What happens when a psychiatrist looks at the data and says no?At 94, Dr. Paul McHugh remains psychiatry’s most controversial voice. From shutting down Johns Hopkins’ gender identity clinic in 1979 to co-founding the False Memory Syndrome Foundation, his career has been defined by refusing to follow ideological trends. In this episode, McHugh shares how psychiatry abandoned scientific integrity, first with multiple personalities, then with recovered memories, and now with gender identity.As medical journals “affirm” psychological self-concepts over biological facts, McHugh sounds the alarm: what happens when medicine treats ideas instead of evidence?