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You Are Not Broken

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Apr 27, 2025 • 52min

314. High Functioning Depression

In this powerful and deeply personal episode of You're Not Broken, Dr. Kelly Casperson is joined by psychiatrist Dr. Judith Joseph to unpack the complex relationship between trauma, high-functioning depression, and the systemic challenges facing both patients and providers in healthcare.Dr. Joseph shares her unique career journey from anesthesiology to psychiatry—a shift fueled by the pursuit of deeper fulfillment and connection. Drawing from her new book High Functioning, she explores how trauma can show up in unexpected ways: perfectionism, strained relationships, and even the culture of medicine itself.Together, Dr. Joseph and Dr. Casperson dive into the mental health crisis within the medical profession, the difference between complex PTSD and traditional PTSD, and why trauma-informed care must become the standard in healthcare. They highlight the need for preventative mental health care and why joy—not just happiness—is vital to healing.Key Takeaways:Dr. Judith Joseph’s new book High Functioning explores hidden depression and the masks people wear.A desire for deeper meaning and purpose sparked her transition from anesthesiology to psychiatry.Trauma can subtly impact daily life, relationships, and career satisfaction.Complex PTSD differs from traditional PTSD and requires a nuanced approach.Perfectionism may be a trauma response rooted in avoidance and fear.Many healthcare professionals operate with unresolved trauma, often unacknowledged and invalidated.The medical system itself can contribute to both patient and provider trauma.High-functioning depression is widespread but often misunderstood or overlooked.Preventative mental health care is crucial—waiting for a crisis is not sustainable.Joy is a core component of mental health, not a luxury or afterthought.Understanding one’s own trauma can make you a more effective and empathetic clinician.Identifying and naming emotions can be profoundly therapeutic.Self-care and setting boundaries are necessary acts of preservation, not selfishness.https://www.instagram.com/drjudithjoseph/High Functioning Book by Dr. Josephhttps://drjudithjoseph.com/Sedona in October - only five slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"Listen to my Tedx Talk: Why we need adult sex edTake my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Waitlist is openTo learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first order. For an additional $5 off Via, use coupon code DRKELLY5.Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices
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Apr 20, 2025 • 53min

313. My Microbiome Made Me Do it

In this enlightening episode of You Are Not Broken, Dr. Kelly Casperson sits down with Dr. Steven Gundry, renowned cardiothoracic surgeon turned gut health advocate. Dr. Gundry shares the personal and professional journey that led him from the operating room to the forefront of nutritional science. He breaks down the concept of leaky gut and how it contributes to autoimmune diseases, emphasizing how dietary changes can radically transform health outcomes.Together, Dr. Gundry and Dr. Casperson dive into the deep connection between gut health and mental health, the underrated power of vitamin D, and the hidden dangers lurking in our food supply and personal care products. They also tackle the pharmaceutical industry's influence on medical training and why it’s time for a paradigm shift in how we understand disease and wellness.If you've ever wondered how your gut impacts everything from anxiety to skin health—or why your mouthwash might be raising your blood pressure—this episode is for you.Top Takeaways: Dr. Gundry left a thriving surgical career after witnessing remarkable patient healing through nutrition. Leaky gut is a real, measurable condition that drives many autoimmune disorders. Genetics are less impactful than lifestyle, behavior, and environmental factors. Whole food diets can reverse chronic illness and improve quality of life. The gut microbiome plays a central role in immunity, skin health, and brain function. Modern agriculture and personal care products can damage the microbiome. Vitamin D is a foundational nutrient for both gut and mental health. Gut health is deeply tied to emotional states like anxiety and depression. Mouthwash can disrupt the oral microbiome and raise blood pressure. Probiotics and prebiotics are helpful—but only when used with care and intention. We must become more aware of what we eat, apply, and ingest daily. Personalized medicine is the next frontier in optimizing gut health. https://www.instagram.com/drstevengundry/The Gut Brain Paradox - Releases April 15thhttps://gundrymd.com/Sedona in October - only three slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"Listen to my Tedx Talk: Why we need adult sex edTake my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Waitlist is openTo learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first order. For an additional $5 off Via, use coupon code DRKELLY5.Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices
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Apr 13, 2025 • 46min

312. The Pleasure Prescription: Vibrators

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson sits down with Lara Pack, founder of Elixir Play, to explore why it’s time to take vibrators seriously—as both a pleasure tool and a legitimate part of women’s health.Lara opens up about her personal journey from navigating painful sex due to endometriosis to creating a high-quality vibrator company focused on thoughtful design and real-world results. Together, they unpack the stigma still surrounding female pleasure, how cultural and religious messaging shapes our understanding of sexuality, and why quality matters more than price when it comes to vibrators.They also dive into: The surprising interest from men in women's pleasure products Challenges with big-name companies entering the vibrator market The role of communication in improving sexual wellness Why research matters when it comes to vibrators and health outcomes How well-designed pleasure products can meet diverse needs This conversation is a must-listen for anyone ready to challenge outdated norms, elevate the discussion around women's pleasure, and embrace vibrators as a powerful tool for healing, connection, and empowerment.🎯 Health & Wellness Vibrators can play a significant role in women's health and wellness. Research shows vibrators can improve pelvic health. The experience of using a vibrator is both psychological and physiological. There is a need for more studies on the health benefits of vibrators. ✨ Personal Empowerment & Stigma Lara’s journey to creating Elixir Play was influenced by her own pain and stigma. Many customers share stories of healing and empowerment through vibrator use. Empowering women to explore their pleasure supports overall well-being. Education is essential for breaking down sexual health and pleasure stigma. Cultural and religious backgrounds shape perceptions of sexuality and pleasure. Stigmas often stem from concerns about male partners' feelings. 🛠 Product Quality & Industry Insight Quality and customer service are crucial in the vibrator industry. Investing in well-designed products enhances the experience of pleasure. Big companies often prioritize profit over product quality and authenticity. Designing pleasure products should consider individual anatomy and preferences. 💬 Communication & Shifting Perspectives Communication about pleasure is key to sexual satisfaction. Vibrators can enhance sexual experiences for both partners. A growing number of men are purchasing vibrators, showing a shift in attitudes toward women's pleasure. The conversation around female pleasure is evolving but still faces barriers. Understanding the science of pleasure helps destigmatize its use. http://elixirplay.com/ and use code NOTBROKEN20 for 20% off.Sedona in October - only five slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"Listen to my Tedx Talk: Why we need adult sex edTake my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Waitlist is openTo learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first order. For an additional $5 off Via, use coupon code DRKELLY5.Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices
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Apr 6, 2025 • 50min

311. Two Doses, One Relationship: A Couple on Testosterone

In episode 311 of the You're Not Broken podcast, Kelly Casperson, MD, hosts Marcella Hill and her husband to discuss their journey through hormonal changes and their impact on their relationship. They explore the challenges of libido loss, the role of therapy, and the transformative effects of testosterone therapy. The conversation highlights the importance of understanding hormonal health in relationships and the awakening of self-awareness that comes with it. In this conversation, Marcella Hill and Dr. Kelly Casperson explore the complexities of libido, sexual shame, and the transformative power of hormones in midlife relationships. They discuss the importance of self-discovery, emotional honesty, and the need for patience in navigating personal and relational growth. The dialogue emphasizes that pleasure and desire are not solely for others but are essential for individual fulfillment and connection.TakeawaysThe relationship was initially strong but faced challenges due to hormonal changes.Libido loss can lead to feelings of anxiety and disconnection in relationships.Therapy can help with communication but may not directly address libido issues.Medical interventions, like hormone therapy, can significantly impact well-being.Testosterone therapy revitalized Marcella's energy and libido, transforming her relationship.Awakening to a new self can create challenges in long-term relationships.Couples can navigate hormonal changes together for better understanding and support.Increased awareness of hormonal health can improve communication and intimacy.Hormones play a crucial role in mental health and overall well-being.Understanding the effects of hormones can lead to proactive health measures. Women often feel shame about their sexual desires.Listening to uncomfortable content can help challenge sexual shame.Orgasm is not just a sexual act; it's about personal joy and passion.Women deserve to feel turned on for their own pleasure, not just for others.Men's enjoyment in relationships often comes from seeing their partner's pleasure.Communication about sexual needs is crucial for both partners.Exploring sexuality can enhance intimacy and connection in relationships.Emotional honesty leads to a more expansive and fulfilling relationship.Hormone therapy can reignite passion and feelings in midlife.Learning to feel emotions is essential for personal growth and connection.https://marcellahill.com/https://www.instagram.com/beingmarcellahillhttps://www.wakeherup.co/welcomeSedona in October - only three slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"Listen to my Tedx Talk: Why we need adult sex edTake my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Waitlist is openTo learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first order. For an additional $5 off Via, use coupon code DRKELLY5.Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices
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Mar 30, 2025 • 1h 15min

310. Redefining Masculinity and Safety

In this episode of the You Are Not Broken podcast, Kelly Casperson, MD, engages in a deep conversation with Traver Boehm about redefining masculinity, the importance of emotional intelligence, and the journey of helping men navigate their feelings and relationships. Traver shares his experiences from the Year to Live Project, the impact of his book on men's lives, and the necessity of creating safe spaces for women. The discussion also touches on the differences in how men and women perceive safety and the importance of understanding these perspectives in fostering healthier relationships. In this conversation, Kelly Casperson, MD, and Traver explore the complexities of emotional awareness, therapy for men, gender differences in relationships, the evolving independence of women, and the foundational role of sexuality in partnerships. They discuss the importance of self-awareness in managing emotions, the need for therapy that resonates with men, and the societal shifts that have changed relationship dynamics. The conversation emphasizes the necessity of understanding and communication between genders to foster healthier relationships. In this conversation, Traver and Dr. Kelly Casperson explore the complexities of relationships, focusing on the business aspects of marriage, the importance of communication, the impact of pornography, and the challenges surrounding menopause. They emphasize the need for emotional maturity and understanding in relationships, advocating for open discussions about sexual satisfaction and the human experience. The dialogue highlights the evolving dynamics between men and women, the significance of consent, and the necessity of education regarding women's health issues.Traver's IGMan UncivilizedSedona in October - only five slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"Listen to my Tedx Talk: Why we need adult sex edTake my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Starts 2025. To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices
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Mar 23, 2025 • 1h 6min

309. SHEMD - PCOS, Endo And The Fight For Women's Health Care

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson engages with the co-founders of the SheMD podcast Mary Alice Haney and Dr. Aliabadi, discussing their journey in women's health advocacy. They explore the challenges women face with conditions like endometriosis and PCOS, the importance of education in healthcare, and the need for better diagnosis and treatment options. The conversation highlights the systemic issues in women's health and the role of podcasts in empowering women to advocate for their health. In this conversation, the speakers delve into the complexities of PCOS and endometriosis, discussing the importance of accurate diagnosis, the role of insulin resistance, and the need for innovative solutions in women's health. They emphasize the significance of validating patients' experiences and the impact of education in empowering women to advocate for their health. The discussion also covers hormone replacement therapy, addressing common myths and misconceptions, and highlights the necessity of treating both PCOS and endometriosis for better health outcomes.Takeaways The SheMD podcast was born out of a desire to help women navigate health issues. Endometriosis is a common yet often misdiagnosed condition affecting many women. Education is key in empowering women to advocate for their health. Many women experience chronic pelvic pain without a proper diagnosis. The healthcare system often dismisses women's health concerns, leading to delayed treatment. Laparoscopic surgery is the gold standard for treating endometriosis. Robotic technology could revolutionize women's health care. Women need to be informed about their health conditions to seek appropriate care. The emotional toll of chronic health issues can lead to depression. Advocacy and awareness are crucial in improving women's health outcomes. 75% of women with PCOS are undiagnosed. PCOS and endometriosis often coexist. Insulin resistance is a key factor in PCOS. Validation of symptoms is crucial for patients. Education can empower women to advocate for their health. Hormone replacement therapy can be beneficial for women with PCOS. Diet and exercise alone may not suffice for PCOS management. Innovative platforms can help diagnose and manage PCOS. Women often feel dismissed by healthcare providers. Understanding the metabolic aspects of PCOS is essential. Mary Alice Haney IGDr. Aliabadi IGSHE MD IGSHE MD PodcastSedona in October - only a few slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"Listen to my Tedx Talk: Why we need adult sex edTake my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Check it out!To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices
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Mar 16, 2025 • 47min

308. Sex As A Flow State

In this episode, Dr. Kelly Casperson and Dr. Emily Jamea discuss the evolution of sexual satisfaction, exploring the concept of 'good enough sex' and the pursuit of deeper intimacy through the flow state. They emphasize the importance of safety, communication, and connection in relationships, while addressing common barriers to sexual desire such as complacency and societal expectations. The conversation highlights the need for couples to actively engage in their sexual lives and prioritize emotional safety to enhance their experiences. In this conversation, Emily Jamea and Kelly Casperson, MD, explore the intricate dynamics of relationships, focusing on the concept of flow state, the importance of preparation and communication, and the impact of self-identity on sexual expression. They discuss how reconnecting with innate qualities can enhance intimacy, the role of novelty and curiosity in maintaining desire, and the balance between connection and independence in relationships. The conversation emphasizes the significance of touch and the need for effective communication to foster deeper connections.Takeaways Dr. Jamea's book offers a next-level perspective on sexual satisfaction. The honeymoon phase is temporary; couples seek more than just 'good enough' sex. Flow state is crucial for experiencing heightened sexual satisfaction. Safety in relationships is foundational for women to enjoy sex. Communication is key to understanding each partner's needs and desires. Complacency is a major barrier to sexual desire in couples. Sex should be seen as an opportunity for enjoyment, not obligation. Gender socialization impacts women's perceptions of their sexual desires. Attunement between partners enhances sexual satisfaction. Creating rituals for connection can improve intimacy and sexual experiences. Flow state requires a balance of challenge and skill. Too much novelty can lead to anxiety in relationships. Preparation and communication are crucial for intimacy. We are born with qualities that enhance our sexual experiences. Self-identity significantly impacts sexual expression. Novelty in life can enhance sexual experiences. Touch is essential for relationship satisfaction. Emotional connection is vital for sexual desire. Gentle communication can improve intimacy. Understanding dynamics of desire can enhance relationships. Anatomy Of Desire by Dr. Emily JameaSedona in October - only a few slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"Listen to my Tedx Talk: Why we need adult sex edTake my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Check it out. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.comTo learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices
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Mar 9, 2025 • 51min

307. Doctored - Charles Piller and Fraud in the Quest to Cure Alzheimer's

“Demonstrates how some of the most accomplished and elite scientific gatekeepers may have lied, cheated, squandered trust and endangered lives.” —The Wall Street JournalIn this episode of the You Are Not Broken podcast, Dr. Kelly Casperson interviews investigative journalist Charles Piller about his newly released book, 'Doctored,' which delves into the misconduct in Alzheimer's research. They discuss the amyloid hypothesis, the role of whistleblowers, the FDA's controversial drug approvals, and the systemic issues in medical research. Piller emphasizes the importance of scientific integrity and the need for independent oversight in research while also exploring emerging theories in Alzheimer's treatment and the impact of lifestyle factors on prevention.TakeawaysThe amyloid hypothesis has dominated Alzheimer's research but has significant flaws.Whistleblowers play a crucial role in exposing misconduct in scientific research.The FDA's approval process for drugs can be influenced by industry relationships.Lifestyle factors such as diet and exercise can impact Alzheimer's risk.There is a growing interest in alternative theories for Alzheimer's treatment.AI can assist in detecting research fraud but also poses risks for falsification.Misinformation in health media can lead to public harm and confusion.Independent agencies are needed to investigate scientific misconduct effectively.The scientific community must improve transparency and accountability.There is hope for progress in Alzheimer's research despite current challenges.Sedona in October - only a few slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"Listen to my Tedx Talk: Why we need adult sex edTake my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Starts 2025. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.comThanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/piTo learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices
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Mar 2, 2025 • 36min

306. Naomi Watts - Dare I Say It

In this episode of the You Are Not Broken podcast, Kelly Casperson, MD, and Naomi Watts discuss the complexities of menopause, the intersection of infertility and hormonal changes, and the importance of education and self-advocacy in women's health. Naomi shares her personal journey of writing her book, 'Dare I Say It,' aimed at providing a fun and informative guide for women navigating menopause. The conversation highlights the need for open discussions about hormonal health, the challenges women face in the medical system, and the shift in societal narratives around aging and empowerment.TakeawaysNaomi Watts wrote a book to help women feel less isolated during menopause.Menopause can intersect with infertility, creating unique challenges.Women often suffer in silence due to societal expectations.Education and advocacy are crucial for navigating menopause.Self-advocacy is essential in healthcare for women.The narrative around aging is shifting towards empowerment.Hormonal changes can significantly impact women's health.Community and shared experiences can alleviate feelings of isolation.The media has historically created fear around hormone therapy.Women are increasingly taking control of their health and wellness.Dare I Say It by Naomi WattsNaomi Watts IGStripes Beauty by Naomi WattsSedona in October - only five slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"Listen to my Tedx Talk: Why we need adult sex edTake my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Starts 2025. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.comThanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/piTo learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first order. For an additional $5 off Via, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices
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Feb 23, 2025 • 55min

305. Make Love Not Porn - Cindy Gallop

Cindy Gallop, founder of Make Love Not Porn and a marketing maven, passionately discusses her mission to destigmatize sex. She dives into the vital role of communication in relationships, challenging outdated notions that great sex occurs without dialogue. Gallop highlights the urgent need for comprehensive sexual education and the positive impact her platform has on users' understanding of intimacy. She also emphasizes empowering women to embrace self-confidence and combat rape culture, encouraging open conversations about sexuality and consent.

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