Dr. Tiffany | Treating the Whole Patient

On today’s episode of BGF Ava and Tashaunda talk with Dr. Tiffany, an Integrative functional psychiatric nurse practitioner and founder of Aroma Functional Nutrition. They discuss finding the root cause of mental illness and not just relieving symptoms, but adding value. They dive into the stigma of seeking help in BIPOC communities and generational trauma. Remember mental health is everything and everything is mental health. 

For more information about Dr. Tiffany Smith visit:
Website: https://www.afnpsych.com/
Instagram: https://www.instagram.com/dr.tiffanymsmith
Facebook: https://www.facebook.com/DrTiffanyMSmith/
LinkedIn: https://www.linkedin.com/in/drtiffanymsmith/

CONNECT WITH US
Website: www.blackgirlflyofficial.com
Email: hello@podcast2impact.com
Instagram:  @blackgirlflyofficial

:50 Dr. Tiffany Introduction

4:00 Life Before

5:50 WOC and Safe Spaces

10:45 Finding YOU

13:50 Generational Trauma

19:40 Needing a Mental Health Shift

23:10 Brain, Body, Being Reboot Camp

26:30 Final Thoughts

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Transcript

11;13;53;15 | 11;13;57;12 | Welcome to another episode of Black Girl Fly. I'm your Girl Ava.
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11;13;57;16 | 11;13;59;10 | Every Saturday.
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11;14;00;12 | 11;14;22;04 | And today we are joined with another wonderful guest. You know, every time we have a guest, our lives are almost transformed. So we're very excited to invite Dr. Tiffanie here with us today. And she's going to be talking to us about a very special topic. And so I'm going to hand it over to Dr. Tiffanie Smith, and she will just give us a quick intro.
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11;14;22;12 | 11;14;23;18 | Tell the people who you are.
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11;14;24;20 | 11;15;07;17 | Awesome. Well, thank you for having me. I am Dr. Tiffanie AM Smith. And I am an integrative and functional psychiatric nurse practitioner. Now, I know that's a mouthful, so let me break that down. What I do is I look at the whole person the whole life and take that into consideration as far as your mental health care, your mental health status, where you are and your treatment, and then the functional part is that I understand and have been trained in how the body functions and able to identify dysfunction within the body and treat the actual root cause of your mental illness instead of just treating symptoms so that you can have true resolution of whatever
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11;15;07;17 | 11;15;34;16 | is going on within you. So I use botanical lifestyle and holistic measures to treat. Now, I didn't come out the womb this way. The journey that occurred for me was that my husband, who is a combat veteran, was having increasing issues. He was having increasing pain, all kinds of pain. And in addition, when people have chronic pain, they often also suffer from depression and anxiety.
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11;15;34;16 | 11;16;02;25 | They can't live their life as they choose. And so we started to have mental health components as well. And he got to the point where he was almost bedbound. I mean, he's no longer going to the grocery store. He's no longer going to the kids events and things like that. So a significantly impacting our life. So we were leaning into the health care system and the options that were available to us while they were relieving symptoms, they weren't adding value.
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11;16;03;06 | 11;16;26;01 | For example, the muscle relaxers may take the pain away and relax the muscles, but you're also out to your sleep, you know. And he found himself sleep for days recovering from the effects of muscle relaxers. So the options that were available to him weren't bringing him the joy that he wanted in his life. And he said, forget the whole thing, forget Western medicine.
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11;16;26;01 | 11;16;44;09 | And it put us in a situation where we had to figure out, okay, what are we going to do? You know, because this is the health care system that we grew up on and we never had to lean into it, thank God. But here we are now needing to at a crossroads of trying to figure out we always talk about healthy.
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11;16;44;09 | 11;17;09;16 | Now we got to figure out how to really put this together and have value in our lives. And so the name of my company is called Aroma Functional Nutrition Psychiatry. And it's because those were the elements that we used to help him recover. And and now we have a full life. So it started with aromatherapy. We introduced functional and integrative lifestyle and managed mental health throughout.
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11;17;09;23 | 11;17;26;14 | And that's what brings me here today, because what I found was an alignment in what we were going through and what my clients were going through with that was practicing traditionally. And I saw the need to bring this and and create a practice with this philosophy. And so here I am today wanting to share that mission.
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11;17;26;28 | 11;17;38;03 | Awesome. It's so good to have you. And so so you talk about you at the end, you kind of set it. So what were you doing previously professionally? What what what did you kind of believe they're walking into this situation with your husband.
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11;17;39;01 | 11;18;01;15 | Okay. So as a traditional psychiatric mental health nurse practitioner, even going through my training, I'm like, oh, I'm a pill pusher. They are just they're just trying to me to push pills. And I knew that, you know, I you know, just pills and therapy is all we know in our mental health community. And I know that there's still much more.
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11;18;01;15 | 11;18;24;27 | And they briefly touch on all complementary alternative modalities, but that's not the focus, right? You need to know they come in with that. This is the eighties. They pill, you know, and that type of thing. And so I knew that there was more I wanted to do. And my husband really just said his situation pushed me to make me have to find the answer.
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11;18;25;28 | 11;18;50;06 | And that's what brought me here. So I was traditional, but I did always speak to lifestyle, but I wasn't as educated. I knew I could. So my method in helping people is really connecting with people, really being genuine and authentic and listening to my entire intuition to help guide people. So I don't bring judgment, I don't bring any thoughts.
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11;18;50;06 | 11;19;08;18 | I take what you give me and we work with that. And so in that I was able to help people with lifestyle. You know, sometimes it's like sounds like is your relationship. You know, we don't have to always just jump right into meds. So I wasn't doing that. What they call it a meal. You come in and take your meds.
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11;19;08;24 | 11;19;20;05 | How Jim's doing. Here's the more I didn't do that, I really dug into the individual already. But then I got the education and knowledge to support what I was doing and. And make it even bigger.
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11;19;20;22 | 11;19;53;00 | Yeah, I love that. And I recently started therapy program, but I want to touch on the, the, the part probably that's really resonating with our community. We serve a lot of women of color here on the podcast and so how do you find or how have you found that these types of issues are showing up in our community and I'm going to just say the black community, but for people of color and what's the difference are their response to these other methods?
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11;19;53;00 | 11;20;07;17 | I think you call them complementary alternative methods versus the traditional methods that you were just talking about. Can you share a little bit about the feedback that you've been getting or any anything there that's interesting and important for the listeners to know about?
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11;20;07;17 | 11;20;38;24 | Okay. So with the Bipoc by Walk Community Women of Color as well, you know, I've led a community monthly community where I gave weekly a monthly workshops for our Bipoc women. And so that when that group of women was very receptive and understood mental health care and its impact and were individuals that were reaching in and leaning into getting support.
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11;20;39;29 | 11;21;05;08 | However, we still have a large population and where I say I'm a psychiatric mental health nurse practitioner, like, I don't need that. I don't need that, you know, and they'll back away from me because their stigma is still out there. But still culturally in our overall bipoc communities, we still hold a lot of stigma. There's still a lot of, you know, what are you doing that for?
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11;21;05;08 | 11;21;28;17 | Why are you doing that? We're not crazy. Or the representation of the family. There's still a lot of pressure there, but the beauty in what I'm finding is that it's not necessarily that we need a prescription. You know, it's not that you need, you know, a prescription. Again, I'm not because I can't say it's not that you don't need counseling.
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11;21;28;18 | 11;21;49;02 | What I believe we need is more community, because a lot of times when people come to me, when we talk and discuss what's going on and how things are going, they're better for it when they leave. And now a lot of weight has been lifted and they don't feel that same pressure from living in life that they had before.
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11;21;49;02 | 11;22;11;17 | And so I think that community is the key. Having a safe place to speak and talk would take tons of people off of the pressure that's on the mental health, you know, challenge right now, the things that we're facing because we just don't have a safe place because of certain stigmas that are out there. So that is a big part that I see.
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11;22;11;17 | 11;22;38;06 | It's not that you need the medications, counseling, you know, I believe. Yes. And support and community are more the things that I see we need. And then I want to empower people to take control of their mental health in this way, in finding communities and safe places. But everything is connected in our mental health. So mental health is everything and everything is mental health.
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11;22;38;19 | 11;22;48;12 | And when we encompass that, then we start to realize as well these gray walls and no pictures. And, you know, all of this is kind of a downer. It's kind of a.
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11;22;48;12 | 11;22;51;15 | Bummer that impacts me so much.
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11;22;51;22 | 11;22;56;06 | This episode of talking about Claire.
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11;22;56;18 | 11;23;03;13 | Says that my surroundings have such a big impact on my mood and my processing is crazy.
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11;23;04;02 | 11;23;31;01 | And it's a we don't realize that a lot of us, we go about our day, but if we can put those little nuggets of love, little things that uplift us, that helps us so much when we're dealing with true stressors and press, it will be impressed upon the music we listen to and the colors. So I want to empower people to take these sorts of steps so that you don't need to see me.
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11;23;31;11 | 11;23;44;14 | You know, I don't want you to need me. So I want to educate and empower so you can look at your life and be like, You know what, let me do this and tweak that. And Pink's my favorite color and ain't no pink around.
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11;23;44;14 | 11;23;45;10 | Here, you know?
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11;23;45;16 | 11;24;09;13 | Or I got this little dab of pink and you get the pink, fluffy pillows, you get the comfy PJs and slippers. Then, you know, you take your schedule, you in your schedule, you start to pay attention more and then you start to figure it out. I like to help people find themselves and I just give tips. Oh, well, you know, I want you to find you.
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11;24;10;21 | 11;24;22;09 | That's great. That's good. So thinking along those lines you mentioned some things, but what is it that you would do? Like like how do you start to find you? What what do you suggest to people to really dig in on that journey?
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11;24;23;02 | 11;24;44;16 | First thing you got to do is just start paying attention, start tracking yourself. Okay? So you go to bed every night at this time, how do you feel when you wake up? What are you eating? You know, what are you putting and fueling into your body? Who are you around? Just ask your question. With everything around you, does it bring me up or does it bring me down?
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11;24;44;25 | 11;25;06;04 | You know, does this bill me or break me? And and you start to analyze everything around you and start to take notice. That's the first thing you have to do. And then you start to say, you know what? And then also listen to yourself. What has your body been telling you? Your mind has been telling you you need to do or you ought to do.
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11;25;06;13 | 11;25;15;04 | And you've just been like, Yes, I got it. You know, it's cool. You know, I need to drink more water. I need to exercise, I need to get I need to stop hanging out with it.
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11;25;15;05 | 11;25;16;15 | You know, you got.
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11;25;16;15 | 11;25;16;28 | To start.
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11;25;16;28 | 11;25;36;18 | Putting those things in place. So to start, start paying attention to yourself, your habits are getting to know yourself and then looking around you and the things that are affecting you, your environment, and the people you're with and deciding, is it good for me? Is it bad for me? Do I need to let it go? Other words, get rid of the things that no longer serve you.
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11;25;37;03 | 11;25;57;28 | Those are the two things that are really going to help you start to pivot and focus and find where you need to begin and where you need to start. Now, you might have this big long list, and that's where you may need you may need someone like me to help you. Not to say mental health wise, but in the lifestyle component area, trying to put this thing together, I'm stressed.
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11;25;58;16 | 11;26;04;01 | I feel like I need help with this, this, this, this, and this. And I don't even know where to begin. Yeah. And so.
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11;26;04;15 | 11;26;18;26 | Yeah, I was going to ask that. So a lot of times we know the warning signs that, okay, I need that activity now. Like I'm no longer in the space where I can really help myself. I really do need that. The doctor do me Where is that line?
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11;26;19;19 | 11;26;44;05 | How disruptive and disturbing are the things that are going on in your life? You know, how disruptive is it? Do you have to have coffee when you get out of bed just to get going? Are you wearing a mask to look like you're smiling when you're crying and dying inside look like you've got it going on? But in reality, you're really hurting and struggling, you know?
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11;26;44;05 | 11;27;08;14 | So all of those that disruption, you know, you're not flowing, you're not smooth, you know, you're not like it's you're going through something, but you're handling it. It's not that you you're handling it, but it's a mask. It's a facade. Life is just hard and you are struggling to keep it together. And you can see that this is only going to last so long.
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11;27;08;14 | 11;27;22;11 | Something's got to give, you know, then I will can help, you know, because on the outside I can see things and help put it together. And I do a shared decision making. We work this out together, you know, based on what's important to you.
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11;27;23;03 | 11;27;45;12 | Yeah. I find it so interesting because that's as I think about, like the past generations, we just got back from a family reunion and like, were able to hang out with, you know, some family that I had never met before, but also honoring the folks who have passed on. And when I think about those folks who have passed on, you know, most of them didn't live very long.
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11;27;45;12 | 11;28;14;17 | And, you know, a lot of them had mental health challenges as well. And so when I think about it, though, they just have really hard lives and the chronic stress that they were under, not making enough money, having kids to take care of, having to work all the time, like, do you see? I don't know. Is it different generationally, your work, Like when you're working with older people, I don't know what they are.
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11;28;14;17 | 11;28;17;13 | The boomers versus millennials like.
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11;28;18;07 | 11;28;47;02 | It's very different. Okay, Very different. There's so much to take into consideration. Exactly like what you're saying in our older generation, they had different challenges than if I'm working with someone that's 30 years old or in their twenties. However, there are consistent generational trauma themes within our African-American community that stay consistent. So there is still the same similar bottom line that kind of is there.
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11;28;48;14 | 11;28;59;11 | But we're living in different times where they're approaching it differently, and so it's really listening to them and identifying it and then helping them see where that is.
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11;28;59;19 | 11;29;03;13 | Like What kind of examples would you give? Like what are some things you see?
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11;29;04;10 | 11;29;16;07 | Okay, so let's talk about our older, our older generation, right? They also it's good and bad in our older generation because I remember I thought I listened to the episode when you guys talked about the nineties.
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11;29;16;08 | 11;29;17;10 | And I love the nineties.
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11;29;18;25 | 11;29;41;14 | I do, I love the nineties. And so back in the nineties we had self-care built in. You know, there's still it was starting to change but the stores were closed on Sundays that a little bit into the eighties and all of that but things were changing in the nineties but still the television and all the cable was in the nineties.
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11;29;41;22 | 11;30;03;16 | But before that television shows were only on so long. And then after that it was shut off and you go to bed. We have boundaries already built in place that kept us safe. On Sundays we got together, we went to church. You were outside. You go outside and play, put out. You take off your school clothes, put all your plain clothes, all out.
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11;30;05;13 | 11;30;27;06 | You know, it was beautiful. Right now we live in a time with no boundaries. You know, you have to figure that out for yourself. And that's where, you know, we struggle here now with a lot of generationally. So that was sort of some of the good things. But also our families, like you said, there's that struggle of trying to get ahead, trying to pay the bills.
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11;30;27;06 | 11;31;07;12 | And sometimes you get more, you may see more alcoholism, drug abuse. You may see more domestic violence, where today it might be different. You know, you may still see some of that. You still see it, but you know, with social media, it's another outlet of doing things with. So they're seeing it in a different way. So with a lot of my older individuals, it may be more of that childhood molestation and lifestyle, lifetime trauma that they've dealt with and handled it through alcohol and drugs.
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11;31;07;19 | 11;31;34;11 | And so I'm having to work with that lifetime of trauma, not to mention the racism, you know, the the weathering that we've experienced just as people of color that comes into that as well. So it's a it's a different starting point to how you tackle that. You know, we have to build some self-worth for these individuals that have lived this life of being told that you're not nothing.
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11;31;36;12 | 11;32;05;23 | Now, with our younger generation, it's not that same way. If you're not feeling it, you're not receiving it in the same way. But social media can still affect your social is self esteem. But I love that now there is more conversation about diversity and being different. I mean, like back in the eighties, it was like if you colored your hair purple, Oh my God, You know, you was, you know, and now we're open.
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11;32;05;23 | 11;32;34;09 | So much more open to things. But it's still a challenge to be who you are or be an individual. And it's about connecting with the communities that support it where there were no communities before back in the day. So those are some examples. Not getting too specific in how the generations have changed and the approach and understand, I always think in terms of what are your resources.
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11;32;34;21 | 11;32;57;26 | There are more resources today than it used to be back in the day and also back in the day. We're more private. You know, we're not all we are all social media. You know, we keep it to ourselves. We're not talking about it. And so that helps our older generation today to maybe have more of a conversation or be more open to things that back in the day we weren't so much before.
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11;32;59;07 | 11;33;00;09 | Did that answer the question?
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11;33;00;09 | 11;33;01;15 | Yeah. Okay.
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11;33;03;00 | 11;33;16;23 | Well, on that note, though, with the shift in people and the shift and the culture, how do you think or do you think that the mental health industry has shifted in that way, or is there a shift that needs to happen?
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11;33;17;14 | 11;33;47;20 | Oh gosh, always shift. That needs to happen, you know, period, where, you know, the health care system is the the health care system is designed to treat acute symptoms, meaning, you know, you broke your arm and get it fixed. We're dealing with a time of chronic conditions. And so there's education and some providers that focus on chronic things, but primarily our health care system is, you know, this hurts me, you know, fix it, you know, But now we have to really hone in on lifestyle.
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11;33;47;20 | 11;33;53;28 | And actually, I have to apologize. I kind of got off into some tangents with your question as well. The question again.
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11;33;55;04 | 11;34;15;06 | Was just that with the chip that's gone on, I guess in culture and community, you talk about the nineties and get into like the technology aided social media. How do you believe it? Has there been a shift in how we treat mental illness and health, or should it or should they be one?
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11;34;15;18 | 11;34;35;13 | Yes, I do believe that the things that have gone on and have occurred have been beautiful in kind of reducing some of a lot of the stigma around mental health. And I think that people are seeing more that mental health is more than just hearing voices and seeing goals or, you know, things like that, those things that we're most afraid of.
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11;34;35;22 | 11;35;10;12 | But it's about living life. It's about it's okay to talk to someone. So I, I really love to see the the therapy commercials and all of the different ways that people are trying to help with mental health. So definitely there has been a huge improvement. But it's it's we have so much further to go because like I said, there's still stigma, There's still these thought processes and barriers and access to care that's still out there for us.
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11;35;11;28 | 11;35;33;07 | And that's why I really am like a DIY here, you know, And I like I want to help people to do the most they can for themselves. So wherever you are, if you're like, I'm not ever going to a doctor, you know, unless it's something very extreme, you have some tools that can help you kind of maneuver and ways to think about things like start tracking yourself.
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11;35;33;12 | 11;35;50;11 | So if you if you do go to the doctor, you say, look, my heart rate has been you know, over the years have been in the seventies. And now I'm finding my resting heart rate to be in the nineties. And you can give information about yourself and find a doctor that you can partner with it. I want to empower to help.
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11;35;50;11 | 11;36;20;00 | So I think it's coming. We are feeling that we need a change and that's where when we talk generationally, I think our the younger generation, whatever that may mean, is helping put voices around things. I love the fact that we have black culture that to say that that means I'm a part of a community, I'm a part of somebody is now recognizing the struggle and we're putting words to it.
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11;36;20;00 | 11;36;44;08 | And I have over the last few years have learned words for the things that we've experienced in the past. You know, there's vocabulary around it now instead of it's just the way we live. So it's a journey. And I think that we are or creeping were creeping, you know, were created to make it better. But what is out there is kind of helping to break stigmas.
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11;36;45;29 | 11;36;57;03 | Being do that. You did a few months back you called it was it a brain body being bootcamp. So I think people are you're making it fun. What was that about? What you guys All right.
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11;36;58;04 | 11;37;20;19 | All right. So the brain body being bootcamp, it is actually a ten week program that we launched in May and it was just for a cohort doing it per cohort. And the goal of it is putting into place all of these lifestyle methods that I've been talking about. Well, we didn't get into a whole lot of detail but sleep in and eating.
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11;37;20;19 | 11;37;48;06 | And who are you with in your environment and digging more into you? That's what the brain body being boot camp is about. It's about that whole person journey and transformation. So components of that is one, it's not an exercise focused thing, but it it's about loving, doing, loving exercise, It's about nutrition. And you, you there is a nutritional component where you're guilt ridden.
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11;37;48;11 | 11;38;18;00 | Get rid of all the toxic foods that you might be eating, the fast foods, things that harm you. You're really kind of cleaning out the body. You're going to learn tips and techniques to manage stress. You're going to learn about all aspects of lifestyle. You're going to also get outside of the ten week course. You're going to get a DNA test that's going to actually tell you about your body in terms of what your body needs for exercise, nutrition.
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11;38;18;23 | 11;38;42;20 | As far as the risk factors that you have health wise, you'll know that you're going to know so much about your body that after these ten weeks, it's going to be a great time to implement what you get from this program, because you would have kind of detoxed and now you have kind of a game plan, a playbook as far as moving forward it with you.
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11;38;42;20 | 11;39;03;02 | And it's individual to you because when we do these different things, we're trying to learn ourselves, we're trying to achieve a goal and we learn some things, but this will take some of the guesswork out of that and help you live a fulfilling life. So it's a supportive program that's ten weeks that'll help you put the lifestyle factors you need and the journey to find you.
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11;39;03;10 | 11;39;13;28 | And it's just going to open you up to be the best you can be, and that will open up again this July. I'm sorry. Well, it'll be open when this is airing. It will be opening later.
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11;39;14;11 | 11;39;20;08 | Okay. Yeah, that's exactly. I was going to ask, how can the people know more about that? But I think this.
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11;39;21;05 | 11;39;41;13 | The website is brain body being re boot camp dot com and it's a reboot can't because you've live life you got some knowledge and so what we're going to do is we're going to take all of that knowledge and we're going to reboot you, we're going to take everything you've learned and help you find you. So it's a reboot camp, so it's brain body being reboot camp dot com.
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11;39;42;08 | 11;40;02;06 | I love it. I love it. Well, thank you so much. I know we have asked a ton of questions already and I feel like we could ask a million more, but this has been such an enlightening conversation. And as I'm new on my therapy journey, I mean, it's given me a lot to think about in a from a more holistic perspective.
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11;40;02;06 | 11;40;14;03 | And so I really appreciate the gems that you share. And so I would add any final closing thoughts you have by the folks listening, anything they should know? How can they reach you? Let us.
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11;40;14;04 | 11;40;37;23 | Yes, remember that mental health is everything and everything is mental health. And that means that everything in your life, everything you do, it affects your mental health. So take a look around you and do some assessment on what is no longer serving you and what uplifts you. Build you and helps you be the best you. And you want to increase all of those good things in your life.
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11;40;38;11 | 11;41;00;10 | Now to getting well, first of all, the first thing I want to do is give your listeners a private podcast that I've created and it's a 21 day love thyself journey and it's all about self love. You know, we live in this world where, you know, we don't get a lot of affirmation. You know, it can be difficult.
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11;41;00;10 | 11;41;20;20 | And so it all begins with you and how you think of you. And so this is a journey to start just taking, to start analyzing your love for yourself and loving yourself more and it gives you strategies and it opens you up to like, Wow, I can do so much more for me or I want to do some more, I want to dig more into me.
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11;41;21;04 | 11;41;40;03 | And that's where it all begins. Loving yourself, all of these things I'm talking about you would do because you love yourself, because you want to be the best you can be. And then how that trickles down to everyone around you that you love. Think about how when you fall in love with someone, you you give them all of you.
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11;41;40;03 | 11;42;18;16 | You know, you're sharing your spending time, you know you're going on dates. It's all of these beautiful things. Do that with yourself and that's what I challenge you to do. So how you get this that you're going to text self love as a compound word to 7029194249. And that's how you can start that private podcast and start that journey another way that you can kind of follow the my teachings and what I'm offering is on an app that I have and it's called Mental Wellness Unlocked, and you should be able to find it on Apple.
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11;42;18;22 | 11;42;46;10 | And in Android, but it's called Mental Wellness Unlocked. And then this app will be a lot of the foundational teachings of lifestyle and strategies and tips and techniques. And anything else that I have going on will also be there. And then the third thing is follow me on Instagram direct Tiffany M Smith on Instagram. And that's where, again, you'll find the videos and additional tips techniques and you'll see the different things that I'm involved in.
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11;42;46;10 | 11;43;09;21 | And I do a lot of public speaking and talking, and that's how you'll keep up with what's going on with me as well. I have three specialties and that is our Bipoc community. That's the LGBTQ eye, a plus community and maternal mental health. And so you'll find different pieces of information and whatnot in those areas as well.
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11;43;10;19 | 11;43;23;08 | So I just want to thank you so very much and all of the all of the wisdom, all of the knowledge and really those opportunities to continue the conversation with you on those various platforms.
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11;43;23;13 | 11;43;25;04 | Yes, Thank you.
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11;43;25;19 | 11;43;28;25 | I love this private podcast idea. I have to steal that.
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11;43;32;01 | 11;43;32;13 | So.
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11;43;32;26 | 11;43;34;08 | Yeah, Thank you.
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11;43;34;18 | 11;43;36;05 | All right. Well, thanks for having me.
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11;43;36;22 | 11;43;46;20 | Yeah, thank you so much. Bye bye. So next time, y'all, I am you girls. And he's Nicole. And I'm Shannon Dixon. And we are black girl flag.