I’ve had people ask my thoughts on Todd Phillips’ movie, Joker.  So I thought I’d share them here.


People often agonize in my office over how and why they have come to the place they find themselves.  What happened?  How did I get here?  My answer?

You didn’t wake up this morning and decide to have this issue.

It takes a lifetime of events, rejections, trauma, and your brain translating information that informs you on how to behave and respond to the world and people around you.  Throw genetics into the mix and it complicates it even more for some.

I find many introverted, thinker/reflector, and feeling/sensitive people come for therapy more than other personality types.

I believe it so because the introverted have a more difficult time relating to others in society’s set up; large school rooms, sports teams, crowded places, and the like.  Thinker/reflectors are often told, “You are overthinking it,” or “You can’t question….”  People who feel deeply, both women AND MEN mind you, have a hard time feeling heard or understood.  Men are told they can’t and shouldn’t feel.

All of this moves these people toward feeling as though they don’t “fit in.”


How does this fit in to the Joker, Arthur Fleck?

Depending on all of these factors and many more, any one of us can be driven to madness.  Any of us can become the Joker under the right (or wrong) circumstances.  Feel free to disagree with me, but I have seen people from all walks of life and none of us are exempt…none of us.

A lot of our mental health is determined by the people in our lives…or…not in our lives.  Yes, genetics play a role in it as I have described.  However, people can guide us away from or toward our disorders.

As I watched Joker, I watched a human being devolve over time because one event after the next dehumanized him or created more traumas.  The system not only failed him, it pushed him into his madness.  It failed his mother, too.  I found myself wondering what might have happened if someone positive intervened or if there was one less trauma.

Arthur Fleck didn’t wake up one day and decide to become The Joker.


The stigma is real.  The stigma can push one to mental disorder.  There is a stigma that people like The Joker are just crazy.  They are born that way.  They are evil.

As a result, people won’t get help because they are afraid of losing jobs or how it will negatively affect their reputation or relationships.  Often times, support systems call loved ones suffering from mental illness, “crazy,” or tell them to “just buck up and get over it.”  It’s not that easy for some people.

Let me repeat.  None of us are exempt from mental disorder…None of us.  The possibility of suffering from anxiety, depression, grief, guilt, shame, damaged self-esteem, broken relationships, and any personality disorder exists for any of us; even the strongest among us.

In fact, I suspect each one of us might just say we suffer from one of the above issues.  We just haven’t been pushed to express it through violence.  So what exactly would it take to push us toward violence…against someone else…or ourself?


That’s what the movie moved my thoughts toward.  No one asks to be born into a situation like Arthur.  No one asks to be born into poverty, or violence, or abuse of any kind.  It just happens.

And some people born into difficult situations have a better support system and better resources to overcome it.  It just happens.

So what am I doing to help those who didn’t wake up and decide to be dealing with mental health issues?  What can I do to erase the stigma?  Those questions matter.

Just ask Arthur’s mother.  Just ask Arthur.

Candy Olandt

Chief of Staff

My role with Revitalist is one of providing a high level of administrative support, communication and relationship building between our CEO, Staff and other key Stakeholders.

Day to day responsibilities are listed, but not limited to the following:

Support and maintain the CEO’s calendar of events and meetings.

Attend meetings, take notes and disseminate pertinent information accordingly.

Support the CEO with email correspondences.

Support CEO, Executive Team, Lead CRNAs and other key Staff Members in the preparation of weekly staff meetings and communications.

Work closely with the CEO, Executive Team, Lead CRNAs and other key stakeholders to help drive strategic business planning, and support growth initiatives.

Act as a liaison for the CEO with the Lead CRNAs and other key Stakeholders.

Collaborate with CEO, Lead CRNAs, Executive Team and other key Stakeholders to help strategic ideas get off the ground, and provide early facilitation until a more formal project is established.

Act as a trusted advisor and brainstorming partner to the CEO, Executive Team, Lead CRNAs and other key Staff Members.

Proactively address pressing issues by calling them to the attention of the appropriate decision-maker and help to identify potential solutions.

Amanda Deleon

HR Service Coordinator

As the Revitalist human resources (HR) coordinator my professional administrative duties include being a liaison between employees and our benefits vendors and as the corporate resource for the employees.  I facilitate and coordinate with recruitment (hire to retire), maintain employee records, assist with payroll processing and provide administrative support to all employees.

Director of Admin Services at Revitalist

Ashley Brooks

I manage the Revitalist Athena EMR for front desk employees, clinical staff, therapists, and providers. Each clinic is different in its specific needs so I customize our EMR to what is needed to effectively run each clinic. I provide both in-person and virtual Athena training as needed. If any changes are needed for your specific location’s tablespace, please let me know. Email is the best way to reach me. 

Administrative services
Branding Services

I work directly with Fleetwood Photo in Knoxville with all our clinic orders. I order each clinic an initial start-up of items and they will be shipped directly to your clinic. When you are running low please email me your requests. Please allow 3-4 weeks for delivery.

Again, this is what will come in the initial start up order for your clinic, but if you have other specific requests, please let me know. 

Director of Insurance Services at Revitalist

Priscilla Bullock

Courtney Hobby

How May We Help?

Auditor at Revitalist

Jessi Shattuck

Insurance Specialist at Revitalist

Adrienne Worley

How May We Help?

Nicholas Kalynych

Lead CRNA - Jacksonville, Florida

I offer mentorship and guidance for other lead CRNAs as they mature in their role as clinic leads.

Chief Development Officer

  • Provide a conduit to Revitalist corporate as a point-of-contact and liaison for prospective CRNAs and clinic owners
  • Consultation for administrative, operational, and financials in development and hardwiring our corporate infrastructure
  • Guidance structure with policy development
  • Mentorship and resource to clinic lead CRNA
  • Director of Compliance and Risk Management
  • Director of HR
  • Chairperson of the AAP Conference
  • Advisory Board Member

Director of HR

I am responsible for the planning, development, and oversight of the policies, activities, and staff of the Human Resource (HR) department; I act as corporate liaison to CBiz (our corporate partner-benefits provider). Duties as assigned and the following:

  • Plan, direct, and manage all HR initiatives, such as recruitment, compensation, benefits, training, and employee relations.
  • Implement fair employment practices.
  • Advise lead managers and employees and labor policies, such as ADA, FMLA, etc.
  • Helping develop employee engagement, feedback, compliance, and facilitate performance management.
  • Networking with veteran organizations, universities and colleges, behavioral health and anesthesia communities, and other health sectors to facilitate relationships and partnering opportunities.
Director Integrative SVCS at Revitalist

Deana Ferguson

I am responsible for the development and oversight of the behavioral health programs at Revitalist, which includes the following components:

Grant Whitfield

IT Support

If there are any issues with the printer, internet, wireless access, computer/laptop, phone, etc., send an email to Novatech at ticketupdate@novatech.net or call (800) 264-0637 and copy Grant so he can monitor progress.

Security System

If there are any issues with your CPI-managed security system, send an email to Karen Fusaro at kfusaro@cpisecurity.com or call (800) 948-7133 ext. 6250 and copy Grant so he can monitor progress.

Clinic/Maintenance Issues

If there are any issues with your clinic, like plumbing, electrical, HVAC, etc., send an email to Grant, and he’ll contact the landlord to work through who will handle the issue/s. If the issue is not under the landlord’s scope, he will contact an appropriate company to complete the work and introduce the lead CRNA for coordination purposes.

General Liability & Malpractice

If you have any questions about a policy or need help adding an additional insured, etc., send an email to Grant, who will contact Liz Rafferty (erraferty@cbiz.com) and AnneMarie Pirelli (annemarie.pirelli@cbiz.com) to handle the task.

Water Stations

If you have any questions about a policy or need help adding an additional insured, etc., send an email to Grant, who will contact Liz Rafferty (erraferty@cbiz.com) and AnneMarie Pirelli (annemarie.pirelli@cbiz.com) to handle the task.

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