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Dear Sigmund
J.P Shand, MD & Shannon Miller, LCSW
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Listen in as JP Shand, MD and Shannon Miller, LCSW normalize mental health as part of every day conversation. They answer your questions about mental health, therapy, psychiatry and life in general.
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Health & Fitness
Health & Fitness
Society & Culture
Society & Culture
Mental Health
Mental Health
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Aug 6 2021
#17: Eat This Magic Cracker And You'll Be Saved
Oh Covid, I cannot wait until you are not raising global anxieties and spawning more conspiracy theories than I can count. But until then, JP and I will try to help you navigate being around people who have a lot of anxiety about Covid or believe it's all a conspiracy. We also discuss the emotional load of moving aging parents into an assisted living facility and what to do when a religious zealot imposes his beliefs on anyone close to him.
Episodes
Aug 6 2021
#17: Eat This Magic Cracker And You'll Be Saved
Oh Covid, I cannot wait until you are not raising global anxieties and spawning more conspiracy theories than I can count. But until then, JP and I will try to help you navigate being around people who have a lot of anxiety about Covid or believe it's all a conspiracy. We also discuss the emotional load of moving aging parents into an assisted living facility and what to do when a religious zealot imposes his beliefs on anyone close to him.
Jul 29 2021
16: I'm Not Looking to Pathologize Everyone
Today we explore the differences between calling someone a narcissist and being clinically diagnosed as a narcissist. Then, we explain the concept of orthorexia and debate whether or not eating a forkful of cat food is pica, OCD, or something else.
Jul 13 2021
#15: Going Rogue Drugging A Demented Grandparent
This week's discussion is centered around supporting vs. reality checking a relative with an unplanned pregnancy, would CBD be ok for an aging parent who's sundowning behaviors are stressful and processing what it's like to leave a cult and the damage to the family relationship.
Jul 7 2021
#14: Like A Teacher In The Grocery Store
It's quite an episode! JP and I share what it's like to be fired by a client, talk about how to handle being around other people's babies while struggling with your own infertility, explain the relationship between obsession and compulsion necessary to be diagnosed with OCD and address a listener's concern about knowing too much about their therapist.
Jun 30 2021
#13: Ritalin: Mommy's Little Helper
Starting off with polar opposite answers, Shannon explains why she loves her clients and JP counters with the ethical dilemma it creates for him. Then we discuss the impact "ghosting" has and should have on dating app users. Finally, JP tells us why his "heart sinks and head explodes" when therapists, not medical doctors, tell clients what medications they should be taking.
Jun 23 2021
#12 Boundaries with the Man Child, Obstetric Violence, & Just the Right Amount of Emotion
This week we dive right into your questions! JP and I remind a listener that the infantilization of her brother is not her problem & we talk to another listener about how to protect her children from her own past trauma. Finally, we disagree on what's an appropriate amount of emotion to bring into a relationship.
Jun 16 2021
#11 Circling The Drain Ad Infinitum
In this episode, JP and I tackle the age old question of how much drinking is too much before moving on to the topic of the microbiome's relationship to mental health and finishing with instructions on how to enforce boundaries with a pushy girlfriend.
May 26 2021
#10 Happy Skinny Sexy Pill
This week talk a lot about antidepressants; which one is known as the "Happy Skinny Sexy Pill," what combination of medications is called "California Rocket Fuel," and what to do if you gain weight. Then, JP drops some knowledge on us about the relationship between inflammation and depression. And we finish up with chatting about that attention-seeking FB friend we all have in our feed.
May 19 2021
#9 Emotional Support Peacock
We're giving away information about how to disclose your mental health in the workplace, if the big online therapy companies deliver on their promises, and how to accept your ailing parents' autonomy. We also go on an intense tangent about assisted suicide.
May 12 2021
#8: I Got the Power!
Learn with us how to manage the wannabe workplace bully, where your post Covid anxieties are coming from and how conspiracy theories gain traction and with whom.
May 5 2021
#7 Don't Make Promises To Your Emotions That You Can't Keep
Learn what happens to your neurons when you quit benzos or alcohol cold turkey, explore the relationship between alcohol and depression, figure out when it's time to choose a therapist over friends, how to negotiate with your feelings, and explore what multiple personalities really are.
Apr 28 2021
#6 It's Not Always PTSD
In this episode we explore the difference between overusing the word "PTSD" and actually meeting the pathological thresholds for PTSD, how Borderline Personality Disorder (BPD) is underdiagnosed and over stigmatized, the medical terms for different breast shapes, and deconstruct the emotional experience when moving to a new place.
Apr 21 2021
#5: Sometimes You Have to White Knuckle It
JP starts us off with a bit of insight about the experience of inpatient psychiatric treatment before we answer your questions about postpartum depression, how to enforce boundaries after recieving an inheritance, Covid anger, and how to work with anxiety stemming from a military experience.
Apr 14 2021
#4 What's In A Diagnosis?
Learn how mental health professionals diagnose people, who can appropriately give a diagnosis for ADHD and the role of accepting a diagnosis as part of your treatment plan.
Apr 7 2021
#3 Yoga Isn't Fixing All of My Problems
This week's topics: My husband is an extrovert. I'm an introvert. Help!Childhood trauma taught me to fear the act of falling asleep.I want to get away from my bipolar sister
Mar 31 2021
#2 Acting Crazy
Today we get into what Shannon considers to be the most worrisome type of client, what happens when you have too much or too little dopamine on the brain, and how a UTI can cause delirium.
Mar 24 2021
#1 Flights of Fantasy
This week we get answers about the difference between bipolar and unipolar depression & how to tell a narcissist they’re narcissistic. Plus, JP reveals just how little psychiatry actually knows about how the brain works.
