Back from the Abyss: Psychiatry in Stories

A deep dive into the struggle of reconciling an outwardly perfect life with hidden trauma leads to profound revelations about familial wounds. The importance of therapy in navigating toxic dynamics is explored, highlighting moments of breakthrough amid intense emotions. MDMA and psilocybin emerge as transformative tools for confronting fear and dissociation, allowing for emotional engagement and self-discovery. Personal narratives reveal the complexities of healing, emphasizing connection, presence, and the delicate balance between hope and darkness in the journey through trauma.

Send BFTA a commentVery few people are willing and/or able to share and describe their descent into psychosis— in part because memory formation and consolidation are so impaired during episodes of psychosis…..and also because there is often so much fear and shame tied up in the experience of losing one’s mind. Here Dr. H's  patient Corben describes his very early onset illness, how it started with years of depression,  then shifted into profound alienation and increasingly frightening psychosis, and finally into stability and recovery.BFTA on IG @backfromtheabysspodcasthttps://www.instagram.com/backfromtheabysspodcast/BFTA/ Dr. Hhttps://www.craigheacockmd.com/podcast-page/

Send BFTA a commentThe prevailing model of psychiatric care in the US is called "med management"-- this typically means a 10-15min appointment to review symptoms and choose medications.  Here Dr. Will Van Derveer of the Integrative Psychiatric Institute sits down with Dr. H to deconstruct this deeply flawed model and posit a more holistic and hopeful way of thinking about psychiatric care. Dr. Van Derveer and the Integrative Psychiatric Institutehttps://psychiatryinstitute.com/BFTA/ Dr. Hhttps://www.craigheacockmd.com/podcast-page/

Dr. Erin Jacklin, an expert in psychotherapy at the Catalyst Center in Denver, shares her insights on the art of therapeutic practice. She explores how therapists evolve from technical skills to authentic personal expression. The conversation dives into emotional engagement between therapist and client, emphasizing compassion and self-awareness. They tackle the challenging dynamics of negative transference and the importance of maintaining composure. Lastly, they discuss the emotional complexity of ending therapy and the growth that accompanies the journey.

Dori Lewis, an expert from Elemental Psychedelics, dives deep into the transformative potential of psilocybin mushrooms in mental health. She dispels myths surrounding their use and highlights how they can help treat various conditions like depression and OCD. The conversation emphasizes the importance of preparation, the dual benefits of combining mushrooms with ketamine, and the necessity of skilled facilitation during therapy. Dori also critiques the colonial mindset in substance extraction, advocating for a holistic approach to understanding these powerful organisms.

Send BFTA a commentChris and Craig go meta to deconstruct season 5, explore the art of storytelling and music selection, and answer listener questions.BFTA on IG @backfromtheabysspodcasthttps://www.instagram.com/backfromtheabysspodcast/BFTA/ Dr. Hhttps://www.craigheacockmd.com/podcast-page/

Send BFTA a commentChristina grew up with a tumultuous and mentally ill mother, an older brother who decompensated into psychosis and frightening aggression, and just one healthy family member, her father.   Dr. H and Christina explore both the wounding of having a desperately ill parent, as well as the profound gift of having another parent able to provide love and support. Christina suffered terribly from these maternal wounds, but she was also able to finally emerge as a healthy, grateful, wise, and deeply caring adult….initially drawn to nursing, she eventually transitioned into working as a psychiatric nurse practitioner.This story is in two parts— first Christina shares her moving story, then she and Dr. H go meta and explore the behind the scenes preparation for this episode. Two of the themes that emerge in this latter part are storytelling as integration, and vulnerability as part of healing. Christina beautifully describes how the process of pulling her story together and unearthing these often brutal memories allowed her to find a deeper sense of peace, acceptance, and self-affirmation.BFTA on IG @backfromtheabysspodcasthttps://www.instagram.com/backfromtheabysspodcast/BFTA/ Dr. Hhttps://www.craigheacockmd.com/podcast-page/

Send BFTA a commentDr. Russell Carr was a career Navy psychiatrist for 20 years and served in Iraq, where today’s story begins.  This is a story of a healer, then a terrible wounding, then the healer trying to find his way amidst the chaos of war. This story is about a rite of passage, one that not every psychiatrist faces, but most do at some point-- that of losing the first patient to suicide, then trying to find the strength to move forward.Dr. Russell CarrA Psychiatrist Returns from War-- on Substackhttps://russellcarr.substack.com/BFTA on IG @backfromtheabysspodcasthttps://www.instagram.com/backfromtheabysspodcast/BFTA/ Dr. Hhttps://www.craigheacockmd.com/podcast-page/

Send BFTA a commentA huge problem with current psychiatric diagnosis is that it often lumps completely unrelated things under the same vast and vague tent, such as with the diagnosis of "Major Depressive Disorder".   Here Craig sits down with his patient Rebecca to try to make sense of her complex early onset depression and how it played out via addiction, anorexia, and pathological caretaking and how she was finally able find the grace and compassion to prioritize care for herself.Bringing Therapy into Med Management-- An intensive psychotherapy training in Colorado with Dr.  Hhttps://www.craigheacockmd.com/training/BFTA on IG @backfromtheabysspodcasthttps://www.instagram.com/backfromtheabysspodcast/BFTA/ Dr. Hhttps://www.craigheacockmd.com/podcast-page/

Send BFTA a commentHere Dr. H sites down with Jenny, a psychoanalyst who shares her moving, then horrifying, then eventually cathartic tale of plumbing the depths of her traumatized psyche, first with years of psychoanalysis, then with five MDMA-assisted therapy sessions. This is a story of numbing and forgetting, then re-opening and remembering...of finding a way to make sense of a life of protective dissociation.Bringing Therapy into Med Management-- An intensive psychotherapy training in Colorado with Dr.  Hhttps://www.craigheacockmd.com/training/BFTA on IG @backfromtheabysspodcasthttps://www.instagram.com/backfromtheabysspodcast/BFTA/ Dr. Hhttps://www.craigheacockmd.com/podcast-page/