Inside Mental Health

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

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, moved, and maybe even surprised. Key takeaways: the truth about schizophrenia’s symptoms and causes why stigma is deadly — and how to dismantle it what support systems really make a difference how schizophrenia affects cognition, not just perception Hit play to get past the stereotypes and meet the human reality. Cold Open Transcript:Rachel Star Withers (guest host): I'm sure there's some listeners right now who are thinking, well, I don't have schizophrenia. No one close to me does. Why should I care? Dr. Derin Cobia: You know, schizophrenia, it indirectly affects everyone and it affects us economically, socially, and culturally. Even though somebody may not be dealing with somebody with schizophrenia, now, who's to say they won't in the future? And even if they don't, I would say just general education and awareness about it reduces this stigma. Our guest, Dr. Derin Cobia, is a neuropsychologist and neuroscientist with particular interest in utilizing neuroimaging techniques to study how changes in brain structure influence cognition and behavior. He is also a professor at Brigham Young University. Dr. Cobia's laboratory is focused on the implementation of computational anatomy tools to study neuropsychiatric diseases, particularly schizophrenia. His interests are in the clinical and biological heterogeneity that exists in schizophrenia by taking a cognitive neuroscience perspective. His work has involved linking cognitive and neurobiological characteristics to important clinical dimensions of the illness. 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. To listen to the Inside Schizophrenia podcast, please visit the official show page at psychcentral.com/IS or use your favorite podcast player. Please Note: Our regular host, Gabe Howard, will be back next week! Learn more about your ad choices. Visit megaphone.fm/adchoices

Is it trauma? Obsessive-compulsive disorder (OCD)? Or both? Can trauma trigger OCD? Can OCD feel like trauma? In this episode, Dr. Nathaniel Van Kirk, a ADAA member and leading clinical psychologist and trauma expert, joins Gabe Howard to unpack the complex relationship between trauma and OCD. While both terms are widely used, few understand how deeply they can intertwine — or how often they’re misunderstood. Dr. Van Kirk explains why a traumatic event might trigger OCD in some people, how OCD symptoms can mimic trauma responses, and why compulsions often become misguided tools for managing fear. He also dives into the surprising statistic that up to 90% of people experience a traumatic event, and explores how our brains are hardwired to both break down and heal. Takeaways include: the difference between trauma, PTSD, and OCD why OCD isn’t usually considered a trauma disorder — but sometimes should be how clinicians decide which disorder to treat first why healing often means separating fear from fact If you’ve ever had intrusive thoughts or wanted to better understand the mental health impact of trauma, this episode is essential listening.   This episode has been sponsored by the Anxiety and Depression Association of America (ADAA). “For about 19% of individuals with OCD, they tend to have a comorbid PTSD diagnosis. I think that's much higher than what we initially thought as a field. Initially we thought it was rare, and part of the challenge is that for many years these two things were treated as silos. You were either a PTSD and trauma therapist or an OCD therapist. And very rarely did we cross over. It turns out that was not the great approach, because in reality, there's actually a lot more overlap than we thought. And finding out that it's actually a very common experience that people just didn't talk about.” ~Nathaniel Van Kirk, PhD Our guest, Nathaniel Van Kirk, PhD, is a licensed clinical psychologist, specializing in severe anxiety disorders, obsessive compulsive disorder (OCD), and trauma/PTSD. At McLean Hospital, Dr. Van Kirk is the director of psychological services at the OCD Institute. He is a member of the hospital’s Patient and Family Advisory Committee and Interdisciplinary Recovery Oriented Practice Committee, and also serves as the site facilitator for McLean’s Schwartz Rounds Committee. Dr. Van Kirk’s clinical research focuses on the role of motivation across treatment and the impact of trauma on treatment outcomes, and on promoting innovative methods to assess and conceptualize recovery. Additionally, he is involved in efforts to reduce mental health stigma (such as participating in McLean Hospital’s Deconstructing Stigma campaign), emphasizing the importance of bridging the gap between therapists, researchers, and those with mental health challenges, including individuals who work in the mental health field. 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

Think everyone working in Hollywood is rich, famous, and living the dream? Think again. In this episode, host Gabe Howard pulls back the velvet curtain with therapist and Hollywood insider Shanelle Connell to expose the reality behind the entertainment industry’s glossy facade. Forget the multimillion-dollar paychecks and private jets — most working actors, crew members, and directors grapple with constant rejection, financial insecurity, 12- to 15-hour workdays, and the unrelenting pressure to smile through it all. Even finding a therapist can be a minefield when your life is dismissed as glamorous nonsense. Takeaways: The emotional whiplash of booking a gig… and the crash that follows How societal judgment can keep performers from getting help The hidden cost of “doing what you love” when your work devours your identity Why so many stay in the industry — even if it weighs on them Whether you watch tons of movies or just wonder how fame warps mental health, this conversation will challenge everything you thought you knew about Hollywood — and the humans who keep it running. Our guest, Shanelle Connell, completed her BA in Psychology at the University of British Columbia – Okanagan. While there, she briefly served as a UBC Mental Health Network board member and performed research under Dr. Jocelyn Wentland and Dr. Suzanne Holtzman. Additionally, she participated in the Indigenous Research Mentorship Program, which awards First Nations, Inuit, and Métis undergraduate students (like herself) the possibility to work alongside faculty mentors to gain research experience of their ideal interest. Shanelle also ensured to enroll in many special interest classes at her university, like the Psychology of Creativity, Humour, and Interpersonal Relationship Psychology – contributing to her expansive understanding of how our unique psychology colours every aspect of our lives.  As a former Miss Universe Canada delegate and Miss World Okanagan, Shanelle has used her platform to actively advocate on behalf of individuals who have experienced and survived domestic, mental, and sexual violence/abuse – and continues to work with individuals healing from the effects of narcissistic trauma.  In 2019, Shanelle re-entered the film industry and began her professional work as an actor. She leveraged her 20+ years engagement in performance arts and commercial market to guide her journey as she made her way to on-screen entertainment. However, Shanelle did not start there and has worked in various positions like stand-in and graphics department, producing, and even has had a behind-the-scenes look at the chaos that follows agency life and the casting process. Hence, she truly understands our everyday ups and downs in this creative field. Today, Shanelle is an active member of UBCP-ACTRA and the CMPA, living between Vancouver and Kelowna, British Columbia. She frequently collaborates with our unions, non-profit organizations, and industry leaders to ensure she stays proficient in what film needs for mental health support. Even more, she values the feedback of her peers (those on and off set) on what can make her practice and our industry better. Therefore, Shanelle proudly amalgamates this insider information with her credentials to finally offer our colleagues what they deserve. 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

What if the sudden mood changes, crushing fatigue, or unexpected anxiety you’re experiencing aren’t just stress or part of getting older, but signs of depression linked to perimenopause? In this episode, ADAA member expert and psychiatrist Dr. Crystal Clark joins host Gabe Howard to shine a light on one of the most overlooked mental health issues affecting women: the biological storm of perimenopause and its deep connection to depression and anxiety. They break down why up to 40% of women experience depression during this hormonal transition — and why so many are told to just “tough it out.”You’ll learn the early warning signs to watch for, the science behind hormonal shifts and mental health, and why dismissing symptoms as “normal aging” could be harmful. Plus, they explore how therapy, medication, lifestyle shifts, and even hormone therapy can play a role in recovery. Whether you’re in perimenopause, supporting someone who is, or just want to understand this life stage, this episode delivers clarity, compassion, and concrete takeaways. This episode has been sponsored by the Anxiety and Depression Association of America (ADAA). Our guest, Dr. Crystal Clark, is an internationally recognized psychiatrist in women’s mental health. She holds a Canada Research Chair in Reproductive Mental Health. She is an Associate Professor in the Department of Psychiatry at the University of Toronto, and the Associate Head of Research at Women’s College Hospital. Dr. Clark specializes in mood and anxiety disorders specifically across the reproductive life span (from menstruation to peri and post menopause). Dr. Clark’s research has focused on psychopharmacology for the treatment of perinatal mood disorders.  Her research aims to prevent the recurrence of illness during pregnancy and postpartum through safe dose optimization and personalized dosing strategies. Her research also aims to develop identification and prevention strategies for all persons with perinatal mood and anxiety disorders including those who are disproportionately impacted by these disorders. Dr. Clark’s research has been funded by the Canadian Institute of Health Research and the National Institutes of Health.  Among Dr. Clark’s many leadership roles, she is a past president of the Marcé of North America, an organization dedicated to advancing perinatal mental health care, and she serves on the board of directors of Marcé International. She has been a contributor to large initiatives in Canada and the US to improve perinatal mental health in North America. As a thought leader, Dr. Clark is a thought leader and has been a contributor by several media outlets including CBS, NPR, NY Times, and Chicago Tonight regarding issues related to perinatal 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. Learn more about your ad choices. Visit megaphone.fm/adchoices

What if the biggest obstacle holding you back isn’t your past but your mindset? Psychologist Scott Barry Kaufman, PhD, challenges everything you think you know about trauma, resilience, and personal growth. In this episode, you’ll discover why labeling every setback as “trauma” can keep you stuck, how social media turns psychology terms into empty buzzwords, and why blaming the world won’t set you free. Host Gabe Howard dives deep into the difference between being a victim and living with a victim mindset — and why refusing to let go of a painful past can quietly sabotage your future. Learn about post-traumatic growth, the empowering idea that you can transform adversity into strength. Explore how to replace learned helplessness with learned hopefulness, and why embracing an empowerment mindset might be the key to unlocking your full potential. Key takeaways: how to recognize a victim mindset — and break free from it why trauma doesn’t have to define you the difference between acknowledging pain and living in it practical ways to build resilience and reclaim your life If you’re ready to stop waiting for someone else to fix your life, this conversation will show you how to rise above and live your best life. Cold Open Transcript: “I'm not a fan of blanket labeling things as a disorder or an illness, which are actually just extreme versions of personality traits. You can be a victim to your past. You can be a victim to your emotions. You can be a victim to your self-esteem. You could be a victim to your need to please. I am trying to help and empower people, wherever they've come from, to consider their hope for the future and consider what they still have left within themselves what resources they have left and what strengths they can draw on. I It's a choice. It's a choice. It's not always the obviously easiest route. It's not always the path of least resistance, but it's one that’s ultimately more satisfying and meaningful.” ~Scott Barry Kaufman, PhD Our guest, Scott Barry Kaufman, PhD, is a cognitive psychologist who is among the top 1% most cited scientists in the world for his groundbreaking research on intelligence, creativity, and human potential. He is the host of The Psychology Podcast, which has received more than 30 million downloads and is frequently ranked the #1 psychology podcast in the world. He is a professor of psychology at Columbia University and director of the Center for Human Potential. Dr. Kaufman’s writing has appeared in The Atlantic, Scientific American, Psychology Today, and Harvard Business Review, and he is the author of ten previous books, including Transcend, Wired to Create, and Ungifted. 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

What if giving birth left you with nightmares, hypervigilance, and a constant sense of dread — and no one believed you? Worse, what if you didn’t think it mattered because, after all, the baby is healthy? In this eye-opening episode, host Gabe Howard talks with ADAA member expert Dr. Lauren Sippel about a condition many have never heard of: postpartum post-traumatic stress disorder (PTSD). Dr. Sippel explains what postpartum PTSD really looks like, why it's often misdiagnosed, and how to tell the difference between typical new parent stress and clinical trauma. Often overshadowed by postpartum depression and dismissed by loved ones and providers, postpartum PTSD is a silent struggle affecting far more people than we realize. If you or someone you love has felt lost or dismissed after childbirth, this conversation could be life-changing. Special thanks to Evernorth Health Services for providing funding for today's episode. Additional Links: PC-PTSD-5—infographic (self-screening tool): https://adaa.org/sites/default/files/2021-01/How%20to%20Know%20If%20You%20Should%20Talk%20with%20Your%20Healthcare%20Provider%20About%20PTSD.pdf Postpartum Support International website: https://www.postpartum.net/ “There are so many things that can happen in that delivery. I've heard about the peaceful ones. I personally had two unmedicated ones that were not intentionally unmedicated. There was a lot of screaming. And my babies were healthy. And some things went as smoothly as expected and some things did not go as planned. And one of them was pretty scary. And thankfully I did not experience PTSD symptoms from that. Could I tell you why, Gabe? Absolutely not. And if I did, I probably couldn't tell you that either.” ~Lauren M. Sippel, PhD Our guest, Lauren Sippel, PhD, is the Deputy Director of the Northeast Program Evaluation Center in the Department of Veterans Affairs and an Assistant Professor of Psychiatry at the Geisel School of Medicine at Dartmouth. She co-leads the ADAA PTSD Special Interest Group. Her research focuses on improving the quality and effectiveness of psychotherapies, particularly those for PTSD, using strategies such as medication augmentation and family involvement. 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. Drew Ramsey, a board-certified psychiatrist and author, emphasizes the urgent need for mental fitness in our daily lives. He discusses how simple habits—like eating more vegetables and taking regular walks—can dramatically enhance brain health. The conversation also explores how social connections serve as 'brain superfoods' and the importance of addressing trauma for long-term resilience. Tune in for practical, science-based hacks that transform mental health without convoluted treatments or strict diets.

Is your child a picky eater, or is it something more serious — and how can you tell? Avoidant/restrictive food intake disorder (ARFID) goes far beyond food preferences. It’s driven by deep-seated fears of choking, vomiting, or other anxieties that can lead to dangerous nutritional deficiencies. In this episode, Gabe Howard sits down with ADAA member expert Dr. Jacqueline Sperling, a clinical psychologist and Harvard Medical School professor, to break down the signs of ARFID, outline how it differs from typical picky eating, and mention when parents should seek professional help. Learn how to spot the red flags, understand the role of anxiety in food avoidance, and discover ways to support kids managing this lesser known eating disorder. If mealtimes are a battle in your home, this episode is a must-listen! Special thanks to the Anxiety and Depression Association of America for sponsoring this episode.  “They could have different obsessions of what might happen should they eat any of those foods. Some could have a fear that there's contamination. Some can have a fear that it's cooked all the way. Some can have a concern that something separate from the food, but a negative consequence may happen if they eat those foods. It can also happen that someone is worried about having IBS symptoms in public, so they don't want to eat certain foods. And so they limit the foods that they eat, or even when they're at home because they're worried about when they go out in public afterward.” ~Jacqueline Sperling, PhD Our guest, Jacqueline Sperling, Ph.D., is a clinical psychologist, assistant professor in psychology at Harvard Medical School, and the co-founder and co-program director of the McLean Anxiety Mastery Program at McLean Hospital. She is the author of the young adult nonfiction book “Find Your Fierce: How to Put Social Anxiety in Its Place” and a contributor for Harvard Health Publishing. Dr. Sperling specializes in implementing cognitive behavioral therapy with exposure and response prevention and working with youth with anxiety disorders and obsessive-compulsive disorder. She also focuses on caregiver guidance, such as by using behavioral parent training, to help families address children’s internalizing and externalizing behaviors. In addition, Dr. Sperling is passionate about disseminating evidence-based information to the community, and she frequently speaks about the impact of social media use on mental health. Moreover, Dr. Sperling is committed to increasing access to care and participates in advocacy at state and federal government levels. 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