Intelligent Investing #63 - Investing in your Mental Health with Casey Dubravcic part 1 of 2

In this episode Glenn Leest and Jeff Oravitz talk with Glenn's guest Casey Dubravcic about investing in your mental health. Casey is a  Psychiatric Mental Health Nurse Practitioner (PMHNP). In this Episode we discuss:

·        Which areas of your life can be impacted when your mental health is struggling

·        Nationwide mental health stats in America and ideas of why it is a growing problem in Adults, Children, and teenagers

·        How Casey’s career went from being an ICU Nurse to now owning his clinic

·        Why investing in your mental health may be more significant than you might think

·        What prompted Glenn to start investing in his own mental health and the positive impact its has had on his career, relationships, health and over perspective in life

·        Some of the services that Casey’s clinic offers and why they can greatly speed up the healing process for certain mental health concerns

Casey and Jill Dubravcic have a clinic specializes in helping Depression, OCD, Substance Abuse, Anxiety, PTSD, Bipolar and Chronic Pain treatment through medically assisted Ketamine infusions.  You can learn more about the services Casey offers and learn more about some of the new and exciting developments in the mental health field.

 Casey Dubravcic - Psychiatric Mental Health Nurse Practitioner (PMHNP)

https://revitalizeketamine.com/

https://revitalizeketamine.com/about/

https://revitalizeketamine.com/contact-us/

1800 South Milton Road, Suite 26, Flagstaff, AZ, 86001

Office Number for the clinic: (928) 440-8762

Glenn Leest

Senior Investment Advisor

WT Wealth Management

(928) 225-2474 Office

INTELLIGENTINVESTING@WTWEALTHMANAGEMENT.COM

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Transcript

The following is paid programming brought to you by WT Wealth Management. Nothing we discuss should be considered as investment advice. This conversation is for informational purposes only. Please do your own research and speak to an investment advisor or financial planner before making any investment decisions.

All right, welcome everyone. You're listening to Intelligent Investing with Glenn Leest, and uh, we've got a busy show for you here. Actually, a two part. Uh, investing in your physical and mental health. This is part one. I'm your host, Jeff Oravitz and, uh, Glenn Leest is here with me. Glenn, how you doing today, Jeff?

Good morning, Jeff. I'm doing well. I want to remind everybody that they can always get in touch with you. Yep. Yep. Uh, 9 2 8 2 2 5 24 74. Uh, you can email Glenn Intelligent Investing, WT Wealth Management dot. You can look up intelligent investing with Glenn Leest on Spotify, iTunes, Amazon, wherever you get your podcasts, you have to a ton of shows.

We were debating the actual number, but it's, it's getting up there. There's a lot to listen to on there. Yeah. And, uh, this is, like I said, part one of a two part series on investing in your physical and mental health. And you actually have a guest with us here today. And why don't you introduce him and, and tell us, uh, let us get to know him a little bit more.

Yeah, absolutely. So, um, how long is he a series? Really just mental health and physical health. Because if your men, if your mental health is not well, it's going to affect almost every area of your life. And I think after the pandemic, more and more people are realizing that is an important part. Especially kids, you know, their mental health has just been atrocious the last couple years.

And even us as adults, a lot of us are dealing with a lot more. Issues than they were years ago. Like anxiety, depression, you know, all these different, you know, discouragements. So there's all these different things that are happening and like I said, it does affect your performance at work. It perfects, you know, impacts your physical health.

So I want to do a series on that. I give a guest on that actually, uh, focuses on mental health and he actually is also a nurse, so they are combining a little bit of medical intervention and with traditional kind. Other routes and it's really kind of cool. Um, so I want to interviews Casey Dubravcic.

And, um, Casey's with us and Casey. Um, how are you doing today? Hey, I'm doing great. Yeah, thanks so much for having me, guys. I really appreciate it. I'm excited. I, uh, got my own little Blue Yeti and I'm going to be welcome to this world and you guys are next level over here, so I'm excited. Cool. So maybe tell us a little bit about your background, how you got to where you were, maybe where you started in the medical profession.

Because you were a nurse for a long time, correct? Correct. Yeah. And what, what uh, area did you work in previously? Um, was it just in regular clinical setting? Hospital. No, no, actually. Um, so I, I worked at Flagstaff Medical Center here and I started off as a new grad in 2005 in the intensive care unit. Okay. And so I heard you just had a little scare over there.

Yeah, that's intense man. Um, it can be really intense over there. And so I worked in the ICU for three years and then I worked in the cardiovascular intensive care unit. Nice. For another three years. And, um, you know, Helped patients in, uh, a lot of them, you know, passing before they, they went on to the next, whatever it may be,

And, uh, it, it was a intense work environment, certainly, but I kind of found my love for psychiatry in that, um, in that, I was helping ease the burden of the passing from the patient's loved ones. Yeah. Because it ended up being kind of technical as far as, uh, you know, titrating drips, dealing with ventilators, uh, that sort of thing.

Uh, lost my interest and I thought I wanted to be a certified registered nurse in Atheist. Um, and I spent a bunch of time in the OR and then I realized you got to really love your coworkers and I spent that much time in the OR so went into psychiatry and, uh, it's been going great. I, I really enjoy. That field a lot.

Nice. And so, um, did you, you worked at the guidance center too before your current iteration. So what, what, what area in the guidance center did you work at and what is the guidance center? Yeah, so the guidance center here in Flagstaff is Community Mental Health Center. Okay. And, um, so yeah, I, you know, Pretty much raised here in Flagstaff, Northern Arizona.

Moved here in 89, um, and worked at community college for five years. I was in information technology before I went into nursing. I was like, I don't want to spend time in front of a computer. And then, then I found out nursing. That's big change there. Yeah. Right. And, um, so, uh, went into the guidance center after I got my psychiatric nurse practitioner degree.

I really like my credential. Psychiatric mental health nurse practitioner. Mental health is built right into there. I really like to focus on that. Um, but I was one of their only child providers for a couple years, and I worked in the inpatient and outpatient units. Uh, so saw people at their worst, you know, in their biggest struggles, their lives and, and what is inpatient, outpatient for those that don't know.

Yeah, so like kind of psychiatric, acute emergency, like acute suicidality or a psychotic break where you start hearing voices telling you to do things, um, uh, you know, just lose your stuff. Uh, then there's a safe place to go, you know, it's like the, it's got a bad wrap, right? Padded wall, , but uh, but there is a padded room.

Yeah, there is actually, yeah, we. Trades, you know, when, when people are unsafe to themselves and others. And uh, but then mostly was working outpatient, so people coming in with anxiety, depression, T s D, bipolar disorder. And you know, with my time in the setting working there, I found that pretty much everything falls from that trauma.

And so, you know, like we're seeing, um, people improve greatly when we address their underlying issues rather than just treating their symptoms. And that's what we're trying to do. Let me, let me ask this because we were talking a little bit before we came on air, me, me and Casey about the state of the country Yeah.

As far as mental health. And I was wondering if there's. A stat and what he finds troubling, I guess, in the statistics that are out there as far as the state of the mental health, uh, in the country. Oh, yeah. Yeah. There's a, there's a ton of big statistics that are, are very scary. I think. Um, one of them is between like 70 and 90% of adolescent males have thought seriously about suicide.

Um, and so we know that, uh, that's a common coping strategy when you're really struggling. Um, but you know, we also know that this covid pandemic really messed up a lot of kids developmental stages because they didn't get to interact with peers. And that's so huge during a lessons. Wow, that's 70, 90%, what, was it normally that high or was it low?

No, no, it's gotten much higher, I think. Um, partly mass media, you know, just being exposed that seven reasons why, um, documentary, um, things like that that almost glamorize, um, that kind of loss, which is really saddening. Uh, and so obviously not a big proponent of that . And I wonder. Why it's changed over the last couple years.

So that's a pretty high stat. Um, I mean, as a teenager, and I don't know that that thought ever crossed my mind. Mm-hmm.  and I, you know, life was tough, but that was never like just, you know, just wasn't a thought that passed my mind. But yet, you know, according to that stats, you have 10, 10 adolescents and seven to nine, nine of them have had that thought.

So I wonder like what. Caused that or what's been the change where those stats have gone up tremendously over the last however long it's been? Yeah. You know, I think in general, being a very permissive society, um, in that we're very accepting of everything and everyone has, um, made things a little bit more challenging.

Um, you know, this is. Theoretical, but um, in general, adolescence is a time of rebellion and self defi defining. And so when, you know, like you look back to when we were growing up and, you know, kids have like, um, you know, leather jackets or you know, then punk rock and you know, like, oh, you can't do that  now it's like you can do anything it seems like, um, no boundaries.

Yeah. Yeah. And so like the, the normal correction, like you look at the wild and you know when a baby wolf is acting up, mom's like, Cut that out. . Yeah, no, you can't even do that without, you know, having to be worried about, um, some sort of judgment. And so I think that that's, uh, a big issue in our society. I don't know how to address that because I think some of the.

Gateways that that's opening is really good because people are more apt to talk about mental health and wellness Yeah. And the struggles that they're having. Um, but there's certain things that, lots of room for improvement. . Yeah. They have that quote that if you don't stand for something, you'll fall for anything.

Mm-hmm. . So it kind of reminds me like if there's no boundaries, like, you know, they're like almost like become lost because they're like, I don't know how to, how to act properly because I can do whatever. There's, and whereas I was teenager, I knew what I was supposed to do and what I wasn't supposed to do.

And I, I found out when I wasn't supposed to do something, I, I got corrected. So you knew how far you could push it, and then there were consequences. Now there's, yeah. No consequences. I remember as you want my favorite part of, or my mom's, uh, most, one of the most troubling story that upset her a lot was, uh, in eighth grade I went to go spend the night at my friend's house, , and then we went to the beach and stayed out the beach all night long and had a bonfire and.

One of the older cousins took us and it was all my friends and my mom was, there's no cell phones. And she, you know, we're gone. No one knew where we were at and she just lost her mind. She was like calling everywhere, searching. And then the next morning I showed up and she was so mad. . I didn't know if you knew that it for like a whole year.

I have similar story too. I don't know if you get away with that nowadays because they would track you. Yeah, I was like, it's a perfect alibi. I'm going to stand his house. Piece said he was going to stay at my house. And I was like, you got that older team, so I had to call him Digital leashes. Yeah, yeah. Digital leashes.

There you go. Well, we are, we are talking with Casey Dubravcic, who, who's with the, uh, revitalization Ketamine clinic. And, um, if you want to talk with Glen, by the way, I always want to throw out your number. 9 2 8 2 2 5 24 74. We're going to get into a lot of how this pertains to investing. And if you don't have, um, things.

Up there, I guess it can affect investing. So getting mental health, uh, getting into that state, investing our mental health. And I guess Glenn, when we look at mental health, um, and all the avenue. Um, let's switch over to when you, when you talk about investing, investing in your own mental health, your own physical health, um, how does this all relate?

I guess we ask Casey that and Yeah. How does this translate into being able to, if you, if you don't have that mental health, how are you going to be able to invest correctly or even function correctly in society of your job, et cetera, et cetera? Yeah, absolutely. That's a great question. And so we know, like Glen said, you know, your physical health is very much tied to your mental health and you really can't truly have one without the other.

And so trying to invest in yourself, Is the best investment you can make. Yeah. You know, it's a, um, priceless and everlasting when you're actually to make those, those changes, um, for yourself and your mindset. Um, and, and that's what we're seeing, you know, people, like you said, stats and I, I remember one big thing is like the ACEs scores, you know, the adverse childhood experiences.

So everyone. Has some of those . Yeah. And it's a number of those. And, and so adequately addressing those through, um, your, how, how you come at it. Uh, so revitalized Ketamine clinic, what we do, we're able to help people break down those walls really fast. Yeah. Breakthrough traumas, which we're going to touch on next too, cause that's a big part of mental health is, um, the traumas.

Say you have a childhood trauma, if you don't actually deal with it and break through it, it doesn't really go away. I've seen people in their fifties and sixties that still have hurts from when they're, you know, a child. Um, and so time doesn't heal all wounds unless you address it and work through it.

And I'm finding that out myself. Like, you know, there's stuff that's happened to me in my past that I didn't know was not normal growing up, just from. The way, the way things happen. And so I have to go through and invest my own mental health. How do I break through those barriers? And there's some, some traumas or barriers that, you know, seem very stubborn, right?

And so this is where, you know, your kind of, um, your practice can come in to combine, uh, medical interventions to help break down those walls, for sure. That trauma. So maybe let's, um, Let's talk about trauma. So let's get into all that when we come back, cause we're going to take a quick break. So get into the trauma and how that pertains to, um, investing, investing in yourself and hit on all that.

Uh, Casey Dubravcic with us with the Revitalized Ketamine Clinic and you're listening to Intelligent Investing with Glen Least of course. And you can always contact Glenn at nine two. We cover such a broad, you cover such a broad range of topics, but it all ties. Because if you don't fix all this stuff, you're not going to be able to, it's 85% about like actual stock and investing and that sort of stuff.

Another 15% about like investing in your physical health, mental health. End of the year stuff coming up too. Yeah. Are we doing that soon too? We should. We, we got it in December. Yeah. Late in December. Absolutely. 9 2 8 2 2 5 24 74. That's 9 2 8 2 2 5 24 74. You can also email Glenn Intelligent Investing.

At WT wealth management.com, that's intelligent investing@wtwealthmanagement.com. We'll be back in just a minute. Hang tight.

You're listening to Intelligent Investing with Glenn Leest. Give Glenn a call right now at (928) 225-2474. That's 9 2 8 2 2 5 24 74. More intelligent investing with Glen Leased when we come back.

All right. Welcome back to Intelligent Investing with Glenn Leest. We're here with Casey Dub, who's with the Revitalized Ketamine Clinic. Uh, remember, you can always contact Glen very easily here, intelligent investing at WT Wealth Management dot. You can call 9 2 8 2 2 5 24 74. And, and Glenn, uh, we've hit on a lot of topics with Casey, uh, who is a psychiatric mental health nurse practitioner.

Um, did I get that right, Casey? You got it. A p m h n p. Yep. That's a certified, I know it's a lot of letters behind my name. Well, what we've been talking about is, um, really the, the struggles this country, I guess the world, but talk about this country has been having with mental health issues. Sure. And. If you can't fix that, you probably can't fix a lot of the other things.

Yeah. In your life. So, um, I guess let's start with this, Glenn. I mean, maybe, and Casey, how do we invest more in this area? Sure. How do we, why is it important to invest in this area? We're talking about mental health. Yeah. So, I don't know why that there's maybe a stigma about having someone to talk to, like a therapist or a counselor or a psychiatrist.

It's almost, I don't know why culture seems like, I know for sure, like in the past it was like, oh, if you need to talk to someone, you're, you're, you're crazy. There's something wrong with you. You're like, no, everyone's got stuff that they need to deal with and bottling it up and not having, uh, a safe place to process through it is not healthy.

Um, and sometimes, you know, close people in your family, your spouse can fill that role. Sometimes that's not appropriate though. Maybe it's just you don't want your spouse to be your dumping ground. Um, that's not healthy either. So one, one of the ways you can invest is obviously, you know, having someone to talk to.

And I kind of look at it as my life coach slash counselor, all, all in one. They help me walk through things and, you know, talk through things and then encourage me and challenge me to say, hey. Here's where I want to go. How can I get better? So I think that's huge. I've been doing that for almost a year, every, every week, and it's been tremendously valuable for my own development, my own mental health and, and being a better version of Glen too.

Um, so I think that's important. The other thing is if you have trauma, um, which is where Casey comes in that you really need to break down, um, there's a couple different routes to do that. Um, one of them you may have heard of is EMDR. Um, that's a very. I don't know if Casey, if you do that, but it's used a lot in the mental health field, but they can basically, um, what's a good way of describing EMDR, like in a basic premise?

So you think of your left brain, right brain, and it's eye movement, desensitization and reprocessing. I'm actually trained in it. And, um, so you think of your emotional brain and then your analytical brain. And so your emotional brain holds your trauma. Mm-hmm. . And so you can see a white car during the day, not be a big deal, and then you go home at night, your hippocampus is sorting your memories.

And it starts that white car, and that was a traumatized from your past. And then suddenly your fight flight freeze. Yeah. You're in this nightmare and you wake up, you're all Jared, and you're sweaty and you're like, I don't know what happened. Yeah. And so then what EMDR does when it's done properly, I like to really tell everyone that a therapist.

Is a great therapist for 70 to 80% of the people for 20 to 30%. They're just going to butt heads. Just the nature of human beings. So that's the biggest vetting process. And, and, um, yeah, so EMDR is great in that it tries your analytical brain and your emotional brain together through bilateral stimulation.

So you can, they found out they don't. The eye movement was the nice or the lateral gazes where you're actually tracking something like the old school, you know, the watch, like you're kind of things like that. Um, but now they, they have these theropods where it's like these two vibrating discs that you hold in both hands and then it just, um, buzzes both of them, like individually one by one while a person processes through their trauma.

Interesting. The guidance of a good therapist, it's really important to do the resourcing first. Um, but you know, in general with mental health investment, I like to address a problem from multiple angles. Yeah. And so you're more likely to get capture. So like you said, therapy can be great. Yeah, I, I like what you said too about, you know, bottling up emotions.

Not being good for you. Yeah, we know with those ACEs scores, anything three or higher will lead to depression, anxiety, um, mood liability, anything five or higher. So these adverse childhood experiences will lead to somatization, which is a physical manifestation of that psychological trauma. So you see a lot of people with like chronic inflammation diseases.

So we had actually talked about that because, um, trauma can be store. In your body and manifest as a physical, um, issue. And that's something I never really knew about until recently. I was like, wow. So you could have people that have this trauma that's causing them like neck or back pain or whatever, or an inflammation.

So you're like, wait a minute. So you're taking ibuprofen and you know, it's just not helping. It could be something that's related to a, you know, a mental issue that you had or. Trauma and, and ACEs scores. Just to gimme an idea. So if you score a three, like what would, what would that mean? Like, so how do you get to a three?

Like what, just a quick example. So I would say your parents got divorced Okay. Before you were 18. All these are before 18. Um, and the ACEs has a, you know, great body of evidence in that it shows you the things that happened to you that shouldn't have happened to you. Mm. And then say you got raped when you were 12.

And then say, um, your parents were drinking a lot in the household. Mm. Um, and, or you felt like someone, no one loved. In the household and so it's subjective obviously, but there's some event stuff tied into it. Sure. One thing ACEs, uh, is kind of discredited for is that it doesn't show you the things that didn't happen to you that should have happened to you, like feeling loved and protected, you know, unconditionally.

Yeah. We learn our emotional regulation skills from our parents from ages zero to 11, and if they weren't taught those emotional regulation skills, how to handle difficult people, difficult situations, and difficult. I going to be expected to teach them to us. Yeah, you can't, you can't give what you don't have.

So sometimes, like I love my mom, love my dad, but I also have to give them some grace. Cause I look back at their childhood and go, well, their childhood was just as jacked up and I wonder why they didn't have that life skill. And so that's something, as a father for me, I'm learning, okay, there's a lot of gaps in my development and so I want to, you know, use these modalities to say, Hey, how can I break down some of the trauma?

As I look back, you know, I thought it was normal, but then you find out what should have happened to you or what is not normal, and you go, wow, okay. Um, I definitely have some trauma. I thought that was just normal. Doesn't everyone do that? You're like, no, not at all. Isn't everyone's house like this? Yeah.

Isn't everyone's house like that? So I know for me there's like different things that my brain triggers, you know? So for me, like if I hear, you know, yelling or loud voices that reminds. Previous traumas, and so immediately it just sends me that fight or flight response. Like you, I tried to like combat it, but it's almost like why hardwired into my brain?

Like that's my thought process and it just triggers. So like that's where like maybe this EMDR can help break that down, rewire those pathways and, and work through that and process that trauma. So it's, it's pretty cool technology and what they got going on in this industry. So there's also some more modalities that we'll talk about, including.

EMDR and some other ones that you really specialize as well at your clinic. But, um, yeah, it's, it's, it's kind of, it's interesting stuff that, it is interesting. Are you, are you implementing a lot of this, Glen, I mean, in your life and, and has that impacted Yeah. I mean, not just your family, but professional life, business, investing, you know, investing, things like that.

Yeah. Has it made you a more intelligent investor, I guess? Yeah, so I did like, maybe like five or six years ago, I did like about a year therapy and then maybe did a month of EMDR. Um, and it was starting to help and I had to, had to stop because I was doing it during the weekend At the time, I, you know, just was hard to schedule it all.

So, um, but I'm getting back into it and I'll start EMDR in about a week from now. What does that stand for? Uh, what was the saying again, Frank? Again? Eye movement, desensitization, um, and reprocessing. Yeah. Okay. Right. I always think of it to process through and break down trauma that maybe can't be done other ways, like stubborn issues that you just have tried and it's not working.

Yeah. So, but yeah. Am I, am I a better person? Am I a better, you know, equipped? A hundred percent. Yeah. That's why Whistle were talking about it. Yeah. It, if you invest in it, it will pay divide. I think what we'll do next, because we don't have enough time to cover it all, so we, as we said, this is going to be a two-part series next week.

We want to get into more of this deeper Yeah. As it relates to investing in your, your daily life, things like that. Um, so Casey will join us again on next week's show, and I, I encourage everyone to go back and listen to this because I think you'll learn a lot more. And Glenn post everything, everything up. Uh, if you look up intelligent investing with Glenn, Leest you can check all of that out and subscribe to the podcast.

Because we cover everything like this from, from, like you said, investing to taxes, to chickens, uh, farming, Estate planning. Yeah, estate planning. I mean, I have, uh, some, uh, interesting ones about my renovation project that I'm working on here. Oh, do you have some? I need to listen to that and get caught up on that because Glen's been working on a big renovation project.

Um, on a, on a property he bought and that could, uh, that's probably Casey a subject for another maybe couple podcasts. Um, stresses of home ownership, right, that could be a whole thing there. Why, if you're a landlord you probably need to get some counseling. Yeah, probably. Yeah. Um, anyway, you can contact Glenn anytime at 9 2 8 2 2 5 24 74.

Email Glenn Intelligent investing@wtwealthmanagement.com. And Glenn's always there to chat with you and, Back next week. Casey will join us once again. I hope y'all have a great safe week. Thanks, Glenn. Thanks Casey. We'll see you soon. Thanks, Jeff. Thank you.

The following has been paid programming brought to you by WT Wealth Management. Nothing we've discussed should be considered as investment advice. This conversation, which for informational purposes only, please do your. Search and speak to an investment advisor, financial planner before making any investment decisions.