better book for a therapist as opposed to someone who is trying to figure out how to deal with their own emotional dysregulation, but it is a really excellent introduction to dialectical behavior therapy. It doesn't make you a dbt practitioner. I want to say that again, but it did open my mind to a new way of approaching clients struggling with emotional dysregulation. It's an excellent resource to be used in conjunction with dialectical behavior therapy skills workbook by Matthew McKay, which is also a new harbinger publication, or the dbt skills training handouts and worksheets by marsha linahan and that is put out by guilford press. I hope you enjoyed this book review. Please feel free to go online, look this book up. It's dbt made simple. There is a google preview and you know see if it might be something that would be helpful to add to your repertoire. If you enjoy this podcast, please like and subscribe either in your podcast player or on youtube. You can attend and participate in our live webinars with Dr. Snipes by subscribing at allceuse.com slash counselor toolbox. This episode has been brought to you in part by allceuse.com, providing 24 seven multimedia continuing education and pre certification training to counselors, therapists and nurses since 2006.


Abercrombie sport fragrance review. Hey what's up guys it's Josh here today I want to do a little review on this Abercrombie sport a fragrance that I actually found on eBay and I was actually looking up to find out when this was released and I could not find a date that it was released. Abercrombie has like an Abercrombie kids and they just call it Abercrombie and some reason I feel like it was the kids but normally I would never buy a kids fragrance. It is Abercrombie number one and also a lot of people have told me that the Abercrombie kids have had some unique fragrances and I know at one point everything that Abercrombie did create had its own unique little zest was just really really impressive even if it wasn't like the best in the world I still would appreciate what they did so it's not a surprise to me that the kids clones would smell good but I think I found this for about $30 on eBay and I just looked before doing this review and it was 35 to 40 dollars ish there was one seller selling for 70 and later on I guess it will probably sell for more but I think because nobody really knows about this one it's actually pretty cheap you know any fragrance that wasn't super hyped by Abercrombie or super legendary it's pretty cheap to get which is really nice that's why I pulled the trigger on this one. I don't have any notes to go by but I was really surprised to say that it smells like Abercrombie and Fitch 1892 red. I feel like this is a newer release for the kids line I remember at one point I think it was in 2016 Abercrombie came out with a lot of different caps and one of them was really really extremely light like this fragrance right here and I don't really mind it because it is the kids version it just doesn't look like it's really light and cheap but it is really light and cheap and I did like how Abercrombie bottles used to be a little more heavier including the caps this really smells a lot like 1892 red I know most people haven't smelled that fragrance as well but I was actually surprised by the complexity of it 1892 red it had like cranberry creamy quality to it it had like a peach musk in the opening which I'm actually not really if it was like peach or apricot I can't really put my finger on which one it was for some reason I don't like the peach style smell but in 1892 red I really liked it and it's not surprising that Abercrombie would create it in a way that I would like compared to 1892 red this is much more simple and likable that kind of peach top note is replaced with a more simple kind of citrus and it was funny because I like that the peach was different than citrus and this goes back to a more normal fresh citrusy top note and also the creamy aspect there was a creamy aspect 1892 red that is also gone here but yeah that's pretty much how I would describe it because unfortunately I don't have very many notes so let's go into the pros of this fragrance the pros is it has a that unique 1892 red smell now I did like a review on red and yellow and 1892 red was actually pretty unique there's a lot of red fragrances out there like polo red is one of the main ones that comes to mind I felt that Abercrombie's it was a little bit different and I felt like they took most of that DNA here I actually thought that this smelled almost exactly like red until I sprayed them side by side and I did notice red lasted a little longer it was a little more complex again it had a creamy quality to it and a peach quality to it that's gone here but overall it has that unique red style smell that I have not smelled very many other places although this one is going to be closer to polo red for sure I don't know I've seen a lot of these iced style bottles and for some reason I just think the overall presentation and a look of this is a really really good I actually like it let's go into the cons of this fragrance the cons is that it is less unique than 1892 red now again I really like this fragrance and I think that this fragrance has a unique zest compared to other red style fragrances you know when you compare this 1892 red I just like how much more effort was put into 1892 red it always seems like they're trying to do what's popular but they're trying to do it in a different way this fragrance seems like hey let's take that red fragrance let's make it a little sporty and let's just toss it back out I'm glad at least smells very similar to that red but red was much more complex and I really liked that version of it and then this one unfortunately has really bad projection now Abercrombie they have about average projection usually it's about average to slightly below average it with the exception of maybe batch 46 which is now discontinued from Abercrombie everything is very average to slightly below average so if this was a kid's fragrance it's going to be even lighter you don't want your kid to you know spray 10 15 sprays and just smell like all day I totally get that and it's going to be lighter and that's really sad that it is as weak as it is it just seems like it's gone off the skin in four or five hours and it's just so sad but it is a kid's fragrance and they also do have the batch number down there usually I look for that to find out if it is authentic because I have no idea if this is even a fragrance that Abercrombie created because I can't find any notes on it so if I were to give it a smell rating I would give it 8 out of 10 just because it has that unique style Abercrombie red style smell like if they made like a red clubby style fragrance and they used this and they amped up the projection like I would love it I think this is great it's really unfortunate that they don't have an offering that is a little bit stronger than this that smells like this because I actually really do like the smell likability 8.5 to a 9 probably its strongest suit I felt like red was very likable and this one goes even more likable than red so I'm gonna have to give it a 8.5 to a 9 and then longevity and projection I'm gonna probably have to give this about a 4.5 to a 5 unfortunately I sprayed this up quite a bit for this review I've you know sprayed it on them on my hands to compare to red as well as spraying it up so I have sprayed it quite a bit and it does have that low longevity and projection so would I recommend this I would recommend this for somebody who's interested in smelling that Abercrombie red style smell like say if you've smelled Abercrombie red the 1892 red or you own it and you want something very similar to it or you just like having these around very very good fragrance was just unfortunate longevity and projection so anyways guys have you seen this fragrance before do you know any notes of this fragrance do you know when this fragrance came out because I have no idea but anyways guys that's been my review of Abercrombie sport should be called red sport but anyways guys we're on the road to 50,000 subscribers and I could not do it without any review guys that's helped you guys are the best I'm having a great day out here hopefully having a great day at home see you all in the next video peace


I gave a nod to the idea of land grant institutions and it was more than 150 years ago that President Lincoln created land grant colleges from universities to foster continued growth and development of our country and my college, the College of Agricultural and Life Sciences is proud to continue that tradition on the UW-Madison campus. Provost DeLuca spoke about a nexus in the campus so for those of you who aren't familiar, my college is over on this part, just on this side of the street and engineering is over here so this is really a great meeting place between the two. Energy is a perfect target for land grant model in this century. The discoveries that will be needed to secure our energy future will rely on the development of new basic science tools and fields of knowledge. They will require applied research in the field and those innovations will span our current academic disciplines and probably create more that we haven't thought about. Unlike Provost DeLuca, I haven't been here for the whole process of the the conception and design and construction of the building. I've just been here for the past year so I've been kind of late to the party and can't take very much credit or any credit at all for conceiving of the building and bringing it to reality but I'm very pleased to be able to be here to celebrate it. We have a number of our Cal's faculty members who are at work inside the building and that includes people who work on the whole spectrum of bioenergy from the ecosystems that produce the biomass through to the bacteria that break it down and then ferment the sugars into ethanol and construct other products as well and I think that you know a lot of the folks who work on these areas won't be residents in this building so I think that this is important for them. It's important to be able to have a place where we can all convene and have planned and random interactions that will end up creating new partnerships so I really look forward to seeing how this building and the Wisconsin Energy Institute will catalyze and forge new collaborative projects in the future. Congratulations to all of you who put in so much work to bring this to reality.


This paper presents a novel approach for creating accurate digital terrain models, DTMs, of river channels and their floodplains. It combines mobile laser scanning and low altitude unmanned aerial vehicle, UAV, photography-based methods to generate both a digital bath metric model of the inundated river channel and a DTM of a point bar of a meandering subarctic river. The authors then evaluate the accuracy of the resulting data by comparing it to terrestrial laser scanning and combining it with an optical bath metric model. This combination enables them to create a seamless DTM of two different measurement periods, allowing for a change detection of the meander bend over a one-year period. This article was authored by Claude Flynner, Maddy Vaja, Antoni Giacola and others.


Hey there, and welcome to Learn Wordpress. In this tutorial, you're going to learn about the WordPress responsive images API. You will learn what responsive images are and why you should use them, how the WordPress responsive images API works, and how to customize the responsive image markup if you need to. Responsive images are images that can adapt to the screen size of the device they are being viewed on. This is important because it means that the image will always look good, no matter what device it is being viewed on. Let's take a look at an example. Most modern browsers have a special mode for viewing web page layouts on mobile devices. In Chrome browsers, it's called device mode, and in Firefox and Safari, it's called responsive design mode. You can usually access this from the browser's developers tools. Once you enable this mode, you can see what the web page looks like on different devices. If you look at the header image in this example, you will see that it gets cropped when you view it on a mobile device. However, the image in the content area does not. It merely shows the image at a smaller size. So what you might want to be able to do is show a cropped version of that image on mobile devices and the full image on desktop devices. This is where responsive images come in. As you can see from this responsive example, when you switch to mobile, the header image and the main content image are cropped. While the knowledge of how responsive images works is outside the scope of this tutorial, you can read more about how to implement responsive images in the Mozilla web docs, specifically the article on responsive images. Since WordPress 4.4, responsive images is supported natively by including a source set and size attributes to the image markup generated by the wp-get-attachment-image function. This means that it's on by default and any images WordPress generates will automatically be responsive. To understand how this works, add an image to the media library in your WordPress site. Then browse to the upload directory and take a look where this image is stored. You will see that there are multiple versions of this image stored in the uploads directory. This is because WordPress automatically generates multiple versions of the image in different sizes, which can then be used in different contexts. Before responsive images, developers would attempt to dynamically serve different images to browsers based on the device type. The server would check what device size is being used and then serve the appropriate images. This would have been possible by using the user agent string, which is a string that is sent by the browser to the server and contains information about the browser and device being used. So here you can see it checks if the user agent contains the word mobile and if so it performs different functionality on mobile versus desktop. However, this makes testing difficult as you need to either test on physical devices, use a service like browser stack or set up the user agent string in your testing environment. Responsive design uses things like media queries to allow a single page to be rendered that will respond in the browser based on things like viewport width and display density. Responsive images follows this strategy and sends all of the information to the browser up front, letting the browser take care of loading the appropriate image rather than making those decisions on the server before the page is loaded. Let's see this in action by adding your image to a post and setting its size to full in the editor. Let's create a new post, add the image and leave it as full size resolution. When you preview the image, you'll see that the image tag contains more than just the image URL. If we inspect this image in the developer tools, let's take a closer look at this image tag to understand what these attributes do. The source set attributes contains a list of all the different versions of the image that WordPress has generated along with that image's width in pixels. In this case, there are three different versions of the image with widths of 799, 769 and 300 pixels respectively. The sizes attribute specifies the layout width of the image for each of a list of media conditions. In this example, the media condition is max width 799px and there are two layout widths, 100vw and 799px. 100vw means that the image will be displayed at 100% of the viewport width and 799px means that the image will be displayed at 799px. So in this example, the image will be displayed at 100% of the viewport width if the width of the viewport is less than 799px otherwise it will display the image at a width of 799px. WordPress 4.4 introduced a number of new functions and hooks to make it easier to work with responsive images. The wp get attachment image source set retrieves the value for an image's attachment source set attribute. wp calculate source set is a helper function to calculate the image sources to include in the source set attribute. wp get attachment image sizes creates a sizes attribute value for an image. wp calculate image sizes is a helper function to create the sizes attribute for an image and wp add source set and sizes adds the source set and the sizes attribute to the existing image element. Additionally, as a safeguard against adding very large images to source set attributes a max source set image width filter has been added which allows themes to set a maximum width for images to include in source set lists. The default value here is 2048 pixels. It is also possible to customize the responsive images markup if you need to. You can modify the default source set and sizes attributes by using the wp calculate image source set and wp calculate image sizes filters or override the source set or sizes attribute for images not embedded in post content for example post thumbnails or galleries by using the wp get attachment image attributes filter similar to how other image attributes are modified. If you're developing themes you can also create your own custom markup patterns by using the wp get attachment image source set function. Let's look at an example. Let's say you wanted to generate a function that outputs the image tag for this image but you only want to render the medium sized image and set a custom sizes attribute. Instead of the default which displays the image at 100% of the viewport at widths less than 799 and 799 width on wider viewports you want to set the sizes attribute to use the medium image width of 768. So that means you would need to set the sizes attribute to max width 768 100vw and 768 pixels Then you can call this function in any theme files that support PHP so for example templates and template parts and classic themes or block patterns and block themes. In this example it's being added to the footer default pattern of the 2023 theme inside a group block at the top of the pattern. The images ID is 9 which you would pass to the function. If you inspect this on the front end you will see that the custom sizes attribute has been used for the specific image. Then if you test this out in device mode you will see that on device sizes below 768 pixels the image is displayed at 100% of the viewport width but on device sizes above 768 pixels the image is displayed at a width of 768. And that wraps up this introduction to the responsive images API in WordPress. Happy coding!


Together we can help inspire children to love books and reading that literacy and learning for years to come. Now my special thanks to libraries across the country for your partnership and thank you again to the ALA for this wonderful honor. You keep reading and just remember that I will always love you.