The Psych Central Show: Candid Chat On Mental Health & Psychology

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 i

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

Have you ever found yourself halfway through a concert, dinner party, or even a family gathering and thought, “OK, I’m ready to go now,” even though you’re having a good time? You’re not alone, and it doesn’t mean you’re antisocial or ungrateful. In this episode, host Gabe Howard sits down with Jodi Wellman, a positive psychology expert and TEDx speaker, to unpack the surprising psychology behind wanting to leave events early.Together, they explore why both introverts and extroverts can feel this way, introducing concepts like “experience efficiency” and “memory optimization.” Learn how our brains process peak moments, why leaving on a high note can actually enhance our memories, and why you don’t have to “get your money’s worth” by staying until the very end. Key takeaways: Find out why some people feel “full” on fun faster and don’t need to stay until the end to enjoy an event. Reframe early exits as a smart way to manage energy, time, and joy—without guilt. Learn practical language for confident

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

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 psychede

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 th

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

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, mov

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

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 e

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, comp

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

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://ada

We all know about physical fitness, but what if we treated mental fitness with the same urgency and structure? In this episode, psychiatrist and author Dr. Drew Ramsey joins Gabe Howard to reveal how everyday choices like eating more vegetables or going on a daily walk can profoundly reshape our brains and protect our mental health. No fancy meds or complicated therapy — just smart, doable actions that turn your mind into a powerhouse. Discover why mental fitness is the missing piece in our mental health crisis and how stacking simple changes can protect your brain for life. Listen in and learn: simple tenets of mental fitness that anyone can start today how your diet and daily routines shape your brain health why connection and engagement are brain superfoods how to unburden trauma and build purpose for lasting strength If you're looking for real, science-backed ways to feel better and stay better — without gimmicks — this episode will change how you think about your mental health forever. 

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 c

Cults don’t always start with Kool-Aid or crime scenes — sometimes, they begin with yoga classes, utopian promises, or someone saying you’re special. In this episode, Gabe Howard sits down with journalist and author Wendy Biddlecombe Agsar, whose book “Cults: A True Crime Collection” explores how seemingly “normal” people fall into manipulative groups. From love bombing and spiritual seduction to sleep deprivation and isolation, Wendy unpacks the subtle tactics cults use to recruit and retain followers — and why it’s not about being gullible or broken. She shares her own brushes with cult-like communities and explains how even caring interventions can backfire by reinforcing a cult leader’s narrative. If you’ve ever wondered, “How could anyone fall for that?” — this episode is your answer. Thought-provoking, emotional, and packed with insight, it just might change the way you see cults — and yourself. "(You may be thinking) I would never hurt another person. I would never believe in aliens. But the way c

Dive into a no-holds-barred conversation that shatters common myths about self-harm. Join host Gabe Howard and renowned psychologist and ADAA member expert Dr. Gillian C. Galen as they explore the intricate world of self-harm and emotional regulation. Delving into the neuroscience behind adolescent brain development and its impact on behavior, Dr. Galen explains why self-injurious behaviors are more prevalent during youth and how they evolve — or sometimes subside — in adulthood. They discuss the common reasons behind self-injury and why it’s far more complex than the stereotypes we see in movies and media. They explore the surprising ways self-harm can signal deep emotional distress, reveal underlying trauma, and even affect relationships. Whether you’ve been directly affected or want to better understand the struggles of those you care about, this conversation is a must-listen. Special thanks to McLean Hospital for providing funding for today's episode. “If you see that somebody is self-injuring, it

Looking to turn your big dreams into reality? You’re not alone — and it might not be your willpower that’s holding you back, but the way you set your goals. In this episode, host Gabe Howard welcomes Dr. Ross G. White, clinical psychologist, author of “The Tree That Bends,” and founder of Strive to Thrive, to demystify the SMART framework and help you build goals that stick. Together, Gabe and Dr. White unpack each letter of SMART (Specific, Measurable, Achievable, Relevant, and Time-limited) to show you how to transform vague aspirations (“I want to get fit”) into crystal clear, trackable targets (“I will complete three 30-minute strength workouts each week for the next month”). You’ll hear concrete examples, common pitfalls, and Dr. White’s insider tips for aligning your goals with what truly matters in your life. Plus, stick around for a candid discussion on why the “stay hard,” grit-and-grind mentality might be selling you short — and how a flexible mind can be your secret weapon for thriving, not just

Today we peel back the layers of body dysmorphic disorder (BDD) — a condition far beyond simple vanity. Host Gabe Howard and ADAA member expert Scott M. Granet tear apart the facade of BDD — a mental battle where the mirror becomes your worst enemy.  This episode exposes a disorder that distorts reality, making you question every reflection. Forget cosmetic fixes — plastic surgery rarely provides salvation. Scott bares his soul, recounting his harrowing struggle from a college crisis over a few stray hairs to a lifelong fight against the obsessive compulsion to fix what isn’t really broken. With raw honesty and expert insights, this conversation dives into the complexities of living with BDD, highlighting the vital role of support systems and cognitive behavioral therapy. Whether you or someone you know battles inner demons or simply seeks a deeper understanding of mental health, this episode promises a captivating exploration of perception versus reality. Special thanks to the Anxiety and Depression Asso

Why would a person make their own child sick — or lie about it — for attention? In this gripping and eye-opening episode, retired detective Mike Weber joins Gabe Howard to expose the disturbing reality behind Munchausen syndrome by proxy, now medically known as factitious disorder imposed on another. With 40 years of law enforcement experience and over 50 cases investigated, Weber pulls back the curtain on a form of child abuse that's more prevalent — and more chilling — than most people realize. Forget what you think you know from TV dramas. This is not just a mental illness — it often involves calculated crime. Learn how people with this condition can manipulate doctors, deceive family members, and train children to play along in a twisted performance. Discover why nearly all are mothers, how children are affected, and why the justice system struggles to prosecute these complex cases. If you're interested in true crime, psychology, or the darker corners of human behavior, this episode will stay with you l