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Inside Mental Health

Inside Mental Health

By: Healthline Media
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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. Listen now and share widely.Copyright 2015-2026 Healthline Media. All rights reserved. Hygiene & Healthy Living Psychology Psychology & Mental Health Social Sciences
Episodes
  • Emetophobia: Understanding the Fear of Vomiting

    Emetophobia: Understanding the Fear of Vomiting
    Jun 25 2026
    No one likes to throw up. But for some, the mere thought of vomiting is a Level 12 emergency that halts life in its tracks. Imagine avoiding bars, concerts, and even the grocery store because a stranger might look "pale." This is the reality of emetophobia—a debilitating fear of vomiting that often hides in the shadows of more common diagnoses like anxiety or eating disorders. In this episode, we peel back the layers of this misunderstood condition with ADAA member expert Ken Goodman, LCSW, and emetophobia sufferer Lorraine Leal. Ken breaks down why emetophobia is far more than a gross-out reaction; it is a complex anxiety disorder that forces sufferers to construct elaborate safety behaviors just to survive the day. Lorraine shares her raw, personal journey of living with a fear so intense she would rather die than vomit. She details the isolation of being labeled a bad friend for avoiding germ-filled social spaces and the crushing guilt of feeling like a burden on her family. Listener Takeaways Understanding that for many, the fear of others getting sick is just as paralyzing Learn how safety behaviors can actually fuel the phobia instead of preventing the danger Recognize why emetophobia is frequently mistaken for other disorders Learn what type of therapist to seek out to treat this unique disorder Tune in to dive into the overlap between emetophobia and OCD, the safety behaviors that keep sufferers trapped, and a surprising look at why treatment doesn't actually involve being forced to vomit. This episode has been sponsored by the Anxiety and Depression Association of America (ADAA). "Some people would rather die than vomit, and that is something that most onlookers don't see." ~Lorraine Leal, Emetophobia Survivor Our guest, Lorraine Leal, is 42 and a lifelong emetophobia sufferer. Lorraine is from Long Island where she enjoys performing in local musical theater productions, nail art, and reading. Our guest, Ken Goodman, LCSW, specializes in the treatment of anxiety disorders and OCD. He is on the board of directors for the Anxiety and Depression Association of America and is Founding Director of QuietMindSolutions.com. He has authored and produced several self-help courses and books including “The Anxiety Solution Series,” a 12-hour audio course, “Break Free from Anxiety,” a coloring self-help book, and “The Health Anxiety Handbook.” He also wrote the top selling book on emetophobia, “The Emetophobia Manual,” and produced a pre-recorded emetophobia course. He lectures at universities and organizations across the country. He earned his bachelor’s and master’s degrees from UCLA and operates his online private practice in Los Angeles. 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 is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. 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
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    28 mins
  • Borderline Personality Disorder (BPD): A New Treatment Beyond DBT

    Borderline Personality Disorder (BPD): A New Treatment Beyond DBT
    Jun 18 2026
    While many people have heard of Dialectical Behavior Therapy (DBT) fewer know about Mentalization-Based Treatment (MBT), an evidence-based therapy that is producing remarkable results for people living with Borderline Personality Disorder (BPD). In this episode, host Gabe Howard sits down with Robert P. Drozek, LICSW, a teaching associate in psychiatry at Harvard Medical School and author of “Mentalization: Utilizing Reflection to Heal from Borderline Personality Disorder.” Together, they explore how mentalization—the ability to understand your own thoughts, feelings, and motivations while considering the perspectives of others—can help reduce the emotional instability, relationship challenges, impulsivity, and self-destructive behaviors often associated with borderline personality disorder. Robert explains what happens when intense emotions or fears of rejection disrupt a person's ability to accurately interpret themselves and others. He breaks down how Mentalization-Based Treatment works, what a typical therapy session looks like, and why some people who haven't connected with DBT may find MBT to be a powerful alternative. Listeners Will Learn: · Discover how Mentalization-Based Treatment (MBT) was developed and why it is evidence-based · Explore the key differences between MBT and Dialectical Behavior Therapy (DBT) · Find out what happens during a typical MBT therapy session · Understand how rigid certainty about yourself or others can fuel emotional suffering Whether you've been diagnosed with borderline personality disorder, love someone who has, or simply want to better understand this treatable mental health condition, this conversation offers hope, practical insights, and a fresh perspective on recovery. Listen now! “When (people with borderline personality disorder) are overwhelmed by emotion, they stop reflecting. Mentalization helps them get their minds back online.” ~Robert P. Drozek, LICSW Robert P. Drozek, LICSW, is the clinical director of the Mentalization-Based Treatment Clinic at McLean Hospital in Belmont, Massachusetts. He is a teaching associate in the Department of Psychiatry at Harvard Medical School, specializing in the treatment of borderline personality disorder, narcissistic personality disorder, and post-traumatic stress disorder. He is author of the new book, Mentalization: Utilizing reflection to heal from borderline personality disorder—the first book for the general public about mentalization-based treatment. 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 is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. 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
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    27 mins
  • Want to Be a Mental Health Worker? Realities of the Front Lines

    Want to Be a Mental Health Worker? Realities of the Front Lines
    Jun 11 2026
    Think working in mental health is just sitting and listening? The reality is a chaotic, high volume front line where workers face severe psychological crises every single day. In this episode, our host sits down with the author of “So You Want To Work in Mental Health?: The Good, the Bad, and the Unforgettable,” Cliffard Mayo, MBA, LAC, to pull back the curtain on what really happens behind closed doors for many mental health workers. Listeners will learn: Mental health workers are trained not to internalize a client's failures, and therefore often refuse to take credit for their successes. Nonclinical staff absorb crisis trauma but are often denied essential training and support. Empathy fatigue is where clients begin to feel like a rotation of numbers rather than people. Training vs. Reality: Academia teaches how to run a controlled, one-on-one clinical session, but often fails to prepare graduates for the volume, chaos, and emotional exhaustion of the actual field. Whether you are a professional working in healthcare or someone determined to understand the current, raw state of mental health advocacy, this conversation delivers the essential insights and perspectives you need. Hit play to uncover the unspoken truths of caregiving and learn how we can preserve the people who spend their lives saving others. "School prepared me to be a therapist in a session [...] It didn't prepare me for handling the sheer volume of vicarious trauma, chaos, exhaustion." — Cliffard Mayo, author of “So You Want to Work in Mental Health?” Our guest, Cliffard Mayo, MBA, LAC, is an award‑winning author and behavioral health professional with a decade of direct care experience, including crisis intervention and residential therapy. Known for his authenticity and emotional intelligence, Cliffard blends professional expertise with deeply human storytelling to challenge stigma and inspire resilience. 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 is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. 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. Please share the show with everyone you know! Thank you! Learn more about your ad choices. Visit megaphone.fm/adchoices
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    21 mins
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