Barriers: provider bias and clinical inertia

In this episode, I'm honored to welcome Dr. Tracy Hicks, a dual-certified family and mental health nurse practitioner with over two decades of clinical experience—and a deeply personal connection to serious mental illness. Dr. Hicks is both the daughter of a parent and the mother of a child with schizophrenia spectrum disorders. Her perspective blends professional expertise with lived experience in a way that is both deeply compassionate and refreshingly practical.

We talk about what schizophrenia really is (and isn't), the impact of stigma on individuals and families, and the importance of person-centered, empathetic care. Dr. Hicks shares her personal journey—raising a daughter with serious mental illness while navigating barriers in the healthcare system—and offers guidance for both providers and caregivers who want to better support those living with schizophrenia.

This is a powerful and deeply human conversation for anyone touched by serious mental illness.

• What schizophrenia is and how it's commonly misunderstood

• Growing up with a parent who has schizophrenia

• Early warning signs and delays in diagnosis for her daughter

• How stigma and systemic bias impact treatment access and quality

• Long-acting injectable medications: what they are and why they matter

• Creating space for curiosity and shared decision-making in care

• How to support loved ones without losing yourself

• Advice for providers on building trust and improving outcomes

• The power of grace, boundaries, and self-care for caregivers

00:00 – Introduction to Dr. Tracy Hicks and her personal/professional background 03:00 – From nursing to psychiatry: building a whole-person care model 07:00 – Childhood memories of a parent with schizophrenia 11:00 – Explaining what schizophrenia is and is not 14:00 – Challenging stereotypes: what schizophrenia actually looks like 18:00 – Early signs in Dr. Hicks' daughter and missed opportunities for intervention 22:00 – Racism, bias, and provider assumptions 24:00 – Treatment begins with the story, not the symptoms 26:00 – Why empathy and curiosity matter more than credentials 28:00 – The question that opens everything: "What's your goal for today?" 32:00 – Including family and support systems in the care plan 36:00 – Communication shifts that changed lives 41:00 – What long-acting injectables are and how to present them as an option 47:00 – Combating clinical inertia and provider bias 51:00 – What Dr. Hicks would do differently as a parent 54:00 – Creating your own space when the system doesn't serve you 58:00 – Boundaries, burnout, and filling your own cup as a caregiver 1:02:00 – Final thoughts on stigma, advocacy, and asking for what you need 1:03:30 – Where to follow Dr. Hicks and access her work

• Website: https://www.cfcmentalhealthoutreach.org

• Instagram: https://instagram.com/drhicksnp

• Email: duffthepsych@gmail.com

• Send a message or question: https://www.duffthepsych.com/contact

• YouTube: https://www.youtube.com/@duffthepsych

• Instagram: https://instagram.com/duffthepsych

If this episode resonated with you, please consider subscribing, leaving a review, or sharing it with someone who could benefit. Conversations like this one can make a world of difference for people who feel alone in their experience.

Until next time, take care of yourself.