Finding out that someone you know is self-harming can be confusing and unsettling. In today’s episode, Dr. Mark Mayfield, a board certified counselor and founder of Mayfield Counseling Centers tells us more about this behavior and what causes people to self-injure. How common is it? What type of person self-injures? Most importantly, is this something people can overcome, and how? 
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Understanding Self-Injury

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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Dr. Asima Ahmad discusses the significant role doulas can play in pregnancy, childbirth, and postpartum care, highlighting the importance of clear roles and communication between healthcare professionals, doulas, and birthing individuals for optimal outcomes. Dr. Asima’s personal experience with a doula demonstrates the benefits of having tailored support for physical and emotional well-being, underscoring the potential for doulas to alleviate stress and anxiety, and contribute to a more positive birthing experience. The conversation also addresses controversies surrounding doula services, emphasizing the necessity of teamwork and understanding in medical settings to prevent miscommunication and ensure the safety and health of both the mother and baby, with research supporting the positive impact of doulas on reducing medical interventions and improving mental health outcomes.
To learn more -- or read the transcript -- visit the official episode page.
“So I think there's a lot of different roles that doulas can play. I don't think it's just like a copy and paste for all. Personally, I've had five pregnancies, I have four children, and I'm lucky that I've always had a good support system in place. But for this last delivery, I did have a postpartum doula, and even though I had gone through it three times before, I found her insight and support to be valuable to not only myself but also to my family and friends.” ~Asima Ahmad, MD, MPH

Our guest, Asima Ahmad, MD, MPH, is a co-founder and the chief medical officer (CMO) of Carrot Fertility, the leading global fertility care platform. As Carrot’s CMO, Ahmad leads clinical strategy, overseeing the company’s expansive network and telehealth program, which offers access to more than 10,000 reproductive endocrinologists, urologists, adoption experts, mental health experts, OB/GYNs, doulas, and midwives.  
In addition to her role at Carrot, Ahmad is a practicing reproductive endocrinologist and infertility specialist. She is double board certified in reproductive endocrinology and infertility and obstetrics and gynecology. Ahmad earned a combined medical and public health degree from the University of Chicago’s Pritzker School of Medicine and the Harvard T.H. Chan School of Public Health in Boston. She completed her residency in OB/GYN at Yale-New Haven Hospital in Connecticut and her fellowship training in reproductive endocrinology and infertility at the University of California, San Francisco. She has worked alongside and received mentorship from former ASRM presidents Dr. Hugh Taylor and Dr. Marcelle Cedars. Ahmad’s work has been published extensively in academic literature and internationally on various topics related to infertility, reproductive and hormonal health, gynecologic malignancies, and patient safety. 
Ahmad has been recognized by Entrepreneur magazine and Fierce Healthcare on their Women of Influence lists and named to Business Insider’s 30 under 40 in Healthcare list. She has also spoken at The World Economic Forum and has been featured in The New York Times, the “Today” show, “Good Morning America,” NPR, CNN, USA Today, Women’s Health, and more.

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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Exploring the Role of Doulas in Maternal Mental Health Support

Our guest, Greg Harden, is a renowned peak performance coach best known for his work with Tom Brady and Michael Phelps. In today’s episode, Greg emphasizes the importance of self-knowledge, mental training, and understanding that fear and anxiety are natural parts of life to be managed, not feared. His latest book, "Stay Sane in an Insane World," offers insights into achieving personal success and well-being by adopting self-supporting attitudes and behaviors. If you want to be a better version of yourself, this episode is for you.

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

“What we do is sometimes we get so preoccupied with worrying about things we can't control, that when we can get to the things that we can do something about, we're worn out and tired. And what I try to do is get people to simply make a commitment to be someone that when you talk to yourself, you change the way you talk to yourself. To improve the way that I talk to myself, the way I see myself, the secret that's not a secret, Gabe, is self-love and self-acceptance.” ~Greg Harden

Greg Harden is a peak performance coach, motivational speaker, and executive consultant best known for his work with seven-time Super Bowl champion quarterback Tom Brady. He also worked with Heisman Trophy winner, and Super Bowl MVP Desmond Howard and 23-time Olympic Gold medalist Michael Phelps. He’s spent more than 30 years counseling, motivating, and coaching them at the University of Michigan, including 400 future professional athletes, 50 NFL first-round draft picks, and 120 Olympians from more than 20 countries. He gained national recognition when “60 Minute Sports” profiled him as “Michigan’s Secret Weapon.”

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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Mastering Mental Fitness: Training for Self-Acceptance and Self-Affection

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

Understanding Self-Injury

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