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Head this way for a deep dive on the research supporting this effort!"}],"markDefs":[],"style":"normal"},{"_key":"ed3f5579813e","_type":"block","children":[{"_key":"ed3f5579813e0","_type":"span","marks":[],"text":"More than a simple quiz, Female Stress Signatures is an educational tool that communicates five key concepts that every female and women’s healthcare provider should know:"}],"markDefs":[],"style":"normal"},{"_key":"b94ee5458894","_type":"block","children":[{"_key":"b94ee54588940","_type":"span","marks":[],"text":"#1: Female* stress is distinct from male stress."}],"markDefs":[],"style":"h3"},{"_key":"9b66632e07c0","_type":"block","children":[{"_key":"9b66632e07c00","_type":"span","marks":[],"text":"Shocker! Males and females evolved to process stress differently. Even though our bodies react in a similar way (meaning, elevated blood pressure, increased heart rate, dilated pupils), female and male brains activate different pathways — even in response to the same stressors. This is why we need to both study and clinically consider female stress responses and triggers as distinct from male stress patterns."}],"markDefs":[],"style":"normal"},{"_key":"176c25bcc6d7","_type":"block","children":[{"_key":"176c25bcc6d70","_type":"span","marks":["em"],"text":"*Looking to know how we define female with respect to the science of stress? Check out our glossary"},{"_key":"176c25bcc6d71","_type":"span","marks":["em","strong"],"text":" "},{"_key":"176c25bcc6d72","_type":"span","marks":["strong","9454e8a13db8"],"text":"here"},{"_key":"176c25bcc6d73","_type":"span","marks":[],"text":"."}],"markDefs":[{"_key":"9454e8a13db8","_type":"externalLink","url":"https://stressquiz.asktia.com/glossary/"}],"style":"normal"},{"_key":"fc7e758f07d9","_type":"block","children":[{"_key":"fc7e758f07d90","_type":"span","marks":[],"text":"#2: Not all stress is bad nor created equal!"}],"markDefs":[],"style":"h3"},{"_key":"7431a524f0bb","_type":"block","children":[{"_key":"7431a524f0bb0","_type":"span","marks":[],"text":"Some stress is normal, healthy, and key to our survival. But other forms of stress — and too much stress — is not. Specifically, acute stress — which is stress that lasts anywhere from a few seconds to a few hours — is a natural physical and mental reaction to life’s experiences and is valuable (in doses)."}],"markDefs":[],"style":"normal"},{"_key":"064bde105db3","_type":"block","children":[{"_key":"064bde105db30","_type":"span","marks":[],"text":"But, when you let it run wild and stressors pile up, it can become negative This is called chronic stress and is what we’re committed to helping women better manage through Tia’s Female Stress Signatures."}],"markDefs":[],"style":"normal"},{"_key":"43689cbeb874","_type":"block","children":[{"_key":"43689cbeb8740","_type":"span","marks":[],"text":"#3: Chronic stress can make women sick."}],"markDefs":[],"style":"h3"},{"_key":"5928646224d1","_type":"block","children":[{"_key":"5928646224d10","_type":"span","marks":[],"text":"Stress protects you during short-term threatening conditions, but increasingly, you’ll find yourself in situations where a quick resolution isn’t an option — like feeling constantly overworked or worrying about paying rent on time. And so, the amazing system designed to protect you begins to cause wear and tear instead. This is known as "},{"_key":"5928646224d11","_type":"span","marks":["em"],"text":"allostatic load"},{"_key":"5928646224d12","_type":"span","marks":[],"text":"."}],"markDefs":[],"style":"normal"},{"_key":"4b0557270066","_type":"block","children":[{"_key":"4b05572700660","_type":"span","marks":[],"text":"How allostatic load presents itself in each individual woman depends on a multitude of complex, interactive factors: the nature, duration, and timing of the chronic stress, your genetics, epigenetics, and the cumulative effects of your lifestyle, good and bad."}],"markDefs":[],"style":"normal"},{"_key":"a50f02749723","_type":"block","children":[{"_key":"a50f027497230","_type":"span","marks":[],"text":"When your brain and body remain alert and activated longer than is healthy, you can become more vulnerable to infections, heart attacks, strokes, high blood pressure, fatigue, gut dysregulation, and accelerated aging. This is why in a very literal way, chronic stress can make you sick!"}],"markDefs":[],"style":"normal"},{"_key":"44bc40a9dd19","_type":"block","children":[{"_key":"44bc40a9dd190","_type":"span","marks":[],"text":"#4: Stress is more than cortisol — it involves the two separate axes of energy and arousal."}],"markDefs":[],"style":"h3"},{"_key":"4701d664db13","_type":"block","children":[{"_key":"4701d664db130","_type":"span","marks":[],"text":"Clinically, the burdens of chronic stress can be broadly grouped into four Stress Signatures:"}],"markDefs":[],"style":"normal"},{"_key":"beb1c3efc6d8","_type":"editorialImageCarousel","items":[{"_key":"9d612adb163c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-743b4c299b0e9020c721b89fcc7e6993408a634a-1644x1096-jpg","_type":"reference"}}}}]},{"_key":"04acfd50ddf7","_type":"block","children":[{"_key":"04acfd50ddf70","_type":"span","marks":[],"text":"These four Stress Signatures focus on the dominant components of the stress response — primarily the cortisol released from your adrenal glands and your autonomic nervous system. In other words, your Stress Signature is a byproduct of how fast you are to mobilize energy and how aroused your nervous system is."}],"markDefs":[],"style":"normal"},{"_key":"f8ff147f94f9","_type":"block","children":[{"_key":"f8ff147f94f90","_type":"span","marks":[],"text":"Energy"}],"markDefs":[],"style":"h4"},{"_key":"9d7ca1503758","_type":"block","children":[{"_key":"9d7ca15037580","_type":"span","marks":[],"text":"When we say “Energy” in the context of stress, we’re talking about how eager your body is to mobilize — either a go-go-go "},{"_key":"9d7ca15037581","_type":"span","marks":["em"],"text":"Sprinter"},{"_key":"9d7ca15037582","_type":"span","marks":[],"text":" or a slow-your-roll "},{"_key":"9d7ca15037583","_type":"span","marks":["em"],"text":"Pacer"},{"_key":"9d7ca15037584","_type":"span","marks":[],"text":"."}],"markDefs":[],"style":"normal"},{"_key":"95fac5b23877","_type":"editorialImageCarousel","items":[{"_key":"2bd80d03d8f8","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-571e9cfe52954e2152bbae089a30856722783424-1644x1096-jpg","_type":"reference"}}}}]},{"_key":"1c8695f2ce94","_type":"block","children":[{"_key":"1c8695f2ce940","_type":"span","marks":["strong"],"text":"Sprinter"},{"_key":"1c8695f2ce941","_type":"span","marks":[],"text":": In comparison to Pacers, mobilizing energy is as easy as rise and shine. You’re ready to go-go-go from the moment your alarm goes off. But too much eager energy is taxing on your body, sending every cell in your body into overdrive, and bugging friends who’d rather not receive a brunch itinerary at 7AM."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2a0318854f72","_type":"block","children":[{"_key":"2a0318854f720","_type":"span","marks":["strong"],"text":"Pacer"},{"_key":"2a0318854f721","_type":"span","marks":[],"text":": In comparison to Sprinters, you’re slower and more gradual in the way you mobilize energy. Late nights equal Kryptonite. When your circadian rhythms are balanced, you’re able to win the slow and steady race. But when you’re out of sync, you’re really out of sync, from aches and pains to regretful outbursts."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"27aec6c6d660","_type":"block","children":[{"_key":"27aec6c6d6600","_type":"span","marks":[],"text":"Arousal"}],"markDefs":[],"style":"h4"},{"_key":"ebaa7503cc69","_type":"block","children":[{"_key":"ebaa7503cc690","_type":"span","marks":[],"text":"The other side of the chronic stress coin is your “Arousal Style” — we’re talking about how alert your nervous system is, that means both your brain and body — either Vigilant or Reluctant."}],"markDefs":[],"style":"normal"},{"_key":"2304b3c66276","_type":"editorialImageCarousel","items":[{"_key":"2d73d8b90fff","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-5b78ddfdcc06c137a0692216e8fb149d31a8e560-1644x1096-jpg","_type":"reference"}}}}]},{"_key":"39df5fc0c4cd","_type":"block","children":[{"_key":"39df5fc0c4cd0","_type":"span","marks":["strong"],"text":"Vigilant"},{"_key":"39df5fc0c4cd1","_type":"span","marks":[],"text":": In comparison to Reluctant types, you’re always on the alert. You’re beyond perceptive, which makes attention to detail under stress a strength. But imagine that your body is like a security guard who is always on watch — there’s only so many shifts your nerves can handle before it starts to breakdown."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c7b9a9f403fd","_type":"block","children":[{"_key":"c7b9a9f403fd0","_type":"span","marks":["strong"],"text":"Reluctant"},{"_key":"c7b9a9f403fd1","_type":"span","marks":[],"text":": In comparison to Vigilant types, you’re more contained. You tend to be more inwardly focused and when stressed, that can mean you’re in your own world. Think: mindlessly watching reruns until Netflix shuts off. So imagine your body is like a turtle — you prefer to be in your shell and when stress strikes, you’re retreating even further."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"98534900c8e2","_type":"block","children":[{"_key":"98534900c8e20","_type":"span","marks":[],"text":"#5: Stress is a spectrum. Unlike your high school prom pics, you aren’t stuck!"}],"markDefs":[],"style":"h3"},{"_key":"c6ae88f9eadf","_type":"block","children":[{"_key":"c6ae88f9eadf0","_type":"span","marks":[],"text":"So first things first: whether you feel “stressed” day-to-day or not, everyone has a Stress Signature. And there’s no such thing as a bad, wrong, or weird Signature. How you modulate and manage your Stress Signature is the key."}],"markDefs":[],"style":"normal"},{"_key":"598030ba7856","_type":"block","children":[{"_key":"598030ba78560","_type":"span","marks":[],"text":"In a perfect world, we’d all want to be near the center of the grid, but our world is far from perfect."}],"markDefs":[],"style":"normal"},{"_key":"c6c8797a9ded","_type":"editorialImageCarousel","items":[{"_key":"b94978e2a0a0","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-d20ee2f3c49c2270c5b87d39d3b8b39cdc0a76b5-813x487-png","_type":"reference"}}}}]},{"_key":"ba9fe8b0e366","_type":"block","children":[{"_key":"ba9fe8b0e3660","_type":"span","marks":[],"text":"But unlike your high school prom pictures, you’re not stuck with your Stress Signature forever and with awareness and lifestyle, you can move towards the center and modulate its impact on your mind, body and longevity."}],"markDefs":[],"style":"normal"},{"_key":"bb8ac512546e","_type":"block","children":[{"_key":"bb8ac512546e0","_type":"span","marks":["strong"],"text":""},{"_key":"bb8ac512546e1","_type":"span","marks":["strong","f7524a472891"],"text":"Take the quiz"},{"_key":"bb8ac512546e2","_type":"span","marks":[],"text":" to find out where on the chronic stress spectrum you fall — and most important of all, what to do about it."}],"markDefs":[{"_key":"f7524a472891","_type":"externalLink","url":"https://stressquiz.asktia.com/"}],"style":"normal"},{"_key":"8cc5d13c90ea","_type":"sectionHeader","title":"Take the Stress Quiz"},{"_key":"e1c70f2f0ebe","_type":"block","children":[{"_key":"e1c70f2f0ebe0","_type":"span","marks":[],"text":"So, there you have a peek at Tia’s Female Stress Signatures. We hope you "},{"_key":"e1c70f2f0ebe1","_type":"span","marks":["strong","20fc4eb3f150"],"text":"take the quiz"},{"_key":"e1c70f2f0ebe2","_type":"span","marks":["strong"],"text":", "},{"_key":"e1c70f2f0ebe3","_type":"span","marks":["strong","4fb43c4ec661"],"text":"dig into the science"},{"_key":"e1c70f2f0ebe4","_type":"span","marks":["strong"],"text":","},{"_key":"e1c70f2f0ebe5","_type":"span","marks":[],"text":" and with the help of the Care Team at the Tia Clinic, put Tia’s science-backed toolkits into action to flourish in the face of stress."}],"markDefs":[{"_key":"20fc4eb3f150","_type":"externalLink","url":"https://stressquiz.asktia.com/"},{"_key":"4fb43c4ec661","_type":"externalLink","url":"https://stressquiz.asktia.com/glossary/"}],"style":"normal"},{"_key":"b8761ff13097","_type":"block","children":[{"_key":"b8761ff130970","_type":"span","marks":[],"text":"Why we made this:"}],"markDefs":[],"style":"h4"},{"_key":"6a6afcc97973","_type":"block","children":[{"_key":"6a6afcc979730","_type":"span","marks":["em"],"text":"Foundational to our mission is an investment in experiences (like this one!) that translate our core medical competencies and scientific research into actionable tools with women at the center. 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The economic implications reveal widening income divides and inequality, which ultimately feed into one another perpetuating a cycle that is truly broken. Tia cannot feign expertise in economics, but we do know that the repercussions of losing a job or income directly threaten a person’s access to healthcare coverage."}],"markDefs":[],"style":"large"},{"_key":"c51c3d99d5fc","_type":"block","children":[{"_key":"c51c3d99d5fc0","_type":"span","marks":[],"text":"Healthcare coverage is already problematic for a bevy of reasons and within this current climate, need and lack of availability are both exacerbated. With laws and headlines changing at the speed of light, Tia is here to guide you through exactly what you can do to get coverage now. 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Tia's evidenced based longevity offering is built with women's biology - our risk, our strategies for prevention, our goals - at the center. We started with a longevity offering rooted in heart health because heart health is the number one killer of women and understanding our risk is the first step we can take to changing that statistic. High quality prevention - often covered by insurance - keeps us thriving longer - this is what longevity care should look like for women.\"","slug":{"_type":"slug","current":"jessica-horwitz"},"specialties":["Tia Core","Longevity","Menopause","Metabolic Health","Mental Health"],"team":"clinicians","text":[{"_key":"dbef137ca202","_type":"block","children":[{"_key":"f9a867759c9e0","_type":"span","marks":[],"text":"Jessica brings Tia’s in-person and virtual clinical care to life - leading the clinicians who deliver exceptional care across markets, virtually and in-person, and across clinical disciplines. 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We believed then - and are even more convinced today - that mental health is core to creating a new standard of care for women and that distinctive, sex-specific care starts with the integration of mental and physical health."}],"markDefs":[],"style":"normal"},{"_key":"c2136b8afeb4","_type":"block","children":[{"_key":"70e11d4bea360","_type":"span","marks":[],"text":"Today, we’re continuing to invest in and expand mental health at Tia to offer a full spectrum of care. 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And like all aspects of our care model, mental health programs must be underpinned by a strong economic engine in order to be sustainable. Despite almost a year of operational, pricing, and insurance changes, we have not been able to make 1v1 therapy financially viable at Tia. We’re not alone in this challenge; nearly every 1v1 therapy provider that takes insurance is struggling with reimbursement rates far below the cost to serve patients — indicative of a structural issue in the healthcare system that does not yet value mental health on par with physical health."}],"markDefs":[],"style":"normal"},{"_key":"44ec36858a22","_type":"block","children":[{"_key":"a4e3ab58b2c60","_type":"span","marks":["strong"],"text":"Because of this, we’ve made the decision to wind down 1v1 talk therapy at Tia effective March 10th."},{"_key":"c5d0b265556f","_type":"span","marks":[],"text":" As part of this programming change, we’ll be parting ways with therapists who deliver 1v1 care. Our 1v1 therapists have been an important part of our care team and we will miss them very much. We’ll be supporting departing employees with a thoughtful benefits package to ease their transition. We’ll also be supporting Tia members with a smooth and clinically-appropriate transition of care that is in keeping with regulatory guidance. Members can continue to see their therapist at Tia until March 10th. In these final visits, we’ll ensure every member gets a transition plan tailored to their needs, whether that’s concluding 1v1 therapy, continuing to see their therapist outside of Tia or finding another therapist through their insurer, or trying new mental health offerings like Tia’s group-based care."}],"markDefs":[],"style":"normal"},{"_key":"28fc14fb142c","_type":"block","children":[{"_key":"94643d5a2a880","_type":"span","marks":[],"text":"While we continue to evolve our service offerings, our North Star remains the same: to make women healthier and to make the business of care delivery stronger. We believe strongly that this evolution in our mental health programming will help achieve both, making our members healthier in mind and body and building a strong financial foundation for the future."}],"markDefs":[],"style":"normal"},{"_key":"09e5076c0870","_type":"block","children":[{"_key":"4ae90994b0f30","_type":"span","marks":[],"text":"Thank you for your commitment to Tia and your support through this transition."}],"markDefs":[],"style":"normal"}],"image":{"_type":"image","asset":{"_id":"image-209caecdbcbc842751897bc96b1c28dd12cc433e-2100x692-png","_type":"sanity.imageAsset","_createdAt":"2023-02-17T16:45:27Z","_rev":"BktE8EYrxz9tiMcvNASYZD","_updatedAt":"2023-02-17T16:45:27Z","assetId":"209caecdbcbc842751897bc96b1c28dd12cc433e","extension":"png","metadata":{"_type":"sanity.imageMetadata","blurHash":"D7OD?l%L~o%Lt7_2oMWBj[t6","dimensions":{"_type":"sanity.imageDimensions","aspectRatio":3.0346820809248554,"height":692,"width":2100},"hasAlpha":true,"isOpaque":false,"lqip":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABQAAAAGCAYAAADDl76dAAAACXBIWXMAABCcAAAQnAEmzTo0AAAA8UlEQVQYlWWR4VKCQBRGff+nKKVsxJoJTYXViAB1ckHThaWMfJSvuZddhskfZ75lF869e+npi4C+LFEZ9BUC5S8RcGqic6Y70Du9rkydfeTlFPL0DKk87MspDvoFeTlBpjxkBeWEz+zz8WveFDLSVkh5qGZIpYtV4kC8D/Ca3iHaPjC0JsL1vckh4o8RF6DOOkLRCtV5gazwkOxciGiARXiD4K2PVewgiPrww1sutIwdlsmTh+P33IyhI/w/h89qhs3+iT9KdiNs8kesszES6SKVY4Y7q6kzO8smr4T2JxR1APXjM0VtoHW718js/O0t/wA/OJJc/oBNrgAAAABJRU5ErkJggg==","palette":{"_type":"sanity.imagePalette","darkMuted":{"_type":"sanity.imagePaletteSwatch","background":"#444c2f","foreground":"#fff","population":0.18,"title":"#fff"},"darkVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#1d220e","foreground":"#fff","population":1.9,"title":"#fff"},"dominant":{"_type":"sanity.imagePaletteSwatch","background":"#d4dcbc","foreground":"#000","population":59.24,"title":"#000"},"lightMuted":{"_type":"sanity.imagePaletteSwatch","background":"#d4dcbc","foreground":"#000","population":59.24,"title":"#000"},"lightVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#e4f4c4","foreground":"#000","population":0.01,"title":"#000"},"muted":{"_type":"sanity.imagePaletteSwatch","background":"#80876c","foreground":"#fff","population":1.28,"title":"#fff"},"vibrant":{"_type":"sanity.imagePaletteSwatch","background":"#9ab44a","foreground":"#000","population":0,"title":"#fff"}}},"mimeType":"image/png","originalFilename":"headline A - 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