When you’ve tried therapy, medication, and all the usual advice but still feel stuck, it can be hard to know what else is worth considering. Dr. Kat talks with Myriam Barthes, co-founder and CEO of Journey Clinical, about ketamine-assisted psychotherapy—not as a shortcut or a “magic pill,” but as a treatment option that combines medicine with an ongoing therapeutic relationship.

They break down the practical side of psychedelic-assisted therapy: medical eligibility screening, therapist training, preparation, dosing sessions, and integration afterward. You’ll hear why difficult or anxious moments during treatment are not necessarily “bad trips,” how safety and trust shape the experience, and why the work continues long after a session ends. For anyone wondering whether feeling stuck means they’ve run out of options, this conversation offers a more grounded way to think about what support can look like.

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When someone betrays or humiliates you, forgiveness can feel like being asked to pretend it never happened. But holding onto the anger can keep you tied to the person long after the relationship is over—especially when you find yourself choosing the same painful dynamic with a different face.

Dr. Kat offers a “three boxes” way to separate what they did, your own accountability, and the forgiveness that helps you release the emotional grip of the past. She explains why forgiving someone does not mean excusing them, forgetting, or returning to the relationship—and why forgiving yourself matters when you recognize a pattern of hoping you can change someone. It’s a conversation for anyone ready to stop revisiting old hurt and make different choices going forward.

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When intimacy fades in a marriage, it can feel like being “put out to pasture”—still carrying the daily responsibilities, but no longer touched, noticed, or treated like a priority. And when you finally say you feel unloved or unappreciated, a defensive response can make the distance feel even worse.

Dr. Kat unpacks her Cow Theory: how couples become disconnected, why resentment can make affection hard to receive even when it’s finally offered, and how consistency helps rebuild trust over time. She also connects this pattern to the Yellow Room, where partners may feel that nothing they say or do matters. This is a candid look at how to respond with compassion, stop seeking fulfillment outside the relationship, and find your way back to each other.

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When someone you love pulls away — a grown child, a partner, a parent — the easy explanation is to blame a therapist who told them to leave, or call someone a narcissist because a checklist on TikTok said so. But the real story is almost always messier and more human than that.

Dr. Kat breaks down what's actually driving parental and partner alienation, from social media's oversimplified diagnostic labels to the damage a divorcing parent can do by turning children against the other side. She talks about why most of us would meet at least a few criteria on those "narcissistic parent" lists, what therapists should actually be doing with options instead of directives, and why people don't leave relationships because of therapy — they leave because they finally had a space to say what they'd been feeling all along.

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When someone knows exactly how to get under your skin — especially through your kids — co-parenting becomes less about logistics and more about survival. Simi Krishnan, a data scientist and author, joins Dr. Kat to talk openly about leaving an 18-year marriage, rebuilding her health and identity, and learning to co-parent with someone who still wants control.

Dr. Kat reframes the challenge: stop being shocked by bad behavior and start being shocked by the good. She walks through practical tools — writing down every trigger so it loses its power, thanking the universe for each reminder that leaving was the right call, and choosing co-parenting apps that coach communication rather than just flagging conflict. There's also an honest conversation about forgiveness as self-protection, not grace for the other person, and why strong people are often the easiest to trigger. If you're co-parenting with someone who won't change, this one's worth your time.

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Somewhere along the way, one person in the relationship kept going — to the gym, to golf, to lunch with friends — while the other quietly stopped. Not because they wanted to, but because someone had to hold everything together. And now, years into parenthood, there's a low-grade resentment that didn't arrive all at once. It crept in, unnoticed, while one partner's life stayed largely intact and the other's slowly disappeared into the household.

Dr. Kat unpacks why this imbalance happens so gradually that neither partner fully sees it forming — and why the person who lost the most often ends up waiting for *permission* to reclaim something that was always theirs. She offers a grounded, step-by-step approach: writing down what you want (pen to paper, not your phone), naming a timeline, and bringing that list into the conversation with the same confidence your partner never had to think twice about. She also talks honestly about what pushback means — and what a healthy response actually sounds like. If you've been running the household on empty and aren't sure how to start asking for more, this one is worth your time.

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Parenting a child with ADHD can feel like you're failing every single day — the meltdowns, the walking on eggshells, the guilt at bedtime — even when you're trying everything you've been told to try. Dr. Kat talks with Dana Kay, board certified holistic health and nutrition practitioner and founder of the ADHD Thrive Institute, who came to this work not as a professional first, but as a mom whose young son was headed toward a fourth medication before she started asking different questions.

The conversation moves through what those different questions actually look like in practice: how ADHD symptoms can be signals of internal stress rather than just a brain disorder, why the gut-brain connection matters more than most families are told, what Dana calls the "trash can" analogy for understanding a child's cumulative toxic load, and where supplements like magnesium, omega-3s, and vitamin D fit in — and where they don't. Dr. Kat adds her own clinical experience, including a child whose ADHD symptoms disappeared once a wheat and dairy sensitivity was identified. Whether your child was diagnosed last year or you've been managing this for a decade, this episode offers a way to think about the whole picture that most appointments never get to.

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When you lose someone to sudden violence, the mind doesn't know what to do with that much pain — so sometimes you just try to drown it. LaShawnda lost her 21-year-old son Tyshawn to a random shooting in Cleveland in January 2023, eight days before his birthday. For roughly a hundred days after, she drank a fifth of tequila daily, lost sixty pounds, and — by her own honest account — barely knew how she was getting through each day. It was Tyshawn's dog, visibly wasting away, that finally broke through.

Dr. Kat and LaShawnda talk through what grief actually looks like when it has no clean edges — the anger directed at the person you lost, the numbness that can look like functioning, and the slow erosion of a sense of self. Dr. Kat walks through how the brain attaches to pain as a form of problem-solving, why grief can make you feel like you've lost all agency, and how rebuilding starts not with healing but with small, deliberate choices. If you've ever found yourself just existing rather than living, this conversation will feel familiar.

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Most people don't think about long-term care until they're already in the middle of a crisis — a parent who can't bathe alone, a spouse recovering from surgery, a sibling who quietly stopped going to work to help out. By then, the choices feel much smaller. Raymond Lavine, a long-term care insurance specialist, joins Dr. Kat to talk about why so many families get caught off guard and what it actually costs — financially and emotionally — when there's no plan in place.

The conversation covers what long-term care insurance actually is (and how it differs from health insurance), the real meaning of the "sandwich generation" squeeze, and why having a plan is fundamentally about preserving choice. Dr. Kat shares her own experience caring for her mother, and Raymond walks through options that range from modest monthly premiums to asset-transfer plans, including policies that allow you to pay family members as caregivers. If you've ever felt like this conversation belonged to someone older, or someone with more money, or someone else entirely — this episode is worth your time.

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You've done everything you thought was kind — and somehow it still isn't what they asked for. That's the friction at the center of this episode: the gap between doing *something* and doing *the thing your partner actually asked for*.

Dr. Kat walks through her "Paint the Room Yellow" framework — what it means when a partner gives you a clear, direct request and you respond with something else entirely, even something generous. She talks through why that dynamic breeds resentment, how the defensive reaction ("nothing I do is ever enough") keeps the cycle going, and what it actually looks like to follow the roadmap someone hands you. She also speaks directly to the person who keeps asking: how specific to be, when to let go of how it gets done, and why the room needs repainting over time. If someone in your life handed you this episode, that itself is worth paying attention to.

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