PODCAST · health
Dead Inside & Board Certified
by mskinnerq
Welcome to Dead Inside and Board Certified.In our first episode, we introduce who we are, how we ended up in psychiatry, and why we decided to start this podcast in the first place.We talk about the realities of working in mental health that nobody prepares you for — the burnout, the dark humor, the moral injury, and the moments that quietly change you forever.We also unpack the meaning behind our name, the “Occult” vibe, and our mission: pulling back the curtain on what psych really looks like behind closed doors.This isn’t therapy talk or toxic positivity.It’s the truth about what it costs to care for people in crisis — and why we keep showing up anyway.If you’ve ever wondered what actually happens behind the psych scenes… this is where we start.
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Episode 16: Why Pride Matters
Happy Pride Month. In this episode of Dead Inside & Board Certified, Morgan sits down with the owner of FemmeCare for an honest conversation about Pride, mental health, healthcare, and the importance of creating spaces where people feel safe to be themselves. Too often, conversations about LGBTQ+ issues become reduced to politics, headlines, and social media debates. But behind those conversations are real people navigating relationships, family dynamics, healthcare systems, identity, and mental wellness. Together, we explore why Pride still matters, the unique mental health challenges faced by LGBTQ+ individuals, and how stigma, rejection, discrimination, and minority stress can impact emotional well-being. We also discuss what affirming healthcare actually looks like, common mistakes providers make, and practical ways clinicians can create safer, more welcoming environments for their patients. Most importantly, this episode isn't just about struggle. It's about resilience, community, authenticity, chosen family, hope, and the joy that comes from living openly and being seen. Whether you're part of the LGBTQ+ community, love someone who is, work in healthcare, or simply want to better understand experiences different from your own, this conversation offers insight, compassion, and perspective. Because mental health belongs to everyone. Content Note: Discussion includes mental health challenges, discrimination, family rejection, religious trauma, and healthcare barriers experienced by LGBTQ+ individuals.
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Episode 15: Confessions of a Therapist
What happens when the person everyone turns to for help finally gets a chance to speak? In this episode of Dead Inside & Board Certified, we sit down with a licensed therapist for an honest, unfiltered conversation about the realities of mental health work. Beyond the therapy office and professional boundaries are stories of compassion, burnout, heartbreak, hope, and the emotional weight of carrying other people's pain every day. We discuss the misconceptions about therapy, the challenges therapists face behind the scenes, what clients often don't realize, and the moments that remind clinicians why they continue doing this work despite the difficulties. Whether you're a mental health professional, someone considering therapy, or simply curious about what it's like on the other side of the couch, this episode offers a rare glimpse into the human being behind the therapist title. Topics include: Therapist burnout and compassion fatigue Boundaries in mental health care The emotional impact of client stories Common misconceptions about therapy What therapists wish people understood Finding meaning in difficult work Because therapists are human, too. And sometimes their stories deserve to be heard. 🎙️🖤 #DeadInsideAndBoardCertified #MentalHealth #Therapy #Psychology #TherapistLife #MentalHealthAwareness #HealthcareWorkers #Burnout #Psychiatry #Counseling
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Episode 14: Grief, Birth, & Silence.
For Mental Health Awareness Month, Dead Inside & Board Certified is having one of the conversations people avoid most: maternal mental health after stillbirth. In this deeply personal episode, we sit down with a mother willing to share the reality of losing her baby, navigating postpartum recovery without a child, and surviving the psychological aftermath that follows. Together, we discuss grief, trauma, PTSD, isolation, identity loss, relationship strain, and the silence that often surrounds pregnancy loss. This episode is raw, honest, and emotionally heavy — not for shock value, but because these stories deserve to be heard. Maternal mental health is more than postpartum depression. It also includes the mother's carrying grief. Content warning: discussion of stillbirth, pregnancy loss, trauma, postpartum mental health, and suicidality.
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Episode 13: Surviving Someone Else’s Suicide
What happens after the phone call no one ever expects? In this episode of Dead Inside & Board Certified, we sit down with someone who lost a loved one to suicide and speak honestly about the reality of surviving that kind of grief. We discuss the silence that can exist before suicide, the warning signs people wish they had seen, and the painful truth that sometimes there are none at all. We also explore survivor’s guilt, unanswered questions, anger, stigma, and what it looks like to keep living after unimaginable loss. Most importantly, we talk about hope — not the kind that magically fixes grief, but the kind that helps people survive it one day at a time. This episode is raw, vulnerable, and deeply human. If you’ve ever lost someone to suicide, worried about someone you love, or blamed yourself for not “doing more,” this conversation is for you.
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Episode 12: The Reality of Treating Suicidality
In this episode of Dead Inside & Board Certified, we talk about the reality of treating suicidality, beyond the checklists, liability fears, and textbook answers. From passive thoughts of “I just don’t want to wake up” to high-risk crisis situations, we break down what suicide assessment and treatment actually look like in the real world of psychiatry, emergency medicine, and outpatient care. We discuss the warning signs clinicians can miss, the difference between suicidal ideation and intent, when hospitalization helps (and when it doesn’t), safety planning, provider burnout, and the emotional weight of sitting with patients who are struggling to stay alive. We also talk honestly about the uncomfortable reality that not every suicidal patient “looks suicidal.” This episode is raw, educational, darkly honest, and grounded in real clinical experience from providers working on the front lines of mental health care. Whether you’re a clinician, student, patient, or someone trying to better understand suicidality, this is a conversation worth having. ⚠️ Content Warning: This episode contains discussions of suicide, suicidal ideation, self-harm, psychiatric hospitalization, and mental health crises.
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Episode 11: You’re Going to Die… So Let’s Talk About It
🎙️ You’re Going to Die… So Let’s Talk About It We plan everything—careers, weddings, vacations… But the one thing that’s guaranteed? We avoid it completely. In this episode, we’re having the conversation most people put off until it’s too late. This isn’t about being morbid. It’s about clarity, control, and protecting the people you love. We break down: Why avoiding conversations about death actually causes more pain What your family is left dealing with when there’s no plan The decisions that matter most (and no one talks about) How to start the conversation without making it weird or overwhelming Why “wishes = love” is more than just a saying As psych providers, we’ve seen what happens on both sides— the chaos, the guilt, the second-guessing… and the peace that comes when people just know what you wanted. 💡 Bottom line: This isn’t about planning your death— it’s about making life easier for the people you leave behind. Have you had this conversation? What’s one thing you’d want your family to know?
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Episode 10: The Emotional Cost of Organ Donation (National Donate Life Month)
LETS CELEBRATE NATIONAL DONATE LIFE MONTH! This week on Dead Inside & Board Certified, we’re going somewhere most people don’t want to look. We sit down with an organ donation professional to talk about what really happens behind the scenes… not just the medicine, but the moments that break you, shape you, and sometimes put you back together in a completely different way. We get into the conversations no one prepares you for... walking into rooms on someone’s worst day, talking to grieving families, and somehow finding a balance between devastation and purpose. We also break down some of the biggest myths around organ donation and talk about what people actually need to know before checking that donor box. If you’ve ever wondered what this work does to a person… or what it teaches you about life, death, and everything in between—this one’s for you. 🎧 Listen now and maybe… rethink what it means to give someone a second chance.
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Episode 9: The Downfall of Relationships Part 2
We’re getting more “connected” than ever… but why do relationships feel more disposable, distant, and complicated? In this episode, we dive into how social media and online dating are quietly reshaping intimacy. From endless options and unrealistic expectations to comparison culture, validation chasing, and emotional detachment—are we sabotaging real connection without even realizing it? We talk about: • Why dating apps are changing commitment • How social media fuels insecurity and comparison • The illusion of “better options” • Why vulnerability feels harder than ever • And what it actually takes to build something real in a digital world This isn’t about blaming technology—it’s about understanding how it’s influencing us, so we can take back control of how we love, connect, and show up. If you’ve ever felt burnt out, disconnected, or questioning modern dating… this one’s for you. Episode 9 is live now — tune in and let’s talk about it.
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Episode 8: The Downfall of Relationships Part 1
Episode 8.1: The Downfall of Relationships Somewhere along the way, relationships stopped being real… and started being curated. We went from connection → comparison. From intimacy → performance. From “this works for us” → “why doesn’t my life look like theirs?” Now we’re trying to build relationships while: comparing our partners to highlight reels on social media expecting porn-level performance without real-life communication and never actually being present… because our phones are always in our hands No one taught us how to love in a world that’s constantly watching. So now we’re asking the question— are relationships actually failing… or are our expectations just completely warped? 🎙️ In this episode, we’re pulling back the curtain on: • social media’s quiet destruction of intimacy • unrealistic standards we don’t even realize we’ve adopted • why no one feels satisfied anymore (even in “good” relationships) • and what it’s costing us—emotionally, mentally, and relationally ⚠️ Next week (Episode 8.2): we go deeper—dating apps, hookup culture, and what the internet has really done to connection. Because it only gets worse from here. — 💬 Drop your thoughts: Are relationships actually worse now… or are we just expecting too much? 🎧 Listen now on Spotify, Apple, or wherever you spiral.
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Episode 7: Red Pill or Red Flag: The Manosphere.
What happens when loneliness, identity, and algorithm-driven echo chambers collide? In this episode, we descend into the manosphere—a corner of the internet that promises power, control, and “truth,” but often delivers isolation, anger, and distorted views of relationships and self-worth. We break down the new Netflix documentary, react to some wild hot takes, and explore the mental health undercurrents driving it all: male loneliness, insecurity, shame, and the weaponization of pseudo-psychology. This isn’t just about “toxic men.” It’s about what happens when people go looking for belonging…and end up somewhere darker. Come for the chaos. Stay for the clinical insight.
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Episode 6: Your Ex Isn't a Narcissist (Probably)...
Somewhere along the way, the internet decided that every bad partner, every disagreement, and every uncomfortable conversation must mean one thing: “They’re a narcissist.” In this episode, we unpack how therapy language has taken on a life of its own online, and why words like narcissistic personality disorder and gaslighting are being thrown around far more than they’re actually happening. We talk about: • What narcissism actually is vs. normal selfish or toxic behavior • What Narcissistic Personality Disorder really looks like clinically • Why not every unhealthy relationship means someone has a personality disorder • How social media turned therapy language into everyday insults • What gaslighting actually is, and what it isn’t • The difference between manipulation, lying, conflict, and true psychological gaslighting And sometimes we need better language for complicated relationships than diagnosing everyone we disagree with. Let’s talk about it.
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Episode 5: You Don't Look Depressed....
“You don’t look depressed.” “Everyone has anxiety — just calm down.” “Borderline patients are just manipulative.” These are some of the most common and harmful phrases we hear in mental health. In this episode, we break down the myths behind these statements and talk about what these conditions actually look like in real life. Depression doesn’t always look like someone crying in bed all day. Anxiety isn’t just everyday stress you can “think your way out of.” And borderline personality disorder is far more complex than the labels people often assign to it. We discuss where these misconceptions come from, how social media and pop psychology have oversimplified serious psychiatric conditions, and what clinicians actually see behind the scenes in practice. Because mental illness doesn’t always look the way people expect — and dismissing it with a quick phrase can keep people from getting the understanding and treatment they need.
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Episode 4: You're Not Depressed, You're Just Poor
Is it Major Depressive Disorder… or is it late-stage capitalism? In this episode, we pull apart the uncomfortable overlap between psychiatric symptoms and financial strain. Because sometimes what looks like depression is chronic stress. What looks like apathy is burnout. What looks like “low motivation” is working two jobs and still not being able to pay rent. We talk about: • The symptom overlap between depression, anxiety, and financial insecurity • How chronic money stress rewires the nervous system • Why SSRIs don’t fix food insecurity • The cost of living, student loans, childcare, and the invisible weight patients carry • How clinicians can validate suffering without over-pathologizing survival • The moral tension of treating symptoms rooted in socioeconomic reality We also unpack the uncomfortable truth: We work inside a system that medicalizes distress — even when that distress makes sense. This isn’t anti-medication. It’s anti-oversimplification. Because sometimes your patient isn’t “noncompliant.” They’re exhausted. They’re scared. They’re drowning. And sometimes the most radical thing you can say in a psych office is: “This makes sense.” Welcome back to the abyss.
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Episode 3: Clocking in at the Abyss
What actually happens after we clock in? In this episode, we pull back the curtain on what a real day in psychiatry looks like — beyond the therapy couch and prescription pad. We talk about the chaos behind the scenes: charting at midnight, prior authorizations, crisis calls between patients, billing codes that decide reimbursement, and the messages that never stop coming. We break down: What a “full schedule” really means The emotional whiplash of back-to-back trauma The business side of running a psych practice Where the money actually goes (and why it’s not what people think) The quiet weight providers carry home This isn’t the polished Instagram version of mental health care. It’s the paperwork. It’s the liability. It’s the moral injury. It’s the inbox at 9:47 PM. This is what it means to clock in at the abyss — and why we still show up anyway.
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Episode 2: You Can't Out Medicate Trauma.
In this episode, we talk about the hard truth we don’t say enough in psychiatry: you can’t out-prescribe trauma. We dive into what it actually looks like to help patients navigate trauma — beyond SSRIs, beyond quick fixes — and the delicate balance of supporting someone’s healing without absorbing their pain as your own. We unpack: Why medication alone isn’t trauma treatment The emotional labor of holding trauma stories all day How providers unintentionally take work home PTSD from healthcare itself — and how it quietly fuels burnout This episode is about boundaries, moral injury, and the cost of caring for people in crisis. Because trauma doesn’t just live in our patients. It can live in providers too. And if we don’t talk about that? We burn out pretending we’re fine.
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Episode 1: Dead Tired, Still Licensed
Welcome to Dead Inside and Board Certified. In our first episode, we introduce who we are, how we ended up in psychiatry, and why we decided to start this podcast in the first place. We talk about the realities of working in mental health that nobody prepares you for — the burnout, the dark humor, the moral injury, and the moments that quietly change you forever. We also unpack the meaning behind our name, the “Occult” vibe, and our mission: pulling back the curtain on what psych really looks like behind closed doors. This isn’t therapy talk or toxic positivity. It’s the truth about what it costs to care for people in crisis — and why we keep showing up anyway. If you’ve ever wondered what actually happens behind the psych scenes… this is where we start.
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ABOUT THIS SHOW
Welcome to Dead Inside and Board Certified.In our first episode, we introduce who we are, how we ended up in psychiatry, and why we decided to start this podcast in the first place.We talk about the realities of working in mental health that nobody prepares you for — the burnout, the dark humor, the moral injury, and the moments that quietly change you forever.We also unpack the meaning behind our name, the “Occult” vibe, and our mission: pulling back the curtain on what psych really looks like behind closed doors.This isn’t therapy talk or toxic positivity.It’s the truth about what it costs to care for people in crisis — and why we keep showing up anyway.If you’ve ever wondered what actually happens behind the psych scenes… this is where we start.
HOSTED BY
mskinnerq
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