In this episode, Margaret and I take on the en vogue topic of GLP-1s. They have been utilized for T2DM for several years and just recently took center stage in the zeitgeist for weight loss (medically indicated or otherwise). Today, we will break down possible risks to mental health in patients using these medications and, on the flipside, potential areas wh ... Show More
Oct 5
How does image guided TMS stack up against the current method?
In this episode we're doing another journal club, this time reviewing the first randomized clinical trial comparing image-guided TMS to the traditional method using scalp targeting for depression. We walk through how TMS works, why targeting matters, what the study found at one m ... Show More
47m 40s
Sep 28
The Theory of the Crunch: Holding Difficult Dynamics in Therapy
In today’s episode, Preston and Margaret discuss the psychotherapy paper The Theory of the Crunch, by Paul Libby, a psychoanalyst. In this episode and in the paper, the idea of creating a containing environment, repetition compulsion, and ways of navigating difficult interpersona ... Show More
59m 30s
Sep 14
Nuances in Prescribing Antidepressants
In this episode, Margaret and Preston present how two psychiatrists think about prescribing medications for depression. Using different common clinical scenarios, they discuss standard clinical guidelines, navigating weight gain and loss with SSRIs, augmentation of SSRI’s, and se ... Show More
58m 58s
May 2024
396: Her Doctor Failed Her - Privacy for Youth in Psychiatry, Suicidality Assessment, and Advocating for Your Past Self
<div class="x1yztbdb"><span class= "x1lliihq x1plvlek xryxfnj x1n2onr6 x193iq5w xeuugli x1fj9vlw x13faqbe x1vvkbs x1s928wv xhkezso x1gmr53x x1cpjm7i x1fgarty x1943h6x xt4736n x1havqas x1f0sm9e x12qp5cl xzsf02u x1yc453h xudqn12 x3x7a5m"> Hello, friends!</span></div> <div class="x1 ... Show More
22m 24s
Oct 2025
Trauma or Personality, When to Walk Away, and Burnout: October Mailbag
Dr. Rick and Forrest open up the mailbag to answer listener questions about trauma and its impact on personality, boundaries, anger, and burnout. They discuss how to distinguish the authentic self from the patterns we needed to learn to survive, how to balance duty to self with d ... Show More
59m 46s
Jan 2024
Dealing with a Mental Health Crisis, Trauma and Meditation, and Getting Back on the Wagon: January Mailbag
Forrest and Dr. Rick open up the mailbag and answer questions from listeners. How can we understand and support someone going through a mental health crisis? Is meditation enough to heal trauma? And what can we do about family members that just won’t change? You’ll learn why offe ... Show More
1h 2m
Jul 2025
Listen To THIS If You're Feeling Stuck | Ask A Therapist
<p>In today's episode, we're diving deep into some of the burning questions you've been asking us to cover.<br/><br/>Whether you're dealing with loss and grief, navigating relationship issues, struggling with manifestation, or working through health challenges ... Show More
39m 44s
Apr 2024
On Healing from Suicidal Ideation
In this enlightening discussion, listeners are invited to explore the depths of resilience, healing, and the power of shared experiences. With Gina's unique perspective as a survivor of suicidal ideation this, this episode promises to offer invaluable insights into navigating the ... Show More
54m 15s