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This is a comedy about a group of dysfunctional shrinks who operate a mental health clinic in Greenwich Village, NYC. The practice is organized around the.
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In one week, I had three guys come in and say, "My father's the most powerful man in Hollywood. They've got this inner dialogue that's really their father's voice saying, "You're not good enough. The women who have made it to the top still have to be in a room full of the good ol' boys when decisions are made.

Think Donald Trump. You put a woman in there and they make really, really sexist jokes, and they don't respect her. The women work harder, I think, and there's less appreciation.

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There isn't one consistent factor in the women's upbringings except they had unique childhoods. They grew up in the '60s, so think of everything from communes to tons of LSD. There wasn't a traditional consistency in their upbringings. A certain kind of personality enjoys the chaos of the entertainment industry. One guy told me about an early memory in which he remembers hanging onto his crib and seeing his executive father run in and out of the house, constantly running here and there. So they find something that's familiar, but they can feel physiologically that it's wrecking their system.

This one guy was telling me, he was in Nepal and he had his cellphone with an international signal, and he said he literally was hanging off a mountain trying to make sure a deal went through. Everyone I've worked with, they all want to get out of the business. They're at the top of their game and they're miserable. One guy called it the golden handcuff.

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Another guy I worked with said when he was in Cannes, he was looking down on the red carpet and thinking, "I just feel so alone. Why am I here and why am I doing this? This has no meaning. Then an old farmer came by with an apple, looked at him and cut off a piece of apple for him. He just went, "That's what life is about, being able to be at peace, and all you need is an apple.

Larry Shaw, Ph. He specializes in treating trauma. I've seen dozens of agents over my two-plus decades as a therapist. A lot come in because of relationship issues and stress, but the agents don't even realize that what they're coming in for is a Hollywood version of "caretaker fatigue. This doesn't seem to bother them. But agents are caretakers. They're finding people jobs, dealing with problems, babysitting, handholding, escorting on the red carpet, taking care of people's feelings.

When most people in this town have a problem, they call me — the therapist — or their agent. Agents are the problem solvers. The symptoms that I see in "agent caretaker fatigue" are agitation, anxiety, depression, burnout. Agents can get very burnt out by the constant crisis management.

They're seen as assholes because agents tend to be type A negotiators.

How to Deal with a Dysfunctional Work Environment

They are their clients' protectors, and their job is to be the bad cop. Being driven, aggressive, perfectionistic and obsessive: Those are the traits of the person who is drawn to this work and succeeds at it. A lot of agents come from chaotic households, where there was unpredictability and where they became a parentified child in some way.


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They had to grow up prematurely and take care of people, and they learned to be good at it at a very young age. Jeff Blume. There's a misconception that actors are narcissists. Yes, there's a subgroup of people who love being in the limelight and it's often born out of wanting attention. But for the majority of my clients, acting is driven by a deep creative need.

If they become successful stars, though, fame may collide with the work itself. They may get overwhelmed by Hollywood politics or by fans who idealize them. The pressure to live up to expectations — to be funny, attractive, young, stylish — can be exhausting. Often they don't feel safe going out. People try to find out where they live or follow them. They may have false lawsuits thrown at them and dangerous exploitation.

People project their anger and envy, and that can be disorienting. It's hard for people to believe that, amid the accolades, many people in the spotlight don't feel seen. There's often a disconnect with how they're treated and who they really are. The constant scrutiny adds to that experience. If they're quiet, they're depressed or hiding something or their marriage is on the rocks. If she has a drink, she's an alcoholic. If he has dinner with someone, he must be having an affair.

It takes a lot of energy to locate themselves amid this projection. Many actors yearn to let down their guard. When people pretend too much, they often become very depressed. But when they allow themselves to be vulnerable in public, they can be blindsided.

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Here's one example: Somebody completely makes something up about them — in this Internet age, rumors and lies are spread to tens of millions of people. If they defend themselves, it can feed the media like fuel on a fire. If they do nothing, the story can grow and then they feel trapped and exposed to ridicule. Due to the similarity in symptoms, VCD attack are often mistaken for asthma attacks or laryngospasms.

Symptoms of VCD are not always present.


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Diagnosis of VCD may include a series of evaluations including pulmonary function tests , medical imaging , and the evaluation or visualization of the vocal folds during an episode through the use of videolaryngoscopy. Many of the symptoms are not limited to the disorder, as they may resemble a number of conditions that affect the upper and lower airway. Such conditions include asthma , angioedema , vocal cord tumors, and vocal cord paralysis. Different subtypes of vocal cord dysfunction are characterized by additional symptoms.

For instance, momentary aphonia can be caused by laryngospasm, an involuntary spasm of the vocal cords [5] and a strained or hoarse voice may be perceived when the vocal cord dysfunction occurs during speech.

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Many of the symptoms are not specific to vocal cord dysfunction and can resemble a number of conditions that affect the upper and lower airway. VCD can mimic asthma, anaphylaxis , collapsed lungs , pulmonary embolism , or fat embolism , which can lead to an inaccurate diagnosis and inappropriate, potentially harmful, treatment. Even young children can tell the difference between an asthma attack primarily difficulty exhaling and a VCD attack primarily difficulty inhaling.

Episodes can be triggered suddenly or develop gradually and triggers are numerous.

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Primary causes are believed to be gastroesophageal reflux disease GERD , extra-esophageal reflux EERD , exposure to inhaled allergens, post-nasal drip , exercise, or neurological conditions that can cause difficulty inhaling only during waking. Certain medications, such as antihistamines for allergies, cause drying of the mucous membranes, which can cause further irritation or hypersensitivity of the vocal cords.

The exact cause of VCD is not known, and it is unlikely that a single underlying cause exists. The following increase an individual's chances for acquiring VCD: [13]. The most effective diagnostic strategy is to perform laryngoscopy during an episode, at which time abnormal movement of the cords, if present, can be observed. If the endoscopy is not performed during an episode, it is likely that the vocal folds will be moving normally, a ' false negative ' finding.

Spirometry may also be useful to establish the diagnosis of VCD when performed during a crisis or after a nasal provocation test. Of course, testing may well be negative when symptoms are absent. The symptoms of VCD are often inaccurately attributed to asthma, [5] which in turn results in the unnecessary and futile intake of corticosteroids , bronchodilators and leukotriene modifiers , [7] although there are instances of comorbidity of asthma and VCD.

The differential diagnosis for vocal cord dysfunction includes vocal fold swelling from allergy, asthma, or some obstruction of the vocal folds or throat.