Inside Mental Health

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 parents experience but rarely discuss why avoidance harms bonding and increases OCD’s power Whether you’re a new parent, a clinician, or simply curious, this episode reveals the hidden struggles of perinatal and postpartum OCD — and the hope for recovery. “OCD will tackle whatever it is that you care about. And when a family is pregnant, or when they have their first child, or when they have multiple children, what they're going to care about most is that. The safety, the wellness of the mother, of the unborn, or the newborn. And then that's how OCD starts to build and manifest.” ~Dr. Jenny Yip Our guest, Dr. Jenny Yip, is a board-certified, licensed psychologist, author, speaker, and internationally acclaimed OCD, anxiety, and parenting expert. With nearly three decades of experience, she has treated individuals and families facing severe anxiety disorders, OCD, and parenting stress. In 2008, she founded the Renewed Freedom Center in Los Angeles, followed by the Little Thinkers Center in 2016, offering cutting-edge treatments. She serves on the board of directors for the International OCD Foundation, where she facilitates the Perinatal OCD Task Force and co-directs the BIPOC Behavior Therapy Training Institute. Dr. Yip is the creator of the Strategic Family Boundaries and the Stress-Less Life™ brand, which includes her popular podcast and Stress-Less Mama masterclass. She has authored several books, with her most recent, Hello Baby, Goodbye Intrusive Thoughts, ranking as a top new release. 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. Learn more about your ad choices. Visit megaphone.fm/adchoices

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 the process of authentically portraying OCD on screen matters what OCD actually is — and isn’t why ERP therapy is the gold standard for treatment This is a rare insider look at mental illness through the eyes of two industry leaders determined to change how we see OCD. Listen now! Sam and Rachel's Award-Winning Short Film About OCD, For All I Know, is available on YouTube now. (Viewing Link: https://www.youtube.com/watch?v=-vwk4UPHKp0) Our guest, Sam Sabawi, is a two-time Emmy-nominated filmmaker whose work spans narrative fiction, documentary, and unscripted formats. A five-time Telly Award winner and two-time Anthem Gold recipient, Sabawi brings over a decade of experience in visual storytelling across scripted film, development, and branded content. His recent short film For All I Know explores the interior landscape of OCD to externalize intrusive thoughts. The film is currently on its festival circuit. Our guest, Rachel Alig, is quickly establishing herself as a dynamic force in both comedy and drama, with a growing list of standout performances across film, television, and commercial work. With over a decade of experience, she has shared the screen with acclaimed talent including John Magaro (The Big Short, PastLives, Carol), Lou Diamond Phillips, Nick Jonas, Jason Biggs, Rob Riggle, and Master P. Her most recent film, OMAHA—starring John Magaro—premiered at the 2025 Sundance Film Festival in the prestigious U.S. Dramatic Competition category and was acquired by Greenwich Entertainment for a theatrical release in early 2026. She also appears in FOUND FOOTAGE, distributed by Vertical Entertainment, which hit theaters nationwide on June 20, 2025. Rachel stars opposite of Lou Diamond Phillips and Malcolm McDowell in, ET TU, which started streaming on all major platforms this summer.  And today, September 2, 2025, INVISIBLE, is streaming on Amazon Prime, where Rachel has the lead female role. Rachel’s craft is rooted in a strong foundation of training, including The Lee Strasberg Theatre and Film Institute in West Hollywood and The Groundlings. She further honed her skills through ongoing work with Lesly Kahn & Co. and two years of master classes at The Margie Haber Studio. 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. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. J.J. Kelly, a licensed clinical psychologist and bestselling author dubbed the “Punk Rock Doc,” dives into the surprising links between punk rock and dialectical behavior therapy (DBT). He explores how DBT blends mindfulness with cognitive behavioral therapy for emotional regulation and relationship improvement. Listeners learn about the four DBT modules, the power of validation and radical acceptance, and how tools like anger can foster growth. Dr. Kelly shares that DBT isn’t just for young people; it’s a flexible skill set applicable to anyone seeking emotional resilience.

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 If you’ve ever felt powerless to change the system, this episode will inspire you to keep pushing, stay hopeful, and take action for the next generation. “And it's hard to build a relationship with a therapist to begin with. And then when they tell you you can't have it anymore and you got to go find another one. I think it's a lot easier to just say, I'll just try to make my way through this, even when it's really difficult. And that was another one we keep working on.” ~Former Ohio Governor, John Kasich Our guest, John Kasich, is a national leader who has spent a lifetime bringing people together to solve big problems and leaving the world around them just a little bit better than they found it.  As the 69th Governor of Ohio (2011-2019), John Kasich led the Ohio Comeback. In his time as governor, he established JobsOhio, a first of its kind economic-development entity, and helped Ohio diversify its economy and create approximately 500,000 private-sector jobs. He went on to cut a record $5 billion in taxes, cut wasteful spending, reduce red tape and build Ohio’s rainy-day fund to more than $2 billion. Gov. Kasich ran for President in 2016. He was the last candidate to leave the GOP primary and finished third in the total delegate count. His message focused on unifying Americans rather than dividing them, championing the great potential of our citizens to make positive impacts in their own communities, a strong national defense and the importance of our international alliances. Today, he runs the Kasich Company strategic consulting firm and serves as a television commentator for NBC and MSNBC. He is also a fellow at the Bipartisan Policy Center, the Committee for a Responsible Federal Budget and the Meadows Mental Health Policy Health Institute. He is married to Karen Kasich and is the proud father of twin daughters. 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. Learn more about your ad choices. Visit megaphone.fm/adchoices

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 change Carrie’s story is more than a cautionary tale. It’s proof that recovery is possible, even after relapse and setbacks. By learning to surrender, ask for help, and reframe what strength truly means, she found lasting healing — and now uses her voice to help others do the same. Our guest, Carrie Bates, is an advocate for recovery. As a three-time Olympic gold medalist (OLY) in swimming and a person in recovery, she deeply understands the interplay of the drive for excellence, trauma, life changes, and addiction. Sharing her truth and living her recovery out loud has been at the center of her work. Since 2012, she has helped others access treatment and fought to end the stigma that surrounds the brain disease of substance use disorder. Carrie came to Caron Treatment Center in 2025 as director of strategic growth and advocacy. In her role, she works with partners in recovery to help more families in need access treatment and support services, promote Caron’s neurorestorative approach to treatment, reduce stigma, and advance awareness about addiction as a brain disease and the benefits of recovery. Carrie is passionate about prevention, the importance of mental wellness, the impact of addiction on families, the difficulties women face in accessing treatment and recovery support, and the role of employers and workplaces to support recovery. Before coming to Caron, she served as an outreach manager for Hazelden Betty Ford where she worked directly with employers, patients, and their families to navigate the process of finding the treatment they need for sustainable recovery. Carrie has been a fixture in traditional media, podcasts and as a keynote speaker sharing her personal story, tips for families, and hope. Carrie spent the better part of her career before entering the treatment and recovery field as a sales and marketing career at Nike, Inc. She graduated from the University of Texas at Austin. 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. Learn more about your ad choices. Visit megaphone.fm/adchoices

Jodi Wellman, a positive psychology expert and TEDx speaker, shares insights on why we might crave an early exit from social events. She explores 'experience efficiency' and 'memory optimization', revealing that both introverts and extroverts can feel overstimulated. Jodi encourages reframing early departures as a savvy way to manage energy and joy without guilt. Plus, she offers practical tips for confidently setting boundaries, transforming the fear of leaving early into a mindful choice.

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 that it’s off-putting to people through the perspective of a neurotypical person. I'm glad to say today most of my hallucinations are pretty, I don't even want to say friendly. They're just content, like a neutral energy. But, for a long time, I was constantly in a state of like terror, like fight or flight terror when I'd experience it.” ~Christopher Grant aka XO RAD Magical Our guest, Christopher Grant, is a Mi’gmaw filmmaker from Pabineau First Nation, New Brunswick. Inspired by the intense absurdity of life and death, Chris animates to express the humour and terror of existence. He has worked with the NFB’s Hothouse project, and his work has been exhibited at galleries, museums and film festivals internationally. He is also known for his role on TikTok as XORADMAGICAL, where he creates art and answers questions all relating to his experiences with schizophrenia in daily life. Our guest host, Rachel Star Withers, (www.rachelstarlive.com) is an entertainer, international speaker, video producer, and schizophrenic. She has appeared on MTV’s Ridiculousness, TruTV, NBC’s America’s Got Talent, Marvel’s Black Panther, TUBI’s #shockfight, Goliath: Playing with Reality, and is the host of the Healthline podcast “Inside Schizophrenia”. She grew up seeing monsters, hearing people in the walls, and having intense urges to hurt herself. (Our regular host, Gabe Howard, will be back next week!) Rachel creates videos documenting her schizophrenia, ways to manage, and letting others like her know they are not alone and can still live an amazing life. She has created a kid’s mental health comic line, The Adventures of ____. (Learn more at this link: https://www.amazon.com/Adventures-Fearless-Unstoppable-Light-Ambitious/dp/B0FHWK4ZHS ) Fun Fact: She has wrestled alligators. The Inside Schizophrenia podcast is available on your favorite podcast player. Learn more about your ad choices. Visit megaphone.fm/adchoices

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 therapy using psilocybin  Key takeaways: the difference between sadness, grief, and clinical depression what treatment resistant actually means a breakdown of advanced, research-backed treatment options why individualization is key to recovery This episode is your roadmap for understanding treatment-resistant depression on a deeper level — and for finding hope when treatment doesn’t seem to be working. Whether you’re managing this yourself or supporting someone who is, you’ll walk away knowing there are more options — and find that labels aren’t life sentences. Special thanks to Johnson & Johnson for providing funding for today's episode. Our guest, Jill M. Emanuele, PhD, is Founder and Executive Director of Urban Yin Psychology, PLLC, based in New York City.  She is also Secretary and board member for the Anxiety and Depression Association of America (ADAA).  Dr. Emanuele completed her undergraduate studies with degrees in Psychology and Music from the University of Richmond, and her Ph.D. in clinical psychology from George Mason University. Dr. Emanuele has presented at academic medical centers, professional conferences, public and private schools, and community organizations on the topics of mindfulness, adolescent depression and suicide, adolescent self-injury, DBT, and adolescent borderline personality disorder, and co-authored book chapters on some of these important topics.  She also provides education through multiple forms of media including television, radio, internet, and podcasts.  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. Learn more about your ad choices. Visit megaphone.fm/adchoices

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 deliberately. Practical tips for starting sensitive sex conversations without triggering alarm bells. If you’ve ever wondered whether your relationship rules are helping or hurting your love life, this episode just might change everything. “So monogamy is originated in feudalist society when there was like, someone who had money and, you know, possession. We moved into needing to know who our offsprings are. And that's exactly what monogamy started, because we wanted to know where are we inheriting our money to and the church came in and religion and it started to become like a, a standard to live by. But it's not necessarily our nature and it's not necessarily what everyone should be doing.” ~Dr. Danielle Harel Our guests, Danielle Harel, Ph.D., and Celeste Hirschman, M.A., are pioneers in intimacy, sexuality, and relationship coaching. Co-founders of the Somatica® Institute, they’ve transformed how love and connection are taught through their experiential, science-based Somatica Method. Together, they’ve trained over 1,000 coaches and helped countless individuals and couples embrace vulnerability, rediscover desire, and create deeply fulfilling relationships. Authors of three influential books—Making Love Real, Coming Together, and Confidence—Danielle and Celeste blend authenticity, humor, and bold honesty to inspire transformation. Their relatable insights into intimacy and connection make them captivating guests, offering audiences practical tools to enhance relationships and live passionately. 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. Thank you for tuning in! Show ideas? Hit us up at show@psychcentral.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

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 their day. They're thinking about their own problems. They're not thinking about you. If they do have a thought about you, it's pretty transient. It's pretty quick. It's not like they're dwelling on it like the person with social anxiety is.” ~Ken Goodman, LCSW 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: Your Guide to Overcoming Panic, Worry, Compulsions and Fear, a 12-hour audio course and Break Free from Anxiety, a coloring self-help book. His latest book, The Emetophobia Manual, is the first self-help book for those who suffer with the fear of vomit. Most recently he recorded and produced a ten-session video course for people with emetophobia. 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. Learn more about your ad choices. Visit megaphone.fm/adchoices