New Year’s resolutions promise hope, but for many people, they quietly deliver shame, stress, and self-blame instead. If resolutions leave you feeling worse about yourself every January, this episode explains why — and what actually works.
Host Gabe Howard is joined by returning favorite Jodi Wellman to unpack why traditional goal-setting often backfires, especially when it comes to mental health. They explore the psychology behind the “fresh start effect,” how all-or-nothing thinking sets us up to fail, and why massive lifestyle overhauls rarely stick. More importantly, they offer practical, compassionate alternatives; Like shifting from rigid goals to identity-based habits, process-focused wins, and restarting without guilt when things go off track.
Listener Takeaways
<ul>
 <li>The mental health cost of setting outcome-based goals</li>
 <li>Why smaller, process-focused goals actually create lasting change</li>
 <li>How to restart a goal without guilt or self-punishment</li>
</ul>
Whether you’ve already ditched your New Year’s resolutions or never believed in them to begin with, this episode explores a healthier, more realistic way to create change—without harming your mental well-being. 
“What is really common, which is set a goal. Don't get there. Feel bad about it. So net net it's not a good experience. For many of us, that's problematic because we feel badly about ourselves [. . .] And maybe that's your version of self-compassion is to let that goal gracefully go.” ~Jodi Wellman, MAPP 
Our guest, Jodi Wellman, MAPP is a speaker, author, and facilitator on living lives worth living. She founded Four Thousand Mondays to help people make the most of the time they are lucky to be above ground. 
With 25 years of corporate leadership experience (most recently as Senior Vice President of Operations at a leading health and lifestyle organization), Jodi has led private CEO advisory boards and coaches teams to work well and live even better.
Jodi has a Master’s of Applied Positive Psychology from the University of Pennsylvania, where she is also an Assistant Instructor and facilitator in the Penn Resilience Program. She is an ICF Professional Certified Coach. 
Her book, "You Only Die Once: How to Make It to the End with No Regrets," made Adam Grant’s Summer Reading List and was a “Top 3 Psychology Book of 2024” by the Next Big Idea Club (curated by Malcolm Gladwell, Susan Cain, Adam Grant, and Dan Pink). Jodi has been featured in The New York Times, Oprah Daily, Fast Company, CNBC, Forbes, Psychology Today, The Los Angeles Times, and more. Jodi’s TEDx talk is called How Death Can Bring You Back to Life; with over 1.3 million views, it is the 14th most-watched TEDx talk released in 2022, out of 15,900!
 
 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 <a href="http://www.gabehoward.com/merchandise/mental-illness-asshole/">directly from the author.</a> Gabe is also the host of the "<a href="http://psychcentral.com/ibp">Inside Bipolar</a>" 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 <a href="http://gabehoward.com/">gabehoward.com</a>.
 
Please share the show -- it's how we grow! Thank you! Learn more about your ad choices. Visit <a href="https://megaphone.fm/adchoices">megaphone.fm/adchoices</a>

<description>New Year’s resolutions promise hope, but for many people, they quietly deliver shame, stress, and self-blame instead. If resolutions leave you feeling worse about yourself every January, this episode explains why — and what actually works.

Host Gabe Howard is joined by returning favorite Jodi Wellman to unpack why traditional goal-setting often backfires, especially when it comes to mental health. They explore the psychology behind the “fresh start effect,” how all-or-nothing thinking sets us up to fail, and why massive lifestyle overhauls rarely stick. More importantly, they offer practical, compassionate alternatives; Like shifting from rigid goals to identity-based habits, process-focused wins, and restarting without guilt when things go off track.

Listener Takeaways


 The mental health cost of setting outcome-based goals

 Why smaller, process-focused goals actually create lasting change

 How to restart a goal without guilt or self-punishment


Whether you’ve already ditched your New Year’s resolutions or never believed in them to begin with, this episode explores a healthier, more realistic way to create change—without harming your mental well-being.

“What is really common, which is set a goal. Don't get there. Feel bad about it. So net net it's not a good experience. For many of us, that's problematic because we feel badly about ourselves [. . .] And maybe that's your version of self-compassion is to let that goal gracefully go.” ~Jodi Wellman, MAPP

Our guest, Jodi Wellman, MAPP is a speaker, author, and facilitator on living lives worth living. She founded Four Thousand Mondays to help people make the most of the time they are lucky to be above ground. 

With 25 years of corporate leadership experience (most recently as Senior Vice President of Operations at a leading health and lifestyle organization), Jodi has led private CEO advisory boards and coaches teams to work well and live even better.

Jodi has a Master’s of Applied Positive Psychology from the University of Pennsylvania, where she is also an Assistant Instructor and facilitator in the Penn Resilience Program. She is an ICF Professional Certified Coach. 

Her book, "You Only Die Once: How to Make It to the End with No Regrets," made Adam Grant’s Summer Reading List and was a “Top 3 Psychology Book of 2024” by the Next Big Idea Club (curated by Malcolm Gladwell, Susan Cain, Adam Grant, and Dan Pink). Jodi has been featured in The New York Times, Oprah Daily, Fast Company, CNBC, Forbes, Psychology Today, The Los Angeles Times, and more. Jodi’s TEDx talk is called How Death Can Bring You Back to Life; with over 1.3 million views, it is the 14th most-watched TEDx talk released in 2022, out of 15,900!



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.



Please share the show -- it's how we grow! Thank you!
Learn more about your ad choices. Visit megaphone.fm/adchoices</description>

Why your resolutions failed — and what you can do instead

New Year’s resolutions promise hope, but for many people, they quietly deliver shame, stress, and self-blame instead. If resolutions leave you feeling worse about yourself every January, this episode explains why — and what actually works.

Host Gabe Howard is joined by returning favorite Jodi Wellman to unpack why traditional goal-setting often backfires, especially when it comes to mental health. They explore the psychology behind the “fresh start effect,” how all-or-nothing thinking sets us up to fail, and why massive lifestyle overhauls rarely stick. More importantly, they offer practical, compassionate alternatives; Like shifting from rigid goals to identity-based habits, process-focused wins, and restarting without guilt when things go off track.

Listener Takeaways


  The mental health cost of setting outcome-based goals

  Why smaller, process-focused goals actually create lasting change

  How to restart a goal without guilt or self-punishment


Whether you’ve already ditched your New Year’s resolutions or never believed in them to begin with, this episode explores a healthier, more realistic way to create change—without harming your mental well-being.

“What is really common, which is set a goal. Don't get there. Feel bad about it. So net net it's not a good experience. For many of us, that's problematic because we feel badly about ourselves [. . .]  And maybe that's your version of self-compassion is to let that goal gracefully go.” ~Jodi Wellman, MAPP

Our guest, Jodi Wellman, MAPP is a speaker, author, and facilitator on living lives worth living. She founded Four Thousand Mondays to help people make the most of the time they are lucky to be above ground. 

With 25 years of corporate leadership experience (most recently as Senior Vice President of Operations at a leading health and lifestyle organization), Jodi has led private CEO advisory boards and coaches teams to work well and live even better.

Jodi has a Master’s of Applied Positive Psychology from the University of Pennsylvania, where she is also an Assistant Instructor and facilitator in the Penn Resilience Program. She is an ICF Professional Certified Coach. 

Her book, "You Only Die Once: How to Make It to the End with No Regrets," made Adam Grant’s Summer Reading List and was a “Top 3 Psychology Book of 2024” by the Next Big Idea Club (curated by Malcolm Gladwell, Susan Cain, Adam Grant, and Dan Pink). Jodi has been featured in The New York Times, Oprah Daily, Fast Company, CNBC, Forbes, Psychology Today, The Los Angeles Times, and more. Jodi’s TEDx talk is called How Death Can Bring You Back to Life; with over 1.3 million views, it is the 14th most-watched TEDx talk released in 2022, out of 15,900!



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.



Please share the show -- it's how we grow! Thank you!
Learn more about your ad choices. Visit megaphone.fm/adchoices

New Year’s Resolutions Fail Because We Set Them Wrong

Negative self-talk isn’t just annoying — it can quietly shape our decisions, confidence, and impact our mental health. But what if silencing that inner critic isn’t about positive affirmations, gratitude journals, or pretending everything is fine? In this episode, host Gabe Howard sits down with former NBC and CNN Headline News anchor and author Lynn Smith to unpack what negative self-talk really is, why our brains cling to it, and how to reframe it without slipping into toxic positivity. Lynn explains how the brain is wired to protect us through fear-based thinking, why perfectionism and “being realistic” often mask self-sabotage, and how resilience, not positivity, is the skill we actually need.
Listener takeaways
<ul>
 <li>why negative self-talk is rooted in brain wiring, not personal failure</li>
 <li>the difference between realistic problem-solving and self-sabotaging thoughts</li>
 <li>why toxic positivity often backfires</li>
 <li>what “just keep going” looks like during truly hard moments</li>
</ul>
Together, Gabe and Lynn challenge common mental health clichés, discuss why we should teach resilience earlier in life, and explore what “just keep going” really means when you’re trying to get through the next hour — not the next 5 years.
If you’ve ever felt stuck between brutal self-criticism and empty optimism, this conversation offers a realistic, compassionate path forward. “Anyone that might be thinking, I'm just not going to go for the thing because it's easier to stay safe. If you don't raise your hand, if you don't unmute, if you don’t turn your video on, all of those things are a lot safer. So to you, I would say, imagine your life five years from now and it looks exactly the same. Five years from now you're stuck in that same place…”~Lynn Smith, Former CNN Headline News anchor
 
Our guest, Lynn Smith, is a media and communication expert who helps high-level leaders turn pressure into presence. A former anchor for NBC News, MSNBC, and CNN Headline News, she now coaches Fortune 500 executives, thought leaders, and entrepreneurs to become magnetic communicators. As founder of Lynn Smith Media &amp; Communications, she helps leaders ditch robotic scripts and deliver messages that move people to action. Her signature framework, The Magnetic CODE, builds trust, clarity, and influence. Lynn is also a keynote speaker, host of the award-winning podcast Strollercoaster, and author of the upcoming children’s book Just Keep Going.
 
 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 <a href="http://www.gabehoward.com/merchandise/mental-illness-asshole/">directly from the author.</a> Gabe is also the host of the "<a href="http://psychcentral.com/ibp">Inside Bipolar</a>" 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 <a href="http://gabehoward.com/">gabehoward.com</a>.
 
Sharing the show with the people you know is how we're going to grow! Learn more about your ad choices. Visit <a href="https://megaphone.fm/adchoices">megaphone.fm/adchoices</a>

<description>Negative self-talk isn’t just annoying — it can quietly shape our decisions, confidence, and impact our mental health. But what if silencing that inner critic isn’t about positive affirmations, gratitude journals, or pretending everything is fine?In this episode, host Gabe Howard sits down with former NBC and CNN Headline News anchor and author Lynn Smith to unpack what negative self-talk really is, why our brains cling to it, and how to reframe it without slipping into toxic positivity. Lynn explains how the brain is wired to protect us through fear-based thinking, why perfectionism and “being realistic” often mask self-sabotage, and how resilience, not positivity, is the skill we actually need.

Listener takeaways


 why negative self-talk is rooted in brain wiring, not personal failure

 the difference between realistic problem-solving and self-sabotaging thoughts

 why toxic positivity often backfires

 what “just keep going” looks like during truly hard moments


Together, Gabe and Lynn challenge common mental health clichés, discuss why we should teach resilience earlier in life, and explore what “just keep going” really means when you’re trying to get through the next hour — not the next 5 years.

If you’ve ever felt stuck between brutal self-criticism and empty optimism, this conversation offers a realistic, compassionate path forward.“Anyone that might be thinking, I'm just not going to go for the thing because it's easier to stay safe. If you don't raise your hand, if you don't unmute, if you don’t turn your video on, all of those things are a lot safer. So to you, I would say, imagine your life five years from now and it looks exactly the same. Five years from now you're stuck in that same place…”~Lynn Smith, Former CNN Headline News anchor



Our guest, Lynn Smith, is a media and communication expert who helps high-level leaders turn pressure into presence. A former anchor for NBC News, MSNBC, and CNN Headline News, she now coaches Fortune 500 executives, thought leaders, and entrepreneurs to become magnetic communicators. As founder of Lynn Smith Media &amp; Communications, she helps leaders ditch robotic scripts and deliver messages that move people to action. Her signature framework, The Magnetic CODE, builds trust, clarity, and influence. Lynn is also a keynote speaker, host of the award-winning podcast Strollercoaster, and author of the upcoming children’s book Just Keep Going.



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.



Sharing the show with the people you know is how we're going to grow!
Learn more about your ad choices. Visit megaphone.fm/adchoices</description>

Why “just think positive” doesn’t stop negative self-talk

Negative self-talk isn’t just annoying — it can quietly shape our decisions, confidence, and impact our mental health. But what if silencing that inner critic isn’t about positive affirmations, gratitude journals, or pretending everything is fine?In this episode, host Gabe Howard sits down with former NBC and CNN Headline News anchor and author Lynn Smith to unpack what negative self-talk really is, why our brains cling to it, and how to reframe it without slipping into toxic positivity. Lynn explains how the brain is wired to protect us through fear-based thinking, why perfectionism and “being realistic” often mask self-sabotage, and how resilience, not positivity, is the skill we actually need.

Listener takeaways


  why negative self-talk is rooted in brain wiring, not personal failure

  the difference between realistic problem-solving and self-sabotaging thoughts

  why toxic positivity often backfires

  what “just keep going” looks like during truly hard moments


Together, Gabe and Lynn challenge common mental health clichés, discuss why we should teach resilience earlier in life, and explore what “just keep going” really means when you’re trying to get through the next hour — not the next 5 years.

If you’ve ever felt stuck between brutal self-criticism and empty optimism, this conversation offers a realistic, compassionate path forward.“Anyone that might be thinking, I'm just not going to go for the thing because it's easier to stay safe. If you don't raise your hand, if you don't unmute, if you don’t turn your video on, all of those things are a lot safer. So to you, I would say, imagine your life five years from now and it looks exactly the same. Five years from now you're stuck in that same place…”~Lynn Smith, Former CNN Headline News anchor



Our guest, Lynn Smith, is a media and communication expert who helps high-level leaders turn pressure into presence. A former anchor for NBC News, MSNBC, and CNN Headline News, she now coaches Fortune 500 executives, thought leaders, and entrepreneurs to become magnetic communicators. As founder of Lynn Smith Media & Communications, she helps leaders ditch robotic scripts and deliver messages that move people to action. Her signature framework, The Magnetic CODE, builds trust, clarity, and influence. Lynn is also a keynote speaker, host of the award-winning podcast Strollercoaster, and author of the upcoming children’s book Just Keep Going.



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.



Sharing the show with the people you know is how we're going to grow!
Learn more about your ad choices. Visit megaphone.fm/adchoices

Why Negative Self-Talk Feels True (And How to Stop Believing It)

For many people, religion is a source of comfort — but what happens when it becomes a source of fear, shame, or lifelong anxiety? In this episode, author Cassandra Brandt shares her deeply personal journey through religious indoctrination, purity culture, and the hidden mental health consequences that followed her into adulthood. Cassandra unpacks the emotional toll of being raised in an evangelical Christian environment: fearing the end times as a child, internalizing guilt as a spiritual obligation, and believing mental illness was a sign of demonic influence. She explains how these messages shaped her anxiety, self-worth, relationships, and even her sense of identity. Listener takeaways
<ul>
 <li>The mental health impact of purity culture on girls and women</li>
 <li>why religious trauma is often dismissed — and why that’s dangerous</li>
 <li>how religious indoctrination can create lifelong anxiety, guilt, and shame</li>
</ul>
Through honesty and courage, Cassandra highlights the often ignored reality of religious trauma — what it looks like, why it’s misunderstood, and why so many people struggle to talk about it without being dismissed as “anti-religion.” She also shares how therapy, education, and new philosophies helped her rebuild her life, develop healthier relationships, and raise her daughter without fear-based teachings. Whether you’ve experienced religious trauma or want to understand someone who has, this candid conversation sheds light on an uncomfortable but essential mental health topic. “Millions of people find peace in religion. I'm not trying to throw the baby out with the bathwater. But fundamentalist evangelical theology can truly and genuinely hurt people emotionally and intellectually when it's done in this fire and brimstone sort of way, especially toward children. You can tell a child a thousand sweet stories about Jesus, but the one that's going to stick out in their head is the one that you tell them about the hell that they're going to if they don't believe. Some children won't experience sleepless nights and terror about eternal damnation. Some adults won't experience trauma later. But others will.” ~Cassandra Brandt, religious trauma survivor
 
Our guest, Cassandra Brandt is an author, advocate, and aspiring Stoic based in rural Arizona. A steelworker prior to a spinal cord injury in 2015, Cassandra now writes full time, blogging for disability publications and writing for literary magazines. Her multiple books are available on Amazon. Cassandra speaks against ableism and for equity, and believes in the rights of animals and our obligation to the Earth. She writes about deconstruction from religion, utilizing philosophy and what it means to be human.
 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 <a href="http://www.gabehoward.com/merchandise/mental-illness-asshole/">directly from the author.</a> Gabe is also the host of the "<a href="http://psychcentral.com/ibp">Inside Bipolar</a>" 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 <a href="http://gabehoward.com/">gabehoward.com</a>.
 
Please like, follow, subscribe, and share! Spread the word about this great free resource. Thank you! Learn more about your ad choices. Visit <a href="https://megaphone.fm/adchoices">megaphone.fm/adchoices</a>

<description>For many people, religion is a source of comfort — but what happens when it becomes a source of fear, shame, or lifelong anxiety? In this episode, author Cassandra Brandt shares her deeply personal journey through religious indoctrination, purity culture, and the hidden mental health consequences that followed her into adulthood.Cassandra unpacks the emotional toll of being raised in an evangelical Christian environment: fearing the end times as a child, internalizing guilt as a spiritual obligation, and believing mental illness was a sign of demonic influence. She explains how these messages shaped her anxiety, self-worth, relationships, and even her sense of identity.Listener takeaways


 The mental health impact of purity culture on girls and women

 why religious trauma is often dismissed — and why that’s dangerous

 how religious indoctrination can create lifelong anxiety, guilt, and shame


Through honesty and courage, Cassandra highlights the often ignored reality of religious trauma — what it looks like, why it’s misunderstood, and why so many people struggle to talk about it without being dismissed as “anti-religion.” She also shares how therapy, education, and new philosophies helped her rebuild her life, develop healthier relationships, and raise her daughter without fear-based teachings.Whether you’ve experienced religious trauma or want to understand someone who has, this candid conversation sheds light on an uncomfortable but essential mental health topic.“Millions of people find peace in religion. I'm not trying to throw the baby out with the bathwater. But fundamentalist evangelical theology can truly and genuinely hurt people emotionally and intellectually when it's done in this fire and brimstone sort of way, especially toward children. You can tell a child a thousand sweet stories about Jesus, but the one that's going to stick out in their head is the one that you tell them about the hell that they're going to if they don't believe. Some children won't experience sleepless nights and terror about eternal damnation. Some adults won't experience trauma later. But others will.” ~Cassandra Brandt, religious trauma survivor



Our guest, Cassandra Brandt is an author, advocate, and aspiring Stoic based in rural Arizona. A steelworker prior to a spinal cord injury in 2015, Cassandra now writes full time, blogging for disability publications and writing for literary magazines. Her multiple books are available on Amazon. Cassandra speaks against ableism and for equity, and believes in the rights of animals and our obligation to the Earth. She writes about deconstruction from religion, utilizing philosophy and what it means to be human.

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.



Please like, follow, subscribe, and share! Spread the word about this great free resource. Thank you! 
Learn more about your ad choices. Visit megaphone.fm/adchoices</description>

A firsthand look at how faith could quietly harm your mental health

For many people, religion is a source of comfort — but what happens when it becomes a source of fear, shame, or lifelong anxiety? In this episode, author Cassandra Brandt shares her deeply personal journey through religious indoctrination, purity culture, and the hidden mental health consequences that followed her into adulthood.Cassandra unpacks the emotional toll of being raised in an evangelical Christian environment: fearing the end times as a child, internalizing guilt as a spiritual obligation, and believing mental illness was a sign of demonic influence. She explains how these messages shaped her anxiety, self-worth, relationships, and even her sense of identity.Listener takeaways


  The mental health impact of purity culture on girls and women

  why religious trauma is often dismissed — and why that’s dangerous

  how religious indoctrination can create lifelong anxiety, guilt, and shame


Through honesty and courage, Cassandra highlights the often ignored reality of religious trauma — what it looks like, why it’s misunderstood, and why so many people struggle to talk about it without being dismissed as “anti-religion.” She also shares how therapy, education, and new philosophies helped her rebuild her life, develop healthier relationships, and raise her daughter without fear-based teachings.Whether you’ve experienced religious trauma or want to understand someone who has, this candid conversation sheds light on an uncomfortable but essential mental health topic.“Millions of people find peace in religion. I'm not trying to throw the baby out with the bathwater. But fundamentalist evangelical theology can truly and genuinely hurt people emotionally and intellectually when it's done in this fire and brimstone sort of way, especially toward children. You can tell a child a thousand sweet stories about Jesus, but the one that's going to stick out in their head is the one that you tell them about the hell that they're going to if they don't believe. Some children won't experience sleepless nights and terror about eternal damnation. Some adults won't experience trauma later. But others will.”  ~Cassandra Brandt, religious trauma survivor



Our guest, Cassandra Brandt is an author, advocate, and aspiring Stoic based in rural Arizona. A steelworker prior to a spinal cord injury in 2015, Cassandra now writes full time, blogging for disability publications and writing for literary magazines. Her multiple books are available on Amazon. Cassandra speaks against ableism and for equity, and believes in the rights of animals and our obligation to the Earth. She writes about deconstruction from religion, utilizing philosophy and what it means to be human.

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.



Please like, follow, subscribe, and share! Spread the word about this great free resource. Thank you! 
Learn more about your ad choices. Visit megaphone.fm/adchoices

When Faith Hurts: Religion, Trauma, and Mental Health

Medication nonadherence in schizophrenia is often framed as defiance — but that narrative misses the truth and harms the very people it claims to help.
Guest host Rachel Star Withers (who lives with schizophrenia) unpacks why up to 70% of people with schizophrenia have trouble taking medication as prescribed — and why the reasons are far more complex than “noncompliance.” From severe side effects and cognitive symptoms to stigma, trauma, access issues, and being dismissed by providers, this conversation exposes the real barriers standing in the way of effective treatment.
Rachel shares deeply personal experiences of both intentional and unintentional nonadherence, including how side effects like extreme fatigue and tardive dyskinesia shaped her decisions — and how lack of education nearly cost her years of quality of life. The episode also explores how medication refusal can be weaponized, stripping people with schizophrenia of autonomy under the guise of “lack of insight.”
Later, Rachel sits down with board certified toxicologist and psychopharmacologist Dr. Alberto Augsten, who brings clarity, hope, and science to the discussion. Together, they explore long-acting injectable antipsychotics (LAIs), new treatment advances, realistic expectations, and how education — not force — improves outcomes.
If you’ve ever wondered why medication adherence is so difficult in schizophrenia — and what actually helps — this episode delivers answers rooted in empathy, evidence, and lived experience.
 
Our guest, Dr. Alberto Augsten, is a board certified toxicologist and psychopharmacologist. He is a consultant and expert witness specializing in psychopharmacology and clinical toxicology. Offering professional, impactful, and strategic consulting services, Dr. Augsten caters to legal, healthcare, and clinical practice development. His expertise encompasses many areas, ensuring clients receive top-notch guidance and insights.
Dr. Augsten specializes in providing tailored consulting services to assist in the development and optimization of clinical practice standards. His expertise covers many areas crucial for clinic development, allowing for standard of care reviews concerning those matters.
Dr. Augsten's influence extends beyond his clinical practice. He offers consultation and education services to pharmaceutical companies, contributing to the advancement of pharmaceutical knowledge and practices. Through his contributions, he is helping to improve patient outcomes and ensure the highest quality of care.
 
 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 “<a href="https://www.amazon.com/Lil-Broken-Star-Understanding-Schizophrenia/dp/1537023454">Lil Broken Star: Understanding Schizophrenia for Kids</a>” and a tool for schizophrenics, “<a href="https://www.amazon.com/See-Dark-Hallucination-Delusion-Journal/dp/0692924744">To See in the Dark: Hallucination and Delusion Journal</a>.” Learn more at <a href="https://www.rachelstarlive.com/">RachelStarLive.com</a>.
Fun Fact: She has wrestled alligators. 
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 <a href="http://www.gabehoward.com/merchandise/mental-illness-asshole/">directly from the author.</a> Gabe is also the host of the "<a href="http://psychcentral.com/ibp">Inside Bipolar</a>" 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 <a href="http://gabehoward.com/">gabehoward.com</a>. Learn more about your ad choices. Visit <a href="https://megaphone.fm/adchoices">megaphone.fm/adchoices</a>

<description>Medication nonadherence in schizophrenia is often framed as defiance — but that narrative misses the truth and harms the very people it claims to help.

Guest host Rachel Star Withers (who lives with schizophrenia) unpacks why up to 70% of people with schizophrenia have trouble taking medication as prescribed — and why the reasons are far more complex than “noncompliance.” From severe side effects and cognitive symptoms to stigma, trauma, access issues, and being dismissed by providers, this conversation exposes the real barriers standing in the way of effective treatment.

Rachel shares deeply personal experiences of both intentional and unintentional nonadherence, including how side effects like extreme fatigue and tardive dyskinesia shaped her decisions — and how lack of education nearly cost her years of quality of life. The episode also explores how medication refusal can be weaponized, stripping people with schizophrenia of autonomy under the guise of “lack of insight.”

Later, Rachel sits down with board certified toxicologist and psychopharmacologist Dr. Alberto Augsten, who brings clarity, hope, and science to the discussion. Together, they explore long-acting injectable antipsychotics (LAIs), new treatment advances, realistic expectations, and how education — not force — improves outcomes.

If you’ve ever wondered why medication adherence is so difficult in schizophrenia — and what actually helps — this episode delivers answers rooted in empathy, evidence, and lived experience.



Our guest, Dr. Alberto Augsten, is a board certified toxicologist and psychopharmacologist. He is a consultant and expert witness specializing in psychopharmacology and clinical toxicology. Offering professional, impactful, and strategic consulting services, Dr. Augsten caters to legal, healthcare, and clinical practice development. His expertise encompasses many areas, ensuring clients receive top-notch guidance and insights.

Dr. Augsten specializes in providing tailored consulting services to assist in the development and optimization of clinical practice standards. His expertise covers many areas crucial for clinic development, allowing for standard of care reviews concerning those matters.

Dr. Augsten's influence extends beyond his clinical practice. He offers consultation and education services to pharmaceutical companies, contributing to the advancement of pharmaceutical knowledge and practices. Through his contributions, he is helping to improve patient outcomes and ensure the highest quality of care.



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.

Fun Fact: She has wrestled alligators.

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</description>

Common reasons people with schizophrenia stop meds — and how empathy improves care

Medication nonadherence in schizophrenia is often framed as defiance — but that narrative misses the truth and harms the very people it claims to help.

Guest host Rachel Star Withers (who lives with schizophrenia) unpacks why up to 70% of people with schizophrenia have trouble taking medication as prescribed — and why the reasons are far more complex than “noncompliance.” From severe side effects and cognitive symptoms to stigma, trauma, access issues, and being dismissed by providers, this conversation exposes the real barriers standing in the way of effective treatment.

Rachel shares deeply personal experiences of both intentional and unintentional nonadherence, including how side effects like extreme fatigue and tardive dyskinesia shaped her decisions — and how lack of education nearly cost her years of quality of life. The episode also explores how medication refusal can be weaponized, stripping people with schizophrenia of autonomy under the guise of “lack of insight.”

Later, Rachel sits down with board certified toxicologist and psychopharmacologist Dr. Alberto Augsten, who brings clarity, hope, and science to the discussion. Together, they explore long-acting injectable antipsychotics (LAIs), new treatment advances, realistic expectations, and how education — not force — improves outcomes.

If you’ve ever wondered why medication adherence is so difficult in schizophrenia — and what actually helps — this episode delivers answers rooted in empathy, evidence, and lived experience.



Our guest, Dr. Alberto Augsten, is a board certified toxicologist and psychopharmacologist. He is a consultant and expert witness specializing in psychopharmacology and clinical toxicology. Offering professional, impactful, and strategic consulting services, Dr. Augsten caters to legal, healthcare, and clinical practice development. His expertise encompasses many areas, ensuring clients receive top-notch guidance and insights.

Dr. Augsten specializes in providing tailored consulting services to assist in the development and optimization of clinical practice standards. His expertise covers many areas crucial for clinic development, allowing for standard of care reviews concerning those matters.

Dr. Augsten's influence extends beyond his clinical practice. He offers consultation and education services to pharmaceutical companies, contributing to the advancement of pharmaceutical knowledge and practices. Through his contributions, he is helping to improve patient outcomes and ensure the highest quality of care.



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.

Fun Fact: She has wrestled alligators.

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

Medication & Schizophrenia: Why “Just Be Med Compliant” Fails

Most people imagine schizophrenia beginning with dramatic hallucinations or sudden breaks from reality—but the truth is far more subtle, far more complicated, and far easier to miss. In this special featured episode from Inside Schizophrenia, host Rachel Star Withers, who lives openly with schizophrenia, joins co-host Gabe Howard to unpack the quiet red flags that often go unnoticed for months—or even years.
You’ll hear how early symptoms differ across children, teens, and adults, why up to 80% of people with schizophrenia don’t realize they’re experiencing warning signs, and how everyday stressors can mask the earliest hallucinations, delusions, and disorganized thinking. Psychiatric mental health nurse practitioner Carlos Larrauri, who also lives with schizophrenia, joins the conversation to explain what current research is uncovering about prodromal stages and early detection efforts.
Listener Takeaways
<ul>
 <li>Why early schizophrenia symptoms are so subtle that most people overlook them 
</li>
 <li>Key differences in warning signs across children, teens, and adults 
</li>
 <li>Why families often miss early red flags—and why that’s understandable 
</li>
 <li>What researchers are doing to identify schizophrenia sooner</li>
</ul>
From shadow people to slipping grades, from forgotten appointments to unexplained sensory sensitivity, this episode pulls back the curtain on the earliest—and most misunderstood—phase of schizophrenia.
Whether you’re a parent, partner, friend, clinician, or simply curious, this episode offers the clarity, compassion, and insight needed to recognize when something deeper may be happening long before a crisis appears.
 
Our guest, Carlos A. Larrauri, MSN, is co-chair of the Accelerating Medicines Partnership® Schizophrenia (AMP® SCZ) and has formerly served on the National Alliance on Mental Illness (NAMI) and NAMI Miami-Dade County Board of Directors. Diagnosed with schizophrenia at 23 years old, access to quality mental health care, community-based treatment, and early intervention afforded him the best opportunity for recovery.
Mr. Larrauri is pursuing a law degree at the University of Michigan Law School and a concurrent master in public administration at the Harvard Kennedy School, where he was Zuckerman Fellow at Harvard’s Center for Public Leadership. He’s board certified as a family nurse practitioner and psychiatric mental health nurse practitioner and formerly lectured at the University of Miami and Miami Dade College.
Mr. Larrauri aspires to interface advocacy and research to reduce health inequities for people living with mental illness. To learn more about Carlos and his work, visit <a href="https://www.carloslarrauri.com/">his website</a> or his <a href="https://www.linkedin.com/in/carloslarrauri/">LinkedIn</a>.
 
 
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 “<a href="https://www.amazon.com/Lil-Broken-Star-Understanding-Schizophrenia/dp/1537023454">Lil Broken Star: Understanding Schizophrenia for Kids</a>” and a tool for schizophrenics, “<a href="https://www.amazon.com/See-Dark-Hallucination-Delusion-Journal/dp/0692924744">To See in the Dark: Hallucination and Delusion Journal</a>.” Learn more at <a href="https://www.rachelstarlive.com/">RachelStarLive.com</a>.
 

 Learn more about your ad choices. Visit <a href="https://megaphone.fm/adchoices">megaphone.fm/adchoices</a>

<description>Most people imagine schizophrenia beginning with dramatic hallucinations or sudden breaks from reality—but the truth is far more subtle, far more complicated, and far easier to miss. In this special featured episode from Inside Schizophrenia, host Rachel Star Withers, who lives openly with schizophrenia, joins co-host Gabe Howard to unpack the quiet red flags that often go unnoticed for months—or even years.

You’ll hear how early symptoms differ across children, teens, and adults, why up to 80% of people with schizophrenia don’t realize they’re experiencing warning signs, and how everyday stressors can mask the earliest hallucinations, delusions, and disorganized thinking. Psychiatric mental health nurse practitioner Carlos Larrauri, who also lives with schizophrenia, joins the conversation to explain what current research is uncovering about prodromal stages and early detection efforts.

Listener Takeaways


 Why early schizophrenia symptoms are so subtle that most people overlook them


 Key differences in warning signs across children, teens, and adults


 Why families often miss early red flags—and why that’s understandable


 What researchers are doing to identify schizophrenia sooner


From shadow people to slipping grades, from forgotten appointments to unexplained sensory sensitivity, this episode pulls back the curtain on the earliest—and most misunderstood—phase of schizophrenia.

Whether you’re a parent, partner, friend, clinician, or simply curious, this episode offers the clarity, compassion, and insight needed to recognize when something deeper may be happening long before a crisis appears.



Our guest, Carlos A. Larrauri, MSN, is co-chair of the Accelerating Medicines Partnership® Schizophrenia (AMP® SCZ) and has formerly served on the National Alliance on Mental Illness (NAMI) and NAMI Miami-Dade County Board of Directors. Diagnosed with schizophrenia at 23 years old, access to quality mental health care, community-based treatment, and early intervention afforded him the best opportunity for recovery.

Mr. Larrauri is pursuing a law degree at the University of Michigan Law School and a concurrent master in public administration at the Harvard Kennedy School, where he was Zuckerman Fellow at Harvard’s Center for Public Leadership. He’s board certified as a family nurse practitioner and psychiatric mental health nurse practitioner and formerly lectured at the University of Miami and Miami Dade College.

Mr. Larrauri aspires to interface advocacy and research to reduce health inequities for people living with mental illness. To learn more about Carlos and his work, visit his website or his LinkedIn.





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.




Learn more about your ad choices. Visit megaphone.fm/adchoices</description>

The subtle early signs of schizophrenia revealed—long before psychosis begins

Most people imagine schizophrenia beginning with dramatic hallucinations or sudden breaks from reality—but the truth is far more subtle, far more complicated, and far easier to miss. In this special featured episode from Inside Schizophrenia, host Rachel Star Withers, who lives openly with schizophrenia, joins co-host Gabe Howard to unpack the quiet red flags that often go unnoticed for months—or even years.

You’ll hear how early symptoms differ across children, teens, and adults, why up to 80% of people with schizophrenia don’t realize they’re experiencing warning signs, and how everyday stressors can mask the earliest hallucinations, delusions, and disorganized thinking. Psychiatric mental health nurse practitioner Carlos Larrauri, who also lives with schizophrenia, joins the conversation to explain what current research is uncovering about prodromal stages and early detection efforts.

Listener Takeaways


  Why early schizophrenia symptoms are so subtle that most people overlook them


  Key differences in warning signs across children, teens, and adults


  Why families often miss early red flags—and why that’s understandable


  What researchers are doing to identify schizophrenia sooner


From shadow people to slipping grades, from forgotten appointments to unexplained sensory sensitivity, this episode pulls back the curtain on the earliest—and most misunderstood—phase of schizophrenia.

Whether you’re a parent, partner, friend, clinician, or simply curious, this episode offers the clarity, compassion, and insight needed to recognize when something deeper may be happening long before a crisis appears.



Our guest, Carlos A. Larrauri, MSN, is co-chair of the Accelerating Medicines Partnership® Schizophrenia (AMP® SCZ) and has formerly served on the National Alliance on Mental Illness (NAMI) and NAMI Miami-Dade County Board of Directors. Diagnosed with schizophrenia at 23 years old, access to quality mental health care, community-based treatment, and early intervention afforded him the best opportunity for recovery.

Mr. Larrauri is pursuing a law degree at the University of Michigan Law School and a concurrent master in public administration at the Harvard Kennedy School, where he was Zuckerman Fellow at Harvard’s Center for Public Leadership. He’s board certified as a family nurse practitioner and psychiatric mental health nurse practitioner and formerly lectured at the University of Miami and Miami Dade College.

Mr. Larrauri aspires to interface advocacy and research to reduce health inequities for people living with mental illness. To learn more about Carlos and his work, visit his website or his LinkedIn.





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.




Learn more about your ad choices. Visit megaphone.fm/adchoices

Early Indicators of Schizophrenia

Award-winning weekly podcast that approaches psychology and mental health in an accessible way. Listen as our host Gabe Howard speaks candidly with experts, celebrities, and other notables to break down complex topics into simpler terms.

Inside Mental Health

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