पॉडकास्ट//Back from the Abyss: Psychiatry in Stories
Back from the Abyss: Psychiatry in Stories

Back from the Abyss: Psychiatry in Stories

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There is a growing awareness in psychiatry that not all psychiatric illness is psychiatric— some percentage of what presents in psychiatric settings is actually triggered by autoimmune responses to various pathogens and insults. In the late '90s a syndrome called PANDAS (pediatric autoimmune neuropsychiatric disorders associated with strep) came on the scene with cases of sudden onset OCD and tics that appeared in conjunction with strep infections. The theory behind PANDAS was that part...
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एपिसोड25
Season 7 Wrap-up...plus a farewell and a big change coming for BFTA

Season 7 Wrap-up...plus a farewell and a big change coming for BFTA

May 15, 2026·10:49

10:49

After seven years and so many powerful stories, Craig announces a tectonic shift in the BFTA plates. Support the show! Closing song-- "Come and go" by Timber Choir Bringing Therapy into Med Management-- An intensive...

Complex PTSD vs Classic PTSD-- Healing medical trauma with MDMA assisted therapy

Complex PTSD vs Classic PTSD-- Healing medical trauma with MDMA assisted therapy

May 1, 2026·1:00:02

1:00:02

Amidst a long catalog of previous BFTA stories featuring complex or developmental PTSD, today’s story is one of classic DSM-style PTSD, it’s a story of both medical and parenting trauma, of facing the fear of...

The Hidden Minefield of Positive Countertransference

The Hidden Minefield of Positive Countertransference

Apr 17, 2026·14:02

14:02

In this solo episode Dr. H shares his thoughts on the unexpected risks of feeling too much positive energy and/or identification with a patient. This talk is also a sneak preview into the workshop that Dr. H teaches...

The gasoline and the match— Bipolar disorder, THC, and manic activation

The gasoline and the match— Bipolar disorder, THC, and manic activation

Apr 3, 2026·49:06

49:06

Today’s story is one of genetic predisposition, environmental triggers, and finally a psychiatric flame thrower. Whitney’s uncle had a particularly severe form of bipolar disorder and she too began to develop mood...

How can we actually prevent suicide? Guns, access to means,  and the hope of  Donna's Law

How can we actually prevent suicide? Guns, access to means, and the hope of Donna's Law

Mar 20, 2026·1:01:10

1:01:10

The US has a major suicide problem, around 50,000 people every year, and 60% of these suicides are gun suicides. The number one risk factor for completed suicide is not depression or anxiety or addiction….it’s access to...

A somatic therapist and her apprenticeship of grief

A somatic therapist and her apprenticeship of grief

Mar 6, 2026·1:04:50

1:04:50

Today’s story explores how we love, how we grieve, and how we eventually find some sort of equilibrium thereafter. This episode is a heartbreaking, yet beautiful story by Colorado-based somatic therapist Darci Meyers...

A gift of therapy-   Discovering the wisdom of the body with psychedelic-assisted therapy

A gift of therapy- Discovering the wisdom of the body with psychedelic-assisted therapy

Feb 20, 2026·47:52

47:52

Kari reconnected with her birth mother in her 40s and finally began to understand the suffering for which she had no words. This is a story of adoption and reunification, of forgetting and remembering, of finding a...

A Nurse + Grief + Alcohol + Adderall— Finding Hope for Healers

A Nurse + Grief + Alcohol + Adderall— Finding Hope for Healers

Feb 6, 2026·1:04:48

1:04:48

Kate started her addiction journey at a young age, using substances as a salve for her terrible grief. Later, drugs and alcohol helped her to cope with the transition to nursing and the unending demands of a hospital...

The Scary Med List--  A Case Consultation with Dr. H

The Scary Med List-- A Case Consultation with Dr. H

Jan 23, 2026·22:57

22:57

Dr. H dives deep into a patient's scary, confusing, and ill-advised list of psych meds to illustrate some deeper truths and lessons about psychopharmacology and the med management model of psychiatry. Support the show!...

Transcranial Magnetic Stimulation, Ketamine, and Psychiatry 3.0

Transcranial Magnetic Stimulation, Ketamine, and Psychiatry 3.0

Jan 9, 2026·1:11:12

1:11:12

Dr. H sits down with Dr. Elizabeth Fenstermacher, Medical Director of the TMS Clinic at the University of Colorado- Anschutz to explore the growing role of TMS and neuromodulation in psychiatry. They explore questions...

When psychiatric illness isn't just psychiatric--  The immune system, PANS, and psychiatric mimicry

When psychiatric illness isn't just psychiatric-- The immune system, PANS, and psychiatric mimicry

Dec 26, 2025·

There is a growing awareness in psychiatry that not all psychiatric illness is psychiatric— some percentage of what presents in psychiatric settings is actually triggered by autoimmune responses to various pathogens and...

10 Questions to Deepen Psychotherapy-- Inviting the Here and Now

10 Questions to Deepen Psychotherapy-- Inviting the Here and Now

Dec 12, 2025·

Psychotherapy can often get stuck in a there and then storytelling mode....how do we shift the therapeutic encounter into the immediacy of the Here and Now? Here Dr. H shares 10 questions which shine a spotlight on...

Is DID real? Parts, alters, exiles, and what's allowed in the therapeutic space

Is DID real? Parts, alters, exiles, and what's allowed in the therapeutic space

Nov 28, 2025·

Dr. H sits down with Jade Miller, a peer support specialist and advocate for public education about DID (Dissociative Identity Disorder). In the first part of this episode, Jade shares her story and how she came to...

Parenting through the storm-- Adoption, trauma, acceptance, and humility

Parenting through the storm-- Adoption, trauma, acceptance, and humility

Nov 14, 2025·

BFTA storyteller Frank shares the joy, confusion, chaos, utter fear, and deepest gratitude when he and his partner Brad adopted and raised two boys, ages 4 and 2, from the foster care system. Twenty years ago, when...

When our minds forget our bodies remember-- A trauma therapist comes back to life

When our minds forget our bodies remember-- A trauma therapist comes back to life

Oct 31, 2025·

Rachael, a trauma therapist and today's storyteller, describes how her early childhood abuse was buried by the protective mechanism of dissociative amnesia. As Rachael wrote to Dr. H, “The only way I could continue to...

Treatment-resistant bipolar disorder--  Finding stability at last

Treatment-resistant bipolar disorder-- Finding stability at last

Oct 17, 2025·

This story is a mirror to Elizabeth’s story from season 1 episode 1. Today’s storyteller Sarah was so moved by Elizabeth’s story that it helped her to trust Dr. H's recommendation to take a pretty scary medication, the...

Hiding in plain sight-- Life, work, and therapy on the autistic spectrum

Hiding in plain sight-- Life, work, and therapy on the autistic spectrum

Oct 3, 2025·

In today’s story we explore what it’s like to be on the autistic spectrum, and more specifically, how a later life diagnosis can totally change the way you view the world and yourself. Aurelie, our storyteller today...

Trapped in secrecy and shame-- A boy, his coach, and healing trauma with MDMA

Trapped in secrecy and shame-- A boy, his coach, and healing trauma with MDMA

Sep 19, 2025·

How do you rebuild trust amidst the ashes of trauma? This is the story of Sean, an up and coming star tennis player whose coach carefully selected him and then groomed him for years of sexual assault. His trust...

BFTA Summer Special-- The Wisdom of the Psychedelic Therapy Underground

BFTA Summer Special-- The Wisdom of the Psychedelic Therapy Underground

Aug 14, 2025·

In this fourth annual summer psychedelic special, Dr. H sits down to hear some hard-earned wisdom from a therapist colleague who has been doing underground MDMA and psilocybin work for years. Support the show! "I Love...

Chris, Craig, and Special Guest Fish in Fishbowl 6

Chris, Craig, and Special Guest Fish in Fishbowl 6

Jun 6, 2025·

Chris and Craig invite Antonio Sacre, an LA-based professional storyteller, author, and BFTA super-advisor into the Fishbowl to deconstruct season 6. BFTA episode recommendations/Podcast page "I Love You, I Hate You...

Psychiatric Nurse Practitioners in the Treatment Landscape

Psychiatric Nurse Practitioners in the Treatment Landscape

May 23, 2025·

Craig sits down with his mentee and colleague Mandy Bliss, a psychiatric NP in Louisville KY, to explore the compelling and complex challenges of meeting the ever-expanding need for psychiatric care. Unlike in...

The Enneagram in the Therapeutic Relationship

The Enneagram in the Therapeutic Relationship

May 9, 2025·

Craig sits down with Colorado-based psychotherapist and Enneagram expert Joy Gribble (Elemental Psychedelics; Reflective Healing) to explore how the Enneagram can predict the strengths, fears, and blind spots of both...

Meds can't fill the trauma hole-- Attachment, maternal wounding, and the challenges of coming off meds

Meds can't fill the trauma hole-- Attachment, maternal wounding, and the challenges of coming off meds

Apr 25, 2025·

Here Dr. H sits down with Lisa, a pediatric nurse practitioner, to witness her story of developmental trauma, concomitant chronic depression, and eventually her path of healing and rebuilding trust and connection...

Desperately seeking safety -- A trauma healing journey with Koelle Simpson

Desperately seeking safety -- A trauma healing journey with Koelle Simpson

Apr 11, 2025·

Craig sits down with Colorado-based equine and somatic therapist Koelle Simpson to witness her harrowing and moving story of healing from repeated sexual assaults through a deep psychospiritual connection with horses...

The Art of Deprescribing

The Art of Deprescribing

Mar 28, 2025·

Dr. H breaks down the complex task of deprescribing into six clear steps, starting with the most important and challenging question of all: Who is the patient and why are they suffering? "Bringing Therapy into Med...

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