Holistic Psychiatry Podcast

Courtney Snyder MD

Courtney Snyder, MD, is a physician and adult and child holistic, functional and environmental psychiatrist. In this podcast she shares information on the underlying root causes to brain related symptoms, how these roots are evaluated and treated. Her hope with this podcast is to challenge us to look at ourselves, our families, our culture and even our humanity through a different lens - a lens that offers more possibility and more hope. www.courtneysnydermd.com courtneysnydermd.substack.com

  1. The Physiologic Roots of Panic - A Holistic Approach

    JAN 31

    The Physiologic Roots of Panic - A Holistic Approach

    In this episode, I discuss panic attacks and underlying vulnerabilities that can increase the sensitivity of our alarm system. * What is a panic attack and what does it feel like? * What neurotransmitters are involved? * What is panic disorder? * What nutritional, genetic, and hormonal factors can be at play? * What types of inflammation and toxicity can lead to panic attacks? * How do the immune, limbic and autonomic nervous system contribute? * How does insecure attachment, trauma and stress interact with these other vulnerabilities? Takeaways * Panic attacks occur when the brain’s alarm system is overly sensitive. * Physical symptoms of panic attacks can be debilitating and terrifying. * Underlying physiological factors contribute to vulnerability to panic attacks. * Neurotransmitters like norepinephrine and GABA play crucial roles in panic disorders. * Hormonal imbalances, especially in women, can increase the likelihood of panic attacks. * Mast cells are involved in the immune response and can trigger panic symptoms. * Biotoxins, such as mold toxins, can contribute to mast cell activation, limbic system dysfunction and autonomic nervous system dysfunction * Limbic system dysfunction can lead to heightened anxiety and panic. * The autonomic nervous system regulates our fight or flight response. * Emotional stressors and trauma can contribute to panic attacks, but appear to be aligning with other physiologic vulnerabilities Chapters 00:00 Understanding Panic Attacks 03:07 Physiological Factors Behind Panic Attacks 06:00 Neurotransmitters, Nutrient Levels and Panic Disorder 08:52 The Role of Genetic Variants & Hormones in Panic Attacks 12:07 Inflammation and Panic Attacks 14:53 Mast Cells - The Bridge Between the Immune & Central Nervous Systems 18:06 Biotoxins and Their Impact on Panic 21:00 Limbic System Dysfunction and Panic 24:11 The Autonomic Nervous System’s Role 26:45 Emotional Stressors and Panic Attacks As always, I welcome any comments and questions. Your interests and what you care about helps guide the information I share. Also, its really nice for me to be in conversation and learning from you. Until next time, Courtney To learn more about my discovery calls, non-patient consultations, or mentoring, please visit my website at: CourtneySnyderMD.com Medical Disclaimer: This newsletter is for educational purposes and not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment for either yourself or others, including but not limited to patients that you are treating (if you are a practitioner). Consult your physician for any medical issues that you may be having. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit courtneysnydermd.substack.com/subscribe

    29 min
  2. JAN 16

    Making Room For the Soul

    As the new year gets rolling, I’ve been trying to make room for what I call “the soul.” To me, this means being more receptive to those mysterious synchronicities, insights, and feelings so easily missed when I keep myself busy and distracted. Sometimes this energy comes from within, and sometimes it’s a “postcard from God,” as Walt Whitman would say. Bernie With His Plough & The Great Horned Owl It could be a lyric that aligns with something on my mind. The other day, I heard Elton John sing the lyric about the howling old owl in the woods (from “Goodbye Yellow Brick Road”). Though I’ve heard the line many times before, this time was different. Recently, each night when I take my dog out, I hear the haunting sound of a great horned owl in the woods behind my house. But what do I do with that synchronicity? Is it the owl itself - a symbol of wisdom, intuition, mystery, and the ability to see beyond illusion- that I should listen to? Maybe it’s the lyric Bernie Taupin wrote for Elton about a desire to leave the superficial ego-driven world behind and return to a more grounded life - a more authentic self. Bernie was ready to leave the yellow brick road of striving for success. He wanted to go back to his plough and back to the howling old owl in the woods. Maybe it’s both - the haunting sound of the owl and a longing to return “home.” Maybe the owl’s saying, “Leave me alone already and just honor the mystery.” Maybe Bernie is telling me he’d love my simple, quiet life in rural Kentucky, a life that at times doesn’t feel full enough. Contemplating Solitude With Merton A couple of days ago, while doing Qigong (meditative movements similar to Tai Chi), I wondered if there is a place nearby where people gather and move in these gentle ways. The first place that came to mind was the Abbey of Gethsemani, which is not far from here. Finding a group of monks, at least Trappist monks, doing Qigong, would be quite unlikely. Maybe if Merton were still around. Gethsemani was made famous by Thomas Merton, an influential spiritual writer and Trappist monk who lived at the monastery for 27 years. Four of those years, he spent mainly in his hermitage - a secluded cabin in the woods. “Not all of us are called to be hermits, but all of us need enough silence and solitude in our lives to enable the deeper voice of our own self to be heard at least occasionally.” - Thomas Merton Before entering the Abbey at 26, Merton was worldly, raucous, and rebellious. Like Bernie and many of us, he struggled with the tension between a simple, humble life and a desire to engage with and influence the outside world. While at Gethsemani, Merton wrote over 70 books about contemplation, prayer, Eastern religions, interfaith dialogue and social justice, including his famous autobiography, “Seven Story Mountain.” What do I do with that? Merton did all of that while living a quiet life right here in my neck of the woods. Hmmmmmm…. Reclaiming That Girl That Used to Be Mine Sometimes the soul provides a shift in how we think about ourselves and our lives. Sometimes, however, a postcard cuts right through all the analysis and goes straight to the heart. Yesterday, I saw a video reel of Sara Bareilles and Rufus Wainwright singing, “She Used to Be Mine.” Though I’d heard parts of this song before, I never stopped long enough to listen. Last night, with my reclaimed intention of receptivity, I did. Instead of landing on some great insight, I found myself in tears. Quickly, I pulled myself out, before sliding right back into those tears, tears that I realized I was grateful could still flow. When was the last time I cried? And why was I crying? And, why were so many of the people in the audience crying? The song is about losing one’s self, and losing the connection to the child we once were - a universal loss that can make some of us ache, even at the age of 58, when we think we’ve done such a brilliant job of putting all of those parts of ourselves back together. Though no longer recognizing herself, she still remembers the girl she used to be. She sings with tenderness about that girl’s imperfection, effort, goodness, and self-reliance. She questions what life would have been like if she could rewrite the ending for that girl. Sara Bareilles wrote this song for the 2016 Broadway musical, “Waitress.” The lead character sings it at the end of the second act when she has hit rock bottom. She is lost and struggling to remember who she is. Through the song, she mourns the loss of herself before starting to gain footing and for a moment taps into the strength and grit of that child she starts to reclaim. The story isn’t over. We all have an opportunity to write the next act and to extend unconditional affection for the child that she describes as messy, but kind, lonely most of the time, but more, she is all of this “mixed up,” and “baked in a beautiful pie.” Why Here & Now? My long-held hope in sharing information online has been to balance the mind and spirit (the right and left brain). In recent times, I’ve leaned into the left-brain science. That’s what people tend to read or listen to. That’s what people need and can’t easily find elsewhere. I’d forgotten, however, that expressing myself from my heart is something that I need. It is who I am. My own health and healing required much more than scientific information. It would be dishonest to only share part of that story. Even as a child, writing was my lifeline. It helped me find my place in the world. It gave me peace. That child wouldn’t need to make sense of why the owl speaks to me at night. Or, why Bernie showed up with a plough in hand. Or, why Merton put down his pen and stepped out of his cabin to greet me in the woods. Or, even why Sarah, dressed as a waitress, crossed my path while singing a song I’d be sure was written just for me. But, I’m not only that child. I’m all grown up and can’t help but wonder why these particular energies showed up now, beyond the fact that I created some space for them to do so? What would they have me know? I think, to embrace paradox and to remember that we are physical beings of this world, and also spiritual beings who transcend it. We need connection, and we need solitude. We are adults shaped by a lifetime of experience, and still vulnerable children filled with wonder and sometimes hurt. We are light, and we are shadow. And as Sara would say, we are all of this “mixed up and baked in a big beautiful pie.” Wishing you wholeness as you make your way through this year, Courtney To learn more about my discovery calls, non-patient consultations, or mentoring, please visit my website at: CourtneySnyderMD.com This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit courtneysnydermd.substack.com/subscribe

    9 min
  3. Copper Overload: Common in ADHD, Postpartum Depression, Panic & Tantrums

    JAN 15

    Copper Overload: Common in ADHD, Postpartum Depression, Panic & Tantrums

    Summary In this episode, I discuss copper overload, a common yet often overlooked contributor to various mental health issues, including postpartum depression and ADHD. The referenced data comes from the Walsh Research Institute, which studied nutrient levels in 30,0000 people with brain related symptoms, and found a small handful of nutrient imbalances repeated showing up. Copper overload was the one of those imbalances. I explain the relationship between copper and zinc, and how elevated copper can impact neurotransmitter functioning. I also address the symptoms of high copper, potential causes for its elevation, methods for assessing copper levels, and treatment strategies to manage copper overload effectively Takeaways * Copper overload is prevalent in mental health conditions. * High copper levels are linked to postpartum depression. * Copper affects neurotransmitter functioning, specifically dopamine and norepinephrine * Zinc is essential for regulating copper levels. * Symptoms of high copper include anxiety, insomnia, depression and rage. * Dietary sources of copper include shellfish and chocolate. * Oxidative stress can elevate copper levels. * Copper and estrogen have a significant relationship. * Assessment of copper involves specific lab tests. * Treatment includes nutrient protocols and reducing exposure. Chapters 00:00 Understanding Copper Overload 10:36 Identifying Symptoms and Conditions Related to Copper 21:10 Assessing and Treating Copper Overload Transcript As always, I welcome any comments and questions, as these help guide the information that I share. Until next time, Courtney To learn more about my discovery calls, non-patient consultations, or mentoring, please visit my website at: CourtneySnyderMD.com Medical Disclaimer: This newsletter is for educational purposes and not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment for either yourself or others, including but not limited to patients that you are treating (if you are a practitioner). Consult your physician for any medical issues that you may be having. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit courtneysnydermd.substack.com/subscribe

    24 min
  4. Mold Toxicity: A Common Cause of Brain Symptoms

    11/11/2025

    Mold Toxicity: A Common Cause of Brain Symptoms

    In this episode, I discuss: * Mold related illness, with a focus on mold toxicity and mold colonization * The wide range of brain symptoms (and other symptoms associated with mold toxicity * How we can become exposed to toxic mold even when we don’t see mold growth * Why not everyone with the same exposure doesn’t become toxic * How mold toxicity is diagnosed * How we can test our environment for mold * The four core aspects of treatment: removing exposure, using binders to eliminate toxins, addressing fungal colonization if present, and adjusting diet to avoid feeding mold and candida, which often is present in those with mold toxicity * The importance of addressing mast cell activation, limbic system retraining and vagal nerve interventions for those who are highly sensitive to treatment interventions * Practical steps such as air purification, humidity control In the next episode, I will be reviewing research exploring the connection between mold and brain related conditions — and address the question, “Does mold enter the brain, in those who are not obviously immunocompromised?” Rarely does mold toxicity occur in isolation. It will often contribute to other root causes, such as mast cell activation, electromagnetic hypersensitivity, multiple chemical sensitivity, increased pyrroles, worsening of copper zinc imbalances, decreased methylation, and an increased risk of other microbial activations or autoimmunity. As always, I welcome any comments and questions, as these help guide the information that I share. Until next time, Courtney To learn more about non-patient consultations, treatment, and monthly mentorship groups, please visit my website at: CourtneySnyderMD.com Medical Disclaimer: This newsletter is for educational purposes and not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment for either yourself or others, including but not limited to patients that you are treating (if you are a practitioner). Consult your physician for any medical issues that you may be having. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit courtneysnydermd.substack.com/subscribe

    16 min
  5. Compulsive Caregiving - A Common But Less Obvious Attachment Pattern

    10/30/2025

    Compulsive Caregiving - A Common But Less Obvious Attachment Pattern

    In this episode, I explore compulsive caregiving from an attachment perspective. This is a more subtle form of insecure attachment that nonetheless affects one’s ability to thrive and enjoy healthy relationships. Related terms include over-functioning, codependency, and Nice Guy / Good Girl Syndrome. This is the fourth of a four-part series on how our experiences with caregivers in the first three years of life can impact our emotional regulation, beliefs about ourselves, and adult relationships. Here I discuss: * How early attachment experiences shape compulsive caregiving and the “parentified child” dynamic * How over-functioning, people-pleasing, and codependency share a common root in early life and are an attempt to manage attachment anxiety * How physiologic differences, especially of those who are highly sensitive (HSP/Highly Sensitive Person), may make them more vulnerable * The similarities to other addictive and compulsive behaviors * Where this attachment style would fall if placed on the attachment spectrum * The beliefs, emotional states, behaviors, and communication styles that can be present when someone struggles with compulsive caregiving. * The physical and psychological toll of the often-present chronic stress and emotional repression * Tools and interventions that can help one move towards healing and thriving * Specific resources that support awareness and recovery, including The Drama of the Gifted Child, Adult Children of Emotionally Immature Parents, and Codependent No More As always, I welcome any comments and questions, as these help guide the information that I share. Until next time, Courtney To learn more about non-patient consultations, treatment, and monthly mentorship groups, please visit my website at: CourtneySnyderMD.com Links to related content: Compulsive Caregiving, Over-functioning, Codependency & Nice Guy/Good Girl Syndrome Medical Disclaimer: This newsletter is for educational purposes and not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment for either yourself or others, including but not limited to patients that you are treating (if you are a practitioner). Consult your physician for any medical issues that you may be having. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit courtneysnydermd.substack.com/subscribe

    30 min
  6. The Cause of Bipolar Disorder - Recent Discovery by Dr. William Walsh

    10/20/2025

    The Cause of Bipolar Disorder - Recent Discovery by Dr. William Walsh

    I am happy to share a recent conversation I had with Dr. William Walsh about his new book, “The Essence of Bipolar Disorder,” where he lays out his discovery into the cause of Bipolar Disorder, a condition with fluctuating high and low mood states that has baffled researchers and psychiatrists. Dr. Walsh, the president of the non-profit Walsh Research Institute, is an internationally recognized expert in the field of nutritional medicine. Dr. Walsh’s work in nutrient-based psychiatry began while collaborating with the renowned Carl C. Pfeiffer, MD, PhD (a pioneer in the field of nutritional psychiatry) to develop individualized nutrient protocols, originally focusing on violent and criminal behavior before expanding to ADHD, depression, anxiety, bipolar disorder, autism and schizophrenia. Dr. Walsh went on to study more than 30,000 patients with mental disorders, acquiring an unparalleled database of more than 3 million chemical assays during his clinical and research work. From this database, Dr. Walsh discovered the biotypes of depression, ADHD and Schizophrenia. Dr. Walsh has conducted chemical analysis of more than 25 serial killers. He has assisted medical examiners, Scotland Yard, and the FBI. He has designed nutritional programs for Olympic and professional athletes. In this episode, we discuss: * Bipolar Disorder, how it differs from other psychiatric conditions and why it has been so challenging for psychiatric researchers to understand. * The strong inheritance of Bipolar Disorder (despite a single gene never having been identified). * Dr. Walsh’s journey uncovering the cause of Bipolar Disorder, which started with studying the related neuroscience research, followed by a review of the emerging genetic research, specifically, the GWAS (Gene-Wide Association Study), which identified many genes related to bipolar disorder, to a focus on the ion channel genes, DNA repair genes and finally Bipolar Disorder as a “channelopathy.” * The alignment of genetic vulnerabilities involving ion channel genes and DNA repair genes and oxidative assault. * How the weakness of DNA damage genes can contribute to other health issues, accelerate aging, and lower life expectancy. * How weak ion channel genes can also contribute to high oxidative stress. * Bipolar Disorder as a “channelopathy”, and the explanation for switching from euthymia (normal mood) to mania to depression and back to euthymia (from a neurotransmission standpoint) * How this information impacts treatment and prevention. Related Content: Wash Research Institute Lunch with Dr. William Walsh - His Story, Discoveries & the Future of Nutrient-Based Psychiatry Breakthrough Theory of Bipolar Disorder As always, I welcome any comments and questions, as these help guide the information that I share. Until next time, Courtney To learn more about non-patient consultations, treatment, and monthly mentorship groups, please visit my website at: CourtneySnyderMD.com Medical Disclaimer: This newsletter is for educational purposes and not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment for either yourself or others, including but not limited to patients that you are treating (if you are a practitioner). Consult your physician for any medical issues that you may be having. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit courtneysnydermd.substack.com/subscribe

    1h 11m
  7. Anxious-Preoccupied Attachment Style

    10/07/2025

    Anxious-Preoccupied Attachment Style

    In this episode, I discuss the anxious (ambivalent–preoccupied) attachment style — a pattern marked by intensity, dependence, and a longing for reassurance. I address how this attachment pattern develops, how it can appear in adulthood, and what kinds of therapeutic and holistic supports can help someone move toward a more secure attachment style. Specifically, I discuss: * How inconsistency in early caregiving (and even threats or experiences of abandonment) can lead to an anxious attachment style and problems with emotional regulation. * The key differences between anxious and avoidant attachment patterns * What the infant-toddler attachment research revealed about early caregiving and attachment dynamics * How anxious attachment can manifest as overwhelm, and fear of abandonment in adult relationships * Links between attachment and biochemical factors such as inflammation, methylation, high copper, high pyrroles, mast cell activation, and even biotoxin illness such as mold toxicity. * Psychotherapy approaches that promote regulation and security — including learning about healthy boundaries * The importance of structure, daily routines, and developing a reliable “inner parent” * Mind–body strategies such as guided meditation, goal-focused journaling, and creative learning * How addressing both emotional and biochemical roots can support long-term healing and resilience With awareness, compassion, education and support, we can rewire our nervous system toward greater calm, clarity, and self-trust. As always, I welcome your thoughts and questions. Until next time, Courtney To learn more about non-patient consultations, treatment, and monthly mentorship groups, please visit my website at: CourtneySnyderMD.com Medical Disclaimer: This newsletter is for educational purposes and not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment for either yourself or others, including but not limited to patients that you are treating (if you are a practitioner). Consult your physician for any medical issues that you may be having. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit courtneysnydermd.substack.com/subscribe

    27 min
  8. Dismissive-Avoidant Attachment Style

    09/11/2025

    Dismissive-Avoidant Attachment Style

    What do the TV and film characters Don Draper (Mad Men), James Bond, Miranda Priestly (The Devil Wears Prada), and Rick Blaine (Casablanca) have in common? Each is a fairly good illustration of the Avoidant-Dismissive Attachment Style portrayed in film. In the last episode, I discussed how our experiences with caregivers during our first three years of life may continue to impact our ability to regulate emotions and form beliefs about ourselves and others. More deeply, I address how attachment shapes our neurophysiology - specifically our right and left hemisphere differentiation, our limbic system (“lizard brain”) and our autonomic nervous system. In this episode, I will focus more closely on one end of the attachment spectrum - the avoidant-dismissive attachment style. I’ll discuss: * How, in the early research, attachment was measured in toddlers and adults * How avoidant-dismissive attachment appears to develop * What it looks like in relationships * Personality Disorders that, if present, align with this type of attachment style * Similarities with undermethylation and how avoidant-dismissive attachment style may relate to undermethylation * The role of psychotherapy, group work, and supportive relationships in healing * Other tools, practices, and choices that can support healing. * How awareness of these patterns can transform not only personal well-being but also parenting and family dynamics across generations One theme I return to often is that growth is always possible. While avoidant attachment may develop early in life, it does not define a person forever. With curiosity, growing compassion, and the willingness to practice new ways of relating to ourselves and to others, we can expand our capacity for connection and begin to feel more whole. In the next episode, I look forward to discussing the other end of the attachment spectrum - the Anxious-Ambivalent (Preoccupied) Attachment Style. As always, I welcome any comments and questions, as these help guide the information that I share. Until next time, Courtney To learn more about non-patient consultations, treatment, and monthly mentorship groups, please visit my website at: CourtneySnyderMD.com Links to related content: Methylation & Brain Health Undermethylation Myths, MTHFR & The Great Folate Debate Medical Disclaimer: This newsletter is for educational purposes and not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment for either yourself or others, including but not limited to patients that you are treating (if you are a practitioner). Consult your physician for any medical issues that you may be having. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit courtneysnydermd.substack.com/subscribe

    29 min
4.7
out of 5
27 Ratings

About

Courtney Snyder, MD, is a physician and adult and child holistic, functional and environmental psychiatrist. In this podcast she shares information on the underlying root causes to brain related symptoms, how these roots are evaluated and treated. Her hope with this podcast is to challenge us to look at ourselves, our families, our culture and even our humanity through a different lens - a lens that offers more possibility and more hope. www.courtneysnydermd.com courtneysnydermd.substack.com

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