Dr. Mohamed Ali Rafai on Surviving Syria, Being Found Not Guilty on All Counts episode artwork

EPISODE · Apr 15, 2026 · 31 MIN

Dr. Mohamed Ali Rafai on Surviving Syria, Being Found Not Guilty on All Counts

from Trustcasting Podcast · host Zane Myers

What happens when a physician who survived machine gun fire at age eight in Aleppo, developed thyroid disease from Chernobyl fallout at fourteen, pioneered ketamine treatment and emergency telepsychiatry before most doctors had heard of either, and then watched the federal government indict him on four counts of health care fraud facing forty years in prison — only to have a jury deliberate for two hours and come back not guilty on every single charge? In this episode of the Trustcast Show, Zane Myers speaks with Dr. Mohamed Ali Rafai, psychiatrist, researcher, and author of the number one Amazon bestseller Doctor Not Guilty, about what it felt like to visit Otisville Federal Prison three weeks before his trial just to make peace with where he thought he might be going, why the government targeted him as an outlier for doing telepsychiatry between 2006 and 2020 when no one else was doing it, and what the prosecution got fundamentally wrong about how psychiatry actually works. He explains how he helped establish the first emergency telepsychiatry program in the United States in 2006 connecting three emergency rooms with $5 million in equipment that a CEO was brave enough to fund, why that same infrastructure became a model for tele-ICU during COVID, and what the jury understood that the government never did — that psychiatry is talking to people, not just writing prescriptions. They also discuss the ketamine clinical trials he ran at NIH before esketamine became a nasal spray approved for depression, the first published report linking hepatitis C to psychiatric illness, what psychosomatic medicine actually is, the SHIELD organization he founded to help other doctors facing prosecution, and why his wife's best piece of advice — never talk to the police — may have saved his life. Dr. Mohamed Ali Rafai is a board-certified physician in internal medicine, psychiatry, addiction medicine, and psychosomatic medicine. He is the founder of Blue Mountain Psychiatry, the creator of SHIELD, and the author of Doctor Not Guilty. Connect with Dr. Rafai: doctornotguilty.com alirafai.com shield.expert Book: Doctor Not Guilty on Amazon and Barnes & Noble Chapters 00:00 Introduction to Dr. Mohamed Ali Rafai 00:41 Doctor Not Guilty hits number one on Amazon in mental health and health law 01:25 Watching soldiers open fire on a school bus in Aleppo at age eight 02:09 Developing thyroid disease from Chernobyl fallout and the endocrinologist who helped write the Nuclear Test Ban Treaty 04:18 Coming to Memphis, researching at the University of Tennessee, and choosing psychiatry over a PhD 05:32 Board certified in four specialties — including psychosomatic medicine explained 06:42 The brain-body connection and why mental health manifests as physical illness 06:49 NIH ketamine clinical trials — what they saw and what it became 08:37 How ketamine became Spravato, now approved for depression and suicidal ideation 09:01 Publishing the first report linking hepatitis C to psychiatric illness 09:53 Building Blue Mountain Psychiatry and establishing the first ketamine and deep TMS programs in Pennsylvania 10:58 Founding the first emergency telepsychiatry program in the United States in 2006 12:14 How that same infrastructure became the model for tele-ICU during COVID 14:11 The federal indictment — four charges, forty years, and why he was targeted as an outlier 15:34 The government's version versus the reality of how telepsychiatry actually works 19:57 The nursing home patient with suicidal thoughts — what the prosecution argued and why the jury rejected it 20:54 Visiting Otisville Federal Prison three weeks before trial to make peace with the outcome 21:00 The verdict — two hours of deliberation, not guilty on all counts 23:06 Rapid fire — Arabic dreams, grape leaves, TMS over ketamine, and never talk to the police 24:32 Why the best advice his wife ever gave him saved his case 26:32 SHIELD — helping physicians facing federal investigation before the train reaches station C 28:03 The OBGYN case where the government construed legitimate procedures as rape 28:10 What needs to change in how the federal government investigates physicians 29:20 Fighting to expunge an arrest record despite a not guilty verdict 30:14 Where to find the book, Blue Mountain Psychiatry, and SHIELD #MohamedAliRafai #DoctorNotGuilty #Telepsychiatry #HealthcareFraud #NotGuilty #Ketamine #TMS #TrustcastShow #PhysicianRights #SHIELD

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Dr. Mohamed Ali Rafai on Surviving Syria, Being Found Not Guilty on All Counts

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What happens when a physician who survived machine gun fire at age eight in Aleppo, developed thyroid disease from Chernobyl fallout at fourteen, pioneered ketamine treatment and emergency telepsychiatry before most doctors had heard of either, and...

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