Discover + Heal + Grow🔭❤️‍🩹🌱 : A Taproot Therapy Collective Podcast

https://www.GetTherapyBirmingham.com -

We felt the world had enough whispery mental wellness podcasts asking you to eat healthy and breathe deeply. We aim to be more honest and sometimes irreverent and funny about the forces that affect us all. Some episodes feel like hanging out with professional therapists at the bar after work, while others might feel like you’re listening in on a university class with professional thought leaders. We discuss creativity, intuition, trauma, and the overlap between the three in the spectrum of consciousness and the psyche. Approaching topics from a depth psychology and brain-based medicine perspective, we explore the archetypes inherent in arts, design, and mass media. We delve into neuroscience, cutting-edge trauma neurobiology, Jungian psychology, relationships, political psychology, and feature interviews with both amateurs and experts. Discover + Heal + Grow is the podcast of Taproot Therapy Collective, a complex PTSD and trauma-focused therapy practice in Birmingham, Alabama. Hosted by Joel Blackstock and the other therapists at Taproot, it focuses on consciousness and all the cool and messy parts of being human. Subscribe for new episodes where we unpack topics like: The neurobiology behind new age and eastern medicine concepts Psychology of artists and design Cutting-edge trauma therapy approaches Brain-based medicine Archetypes in culture and media Psychology of true crime Therapy representation in entertainment Burnout in helping professions And much more! Whether you’re a fellow trauma therapist or just a fellow seeker, we offer authentic conversations that challenge conventional thinking and explore the depths of consciousness and healing. Based in Birmingham, Alabama, Taproot Therapy Collective is the premier provider of therapy for severe and complex trauma, PTSD, anxiety, and depression. We provide EMDR, Brainspotting, ETT, somatic and Jungian therapy, as well as QEEG brain mapping and neurostimulation. Website: https://gettherapybirmingham.com/ #TraumaHealing #DepthPsychology #ConsciousnessExploration #MentalHealthPodcast #TherapyCollective #PTSD #EMDR #Neuroscience #JungianPsychology #BirminghamTherapy The resources, videos, and podcasts on our site and social media are no substitute for mental health treatment. Please find a qualified mental health provider and contact emergency services in your area in the event of an emergency. Our number and email at Taproot Therapy Collective are only for scheduling, are not monitored consistently, and are not a reliable resource for emergency services.

  1. 4 DAYS AGO

    Collide-A-Scope: How the Internet is Fusing Our Brains and Changing Therapy, Culture and Politics

    How do you know the blue you see is the same blue I see? We use the same word, but do we share the same experience? This ancient philosophical puzzle has become the defining crisis of our time. We're living through a moment where people use identical words and mean completely different things—where the same sentence can be a factual claim, a tribal signal, a joke, and a weapon simultaneously. In this episode of The Mirror World series, clinical director and psychotherapist Joel Blackstock, LICSW-S, explores the "collide-a-scope"—the moment when parallel realities can no longer stay separate through reflection and begin grinding against each other like gears that don't mesh. Read the Article THE FUSED BRAIN What happens when you surgically connect multiple living brains? They synchronize. They reorganize. They form a collective organism. This thought experiment from qEEG brain mapping provides the perfect metaphor for what's happening to us now. The internet has wired us together into a vast neural network—and just like an individual brain can develop neuroses, this collective brain is experiencing profound cognitive dissonance. THE DUAL LANGUAGE OF THE INTERNET Media theorist Walter Ong predicted that electronic media would thrust us into "secondary orality"—combining the permanence of print with the participatory rhythms of oral culture. The internet meme is the ultimate artifact of this fusion: mythic archetypes paired with hyper-literal text, operating on two frequencies simultaneously. We have never before spoken different languages using the same words. THOUGHT AS A SYSTEM Quantum physicist David Bohm warned in 1994 that thought is not something we do—it's something that happens to us. Collective thought has become so automatic that our individual thoughts are increasingly controlled by the collective without our noticing. And that was before social media, before smartphones, before algorithmic amplification. The system has been turbocharged. THE SOCIETY OF THE SPECTACLE Guy Debord saw it coming: all that was directly lived has become mere representation. The spectacle isn't just entertainment—it's a social relationship between people mediated by images. It colonizes everyday life, structures our thought, captures even our resistance. You can know social media is manipulating you and still be manipulated, because the knowing happens within the spectacle. THE COLLECTIVE PATIENT Here's the radical claim: collective psychology now functions like individual psychology. Pathology, personality disorders, grandiosity, delusions, splitting from reality—they're happening at the collective level, in near real-time. Groups of humanity can now be analyzed almost the same way you'd analyze a patient in therapy. You can identify the defenses, trace the trauma, watch the collective do exactly what an individual does when confronted with something they can't face. DIGITAL COLONIZATION The Steve Bannon, Trump, 4chan, alt-right phenomenon wasn't just politics—it was networks of the collective brain expanding, sussing out weaker regions, finding wounds and grievances, colonizing them at the speed of thought. Traditional colonialism needed ships and armies and decades. Digital colonization happens before resistance can organize. The neural pathway is laid before anyone notices. THE STAGES OF DEFLECTION Watch humanity move through the same defense mechanisms as a therapy patient avoiding change: It didn't happen Okay it happened, but it's not real Okay it's real, but it doesn't matter Okay it matters, but we can't do anything about it Okay maybe something could be done, but someone else will do it Okay it's not getting solved, but it's someone else's fault Okay it's going to take us all out, but we deserve it Watch climate discourse. Watch inequality discourse. You'll see these exact stages playing out collectively in real time. THE MIRROR WORLD The parallel objectivities aren't just tribal disagreements—they're self-contained systems of representation that are coherent and reproducible but not valid. They don't point back to anything real. When official metrics say the economy is doing well while patients can't afford a $30 copay, those metrics are reliable but not valid. We feel this disconnect—but we've been convinced the solution lies inside the metrics. This is gaslighting at civilizational scale. THE 1960s PARALLEL "Turn on, tune in, drop out" recognized the system was sick. And they weren't wrong—the institutions were corrupt, the Vietnam War was built on lies, consumer society was producing alienation. But the counterculture won the cultural war and lost everything else. By 1980, rebellion had become a marketing strategy. Symbolic victory was captured and neutralized while material defeat was total. We're at risk of making the same mistake. THE COLLISION Peter Sloterdijk described modern life as "foam"—countless bubbles providing micro-environments, each its own immunological container. The bubbles worked for a while. But material crises don't care which reality you inhabit. Climate change crosses all boundaries. Pandemics don't check your epistemological commitments. The bubbles are colliding now. Not reflecting—colliding. Grinding like gears that don't mesh. In a kaleidoscope, mirrors create beautiful patterns. In a collide-a-scope, the mirrors themselves are moving, crashing, shattering. THE WAY THROUGH The biggest step is recognizing that trauma treatment is self-evidently necessary—not as luxury, as foundation. Trauma fuels the blind spots. The parallel realities are trauma responses at collective scale. Therapy itself has to change. We have to learn to actually live together—not manage or avoid each other. Western history is largely the story of managing avoidance: tolerance as sophisticated avoidance, transactions as connection without vulnerability, rights as protection from rather than relationship with. Connection without internal avoidance. That's the task. The parts of yourself you can't face become the parts of others you can't tolerate. We need to see ourselves as multiplicities—communities of parts—and stop splitting thought from emotion. The Cartesian divide is part of what broke us. The mirrors are shattering. The gears are grinding. The collision is here. What we build from the fragments depends on whether we can finally stop avoiding—ourselves, each other, reality itself. ABOUT THE SHOW: www.GetTherapyBirmingham.com   TAGS: metamodernism, collective psychology, trauma therapy, David Bohm, Guy Debord, Society of the Spectacle, Walter Ong, secondary orality, meme culture, digital colonization, parallel realities, post-truth, Peter Sloterdijk, collective trauma, IFS therapy, parts work, Internal Family Systems, depth psychology, cultural criticism, media theory, political psychology, social media psychology, consciousness, cognitive dissonance, polarization, tribalism, epistemology, philosophy of mind, psychotherapy, mental health, collective healing, systems theory, Jungian psychology, trauma-informed, neoliberalism critique, Frankfurt School, critical theory, internet culture, 4chan, alt-right, counterculture, 1960s, Timothy Leary, collective unconscious, mass psychology, social psychology, complexity theory, emergence, neural networks, brain science, qEEG, Birmingham therapy, Alabama therapist, complex trauma, PTSD, dissociation, emotional regulation, somatic therapy, body-based therapy, Brainspotting, ETT, integrative therapy, holistic psychology, transpersonal psychology, spiritual psychology, meaning crisis, nihilism, existential psychology, phenomenology, hermeneutics, postmodernism, sincerity and irony, authenticity, alienation, anomie, social fragmentation, culture war, political polarization, fake news, misinformation, disinformation, information warfare, attention economy, surveillance capitalism, algorithmic amplification, filter bubbles, echo chambers, radicalization, deradicalization, healing polarization, bridging divides, difficult conversations, conflict resolution, relational therapy, attachment theory, developmental trauma, adverse childhood experiences, ACEs, intergenerational trauma, collective memory, historical trauma, cultural trauma, social healing, community healing, collective resilience, post-traumatic growth, meaning-making, narrative therapy, constructivism, social constructionism, embodied cognition, 4E cognition, extended mind, distributed cognition, enactivism, phenomenological psychology KEYWORDS metamodernism explained, collective trauma therapy, why society feels broken, David Bohm thought as a system, Guy Debord society of the spectacle explained, understanding political polarization, trauma and politics, why we can't agree on facts, parallel realities psychology, meme culture analysis, internet psychology, collective psychology theory, therapy for our times, parts work IFS, internal family systems explained, depth psychology modern, cultural criticism podcast, media theory podcast, understanding the culture war, healing political division, trauma-informed society, systems thinking psychology, consciousness and society, meaning crisis solutions, why communication is impossible, post-truth psychology, collective healing trauma, Birmingham Alabama therapist, complex trauma treatment, Brainspotting therapy, somatic experiencing therapy, integrative psychotherapy, holistic mental health, transpersonal therapy, spiritual psychology podcast, existential therapy, phenomenological therapy, social psychology podcast, mass psychology explained, collective unconscious modern, Jung and politics, critical theory psychology, neoliberalism and mental health, capitalism and trauma, social media mental health, algorithm psychology, attention economy effects, filter bubble psychology, radicalization psychology, bridging political divides, healing polarization therapy, difficult conversations psychology

    1h 9m
  2. 22 FEB

    The Mirror World: Ghosts and Simulacra

    "We built institutions that were supposed to reflect reality. But the windows became mirrors." In the second century, the Gnostics believed our world was a false reality created by a confused lesser god known as the Demiurge. Today, we are trapped in a modern equivalent: a labyrinth of metrics, models, and algorithms that dictate our lives while entirely missing our humanity. In Part 7 of The Mirror World, we dissect the collapse of institutional sense-making and the profound psychological toll of living inside the "fake world." Drawing on the histories of standardized testing, the DSM, and economic modeling, we explore how disciplines retreated behind "mechanical objectivity" to defend against insecurity—and how the profit motive locked us inside these models. Ultimately, we confront the modern pinnacle of this trap: Large Language Models (LLMs). We examine why AI is not the solution, but rather the ultimate simulacrum—the ghost of the human archive that performs the gesture of understanding while severing us from the real. To escape the mirror, we turn to the late psychologist James Hillman. Reclaiming our soul’s calling—our daimon—requires more than just new metrics or better prompts. It requires us to do the one thing the algorithm cannot: grieve. 🔍 In This Episode, We Explore: The Gnostic Metaphor: Why the ancient heresy of the Demiurge maps perfectly onto our modern crisis of professional legitimacy and institutional failure. The Insecurity of Metrics: How fields like economics, education, and psychology replaced human judgment with mechanical numbers to shield themselves from criticism (featuring the work of Theodore Porter and Adam Curtis). The LLM Revelation: Why AI language models are the ultimate "ghosts"—averaging out the wisdom of the dead without carrying forward their demands or soul. Hillman’s Acorn Theory: Why modern systems reclassify our deepest callings and emotional truths as disorders, inefficiencies, or trauma. The Necessity of Grief: Why breaking the cycle of the "metamodern oscillation" demands that we stop optimizing and start mourning what we've lost. Get Therapy in Hoover, Alabama. 📚 References & Thinkers Discussed: Theodore Porter: Trust in Numbers Adam Curtis: The profit motive, the Nixon shock, and the "fake world" James Hillman: Lament of the Dead and The Soul's Code * Jason Ananda Josephson Storm / Metamodernism: The oscillation between grand narratives and infinite complexity. Metamodernism, AI Philosophy, Large Language Models Critique, James Hillman Acorn Theory, Adam Curtis Fake World, Gnosticism and Tech, Meaning Crisis, Institutional Decay, Theodore Porter Trust in Numbers, Algorithmic Determinism, Depth Psychology, Simulacra, Sensemaking, 2026 Tech Culture, Societal Grief

    1h 2m
  3. 19 FEB

    The Mirror World: Therapy in the Machine Age

    Are we navigating reality, or just a highly optimized map of the past? In this episode, we dive into the architecture of our modern ghost story. We explore how the digital systems built to reflect our world have instead consumed it, replacing human experience with statistical prediction, algorithmic herding, and mechanical objectivity. Drawing on a wide synthesis of philosophy, media theory, and history, we deconstruct how the "map ate the territory." From Jean Baudrillard’s simulacra to the predictive text of modern Large Language Models, we examine the uncanny reality of living inside a model that only knows what the dead have written. If the internet is a séance and your digital profile is a voodoo doll, what happens to the biological original? In this episode, we unpack: The Precession of Simulacra: How credit scores and algorithmic risk models generate the reality they claim to measure. The Bureaucracy of the Dead: Why modern AI is less an artificial intelligence and more an industrialization of our ancestors, echoing the warnings of James Hillman. Digiphrenia & The Voodoo Doll: Douglas Rushkoff’s narrative collapse and Jaron Lanier’s terrifying metaphor for the modern attention economy. The Numbers Shield: Theodore Porter’s revelation that "mechanical objectivity" and rigid quantification are actually defense mechanisms used by fragile institutions. Spheres & Foam: Peter Sloterdijk’s theory on why we retreat into fragile, toxic digital bubbles when our shared reality fractures. We didn't just build tools; we built environments. And when the machine becomes the environment, its logic becomes our logic. Join us as we look for the gap in the code—the unquantifiable silence where true human agency still survives. Concepts & Thinkers Discussed: Adam Curtis, Jean Baudrillard, Marshall McLuhan, Naomi Klein, Shoshana Zuboff, James Hillman, and Peter Sloterdijk. Get Therapy in Hoover, Alabama.

    1 hr
  4. 30 JAN

    Tania Kalkidis on Evidence Based Practice and Clinical Training in Australia

    Tania's advanced training program which is starting on February 25th:   https://deepmindpt.com/deep-mind-mastery   In this episode, I’m joined by Tania Kalkidis for a deep, evidence-based conversation on the growing gap between research, academic psychology, and real-world clinical practice — with a sharp focus on the DSM and its role in modern mental health care. Together, we unpack the challenges of evidence-based practice in psychology, questioning how closely current diagnostic frameworks align with the latest scientific research. We explore where clinical practice diverges from academic psychology, why this matters for clients and clinicians alike, and how systemic pressures shape diagnostic decision-making. A key focus of this conversation is the Australian mental health system, including how DSM-driven practice operates within local funding, training, and service delivery models — and how this compares to psychological practice in the United States. We examine similarities and differences in diagnosis, treatment pathways, professional accountability, and the influence of insurance and policy on clinical care. This episode is essential listening for psychologists, therapists, mental health professionals, students, researchers, and anyone interested in how psychology is actually practiced versus how it’s taught and studied. If you care about scientific integrity, ethical practice, and the future of mental health diagnosis, this conversation offers clarity, critique, and nuance. Topics covered include: Evidence-based practice vs. diagnostic tradition Limitations and controversies surrounding the DSM Clinical psychology and academic research misalignment Mental health systems in Australia vs. the United States Implications for clinicians, clients, and policy 🔍 Keywords: evidence-based practice, DSM criticism, clinical psychology, academic psychology, Australian mental health system, US vs Australia psychology, psychological diagnosis, mental health research more@ Get Therapy in Hoover, Alabama.

    57 min
  5. 28 JAN

    Part 7: Dreams of Psychotherapy's Past, And It's Future

    More @ https://gettherapybirmingham.com/   Why does modern mental health care often feel like a bureaucratic ritual rather than a healing encounter? In Part 5 of The Absence of Idols, we explore how psychiatry emptied the temple of meaning and replaced it with a checklist. We begin with the ancient dream of Addudûri and the terror of an empty temple, using it as a map to understand our current crisis. Drawing on the work of historian Theodore Porter and physicist Richard Feynman, we dismantle the "Cargo Cult Science" of the mental health system—a system that builds perfect wooden control towers but cannot land the plane. From the rigid authoritarianism of James Dobson’s Focus on the Family to the "mechanical objectivity" of the DSM, we examine how weak institutions use metrics to hide their lack of authority. We also look at the "lacuna"—the institutional blind spot that prevents experts from seeing the harm they cause—and why deconstructing religion without reconstructing meaning has left us vulnerable to the return of monsters. In this episode, we cover: The Cargo Cult of Psychiatry: Why "evidence-based" protocols often function like coconut headphones—mimicking science without the substance. Mechanical vs. Disciplinary Objectivity: How the mental health system traded trained wisdom for insurance-friendly checklists. The Lacuna Effect: Why institutions are literally blinded to their own biases (and how the brain fills in the gaps). Deconstruction Dangers: Why stripping away context without offering new metaphors creates a vacuum filled by conspiracy theories and extremism. Mentions & References: Richard Feynman’s "Cargo Cult Science" address (Caltech, 1974) Theodore Porter, Trust in Numbers The Dream of Addudûri (Mesopotamian texts) James Dobson & Focus on the Family critiques The Rosenhan Experiment Wilhelm Reich, Fritz Perls, and Somatic Experiencing Mental Health, Psychiatry Critique, Cargo Cult Science, Psychology, Trauma, James Dobson, Philosophy of Science, Theodore Porter, Somatic Therapy, Institutional Trust.   Get Therapy in Hoover, Alabama.

    33 min
  6. 19 JAN

    Part 6: Revisiting The Trap: How a Paranoid Mathematician Broke American Therapy

    https://gettherapybirmingham.com/the-dark-reflection-adam-curtiss-all-watched-over-by-machines-of-loving-grace/   Why is the most therapy-literate generation in history also the most depressed? This episode traces the hidden history connecting Cold War game theory, a 1964 pop psychology bestseller, and the mental health crisis devastating Gen Z. The thread starts with John Nash—the schizophrenic mathematician who built models assuming all humans are paranoid, self-interested calculators. It runs through Eric Berne's "Games People Play," which taught millions that relationships are just strategic transactions. It continues through Reagan, Thatcher, and the rise of CBT—a therapy model that treats your mind like buggy software. And it ends with a generation drowning in optimization, starving for meaning, and wondering why all their self-knowledge isn't helping. Featuring the tragic story of George Price, the scientist who slit his own throat trying to disprove his equation proving love is just calculation. Plus: why therapists can't legally unionize, how a secret committee of surgeons sets the price of your mental healthcare, and why the "just do it yourself" wellness movement is the final victory of the worldview that broke us. This isn't self-help. This is an autopsy of the assumptions we've been living inside. Topics covered: Game theory and psychology, Eric Berne transactional analysis, Adam Curtis The Trap, John Nash Beautiful Mind, CBT criticism, Gen Z mental health crisis, Theodore Porter Trust in Numbers, neoliberalism and therapy, Rosenhan experiment, C. Thi Nguyen gamification, purpose vs point, George Price equation, Wilhelm Reich, depth psychology, mental health policy   More @ Get Therapy in Hoover, Alabama.

    1h 18m
  7. 17 JAN

    Part 5: Why Can't Psychotherapists Form a Union (Spoiler Alert:They Can't) What is the RUC in Healthcare

    Can Therapists Start a Union? The Antitrust Trap, the Shadow Committee, and the Economic Strangulation of American Psychotherapy Analyzing America’s Healthcare Regulations and Their Effect on Us: Why the Law Prevents Therapists from Organizing While Allowing a Private Committee to Fix Prices for the Entire Medical System https://gettherapybirmingham.com/can-therapists-start-a-union-spoiler-alert-they-cant/ The Monthly Rage Thread If you hang around therapist forums long enough, you will see it happen. It operates with the regularity of the tides. Someone posts a thread, usually after receiving a contract from an insurance company offering 1998 rates for 2025 work, and asks the obvious question: “We are the ones providing the care. The system collapses without us. Why don’t we just all go on strike? Why don’t we form a union and demand fair pay?” It is a logical question. In almost every other sector of the economy, workers who feel exploited band together to negotiate better terms. Screenwriters shut down Hollywood to get paid for streaming residuals. Auto workers walk off the line. Teachers fill the state capitol. Nurses at major hospital systems have successfully unionized and won significant concessions. So why, in the midst of a national mental health crisis, does the mental health workforce remain so politically impotent? The answer is not that we lack will. It is not that we lack organization. The answer is that for private practice therapists, forming a union is a federal crime. This is not a political manifesto. It is an analysis of the bizarre regulatory environment that governs American healthcare, a system of antitrust laws, shadow committees, and bureaucratic classifications that effectively strips clinicians of their bargaining power while empowering the corporations that pay them. If you want to understand why corporate tech monopolies are ruining therapy, or why the corporatization of healthcare feels so suffocating, you have to understand the legal straitjacket we are all wearing. And you have to understand the one group that is allowed to set prices, the one group exempt from the rules that bind the rest of us. Part I: You Are Not a Worker, You Are a Standard Oil Tycoon The primary reason therapists cannot unionize dates back to the era of oil barons and railroad tycoons. The Sherman Antitrust Act of 1890 was designed to prevent massive corporations like Standard Oil from colluding to fix prices and destroy the free market. It prohibits “every contract, combination… or conspiracy, in restraint of trade.” The law was a response to genuine abuses: companies buying up competitors, dividing territories, and coordinating prices to gouge consumers who had no alternatives. Here is the catch: In the eyes of the federal government, a private practice therapist is not a “worker.” You are a business entity. Even if you are a solo practitioner struggling to pay rent in a subleased office, seeing clients between crying in your car and eating lunch at your desk, the law views you as the CEO of a micro-corporation. You are classified as a 1099 independent contractor, not a W-2 employee, and that distinction makes all the difference in the world. If two workers at Starbucks talk about their wages and agree to ask for a raise, that is “collective bargaining,” which is protected by the National Labor Relations Act. But if two private practice therapists talk about their reimbursement rates and agree to ask Blue Cross for a raise, that is “price-fixing.” It is legally indistinguishable, in the eyes of the Federal Trade Commission, from gas stations conspiring to raise the price of unleaded. It sounds absurd, but the FTC takes it deadly seriously. When independent contractors organize to demand higher rates, when they share information about what they are being paid and coordinate their responses, they are engaging in horizontal price-fixing, one of the most serious violations of antitrust law. The Sherman Act provides for criminal penalties, including fines and imprisonment. The law that was meant to break up monopolies is now used to prevent social workers from asking for a cost-of-living adjustment. The irony is crushing. The same regulatory framework that prevents two therapists from discussing their rates allows massive insurance conglomerates to merge repeatedly, concentrating buyer power in fewer and fewer hands. UnitedHealth Group, for example, has acquired dozens of companies over the past two decades, becoming the largest healthcare company in the United States. When they offer a “take it or leave it” contract to providers, they do so with the full knowledge that fragmented, legally prohibited from organizing therapists have no counter-leverage. The antitrust laws, designed to prevent monopoly power, have created a system where sellers are atomized and buyers are consolidated. Economists call this “monopsony,” and it is precisely the market distortion the Sherman Act was supposed to prevent. Part II: The Day the “Learned Profession” Died For a long time, doctors and lawyers thought they were exempt from these laws. They argued that they were “learned professions,” not mere tradespeople, and therefore above the grubby laws of commerce. They believed that their ethical obligations to patients and clients set them apart from the rules that governed steel mills and meatpacking plants. Medicine was a calling, not a business, and surely the government would not regulate the sacred doctor-patient relationship as if it were a commercial transaction. That illusion was shattered in 1975 by the Supreme Court case Goldfarb v. Virginia State Bar. The case involved lawyers, not doctors, but its implications cascaded through every licensed profession in America. The Goldfarbs were purchasing a home and needed a title examination. The Virginia State Bar had established a minimum fee schedule for such services, and every lawyer they contacted quoted the exact same price. They sued, arguing that this fee schedule was illegal price-fixing. The Supreme Court agreed. In a unanimous decision, the Court ruled that professional services, including legal and medical advice, are “trade or commerce” subject to antitrust laws. The “learned profession” exemption, which had been assumed but never explicitly established in law, was declared a myth. “The nature of an occupation, standing alone,” the Court wrote, “does not provide sanctuary from the Sherman Act.” This ruling was intended to lower prices for consumers by preventing lawyers from setting minimum fees, and in that narrow sense it was a good thing. But in healthcare, it had a catastrophic side effect: it made it illegal for doctors and therapists to band together to resist the pricing power of insurance companies. The “learned profession” exemption is dead. We are now just businesses, and businesses are not allowed to hold hands. This creates the illusion of progress: we have “free market” competition among providers, but monopsony power among payers. It is a market where the sellers are forbidden from organizing, but the buyers are allowed to merge until they are too big to fail. The result is not a free market at all. It is a market designed to transfer wealth from one class (providers) to another (insurers and administrators), with the law itself serving as the enforcement mechanism. Part III: The Cartel in the Basement If therapists cannot collude to set prices, surely nobody else can, right? Wrong. There is one group in American healthcare that is allowed to meet in a room, decide what every doctor’s time is worth, and set prices for the entire industry. It is called the RUC, the AMA/Specialty Society Relative Value Scale Update Committee. And understanding the RUC is the key to understanding why talk therapy is dying in the medical model, why psychiatrists abandoned the couch for the prescription pad, and why your insurance company offers you a ghost network of providers who never answer the phone. The Birth of a Shadow Government To comprehend the current crisis in mental health economics, one must excavate the foundations of the physician payment system. Prior to 1992, Medicare reimbursed physicians based on a system known as “Customary, Prevailing, and Reasonable” charges. Under this system, physicians were paid based on their historical billing charges. It was inherently inflationary; it rewarded those who raised their fees most aggressively and created wide geographic disparities for identical services. In response to spiraling costs, Congress passed the Omnibus Budget Reconciliation Act of 1989, mandating a transition to a fee schedule based on the resources required to provide a service. This birthed the Resource-Based Relative Value Scale. The intellectual architecture for this system was developed by a team of economists at Harvard University, led by William Hsiao. Hsiao’s team sought to create a “unified theory” of medical value, attempting to quantify the “work” involved in disparate medical acts, comparing the cognitive intensity of a psychiatric evaluation with the technical skill of a hernia repair. The Harvard study was revolutionary. It promised to level the playing field, suggesting that cognitive services, the thinking and talking that comprises primary care and mental health, were vastly undervalued relative to surgical procedures. Had Hsiao’s original recommendations been implemented purely, the income gap between generalists and specialists might have narrowed significantly. But the administrative complexity of assigning values to over 7,000 Current Procedural Terminology codes overwhelmed the Health Care Financing Administration. Into this administrative vacuum stepped the American Medical Association. The AMA, fearing that the government would unilaterally set prices, proposed a “partnership.” They would convene a committee of

    1h 4m
  8. 15 JAN

    Part 4: Is The DSM Dying Part 2: What is a Diagnosis Anyway?

    https://gettherapybirmingham.com/what-is-a-diagnosis-anyway-is-the-dsm-dying-part-2/ The Archaeology of a Label: What We Forgot About Diagnosis and Why It Matters Now The book that decides if you're sane was written by the military to process soldiers. The committees that define your mental illness hold "typewriter parties" where they shout symptoms until someone wins. And the federal government declared the whole thing scientifically invalid—two weeks before the latest edition dropped. In this episode, Joel Blackstock, LICSW-S, takes you inside the bizarre, hidden history of the DSM—the document that shapes every therapy session, every prescription, every insurance claim in American mental health. You'll learn: Why the DSM started as an Army logistics manual, not a medical document How a single awkward psychiatrist named Robert Spitzer staged a coup against Freud using checklists and political horse-trading The "dopamine miracle" that saved psychiatry from total collapse—and the price we're still paying Why the biggest research agency in mental health publicly divorced the DSM and nobody noticed What Joseph Campbell and Star Wars have to do with the therapy your insurance won't cover This isn't anti-psychiatry. This is pro-understanding. Because the system isn't broken by accident—it was built this way. And if we want to fix it, we have to see how we got here. "The DSM was never a description of nature. It was a set of administrative protocols created by the military, adapted by the bureaucracy, defended by a profession fighting for legitimacy, and captured by industries seeking profit." Get Therapy in Hoover, Alabama. Subscribe. Share. And maybe question that diagnosis. More @ https://gettherapybirmingham.com/

    1h 23m

About

We felt the world had enough whispery mental wellness podcasts asking you to eat healthy and breathe deeply. We aim to be more honest and sometimes irreverent and funny about the forces that affect us all. Some episodes feel like hanging out with professional therapists at the bar after work, while others might feel like you’re listening in on a university class with professional thought leaders. We discuss creativity, intuition, trauma, and the overlap between the three in the spectrum of consciousness and the psyche. Approaching topics from a depth psychology and brain-based medicine perspective, we explore the archetypes inherent in arts, design, and mass media. We delve into neuroscience, cutting-edge trauma neurobiology, Jungian psychology, relationships, political psychology, and feature interviews with both amateurs and experts. Discover + Heal + Grow is the podcast of Taproot Therapy Collective, a complex PTSD and trauma-focused therapy practice in Birmingham, Alabama. Hosted by Joel Blackstock and the other therapists at Taproot, it focuses on consciousness and all the cool and messy parts of being human. Subscribe for new episodes where we unpack topics like: The neurobiology behind new age and eastern medicine concepts Psychology of artists and design Cutting-edge trauma therapy approaches Brain-based medicine Archetypes in culture and media Psychology of true crime Therapy representation in entertainment Burnout in helping professions And much more! Whether you’re a fellow trauma therapist or just a fellow seeker, we offer authentic conversations that challenge conventional thinking and explore the depths of consciousness and healing. Based in Birmingham, Alabama, Taproot Therapy Collective is the premier provider of therapy for severe and complex trauma, PTSD, anxiety, and depression. We provide EMDR, Brainspotting, ETT, somatic and Jungian therapy, as well as QEEG brain mapping and neurostimulation. Website: https://gettherapybirmingham.com/ #TraumaHealing #DepthPsychology #ConsciousnessExploration #MentalHealthPodcast #TherapyCollective #PTSD #EMDR #Neuroscience #JungianPsychology #BirminghamTherapy The resources, videos, and podcasts on our site and social media are no substitute for mental health treatment. Please find a qualified mental health provider and contact emergency services in your area in the event of an emergency. Our number and email at Taproot Therapy Collective are only for scheduling, are not monitored consistently, and are not a reliable resource for emergency services.

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