M.E.S.H.

Dr. Pamela Brewer

Where your Mental, Emotion, and Social Health is always on the agenda!

  1. 1d ago

    Is Pre-Wedding Doubt Nerves or A Warning?

    What happens when two people deeply in love discover they aren't actually a good fit for marriage? In this edition of M.E.S.H., Dr. Pamela Brewer sits down with Shaina Goelman, LMFT, a licensed marriage and family therapist and clinical supervisor at Neuro Wellness Spa in Los Angeles, to explore the foundational work of premarital counseling. Together they unpack why love alone rarely sustains a marriage, how finances, children, and religion can become make-or-break conversations, and why the goal isn't to avoid conflict but to build a relationship that can hold it. Shaina brings a refreshingly direct approach, and her insights land as much for the professionals supervising this work as for anyone thinking about joining their life with another person. If you've ever wondered whether nerves and genuine doubt feel different, or how to raise a hard truth without blowing up the room, this conversation offers a grounded, hopeful map. 🌟 Topics Covered:The real difference between cohabitation counseling and premarital counselingWhy being in love and being a good fit are not the same thingChoosing the right therapist and modality, from faith-based to Gottman, Imago, EFT, and CBTWhen to start premarital counseling, and why sooner beats laterThe three conversations most likely to surface a red flag: finances, children, and religionHandling in-laws, boundaries, and what belongs in individual therapy firstThe "no secrets" policy and why the couple is treated as one unitBlended families, step-parenting, and keeping children feeling secureWhen one partner refuses counseling, and what that refusal may signalTelling the difference between pre-wedding nerves and a doubt worth investigating Key Takeaways:Premarital counseling builds a foundation for healthier conflict, not a conflict-free marriage.You aren't only marrying a person; you're joining two families, two financial realities, and two sets of histories.The most serious red flags tend to be misalignment on money and debt, children, and religion, because these are the hardest to compromise on later.A concern about an in-law is often best worked through in individual therapy before it enters the couples room.A "no secrets" policy keeps the work honest; anything shared privately still has to come into the room.In blended families, children need to feel secure and heard, even though the adults are the ones making the decision.A partner's refusal to attend is worth understanding, as it often reflects stigma or a past bad experience, not the relationship's worth.Doubt is worth examining: some doubts are rooted in old patterns, and some are founded in fact. Some Questions I Ask:Is there a difference between premarital counseling and cohabitation counseling?How does someone choose the right kind of premarital counseling, and the right therapist?When should a couple start, right after the engagement or closer to the wedding?Can a couple be genuinely in love and still not be a good marital fit?What are the red flags that tend to surface during the process?If one partner wants to raise something privately, do you keep it between you, or bring it into the room?When there are children from a previous relationship, how do you bring that into the counseling?What do you say to a parent who won't marry until their child approves?When one partner refuses premarital counseling, what does that mean for the relationship?How can someone tell the difference between ordinary wedding nerves and doubts worth paying attention to? Learn More About Our Guest:Guest: Shaina Goelman, LMFT, Licensed Marriage and Family Therapist; Clinical SupervisorOrganization: Neuro Wellness Spa, Los Angeles and Southern CaliforniaWebsite: neurowellnessspa.com Resource List:Organizations mentioned: Neuro Wellness Spa — a mental health company in Los Angeles and Southern California offering psychiatry, medication management, and therapy (neurowellnessspa.com) #PremaritalCounseling#CouplesTherapy#MarriageAndFamilyTherapy#RelationshipHealth#BlendedFamilies#MentalEmotionalSocialHealth#MESHPodcast#DrPamelaBrewer#LMFT#HealthyRelationships

  2. Oct 28

    Why Victims Doubt Their Own Reality: Understanding Gaslighting

    Show NotesThis conversation first aired in December 2025 and remains one of our most-requested episodes. We're resharing it for anyone who missed it the first time.In this edition of M.E.S.H., Dr. Pamela Brewer sits down with Carrie Ann Cleveland, Director of Cleveland Family Counseling and a licensed marriage and family therapist, for a clear-eyed conversation about gaslighting, narcissistic abuse, and the lasting toll both take on mental and emotional health. Carrie Ann draws the line between an ordinary disagreement and a deliberate manipulation tactic, unpacks the unpredictable dynamics of relationships with narcissists, and offers grounded, usable guidance for recognizing these patterns—in clients, in colleagues, and sometimes in our own lives. For the professionals who sit across from survivors, this is a conversation about naming what's really happening and helping people find their footing again. 🌟 Topics Covered:The clinical definition of gaslighting and the trauma it producesWhat distinguishes narcissistic abuse from ordinary conflictHow narcissism shows up at work, in families, in churches, and in nonprofitsThe core behaviors and mindset that drive narcissistic abuseLove bombing and the arc of gaslighting over timeThe financial, social, and medical risks of prolonged exposureBoundaries, disengagement, and the reality of leavingWhere survivors and the professionals who treat them can find support Key Takeaways:Gaslighting works by eroding a person's trust in their own perception of reality—naming the tactic is the first step to disarming it.Narcissistic abuse is fundamentally about power and control, which is why it surfaces in so many settings beyond the home.Narcissistic personality disorder is one of the few conditions where the person rarely seeks treatment while everyone around them ends up in therapy.Manipulation doesn't always look hostile; sometimes it arrives as excessive affection, or "love bombing."Recovery is possible, and expert guides, organizations, and practical tools exist to support both survivors and clinicians. Some Questions I Ask:What is gaslighting, really, and how is it different from a normal disagreement?What makes narcissistic abuse so traumatic for the people who experience it?Why does the narcissist so rarely end up in the therapy room?How does love bombing fit into the larger pattern of gaslighting?What does the arc of gaslighting look like as a relationship unfolds?What are the real costs—financial, social, medical—of staying?How does someone begin to protect themselves and set boundaries?Where can people turn for support and reliable information? Learn More About Our Guest:Website: clevelandfamilycounseling.comEmail: carrieann@clevelandfamilycounseling.com Resource List:Organizations mentioned: Cleveland Family Counseling (Carrie Ann Cleveland's practice) #NarcissisticAbuse#Gaslighting#MentalHealth#EmotionalHealth#TraumaRecovery#HealthyRelationships#MESHPodcast#PamelaBrewer#CarrieAnnCleveland#TherapyResources

  3. Oct 21

    Hurt People Help People: Rethinking the Wounded Healer

    What if the very wounds that drew you into helping others are also the ones quietly putting you at risk of burnout? On this thoughtful and deeply affirming episode of M.E.S.H., Dr. Pamela Brewer welcomes back Dr. Adam McCormick, professor of social work at St. Edward's University and author of Healing the Helping Professional: The Unfinished Business of Childhood Trauma. 💛 Together they turn the familiar phrase "hurt people hurt people" on its head, exploring how so many caregivers, clinicians, and helpers were shaped by early adversity into people of remarkable kindness, compassion, and emotional intuition. Dr. McCormick shares his own story of growing up as his father's "social worker," unpacks why the same gifts that make us extraordinary at this work can leave us most vulnerable to compassion fatigue, and offers a hopeful path forward through self-awareness, supervision, and reconnecting with our authentic needs. This is an empowering conversation for anyone in a helping role who has ever wondered whether there's room in this work for them, too. 🌟 Topics Covered: Why healing professionals benefit from examining their own pastReframing "hurt people hurt people" as "hurt people help people"One-over and one-under adaptations from childhood traumaHow emotional intuition becomes both a gift and a vulnerabilityThe real reason self-care advice so often falls flatSupervision as a space for modeling and supportAttachment versus authenticity in childhoodCompassion fatigue and the two buckets of helping work Key takeaways: The wounds that shaped you can make you an exceptional, compassionate helper.Ask "what happened to me?" rather than "what's wrong with me?"You can't care for a self you've become disconnected from..Sustainable caregiving means actively filling the bucket of compassion satisfaction.Learn more about our guest: Book: Healing the Helping Professional: The Unfinished Business of Childhood Trauma (published through NASW Press)Weekly author newsletter on trauma-related topics (linked via LinkedIn)LinkedIn: Dr. Adam McCormickDr. Adam McCormick is a professor of social work at St. Edward's University and an author, educator, and trauma-informed care trainer Resource List: Books mentioned: Healing the Helping Professional: The Unfinished Business of Childhood Trauma by Dr. Adam McCormickPrograms mentioned: Trauma-informed care training for communities and practitionersOrganizations mentioned: St. Edward's University; NASW Press (National Association of Social Workers Press)patreon.com/meshjourney #HelpingProfessionals #Trauma #CompassionFatigue #WoundedHealer #SocialWork #MentalHealth #SelfAwareness #TraumaInformed #MESHPodcast #PamelaBrewer #AdamMcCormick #Burnout

  4. Oct 14

    Undaunted Trailblazers: The Men of Color Shaping Oral Health

    What if a trip to the dentist is about far more than your teeth—about health, history, access, and who gets to see themselves reflected in the people who care for them? On this illuminating episode of M.E.S.H., Dr. Pamela Brewer welcomes Dr. Leo E. Rouse, Dean Emeritus of the Howard University College of Dentistry, the first African American president of the American Dental Education Association, and former commander of the Army Dental Command. 💛 With warmth and quiet authority, Dr. Rouse traces his path from a wax-carving third grader inspired by his family dentist to a 50-year career devoted to breaking paradigms and holding doors open for others. He makes a compelling case that oral health is total health, explains why representation in dentistry is a genuine concern when only 3.8% of U.S. dentists are African American, and shares the legacy captured in the book Undaunted Trailblazers. This is a rich, hopeful conversation about mentorship, legacy, and the truth that becoming a trailblazer means holding the door wide open for everyone who follows. 🌟 Topics Covered:Why representation in dentistry matters for a 14% population served by 3.8% of dentistsThe deep link between oral health and total body healthBreaking the historical paradigm of mistrust in careMentorship, role models, and seeing yourself in othersA 28-year Army dentistry career devoted to equitable careThe legacy of HBCUs like Howard University in training dentistsThe book Undaunted Trailblazers and the stories it preservesDiversity, equity, inclusion, and belonging in the professions Key takeaways:Oral health is total health—your mouth can reveal diseases throughout the body.Representation matters; seeing yourself reflected in a profession is powerful.Mentorship can plant a seed that grows into a lifelong calling.HBCUs remain vital to training clinicians, researchers, and leaders.Trailblazing means holding the door wide open, not just ajar. Learn more about our guest:Book: Undaunted Trailblazers 2: Contemporary Men of Color Shaping Oral Health (co-authored with Dr. Jean Sinkford, Dr. Keith Mays, and Dr. Todd Ester)Dr. Leo E. Rouse is Dean Emeritus of the Howard University College of Dentistry, the first African American president of the American Dental Education Association board of directors, past president of the American College of Dentists, and former commander of the Army Dental Commandpatreon.com/meshjourney Resource List:Books mentioned: Undaunted Trailblazers 2: Contemporary Men of Color Shaping Oral Health; the U.S. Surgeon General's report on oral health (2000), authored under Dr. David SatcherOrganizations mentioned: Howard University College of Dentistry; Meharry Medical College; American Dental Education Association; American College of Dentists; U.S. Army Dental Command #OralHealth #Dentistry #Representation #HBCU #HowardUniversity #HealthEquity #Mentorship #Trailblazers #MESHPodcast #PamelaBrewer #LeoRouse #TotalHealth #DrLeoRouse #HBCU’S

  5. Oct 7

    Choice, Courage, Confidence: The Anatomy of Resilience

    What if fear didn't get to decide your next step—and resilience was simply a choice you could make again each morning? On this energizing episode of M.E.S.H., Dr. Pamela Brewer welcomes Michelle Kuei, founder of Elevate Life Coaching, for a conversation about courage, choice, and the quiet power of refusing to let expectations become your reality. 💛 Michelle shares the remarkable story of hiking 26 miles to the summit of Machu Picchu—on two crutches, at four feet four inches tall—and what that four-day journey taught her about belonging, possibility, and who she really is. Along the way, she offers her "Five C's" framework for building resilience, a practical reframing exercise anyone can try today, and a liberating truth: courage, like fear, is already inside you. This is a warm, galvanizing conversation for anyone who has ever felt too different, too afraid, or too anything to begin. 🌟 Topics Covered:How resilience begins with a single daily choiceThe Five C's: choice, commitment, courage, connection, confidenceLessons from hiking Machu Picchu on crutchesWhy fear and courage are both already within youTurning discomfort into useful informationThe role of accountability and communityA simple reframing exercise for negative self-talkMoving from "comfortable" toward courageous Key takeaways:Resilience starts with recognizing the choices you make every single day.Courage isn't found outside you—it's already within, waiting to be cultivated.You can be fearful and courageous at the same time; fear doesn't have to decide.Discomfort is information, not a stop sign.Connection and accountability help you stick to the choices you make.You can reframe the story you tell yourself—one neutral or positive line at a time. Some questions I ask:What are your thoughts about how to overcome fear and build resilience?Can you tell us about hiking Machu Picchu on crutches?What did you learn about yourself at the end of that journey?Can you falter along the way, and what do you do then?You coach other coaches—help me understand that.Can you be courageous and fearful at the same time?What do you say to someone who feels too different, too old, or too afraid to begin? Learn more about our guest:Website: elevatelifecoaching.org (her story, her book, and her work as a marketing coach)Michelle Kuei is the founder of Elevate Life Coaching, a clinical pharmacist of over 20 years, an International Coach Federation–certified coach, author, speaker, and business and marketing coach for coachesResource List:Books mentioned: Michelle Kuei's book (available via elevatelifecoaching.org)Programs mentioned: Elevate Life Coaching; business and marketing coaching for coachespatreon.com/meshjourney #Resilience #OvercomingFear #Courage #LifeCoaching #Mindset #PersonalGrowth #Confidence #Choice #MESHPodcast #PamelaBrewer #MichelleKuei #Empowerment #Dr.PamelaBrewer #Bravery

  6. Sep 30

    The Trauma We Don't Call Trauma

    Show NotesWhat if the behavior we're quickest to punish is actually a wound asking to be understood? On this profound episode of M.E.S.H., Dr. Pamela Brewer welcomes Dr. Adam McCormick, a professor of social work at St. Edward's University, author, and facilitator of trauma and masculinity groups for boys and young men in the foster care and criminal legal systems. 💛 With deep compassion and clarity, Dr. McCormick reframes trauma not as the terrible things that happen to a young person, but as the wound left behind—and the stories a child constructs to make sense of it. He explains why boys so often push away the very connection they need to heal, how the most rigid institutions hold the most wounded young people, and why accountability and compassion can absolutely coexist. Through a striking story of a young man placed in 26 different foster homes, Dr. McCormick reveals both the depth of the harm and the profound hope at the center of his work: while we can't rewrite what happened, the meaning a young person makes of it is negotiable—and connection is what heals. This is a moving, illuminating conversation for parents, caregivers, helpers, and anyone who loves someone carrying old wounds. 🌟 Topics Covered: Understanding trauma as the wound, not just the eventWhy boys often can't access what they need to healThe stories traumatized children construct—and confirmHow rigid, punitive systems deepen traumaWhy boys are hungry, not reluctant, to open upHolding accountability and compassion togetherThe brilliance of a child's survival adaptationsConnection as the only true path to healing Key takeaways: Trauma is the  meaning we make of the wound—not simply the event itself.Boys often push away the connection they most need to heal.The most punitive systems tend to hold the most traumatized young people.Accountability and compassion can, and should, coexist.Connection and relationship are the only true path to healing trauma. Learn more about our guest: Book: "Healing the Helping Professional: The Unfinished Business of Childhood Trauma"Weekly author newsletter on trauma-related topics (linked via LinkedIn)LinkedIn: Dr. Adam McCormickhttps://www.stedwards.edu/directory/sociology-social-work/adam-mccormickResource List: Books mentioned: "Healing the Helping Professional: The Unfinished Business of Childhood Trauma" by Dr. Adam McCormickPrograms mentioned: Trauma and masculinity groups for boys and young men in foster care and criminal legal systemsOrganizations mentioned: St. Edward's University, Austin, Texas  #Trauma #TraumaInformed #Masculinity #FosterCare #Healing #MentalHealth #BoysAndTrauma #Connection #MESHPodcast #PamelaBrewer #DrAdamMcCormick #ChildhoodTrauma

  7. Sep 23

    Autism Across The Lifespan

    What does it really mean to be on the autism spectrum—and how can we build a world that meets people where they are? In this warm and illuminating episode of M.E.S.H., Dr. Pamela Brewer welcomes Alisha Simpson-Watt, a social worker, board-certified behavior analyst, author, and founder of Collaborative ABA Services. 💛 Drawing on both her professional expertise and her experience as the parent of a child on the spectrum, Alisha helps us understand autism as it truly is: not a one-size-fits-all diagnosis, but a spectrum that looks different across individuals and across a lifespan. She walks us through what autism can look like in children and adults, why early support matters, and how to talk about a diagnosis with family members who may be reluctant to hear it. Throughout, Alisha offers a message of grace and hope—reminding parents that a diagnosis is not their fault, that inclusion means adjusting our world rather than the person, and that focusing on a child's strengths changes everything. This is a compassionate, myth-busting conversation for parents, partners, employers, and anyone who wants to understand the spectrum more deeply. 🌟 Topics Covered: What autism is, and why it's understood as a spectrumHow autism can present in children versus adultsRecognizing developmental milestones and early signsReleasing parental blame and self-judgmentTalking about a diagnosis with reluctant family membersThe meaning and value of true inclusionReasonable accommodations at work and schoolWhat current science says about causes and vaccines Key takeaways: Autism is a spectrum—it looks different across individuals and across a lifespan.A diagnosis is not a parent's fault; give yourself grace and seek support early.Focusing on a child's strengths and needs is more helpful than focusing on a label.True inclusion means adjusting our environment and expectations, not the person.Reasonable accommodations are often simple, and protected by law.There is no scientific evidence linking vaccines to autism. Some questions I ask: What does it mean to be autistic, or to be on the spectrum?What does struggling with changes in routine actually look like?Are there adults on the spectrum, and how might it present?How early can a child be diagnosed, and what should parents watch for?Is an autism diagnosis the parent's fault?How can parents explain the diagnosis to reluctant family members?What does inclusion really mean when working with children?Do vaccines cause autism? Learn more about our guest: Website: www.collaborativeabaservices.comBook: "It's Okay, Maddie: A Story About Autism, Big Feelings and Learning to Cope" (includes a resource guide for adult readers)YouTube: Collaborative ABA Services — the "Collab Talk" seriesInstagram: Leading With AlishaLinkedIn: Alisha Simpson-Watt #Autism #AutismAwareness #AutismSpectrum #Inclusion #Neurodiversity #ABA #ParentingSupport #SpecialNeeds #MESHPodcast #PamelaBrewer #AlishaSimpsonWatt #AutismAcceptance

  8. Sep 16

    Healing Out Loud: One Woman's Journey Toward Wholeness

    What does it mean to finally exhale after holding your breath for years? In this deeply moving episode of M.E.S.H., Dr. Pamela Brewer welcomes Daphne Joy, who shares her personal healing journey with remarkable honesty and grace. 💛 Haitian-born and raised in a predominantly white environment far from her culture and community, Daphne describes the fragmentation that came from suppressing who she was—and the profound relief of being fully immersed, for the first time, in spaces where she was seen, welcomed, and simply talked to rather than talked past. She opens up about the pain of transracial adoption, the loss of her language and culture, and the honorary adoption by an American Black family that became one of the most healing experiences of her life. Throughout, Daphne Joy offers hope and hard-won wisdom for anyone at the start of their own healing: don't give up, don't let others define your path, and if you don't know where to begin, begin with writing. This is a tender, powerful conversation about identity, belonging, and the courage it takes to become whole. 🌟 Topics Covered: Healing from trauma, displacement, and a fragmented sense of identityWhy immersion in BIPOC spaces was so pivotalThe difference between being talked to and talked pastThe impact of transracial adoption on a child's identityLosing—and reclaiming—language and cultureThe healing power of honorary family and belongingThriving despite difficult beginningsWriting and journaling as a starting point for healing Learn more about our guest: Facebook: Daphne JoyYouTube & Instagram: Cultivating DaphneSubstack: Daphne Joy (where she shares the deeper parts of her story)Daphne Joy is a returning M.E.S.H. guest sharing her ongoing healing journey and her search for her biological family Resource List: patreon.com/meshjourney #Healing #Identity #TransracialAdoption #Belonging #Community #MentalHealth #SelfDiscovery #Wholeness #MESHPodcast #PamelaBrewer #DaphneJoy #HealingJourney

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Where your Mental, Emotion, and Social Health is always on the agenda!