Inside Mental Health

Episodios

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  Bipolar Disorder in Spouses, Family, and Loved Ones 23.07.2026 20m

  Many people know the term “bipolar disorder,” but few understand what mania actually looks like, how depression presents, or why recognizing the warning signs can be so difficult. In this episode, host Gabe Howard sits down with ADAA (Anxiety and Depression Association of America) Member expert Bruce M. Cohen, MD, PhD. Dr. Cohen is a psychiatrist, Harvard Medical School professor, and former president and psychiatrist-in-chief of McLean Hospital. Together, they break down the realities of bipolar disorder, including the differences between bipolar I, bipolar II, and cyclothymia. Listeners will learn: how some risk-taking behaviors could be warning signs how distinguishing bipolar from personality traits requires careful evaluation how caregivers need support and self-care to be effective They also tackle an important question: When is someone simply energetic, dramatic, or outgoing — and when could those traits point to a mental health condition? Using real-world examples and decades of clinical experience, Dr. Cohen explains how mental health professionals distinguish personality from illness. If you've ever wondered what bipolar disorder really looks like — or how to help someone who may be struggling — this episode is for you. We would like to thank McLean Hospital for providing educational support for this episode. “I've been doing this for 50 years and I've focused on psychotic disorders and bipolar disorders. [. . .] Most of them lead good lives and they're successful.” ~Bruce M. Cohen, MD, PhD Our guest, Bruce M. Cohen, MD, PhD, is the Robertson-Steele Professor of Psychiatry at Harvard Medical School and President/Psychiatrist-in-Chief Emeritus at McLean Hospital. Currently, as Director of the Program for Neuropsychiatric Research at McLean/Mass General Brigham, he leads a consortium using cell culture, genomic, pharmacologic, brain imaging, and clinical studies to increase understanding and develop new treatments for psychiatric disorders. This work is particularly focused on identifying inherent factors that might be modulated to reduce the risk of illness. Convergent evidence from these studies highlights key factors underlying risk for illness, prominently including abnormalities of energy production and brain cell growth and maturation. These abnormalities affect brain development, brain remodeling during adolescence, and brain repair with age. In addition, his work has documented evidence-based dimensional approaches for diagnosing psychiatric disorders that describe each person seeking treatment more accurately and thoroughly than standard diagnostic models. Collaborating investigators work at McLean, the Broad Institute of Harvard and MIT, and international sites. Following undergraduate studies at the Massachusetts Institute of Technology and graduate (molecular genetic) and medical studies at Case Western Reserve University, Dr. Cohen completed his residency training at McLean. He was co-founder of a Clinical Research Center, founding Director of McLean’s Brain Imaging Center, and director of McLean’s Residency Training Program, and a Vice President at McLean, before becoming President and Psychiatrist-in-Chief of the hospital. Under his leadership, McLean, which was struggling financially, established over 30 new programs, became financially stable and grew to treat more patients, perform more research, and teach more trainees than at any time in its distinguished history. He has taught locally, at McLean, Harvard Medical School, and the Massachusetts Institute of Technology, as well as lecturing nationally and worldwide to academic and lay audiences. He has directed continuously funded translational research projects and centers for 48 years.  Dr. Cohen has over 400 publications and 5 awarded patents.  He authored one popular book for lay audiences and has chapters in 19 textbooks. He has consulted to industry and clinical centers. He has been featured in national publications as one of the best doctors in America, been named Psychiatrist of the Year twice by the National Alliance on Mental Illness of Massachusetts, and has won awards for research, teaching, and clinical care. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com.
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  Gambling Addiction: Why Some People Can't Just Stop Betting 16.07.2026 29m

  Most people can buy a lottery ticket, join an office March Madness pool, or place an occasional sports bet without it becoming a problem. So why do some people lose their savings, relationships, careers, and even homes because they can't stop gambling? In this episode, host Gabe Howard sits down with certified gambling counselor Eric Webber, MA, to explore the realities behind gambling addiction and why it deserves to be treated as a serious mental health condition. This conversation examines the explosion of legal sports betting, in-game prop bets, fantasy sports, and gambling advertisements that have made betting more accessible — and more difficult to avoid — than ever before. Eric explains how modern betting platforms are intentionally designed to deliver frequent rewards that keep people engaged, and why "just stop gambling" is no more helpful than telling someone with depression to "just cheer up." Listeners will learn: how treatment for gambling addiction works and what to expect why gambling addiction is a real behavioral addiction, even without substances involved the critical role of peer support in long-term recovery potential warning signs that casual gambling may be turning into compulsive behavior If you've ever wondered when gambling crosses the line from entertainment to addiction, this conversation may change the way you think about betting forever."People don't lose everything because they enjoy gambling. They lose everything because they can't stop — and that's what makes it an addiction." ~Eric J. Webber, MA Our guest, Eric J. Webber, MA,  is the Caron Legal Professionals Program Coordinator and Senior Behavioral Health Therapist at Caron Treatment Center.  He provides direct care through individual and group counseling sessions, as well as specialty lectures focused on the disease of addiction, relapse, addiction interaction disorders, work/professional related issues, and other targeted needs. He conducts the Legal Professionals group and meets with legal professionals individually to provide counsel.  Mr. Webber is a Certified Alcohol and Drug Counselor, Certified Clinical Supervisor, and holds a Certificate of Competency in Problem Gambling, all through the Pennsylvania Certification Board; he is also a Certified Sex Addiction Therapist and a Certified Multiple Addiction Therapist through the International Institute for Trauma and Addiction Professionals. He holds a master’s degree from Alvernia University.   Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com.
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  Tardive Dyskinesia: A Personal Story for Caregivers and People Living with TD 09.07.2026 19m

  Tardive dyskinesia (TD) is often misunderstood, misdiagnosed, or simply ignored — leaving many people feeling isolated, frustrated, and afraid to speak up. In this episode, we share the deeply personal story of Sherland Peterson, a woman living with tardive dyskinesia, while exploring the physical, emotional, and social impact of this complex movement disorder. Whether you are living with TD yourself, caring for someone who is, or simply trying to better understand the realities of long-term mental health treatment, this episode offers insight, validation, and practical understanding. Our guest discusses what it was like to first notice the symptoms, the challenges of getting answers, and how TD affected confidence, relationships, communication, and daily life. Listeners will learn: the emotional toll of living with visible involuntary movements  how psychiatric medication side effects can create complicated treatment decisions  what caregivers and loved ones should know about supporting someone  how stigma and shame can prevent people from seeking help  If you’ve ever wondered what TD actually feels like beyond the clinical definition — or if you’re searching for hope, support, and real-world perspective — this episode delivers an authentic and compassionate look at life with TD.We would like to thank Teva Pharmaceuticals for providing educational support for this episode. “In my case, my mouth was so affected by TD (tardive dyskinesia), my jaw would quiver, my speech would be slurred.” ~Sherland Peterson Our guest, Sherland Peterson, is a vocal advocate for mental health awareness and has appeared in numerous podcasts, TV, and radio interviews in which she shares her mental health journey. Ms. Peterson attended Hunter College and City College of NYC. She has taught English at LaGuardia Community College, City College of NYC, and DeVry Institute in NYC. She has also served as a Schedule C in the Obama administration’s Administrative Conference of the US. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com.
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  Pop Legend Carnie Wilson on Shame, Stigma, and Tardive Dyskinesia 02.07.2026 25m

  Grammy-nominated singer, actress, and mental health advocate Carnie Wilson joins Gabe Howard to discuss one of the most misunderstood conditions in mental health: tardive dyskinesia (TD). In this candid conversation, Wilson opens up about her own experiences with depression, postpartum depression, addiction recovery, and the isolation that often accompanies mental health challenges. She explains why vulnerability can become a source of strength and why speaking up may be the most important first step toward healing. Listeners will learn: why many people wait months or years before discussing symptoms with a healthcare professional Carnie Wilson’s personal history with mental health struggles  why people fear judgment for their diagnosis and for visible symptoms of TD Together, Gabe and Carnie explore the stigma surrounding mental illness, the unique challenges faced by people living with TD, and the emotional impact these conditions can have on relationships, self-esteem, and daily life. They also discuss why so many people delay seeking help and what can happen when fear gives way to action. Whether you're living with a mental health condition, supporting someone who is, or simply want to better understand TD, this episode offers a powerful message of empathy, education, and hope. Listen now! Cold Open Transcript: “They become an advocate for themselves. They finally say, when I look in the mirror, I see my tongue darting from right, left, right, left. And I don't want to go to work today because I think my students at the school will judge me. These are everyday people that have these jobs that are affected. And I'm here to say, don't be ashamed. There's nothing wrong with you.” ~Carnie Wilson, Grammy Nominated Pop Sensation Our guest, Carnie Wilson, is a Grammy-nominated singer-songwriter and mental health advocate.  Carnie Wilson has always been an advocate for helping and empowering others. Now, it means so much to her to be able to use her voice to be open about her own mental health journey, with the hope that she can help people facing their own challenges.  In the past, she's openly shared her experiences with postpartum depression and addiction and found strength by being open about her mental health challenges, as well as seeking treatment and support.  Carnie Wilson, born into the music world, has made her own mark on the entertainment world as a singer, TV personality, and actress. She is a founding member of the pop trio Wilson Phillips. Beyond her music career, Carnie has appeared on television as a host and guest star and even made a memorable cameo in the comedy film “Bridesmaids.” Her diverse talents continue to inspire and entertain audiences worldwide. She loves cooking and baking with her family and resides in California with her family.  Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com.
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  Emetophobia: Understanding the Fear of Vomiting 25.06.2026 27m

  No one likes to throw up. But for some, the mere thought of vomiting is a Level 12 emergency that halts life in its tracks. Imagine avoiding bars, concerts, and even the grocery store because a stranger might look "pale." This is the reality of emetophobia—a debilitating fear of vomiting that often hides in the shadows of more common diagnoses like anxiety or eating disorders. In this episode, we peel back the layers of this misunderstood condition with ADAA member expert Ken Goodman, LCSW, and emetophobia sufferer Lorraine Leal. Ken breaks down why emetophobia is far more than a gross-out reaction; it is a complex anxiety disorder that forces sufferers to construct elaborate safety behaviors just to survive the day. Lorraine shares her raw, personal journey of living with a fear so intense she would rather die than vomit. She details the isolation of being labeled a bad friend for avoiding germ-filled social spaces and the crushing guilt of feeling like a burden on her family. Listener Takeaways Understanding that for many, the fear of others getting sick is just as paralyzing Learn how safety behaviors can actually fuel the phobia instead of preventing the danger Recognize why emetophobia is frequently mistaken for other disorders Learn what type of therapist to seek out to treat this unique disorder Tune in to dive into the overlap between emetophobia and OCD, the safety behaviors that keep sufferers trapped, and a surprising look at why treatment doesn't actually involve being forced to vomit. This episode has been sponsored by the Anxiety and Depression Association of America (ADAA). "Some people would rather die than vomit, and that is something that most onlookers don't see." ~Lorraine Leal, Emetophobia Survivor Our guest, Lorraine Leal, is 42 and a lifelong emetophobia sufferer. Lorraine is from Long Island where she enjoys performing in local musical theater productions, nail art, and reading. Our guest, Ken Goodman, LCSW, specializes in the treatment of anxiety disorders and OCD.  He is on the board of directors for the Anxiety and Depression Association of America and is Founding Director of QuietMindSolutions.com. He has authored and produced several self-help courses and books including “The Anxiety Solution Series,” a 12-hour audio course, “Break Free from Anxiety,” a coloring self-help book, and “The Health Anxiety Handbook.” He also wrote the top selling book on emetophobia, “The Emetophobia Manual,” and produced a pre-recorded emetophobia course. He lectures at universities and organizations across the country. He earned his bachelor’s and master’s degrees from UCLA and operates his online private practice in Los Angeles. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com.
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  Borderline Personality Disorder (BPD): A New Treatment Beyond DBT 18.06.2026 26m

  While many people have heard of Dialectical Behavior Therapy (DBT) fewer know about Mentalization-Based Treatment (MBT), an evidence-based therapy that is producing remarkable results for people living with Borderline Personality Disorder (BPD). In this episode, host Gabe Howard sits down with Robert P. Drozek, LICSW, a teaching associate in psychiatry at Harvard Medical School and author of “Mentalization: Utilizing Reflection to Heal from Borderline Personality Disorder.” Together, they explore how mentalization—the ability to understand your own thoughts, feelings, and motivations while considering the perspectives of others—can help reduce the emotional instability, relationship challenges, impulsivity, and self-destructive behaviors often associated with borderline personality disorder. Robert explains what happens when intense emotions or fears of rejection disrupt a person's ability to accurately interpret themselves and others. He breaks down how Mentalization-Based Treatment works, what a typical therapy session looks like, and why some people who haven't connected with DBT may find MBT to be a powerful alternative. Listeners Will Learn: ·      Discover how Mentalization-Based Treatment (MBT) was developed and why it is evidence-based ·      Explore the key differences between MBT and Dialectical Behavior Therapy (DBT) ·      Find out what happens during a typical MBT therapy session ·      Understand how rigid certainty about yourself or others can fuel emotional suffering Whether you've been diagnosed with borderline personality disorder, love someone who has, or simply want to better understand this treatable mental health condition, this conversation offers hope, practical insights, and a fresh perspective on recovery. Listen now! “When (people with borderline personality disorder) are overwhelmed by emotion, they stop reflecting. Mentalization helps them get their minds back online.” ~Robert P. Drozek, LICSW Robert P. Drozek, LICSW, is the clinical director of the Mentalization-Based Treatment Clinic at McLean Hospital in Belmont, Massachusetts. He is a teaching associate in the Department of Psychiatry at Harvard Medical School, specializing in the treatment of borderline personality disorder, narcissistic personality disorder, and post-traumatic stress disorder. He is author of the new book, Mentalization: Utilizing reflection to heal from borderline personality disorder—the first book for the general public about mentalization-based treatment. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com.
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  Want to Be a Mental Health Worker? Realities of the Front Lines 11.06.2026 21m

  Think working in mental health is just sitting and listening? The reality is a chaotic, high volume front line where workers face severe psychological crises every single day. In this episode, our host sits down with the author of “So You Want To Work in Mental Health?: The Good, the Bad, and the Unforgettable,” Cliffard Mayo, MBA, LAC, to pull back the curtain on what really happens behind closed doors for many mental health workers. Listeners will learn: Mental health workers are trained not to internalize a client's failures, and therefore often refuse to take credit for their successes. Nonclinical staff absorb crisis trauma but are often denied essential training and support. Empathy fatigue is where clients begin to feel like a rotation of numbers rather than people. Training vs. Reality: Academia teaches how to run a controlled, one-on-one clinical session, but often fails to prepare graduates for the volume, chaos, and emotional exhaustion of the actual field. Whether you are a professional working in healthcare or someone determined to understand the current, raw state of mental health advocacy, this conversation delivers the essential insights and perspectives you need. Hit play to uncover the unspoken truths of caregiving and learn how we can preserve the people who spend their lives saving others.    "School prepared me to be a therapist in a session [...] It didn't prepare me for handling the sheer volume of vicarious trauma, chaos, exhaustion." — Cliffard Mayo, author of “So You Want to Work in Mental Health?” Our guest, Cliffard Mayo, MBA, LAC, is an award‑winning author and behavioral health professional with a decade of direct care experience, including crisis intervention and residential therapy. Known for his authenticity and emotional intelligence, Cliffard blends professional expertise with deeply human storytelling to challenge stigma and inspire resilience. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com. Please share the show with everyone you know! Thank you!
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  Kids These Days: Reimagining Youth Mental Healthcare 28.05.2026 25m

  Is our mental health system helping children or simply getting better at labeling them? With some reports suggesting that 70% of adolescents are struggling with mental health issues, host Gabe Howard asks the tough question: Is it possible that the majority of teenagers are truly "sick" or is there a flaw in how we calculate and categorize human distress? Joining the show is Dr. Will Dobud, a social worker, researcher, and co-author of “Kids These Days: Understanding and Supporting Youth Mental Health.” Dr. Dobud pulls back the curtain on the clinical world, revealing that a staggering number of psychologists have concerns about the validity of the DSM, the very book used to dictate treatment and insurance coverage. He argues that the "expert-led" model often ignores the most predictive factors of success: the therapeutic relationship and the child’s own engagement. Listener Takeaways Learn why the therapeutic bond and the child's belief in the treatment are more predictive of recovery than the specific clinical interventions used. Learn how to perform a "resource audit" to identify your child's strengths and support systems rather than focusing exclusively on clinical deficits. Learn why a child’s belief that they are in the right place is the primary driver of improvement. Navigate the insurance system to ensure a child gets care without receiving a "severe and persistent" label that sticks with them for life. In this candid conversation, Dr. Dobud explains his philosophy of "crew, not passengers," encouraging parents to focus on what works rather than getting hung up on what they feel they “should” be doing. This episode is a must-listen for any caregiver who wants to support their child’s mental well-being while honoring their autonomy and long-term potential.  * * * "The (child) is not the problem. The problem is the problem."~Dr. Will Dobud, co-author of Kids These Days * * * Our guest, Dr. Will Dobud, is a social worker, researcher, and educator who has worked with adolescents and families in the United States, Australia, and Norway. Will is from Washington, D.C., and divides his time between the United States and Australia each year. Will is an award-winning researcher and educator who has received recognition for excellence in research, teaching, and crime prevention. Dr. Dobud is a Senior Lecturer in Social Work at Charles Sturt University, Australia's largest social work school. Will is an invited international speaker who conducts workshops for therapists and families around the globe. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com. Please share the show with everyone you know!
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  Defining ‘Normal’: Overdiagnosing — Are We Pathologizing the Human Condition? 14.05.2026 30m

  In this thought-provoking episode, host Gabe Howard sits down with child psychiatrist and author Dr. Sami Timimi to challenge some of the most widely accepted ideas in modern mental health care. Drawing from his latest book, “Searching for Normal: A New Approach to Understanding Mental Health, Distress, and Neurodiversity,” Dr. Timimi explores why diagnoses like ADHD, depression, and anxiety may be less about biology and more about cultural context. The conversation dives into how labeling distress can sometimes obscure the real drivers of human experience—life experiences, relationships, and environments. Listeners will learn: the risks of viewing mental health challenges as lifelong disorders how context, development, and adversity shape emotional experiences what a more humane, supportive approach to distress could look like This episode invites listeners to reconsider what it means to be “normal,” and whether our current mental health framework is helping — or limiting — our understanding of the human condition. If you’ve ever questioned the labels, wondered about overdiagnosis, or wanted a deeper conversation about mental health beyond the surface, this episode is for you. “We have this fantasy that we can live lives that are devoid of any sort of emotional suffering, but that creates a really artificial idea about what life should be like." ~Dr. Sami Timimi, author of Searching for Normal Our guest, Dr. Sami Timimi, is a practicing consultant child and adolescent psychiatrist and psychotherapist in the UK's National Health Service. He has contributed to over forty books on subjects related to critical psychiatry, childhood, psychotherapy, depression, behavioral problems, and cross-cultural psychiatry; authored six books, including “Naughty Boys: Anti-Social Behaviour, ADHD, and the Role of Culture” and “Insane Medicine: How the Mental Health Industry Creates Damaging Treatment Traps and How You Can Escape Them”; co-edited four books, including “Liberatory Psychiatry: Philosophy, Politics and Mental Health with Carl Cohen”; and co-authored two others, including “The Myth of Autism: Medicalising Men’s and Boys’ Social and Emotional Competence” with Neil Gardiner and Brian McCabe. His most recent book is “Searching for Normal: A New Approach to Understanding Mental Health, Distress and Neurodiversity.” Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com. Please share the show with everyone you know!
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  Injustice as Trauma: Tackling Systemic Bias in Mental Health Care 30.04.2026 22m

  Members of marginalized communities are often told to be "resilient," but how do you bounce back when the system itself is the weight on your shoulders? When policy is the source of the trauma, the burden of healing shouldn't rest solely on the individual. Joining us for this episode is a powerhouse in the field of psychology: the President of the American Psychological Association, Dr. Debra M. Kawahara. In this unflinching conversation, we dismantle the myth of individual resiliency and confront the systemic forces shaping our mental well-being. From the healthy paranoia required for survival in marginalized communities to the traumatizing optics of immigration enforcement, we explore how sociopolitical climates act as a direct catalyst for mental health crises. Listeners will learn: why focusing solely on individual grit can lead to victim-blaming and ignoring systemic failures how society takes psychological comfort in believing people “deserve” their circumstances why viewing healthcare and education as human rights is the first step toward equity If you’ve ever felt like anxiety is a rational response to an irrational world, this exploration of systemic inequity and the fight for collective wellness is for you. Learn how to stay in the fight without letting the weight of the world knock you out. "Don't get knocked out because we need you." ~Dr. Debra M. Kawahara, President of the American Psychological Association Debra M. Kawahara, Ph.D., is a psychologist, scholar, and advocate for justice and mental health resource accessibility. As the 2025 President of the American Psychological Association and Associate Dean of Academic Affairs at Alliant University, she leads with vision and heart — shaping psychology’s future through cultural humility, intersectional insight, and systemic care. Her work spans over 20 academic programs across six campuses and online, and her scholarship bridges feminist theory, Buddhist psychotherapy, Asian American mental health, and leadership grounded in equity. Internationally published and recognized, Debra brings both academic excellence and therapeutic wisdom to her teaching, speaking, and clinical practice — where she works with individuals, couples, families, and organizations in cultivating resilience and meaningful change. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com. * * * * Please share this podcast with your networks! Sharing the show with the people you know is how we'll grow.
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  Why I Miss My Hallucinations with Kit Wallis aka SchizoKitzo 16.04.2026 31m

  Most people think "hearing voices" would be a nightmare symptom of mental illness, but for some, it feels more like a friendship. In the medical world, hallucinations and delusions are symptoms to be eliminated. But for Kit Wallis, the reality of living with schizoaffective disorder is far more complicated. For years, she shared her life with her delusions, including Orion, a "sassy, funny, and supportive" internal voice who helped her study, hyped her up for exams, and ensured she was never truly alone. In a culture that views psychosis through a lens of fear, Kit saw her symptoms as a lifeline. However, when a life-altering psychotic break required antipsychotic medication, the "recovery" came with a devastating price. As the medication began to work, her voices didn't just fade — they "broke up like a bad phone call." Kit didn't just lose her symptoms; she lost her closest friends. Listeners will take-a-way: Understanding the mourning process Kit experienced when medication worked to eliminate her hallucinations Why the medical community often ignores the "positive" aspects of psychosis Kit’s conflict surrounding wanting the voices back while knowing the importance of treatment In this deeply personal conversation, host Gabe Howard and guest Kit Wallis explore the "hard dialectic" of mental health: the grief of getting well and the complicated mourning process that sometimes follows successful treatment. Listen now! "No one really warns you about losing the good stuff, too … They just think, ‘Oh, psychosis is all bad. We want it all gone.’ But stories like mine aren't really out there very often." ~Kit Wallis aka SchizoKitzo Our guest, Kit Wallis, who goes by SchizoKitzo, is a content creator who advocates for schizoaffective and bipolar disorders. She uses long-form videos on her YouTube channel and short-form content on platforms like TikTok and Instagram. Her content centers around her personal experience with schizoaffective disorder and often includes deep dives into research topics regarding mental health. Kit was diagnosed with the bipolar type of schizoaffective disorder in late 2020 and has struggled with symptoms since she was in middle school. Schizoaffective disorder is a mental health condition where someone experiences symptoms of schizophrenia--such as delusions and hallucinations--but also symptoms of a mood disorder--either major depression or, in Kit's case, bipolar. Realizing there was a lack of schizoaffective advocates, she decided to start her SchizoKitzo project to raise awareness for this complex condition. The mission of SchizoKitzo is to raise awareness of schizoaffective disorder and all of its aspects, from the mood side to the psychotic side. Kit works to bridge the gap between life and science so she can help break the stigma around mental health. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com.
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  Rock Bottom to a Netflix Documentary: The Philly Captain Shares His Bipolar Journey 02.04.2026 24m

  In 2012, Jon McCann was sitting in a car weeping and preparing to end his life. He was struggling with a failing marriage, alcoholism, and a recent bipolar diagnosis that he feared was a "death sentence." Fast forward to today, and Jon—better known as "The Philly Captain"—is the subject of the Emmy Award-winning Netflix documentary “The Turnaround,” produced by Barack and Michelle Obama. How does a man go from the brink of suicide to having a former President tell part of his story? It started with a single, viral act of empathy. When Philadelphia Phillies star Trea Turner was mired in a massive slump, Jon didn't call for boos; he called for "love love." He convinced an entire city to give a struggling athlete a standing ovation, proving that grace often achieves what "tough love" can’t. Listeners Will Learn: ·  How supporting others helps silence your own inner critic ·  The accidental origin story of "The Philly Captain" ·  Turning unique hobbies into a healthy, stable routine ·  The difference between "love love" and “tough love” In this moving and often hilarious interview, Jon joins host Gabe Howard to discuss the "story behind the story." He opens up about the terrifying moments of his mental health crisis, the power of a supportive family (including his mother’s bipolar awareness tattoo), and the life-changing realization that his story was worth telling. Whether you are navigating your own mental health journey or just looking for a reason to believe in yourself, Jon’s transformation from self-hate to self-worth is the inspiration you need to keep moving forward."The fact that (Barack and Michelle) Obama produced a movie (about me for Netflix), it made me believe in myself that I'm not a pile of garbage." ~Jon McCann, The Philly Captain Our guest, The Philly Captain, aka Jon McCann, is a charismatic YouTuber, lifelong Phillies fan, and the unexpected face of a powerful mental health comeback story. Known for his high-energy vlogs across the streets of Philadelphia—from neighborhood deep dives to rowdy baseball recaps—he also carries a quieter truth: he almost didn’t make it.  In the Emmy Award winning Netflix short documentary The Turnaround (produced by Barack and Michelle Obama via Higher Ground), viewers get a raw look at the moment he nearly ended his life—and the unlikely path that brought him back: connection, community, and a camera. Today, The Philly Captain speaks openly about suicidal ideation, depression, and what it really means to fight your way back when hope feels impossible. Blending brutal honesty, street-smart humor, and unfiltered heart, his talks leave audiences inspired, entertained, and more willing to speak their own truth. He’s not a doctor. He’s not perfect. He’s living proof that survival is worth it—and that you don’t have to be fixed” to keep showing up. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com.
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  Mental Health Isn’t a Movie: Olivia Nash on Changing Hollywood’s Narrative 19.03.2026 20m

  Most movies treat mental health like a plot twist—something dramatic, visible, and easily explained. But real depression and anxiety don’t work that way, and filmmaker Olivia Nash is determined to flip the script and show a more realistic portrayal. In this episode, host Gabe Howard sits down with the actor, writer, and director of the indie film “Hi.” to tease out what it really means to portray mental health authentically on screen. The conversation goes beyond the film itself, diving into the realities of mental health in Hollywood, how Nash fostered open conversations on set, and what it takes to center people over productivity in an industry that rarely slows down. Why You Should Listen Discover how Nash’s personal experience with depression and anxiety changed her storytelling — and why that matters for audiences Hear how Hollywood’s most common mental health tropes can do real harm, even when intentions are good Understand why functioning, successful people are often the most misunderstood when it comes to mental health Understand why authentic representation in pop culture can be life-changing for viewers If you’re tired of seeing mental health reduced to stereotypes, or you’ve ever been told you “can’t be depressed” because you’re functioning, this episode offers a refreshing, validating perspective you won’t want to miss.“Mental health isn’t a plot twist—it’s just part of who people are.”~Olivia Nash, Hollywood Actor and Director Olivia Nash is a multifaceted creative professional with extensive experience in acting,producing, directing, and production design. Based in Austin, TX, she has worked on awide array of projects across film, television, theater, commercials, music video, andowns the film production company, Fox Adrift Productions. Her versatility and passionfor storytelling shine through her collaborations with esteemed production companieslike Taylor Butler Productions, Fox Adrift Productions, Reed Street Films, David BittnerProductions, and Skeptical Optimist Productions. As a Producer/Director, Olivia has helmed projects such as Toby (won for Best FemaleDirector at Palm Beach Shorts, Best Dramedy at Georgia Shorts Film Festival, and BestNarrative Short Film at Austin Under The Stars), Hi., and El Delirio. Her expertise inProduction Design is evident in works like The Gold Lament, Goodwill, Constellation,and The Last Pedal. In the commercial space, she has served as Art Director for HHSTraining Videos. She has also brought her creative vision to music videos, includingCobblestone Streets and Unknown to You. Olivia's acting credits span leading roles in films such as Hickory, Hi., Meteor, and FGAas well as theater performances in productions like The Taming of the Shrew,Cinderella, and Booby Trap where she won best supporting actress. Her training inon-camera workshops, musical theater, and dance further complements her on-screenand stage presence. With a distinctive aesthetic and expertise in styles like Boho Decor, Dystopian, CottageCore, Bloom Core, Dark Academia, and Fantasy, Olivia is skilled at crafting immersiveand evocative worlds. Her dedication to her craft and her ability to adapt to diversecreative challenges compliments her mission to bring to life stories that relate to thehuman condition, while allowing us to escape into a world of beauty. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com.
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  Does ‘Therapy Speak’ Hurt Relationships? 05.03.2026 25m

  As therapy language floods social media, more people are associating friends, partners, and co-workers with mental health disorders, spotting “red flags” everywhere, and labeling regular human flaws as psychological abuse. In this episode, host Gabe Howard is joined by psychologist and author Dr. Isabelle Morley to unpack how therapy speak, short-form content, and armchair psychology are reshaping modern human interaction — and not always for the better. For example, believing your ex is a narcissist might feel validating, but is it actually helping you heal, or quietly harming your ability to connect? Listeners will learn: why increased mental health awareness can both help and harm relationships how “therapy speak” can shut down communication instead of improving it what real red flags look like, and which behaviors require more context Together, they explore the difference between true abuse and imperfect behavior, why nuance gets lost online, how misused labels end conversations, and what happens when everyone becomes an “expert” after a 3-minute video. If you’ve ever wondered whether awareness has crossed into overdiagnosis, or felt unsure where healthy boundaries end and pathology begins, this conversation will challenge how you think about relationships, self-reflection, and mental health education itself. “Therapy terms don't need to leave the therapy room. They almost never need to be used in person in a conversation with someone. And people, I think, are using words to avoid more vulnerable connection . . .” ~Dr. Isabelle Morley, Author of They're Not Gaslighting You: Ditch the Therapy Speak and Stop Hunting for Red Flags in Every Relationship Our guest, Dr. Isabelle Morley, is a clinical psychologist and EFT-certified couples therapist (Emotionally Focused Therapy). She is a contributing author to Psychology Today in her blog Love Them or Leave Them, where she analyzes on-screen romantic relationships. She is also the co-host of Rom-Com Rescue, a podcast that teaches life and love lessons from romantic comedies. She is co-author of Navigating Intimacy: An Introductory Guide to Couples and Sex Therapy. Dr. Isabelle is frequently sought out by journalists for expert commentary on topics such as relationships, couples therapy, and reality television, and has been featured in The New Yorker, The Boston Globe, Business Insider, Vox, and Very Well Mind, among others. In philanthropic work, Dr. Isabelle is a founding board member of The Unscripted Cast Advocacy Network (UCAN) Foundation, a nonprofit organization that supports reality TV cast members in accessing mental health and legal support and advocates for industry change. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com.
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  Rethinking Narcissism: What Social Media Gets Wrong 19.02.2026 24m

  Narcissism has become one of the most misused words in mental health — and social media hasn’t helped. In this episode, host Gabe Howard is joined by licensed marriage and family therapist Kati Morton to separate clinical reality from internet myth. Together, they break down what narcissistic personality disorder actually is, why confidence and disagreement don’t equal narcissism, and how terms like “gaslighting” and “love bombing” get distorted online.We answer common questions like: Can people with narcissistic personality disorder learn empathy? How can loved ones’ support change without sacrificing their safety or boundaries? If narcissism is a mental illness, why do we have trouble feeling compassion for people who have it? Finally, Gabe and Kati discuss whether people with narcissistic personality disorder can change, what meaningful treatment actually looks like, and how loved ones can protect themselves while setting healthy boundaries. “If social media were accurate, narcissism would describe anyone who annoys us. But clinically? It’s something very different.” ~Kati Morton, author of “Why Do I Keep Doing This? Unlearn the Habits That Keep You Stuck and Unhappy” Our guest, Kati Morton, is widely recognized as a leading mental health advocate and educator. She holds a masters in clinical psychology and is a licensed marriage and family therapist. She has a passion for education and empowerment and shares helpful insights through her YouTube channel. Kati is the author of three books “Are You Ok?,” “Traumatized,” and “Why Do I Keep Doing This? Unlearn the Habits Keeping You Stuck and Unhappy.” She hopes that by speaking candidly about mental health and encouraging viewers to reach out to get the support they need, we can remove the stigma associated with getting help. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com. Sharing the show with the people you know is how we're gonna grow! Thank you in advance. :-)
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  New Year’s Resolutions Fail Because We Set Them Wrong 05.02.2026 25m

  New Year’s resolutions promise hope, but for many people, they quietly deliver shame, stress, and self-blame instead. If resolutions leave you feeling worse about yourself every January, this episode explains why — and what actually works. Host Gabe Howard is joined by returning favorite Jodi Wellman to unpack why traditional goal-setting often backfires, especially when it comes to mental health. They explore the psychology behind the “fresh start effect,” how all-or-nothing thinking sets us up to fail, and why massive lifestyle overhauls rarely stick. More importantly, they offer practical, compassionate alternatives; Like shifting from rigid goals to identity-based habits, process-focused wins, and restarting without guilt when things go off track. Listener Takeaways The mental health cost of setting outcome-based goals Why smaller, process-focused goals actually create lasting change How to restart a goal without guilt or self-punishment Whether you’ve already ditched your New Year’s resolutions or never believed in them to begin with, this episode explores a healthier, more realistic way to create change—without harming your mental well-being. “What is really common, which is set a goal. Don't get there. Feel bad about it. So net net it's not a good experience. For many of us, that's problematic because we feel badly about ourselves [. . .] And maybe that's your version of self-compassion is to let that goal gracefully go.” ~Jodi Wellman, MAPP Our guest, Jodi Wellman, MAPP is a speaker, author, and facilitator on living lives worth living. She founded Four Thousand Mondays to help people make the most of the time they are lucky to be above ground.  With 25 years of corporate leadership experience (most recently as Senior Vice President of Operations at a leading health and lifestyle organization), Jodi has led private CEO advisory boards and coaches teams to work well and live even better. Jodi has a Master’s of Applied Positive Psychology from the University of Pennsylvania, where she is also an Assistant Instructor and facilitator in the Penn Resilience Program. She is an ICF Professional Certified Coach. Her book, "You Only Die Once: How to Make It to the End with No Regrets," made Adam Grant’s Summer Reading List and was a “Top 3 Psychology Book of 2024” by the Next Big Idea Club (curated by Malcolm Gladwell, Susan Cain, Adam Grant, and Dan Pink). Jodi has been featured in The New York Times, Oprah Daily, Fast Company, CNBC, Forbes, Psychology Today, The Los Angeles Times, and more. Jodi’s TEDx talk is called How Death Can Bring You Back to Life; with over 1.3 million views, it is the 14th most-watched TEDx talk released in 2022, out of 15,900! Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com. Please share the show -- it's how we grow! Thank you!
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  Why Negative Self-Talk Feels True (And How to Stop Believing It) 22.01.2026 23m

  Negative self-talk isn’t just annoying — it can quietly shape our decisions, confidence, and impact our mental health. But what if silencing that inner critic isn’t about positive affirmations, gratitude journals, or pretending everything is fine?In this episode, host Gabe Howard sits down with former NBC and CNN Headline News anchor and author Lynn Smith to unpack what negative self-talk really is, why our brains cling to it, and how to reframe it without slipping into toxic positivity. Lynn explains how the brain is wired to protect us through fear-based thinking, why perfectionism and “being realistic” often mask self-sabotage, and how resilience, not positivity, is the skill we actually need. Listener takeaways why negative self-talk is rooted in brain wiring, not personal failure the difference between realistic problem-solving and self-sabotaging thoughts why toxic positivity often backfires what “just keep going” looks like during truly hard moments Together, Gabe and Lynn challenge common mental health clichés, discuss why we should teach resilience earlier in life, and explore what “just keep going” really means when you’re trying to get through the next hour — not the next 5 years. If you’ve ever felt stuck between brutal self-criticism and empty optimism, this conversation offers a realistic, compassionate path forward.“Anyone that might be thinking, I'm just not going to go for the thing because it's easier to stay safe. If you don't raise your hand, if you don't unmute, if you don’t turn your video on, all of those things are a lot safer. So to you, I would say, imagine your life five years from now and it looks exactly the same. Five years from now you're stuck in that same place…”~Lynn Smith, Former CNN Headline News anchor Our guest, Lynn Smith, is a media and communication expert who helps high-level leaders turn pressure into presence. A former anchor for NBC News, MSNBC, and CNN Headline News, she now coaches Fortune 500 executives, thought leaders, and entrepreneurs to become magnetic communicators. As founder of Lynn Smith Media & Communications, she helps leaders ditch robotic scripts and deliver messages that move people to action. Her signature framework, The Magnetic CODE, builds trust, clarity, and influence. Lynn is also a keynote speaker, host of the award-winning podcast Strollercoaster, and author of the upcoming children’s book Just Keep Going. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com. Sharing the show with the people you know is how we're going to grow!
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  When Faith Hurts: Religion, Trauma, and Mental Health 08.01.2026 28m

  For many people, religion is a source of comfort — but what happens when it becomes a source of fear, shame, or lifelong anxiety? In this episode, author Cassandra Brandt shares her deeply personal journey through religious indoctrination, purity culture, and the hidden mental health consequences that followed her into adulthood.Cassandra unpacks the emotional toll of being raised in an evangelical Christian environment: fearing the end times as a child, internalizing guilt as a spiritual obligation, and believing mental illness was a sign of demonic influence. She explains how these messages shaped her anxiety, self-worth, relationships, and even her sense of identity.Listener takeaways The mental health impact of purity culture on girls and women why religious trauma is often dismissed — and why that’s dangerous how religious indoctrination can create lifelong anxiety, guilt, and shame Through honesty and courage, Cassandra highlights the often ignored reality of religious trauma — what it looks like, why it’s misunderstood, and why so many people struggle to talk about it without being dismissed as “anti-religion.” She also shares how therapy, education, and new philosophies helped her rebuild her life, develop healthier relationships, and raise her daughter without fear-based teachings.Whether you’ve experienced religious trauma or want to understand someone who has, this candid conversation sheds light on an uncomfortable but essential mental health topic.“Millions of people find peace in religion. I'm not trying to throw the baby out with the bathwater. But fundamentalist evangelical theology can truly and genuinely hurt people emotionally and intellectually when it's done in this fire and brimstone sort of way, especially toward children. You can tell a child a thousand sweet stories about Jesus, but the one that's going to stick out in their head is the one that you tell them about the hell that they're going to if they don't believe. Some children won't experience sleepless nights and terror about eternal damnation. Some adults won't experience trauma later. But others will.” ~Cassandra Brandt, religious trauma survivor Our guest, Cassandra Brandt is an author, advocate, and aspiring Stoic based in rural Arizona. A steelworker prior to a spinal cord injury in 2015, Cassandra now writes full time, blogging for disability publications and writing for literary magazines. Her multiple books are available on Amazon. Cassandra speaks against ableism and for equity, and believes in the rights of animals and our obligation to the Earth. She writes about deconstruction from religion, utilizing philosophy and what it means to be human. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com. Please like, follow, subscribe, and share! Spread the word about this great free resource. Thank you!
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  Medication & Schizophrenia: Why “Just Be Med Compliant” Fails 25.12.2025 52m

  Medication nonadherence in schizophrenia is often framed as defiance — but that narrative misses the truth and harms the very people it claims to help. Guest host Rachel Star Withers (who lives with schizophrenia) unpacks why up to 70% of people with schizophrenia have trouble taking medication as prescribed — and why the reasons are far more complex than “noncompliance.” From severe side effects and cognitive symptoms to stigma, trauma, access issues, and being dismissed by providers, this conversation exposes the real barriers standing in the way of effective treatment. Rachel shares deeply personal experiences of both intentional and unintentional nonadherence, including how side effects like extreme fatigue and tardive dyskinesia shaped her decisions — and how lack of education nearly cost her years of quality of life. The episode also explores how medication refusal can be weaponized, stripping people with schizophrenia of autonomy under the guise of “lack of insight.” Later, Rachel sits down with board certified toxicologist and psychopharmacologist Dr. Alberto Augsten, who brings clarity, hope, and science to the discussion. Together, they explore long-acting injectable antipsychotics (LAIs), new treatment advances, realistic expectations, and how education — not force — improves outcomes. If you’ve ever wondered why medication adherence is so difficult in schizophrenia — and what actually helps — this episode delivers answers rooted in empathy, evidence, and lived experience. Our guest, Dr. Alberto Augsten, is a board certified toxicologist and psychopharmacologist. He is a consultant and expert witness specializing in psychopharmacology and clinical toxicology. Offering professional, impactful, and strategic consulting services, Dr. Augsten caters to legal, healthcare, and clinical practice development. His expertise encompasses many areas, ensuring clients receive top-notch guidance and insights. Dr. Augsten specializes in providing tailored consulting services to assist in the development and optimization of clinical practice standards. His expertise covers many areas crucial for clinic development, allowing for standard of care reviews concerning those matters. Dr. Augsten's influence extends beyond his clinical practice. He offers consultation and education services to pharmaceutical companies, contributing to the advancement of pharmaceutical knowledge and practices. Through his contributions, he is helping to improve patient outcomes and ensure the highest quality of care. Our guest host, Rachel Star Withers, creates videos documenting her schizophrenia, ways to manage, and let others like her know they’re not alone and can still live an amazing life. She has written “Lil Broken Star: Understanding Schizophrenia for Kids” and a tool for schizophrenics, “To See in the Dark: Hallucination and Delusion Journal.” Learn more at RachelStarLive.com. Fun Fact: She has wrestled alligators. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com.
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  Early Indicators of Schizophrenia 18.12.2025 42m

  Most people imagine schizophrenia beginning with dramatic hallucinations or sudden breaks from reality—but the truth is far more subtle, far more complicated, and far easier to miss. In this special featured episode from Inside Schizophrenia, host Rachel Star Withers, who lives openly with schizophrenia, joins co-host Gabe Howard to unpack the quiet red flags that often go unnoticed for months—or even years. You’ll hear how early symptoms differ across children, teens, and adults, why up to 80% of people with schizophrenia don’t realize they’re experiencing warning signs, and how everyday stressors can mask the earliest hallucinations, delusions, and disorganized thinking. Psychiatric mental health nurse practitioner Carlos Larrauri, who also lives with schizophrenia, joins the conversation to explain what current research is uncovering about prodromal stages and early detection efforts. Listener Takeaways Why early schizophrenia symptoms are so subtle that most people overlook them Key differences in warning signs across children, teens, and adults Why families often miss early red flags—and why that’s understandable What researchers are doing to identify schizophrenia sooner From shadow people to slipping grades, from forgotten appointments to unexplained sensory sensitivity, this episode pulls back the curtain on the earliest—and most misunderstood—phase of schizophrenia. Whether you’re a parent, partner, friend, clinician, or simply curious, this episode offers the clarity, compassion, and insight needed to recognize when something deeper may be happening long before a crisis appears. Our guest, Carlos A. Larrauri, MSN, is co-chair of the Accelerating Medicines Partnership® Schizophrenia (AMP® SCZ) and has formerly served on the National Alliance on Mental Illness (NAMI) and NAMI Miami-Dade County Board of Directors. Diagnosed with schizophrenia at 23 years old, access to quality mental health care, community-based treatment, and early intervention afforded him the best opportunity for recovery. Mr. Larrauri is pursuing a law degree at the University of Michigan Law School and a concurrent master in public administration at the Harvard Kennedy School, where he was Zuckerman Fellow at Harvard’s Center for Public Leadership. He’s board certified as a family nurse practitioner and psychiatric mental health nurse practitioner and formerly lectured at the University of Miami and Miami Dade College. Mr. Larrauri aspires to interface advocacy and research to reduce health inequities for people living with mental illness. To learn more about Carlos and his work, visit his website or his LinkedIn. Our guest host, Rachel Star Withers, creates videos documenting her schizophrenia, ways to manage, and let others like her know they’re not alone and can still live an amazing life. She has written “Lil Broken Star: Understanding Schizophrenia for Kids” and a tool for schizophrenics, “To See in the Dark: Hallucination and Delusion Journal.” Learn more at RachelStarLive.com.