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
    • 4.8 • 13 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

4.8 out of 5
13 Ratings

13 Ratings

Sarah.Isa ,

Incredible podcast with so much wisdom

I have cPTSD and have been on my healing journey for 4 years with EMDR, psychedelics, yoga and IFS. This podcast is full of wisdom, moving stories and wonderful guests and I hope gets shared far and wide so we as a society can become more trauma informed.

frances o'c ,

Expansive, poetic, painful, meaningful and delicious.

I am a mental health nurse and systemic therapist for children and young people in the UK, working on the front line in the overstretched NHS. My practice doesn’t tend to offer room for reflection at depth, and I often feel as though I’m firefighting without making any profound changes. I think that this manner of working has led to a bit of burn out in myself and my colleagues, and I had noticed a real tuning out in myself and my passion for my job.

Remote working and providing therapy from my tiny kitchen, without the wider clinical team acting as a much needed tonic and buoyancy aid, I feel as though, through the past year, I have been blindly swimming (nay, drowning) against a tide of increased referrals, heightened acuity, and devastating risk events. Something in me had numbed, and I was seriously considering leaving this profession behind, and staring afresh. In part, this was an identity crisis- I was born for this job. Until I couldn’t do it anymore. Then what?

I found BFTA by chance, and have for the past 6 weeks, been working through each episode at a slow pace. Sometimes pausing to think, consider, make links to my personal and professional life. I have begun to reflect again, to align with my job again, to rekindle the love affair with healing, with connection and with suffering. Our profession is messy, it hurts, it takes courage and patience.

The guests on this podcast are all of these things. They are the human trial made stark and clear, and tell their stories with profound openness. To carry the task of living with such humility, humour and playfulness is a gift that I marvel at.

I have cried through many, been moved by most, and have been reunited with a part of me that I thought I had lost. Thank you BFTA, in a way, you have brought me back from my own.

Pengwern101 ,

Amazingly helpful and informative

Craig has such a wonderful, warm manner with his guests. You can tell he really cares and is captivated by their stories. I have found an almost vicarious healing from listening to his guests and how he responds. I’m halfway through the episodes with Saj Razvi and it gives me hope that this psychedelic research is taking place and that maybe, one day, I too can benefit from this to deal with my CPTSD and dissociation.

Wow. Just listened to Part 2. Some stories will stay with you for life. Thank you Saj and Craig xox

Top Podcasts In Health & Fitness

Exhibit A
Marvellous
ZOE Science & Nutrition
ZOE
Feel Better, Live More with Dr Rangan Chatterjee
Dr Rangan Chatterjee: GP & Author
Just One Thing - with Michael Mosley
BBC Radio 4
Huberman Lab
Scicomm Media
Slo Mo: A Podcast with Mo Gawdat
Mo Gawdat

You Might Also Like

Psychiatry & Psychotherapy Podcast
David Puder, M.D.
The Carlat Psychiatry Podcast
Pocket Psychiatry: A Carlat Podcast
Psychedelic Therapy Frontiers
Numinus
Psychiatry Boot Camp
Mark Mullen, MD
Psychopharmacology and Psychiatry Updates
Psychopharmacology Institute
NEI Podcast
Neuroscience Education Institute