In this episode Dr. Gupta is joined by Theresa Miskimen Rivera, MD, DLFAPA. Dr. Miskimen Rivera is the former President of the American Psychiatric Association; a Distinguished Life Fellow of the American Psychiatric Association (APA); a member of the American College of Psychiatrists, and Clinical Professor of Psychiatry at Rutgers Robert Wood Johnson Medical School. She most recently served as the Medical Quality and Clinical Effectiveness Officer for Behavioral Health in the Department of Psychiatry at Hunterdon Medical Center in Flemington, New Jersey. Dr. Miskimen centered her public-sector clinical practice on improving access to and delivery of psychiatric care for bilingual and bicultural communities, developing and implementing intercultural clinical programs, and serving as a consulting psychiatrist for a collaborative care practice in New Jersey. Her clinical work has informed research endeavors, resulting in numerous articles and lectures on diagnostic challenges and symptom phenomenology in treating racially and ethnically diverse populations, as well as on ethical issues affecting psychopharmacological research among ethnic populations and the cultural aspects of patient symptomatology. For over 30 years, Dr. Miskimen has applied her passion and expertise to critical roles, including psychiatric clinical care, patient advocacy, community outreach, academic endeavors, and organizational leadership. Dr. Miskimen has served in numerous community-facing initiatives and appointed positions under three past Governors of the State of New Jersey, addressing mental health issues spanning the intersection of technology and the delivery of psychiatric care, mental health in university settings, and youth suicide prevention. She has served as an APA Delegate to the American Medical Association Section Council on Psychiatry. She is also a member of the Steering Committee for the American Academy of Pediatrics Wellness through Equity and Leadership (WEL) program, which is tasked with developing a training curriculum and leadership experience for women physicians, mentoring participants, and establishing principles on equitable work environments.

Transcript

Dr. Theresa Miskimen Rivera (00:00) The organization has been a place where I have met so many friends over the years. Friends, mentors, sponsors. It has provided me with opportunities for honing in on leadership and doing things that I really don't think I would have been able to do if I had not been involved.

Dr. Anjali Gupta (00:23) Welcome to season three of the Women Leaders in Psychiatry podcast by the American Psychiatric Association's Women Psychiatrists Caucus. I am Dr. Anjali Gupta, president of the Women's Psychiatrists Caucus, and I will be interviewing women psychiatrists across the country who lead in a variety of ways so that we can hear their stories and learn from their insights.

Dr. Theresa Miskimen Rivera (00:46) Okay.

Dr. Anjali Gupta (00:47) Today, I have the pleasure of being here with Dr. Teresa Muskeman Rivera. She is clinical professor of psychiatry at Rucker's Robert Wood Johnson Medical School. Her list of roles served for professional societies is pages long, but the one that we're going to focus on today is her current role as president of the American Psychiatric Association. Thank you, Teresa, for being here.

Dr. Theresa Miskimen Rivera (01:14) Well thank you, Anjali. And it's an honor and a pleasure to be here today. And I really appreciate the kind invitation to share my thoughts.

Dr. Anjali Gupta (01:25) So let's start out with what drew you to psychiatry and then more specifically addiction psychiatry.

Dr. Theresa Miskimen Rivera (01:34) You know, f first of all, let me say that thank you for doing this podcast because I think it's a fantastic opportunity for us to learn from each other and how is it that we got to where we were? Our stories are very different. Hey, I've been listening to the podcast for a while and I know how different it is, but at the end of the day is about making sure that we hear our stories and and take away what we can and what serves us. So thank you for doing this. I appreciate you for

Dr. Anjali Gupta (02:07) No, thank you for saying that. I think look, the idea behind the podcast is really I think that it's important to amplify women's stories. And I think that sharing those stories is really important. It's a collective form of mentorship. So that you learn not only from your own supervisor and mentor, but from the w women before you and the women around you that carve these paths. So that's really how this podcast got started.

Dr. Theresa Miskimen Rivera (02:39) Well, thank you for that. And you know, your first question is so how how did I get here? And so I I think that I I gotta start off with where I'm from, right? So I'm I'm from Puerto Rico, was born and raised in Puerto Rico. As as you well said, I'm Esquiman Rivera. So my dad is actually from Ohio, my mom is born and raised in Puerto Rico, but they met in Puerto Rico doing this project, and and long story short. I was born and raised in Puerto Rico. And from from a very early on, I was very interested in science. I I thought I was going to be a marine biologist at first. Hey, I'm in an island and I'm interested in science. And my major in in school in college was actually biology. So for a long time I thought, yep, this is going to be me. I'm going to be marine biologist, and and that's it. But then During college years, I started taking anatomy, genetics specifically. Those two classes really opened another whole world for me. And I ended up then going to med school in Puerto Rico. And when the opportunity came, I then accepted a residency position in New Jersey. And it was a path that was the outcome was really because of. That interrelationship between what you do in your life and how it's really focused in your family. So what ended up happening, how I got to United States, to New Jersey, is that my my husband had a job in New Jersey. And I said, yeah, you have to take that job. It's a really good job. Go to it. And one thing led to another. And in order for us to be together, then I had to move out of Puerto Rico and into New Jersey. And I thought for a long time that we would go back, but it didn't work out that way. So it it just one thing led to the other. Our career started to blossom. Thank goodness, right? That that we had that privilege of having the careers blossom. And I stayed on and and here I am, 30 plus years later. Connections in Puerto Rico, but I'm Definitely in in United States.

Dr. Anjali Gupta (05:03) It sounds like when you came, you thought it was going to be temporary.

Dr. Theresa Miskimen Rivera (05:10) Mm-hmm. Not only that, I think that after after after I did my residency and you know, my husband and I were were talking about, okay, so what are the next steps? And it turns out that I I was offered a position in academic center right after my fellowship, my residency. And we decided that this was a really good opportunity for me. So it was it was one of those you know times in which you're like, well yeah, we're we're gonna do this, we're gonna stay. This is really good for your career. Let's go with it. And looking back, one of the things that, you know, and I have two kids, and one of the things that I'm very grateful is for that role of my family. So I know how difficult it is for some people not to have that support. And having my family really live in Puerto Rico. So it was hard. So I thought it was going to be permanent because I really wanted to be back with my family in Puerto Rico. So it was hard. And having that family support was really important and helpful. One of the things that I mentor, you know, residents and fellows specifically, as you are moving along and you have to make that decision, leaving where you are from or leaving your home state or or your home country. to make sure that you have that family support as much as possible if it's available, I think that that has been instrumental for me personally.

Dr. Anjali Gupta (06:51) So when you say have that family support because they're in Puerto Rico, do you mean supporting that decision that you're coming to the United States?

Dr. Theresa Miskimen Rivera (07:04) Mm-hmm. Yep. And it's funny because a lot of my family has moved since has moved into United States. Now it's it's easier for for us. We're in close proximity of mainland USA. We have citizenship. So I I know, and that's why we were talking about it's different stories, right? So everybody has their own path. How did they get to United States and and you know what are the opportunities and and the barriers and challenges? So for me personally, it was a challenge of leaving family behind and and that vacuum that is created. And the fact that they were like, yep, you gotta do this, go for it, was important to me personally. And and I one of the things that I do when I when I mentor, especially people that are coming from outside of mainland USA. is how to navigate that, how to ensure that you have that bridge to and and it's a vacuum and and how do you how do you account for it in in your story? And and how do you continue making those bridges whenever possible?

Dr. Anjali Gupta (08:20) You know, you've described this so well. I mean, it's almost like you're describing a little bit of a void because something or or someone who people who are very important to you and you sort of grow up not thinking that you won't be right there with them. And it sounds like like you you described a a a you know a mix of factors, both professional and personal, change that trajectory, and then how to sort of understand then who what people in your new space or who's going to help you with that. Support, that love, that reassurance, that you know, all the things that families give.

Dr. Theresa Miskimen Rivera (09:25) You know, it's as you were talking, I I could not help but it's it's almost like a like a movie in my in my in my head right now about all the non-family members, but there really are family, right? It's my extended family of all those faces that provided me with support over all those years. And you're right. It's you have to you have to make sure that your you're filling in that void because it is, right? So how is it that you're you're gonna have that extended family where you are now growing roots?

Dr. Anjali Gupta (10:07) Yeah. And it is in some ways, you know, I I'm thinking of my parents now. It it it is in some ways it it can sometimes build a very strong community because you're sort of creating family here w w when you don't have biological family.

Dr. Theresa Miskimen Rivera (10:32) Yeah, it's right. It's that biological versus your extended family. And and you know, I think that for for us, my personal situation for us, and because the same thing was happening to my husband, because his family's also from Puerto Rico. And they're still there. and how is it that you navigate that across the years? so I I hear you. I hear you.

Dr. Anjali Gupta (10:58) So So sort of i you know, it it sounds like that has been something that's been a challenge, figuring out how to, like you're saying, navigate that, find those people. As you've sort of thought about the course of your career, have there been other challenges? I know for a lot of women, work-life integration Tends to be one, has that been a challenge or anything else?

Dr. Theresa Miskimen Rivera (11:35) You know, I think that challenge my my first challenge really is as I've already said it was that jumping into this new culture, right? So that that I think really it was was main my early career. Yep. As I was because now I'm not early career, even though sometimes I still think of myself, I'm mid-career, early career. No, no, no. I'm already late career as I stand here.

Dr. Anjali Gupta (12:05) Amazing how that happened.

Dr. Theresa Miskimen Rivera (12:06) I know, I know, and I don't feel it. But I think the first thing is that because a lot of people ask me also about so so where does APA as an organization fall? So APA became a and I I joined the organization when I was a resident and it was interesting how looking back that became a family as well to me. And I've been a member for 30 plus years. And that was so instrumental to me. So that challenge of feeling kind of like not belonging. It's like, well, my family's not here. It's, you know, I I it was first, you know, you know, my husband and me were here alone. But having that, and it was very fast. I was like, wait a minute, there's her anticipation and dear psychiatrist. Fantastic. Let me join. And that camaraderie, the collegiality, being able to serve in committees and just have that support there was so instrumental. So it did address that big challenge of feeling not part of something as as I was coming in. So I I think that that was a challenge and the APA was there for me to fill that need of belonging.

Dr. Anjali Gupta (13:32) Well, I I have a couple thoughts. One is, you know, it's it sounds like you've sort of grown up within APA because you're describing residency and here you are now later in your career as president. And it's touching, you know, to think that you have sort of spent I mean, I I I saw your resume, so pages and pages of roles within this organization. But as you're describing it, it's so much more than simply that. You really describing you know, another family, your sense of belonging, having left Puerto Rico.

Dr. Theresa Miskimen Rivera (14:16) You know, it's yes, resounding yes on that one. And I remember when when I and I was a resident and I remember that first meeting at the New Jersey Psychiatric Association. And it was it was very comforting to be there and it was like whole days. It was a whole day, it was leadership. I remember and that dr block was there a dr vora was there and and it's it's already the mentors that i already had secured within my residency they were part of that and having then of course other other residents were there which is great but it was sitting there and having a whole day in which i was with others and in that community and just it was a feeling that never ceased to be very close and dear to me. I remember when I then, you know, I had kids and I have pictures of me at the annual meeting with a carriage, you know. And I had when I became the you know a fellow of the organization, I was pregnant with my second child. I was two weeks before my delivery date. It was in New York, so I was like, I am definitely attending. So I have these beautiful pictures of me about to deliver my second child. But I was at the annual meeting and that's such a joy, even today thinking about it, it brings me a lot of joy. So to me, yes, the organization has been a place where I have met so many friends over the years, friends, mentors, sponsors. It it has provided me with opportunities for honing in on leadership and doing things that I really don't think I would have been able to do if I had not been involved, because I did a lot of community work. at the local level. that that was one of the the best things that I have ever done. Like we had this brain and behavior expo in the Jersey Psychiatric Association. We did this for about I don't know five years. And we went to this beautiful place, it's Liberty Science Center, and we invited community kids, we had an arts and so they they would draw posters and we would have other colleagues then do the competition. It was fantastic. Yes, it is. I did, I did. So and it was all done in community. And that has again it it brings me a lot of joy. Even right now, I it just brings me a lot of joy. And there's so many people that that I remember dearly. And so yeah

Dr. Anjali Gupta (16:48) Sounds lovely. Why don't we

Dr. Theresa Miskimen Rivera (17:11) And and you know what, I still meet with some of them. I'm still very grateful and will always say thank you for what you have done because you gave me so much and they were giving so much of themselves, right? Especially my own mentors. So yeah, I'm very grateful.

Dr. Anjali Gupta (17:28) Now and now you are paying it forward to so many. so at what point in your career did you think I want to be APA president? Was there a moment? Was there an experience? Did you know ahead of time or was it more recent? Like what when did you think you wanted?

Dr. Theresa Miskimen Rivera (17:50) this. So I did not. I did not. You know what what I in thinking about my my progression within the organization, it was very gradual. I mean I started as I as I said I started as a resident and there was the opportunity to be the resident chapter representative, right? And I was like, wow, okay, I'll I'll run for that. And and I became the chapter representative. And it it again, it really resonated with me to be part of that process. So over years, I I think I did everything at the New Jersey Psychiatric Association. I have been, you know, the counselor, you know, secretary, treasurer, vice president, president. And then the opportunity came to work within the assembly. So I was the New Jersey representative at the assembly. So this kind of progressed over the years. And back in 2015, I was approached, you know what, what about running for recorder of the assembly? So I ran and I became the recorder, then ran again, became speaker elect. And then I became back in 2016, I became the speaker elect for the assembly. And 2017 I was the speaker. And within a year there was the opportunity to run as president. And it was at that time that when the opportunity knocked on my door, I said, I I will definitely do that. I didn't win that year, but it really showed me Another aspect of what we could do as psychiatrists for the organization and other opportunities. So it's like one door open another. So it wasn't like, I want to do that. It was more as I'm working with this and other opportunities come in. So it kind of unfolded.

Dr. Anjali Gupta (19:58) Yeah, it sounds almost like a stepwise.

Dr. Theresa Miskimen Rivera (20:01) Yes. And it can and it took years in the making. So I that that's the other thing is as I'm thinking back on my career within the organization, it really was one opportunity opened up and and I took it and I enjoyed it, which was very critical for me. Is this going to bring me something? Because you know, it's these are volunteer positions and there has to be something that you're getting out of it as well. In order for this to work. And yeah, it worked for me. And you know, when I ran the second time, here I am.

Dr. Anjali Gupta (20:38) And so as you think about the past year as president, what have been some of the highlights for you?

Dr. Theresa Miskimen Rivera (20:46) For sure, 100%, has been the opportunity to have that direct engagement with members in a in a grand scale. Over this past year, I have visited so many district branches. I have been invited to talk you know, grand rounds and it has been an an incredible honor and that. Opportunity also to contribute to new initiatives. I mean, we just completed the strategic plan, which is something that I had put in my platform back when I ran my second time because I thought that this is where the organization had to go. But being part of that initiative and partnering not only with our members within USA but also international members. has been an absolute honor, pleasure, highlight of the past year.

Dr. Anjali Gupta (21:52) And as you think back, what is do you think has been your biggest area of growth?

Dr. Theresa Miskimen Rivera (22:04) I'd say and it and this this has been years in the making. It's becoming more deliberate and thoughtful. I believe that what all of all of my work in an academic center with my patients, with my peers, everything has kind of worked to be more deliberate and and and Just how is it that I use my time? How do I show up for for like today? How do I show up? And it's that sense of it's not about me as much as it is of how I in a space. And and it's very generative for me. And I've had this conversation. So my kids are already grown, right? They're adults. And I've had that conversation with them and and people that I mentor, especially early career or resident fellows. And it's you've you've come to a time in your life when it's about giving back. And I've it it's a privilege to be able to do it. So I think that that's that's where I've had my biggest growth.

Dr. Anjali Gupta (23:27) And it sounds almost like you're describing a mindful presence of simply sort of being in a space.

Dr. Theresa Miskimen Rivera (23:39) Which has been very difficult for me to do. I remember maybe about I I want to say about 10, 15 years ago. And I remember because it was it was a time in which I I realized that it wasn't a race. And that happened to me for a long time. I was like, wait a minute. So I'm an academic career. So I have to do this, I have to do that, the, you know, what where's my next, where's my next project? Where's my next this? And so I was always next, next, next, next without actually kind of relaxing and breathing and just it's okay to look at what you have done. Pause. So it's it's a hard thing to do, especially when, and I think for women particularly. Because there's so many things, right? There's so many roles that you're doing every day. You're doing so many things for so many people. And yeah, I wasn't I wasn't good in doing that for many, many, many years. And it's it's just a very intentional thing that I but I I struggle with it. So taking that pause to think and to listen to myself. has been hard, but I'm doing it.

Dr. Anjali Gupta (25:08) Yeah, and I think like you said, I think for a lot of women who might be listening in are in their early career years, there is a lot of doing, right? You're you're setting yourself up professionally. It's often the years you also have small children. So there's a lot of doing in a lot of directions. We know that women still do more of the invisible work on top of their, you know. main jobs, they have these second shifts. And so it's easy to sort of get on this doing, doing, doing. And what you're describing is that that pause and that simply being is different. and that that mindfulness is so important. But you can get stuck in this, like going from thing to thing to thing.

Dr. Theresa Miskimen Rivera (26:08) It's very easy actually. Cause it's almost like a default, right? And and even today, when I know it, and I I've been practicing this for so many years, if I am not like every day, it's like, okay, where where am I? And I need to do my mindfulness. I I have my apps to remind me to do this type of inner work and inner inner listening, which is I I prefer that. I prefer it so it's it's that listen to yourself. It's that inner listening. I like that. And and I know it's hard. And this is something that I also discuss not only with my kids, but also with people that I mentor because it's hard to do.

Dr. Anjali Gupta (27:00) Yeah, and if you think about the course of your career and kind of your roles and where you are now, if there is one habit you would tell your younger self to build, what would it be?

Dr. Theresa Miskimen Rivera (27:21) Taking time for yourself straight out. And that for me now is carving out time to do yoga specifically. So I I have been doing this for about two years, two and a half years almost. And that carving out time because I used to do sumba for many, many years, which I love and I still do. But that it it's a different, it's a different skill. 'Cause I I'm looking at it as a skill and it forces you to just slow down.

Dr. Anjali Gupta (27:58) Yeah. mean, so the basis of yoga was really when it started 5,000 years ago in India, the basis was really that you did the yoga to sort of prepare your body for a seated meditation. Right. So you're sort of getting your body and your mind ready for the stillness that you were just speaking of. Yeah.

Dr. Theresa Miskimen Rivera (28:26) And that's that's stillness. That to me personally is so hard. And and that's why I'm really trying very hard to cultivate that. So so yeah, that's something that that I've been doing. And I'm very grateful. I have a great yoga. you know, she doesn't like to be called teacher. But so she has been so instrumental. Anyway.

Dr. Anjali Gupta (28:55) So is there something unexpected or challenging in your career that ended up having a positive outcome for you?

Dr. Theresa Miskimen Rivera (29:06) Hm, a positive, unexpected.

Dr. Anjali Gupta (29:10) Sometimes, you know, sometimes we sort of you know, we I think in medicine things can sometimes be very linear and very sort of you know what the next step is. And I've been hearing stories that just inspire are so inspiring sometimes of unexpected turns, but when they happen you think no, this is happening, but really leads to something wonderful. And I didn't I just didn't know if there was something challenging that actually led to something positive.

Dr. Theresa Miskimen Rivera (29:44) Interesting. So I can I can definitely think about when I switched from clinical work to administrative work. And and that was unexpected. So how how I made you switch? So so I how I stumbled, it was almost like a stumbling into it. Because I had been doing clinical work for many, many years in an academic center. And how I so I had I had just come back actually I wasn't even back, but I was about to come back from maternity leave. And this opportunity came up of being the the chief of an inpatient unit. And so I was like, interesting. I had always done outpatient care and I had not thought about being unit chief of anything. And then this opportunity, I I remember distinctly, it was about a month before I got back too from maternity leave. And and I was like, okay. I hey, it's an opportunity, it's different. I'm gonna give it a try. I'm gonna try it for a year or two and see how that works out. Because up until that point, I really had had been doing clinical, clinical and research. That that was it. And Go figure. I loved it. It was one of those things that I s that's why I'm saying I stumbled onto this administrative psychiatry quote unquote track. And one thing led to another. It's almost right, it's that progression, right? That we're talking. So my whole career, if there's something constant, is that I progress, it's one thing leads to another and another. And that's why one of the things that I do talk to people that I mentor over the years. is that there are opportunities. Try it. If you don't like it, you then pivot to something else. But sometimes opportunities come in and it's at those times when you say, you know what, I'm going to try it. I'm going to give it a go. I personally I usually say I'm going to give it a go. I'll try for a year or two and see what happens. And I have, you know, many years I have not once looked back and said, I should not have tried that. 'Cause it's usually something good. So yes, it's it was a positive outcome for sure.

Dr. Anjali Gupta (32:15) Yeah. So you've had these administrative roles, you've had these leadership roles. What are your thoughts on I mean, the world is innovating. You can't even keep up these days with how fast things are changing. As we think about psychiatry a decade out, what should we be thinking about? I mean, AI comes to mind quickly, but like what What other what what should we be thinking about in terms of our field?

Dr. Theresa Miskimen Rivera (32:49) For sure AI. And and it's it's mostly because it's already out there. And I think that for us in psychiatry, we should be at the forefront of ensuring that specifically for our our the individuals we serve is how is it that we're gonna be protecting and providing guidelines on the ethical use of AI and respecting privacy, especially because of the population that we serve. So more than anything. But the other things that come to mind are precision psychiatry. How is it that we're going to leverage the new technologies coming in on how to be sure that we are utilizing the resources as best as we can to advance evidence-based precision psychiatry. And the other thing that I have been championing for the past year is collaborative care. I truly believe that that is not only an immediate workforce multiplier, but that is where we have to be. This is the space where we have to be because the majority of people will need to have better access to psychiatric care. We know that post-pandemic the demand for our services has only increased. That particular type of integrated care with collaborative care model is the one that we as an organization and me personally have been championing. And it's mostly because it is a really good use of our resources. It will improve access to the patients that really need us. And will it it's already a paradigm shift, but I think that where people get caught up is that. They believe that it's the only path forward for psychiatry. It's one path forward. And this would be what we need to do for people, especially with mild to moderate psychiatric conditions, especially when they prefer to be seen in a primary care, or they're more used to be seen in a primary care. And but not forget that we also have to continue to advance better. services for people diagnosed with severe psychiatric disorders. So I think that it is a combination of leveraging technology, better utilizing resources, and not forgetting the population that we serve to make sure that we are then providing the gamut of services needed.

Dr. Anjali Gupta (35:38) As you think of this last year, you you mentioned the collaborative care model. What have been some of the highlights that you sort of have loved being a part of in this capacity?

Dr. Theresa Miskimen Rivera (35:52) Bringing this information to the the the international organizations. I've had the opportunity to bring this message about how is it that we're gonna leverage collaborative care specifically. And I've had the I had the the honor of working also with from Washington University with Anna Ratzliff. And she has been a pleasure to work with and it it learning it from from the team that actually got it is so well you know it's a really good training to to work with her. But having that particular message and that we as an organization are going to be able to also work with interorganizational and especially international. To bring forth the fact that as psychiatry, as a as a profession, that we also have the responsibility to bring the message that for governments in general, that you have to include mental health in any type of proposition that you do. It is, you know, in the United States, it is not a partisan issue. Mental health is something that Is for anybody that you have to make sure that you're including in your financial propositions. How is it that we are going to be able to make sure that the resources are available, the access is available, that we continue to normalize seeking care for mental health, decreasing that stigma, and ensuring that we are getting paid. For the work that we do when we do it. So it's a combination of things. At the end of the day, and this is where where I think we all are together with this, that there is no health without mental health. And how is it that we're gonna be advancing this to normalize, decrease stigma, and ensure access to those that need us?

Dr. Anjali Gupta (38:08) Yes, I could talk to you about this for much longer.

Dr. Theresa Miskimen Rivera (38:11) Yes, Me too.

Dr. Anjali Gupta (38:15) as we finish up, any last thoughts, pearls of wisdom, things you would

Dr. Theresa Miskimen Rivera (38:24) You know, I and and and I know that for this particular type of of interaction and I've I've heard some of the other you know some of your other sessions, I've learned so much through this particular way in which you can interview people and and they're bringing their their pearls of wisdom. And my pearl of wisdom is listen to yourself. And at times it's it's just that listening. Remember how we were talking about that listening to yourself and take the time to listen to yourself more than anything. Figure out where is it that you want to go, figure out your path. and be kind to yourself.

Dr. Anjali Gupta (39:18) Thank you. Those are great words to end on. Thank you so much, Teresa, for taking the time to be here with us today.

Dr. Theresa Miskimen Rivera (39:27) Thank you, Angelia. Really appreciate the opportunity. Take care. See you soon. See you in the annual meeting.

Dr. Anjali Gupta (39:35) Yeah, see you with me.

Dr. Theresa Miskimen Rivera (39:37) Thank you. The views and opinions expressed in this podcast are those of the individual speakers only and do not necessarily represent the views of the American Psychiatric Association. If you are having a medical emergency, please contact your local emergency response now.