When it comes to addiction treatment, many people believe you need to start a 12-step program and practice complete abstinence. The general belief is that these are the only treatment options and ways to judge success. If you have a relapse and start using again, you’ve failed and need to start over. 
But is that true?
Join us as today’s guest, Dr. Michael Tkach, explains that there’s more to treating addiction than just the well-known abstinence-only approach. Listen as he discusses how important concepts like harm reduction, social support, and family and friends are to the recovery process.
To read the transcript or learn more, please visit the official episode page here. 
Guest Bio
Dr. Michael Tkach is the chief behavioral health officer for Affinity. He oversees the integration of mental health-informed practice and related research initiatives for select divisions of Affinity, as well as leads the Return-to-Work division where Affinity is an industry leader in providing enterprise-wide COVID-19 testing to employers, universities, and other business partners.
Tkach has 15+ years of mental health and addiction treatment experience and is a published researcher on addiction treatment, semiotics, mobile therapeutics, employee recruitment and retention, evidence-based practice, and trauma-informed care. He’s also a seasoned presenter to a variety of audiences on numerous clinical and research related topics. He has been the recipient of professional awards for his work including the Distinguished Alumni Award and a Clinical Innovation Award, and has appeared on radio and other media platforms for professional interviews on a variety of topics.
Inside Mental Health Podcast 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.
To learn more about Gabe, please visit his website, gabehoward.com.
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Is Abstinence the Only Addiction Treatment?

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.

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Today, Dwight "Doc" Gooden, a former Major League Baseball pitcher, discusses his journey with addiction, relapse, and the significance of addressing mental health alongside substance misuse. He emphasizes the importance of honesty, self-forgiveness, and seeking proper help, including for mental health issues, which he feels are often overlooked despite their significance. Doc also highlights the human toll of his addiction beyond baseball, such as the time lost with his children and the impact on his family.
To learn more -- or read the transcript -- please visit the official episode page.
“Those are the most people that you see out on the streets or holding signs saying, I want to work for food. And it's sad because that was somebody's kid, I mean, at the end of the day, we're all brothers and sisters. And that would definitely be me if I didn't have money. So when I see those people, I try to talk to them a little bit if I can. Sometimes you go to the store and you see people outside. I just talk where you from. I just like to talk to them, see what's going on, because they are people too, and they need help. And saddest part is those people, most of those people and they’re out here suffering and nothing's been done. It's so deep and that's mental health.” ~Dwight "Doc" Gooden

Our guest, Dwight Eugene Gooden, aka “Doc,” is well known for his baseball heroics. Dwight’s career accolades include Rookie of the Year, a Cy Young Award, three World Series championships, and a storybook no-hitter. Earning the nickname “Doctor K” due to his propensity for pitching strikeouts, it could be argued that Dwight Gooden earned it all in his playing career. Dwight Gooden’s history also includes substance use and addiction, league suspensions, arrests, and a long road toward learning how his various struggles were associated with his mental health. Receiving treatment and now over four years sober, Dwight Gooden uses his unique perspective to offer support and insightful guidance to others struggling with mental illness. Having served thousands through various speeches, talks and advocacy endeavors, Dwight Gooden is retired from baseball but considers now the prime of his career as he sees his true purpose in helping others.
In addition to participating in various mental health causes, Dwight Gooden is working to spread nutritional awareness through St. Augustine’s Fountain. He also looks forward to when the New York Mets will give him the highest honor a player could receive from their club when they retire his #16 jersey this year.

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 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.
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Baseball’s Doc Gooden’s Journey from Star Pitcher to Mental Health Advocate

Dr. Raghu Kiran Appasani and author Brooke Siem join us for a nuanced discussion about the complexities of prescribing psychiatric medications to children. They explore the importance of informed consent, the inadequacies of the current mental health system, and the societal shift toward over-medicalizing everyday life challenges. 
Both Brooke, as an advocate with personal experience, and Dr. Raghu, from a medical perspective, agree on the need for a multifaceted approach to mental health treatment, moving beyond reliance on medication alone. However, they disagree on the best path forward and share their perspectives.
To learn more -- or read the transcript -- please visit the official episode page.

“When people come to me and they ask me these questions, they are never thriving, which is another piece of anecdata for me, that just shows that these drugs don't really work long term. I mean, I honestly have not met one single person who has been medicated for, let's say, more than 2 to 3 years for depression, who says they're thriving. I hear them say they're coping. They're, you know, they're okay. They're fine. That's kind of the best it gets. They're never living their best life. And so I think we just really attribute a lot of that to just like, oh, it's just being an adult, you know, life's hard and then you die type of attitude.” ~Brooke Siem

Our guest, Brooke Siem (@brookesiem), is both a chef to professional athletes and the surprising face of psychiatric drug withdrawal awareness and advocacy. Her book, “May Cause Side Effects,” won the 2023 BIBA Prize for memoir and was named as one of “Good Morning America's” most anticipated reads. Her work on antidepressant withdrawal has also appeared in The Washington Post, New York Post, Psychology Today, and more. She is a Food Network "Chopped" Champion, founder of the newsletter Happiness Is A Skill, and creator of the F**it Bucket™. 

Our guest, Dr. Raghu Kiran Appasani, is an integrative & addiction psychiatrist, neuroscientist, and social entrepreneur focused on bridging the gap between Western and Eastern practices to create a wholesome society by taking a proactive approach to health. He recently completed his Addiction Psychiatry Fellowship at the University of California-San Francisco (June 2023). His interests lie at the intersection of psychodynamic psychotherapy, integrative/nutritional psychiatry, mental health literacy, advocacy, wellness, entrepreneurship, and psychedelics. His alter ego's life goal is to become a chef integrating farm-to-table experiences in stunning landscapes around the world.
For his contributions, he has been recognized as a World Economic Forum Global Shaper, One Young World Delegate Ambassador, StartingBloc Fellow, Nexus Global Delegate, EchoingGreen, MassChallenge, and Kellogg Innovation Network Delegate. Through his extensive scientific research, he has published more than 35 peer-reviewed articles and edited 5 books. He has given more than 120 talks on mental health, entrepreneurship, global health, and consciousness in parallel with authorship and features on CNN, Vogue, The Boston Globe, ThriveGlobal, The Better India, The Zoe Report, and The Huffington Post.

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 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

Kids and Psychiatric Medications: Navigating the Maze

Krista St-Germain shares her journey with grief following the death of her husband by a drunken driver. She explains how the commonly referenced five stages of grief are inadequate – if not outright inaccurate – for many people's experiences. She discusses alternative grief theories, such as the dual process model, and introduces the concepts of “grief plateau” and “grief fog,” highlighting the complexity and uniqueness of each person's experience of grief.
In her work as a grief expert, Krista advocates for a more individualized approach to grief, emphasizing the process of integration and post-traumatic growth rather than just “moving on” or reaching acceptance. She is a master certified life coach, a post-traumatic growth and grief expert, widow, mom, and the host of “The Widowed Mom Podcast.”
To learn more -- or read the transcript -- please visit the episode page.

Our guest, Krista St-Germain, is a Master Certified Life Coach, Post-Traumatic Growth and grief expert, widow, mom and host of The Widowed Mom Podcast. When her husband was killed by a drunk driver in 2016, Krista’s life was completely and unexpectedly flipped upside down. After therapy helped her uncurl from the fetal position, Krista discovered Life Coaching, Post Traumatic Growth and learned the tools she needed to move forward and create a future she could get excited about. Now she coaches and teaches other widows so they can love life again, too. Krista has been featured online and in print in Psychology Today, Medium, Thrive Global, Bustle, Psych Central, and Parents Magazine and on select podcasts such as The SelfWork Podcast, Seek The Joy, Life Check Yourself, and You Need A Budget to name a few. 

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 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

Beyond Five Stages: Rethinking Grief with Krista St-Germain

Michael Caparrelli spent 100 hours with David Berkowitz, once known as the “Son of Sam” killer. In today’s episode, they discuss Berkowitz's transformation from a serial killer into the remorseful, service-oriented individual and born-again Christian he is today. All of this suggests that during his time in prison, he became a different person, indicating that profound rehabilitation is possible even for those who have committed heinous acts.
Dr. Caparrelli explains that through his pastoral and academic experience, he aims to humanize individuals like Berkowitz to understand the factors leading to such violence and possibly prevent future crimes. He is the author of "Monster Mirror: 100 Hours with David Berkowitz, Once Known as Son of Sam," about his extensive interviews with the infamous serial killer, focusing on the psychological and humanitarian aspects rather than the crimes themselves.

Our guest, Michael Caparrelli, was a pastor for 16 years who shepherded an inner-city church in Rhode Island that served as a hospital for the mentally ill. His church offered a variety of support groups for people with depression, anxiety, addictions, and grief. He also worked within three prisons as an advocate and counselor for inmates.
He now has a PhD in Advanced Studies in Human Behavior and continues his passion through lectures on mental health from a faith-based perspective. 
He authored 5 books on mental health and travels the nation speaking on this subject within churches, rehabilitation centers, prisons, and schools. He has traveled 18 states and 3 nations over the past few years.
He is a professor of behavioral science at two colleges — Northpoint in Haverhill, Massachusetts, and Manchester Community College in New Hampshire. 
Most recently, he conducted a 100-hour case study on David Berkowitz, once known as the “Son of Sam.” He met with David for 34 sessions to explore the mental health factors behind violence as well as his life of sobriety in prison now. This case study was recently published in a book, “Monster Mirror,” which ranked No. 1 New Release in True Crime on Amazon in October.

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 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

Humanizing Evil: Into the Mind of 'Son of Sam' Killer, David Berkowitz

Today’s guest is a “happiness explorer,” and she discusses her realization of the need to strip back negativity in life through her experiences on the hit CBS reality series "Survivor." She highlights how the show's contestants revealed their true potential and capabilities only when faced with extreme challenges. She emphasizes that happiness is a choice backed by intentional, consistent action and shares insights from her book, which provides practical activities like photography and journaling prompts to help readers explore and enhance their happiness.
Tune in as Emmy Award-winning TV producer Maria Baltazzi, author of "Take a Shot at Happiness: How to Write, Direct and Produce the Life You Want,” shares a lifetime's worth of knowledge about finding happiness framed around “Survivor” stories.
“And I think positive thinking has also taken on a bit of a negative connotation. I don't really prescribe to positive thinking. I prescribe to constructive thinking. What is going to serve you? What is going to serve the greater good? And what makes you a happier human being?” ~Maria Baltazzi, PhD, MFA
To learn more -- or read the transcript -- please visit the official page. 

Our guest, Maria Baltazzi, is a Happiness Explorer. Her experience as an Emmy-winning TV producer, well-being teacher, world traveler, and luxury travel designer specializing in transformative adventures has given her a unique lens into conscious living. Maria has developed and produced shows around the world. She was one of the original supervising producers of the mega TV hit Survivor. She is a member of both the Producers and Directors Guilds of America, a Fellow National Member of The Explorers Club, and an Advisor for the Transformational Travel Council. Maria holds an MFA in film from ArtCenter College of Design and a PhD in Conscious-Centered Living from the University of Sedona. Additional studies include Mindfulness Meditation Teaching Training with Jack Kornfield and Tara Brach, Primordial Sound Meditation Teacher Training from The Chopra Center, Happiness Studies with Tal Ben-Shahar, Positive Neuroplasticity Training with Rick Hanson, Spiritual Psychology with Ron and Mary Hulnick at the University of Santa Monica, Positive Psychology at the University of Pennsylvania, the Science of Happiness at the University of Berkley, and an Inner MBA from MindfulNYU.

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 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

Is Abstinence the Only Addiction Treatment?

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