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Dr. Jodi Tate is a psychiatrist from Iowa who specializes in working with adults with intellectual and developmental disabilities (IDD) and mental health challenges. Dr. Tate shares her journey into this field, emphasizing the lack of formal training for healthcare providers in treating individuals with IDD and advocating for better education through initiatives like a specialized psychiatry residency track and Project Echo—a virtual case-based learning program for direct support professionals. She highlights the importance of addressing diagnostic overshadowing, using medications judiciously, and persistent advocacy for quality care. Dr. Tate also recounts a success story involving electroconvulsive therapy for a patient with severe depression, illustrating the need for individualized, evidence-based treatment. The conversation underscores systemic gaps in healthcare for people with IDD and calls for expanding workforce training to ensure equitable, compassionate care.