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PODCAST

Back from the Abyss: Psychiatry in Stories

Craig Heacock MD

How do we find a way out of the darkest depths of despair? Psychiatrist Dr. Craig Heacock hosts a deep dive into powerfully moving stories of hope and healing, as well as topical explorations of psychopharmacology, psychotherapy, and psychedelics.

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All Episodes

49:35

Love and Therapy-- A Conversation with Dr. Adele...

Back from the Abyss: Psychiatry in Stories ·

2023/11/03

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54:12

Holding on to hope-- Caring for adult children with...

Back from the Abyss: Psychiatry in Stories ·

2023/10/20

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38:14

What will happen when we're gone? Caring for adult...

Back from the Abyss: Psychiatry in Stories ·

2023/10/06

One of the tragic truths of psychiatry is that the sickest patients more often than not either don’t realize they are ill, or are convinced that treatment will do nothing. No group of patients better exemplifies this than those with schizophrenia and other psychotic illnesses. A common presentation in Dr. H's office is an older adolescent or young adult, often male, who is descending into psychosis and also completely unaware of the illness or need for treatment. Meanwhile, the parents are

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64:37

Psychedelic Psychiatry-- The Swiss Model

Back from the Abyss: Psychiatry in Stories ·

2023/09/22

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47:36

When THC turns on you-- Cannabis, THC concentrates,...

Back from the Abyss: Psychiatry in Stories ·

2023/09/09

Dr. H's patient Lindsey shares her story of self-medicating her anxiety and depression with cannabis, then steadily building tolerance and moving on to THC concentrates. This led to full-blown dependence and a spiral downward into daily bouts of terrible nausea, near constant panic, and emerging hopelessness.BFTA on Instagram. @backfromtheabysspodcasthttps://www.instagram.com/backfromtheabysspodcast/BFTA/ Dr. Hhttps://www.craigheacockmd.com/podcast-page/

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77:50

Healing the Wounds of Sexual and Spiritual Abuse

Back from the Abyss: Psychiatry in Stories ·

2023/08/27

In this season 5 opener, Craig sits down with Shelly Winemiller, a Colorado-based trauma therapist, to witness her powerful story of reclaiming her body and spirit from the nightmare of clergy sexual abuse.Shelly Winemillerhttp://www.oasisforhealing.com/meet-shellyBFTA/ Dr. Hhttps://www.craigheacockmd.com/podcast-page/

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56:10

BFTA Summer Special at Psychedelic Science 2023 with...

Back from the Abyss: Psychiatry in Stories ·

2023/06/26

Craig sits down with Dr. Hillary McBride, a psychologist, researcher, author, and podcast host (Other People's Problems) to explore all things psychedelic.Dr. Hillary McBridehttps://hillarylmcbride.com/Roots to Thrive-- a model of ketamine group therapy used by Hillary at Katalyst https://rootstothrive.com/Hillary's ketamine groups at Katalysthttps://www.katalystmentalhealth.com/Psychedelic Ceremony and the Art of Groups with Dori

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57:16

Chris and Craig in Fishbowl #4

Back from the Abyss: Psychiatry in Stories ·

2023/05/17

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51:50

Brothers across the divide: Treatment-resistant...

Back from the Abyss: Psychiatry in Stories ·

2023/05/04

In this final story of season 4, Craig speaks with Wayne, a longtime patient of his who has battled treatment resistant depression and crippling anxiety for many years. Wayne's story highlights a few crucial things— the fact that sometimes you can do everything right, do all the self-care things, yet still be waylaid by the crushing dark force of depression…this story also illustrates the power of the therapeutic relationship, and the fact that two people can deeply respect and care for each

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41:57

The 10 Best Psychiatric Medications

Back from the Abyss: Psychiatry in Stories ·

2023/04/20

Can you treat >95% of all patients with mood, anxiety, and psychotic disorders with just ten meds? Dr. H says YES.Here he posits his top ten, based on efficacy, safety, tolerability, and cost.BFTA on Instagram. @backfromtheabysspodcasthttps://www.instagram.com/backfromtheabysspodcast/BFTA/ Dr. Hhttps://www.craigheacockmd.com/podcast-page/

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80:23

A bridge between the Western and Indigenous ways— ...

Back from the Abyss: Psychiatry in Stories ·

2023/04/06

Craig sits down with Ana, a Mexican medicine woman, or curandera. Ana shares a unique perspective and an earned wisdom that is particularly relevant today as we enter a veritable renaissance of plant medicines and psychedelics, while also trying to avoid the rampant mistakes and misuses of the past.Ana works with various medicines, including one that was mentioned in the “The Dark Side of Psychedelics” episode— that would be Bufo, also known as 5-MeO, or 5-methoxy-DMT. In contrast with that

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82:21

Psychedelic Assisted Therapy: Ketamine vs MDMA vs...

Back from the Abyss: Psychiatry in Stories ·

2023/03/23

Dr. H explores how to think about psychedelic assisted therapy with ketamine, MDMA, and psilocybin in terms of patient selection, ideal indications, psychiatric diagnosis, trauma history, medical comorbidities, medication interactions, cautions, and contraindications. This episode comes from a recent interview that Dr. H did on the podcast The Testing Psychologist."The Unwell Doctor" episode on the podcast The

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84:11

What's the deal with Psychiatry? What's hopeful,...

Back from the Abyss: Psychiatry in Stories ·

2023/03/09

Dr. H sits down with Dr. Will Van Derveer of the Integrative Psychiatry Institute and Higher Practice podcast in a wide-ranging exploration of what's good (and not so good) in current psychiatric practice.They explore topics including: •Problems with diagnostic nosology•Depression as a spiritual problem or a symptom of disconnection•Integrative psychiatry and how this differs from standard psychiatry•Getting at root causes of psychiatric illness•The role of psychotherapy in good psychiatry

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72:17

Trauma in the Transference—Repairing the therapeutic...

Back from the Abyss: Psychiatry in Stories ·

2023/02/23

The magic of psychotherapy is that it brings forth transference— the patient’s most important and formative relationships, typically with early caregivers, are unconsciously re-enacted in the therapy room. And this transference necessarily creates countertransference, the therapist’s unconscious reactions to the transference. Alexandria came to Dr. H originally due to her severe harm OCD. But over time, it became clear to him, and eventually to her, that she was increasingly, and unconsciously,

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43:48

The lives I didn’t get to live- Shame, psychedelics,...

Back from the Abyss: Psychiatry in Stories ·

2023/02/09

Thirty years ago, a 10 year old boy was found stabbed to death in a park…the same park where 18 year old Stephanie and three young men were seen riding bikes the night before. Stephanie and the others were repeatedly questioned, they became the prime suspects…..yet they, nor anyone, was ever charged for the murder. It remains unsolved to this day.This is the story how how one event can alter the course of your life, how so many possibilities for the future can disappear overnight….this is a story of

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61:38

Thinking Through Emotions— DBT Part 2

Back from the Abyss: Psychiatry in Stories ·

2023/01/26

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68:16

DBT, Self-Harm, and Suicidality with Dr. Kelly...

Back from the Abyss: Psychiatry in Stories ·

2023/01/12

Here Dr. H sits down with Dr. Kelly Sonnenfeld, a psychologist and DBT expert, in this first of a two part look at dialectical behavior therapy, or DBT. This episode is a primer on DBT-- what DBT is, how it works, and how it fits into the landscape of therapy options. Part Two explores Daniel’s story of how DBT helped him recover from a terrible period of psychiatric suffering.DBT is best known for successfully treating self-harm and suicidality, particularly in the context of complex PTSD and

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16:34

Why psychiatric illness strikes young (and what to do...

Back from the Abyss: Psychiatry in Stories ·

2022/12/29

Most medical illnesses appear later in life, as organ systems fail and the decades of wear and tear eventually erode the body's innate homeostatic mechanisms. Psychiatric illness, however, is profoundly different. Here Dr. H explores six central reasons why serious psychiatric illness tends to appear in mid to late adolescence.These factors include:•Leaving the tribe•Contagion and heightened peer influence•Early existential life crises•Developmental brain changes•Sleep deprivation and sleep

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71:00

Psilocybin comes to Colorado

Back from the Abyss: Psychiatry in Stories ·

2022/12/15

Last month marked a fairly momentous occasion in Colorado, the statewide passage of Proposition 122, the Natural Medicines Health Act. Coloradoans voted, by a tally of 53 to 47%, to approve both the decriminalization of psilocybin, DMT, ibogaine, and mescaline, along with the medicalization of psilocybin, with the possibility of a medicalization pathway for the others in 2026. This is a landmark, tipping point kind of social change, and one that triggers a huge number of hopes, concerns, and

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64:47

The way out of psychosis-- Psychopharmacology as magic

Back from the Abyss: Psychiatry in Stories ·

2022/12/01

Psychiatric meds so often get demonized in the media, including the podcast world, and while psych meds are far from perfect and often cause problematic side effects, they also literally save people’s lives every single day.Steve grew up as the youngest of four, a happy boy in a happy family, a “golden” childhood as he describes it….until everything fell apart. Within a period of just a few years, he lost his father and both his beloved older brothers, all while still a young teenager, leaving him

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