Many critical thinkers have rightfully wondered why gender dysphoria is treated in clinical settings any differently from anorexia, body integrity identity disorder, and other psychiatric ailments featuring a mind-body problem. Today’s guest is the right person to answer that question.

Jaco van Zyl, a South Africa-trained clinical psychologist now practicing in Ireland, joins me to discuss his paper, "Formulating Gender Dysphoria as an Affective-Perceptual Disturbance Involving the Body," which was recently published in the journal Psychodynamic Practice. Jaco shares his insights on the psychological underpinnings of gender dysphoria, particularly in adolescents, and critiques the current activist-driven narratives that often overshadow psychodynamic perspectives.

We explore the developmental journey of infants and how early experiences shape their understanding of identity and bodily sensations. Jaco emphasizes the importance of navigating the pleasure and reality principles, a concept rooted in psychoanalytic theory, and how failures in this process can lead to arrested development. We also discuss the implications of ideologies that discourage critical thinking about gender identity, highlighting the dangers of treating distress as a literal interpretation of one's body.

Throughout our conversation, we aim to unpack the complexities of gender dysphoria, the role of early attachment experiences, and the potential consequences of affirming practices that may overlook deeper psychological issues. This episode invites listeners to consider the intersection of psychoanalysis, gender identity, and the importance of fostering a more nuanced understanding of these critical topics.

Jaco van Zyl is a South Africa-trained Clinical Psychologist in private practice in Ireland. He has worked in the Department of Correctional Services, and in private practice at a psychiatric hospital in South Africa. Jaco has a special interest in personality pathology and its relationship with mood and anxiety disorders, trauma-spectrum disorders, gender-related distress, eating disorders and addiction. He is also interested in the psychology of large-groups, gleaning from his own experience growing up in South Africa, and the role ideology plays in mass illusion in political and ideological movements. He is a co-director of Critical Therapy Antidote, a UK-based organisation consisting of clinicians concerned with the ideological take-over of the psychology and psychotherapy field. Jaco is also the co-host of the CTA Podcast, where he and his co-hosts, Christine Sefein and Michael Olan, discuss topics related to psychology, psychological practice, and society.

Books mentioned in this episode are listed below.

• The Luck Factor: The Scientific Study of the Lucky Mind by Richard Wiseman

View my complete list of book recommendations, including those written by authors who have been guests on this show, at https://sometherapist.com/bookshop.

As an Amazon affiliate, I earn a small commission from qualifying purchases made through affiliate links from my show notes or website. Thank you for purchases that support the show!

 00:00 Start

[00:02:05] Gender dysphoria and psychodynamics.

[00:04:31] Conversion therapy and gender identity.

[00:08:45] Psychological development of infants.

[00:13:45] Good enough mother concept.

[00:20:10] Symbolization and gender dysphoria.

[00:24:30] Scapegoating of body parts.

[00:27:41] Gender dysphoria and psychoanalysis.

[00:32:54] Psychoanalysis and queer theory.

[00:40:01] Arrested development and personality disorders.

[00:44:10] Protective factors in development.

[00:46:53] Luck as an attitude.

[00:52:23] The impact of envy on gratitude.

[00:56:38] The value of internal support.

[01:02:04] Gender dysphoria and body disorders.

[01:05:00] Body image and emotional distress.

[01:10:12] The allure of gender ideology.

[01:15:40] Untested hypotheses and self-identity.

[01:18:39] Therapy with young people.

[01:27:36] Adolescence as a cure for dysphoria.

[01:30:54] Critical Therapy Antidote training materials.

[01:33:04] Reality is more exciting.

ROGD REPAIR Course + Community for Parents is available now! Are you concerned about an adolescent or young adult with Rapid Onset Gender Dysphoria? Join at ROGDrepair.com and get instant access to over 100 lessons designed to equip you with the psychological insights and communication tools you need to get through to your kid. Use code SOMETHERAPIST2024 to take 50% off your first month.

TALK TO ME: book a discovery call.

LOCALS: Ask questions of me & guests; get early access to new episodes + exclusive content. Join my community.

SUPPORT THE SHOW: subscribe, like, comment, & share or donate.

EIGHTSLEEP: Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST.

ORGANIFI: Take 20% off Organifi with code SOMETHERAPIST.

Watch NO WAY BACK: The Reality of Gender-Affirming Care. Use code SOMETHERAPIST to take 20% off your order. Follow us on X @2022affirmation or Instagram at @affirmationgeneration. 

SHOW NOTES & transcript with help from SwellAI.

MUSIC: Thanks to Joey Pecoraro for our song, “Half Awake,” used with gratitude & permission.

PRODUCTION: Looking for your own podcast producer? Visit PodsByNick.com and mention my podcast for 20% off your initial services.

To support this show, please leave a rating & review on Apple, Spotify, or wherever you get your podcasts. Subscribe, like, comment & share via my YouTube channel. Or recommend this to a friend!

Learn more about Do No Harm.

Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST at EightSleep.com.

Take 20% off all superfood beverages with code SOMETHERAPIST at Organifi.

Check out my shop for book recommendations + wellnes...

In this solo episode, I share some exciting news for parents navigating the complexities of communicating with their trans-identified children — especially those who may have financial barriers preventing them from enrolling in my program, ROGD Repair. I announce a new scholarship program, made possible by a generous anonymous donor, which will allow 15 families in financial need to access the course for free. Please share this episode with someone you know who could benefit!

For those who aren’t already familiar, I describe what’s in ROGD Repair, a comprehensive self-guided online course designed to help parents understand and improve their relationships with their adolescents or young adults who are questioning their gender identity. I describe how the new scholarship program works, and how parents in financial need with a sincere desire to engage in the program can apply.

I discuss the importance of mindset and communication strategies, emphasizing that parents can control their approach and understanding of their child's state of mind. The program includes over 120 lessons, featuring videos, written content, reflection questions, and community discussions, all aimed at providing educational guidance to empower parents to make wise decisions when communicating in high-stakes situations.

Throughout the episode, I explore key concepts such as the psychological dynamics at play in these situations, the impact of social contagion, and effective communication techniques that can foster better understanding and connection. My goal is to equip parents with the tools they need to navigate these challenging conversations and ultimately support their children's well-being.

 00:00 Start

[00:00:57] Rapid Onset Gender Dysphoria.

[00:04:42] Consulting parents of trans youth.

[00:07:45] Reflection questions for family dynamics.

[00:12:04] Scholarship program announcement.

[00:14:42] Scholarship program for families.

[00:20:36] Communication strategies with children.

[00:21:39] Family dynamics and support roles.

[00:25:21] Psychology and communication in parenting.

[00:29:01] Dysfunctional family communication patterns.

[00:32:24] Double binds in family psychology.

[00:37:46] Female-specific issues in parenting.

[00:40:14] Adolescent inhibition versus disinhibition.

[00:45:28] Scholarship program for families.

[00:47:01] Free discovery calls for support.

[00:50:47] Unforeseen troubles and benefits.

ROGD REPAIR Course + Community for Parents is available now! Are you concerned about an adolescent or young adult with Rapid Onset Gender Dysphoria? Join at ROGDrepair.com and get instant access to over 100 lessons designed to equip you with the psychological insights and communication tools you need to get through to your kid. Use code SOMETHERAPIST2024 to take 50% off your first month.

TALK TO ME: book a discovery call.

LOCALS: Ask questions of me & guests; get early access to new episodes + exclusive content. Join my community.

SUPPORT THE SHOW: subscribe, like, comment, & share or donate.

EIGHTSLEEP: Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST.

ORGANIFI: Take 20% off Organifi with code SOMETHERAPIST.

Watch NO WAY BACK: The Reality of Gender-Affirming Care. Use code SOMETHERAPIST to take 20% off your order. Follow us on X @2022affirmation or Instagram at @affirmationgeneration. 

SHOW NOTES & transcript with help from SwellAI.

MUSIC: Thanks to Joey Pecoraro for our song, “Half Awake,” used with gratitude & permission.

PRODUCTION: Looking for your own podcast producer? Visit PodsByNick.com and mention my podcast for 20% off your initial services.

To support this show, please leave a rating & review on Apple, Spotify, or wherever you get your podcasts. Subscribe, like, comment & share via my YouTube channel. Or recommend this to a friend!

Learn more about Do No Harm.

Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST at EightSleep.com.

Take 20% off all superfood beverages with code SOMETHERAPIST at Organifi.

Check out my shop for book recommendations + wellness products.

Show notes & transcript provided with the help of SwellAI.

Special thanks to Joey Pecoraro for our theme song, “Half Awake,” used with gratitude and permission.

Watch NO WAY BACK: The Reality of Gender-Affirming Care (our medical ethics documentary, formerly known as Affirmation Generation). Stream the film or purchase a DVD. Use code SOMETHERAPIST to take 20% off your order. Follow us on X @2022affirmation or Instagram at @affirmationgeneration.

Have a question for me? Looking to go deeper and discuss these ideas with other listeners? Join my Locals community! Members get to ask questions I will respond to in exclusive, members-only livestreams, post questions for upcoming guests to answer, plus other perks TBD.

In this episode, I have the pleasure of speaking with Diana Lutfi, a bioethics and legal scholar, who recently authored an amicus brief on behalf of the detransitioners community in the Supreme Court case, United States of America v. Jonathan Skrmetti. We dive deep into the implications of this landmark case, which challenges Tennessee's prohibition on “gender-affirming care” for minors. Diana explains how this case could set a precedent affecting similar laws in 26 states, raising critical questions about the future of sex trait modification.

We discuss the complexities surrounding the concept of "standards of care" in pediatric gender treatment, particularly how these standards can be influenced by political agendas rather than solid evidence. Diana emphasizes the importance of recognizing biological differences in healthcare and the inherent discrimination that occurs in medical treatment based on sex. We also explore the tension between parental rights, state regulations, and the autonomy of minors in making life-altering decisions.

Throughout our conversation, we aim to uncover the broader implications of this case for healthcare policy and the ethical considerations surrounding permanent sex trait alteration for minors. Join us as we navigate these challenging topics and seek to understand the stakes involved for individuals and families facing these critical decisions.

Read the amicus brief here.

Donate to support Diana's work.

Diana Lutfi, JD, MSHCM, CPHQ is a legal and bioethics scholar, healthcare professional, and advocate of patients' and providers' rights. Marked by a history of public service, Diana founded sustainable high school programs and pioneered a TEDx Youth movement in Southern California. She founded a large (100+ students) credit-bearing worldviews course at UC Berkeley. During the pandemic, Diana successfully challenged and changed Colorado Nursing Board rules, decreasing the red tape around reinstatements. Diana has avidly worked to protect patients' rights amidst healthcare policy, helped physicians write policy proposals, and most recently authored a Supreme Court amicus on behalf of the larger detransitioners community. In her professional career, Diana was a human subjects researcher, healthcare administrator, educator, and projects consultant. She has extensively investigated issues around access, autonomy, bodily integrity, and coercion in healthcare. Diana has consciously positioned herself to defend health freedom and protect healthcare providers seeking to reform our healthcare system.

View my complete list of book recommendations, including those written by authors who have been guests on this show, at https://sometherapist.com/bookshop.

As an Amazon affiliate, I earn a small commission from qualifying purchases made through affiliate links from my show notes or website. Thank you for purchases that support the show!

 00:00 Start

[00:02:16] Supreme Court case on gender care.

[00:04:30] Access to gender-affirming care.

[00:10:43] Standards of care in pediatrics.

[00:12:46] Power dynamics in healthcare dissent.

[00:20:45] Expanding rights and access.

[00:24:01] Detransitioner community's legal advocacy.

[00:26:35] Healthcare discrimination and reference ranges.

[00:30:54] Testicular cancer and hormones.

[00:35:54] Pediatric gender transition regulations.

[00:40:51] Healthcare discrimination and exceptions.

[00:47:54] Life-altering decisions in youth.

[00:49:18] Autonomy in minors' healthcare decisions.

[00:56:19] State prohibition on gender-affirming care.

[00:57:31] Right to bodily integrity.

[01:02:41] Consequences of pediatric gender-affirming care.

[01:06:38] Risk factors for suicide.

[01:11:08] Minor autonomy and permanent decisions.

[01:17:27] Protecting individual rights through experience.

[01:20:05] Future of the Skrmetti case.

[01:24:17] Gender affirming care reality.

ROGD REPAIR Course + Community for Parents is available now! Are you concerned about an adolescent or young adult with Rapid Onset Gender Dysphoria? Join at ROGDrepair.com and get instant access to over 100 lessons designed to equip you with the psychological insights and communication tools you need to get through to your kid. Use code SOMETHERAPIST2024 to take 50% off your first month.

TALK TO ME: book a discovery call.

SUPPORT THE SHOW: subscribe, like, comment, & share or donate.

EIGHTSLEEP: Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST.

ORGANIFI: Take 20% off Organifi with code SOMETHERAPIST.

Watch NO WAY BACK: The Reality of Gender-Affirming Care. Use code SOMETHERAPIST to take 20% off your order. Follow us on X @2022affirmation or Instagram at @affirmationgeneration. 

SHOW NOTES & transcript with help from SwellAI.

MUSIC: Thanks to Joey Pecoraro for our song, “Half Awake,” used with gratitude & permission.

PRODUCTION: Looking for your own podcast producer? Visit PodsByNick.com and mention my podcast for 20% off your initial services.

To support this show, please leave a rating & review on Apple, Spotify, or wherever you get your podcasts. Subscribe, like, comment & share via my YouTube channel. Or recommend this to a friend!

Learn more about Do No Harm.

Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST at EightSleep.com.

Take 20% off all superfood beverages with code SOMETHERAPIST at Organifi.

Check out my shop for book recommendations + wellness products.

Show notes & transcript provided with the help of SwellAI.

Special thanks to Joey Pecoraro for our theme song, “Half Awake,” used with gratitude and permission.

My guest today is Dr. Nikki Johnson, a former pediatrician and co-director of FAIR in Medicine. We dive deep into the challenges parents face in finding trustworthy medical providers for their children and the broader implications of the current healthcare system. Dr. Nikki shares her journey through medical training and her eventual departure from clinical practice due to ethical concerns and the corporatization of medicine.

We discuss the concept of perverse incentives in healthcare, particularly how insurance reimbursement structures can compromise the quality of care. Dr. Nikki highlights the shift in focus from patient-centered care to a more corporate-driven model, which often prioritizes profit over patient well-being. We also explore some lesser-known impacts of the Affordable Care Act on the medical landscape, including the rise of non-physician providers, and the challenges this poses for traditional medical practices.

Throughout our conversation, we aim to empower parents to trust their instincts when it comes to their children's health and to advocate for better care. We also touch on the importance of transparency in healthcare and the need for a return to a more personal, relationship-driven approach to medicine. This episode is a call to action for parents to be informed and engaged in their children's healthcare decisions.

Nicole “Dr. Nikki” M. Johnson, MD DNBPAS, has a B.S. in Biology from Case Western Reserve University and a medical degree from Case Western Reserve University School of Medicine. Dr. Nikki earned certification in both General Pediatrics and Pediatric Critical Care Medicine. She is passionate about reforming healthcare and wishes to see medicine restored to a focus on the individual doctor-patient relationship where physicians are bound by the Hippocratic Oath, and patients have affordable evidence-based care, choice, and transparency. She works as an independent consultant with those who help her achieve her mission. Dr. Nikki has a record of advocacy and service. She is the director of FAIR In Medicine and an advisor for Affirming Reality Connected. She is the past President and a Co-founder of PHYSICIANS FOR PATIENTS and a contributing author of Free2Care’s A Physician-Led Roadmap to Patient-Centered Medical Care. Dr. Nikki also served as a Senior Fellow for Restore Childhood and a team member of Urgency of Normal. She lives in Northeast Ohio with her husband and two daughters.

 00:00 Start

[00:00:11] Parental responsibility in healthcare.

[00:06:34] Corporate influence in healthcare.

[00:10:21] Loss of patient care autonomy.

[00:12:13] Healthcare system challenges and solutions.

[00:16:00] Affordable Care Act implications.

[00:19:34] Nursing shortage and healthcare changes.

[00:24:14] ROGD Repair for Parents.

[00:29:43] Medical ethics and political influence.

[00:32:14] Perverse incentives in healthcare.

[00:36:56] Therapy payout disparities and ethics.

[00:40:36] Direct primary care transparency.

[00:43:43] Direct primary care benefits.

[00:49:21] Corporate infiltration in healthcare.

[00:50:39] Pediatric endocrinologists and gender identity.

[00:54:02] Finding the right therapist.

[00:58:06] Parental instincts in healthcare.

[01:01:38] Empowering parental decision-making.

[01:06:55] Parental challenges in healthcare.

[01:10:14] Parental advice on medical issues.

[01:12:54] Parental influence on children's choices.

[01:17:10] Parenting and device management.

[01:21:34] Advocacy against gender ideology.

ROGD REPAIR Course + Community for Parents is available now! Are you concerned about an adolescent or young adult with Rapid Onset Gender Dysphoria? Join at ROGDrepair.com and get instant access to over 100 lessons designed to equip you with the psychological insights and communication tools you need to get through to your kid. Use code SOMETHERAPIST2024 to take 50% off your first month.

TALK TO ME: book a discovery call.

LOCALS: Ask questions of me & guests; get early access to new episodes + exclusive content. Join my community.

SUPPORT THE SHOW: subscribe, like, comment, & share or donate.

EIGHTSLEEP: Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST.

ORGANIFI: Take 20% off Organifi with code SOMETHERAPIST.

Watch NO WAY BACK: The Reality of Gender-Affirming Care. Use code SOMETHERAPIST to take 20% off your order. Follow us on X @2022affirmation or Instagram at @affirmationgeneration. 

SHOW NOTES & transcript with help from SwellAI.

MUSIC: Thanks to Joey Pecoraro for our song, “Half Awake,” used with gratitude & permission.

PRODUCTION: Looking for your own podcast producer? Visit PodsByNick.com and mention my podcast for 20% off your initial services.

To support this show, please leave a rating & review on Apple, Spotify, or wherever you get your podcasts. Subscribe, like, comment & share via my YouTube channel. Or recommend this to a friend!

Learn more about Do No Harm.

Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST at EightSleep.com.

Take 20% off all superfood beverages with code SOMETHERAPIST at Organifi.

Check out my shop for book recommendations + wellness products.

Show notes & transcript provided with the help of SwellAI.

Special thanks to Joey Pecoraro for our theme song, “Half Awake,” used with gratitude and permission.

Watch NO WAY BACK: The Reality of Gender-Affirming Care (our medical ethics documentary, formerly known as Affirmation Generation). Stream the film or purchase a DVD. Use code SOMETHERAPIST to take 20% off your order. Follow us on X @2022affirmation or Instagram at @affirmationgeneration.

Have a question for me? Looking to go deeper and discuss these ideas with other listeners? Join...

In this episode, I welcome back James Esses, a writer and advocate who has been at the forefront of discussions surrounding gender ideology and its impact on the therapeutic profession. We dive into James's journey, which began during his training as a therapist in the UK, where he raised concerns about the medicalization of children experiencing gender dysphoria. His advocacy led to a significant legal battle after he was expelled from his graduate program, a case that has since resulted in important settlements affirming the validity of gender-critical beliefs among therapists.

We explore the implications of James's case for therapists in the UK and beyond, particularly regarding freedom of speech and the ethical responsibilities of mental health professionals. We discuss the troubling trend of therapists prioritizing identity politics over individual client needs, and how this shift has affected the quality of care. Additionally, we examine the concept of "lived experience" and its potential dangers when it comes to guiding treatment decisions, especially for vulnerable populations like adolescents.

Throughout our conversation, we aim to uncover the challenges faced by therapists today, the impact of social media on mental health, and the importance of maintaining ethical standards in therapy. Join us as we navigate these complex issues and consider what the future holds for the counseling profession.

James Esses is a writer, commentator and advocate, specializing in the impact of ideology on society. He has a particular interest in the topic of gender ideology from the perspective of safeguarding children from irreversible medicalisation. He founded the Declaration for Biological Reality, calling for significant change to public policy in this space. James brought high-profile legal action against the UK Council for Psychotherapy (UKCP), and his case resulted in a significant statement expressly protecting therapists with gender critical beliefs. He frequently appears on television, including on GB News and TalkTV, and writes for a number of publications, including the Mail, Telegraph, Spectator, Spiked and Critic. He also writes a Substack alongside Matt Goodwin. James was previously a Criminal Barrister and spent many years specializing in crime and criminal justice in the public sector, including tackling child sexual abuse and exploitation.

James will soon be launching Just Therapy. Make sure to follow or subscribe to him on your platforms of choice in order to stay informed.

• Substack
• X @JamesEsses
• James' previous episode on my podcast

Books mentioned in this episode are listed below.

• Bad Therapy: Why the Kids Aren't Growing Up, by Abigail Shrier

View my complete list of book recommendations, including those written by authors who have been guests on this show, at https://sometherapist.com/bookshop.

As an Amazon affiliate, I earn a small commission from qualifying purchases made through affiliate links from my show notes or website. Thank you for purchases that support the show!

 00:00 Start

[00:02:36] Ethical concerns in therapy training.

[00:07:04] Therapist freedom of belief.

[00:10:06] Trainee therapists facing pressure.

[00:15:37] Purpose of therapy and risks.

[00:18:47] Therapy and societal relationship norms.

[00:20:27] Loneliness in modern society.

[00:24:15] Sanity versus Insanity in Therapy.

[00:29:23] Privilege versus oppression beliefs.

[00:32:10] Wokeness and therapy dynamics.

[00:36:32] Lived experience in therapy.

[00:41:11] Teenage advice and mental health.

[00:45:45] Power dynamics in gender identity.

[00:49:51] Just therapy and advocacy.

[00:52:17] Accreditation in therapy practice.

[00:56:05] Ethical concerns in therapy accreditation.

[01:00:03] Gender critical beliefs in therapy.

[01:04:36] Online shaming and social justice.

[01:09:59] Biological factors in gender dysphoria.

[01:11:45] Gender dynamics in modern society.

[01:16:12] Healing through daily renewal.

[01:20:07] Gender crisis and its realities.

ROGD REPAIR Course + Community for Parents is available now! Are you concerned about an adolescent or young adult with Rapid Onset Gender Dysphoria? Join at ROGDrepair.com and get instant access to over 100 lessons designed to equip you with the psychological insights and communication tools you need to get through to your kid. Use code SOMETHERAPIST2024 to take 50% off your first month.

TALK TO ME: book a discovery call.

LOCALS: Ask questions of me & guests; get early access to new episodes + exclusive content. Join my community.

SUPPORT THE SHOW: subscribe, like, comment, & share or donate.

EIGHTSLEEP: Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST.

ORGANIFI: Take 20% off Organifi with code SOMETHERAPIST.

Watch NO WAY BACK: The Reality of Gender-Affirming Care. Use code SOMETHERAPIST to take 20% off your order. Follow us on X @2022affirmation or Instagram at @affirmationgeneration. 

SHOW NOTES & transcript with help from SwellAI.

MUSIC: Thanks to Joey Pecoraro for our song, “Half Awake,” used with gratitude & permission.

PRODUCTION: Looking for your own podcast producer? Visit PodsByNick.com and mention my podcast for 20% off your initial services.

To support this show, please leave a rating & review on Apple, Spotify, or wherever you get your podcasts. Subscribe, like, comment & s...

Even if you’ve been following my work for a while, you’re not going to believe how bad the state of affairs has gotten when it comes to postgraduate education in counseling psychology — until you hear from today’s guest. 

Ryan Rogers, a student currently pursuing a masters degree in the hopes of becoming a therapist, joins me to discuss the troubling trends he's observed in mental health education. Ryan shares his personal journey, including his background in addiction and the motivation behind his pursuit of a counseling career. We delve into the alarming shift in graduate programs, where political activism often takes precedence over the core principles of therapy.

Ryan highlights his experiences in classes that prioritize critical theory over practical skills, leaving students ill-equipped to address the real needs of their clients. We explore the implications of this shift, particularly in relation to suicide prevention, addiction treatment, and the importance of cultural competency. Ryan raises critical questions about the role of therapists: should they be activists for so-called social justice, or should they focus on helping individuals navigate their personal struggles?

Throughout our conversation, we examine the consequences of substituting genuine therapeutic training with ideological indoctrination. As we unpack these issues, we aim to shed light on the future of counseling psychology and the urgent need for a return to a client-centered approach that prioritizes healing over activism.

Ryan Rogers is a graduate student in clinical mental health counseling. He has a bachelor’s degree in psychology and work history in addiction treatment.
Twitter/X: @RyanMcRogers
Upcoming book:  The Woke Mind: The Twisted Psychology of the Social Justice Movement (Social Justice Fanaticism Book 6) - Kindle edition by Rogers, Ryan

View my complete list of book recommendations, including those written by authors who have been guests on this show, at https://sometherapist.com/bookshop.

As an Amazon affiliate, I earn a small commission from qualifying purchases made through affiliate links from my show notes or website. Thank you for purchases that support the show!

 00:00 Start

[00:02:30] Counseling program concerns and indoctrination.

[00:04:18] Activism in therapy training.

[00:08:22] Cultural competency in therapy.

[00:10:37] American perfectionism vs. Mexican culture.

[00:17:12] Counseling grad programs' effectiveness.

[00:18:22] Teaching quality in psychology classes.

[00:24:01] ROGD Repair for parents.

[00:27:16] Common humanity versus identity markers.

[00:31:06] Wokeness in academic environments.

[00:34:12] Lack of experienced educators.

[00:38:58] Counseling theories in academia.

[00:42:46] Counseling versus Social Justice Advocacy.

[00:45:04] Self-beliefs and mental health.

[00:51:06] Antinatalist views and human nature.

[00:52:57] Normlessness in society and therapy.

[00:58:00] The Ethical Slut in Counseling.

[01:00:45] Attachment theory and relationships.

[01:04:44] Therapy and its societal perceptions.

[01:09:03] Intersectionality and Religion Evaluation.

[01:12:24] Pride in Professional Experience.

[01:16:20] Hate and envy in activism.

[01:20:54] The downfall of counseling profession.

[01:24:51] Therapy and political discontent.

[01:29:56] Transition in kids.

[01:30:41] Limits of gender dysphoria treatment.

[01:34:13] Tribalism and cultural biases.

[01:38:48] Understanding social justice radicalism.

ROGD REPAIR Course + Community for Parents is available now! Are you concerned about an adolescent or young adult with Rapid Onset Gender Dysphoria? Join at ROGDrepair.com and get instant access to over 100 lessons designed to equip you with the psychological insights and communication tools you need to get through to your kid. Use code SOMETHERAPIST2024 to take 50% off your first month.

TALK TO ME: book a discovery call.

LOCALS: Ask questions of me & guests; get early access to new episodes + exclusive content. Join my community.

SUPPORT THE SHOW: subscribe, like, comment, & share or donate.

EIGHTSLEEP: Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST.

ORGANIFI: Take 20% off Organifi with code SOMETHERAPIST.

Watch NO WAY BACK: The Reality of Gender-Affirming Care. Use code SOMETHERAPIST to take 20% off your order. Follow us on X @2022affirmation or Instagram at @affirmationgeneration. 

SHOW NOTES & transcript with help from SwellAI.

MUSIC: Thanks to Joey Pecoraro for our song, “Half Awake,” used with gratitude & permission.

PRODUCTION: Looking for your own podcast producer? Visit PodsByNick.com and mention my podcast for 20% off your initial services.

To support this show, please leave a rating & review on Apple, Spotify, or wherever you get your podcasts. Subscribe, like, comment & share via my YouTube channel. Or recommend this to a friend!

Learn more about Do No Harm.

Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST at EightSleep.com.

Take 20% off all superfood beverages with code SOMETHERAPIST at Organifi.

Check out my shop for book recommendations + wellness products.

Show notes & transcript provided with the help of SwellAI.

Special thanks to Joey Pecoraro for our theme song, “Half Awake,” used with gratitude and permission.

Watch NO WAY BACK: The Reality of Gender-Affirming Care (our medical ethics documentary, formerly known as Affirmation Generation). Stream the film or purchase a DVD. Use code SOMETHERAPIST to take 20% off your order. Follow us on X @2022affirmation...

Has modern therapy become a hostile environment towards Jewish people? I sit down with Malka Shaw, a licensed clinical social worker and trauma therapist, to delve into the pressing issue of anti-Semitism and its psychological implications. Malka shares her experiences as a therapist and the challenges Jewish clients face in therapy, particularly in light of recent events that have heightened anti-Semitic sentiments. We discuss the inappropriate remarks some therapists make, which can invalidate the experiences of their Jewish clients, and how this reflects a broader trend of misunderstanding and bias within the mental health field.

Malka also introduces her organization, Kesher Shalom, which aims to provide education and support for Jewish communities while addressing the cultural accommodations needed in mental health practices. We explore the concept of anti-Semitism as a form of racism, the historical context of Jews as scapegoats, and the psychological mechanisms that allow such biases to persist. Malka clarifies the true meaning of Zionism and why the rise of anti-Zionist sentiments concern her. Throughout our conversation, we question why anti-Semitism is often overlooked and how it serves as a warning sign for societal health.

Malka Shaw, LCSW (licensed in NJ, NY, and Florida), is a psychotherapist and trauma expert with over 25 years of experience in the mental health field. Specializing in trauma recovery using Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR), she has built a private practice focusing on women’s wellness, relationship dynamics, and maternal health. Malka also provides clinical supervision, and consultation, develops continuing education courses on trauma and antisemitism; and often presents at professional events. Drawing on her experience with large-scale trauma, Malka founded Kesher Shalom Projects following the devastating events of October 7th. KSP's mission is to provide education and professional development on mental health and antisemitism, critical for building resilience within Jewish communities. By helping others understand the psychology behind antisemitic propaganda and its impact on society, Kesher Shalom offers valuable insights for combating antisemitism and supporting those affected.

MalkaShaw.com

KesherShalom.com

Malka’s next training for therapists, coming up December 2, 2024: Navigating Trauma: GUARD System Techniques for Addressing Symptoms from Antisemitism and Prolonged Stress

Books mentioned in this episode are listed below.

•  "The Madness of Crowds" by Douglas Murray: https://amzn.to/40uFjlA

View my complete list of book recommendations, including those written by authors who have been guests on this show, at https://sometherapist.com/bookshop.

As an Amazon affiliate, I earn a small commission from qualifying purchases made through affiliate links from my show notes or website. Thank you for purchases that support the show!

 00:00 Start

[00:01:21] Psychology of antisemitism and impact.

[00:03:44] Mental health education gaps.

[00:09:08] Anti-Semitism in healthcare settings.

[00:11:18] Therapist validation of Jewish concerns.

[00:17:36] Multi-ethnic identity of Jews.

[00:19:56] Targeted hate crimes statistics.

[00:24:16] Defining anti-Semitism and its nuances.

[00:27:07] Jews as universal scapegoat.

[00:30:22] Jewish identity and resilience.

[00:33:44] Responsibilities of the chosen people.

[00:37:34] Moral disengagement and accountability.

[00:41:27] Moral disengagement and gaslighting.

[00:48:22] Defining Zionism and its implications.

[00:51:14] Right to live in our land.

[00:56:00] Peaceful coexistence in the Middle East.

[00:57:41] The meaning of Zionism.

[01:01:49] Importance of diverse opinions.

[01:06:08] Jewish culture and moral compass.

[01:09:51] Cultural competency and anti-Semitism.

[01:11:35] Gender crisis and care.

ROGD REPAIR Course + Community for Parents is available now! Are you concerned about an adolescent or young adult with Rapid Onset Gender Dysphoria? Join at ROGDrepair.com and get instant access to over 100 lessons designed to equip you with the psychological insights and communication tools you need to get through to your kid. Use code SOMETHERAPIST2024 to take 50% off your first month.

TALK TO ME: book a discovery call.

LOCALS: Ask questions of me & guests; get early access to new episodes + exclusive content. Join my community.

SUPPORT THE SHOW: subscribe, like, comment, & share or donate.

EIGHTSLEEP: Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST.

ORGANIFI: Take 20% off Organifi with code SOMETHERAPIST.

Watch NO WAY BACK: The Reality of Gender-Affirming Care. Use code SOMETHERAPIST to take 20% off your order. Follow us on X @2022affirmation or Instagram at @affirmationgeneration. 

SHOW NOTES & transcript with help from SwellAI.

MUSIC: Thanks to Joey Pecoraro for our song, “Half Awake,” used with gratitude & permission.

PRODUCTION: Looking for your own podcast producer? Visit PodsByNick.com and mention my podcast for 20% off your initial services.

To support this show, please leave a rating & review on Apple, Spotify, or wherever you get your podcasts. Subscribe, like, comment & share via my YouTube channel. Or recommend this to a friend!

Learn more about Do No Harm.

Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST at EightSleep.com.

Take 20% off all superfood beverages with code SOMETHERAPIST at Organifi.

Check out my shop for book recommendations + wellness products.

Show notes & transcript provided with the help of SwellAI.

Special thanks to

Why is it so hard to find a trustworthy physician? Dr. Andrew Zywiec has chosen to practice medicine as a licensed tribal practitioner through the First Nation Medical Board in order to allow him the freedom to operate according to his conscience. What is his inside perspective on the moral and ethical crossroads many aspiring healers find themselves navigating in today’s politicized, money-corrupted healthcare landscape?

We dive into the complexities surrounding gender dysphoria, exploring how it often intersects with trauma, anxiety, and depression. Dr. Zywiec shares his perspective on the current medical landscape, particularly the challenges parents face in finding trustworthy doctors for their trans-identified youth.

We discuss the evolution of the "standard of care" in treating gender dysphoria, highlighting how it has shifted from a more holistic approach to one that prioritizes affirmation and fast-tracks medicalization without addressing underlying issues. Dr. Zywiec emphasizes the importance of both critical thinking and intuition in medicine and critiques the algorithmic nature of modern medical practices, which can lead to a lack of personalized care.

We also break down the concept of “medical necessity” and how it has been manipulated within the healthcare system, particularly in relation to insurance practices. I question whether “gender affirming” practitioners are in fact committing insurance fraud.

Dr. Zywiec graduated medical school in 2019 with Distinction in Research and the Research Commendation Award, then left hospital medicine in 2023 due to ethical objections to current vaccine practices as well as the pharmacological castration and surgical mutilation of children. Dr. Zywiec actively fought against COVID mandates and “gender affirming care” in minors, and is still involved in the fight against medical tyranny and censorship, working with healthcare professionals nationwide and leaders in both the Ohio and Michigan House of Representatives. Dr. Zywiec is active in pro-life advocacy, and cofounded Doctors Against Gender Affirming Care with Dr. Somil Viradia. If you are a doctor please sign their petition. Follow Dr. Zywiec on X @AndrewZywiecMD. Visit his website at ZywiecAndPorter.com.

Books mentioned in this episode:

• Turtles All The Way Down: Vaccine Science and Myth, by Zoey O’Toole and Mary Holland

View my complete list of book recommendations, including those written by authors who have been guests on this show, at https://sometherapist.com/bookshop.

As an Amazon affiliate, I earn a small commission from qualifying purchases made through affiliate links from my show notes or website. Thank you for purchases that support the show!

 00:00 Start

[00:00:10] Trauma response in gender dysphoria.

[00:05:20] Freedom in medical practice.

[00:08:37] Sick care model profit motives.

[00:12:20] Standard of care in medicine.

[00:16:21] Disconnect from critical thinking.

[00:20:42] Surgical methods for mental illness.

[00:21:47] Chest Dysphoria Rating Scale.

[00:26:48] Insurance fraud in therapy.

[00:30:23] Tribal practitioner licensing explained.

[00:33:18] Anti-system doctors in medicine.

[00:35:42] Vaccine opinions and polarization.

[00:39:12] Vaccine injury and immune response.

[00:45:14] Vaccine safety concerns.

[00:48:46] Fragile early weeks of life.

[00:52:15] World without vaccines health benefits.

[00:53:23] Handwashing reduces infectious diseases.

[00:58:50] COVID response and civil liberties.

[01:01:22] Vaccine shedding and its effects.

[01:06:49] Long COVID mechanisms discussed.

[01:10:02] Long COVID and vaccine injury.

[01:11:16] Chronic illnesses post-COVID.

[01:15:19] Biological basis of gender dysphoria.

[01:18:39] Social contagion and mental health.

[01:22:27] Endocrine disruption in young men.

[01:25:31] Medication withdrawal effects on women.

[01:30:41] Finding a trustworthy doctor.

[01:32:41] Empowering patients in health care.

ROGD REPAIR Course + Community for Parents is available now! Are you concerned about an adolescent or young adult with Rapid Onset Gender Dysphoria? Join at ROGDrepair.com and get instant access to over 100 lessons designed to equip you with the psychological insights and communication tools you need to get through to your kid. Use code SOMETHERAPIST2024 to take 50% off your first month.

TALK TO ME: book a discovery call.

LOCALS: Ask questions of me & guests; get early access to new episodes + exclusive content. Join my community.

SUPPORT THE SHOW: subscribe, like, comment, & share or donate.

EIGHTSLEEP: Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST.

ORGANIFI: Take 20% off Organifi with code SOMETHERAPIST.

Watch NO WAY BACK: The Reality of Gender-Affirming Care. Use code SOMETHERAPIST to take 20% off your order. Follow us on X @2022affirmation or Instagram at @affirmationgeneration. 

SHOW NOTES & transcript with help from SwellAI.

MUSIC: Thanks to Joey Pecoraro for our song, “Half Awake,” used with gratitude & permission.

PRODUCTION: Looking for your own podcast producer? Visit PodsByNick.com and mention my podcast for 20% off your initial services.

To support this show, please leave a rating & review on Apple, Spotify, or wherever you get your podcasts. Subscribe, like, comment & share via my YouTube channel. Or recommend this to a friend!

Learn more about Do No Harm.

Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST at EightSleep.com.

Take 20% off all superfood beverages with code SOMETHERAPIST at Organifi.

Check out my shop for book recommendations + wellness products.

Show notes & transcript provided with the help of SwellAI....

In this episode, I sit down with Dr. Jillian Spencer, a child and adolescent psychiatrist from Brisbane, Australia, who has found herself at the center of a heated debate surrounding so-called “gender-affirming care” for children. After raising concerns about the practices at her hospital's gender clinic, Jillian was suspended and is now embroiled in legal battles that could redefine workplace protections for those with gender-critical beliefs. What led her to take such a bold stand, and what are the implications for mental health care?

We explore the concepts in a not-yet-published paper Jillian recently co-authored with Dr. Roberto D’Angelo, analyzing the interpersonal dynamics between gender clinicians and their patients using psychodynamic theory. How do psychological dynamics such as repression, collusion, codependency, projection, and reaction formation play into relationships between distressed, vulnerable patients and the professionals who “affirm” them? And what are the risks involved in psychiatry’s shift away from psychodynamic thinking?

We analyze the alarming trend of fast-tracking youth with suicidal ideation to gender clinics and the dangerous message this sends to vulnerable adolescents, potentially incentivizing personality disordered behavior and risking permanently entrenching vulnerable people into problematic problems for life that they could have grown out of in adolescence if only provided with the proper support.

Jillian Spencer is a child and adolescent psychiatrist in Brisbane, Australia. In April 2023, she was stood down from her job at the Queensland Children’s Hospital for raising concerns about gender interventions for children. Since that time, she has spoken out in the Australian media about her concerns which has led to further allegations of breaching the employee Code of Conduct. She remains suspended from her job. Jillian has launched legal action claiming political discrimination in the workplace due to her belief in biological reality, that people can’t change sex, in the hope of achieving a Forstater decision in Australia. This court case will occur in early 2025. She is also awaiting an employment commission outcome as to whether she is officially a ‘whistleblower’. If so, this would help her to retain her hospital job. You can follow her on X @jilliantweeting

Note: I mentioned that an episode with James Esses would come out the week before Jillian’s. The timeline for the release of James’ episode has been pushed back a few weeks to allow him time to finish a project we hope to be able to announce with that episode. Be on the lookout for my conversation with James in November.

 00:00 Start

[00:02:39] Psychodynamic thinking in therapy.

[00:05:36] Gender clinic referral practices.

[00:09:39] Suicidality and gender clinic access.

[00:12:20] Trans identity and self-harm.

[00:16:04] Parent-Child Dynamics in “Trans” Care.

[00:19:07] Gender clinic assessment validity.

[00:23:15] Whistleblower protections in Queensland.

[00:27:22] Political discrimination and beliefs.

[00:30:49] Multidisciplinary care model critique.

[00:34:43] Psychodynamic perspective in treatment.

[00:37:49] Clinician influence on therapy dynamics.

[00:44:36] Projection and hate in therapy.

[00:46:11] Power dynamics in gender clinics.

[00:50:35] Psychological health and gender distress.

[00:53:11] The wounded healer archetype.

[00:56:32] Transgender identity and empathy.

[01:00:17] Gender non-conforming youth sexuality.

[01:04:16] Downfall of psychotherapy.

[01:08:03] Self-care and well-being tips.

ROGD REPAIR Course + Community for Parents is available now! Are you concerned about an adolescent or young adult with Rapid Onset Gender Dysphoria? Join at ROGDrepair.com and get instant access to over 100 lessons designed to equip you with the psychological insights and communication tools you need to get through to your kid. Use code SOMETHERAPIST2024 to take 50% off your first month.

TALK TO ME: book a discovery call. Find all other information about my consulting work at stephaniewinn.com and the podcast at sometherapist.com.

LOCALS: Ask questions of me & guests; get early access to new episodes + exclusive content. Join my community.

SUPPORT THE SHOW: subscribe, like, comment, & share or donate.

EIGHTSLEEP: Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST.

ORGANIFI: Take 20% off Organifi with code SOMETHERAPIST.

Watch NO WAY BACK: The Reality of Gender-Affirming Care. Use code SOMETHERAPIST to take 20% off your order. Follow us on X @2022affirmation or Instagram at @affirmationgeneration. 

SHOW NOTES & transcript with help from SwellAI.

MUSIC: Thanks to Joey Pecoraro for our song, “Half Awake,” used with gratitude & permission.

PRODUCTION: Looking for your own podcast producer? Visit PodsByNick.com and mention my podcast for 20% off your initial services.

To support this show, please leave a rating & review on Apple, Spotify, or wherever you get your podcasts. Subscribe, like, comment & share via my YouTube channel. Or recommend this to a friend!

Learn more about Do No Harm.

Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST at EightSleep.com.

Take 20% off all superfood beverages with code SOMETHERAPIST at Organifi.

Check out my shop for book recommendations + wellness products.

Show notes & transcript provided with the help of SwellAI.

Special thanks to Joey Pecoraro for our theme song, “Half Awake,” used with gratitude and permission.

Watch NO WAY BACK: The Reality of Gender-Affirming Care (our medical ethics documentary, formerly known as Affirmation Generation). Stream the film or purchase a DVD. Use code SOMETHERAPIST to take 20% off your order. Follow ...

In this episode, I sit down with Warren Smith, a passionate educator and critical thinker, who gained viral attention for his thought-provoking dialogue in which he used Socratic dialogue to question a student’s belief that “J.K. Rowling is transphobic.” We dive deep into the importance of teaching critical thinking skills in today's educational landscape, where echo chambers and social media often stifle independent thought. How can we encourage students to think for themselves amidst a flood of content and opinions?

Warren shares his experiences as a multimedia teacher, revealing the innovative ways he helps students become comfortable on camera and articulate their thoughts. But what happens when the very framework of education is challenged by administrative pressures and societal expectations? We explore the obstacles he faced in fostering a culture of open dialogue and critical inquiry.

As we discuss the implications of his viral video, Warren reflects on the repercussions it had on his career. Did he anticipate the fallout, and how did it change his teaching environment? We also touch on the broader cultural shifts in education and the challenges of navigating a landscape that often prioritizes conformity over creativity. What does the future hold for educators who dare to challenge the status quo? 

Warren also turns the tables and interviews me, offering me an opportunity to articulate how I built my podcast, how my thoughts on gender ideology have taken shape over the past several years, and where my attitude toward the mental health profession currently stands.

Warren Smith is the founder of the Secret Scholars on YouTube. He is a volunteer firefighter, teacher and critical thinker. 

 00:00 Start

[00:01:16] Teaching critical thinking skills.

[00:05:30] Critical thinking in education.

[00:10:45] Workplace culture and leadership changes.

[00:13:40] Teaching critical thinking challenges.

[00:18:35] Movie industry critical thinking challenges.

[00:21:00] Democratization of content creation.

[00:24:31] Podcasting and audience engagement.

[00:29:17] Gender critical perspectives and challenges.

[00:30:34] Gender identity in therapy settings.

[00:35:58] Detransitioners and their experiences.

[00:40:43] ROGD Repair course for parents.

[00:42:23] Gender identity and its implications.

[00:46:39] Trans identity and cultural change.

[00:50:15] Therapy's purpose and expectations.

[00:56:39] Defining mental health challenges.

[00:58:30] Social contagion and mental health.

[01:02:20] Identity and emotional attachment.

ROGD REPAIR Course + Community for Parents is available now! Are you concerned about an adolescent or young adult with Rapid Onset Gender Dysphoria? Join at ROGDrepair.com and get instant access to over 100 lessons designed to equip you with the psychological insights and communication tools you need to get through to your kid. Use code SOMETHERAPIST2024 to take 50% off your first month.

COZYEARTH: Visit CozyEarth.com/sometherapist and use code SOMETHERAPIST for 40% off their selection of bedding, towels, skincare and other cozy home items.

TALK TO ME: book a discovery call.

LOCALS: Ask questions of me & guests; get early access to new episodes + exclusive content. Join my community.

SUPPORT THE SHOW: subscribe, like, comment, & share or donate.

EIGHTSLEEP: Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST.

ORGANIFI: Take 20% off Organifi with code SOMETHERAPIST.

 COZYEARTH: Visit CozyEarth.com/sometherapist and use code SOMETHERAPIST for 40% off their selection of bedding, towels, skincare and other cozy home items.

Watch NO WAY BACK: The Reality of Gender-Affirming Care. Use code SOMETHERAPIST to take 20% off your order. Follow us on X @2022affirmation or Instagram at @affirmationgeneration. 

SHOW NOTES & transcript with help from SwellAI.

MUSIC: Thanks to Joey Pecoraro for our song, “Half Awake,” used with gratitude & permission.

PRODUCTION: Looking for your own podcast producer? Visit PodsByNick.com and mention my podcast for 20% off your initial services.

To support this show, please leave a rating & review on Apple, Spotify, or wherever you get your podcasts. Subscribe, like, comment & share via my YouTube channel. Or recommend this to a friend!

Learn more about Do No Harm.

Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST at EightSleep.com.

Take 20% off all superfood beverages with code SOMETHERAPIST at Organifi.

Check out my shop for book recommendations + wellness products.

Show notes & transcript provided with the help of SwellAI.

Special thanks to Joey Pecoraro for our theme song, “Half Awake,” used with gratitude and permission.

Watch NO WAY BACK: The Reality of Gender-Affirming Care (our medical ethics documentary, formerly known as Affirmation Generation). Stream the film or purchase a DVD. Use code SOMETHERAPIST to take 20% off your order. Follow us on X @2022affirmation or Instagram at @affirmationgeneration.

Have a question for me? Looking to go deeper and discuss these ideas with other listeners? Join my Locals community! Members get to ask questions I will respond to in exclusive, members-only livestreams, post questions for upcoming guests to answer, plus other perks TBD.