Inside Mental Health

• Postpartum PTSD: What Parents Need to Know

  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

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• Mental Fitness: Daily Hacks That Strengthen Your Mind

  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.  Cold Open Transcript: Gabe Howard: People psych themselves out and say, oh, well, I put butter on my broccoli. I've ruined it. Everybody seems to think that if they're not a raw vegan, then there's no point in eating healthy. And I think that's a mistake. Drew Ramsey, MD: That's a huge mistake. It's also not what the data says, if you look at research. What I've tried to bring to the mental health world is the notion that we need to think about food when we're thinking about things like depression, anxiety, bipolar illness, trauma recovery, substance use disorders, psychotic disorders, all of these have big nutritional implications. Our guest, Drew Ramsey, MD, is a board certified psychiatrist, psychotherapist, and author. ​His work focuses on evidence-based integrative psychiatry, Nutritional Psychiatry and male mental health. He founded the Brain Food Clinic, a digital mental health practice, and Spruce Mental Health in Jackson, Wyoming. Using the latest research along with decades of clinical experience, he hopes to help people improve their mental health and build resilient mental fitness. He and his team have created three e-courses: Healing the Modern Brain, Eat To Beat Depression, and Nutritional Psychiatry for Clinicians; along with free downloads, the free nutritional psychiatry cooking class the Mental Fitness Kitchen, a weekly mental health update newsletter Friday Feels, and a mental health and mental fitness focused podcast. ​His latest book, “Healing the Modern Brain: Nine Tenets To Build Mental Fitness and Revitalize Your Mind,” will be published by Harper Collins in March 2025. His previous books helped establish Nutritional Psychiatry and explore the connection between food and mental health: the international best-seller “Eat To Beat Depression and Anxiety” (HarperWave 2021) now translated into 9 languages; the award-winning cookbook “Eat Complete: The 21 Nutrients that Fuel Brain Power, Boost Weight Loss and Transform Your Health” (HarperWave 2016); the bestseller “50 Shades of Kale” (HarperWave 2013) and “The Happiness Diet: A Nutritional Prescription for a Sharp Brain, Balanced Mood and Lean, Energized Body” (Rodale 2011).  ​Learn more at DrewRamseyMD.com. 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

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• When Is Picky Eating a Disorder? Understanding ARFID (Avoidant Restrictive Food Intake Disorder)

  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

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• Inside Cults: How Ordinary People Get Pulled In

  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 cults work, you're not really joining a destructive organization. You're joining a group based on some ideology that is probably a little bit different from the news headlines. . ." ~Wendy Biddlecombe Agsar Our guest, Wendy Biddlecombe Agsar, is a freelance editor and reporter living in Leipzig, Germany. She is a contributing editor at “Tricycle: The Buddhist Review” and the author of “Cults: A True Crime Collection.” 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

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• The Raw Reality of Self-Harm and Healing

  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 really means, like the level of distress that they are in and the difficulty, like the deficits in coping skills, like they're missing a set of coping skills is pretty profound, right. And you know, the consequences are pretty high. They don't have another skill. We're basically saying, stop self-injuring. What are they going to do with those emotions? What are they going to do with them? Clearly, if they had another way to manage them, they would. I've never met somebody that started self-injuring that has said I had other coping skills, but I chose this instead. Usually when they start self-injuring, it's because they don't know what else to do.” ~Gillian C. Galen, PsyD Our guest, Gillian C. Galen, PsyD, is a senior child and adolescent psychologist specializing in dialectical behavior therapy (DBT). She is the director of training for the 3East continuum, an array of programs for teens that use DBT to target self-endangering behaviors and symptoms of borderline personality disorder. She has extensive experience diagnosing and treating adolescents and young adults who struggle with emotion dysregulation, anxiety, depression, trauma, and self-endangering behaviors, such as self-injury and suicidal behaviors. Dr. Galen has a particular interest in the use of mindfulness in the treatment of borderline personality disorder and psychiatric illnesses. She is the co-author of the books “Mindfulness for Borderline Personality Disorder: Relieve Your Suffering Using the Core Skill of Dialectical Behavior Therapy”, “Coping With BPD: DBT and CBT Skills to Soothe the Symptoms of Borderline Personality Disorder”, and “DBT for Dummies.” 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

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