You Must Be Some Kind of Therapist

In this episode, I sit down with Dr. Michael Ziffra, a psychiatrist and associate professor at Northwestern University who specializes in anxiety disorders. Dr. Ziffra has been writing a Substack series called "Wise Mind in Anxious Times," exploring how we can better navigate the intersection of mental health and our turbulent political landscape. We begin by discussing the alarming advice that made headlines—a Yale psychiatrist suggesting people should avoid family members who voted differently than them. Dr. Ziffra and I unpack why avoidance is the exact opposite of what we'd normally recommend for anxiety, and how vilifying language creates a vicious cycle that intensifies fear and paranoia. He offers practical wisdom on how softening our language can open doors to genuine dialogue. From there, we dive deep into the world of psychiatric medication. Dr. Ziffra helps demystify the "chemical imbalance" theory, explaining why "dysfunction" is a better term than "imbalance" since we can't actually measure neurotransmitter levels the way we can check vitamin D. We explore fascinating territory including opioid receptors and depression, how low-dose naltrexone works, the dangers of chronic benzodiazepine use, and why tapering off medications requires far more patience than most people realize. We also discuss the overlooked impacts of birth control on young women's mental health, sleep disorders that masquerade as psychiatric conditions, and the emerging questions around weight loss drugs and ketamine for treatment-resistant depression. Dr. Michael Ziffra is a psychiatrist and Associate Professor at Northwestern University, specializing in anxiety and mood disorders. Dr. Ziffra also is the author of “Wise Mind in Anxious Times”, a series on Substack exploring the interface between mental health and our sociopolitical climate. Its aim is to provide analysis and commentary from a mental health specialist with insight into why we experience anxiety about particular issues and happenings, and how to better manage that anxiety. Follow him on Substack, X, or Instagram. [00:00:00] Start[00:00:40] Guest Introduction: Dr. Michael Ziffra[00:02:28] Yale Psychiatrist's Bad Advice on Family[00:09:39] What Does a Psychiatrist Actually Do?[00:12:03] The Chemical Imbalance Theory Explained[00:18:02] Low-Dose Naltrexone and Opioid Receptors[00:23:27] Benzodiazepines: Dangers and Dependence[00:31:00] Safe Medication Tapering Strategies[00:38:29] Nicotine Addiction and Smoking Cessation[00:43:15] Psychiatry Beyond Just Medication[00:47:30] Birth Control and Mental Health[00:51:47] Sleep Disorders That Mimic Depression[00:55:01] Weight Loss Drugs: Psychological Effects[01:00:52] Ketamine for Treatment-Resistant Depression[01:12:06] Where to Find Dr. Ziffra ROGD REPAIR Course + Community gives concerned parents instant access to over 120 lessons providing the psychological insights and communication tools you need to get through to your kid. Now featuring 24/7 personalized AI support implementing the tools with RepairBot! Use code SOMETHERAPIST2025 to take 50% off your first month. PODCOURSES: use code SOMETHERAPIST at LisaMustard.com/PodCourses TALK TO ME: book a meeting. PRODUCTION: Looking for your own podcast producer? Visit PodsByNick.com and mention my podcast for 20% off your initial services. SUPPORT THE SHOW: subscribe, like, comment, & share or donate. Watch NO WAY BACK: The Reality of Gender-Affirming Care. Use code SOMETHERAPIST to take 20% off your order. MUSIC: Thanks to Joey Pecoraro for our song, “Half Awake,” used with gratitude & permission.  ALL OTHER LINKS HERE. To support this show, please leave a rating & review on Apple, Spotify, or wherever you get your podcasts. Subscribe, like, comment & share via my YouTube channel. Or recommend this to a friend! Learn more about Do No Harm. Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST at EightSleep.com. Take 20% off all superfood beverages with code SOMETHERAPIST at Organifi. Check out my shop for book recommendations + wellness products. Show notes & transcript provided with the help of SwellAI. Special thanks to Joey Pecoraro for our theme song, “Half Awake,” used with gratitude and permission. Watch NO WAY BACK: The Reality of Gender-Affirming Care (our medical ethics documentary, formerly known as Affirmation Generation). Stream the film or purchase a DVD. Use code SOMETHERAPIST to take 20% off your order. Follow us on X @2022affirmation or Instagram at @affirmationgeneration. Have a question for me? Looking to go deeper and discuss these ideas with other listeners? Join my Locals community! Members get to ask questions I will respond to in exclusive, members-only livestreams, post questions for upcoming guests to answer, plus other perks TBD. ★ Support this podcast on Patreon ★