TwoX Labs

TwoX Labs

By twoxlabsMedicineHealth & FitnessMental HealthSexuality
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TwoX Labs episodes

  • Neurodivergent Pregnancy

    Perinatal mental health was not built with neurodivergent people in mind.

    And that gap is costing us.

    In this 90-minute presentation, I’m joined by:

    🧠 Dr. Stacey Greeter, psychiatrist (autistic, ADHD, OCD)

    🤰 Jane Kosloff, LICSW, PMH-C
    💛 Skylar Ibarra, LCSW, PMH-C

    We dive into the intersection of:

    • Autism & ADHD in pregnancy and postpartum

    • OCD vs. intrusive thoughts
    • Complex trauma in the perinatal period
    • Sensory processing & medical trauma
    • What neuro-affirming care actually requires

    This is not a surface conversation.

    It’s about misdiagnosis.

    It’s about shame.
    It’s about the clinicians who are trying to get it right.

    If you work in perinatal mental health, psychiatry, therapy, supervision, or training — this episode will expand your lens.

    If you’re a neurodivergent parent or expecting parent — you are not broken. The system just hasn’t caught up yet.

    1 hr 29 min
  • AI Relationships: When Therapy Meets the Algorithm

    Sam Altman says 2025 is the year people start using ChatGPT for their emotional lives — to process relationships, rehearse hard conversations, and even find comfort.

    So what happens when your clients start doing therapy with an algorithm?

    In this crossover episode of TwoX Labs x The Soft Science, Dr. Erika Miley breaks down:

    🧠 What AI actually is (and isn’t) — and why it can sound empathetic without ever understanding you.
    💬 How clients are turning to AI for emotional support — and what needs that really meets.
    ⚠️ Why therapists must start asking about AI use the same way we ask about coping skills.
    🛑 What harm reduction looks like when AI becomes part of the therapy process.
    🧩 How professional associations need to protect the field — before insurance companies decide AI can replace human care.

     

    32 min
  • AI In Your EHR And Why It Matters?

    Therapists and healthcare providers — let’s talk about the robots quietly hiding in your chart notes.

    In this episode of TwoX Labs, Dr. Erika Miley breaks down exactly how AI is being built into the tools we use every day — from SimplePractice, TherapyNotes, TheraNest, and Jane, to the platforms many of us use for billing and referrals like Alma and Headway.

    We’ll unpack:

    ⚙️ What AI actually is (and isn’t) — spoiler: it’s not thinking, it’s pattern-matching.
    🔐 How your data and your clients’ PHI are stored, shared, or (sometimes) risked.
    🧾 What each company discloses in their terms of service.
    🚨 What “AI hallucinations” mean for therapy notes and ethical documentation.
    🧩 A clear safety and clarity rating system — so you can make an informed choice without digging through 10,000 words of fine print.

    This episode is designed for busy therapists who don’t have time to do a deep dive into data security, but still care deeply about client trust.


    💾 Members of TwoX Labs: Download the CEU guide & decision-making chart to audit your own EHR.

    #AI #TherapistEducation #TwoXLabs #HotGirlScience #DataPrivacy #EHR #TherapyTech #Cybersecurity

    45 min
  • Securing Care in the AI Era

    Summary

    In this conversation, Erika Miley, PhD LMHC CST and Aaron Miley discuss the intersection of AI, cybersecurity, and healthcare. They explore the implications of AI tools in therapy, the importance of understanding large language models, and the risks associated with using these technologies without proper oversight. The discussion emphasizes the need for healthcare providers to be aware of data privacy, security practices, and the ethical considerations of using AI in clinical settings. Practical steps for providers to enhance their cybersecurity measures and protect their clients are also highlighted.

     

    Takeaways

    AI is not a hacker but a tool used by threat actors.

    Large language models (LLMs) are not true AI; they process patterns.
    Healthcare providers must be cautious with AI tools.
    Data privacy is crucial when using AI in healthcare.
    Providers should never input personal health information into public AI tools.
    Understanding the terms of service is essential for data security.
    AI can supplement but not replace human intuition in therapy.
    Cybersecurity training is vital for healthcare providers.
    Providers should use strong passwords and multi-factor authentication.
    Regularly backing up data is essential for security.

     

     

     

    57 min
  • Radical Advocacy, Surveillance Culture & Body Autonomy

    In this episode, Dr. Bianca Laureano and I dive into the intersections of surveillance culture, abortion access, body autonomy, and the hidden power dynamics providers hold.

    We ask big questions:

    • How can providers offer strategic support without replicating harm?

    • What does it mean to practice care from a lens of radical advocacy and healing?

    • How do we challenge western philosophy and systems of control while still showing up for our clients and communities?

      Dr. Bianca Laureano brings a wealth of experience in reproductive justice, sex education, and healing-centered advocacy to this powerful conversation.

      This episode is for providers, healers, and anyone who wants to move beyond theory into praxis—a practice of radical care, justice, and liberation.

      🔗 Resources & Links: twoxlabs.org

      📩 Stay connected: twoxlabs.org 

      #ReproductiveJustice #RadicalHealing #AbortionAccess #therapists #therapistlife 

      1 hr
    • Abortion Access and Reproductive Justice Post-Roe

      Keywords

      abortion, reproductive justice, mental health, therapy, Roe v. Wade, emotional impact, marginalized communities, advocacy, healthcare access, personal stories

      Takeaways

      Abortion is a complex topic that requires understanding of personal values.

      Historical context is crucial for understanding current abortion laws.
      The reversal of Roe v. Wade has significant implications for abortion access.
      Emotional and psychological impacts of abortion access vary by location and individual circumstances.
      Marginalized communities face unique challenges in accessing abortion care.
      Fake clinics pose a significant barrier to individuals seeking abortion services.
      Therapists must navigate their own biases when discussing abortion with clients.
      Personal experiences with abortion can shape a therapist's practice and approach.
      Advocacy is essential in the fight for reproductive rights and access to care.
      Therapists can support clients by providing a non-judgmental space for decision-making.

      Summary

      In this conversation, Dr. Erika Miley and Dr. Julie Bindeman explore the multifaceted topic of abortion, focusing on its historical context, emotional impacts, and the challenges faced by marginalized communities. They discuss the implications of the reversal of Roe v. Wade, the role of fake clinics, and the importance of understanding personal biases in therapy. The conversation emphasizes the need for advocacy and the significance of personal stories in shaping the discourse around reproductive justice.

      Chapters

      00:00 Introduction to Abortion Access and Reproductive Justice

      04:49 Understanding Values in Abortion Discussions
      10:19 Historical Context of Abortion in the U.S.
      16:12 Current Landscape of Abortion Access Post-Roe
      19:20 The Emotional Impact of Abortion Restrictions
      19:38 The Intersection of Anti-Trans and Anti-Abortion Movements
      19:56 State-Specific Concerns in Reproductive Health
      21:04 Navigating Abortion Legality and Access
      23:43 Impact of Systematic Changes on Marginalized Communities
      25:13 Understanding Fake Clinics and Their Tactics
      27:50 The Role of Language and Bias in Reproductive Care
      31:37 Personal Experiences with Abortion and Mental Health
      36:47 Humanizing the Choice: Conversations Around Abortion
      40:46 Advocacy and Action in Reproductive Health
      43:09 Navigating Legal and Ethical Challenges in Healthcare
      48:28 Grounding Techniques for Clinicians
      51:15 Hope and Resilience in Reproductive Rights
      54:58 Supporting Clients in Ambiguous Situations

      1 hr 8 min
    • Seeing ADHD in Girls and Women: Provider Guide

      In this episode of TwoX Labs, Dr. Erika Miley sits down with Dr. Stephen Hinshaw and Dr. Ashley Halkett to dive into the groundbreaking Berkeley Girls Study—one of the most comprehensive longitudinal studies on ADHD in girls. We explore what this research has uncovered about how ADHD shows up differently in girls and women, why so many are overlooked or misdiagnosed, and what providers can take into the therapy room right now.

      Whether you’re a therapist, healthcare provider, or someone navigating ADHD yourself, this conversation offers powerful insights and practical tools for understanding and supporting women and girls with ADHD.

      ✨ Don’t forget: Members get access to CEUs + bonus guides at TwoX Labs.

      #ADHD #ADHDwomen #ADHDlife

      1 hr 5 min
    • Mastering Boundaries: A Guide for Cis-Women
      In this conversation, Dr. Erika Miley and author Terri Cole delve into the complexities of boundaries, particularly for women who are dealing with being high-functioning codependents. They explore the societal conditioning that makes boundary-setting challenging, the myths surrounding boundaries, and the emotional toll of neglecting personal limits. Terri shares practical strategies for establishing boundaries, the importance of self-care for therapists, and the impact of social media on therapeutic relationships. The discussion emphasizes the need for self-discovery and the right to prioritize one's own needs without guilt.
      takeaways
      • Boundaries are essential for healthy relationships.
      • Many women struggle with boundaries due to societal conditioning.
      • Setting boundaries is a radical act of self-love.
      • Understanding the myths around boundaries can empower individuals.
      • Emotional discomfort is a natural part of boundary-setting.
      • Practicing boundary-setting requires patience and self-compassion.
      • Resentment can indicate a need for boundaries.
      • Therapists must model healthy boundaries for their clients.
      • Social media can complicate therapist-client relationships.
      • Self-care is crucial for therapists to avoid burnout.
        • 00:00 Introduction to Boundaries and Codependency
        01:16 The Struggle with Boundaries for Women
        03:52 Connection Between Boundaries and Resentment
        06:31 Understanding the Myths of Boundaries
        08:24 The Importance of Setting Boundaries
        11:54 Navigating the Discomfort of Boundary Setting
        13:59 Childhood Trauma and Boundary Issues
        17:23 Building Healthy Relationships Through Boundaries
        21:20 Establishing Boundaries in Relationships
        23:09 Handling Repeat Offenders
        24:54 The Importance of Communication
        26:57 Understanding Emotional Responses
        28:52 Navigating Power Dynamics in Boundaries
        30:52 Assessing Risks in Boundary Setting
        32:40 Creating a VIP Section for Emotional Safety
        34:29 Therapist Boundaries and Self-Care
        36:31 Modeling Healthy Boundaries in Therapy
        39:57 Financial Boundaries in Therapy
        41:29 Social Media and Professional Boundaries
        41:56 Navigating Professional Boundaries in Therapy
        44:41 The Impact of Social Media on Therapists
        47:09 Becoming an Expert: The Journey of a Therapist
        49:38 Maintaining Curiosity and Preventing Burnout
        54:46 Understanding Client Boundaries and Self-Care
        59:55 The Concept of High Functioning Codependency

        #therapists #boundaries #selfcare #burnout

        1 hr 2 min
      • Disaster-Proofing Your Practice (And Your Sanity): Real Talk from Hurricane Survivors

        Nobody teaches you how to run a therapy practice when a hurricane destroys your community.

        This week on TwoX Labs, Allison Puryear (Abundance Party founder) and I get brutally honest about what it's really like to keep your practice running when natural disaster hits. Not the sanitized 'resilience' content you see everywhere - the actual messy reality.

        We've both been there: I survived Hurricane Ian, Allison dealt with Helene and the flooding aftermath. We're sharing the stuff no practice management course covers:

        • How to manage your own trauma while your clients are also traumatized
        • What happens to your caseload when half your community is displaced
        • The financial realities nobody talks about
        • Why your disaster plan probably sucks (and what to do instead)

          • This isn't about 'bouncing back' - it's about surviving and figuring out how to actually help people when you're also drowning.

          Because apparently we need to learn disaster management the hard way.

          #TwoXLabs #TherapyPractice #DisasterManagement #RealTalk #therapistlife #disasterrecovery 

          1 hr 8 min
        • Power, Not Pleasure: Clinical Lessons from Epstein, Combs, and the Reality of Sexual Violence

          Summary

          In this episode, Dr. Erika Miley discusses the complex dynamics of sexual assault, focusing on high-profile cases involving Jeffrey Epstein, Sean Combs (P Diddy), and Alan Lewis Mirhoffer. She emphasizes the importance of understanding power, control, and coercion in sexual abuse, while also addressing the sensationalism surrounding these cases that often overshadows the voices of survivors. The conversation highlights the need for trauma-informed care and the impact of digital abuse in modern contexts, urging healthcare providers to remain survivor-centered and resist narratives that distract from the core issues of accountability and systemic change.

          Takeaways

          The focus on sensationalism often overshadows survivors' voices.

          Understanding power dynamics is crucial in sexual assault cases.
          Survivors are frequently portrayed as opportunists in media narratives.
          Fast settlements can minimize accountability for perpetrators.
          Digital abuse is a growing concern that needs to be addressed.
          Ethical therapy requires a clear stance against harm.
          Healthcare providers must remain survivor-centered in their approach.
          The public discourse often distracts from systemic issues of abuse.
          Trauma-informed care is essential when working with survivors.
          Abuse thrives in silence, and we must break that silence.

           

          Chapters

          00:00 Introduction to Power Dynamics in Sexual Assault

          05:39 Case Study: Jeffrey Epstein and Systemic Abuse
          14:00 Case Study: Sean Combs and Celebrity Culture
          21:34 Case Study: Alan Lewis Mirhoffer and Public Perception
          26:46 Understanding Power and Control in Abuse
          30:11 Understanding Digital Abuse and Surveillance
          32:17 Integrating Technology in Safety Planning
          35:42 Therapeutic Approaches to Trauma and Abuse
          38:52 Navigating the Complexities of Working with Offenders
          48:15 Breaking the Silence on Abuse and Trauma

           

          1 hr 1 min

        About TwoX Labs

        From the publisher's feed

        Welcome to the TwoX Labs Podcast, where we explore the intersections of mental health, sexuality, and neurodiversity with a focus on the experiences of cis-women and other assigned female at birth identities (AFAB). Hosted by Dr. Erika Miley, LMHC, CST, this podcast dives deep into cutting-edge research, clinical insights, and practical tools for therapists, educators, and medical professionals.