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  • E89: Beyond the Waitlist: How Nurse Practitioners Are Redefining Mental Health Care at Dig A Little Deeper

    E89: Beyond the Waitlist: How Nurse Practitioners Are Redefining Mental Health Care at Dig A Little Deeper
    2025/03/10

    Long wait times. Limited access. A mental health system struggling to keep up. But what if there was another way?

    In this episode, we take you behind the scenes of Dig A Little Deeper’s Nurse Practitioner-led mental health clinic, an innovative model that’s bridging gaps in Ontario’s healthcare system. Our lead NP joins me to share the origin story—how we built this clinic, the challenges we faced, and why Nurse Practitioners are reshaping the future of mental health care.


    We dive into:

    • The flaws in Ontario’s current mental health system (and how we’re addressing them),

    • How our NP-led model improves access, reduces wait times, and integrates care,

    • The debate around private vs. public healthcare—and why collaboration is key,

    • What this means for clients, clinicians, and the future of mental health care.


    If you’ve ever wondered what’s possible beyond the waitlist, this episode is for you.


    About our Guest: Carole Gionet is a Primary Care Nurse Practitioner, with a Master’s Degree in Nursing. She has over 20 years’ experience in primary health care and mental health care. Carole has worked in a variety of settings: community health centres, university health centres and various hospitals. She currently works at SickKids Hospital in psychiatry and also for Dig a Little Deeper, providing private services across Ontario. At Dig Carole offers comprehensive assessment, diagnosis and treatment for common mental health conditions to children through to adults.

    Find Carole: Website


    Resources for After the Show:

    • Our Clinic: Integrated Mental Health and all service our FAQ’s.

    • Check out the NPAO, and learn about NP Led Clinics

    • The OG: The ADHD Resource Hub, learn about getting an ADHD Diagnosis in Canada.


    Find Christina (CRPO #3908): Website | Find a Therapist | Get Assessed by an NP in Ontario | Instagram | Podcast page.


    A gentle reminder that this is not therapy, and Christina nor Katie are your therapist. If you need more one on one support or treatment, please check out the links posted above or our Resources page on our website.


    LISTEN OR SUBSCRIBE for free in your favourite podcast app:

    Apple Podcasts | Spotify | TuneIn | iHeart Radio | AmazonMusic | Castbox | RSS
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    46 分
  • E88: Catching Undiagnosed ADHD in Adults: A Conversation with Dr. Betty Tang

    E88: Catching Undiagnosed ADHD in Adults: A Conversation with Dr. Betty Tang
    2025/03/03
    Many adults with ADHD go undiagnosed for decades, often dismissed or misdiagnosed along the way. But what happens when they finally get the right diagnosis?Today, we sit down with Dr. Betty Tang from Vancouver Coastal Health’s Remote Coastal Psychiatric Clinic to discuss the challenges of identifying ADHD in adults—especially in women—and the critical gaps in mental health training that contribute to missed diagnoses.🔍 In this episode, we explore:How Dr. Tang transitioned from child psychiatry to adult ADHD care,Strategies for supporting children with ADHD in schools and at home,The huge variance in ADHD knowledge among mental health clinicians—and how to fix it,What happens when a client’s doctor lacks ADHD expertise,How a psychiatrist’s lack of ADHD knowledge can impact psychotherapy.If you've ever struggled to get an ADHD diagnosis or wondered why so many adults fall through the cracks, this episode is a must-listen.🎧 Tune in now to hear how we can bridge the ADHD diagnosis gap!Resources for After the Show: https://adhdskillsbuilder.com/https://mind-space.ca/ The Reckoning: Reflecting on a (late) ADHD Diagnosis as an Adult by Christina CroweADHD: More than a Buzzword by Sheena ScottThe OG: The ADHD Resource Hub, Getting Assessed in OntarioAbout our Guest: Dr. Betty Tang is an adult psychiatrist interested in shared care with primary caregivers, providing education to clinicians, patients and the public. Dr. Tang currently works in British Columbia, for Vancouver Coastal Health Authority for remote rural communities. There’s two teenagers at home who make her laugh and lovingly make fun of her on the daily.Find Katie (CRPO #11244):Website | InstagramFind Christina (CRPO #3908): Website | Find a Therapist | Get Assessed by an NP in Ontario | Instagram | Podcast page. A gentle reminder that this is not therapy, and Christina nor Katie are your therapist. If you need more one on one support or treatment, please check out the links posted above or our Resources page on our website.LISTEN OR SUBSCRIBE for free in your favourite podcast app:Apple Podcasts | Spotify | TuneIn | iHeart Radio | AmazonMusic | RSS
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    59 分
  • E87: Has Medicine Lost it’s Mind? with Dr. Robert C. Smith

    E87: Has Medicine Lost it’s Mind? with Dr. Robert C. Smith
    2025/02/24

    Today your hosts, psychotherapists Christina Crowe and Katie Richardson, are talking to Dr. Robert C. Smith about the state of our health care systems - how we got here and what we should do about it.


    We explore:


    The differences in mental health care training between the U.S. and Canada?

    Evidence-based strategies to integrate mental health care into primary care?

    The changes needed in medical school to support the training of future doctors?

    The role of physician leadership in creating psychological safety in medicine.


    Resources for After the Show:


    Buy Dr. Smith's book, Has Medicine Lost Its Mind? available March 4th.

    Smith's Patient Centered Interviewing: An Evidence-Based Method, Fourth Edition

    Ontario therapists: Get Involved This Election!

    Canada wide: ADHD Advocacy - what you can do to help.

    Burnout in healthcare: what you can do to protect yourself, by Christina Crowe, RP


    About our Guest: Dr. Robert C. Smith is a nationally recognized leader in evidence-based mental health care and doctor-patient communication. A University Distinguished Professor of Medicine and Psychiatry at Michigan State University, Dr. Smith developed the first patient-centered method to train medical professionals to build strong partnerships with their patients. Dr. Smith’s expertise and dedication to reforming mental health care make Has Medicine Lost Its Mind? essential reading for policymakers, health care professionals, and anyone concerned about the future of mental health in America.


    Find Dr. Smith: Website | X | LinkedIn |


    Find Katie (CRPO #11244): Website | Instagram


    Find Christina (CRPO #3908): Website | Find a Therapist | Get Assessed by an NP in Ontario | Instagram | Podcast page.


    A gentle reminder that this is not therapy, and Christina nor Katie are your therapist. If you need more one on one support or treatment, please check out the links posted above or our Resources page on our website.


    LISTEN OR SUBSCRIBE for free in your favourite podcast app:

    Apple Podcasts | Spotify | TuneIn | iHeart Radio | AmazonMusic | Castbox | RSS
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    1 時間 12 分
  • E86: ADHD in Women: New Research on Perimenopause, Menopause & Beyond with Dr. Dora Wynchank

    E86: ADHD in Women: New Research on Perimenopause, Menopause & Beyond with Dr. Dora Wynchank
    2025/02/10
    ADHD in women has been overlooked for far too long—but new research is changing the conversation.Today, we sit down with Dr. Dora Wynchank from PsyQ in The Hague to explore groundbreaking findings on how ADHD evolves across a woman’s lifespan—especially during perimenopause and menopause.In this episode, we discuss:Why flexible psychostimulant dosing is crucial for women with ADHD,The importance of thorough assessments for girls and women in the diagnostic process,How Seasonal Affective Disorder (SAD) uniquely impacts people with ADHD,The consequences of untreated ADHD in older adults (50+),Current research initiatives shaping the future of ADHD care for women,If you or someone you love is navigating ADHD in midlife or beyond, this episode is packed with insights, validation, and actionable strategies.🎧 Tune in now for a deep dive into the latest science on ADHD in women!Resources forAfter the Show: The DIVA Foundation and assessment scales,Take part in the ADHD in Women research survey! The Light Therapy Glasses! The OG: The ADHD Resource Hub, especially ADHD in Girls & Women. NEW: Stick around after the show for the Katie and Christina debrief!About our guest: Dora Wynchank, MBChB, MMed, FCPsych, Ph.D. works as a psychiatrist at the Intensive Specialist Program for ADHD and as a researcher at the Expertise Centre, ADHD, The Hague. Dr. Wynchank is currently working in the field of Adult ADHD at a psychiatric clinic called PsyQ and is a proud member of ADHD Europe. Find Katie (CRPO #11244): Website |InstagramFind Christina (CRPO #3908): Website | Find a Therapist | Get Assessed by an NP in Ontario | Instagram | TikTok A gentle reminder that this is not therapy, and Christina nor Katie are your therapist. If you need more one on one support or treatment, please check out the links posted above or our Resources page on our website. LISTEN OR SUBSCRIBE for free in your favourite podcast app: Apple Podcasts |Spotify |TuneIn |iHeart Radio|AmazonMusic |RSS
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    1 時間 8 分
  • E85: Inside Group Therapy: What to Expect with Jared Dalton, RSW

    E85: Inside Group Therapy: What to Expect with Jared Dalton, RSW
    2025/01/27
    Group therapy: mysterious, powerful, and sometimes a little intimidating. But what really happens in those sessions?Today, your hosts, psychotherapists Christina Crowe and Katie Richardson, sit down with Jared Dalton from Blueprint Counselling in London, ON, to pull back the curtain on group therapy—its benefits, misconceptions, and who it’s best suited for.🔍 In this episode, we explore:The key differences between group therapy and individual therapyHow group therapy can be life-changing for people with social anxietyHow to choose the right group by identifying what’s important to youA fascinating side quest into group ketamine therapy in OntarioIf you’ve ever wondered whether group therapy is right for you, or just want to understand this powerful approach, this episode has you covered.🎧 Tune in now and make the invisible, visible!Resources for After the Show: Read: Finding the community that heals, by Katie Richardson, RP. The OG: The ADHD Resource Hub. About our Guest: Jared is a queer and neurodivergent registered social worker, psychotherapist and university lecturer. He lives, works and plays in the place colonially known as London, Ontario. He is passionate about exploring the intersection between spirituality and mental health and has dedicated his career to supporting communities often marginalized in health and mental health systems. Find Jared: Instagram | Threads | Facebook | LinkedIn Find Katie (CRPO #11244):Website | InstagramFind Christina (CRPO #3908): Website |Find a Therapist |Get Assessed by an NP in Ontario | Instagram | Podcast page. A gentle reminder that this is not therapy, and Christina nor Katie are not your therapist. If you need more one on one support or treatment, please check out the links posted above or our Resources page on our website.LISTEN OR SUBSCRIBE for free in your favourite podcast app:Apple Podcasts | Spotify | TuneIn | iHeart Radio| AmazonMusic | RSS
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    51 分
  • E84: The Reckoning: Navigating a Late-in-Life ADHD Diagnosis, with Christina Crowe, RP

    E84: The Reckoning: Navigating a Late-in-Life ADHD Diagnosis, with Christina Crowe, RP
    2025/01/20
    A late-in-life ADHD diagnosis can feel like a bombshell—bringing clarity, grief, and a flood of emotions. But what happens after the diagnosis?In this solo episode, host Christina Crowe, psychotherapist, dives deep into something she talks about all the time, but has never dedicated a full episode to before: The Reckoning.In this episode, Christina unpacks:The three distinct phases of "The Reckoning" and how long it really lasts,How to find opportunities in your late ADHD diagnosis,Key questions to ask yourself as you process your new reality,Where to find the best resources for support and growth,If you’ve been diagnosed with ADHD as an adult, this episode will help you make sense of your journey, find self-compassion, and move forward with clarity.🎧 Listen now and start making sense of your ADHD Reckoning!Resources for After the Show: The Reckoning: Reflecting on a (late) ADHD Diagnosis as an AdultNigg, J. T., John, O. P., Blaskey, L. G., Huang-Pollock, C. L., Willcutt, E. G., Hinshaw, S. P., & Pennington, B. (2002). Big five dimensions and ADHD symptoms: links between personality traits and clinical symptoms. Journal of personality and social psychology, 83(2), 451–469. https://doi.org/10.1037/0022-3514.83.2.451Take a Big 5 Personality testThe OG: The ADHD Resource HubFind Christina (CRPO #3908): Website |Find a Therapist |Get Assessed by an NP in Ontario | Instagram |TikTok | XA gentle reminder that this is not therapy, and Christina nor Katie are your therapist. If you need more one on one support or treatment, please check out the links posted above or our Resources page on our website.LISTEN OR SUBSCRIBE for free in your favourite podcast app:Apple Podcasts | Spotify | TuneIn | iHeart Radio | AmazonMusic | RSS
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    18 分
  • E83:Neurobiology & Mental Health: Self-Compassion, Integration & Psychological Safety with Juliane Taylor Shore

    E83:Neurobiology & Mental Health: Self-Compassion, Integration & Psychological Safety with Juliane Taylor Shore
    2025/01/13
    What if understanding your brain could change the way you think about mental health, relationships, and self-compassion?Today on The Christina Crowe Podcast, we’re connecting the dots with my favorite teacher of neurobiology, Juliane Taylor Shore. Jules brings fascinating insights into how our brains shape our experiences—and how we can work with our minds instead of against them.🔬 In this episode, we explore:The differences between integrated vs. less integrated brain states,How self-compassion plays a crucial role in behaviour change & mental health,The impact of neurodiversity on processing emotions and experiences,Strategies to foster psychological safety in relationships.If you're curious about the intersection of neuroscience, mental health, and relationships, this conversation is packed with insights that will change how you see yourself and others.🎧 Listen now and start making sense of your mind!Resources for After the Show: Setting Boundaries that Stick: How Neurobiology Can Help You Rewire Your Brain to Feel Safe, Connected and Empowered by Juliane Taylor Shore, LMFT,The OG: The ADHD Resource Hub, especially about ADHD and Emotions, and ADHD and Trauma. Guest Bio: Juliane Taylor Shore, LMFT, LPC, SEP, is a therapist, author, and teacher who is creating spaces where people can move into more self-compassion, self-trust, empowerment, and integrity. Jules regularly teaches and speaks to people from all around the world and translates new understandings in neurobiology into practices that can support brain change. She is the author of Setting Boundaries that Stick: How Neurobiology Can Help You Rewire Your Brain to Feel Safe, Connected and Empowered. Find Jules:Juliane Taylor Shore | Instagram: @JulianetaylorshoreFind Christina (CRPO #3908): Website | Find a Therapist | Get Assessed by an NP in Ontario | Instagram | TikTok | XA gentle reminder that this is not therapy, and Christina is not your therapist. If you need more one on one support or treatment, please check out the links posted above or our Resources page on our website.LISTEN OR SUBSCRIBE for free in your favourite podcast app:Apple Podcasts | Spotify | TuneIn | iHeart Radio| AmazonMusic |RSS
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    49 分
  • E82: ADHD vs. Depression: Clarifying the Differences (Holiday Replay)

    E82: ADHD vs. Depression: Clarifying the Differences (Holiday Replay)
    2025/01/06
    I’m your host, psychotherapist Christina Crowe, and I love making invisible things visible. Today I’m sharing a re-play that covers content that comes up over and over again in therapy sessions. In today’s episode, I'm breaking down the nuances between the coexistence of ADHD and Depression. I’ll share with you why they might coexist, how to tell them apart, and what to do about it. Resources for After the Show: In Ontario? Get low-cost CBT from our supervised and ADHD-trained counselling intern clinic. Thriving Through the Seasons: Coping with Seasonal Depression and ADHD, by Julia D'Addurno On Depression: The Why, The Beginning and the Recovery, by Christina Crowe Access: Our list of mental health resources and connections, and some free downloads, or sign up for quality affordable therapy in Ontario, The OG: The ADHD Resource Hub, especially on ADHD and all its comorbidities Find Christina (CRPO #003908): Website |Find a Therapist |Get Assessed by an NP in Ontario | Instagram |TikTok | X A gentle reminder that this is not therapy, and Christina is not your therapist. If you need more one on one support or treatment, please check out the links posted above and on the Resources page on our website. LISTEN OR SUBSCRIBE for free in your favourite podcast app:Apple Podcasts | Spotify | TuneIn | iHeart Radio| AmazonMusic | RSS
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    26 分