110 episodes

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.

Back from the Abyss: Psychiatry in Stories Craig Heacock MD

    • Health & Fitness
    • 4.9 • 395 Ratings

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.

    My dog saved my life-- Understanding the story of depression

    My dog saved my life-- Understanding the story of depression

    A huge problem with current psychiatric diagnosis is that it often lumps completely unrelated things under the same vast and vague tent, such as with the diagnosis of "Major Depressive Disorder".   Here Craig sits down with his patient Rebecca to try to make sense of her complex early onset depression and how it played out via addiction, anorexia, and pathological caretaking and how she was finally able find the grace and compassion to prioritize care for herself.

    Bringing Therapy into Med Management-- An intensive psychotherapy training in Colorado with Dr.  H
    https://www.craigheacockmd.com/training/

    BFTA on IG @backfromtheabysspodcast
    https://www.instagram.com/backfromtheabysspodcast/

    BFTA/ Dr. H
    https://www.craigheacockmd.com/podcast-page/

    • 56 min
    Psychoanalysis, Dissociation, MDMA and What Lies Beneath

    Psychoanalysis, Dissociation, MDMA and What Lies Beneath

    Here Dr. H sites down with Jenny, a psychoanalyst who shares her moving, then horrifying, then eventually cathartic tale of plumbing the depths of her traumatized psyche, first with years of psychoanalysis, then with five MDMA-assisted therapy sessions. This is a story of numbing and forgetting, then re-opening and remembering...of finding a way to make sense of a life of protective dissociation.

    Bringing Therapy into Med Management-- An intensive psychotherapy training in Colorado with Dr.  H
    https://www.craigheacockmd.com/training/

    BFTA on IG @backfromtheabysspodcast
    https://www.instagram.com/backfromtheabysspodcast/

    BFTA/ Dr. H
    https://www.craigheacockmd.com/podcast-page/

    • 56 min
    What I'm thinking about now-- MDMA, Sleep Meds, Motivation, Bipolar vs Borderline, and more

    What I'm thinking about now-- MDMA, Sleep Meds, Motivation, Bipolar vs Borderline, and more

    In this solo episode Craig shares his current thoughts on MDMA medicalization, sleep meds, ADD, motivation vs self-discipline, benzos, how long to stay on psych meds, a change and a proposed addition to his top 10 med list, borderline vs bipolar, and marriage.

    Bringing Therapy into Med Management-- An intensive training with Dr.  H
    https://www.craigheacockmd.com/training/

    BFTA on IG @backfromtheabysspodcast
    https://www.instagram.com/backfromtheabysspodcast/

    BFTA/ Dr. H
    https://www.craigheacockmd.com/podcast-page/

    • 29 min
    Eating Disorders, Body Image, and Building an Alliance-- A Conversation with Dr. Jennifer Gaudiani

    Eating Disorders, Body Image, and Building an Alliance-- A Conversation with Dr. Jennifer Gaudiani

    Dr. H sits down with Dr. Jennifer Gaudiani, a nationally recognized expert on eating disorders to explore a wide range of topics including:

    • etiology and the relative influence of temperament, culture, and concomitant psychiatric illness
    •anorexia as a qualitatively different kind of treatment challenge
    •treatment ambivalence, building the alliance, respecting protectors
    •anosognosia and its relationship with severity of illness
    •how to talk about weight, body image, and eating with mindful/respectful language
    •thin privilege and fatphobia
    •involuntary treatment
    •orthorexia and food rules as a cultural disease
    •GLP-1 agonists and bariatric surgery

    Dr. G
    https://www.gaudianiclinic.com/team

    Sick Enough-- A Guide to the Medical Complications of Eating Disorders
    https://www.gaudianiclinic.com/sick-enough

    Bringing Therapy into Med Management-- An intensive training with Dr.  H
    https://www.craigheacockmd.com/training/

    BFTA/ Dr. H
    https://www.craigheacockmd.com/podcast-page/

    • 1 hr 26 min
    Sex, Drugs, and Neglect-- Self-Destruction and the Repetition Compulsion

    Sex, Drugs, and Neglect-- Self-Destruction and the Repetition Compulsion

    The driving force of so many of our self-destructive tendencies is not conscious, it’s an unconscious drive called the repetition compulsion, where we try to reenact early child traumas or deficits, often consciously hoping for a different result but unconsciously walking directly and knowingly into the flames.  One of the central tasks of therapy is often helping people identify their repetition compulsions and doing the deeply uncomfortable work of making different choices. For the repetition compulsion feels right, at the deepest levels of being, because it was wired into us during early childhood. Self-destructive decisions smell like home cooking, they are the blue light that draws in the unsuspecting moths over and over and over, even when they see what’s about to happen.
    Here Dr. H's patient  Katey describes how early emotional neglect and toxic parental modeling led her down a path of almost two decades of self-destruction, with an ongoing battle between her healthier and more resilient parts and her wounded repetition-seeking masochistic parts. Who would choose superficially “sweet” boys with good drugs and little emotional connection….why Katey would, and did, and this is her story of why she did that for so long and how she eventually broke free.

    Bringing Therapy into Med Management-- An intensive training with Dr.  H
    https://www.craigheacockmd.com/training/

    BFTA on IG @backfromtheabysspodcast
    https://www.instagram.com/backfromtheabysspodcast/

    BFTA/ Dr. H
    https://www.craigheacockmd.com/podcast-page/

    • 58 min
    Psychiatry in the ER

    Psychiatry in the ER

    The rising tide of psychiatric emergencies in the US most commonly ends up in the emergency room, where psychiatrists are almost never found and the brunt of the heavy lifting falls on emergency medicine physicians.  Here Dr. H sits down with Dr. Treve Henwood, an emergency med physician and host of the Rural EM podcast to explore the often overwhelming challenges inherent in trying to effectively manage and treat these psychiatric crises.

    BFTA on IG @backfromtheabysspodcast
    https://www.instagram.com/backfromtheabysspodcast/

    BFTA/ Dr. H
    https://www.craigheacockmd.com/podcast-page/

    • 1 hr

Customer Reviews

4.9 out of 5
395 Ratings

395 Ratings

Sexoligist ,

Interview with Dr. Gaudiani

Incredible discussion revolving around the treatment of eating disorders. Once again, Dr. Gaudiani blows me away with her approach, discussion, knowledge, and down to earth approach for clinicians who see patients with eating disorders and disordered eating. As a clinician and an eating disorder recovered patient, I absolutely appreciate her insight and dedication to this field. Thank you for hosting this conversation and points of discussion!

Huxley io9 ,

Fantastic show with a few flaws

First, this is a show unlike any other on the market. The perspectives are varied and the host is a human being and speaks to their own flaws and biases and shares the human side of being a therapist.

I only have one real complaint about the show. Men are serious crisis in the mental health space and there are so few episodes that focus on men and their issues, other than addiction.

There are so many great female guests from all backgrounds and variety of trauma and so few male guests with stories outside of addiction and addiction recovery.

There isn't a podcast around that shares male perspectives on eating disorders, abuse, and how men are raised in Western Society and unpacking the small box we're all put in.

Therapy and mental health is one of the areas where women are much more represented than men and it would be nice to see a bit more focus to help normalize mental health for men. Just my 2c.

Jcoach44 ,

Understanding my family

My wife and 15y.o. daughter are both Type I Bipolar, and my 20y.o. son is Type II Bipolar.
All three are stable thanks to medication, but my son’s TRD has robbed him of any real joy or passion forever several years.
This podcast gives me a deeper understanding and empathy for all three of them, as well as an appreciation for my own therapist.

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