Everyone has felt overwhelmed by loud noises, bright lights, or strong smells — but for people with schizophrenia, sensory overload can be constant and intense. Sensory processing dysfunction can make everyday sights, sounds, and touches feel overwhelming, leading to a phenomenon called “sensory flooding.” It can also make it harder to filter out background noise, identify sensory sources, and focus on tasks — sometimes even contributing to symptoms of psychosis like hallucinations and delusions.

Hosts Rachel Star Withers and Gabe Howard explore how schizophrenia affects the senses and what this means for daily life. They’re joined by Dr. Ray Kotwicki, a psychiatrist and Chief Medical Officer at Hightop Health, who shares expert insights into the science behind sensory processing challenges and how to manage them.

Tune in for a fascinating look at the intersection of schizophrenia, sensory overload, and mental health!

To learn more -- or read the transcript -- please visit the official episode page.

Our guest, Dr. Ray Kotwicki, MD, MPH, DFAPA, is a psychiatrist and the Chief Medical Officer at Hightop Health. 

Dr. Kotwicki trained as a Department of Energy Fellow and was a Medical Scholar at the University of Wisconsin Medical School. He completed post-graduate training at Harvard Medical School, the Boston University School of Medicine, and Emory University, where he earned a Master in Public Health degree in Health Policy and Management. He remains a full professor on the adjunctive faculty at both the Emory University School of Medicine as well as the Rollins School of Public Health. Kotwicki has presented more than 425 invited lectures, symposia, and seminars to thousands of attendees. He is recognized as a trusted national expert and renowned speaker on current issues in psychiatry, mental health, professionalism, and wellness.

Our host, Rachel Star Withers, creates videos documenting her schizophrenia, ways to manage and let others like her know they are 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. Fun Fact: She has wrestled alligators.

To learn more about Rachel, please visit her website, RachelStarLive.com.

Out co-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 learn more about Gabe, please visit his website, gabehoward.com.

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