Through the Door
Fall Forum
Rewriting the Narrative: Unpacking the Past and Taking Ownership of Your Present
Through the Door
Rewriting the Narrative: Unpacking the Past and Taking Ownership of Your Present
Dr. Stephen Loyd is an Internal Medicine/Addiction Medicine physician who graduated medical school and residency from the James H. Quillen College of Medicine at East Tennessee State University. He currently serves as the Vice-President of the Tennessee Board of Medical Examiners. Dr. Loyd was the Assistant Commissioner (Opioid Czar) for Substance Abuse Services in the Tennessee Department of Mental Health and Substance Abuse Services in Governor Bill Haslam’s administration.
He has served as an expert witness in more than twenty federal and state cases against physicians who were improperly prescribing controlled substances. Dr. Loyd was named an Advocate for Action by the Office of National Drug Control Policy (ONDCP), an office of the President of the United States. He has delivered over five hundred educational lectures on addiction and treatment of opioid use disorder and proper prescribing of controlled substances. Dr. Loyd was an original member (still active) of the Treatment of Chronic Pain Guidelines Committee which defined pain treatment for providers in the state of Tennessee. He has worked as an Addiction Medicine Physician in both the inpatient and outpatient settings, specializing in the treatment of opioid dependent pregnant women. Dr. Loyd has served on multiple drug courts in Tennessee and remains an active participant in drug court in the 4th Judicial District. He has worked with multiple community level anti-drug coalitions from Johnson County to Shelby County and has worked with all levels of state law enforcement, mainly the Tennessee Bureau of Investigation.
Dr. Loyd was the inspiration behind Michael Keaton’s character in Hulu’s Emmy Award winning series Dopesick. He currently serves as Chief Medical Officer for Cedar Recovery in Tennessee and until recently served as the Chair of the Tennessee Opioid Abatement Council appointed by current Tennessee Governor Bill Lee. Dr. Loyd has been in recovery from opioid and benzodiazepine addiction since July 8, 2004.
Paul W. Ragan, MD is an Associate Professor of Clinical Psychiatry at Vanderbilt University School of Medicine and a nationally recognized clinician in addiction psychiatry, psychosomatic medicine, and trauma‑related disorders. Over the course of four decades, Dr. Ragan has served in distinguished roles across academic medicine, the U.S. Navy, the National Institutes of Health, and major medical centers nationwide. His career includes directing inpatient and outpatient psychiatric services, leading addiction treatment programs, and training generations of medical students, residents, fellows, and psychiatric nurse practitioners.
Dr. Ragan completed his medical degree at the University of Arizona and his psychiatry residency at the National Naval Medical Center, where he served as Chief Resident. After serving 10 years on active duty in the US Navy, including as Director of Mental Health, 2nd Echelon, of the combined Marine Divisions in Desert Storm, he went on to complete an Addiction Psychiatry Fellowship at the National Institute on Alcohol Abuse and Alcoholism. He contributed to research on alcohol dependence, trauma, neurobiology, and the intersection of addiction with mood and anxiety disorders. His scholarly work includes more than two dozen peer‑reviewed publications and presentations at national scientific meetings.
Across his career, Dr. Ragan has been deeply committed to understanding the lifespan of addiction—from early childhood adversity through adult relapse and recovery—and to improving systems of care for individuals and families affected by substance use disorders. His clinical leadership at Vanderbilt, the Veterans Administration, and multiple residential treatment programs reflects a lifelong dedication to compassionate, evidence‑based care.
Dr. Ragan brings to this event both scientific expertise and a profound commitment to helping communities rewrite the narrative around addiction, loss, resilience, and hope.
Kristen earned her Ph.D. at the University of Colorado, Boulder in Organic Chemistry. She later served as an Associate Professor of Chemistry at Cal Poly State University, San Luis Obispo where she taught Organic Chemistry, Neurochemistry, and the Chemistry of Drugs and Poisons. After Kristen’s 17-year-old son, Anders, developed schizophrenia – which was most likely associated with high-potency cannabis use in his early teens – Kristen joined the Warren Center for Neuroscience Drug Discovery at Vanderbilt University (2018). At Vanderbilt, she researched new antipsychotic treatments for schizophrenia. During that same year, Kristen delivered a TEDx presentation titled Rewiring Revolution: Neuroplasticity’s Impact on Well-being. Tragically, Kristen lost her son to an accidental overdose in 2019 after his mental health severely declined, and he became addicted to opioids and stimulants.
Two years after her devastating loss, Kristen changed the trajectory of her life to utilize her scientific teaching and research skills to educate adolescent-aged children and their caregivers on mental health challenges and how it can lead to substance use and self-harm. As the Director of Outreach and Advocacy Programs and Assistant Professor of Research at the Warren Center, Kristen presented to youth, caregivers, legislators, and law enforcement about the impact repeated stress, social media, screen time, and substances have on the developing adolescent brain. In addition, she developed a multi award-winning educational documentary aimed at youth titled “Speaking Through Me” that was released August 2023.
Kristen has appeared on NBC Nightly News with Lester Holt and NewsNation: Elizabeth Vargas Reports regarding increased psychosis risk with high-potency cannabis use during adolescence. In 2025, the overwhelming desire to reach more youth called Kristen to launch the non-profit “22 Forever” in memory of her son, Anders. As the President and Executive Director of 22 Forever while still Assistant Professor of Research at Vanderbilt Medical School, Kristen delivers adolescent brain health presentations both nationally and internationally. Furthermore, 22 Forever’s mission extends to empowering young minds through a middle school brain health curriculum that nurtures well-being and fosters resilience and self-compassion as a means of substance use prevention.
Dr. Jill C. Obremskey, MD, MMHC, FAAP is a physician leader, healthcare executive, and child advocate with more than 30 years of experience advancing pediatric care, public health, and child well-being across clinical, academic, and policy settings. Dr. Obremskey earned her MD from the University of North Carolina, completed her pediatric residency at Seattle Children’s Hospital/University of Washington, and holds a Master of Management in Health Care from Vanderbilt University’s Owen Graduate School of Management. She also completed coursework toward an MPH at the University of Washington School of Public Health. Board certified in Pediatrics and a Fellow of the American Academy of Pediatrics, she remains committed to advancing quality, trauma-informed care and ensuring that every child has the opportunity to thrive.
A passionate advocate for early relational health and positive childhood experiences, Dr. Obremskey works to strengthen children’s mental health from the prenatal period through early childhood. She serves on the Advisory Board of AIMHiTN, participates in the Tennessee Infant and Early Childhood Mental Health Policy and Financing Coalition, and is a member of several American Academy of Pediatrics councils and initiatives focused on early childhood and child mental health. She is a founding leader of ACE Nashville’s Pediatric Workgroup and serves on the boards of Raising Resilience and Centerstone of Tennessee. She is also active in legislative advocacy focused on children’s health, mental health, and firearm safety.
A passionate advocate for early relational health and positive childhood experiences, Dr. Obremskey works to strengthen children’s mental health from the prenatal period through early childhood. She serves on the Advisory Board of AIMHiTN, participates in the Tennessee Infant and Early Childhood Mental Health Policy and Financing Coalition, and is a member of several American Academy of Pediatrics councils and initiatives focused on early childhood and child mental health.
This Fall Forum is organized and facilitated by Liz and Yarnell Beatty’s Breaking the Silence Ministry (“BTS”). (https://www.ebpctn.org/