Inside Mental Health

“I’m fine” can be one of the most convincing ways to hide that something is wrong. For many women, anxiety and depression can remain invisible behind careers, relationships, family responsibilities, and the expectation to simply keep going. In this episode, host Gabe Howard talks with psychiatrist Dr. Helen Blair Simpson, Professor of Psychiatry at Columbia University Irving Medical Center and Director of the Center for OCD and Related Disorders, and an ADAA member expert, about why women experience anxiety and depression at higher rates than men and why so many continue to suffer in silence. Dr. Simpson explains why the difference cannot be reduced to hormones or biology alone. Biological changes across the life span, including pregnancy, postpartum periods, and menopause, interact with psychological and social factors in ways researchers are still working to understand. But how do you know when ordinary stress, sadness, or worry crosses the line into a mental health condition? Dr. Simpson explains why…

What if the person everyone thinks has it all together is actually struggling with depression, and they don’t even know how to express it? What if that person is you? Clinical psychologist Dr. Margaret Rutherford joins host Gabe Howard to explore perfectly hidden depression, a pattern in which perfectionism, achievement, responsibility, and constant productivity can conceal serious emotional pain. These aren’t necessarily people pretending to be happy or deliberately creating a perfect life. They may genuinely believe that continually striving, helping others, solving problems, and staying “on” is simply who they are, which can make depression incredibly difficult to recognize. Listeners will learn: why success doesn’t necessarily mean someone isn’t depressed why “fake it till you make it” can miss the real problem how being “the responsible one” can become a trap where to begin when perfectionism is causing emotional pain Most importantly, this conversation isn’t about eliminating ambition, responsibility,…

Psychedelics are having a moment in mental health care. Research is showing promising results for conditions including depression, treatment-resistant depression, anxiety, and PTSD. But how much do we actually know — and how much is hype? ADAA member expert and licensed psychologist Jonathan Schettino, PhD, explains how psychedelics went from being viewed primarily as illegal drugs to becoming the subject of serious clinical research. He breaks down what happens during psychedelic-assisted therapy, why standardized dosing matters, and why treatment involves much more than simply taking a psychedelic and “tripping.” Listeners will learn: how researchers control psychedelic doses in clinical trials why psychedelics aren't yet FDA-approved treatments whether psychotherapy makes psychedelic treatment more effective The research is promising, but the science isn't settled. This conversation explains what we know, what we don't know, and why the next few years could be critical for understanding the future of…

What if some of the anxiety, depression, and mental health issues we experience aren't simply problems inside us? What if they're actually signals telling us something about the world around us? Psychiatrist and author Dr. Joanna Cheek joins the show to challenge the way we think about mental health, diagnosis, treatment, and self-care. Her argument isn't that mental health disorders aren't real. They're real, they can be debilitating, and they deserve professional treatment. But focusing only on the individual can cause us to miss external factors that could be a contributing factor. Focusing on the world or external circumstances raises complicated questions. For example, if anxiety can be a normal response to danger, when does it become an anxiety disorder? If low mood can be a signal that something in our environment isn't working, when does it become depression? And if treatment helps us feel better, does that mean the problem is solved? Listeners Will Learn: · Why self-care alone may not be enough to…

Men die by suicide at dramatically higher rates than women, accounting for nearly 80% of suicide deaths. Yet many men who are struggling never seek mental health support — and the consequences can be deadly. On this episode, host Gabe Howard talks with psychiatrist Dr. Sanjay Mathew, board president of the Anxiety and Depression Association of America (ADAA), and Richard Reeves, president of the American Institute for Boys and Men and author of “Of Boys and Men: Why the Modern Male Is Struggling, Why It Matters, and What to Do About It.”The conversation explores why traditional mental health language and services may not resonate with some men, how anger and irritability can be overlooked warning signs, and why men may be reluctant to seek or continue treatment. They examine the importance of friendship, community, purpose, and feeling needed — and why men may sometimes hold themselves to such high standards that they count themselves out before they even begin.Listeners will learn: how adjusting the…

What happens when you seemingly have everything — and still don't feel OK? TOMS Shoes founder Blake Mycoskie opens up about the severe depression that followed his departure from the company he built. What initially felt like a mild depression gradually became a years-long struggle marked by isolation, shame, loss of purpose, relationship difficulties, suicidal thoughts, and a painful disconnection from himself. Blake also shares his experience of being misdiagnosed with bipolar disorder and taking multiple psychiatric medications before working with a psychiatrist to carefully taper off them. They also explore an uncomfortable question: Have we taught people to expect medication to fix mental health problems in the same way we expect an antibiotic to cure an infection? Listeners will learn: Success doesn’t make you immune to depression. Rock bottom looks different for everyone. Recovery often requires multiple tools. Feeling better doesn’t mean you stop doing the work. Blake ultimately discovered that…

If you've ever convinced yourself a headache was a brain tumor or spent hours Googling symptoms only to feel even more anxious, you're not alone. In this episode, our host sits down with former Anxiety and Depression Association of America (ADAA) president Dr. Karen Lynn Cassiday to unpack the difference between usual concern about your health and clinical health anxiety (also known as illness anxiety disorder). Dr. Cassiday shares practical, evidence-based tools to help you break free from health anxiety, know when self-help is enough, recognize when it's time for therapy, and understand why this condition is highly treatable. Listeners will learn: why more medical tests don't always create peace of mind why online searching often makes health anxiety worse practical ways to reduce health anxiety without ignoring real medical concerns Whether you're constantly worried about your own health or watching someone you love manage these fears, this conversation offers reassurance grounded in science — not endless…

Can a relationship survive infidelity? It is possible, but recovery isn't as simple as forgiving a cheating partner, staying together, or deciding to walk away. In this episode, host Gabe Howard talks with licensed professional counselor Dr. Monique Thompson, author of The Infidelity Recovery Workbook for Couples, about what really happens to a relationship — and to a person's sense of self — after an affair. The conversation also examines what the partner who cheated can do to rebuild trust, why apologies and grand gestures aren't enough, how “living amends” can demonstrate meaningful change, and why past behavior doesn't necessarily guarantee future behavior. Listeners Will Learn: Why couples shouldn't rush to stay or leave Why betrayal can change how you remember the relationship What the partner who cheated can do to rebuild trust What forgiveness actually means after an affair How long infidelity recovery can take Whether you're trying to recover from infidelity, considering whether to stay, or…

Everyone worries. Bills. Family. Health. Work. The future. Anxiety is a normal part of being human—but when does ordinary worry become something more? Something that needs professional intervention? More specifically, when does “everyday anxiety” become Generalized Anxiety Disorder (GAD)? In this episode, host Gabe Howard sits down with ADAA member expert Ben Eckstein, LCSW, therapist, anxiety specialist, and author of “Worrying Is Optional,” to explain how clinicians distinguish everyday stress from a diagnosable anxiety disorder. You'll learn why worrying isn't the same as problem-solving, why avoiding anxiety often makes it worse, and how evidence-based treatments like cognitive behavioral therapy (CBT) and exposure therapy help people reclaim their lives. Listeners Will Learn The physical symptoms that commonly accompany chronic anxiety Why avoidance can make anxiety stronger over time The role of medications like SSRIs and benzodiazepines in treating anxiety disorders Why worry can feel productive —…

Millions of people care for loved ones every day — but who takes care of the caregiver? In this episode, Host Gabe Howard sits down with actress Cathryn Dylan Ortiz, whose powerful portrayal of Brenda in HBO Max's hit medical drama “The Pitt” sparked widespread conversations about caregiver burnout, anxiety, depression, and the invisible mental health struggles that often go unnoticed. Cathryn shares how she prepared for one of the show's most emotionally impactful storylines by combining extensive research with her own lived experience. Together, she and Gabe explore why mental illness and mental health issues often hide behind a calm exterior and how caregivers frequently ignore their own emotional needs. Listeners will learn: why caregiver burnout is a serious mental health issue — not just stress what HBO Max’s “The Pitt” gets right about portraying mental health without stereotypes how simply asking "How are you doing?" can make a meaningful difference why caregivers often feel guilty asking for help…

Can your smartphone become part of your mental health treatment? Prescription digital therapeutics (PDTs) promise to do exactly that — but what are they, and do they actually work? In this episode, host Gabe Howard is joined by ADAA member experts John Torous, MD, MBI, a digital psychiatry expert, and Michelle A. Patriquin, PhD, ABPP, a clinical psychologist, to separate hype from reality. Together, they explain what PDTs are — and aren't — and how mental health apps fit into modern treatment. The conversation explores how apps can help bridge long wait times for therapy; reinforce skills learned in treatment; track mood, sleep, and behavior between appointments; and provide valuable insights that improve conversations with mental health clinicians. Listeners will learn: the difference between FDA-approved mental health apps and standard wellness apps why choosing the "best" mental health app is less important than finding one you'll actually use consistently how to avoid common misconceptions about digital…

Does mental health treatment work the same for everyone? The answer is more complicated than many people realize. In this episode, host Gabe Howard is joined by Stephanie Robertson, J.D., Director of Mental Health Equity at NAMI, and Dr. Nicole Washington, psychiatrist and President-Elect of the Black Psychiatrists of America, for an honest conversation about mental health equity, cultural identity, and why representation matters in behavioral health. Rather than focusing on politics, this conversation centers on practical realities: how clinicians can better understand the people they serve, why patients deserve care that reflects their experiences, and how open conversations can reduce stigma while improving access to treatment. Listeners Will Learn: How implicit bias can affect healthcare decisions even when providers have good intentions Why mental health equity means providing care that meets people's unique needs—not simply providing identical care for everyone Why difficult conversations about mental…

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,…

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…

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…

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…

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…

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…

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…

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…

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…

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…

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…

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…

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…

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…

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…

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…

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…

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…

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…

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…

Hallucinations are the most recognized—and most misunderstood—symptom of schizophrenia. Movies depict them as dramatic, terrifying commands or cinematic visions, but the lived reality is far more complex. In this episode we unravel what hallucinations actually are, why they happen, and how people learn to live with them. This episode is a special feature from our sister show Inside Schizophrenia. Hosted by Rachel Star Withers (who lives with schizophrenia), with Gabe Howard as co-host. (Don’t worry, new Inside Mental Health episodes return in 2026.) In this episode, Rachel shares her own experiences, from everyday “simple” hallucinations like sounds or shifting faces, to more intense, emotion-laden complex hallucinations. She challenges the assumption that hallucinations are always violent or dangerous—and breaks down the critical differences between hallucinations and sensory disturbances. Expert guest Dr. Paul Fitzgerald joins the conversation to explain how the brain creates these perceptual misfires, why…

Why does happiness always feel one step away? In this episode, we welcome back positive psychology expert Jodi Wellman to explore why so many of us keep “moving the goalposts” on our own success, and learn why accomplishments that once thrilled us eventually feel ordinary. Jodi breaks down why we convince ourselves that one more thing — a new job, a relationship, a move, a big purchase — will finally deliver lasting happiness. Using Gabe’s own podcasting journey as a case study, the conversation exposes a mental trap familiar to anyone who’s ever felt like their wins “don’t count” for long. But this episode isn’t just about naming the problem — it’s about fixing it. Jodi offers practical, research-backed strategies to help you savor your accomplishments, find a healthier balance between ambition and contentment, and stop letting your inner critic erase your progress. Listener takeaways why humans believe they’re always “one thing away” from feeling fulfilled what the hedonic treadmill is and how it sabotages…

Can a single conversation help rewrite centuries of racial trauma? In this episode, host Gabe Howard sits down with award-winning podcaster Dominic Lawson to explore how America’s racial wounds continue to shape our collective mental health — and what it takes to begin healing. From the generational echoes of slavery to the modern-day silencing of diversity and inclusion, Dominic breaks down why talking about race isn’t “divisive” — it’s essential. This candid, often uncomfortable, deeply human conversation shows that connection begins when we listen, show up, and see each other fully — no assumptions, no defensiveness, just honesty. Using vivid analogies (like concert tickets and cookouts), they discuss racism and racial trauma in approachable ways. Listeners will learn: why racial trauma still impacts communities today how privilege is better understood through access, not advantage how personal conversations can bridge racial divides practical ways to “do the work” without causing harm or overstepping If…

Most of us think we’d never fall for a cult. We imagine the followers of Jim Jones as naïve, brainwashed, or broken people who “drank the Kool-Aid.” But what if that’s not the truth at all?In this eye-opening episode, host Gabe Howard speaks with the award-winning author of “Death in the Jungle: Murder, Betrayal, and the Lost Dream of Jonestown,” Candace Fleming, about the real story behind Jonestown, aka the Peoples Temple, and the mass suicide that shocked the world. Fleming reveals how ordinary, intelligent, and socially conscious people were slowly drawn into Jim Jones’s orbit — not because they wanted to die, but because they wanted to belong, to matter, and to change the world. Listener takeaways: Discover nine warning signs of a destructive or cult-like group. Learn why intelligent, well-intentioned people joined Jim Jones’ cult. Explore how to recognize and protect yourself from coercive influences. Listen in as they explore how groupthink, manipulation, and gradual isolation can transform a movement…

What happens when a neurodivergent flight attendant trades jet lag for guitar riffs and finds better mental health in the process? In this inspiring and wildly relatable episode, Canadian alt-rock singer-songwriter Harley Olivia joins Gabe Howard to share how embracing her creativity helped her manage ADHD, anxiety, and depression, and why ignoring your passions could make your mental health worse. From performing onstage to coping with social anxiety, Harley opens up about how she feels singing “rewired” her nervous system, why creative expression can be therapeutic, and how she finally gave herself permission to pursue music full-time, even when the world told her she was “making a mistake” (a song lyric and a true story!). Listener takeaways: why ignoring your creativity can worsen ADHD and depression the truth behind the “tortured artist” myth practical ways to channel anxiety into creative energy Whether you’re an aspiring artist, a mental health advocate, or simply trying to reconnect with what fuels…

What can the history of a Jim Crow–era mental asylum teach us about race and mental health today? MSNBC journalist Antonia Hylton joins Gabe Howard to discuss her powerful book “Madness: Race and Insanity in a Jim Crow Asylum,” a deeply researched look at Crownsville Hospital, once known as The Hospital for the Negro Insane.Antonia reveals how Black patients were forced to build their own hospital, how racism shaped their psychiatric care, and how hope slowly emerged amid cruelty and neglect. But this isn’t a simple story of heroes and villains. As Antonia emphasizes, Black people aren’t always the heroes, and white people aren’t always the villains at Crownsville Hospital. The truth is far more complex and human. Listener takeaways: why Crownsville’s story defies easy labels of good versus evil how racism shaped early psychiatric institutions how history still shapes modern mental health care Blending history, personal family stories, and modern mental health advocacy, Antonia and Gabe explore how…

Imagine everyone around you — family, friends, even your doctors — insisting you have a serious mental illness, yet you’re certain they’re wrong. This isn’t denial — it’s a symptom called anosognosia, a lack of awareness that can make treatment nearly impossible. In this episode, guest host Rachel Star Withers, who lives with schizophrenia, speaks with Dr. Xavier Amador, Founder and President of the LEAP Institute and author of the bestseller “I Am Not Sick, I Don’t Need Help!” Together, they unpack what anosognosia is, why it prevents so many people from accepting help, and how loved ones can build trust and connection instead of conflict. Dr. Amador has trained tens of thousands of professionals and families in his LEAP method — Listen, Empathize, Agree, Partner — a practical, compassionate approach that helps bridge the gap between awareness and recovery. Please Note: Our regular host, Gabe Howard, will be back next week! “I refuse to get any help because this is not a diagnosis. I don't need this…

Intrusive thoughts are common for new parents — but when do they cross the line into something more serious? In this episode, you’ll learn how obsessive-compulsive disorder (OCD) latches onto what matters most — in this case, the safety and well-being of the baby — and how evidence-based treatment like exposure and response prevention (ERP) can bring relief.Joining host Gabe Howard is internationally recognized OCD and parenting expert Dr. Jenny Yip, who sheds light on perinatal and postpartum OCD. Dr. Yip explains how obsessions and compulsions can overwhelm expecting and new parents, from fears of accidentally harming the baby to overwhelming guilt about being a “bad” mom or dad. She also discusses the stigma surrounding taboo intrusive thoughts — including forbidden sexual thoughts — and how avoidance can interfere with bonding during the crucial early weeks of parenthood. Takeaways for listeners: the difference between usual parenting anxiety and perinatal or postpartum OCD common intrusive thoughts new…

Hollywood has never shied away from portraying obsessive-compulsive disorder (OCD) — but it often gets it wrong. Typically, OCD is reduced to a punchline, a quirky habit, or a stereotype about neatness and handwashing. In this episode, TV & movie actor Rachel Alig and award-winning filmmaker Sam Sabawi take us behind the scenes of their acclaimed short film “For All I Know” to show how OCD can — and should — be portrayed with truth and compassion. Sam, who lives with OCD, explains why lazy writing has distorted public understanding and how he used his lived experience to create an authentic story. Rachel shares the emotional depth required to embody a character with OCD, and how she avoided the clichés that Hollywood often leans on. Together, they reveal how real therapy techniques — especially exposure and response prevention (ERP) — were brought into the film to highlight the messy, ongoing reality of recovery. Listener takeaways: how Hollywood depictions have shaped public misconceptions of OCD and why…

How are punk rock and dialectical behavior therapy (DBT) related? More than you think. In this episode, clinical psychologist and bestselling author Dr. J.J. Kelly — the “punk rock doc” — joins the conversation to break down DBT with raw honesty, humor, and zero fluff. Far from a gimmick, DBT is an evidence-based therapy that blends mindfulness and cognitive behavioral therapy to help people regulate emotions, improve relationships, and move through life’s inevitable pain without making things worse. DBT isn’t just for young people or people with borderline personality disorder — it’s a practical skill set that anyone can use, from corporate execs to teens, from those struggling with bipolar disorder to anyone wanting stronger emotional intelligence. Listener takeaways include: why DBT isn’t a fad but a powerful, science-backed approach how to use the four DBT modules: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness how validation, radical acceptance, and even anger can…

The youth mental health crisis is one of the most urgent challenges facing families today — but what can be done at a policy level to create lasting change? In this episode, former Ohio Governor John Kasich joins host Gabe Howard to share his work with the Bipartisan Policy Center and their recommendations for addressing this national emergency. Governor Kasich explains why integrating mental health into primary care could be a game-changer for kids and adults alike. He highlights the small but critical legislative victories that are moving the needle and offers practical advice for advocates and parents: how to approach elected officials, how to use your personal story effectively, and how to channel passion into real influence without giving up in frustration. Three key takeaways for listeners: Why bipartisan cooperation is essential for mental health reform How integration of behavioral health into primary care can transform outcomes Concrete steps anyone can take to make their voices heard in government…

How exactly does a three-time Olympic gold medalist end up with alcohol use disorder? At just 16, Carrie Bates stood on the Olympic podium with a gold medal around her neck. To the world, she had it all — talent, drive, and glory. But behind the scenes, Carrie was fighting a growing battle with alcohol that nearly cost her everything. In this episode, Olympian Carrie Bates opens up about her journey from the top of the podium to nearly losing everything. Despite her success, Carrie saw many of the same warning signs many people face: denial, escalating drinking, and the belief that achievement meant she couldn’t possibly have a problem. Surrounded by a culture that celebrated alcohol, she ignored loved ones’ concerns and spiraled into dangerous behaviors — until a crisis forced her to confront the truth. Listen and learn: how cultural messages about alcohol normalize addiction the early warning signs of alcohol misuse, even for high achievers why recovery is not instant — and how resilience leads to lasting…

Have you ever found yourself halfway through a concert, dinner party, or even a family gathering and thought, “OK, I’m ready to go now,” even though you’re having a good time? You’re not alone, and it doesn’t mean you’re antisocial or ungrateful. In this episode, host Gabe Howard sits down with Jodi Wellman, a positive psychology expert and TEDx speaker, to unpack the surprising psychology behind wanting to leave events early.Together, they explore why both introverts and extroverts can feel this way, introducing concepts like “experience efficiency” and “memory optimization.” Learn how our brains process peak moments, why leaving on a high note can actually enhance our memories, and why you don’t have to “get your money’s worth” by staying until the very end. Key takeaways: Find out why some people feel “full” on fun faster and don’t need to stay until the end to enjoy an event. Reframe early exits as a smart way to manage energy, time, and joy—without guilt. Learn practical language for confidently setting…

For individuals living with schizophrenia, the world can be populated by voices, visions, or other sensory experiences that are intensely real yet imperceptible to others. These hallucinations, which are a defining feature of schizophrenia, are not mere figments of imagination but rather vivid, often distressing, and deeply influential aspects of their daily reality. Today’s exploration aims to shed light on the phenomenon of hallucinations in schizophrenia, going beyond a diagnostic perspective to consider the actual experience, and the profound impact on an individual's sense of self and connection to the world around them. Guest host, Rachel Star Withers, a diagnosed schizophrenic, and guest Christopher Grant have a real, raw discussion about what experiencing schizophrenia hallucinations is like.Please Note: Our regular host, Gabe Howard, will be back next week! “Just because something is in the uncanny valley, it doesn't always mean it's terrifying or deserves demonization. I’m not blind to that fact…

What happens when therapy and medication don’t work? Treatment-resistant depression can feel like a dead end — but it’s not. In this episode, clinical psychologist and ADAA member expert Dr. Jill Emanuele unpacks the nuanced differences between sadness, grief, and major depressive disorder — and why misusing these terms can delay real help.But the conversation doesn’t stop there. What happens when traditional treatments for depression don’t work? You’ve probably heard the term treatment-resistant depression, and it may sound terrifying. Dr. Emanuele and host Gabe Howard dig deep into what this label actually means — and spoiler alert: It’s more about strategy than severity. You’ll also discover lesser known but evidence-backed options that go beyond talk therapy and antidepressants, including: transcranial magnetic stimulation (TMS) ketamine and esketamine treatments radically open dialectical behavior therapy (RO-DBT) electroconvulsive therapy (ECT) without the Hollywood horror spin psychedelic-assisted…

We’re sold the fairy tale from birth: find “the one,” make them your everything, and you’ll live happily ever after. But what happens if that one person can’t meet all your needs - or ever could? In this convention challenging conversation, sex experts Dr. Danielle Harel and Celeste Hirschman take aim at America’s deeply rooted ideas about monogamy, intimacy, and what makes for a fulfilling - and lasting - relationship. Host Gabe Howard points out America’s strange mix of selling sex while shaming it, and together they unpack why so many couples struggle in silence instead of having honest, non-blaming conversations about their desires. Along the way, they reveal how redefining intimacy, owning your choices, and using your “sexual energy” as a navigation system can lead to more connection, better sex, and improved mental health. Key Take-aways: Why “the one” isn’t true for everyone and could set you up for failure. How monogamy, open relationships, and other structures can all work - if you choose them…

Ever feel like your fear of judgment is holding you back from college life? In this no-nonsense episode, host Gabe Howard teams up with ADAA member expert Ken Goodman, LCSW, to cut through the noise and tackle social anxiety head-on. Discover how everyday moments — like dropping a napkin or saying hello — can spiral into overwhelming anxiety and how you can flip the script. Ken offers real-world strategies that empower you to face your fears, transform awkward encounters into opportunities, and build lasting connections. Whether you're dodging parties or stuck with your head down in class, learn how to challenge your mindset and step boldly into social situations. Tune in and get ready to break free from isolation, unlock your true potential, and make the most out of your college experience. This episode has been sponsored by the Anxiety and Depression Association of America (ADAA). “People with social anxiety perceive that other people are judging them constantly, but they're not. They're thinking about…

What do you really know about schizophrenia? Guest host Rachel Star Withers — who lives with schizophrenia — takes us beyond the headlines and horror movies in this powerful, honest, and enlightening episode of Inside Mental Health. Joined by neuropsychologist and schizophrenia researcher Dr. Derin Cobia, Rachel explores what schizophrenia is, what it isn’t, and how it silently shapes the lives of millions. They break down the real symptoms — including hallucinations, delusions, cognitive disruptions, and depression — and discuss why “positive” and “negative” symptoms are misleading terms. Rachel shares personal stories of psychosis, navigating daily life, and the lifesaving importance of support, while Dr. Cobia unpacks the science: from genetics to stigma to what the media consistently gets wrong. Whether you’ve never met someone with schizophrenia (spoiler: you have) or you’re supporting a loved one, this episode replaces fear with empathy and misunderstanding with clarity. You’ll come away informed,…