The Transformed Minds Pod

thetransformedmindspod

Transformed Minds is a podcast dedicated to reshaping how we understand and approach mental health and substance use. Through evidence-based discussions, real stories, and expert interviews, we create a space for learning, reflection, and transformation. Hosted by theprayingpsychiatrist, a physician, researcher, and advocate for community and global mental health, this platform bridges evidence-based medicine, clinical insight and lived experience. Whether you're a provider, trainer, policymaker, patient, or loved one—this podcast is for you. Let’s learn, heal and transform – together!

  1. The Revolving Door: Illicit Drug Use After Incarceration with Dr. Barrett | Season 2 Premier

    FEB 10

    The Revolving Door: Illicit Drug Use After Incarceration with Dr. Barrett | Season 2 Premier

    Does incarceration actually reduce substance use or does it make it worse?In this episode of The Transformed Mind, Dr. Owusu sits down with forensic and addiction psychiatrist Dr. Jason Barrett to examine the growing body of evidence showing that incarceration is not a deterrent to drug use and may actually increase risk after release, even after controlling for prior substance use.Using longitudinal research on formerly incarcerated Black Americans as a foundation, this conversation moves beyond statistics to explore the lived realities of incarceration, reentry, trauma, and gaps in addiction treatment. Together, they unpack why relapse after release is not a moral failure, but a predictable outcome of disrupted care, untreated trauma, and structural barriers like housing instability, loss of insurance, and lack of access to evidence-based treatment.This episode covers:- Why incarceration predicts drug use independent of prior useCarceral trauma, racialized trauma, and loss of autonomy- Why court-mandated treatment often fails without readiness- The role of clinicians as the “last bridge” for patients- Medication access in jails and prisons (and why continuity of care matters)- How community organizations, peer specialists, and policy reforms can reduce harm- Why addiction should be treated like diabetes, not punished like misconductThis episode is essential listening for clinicians, trainees, policymakers, community advocates, and anyone seeking a more honest, evidence-based conversation about addiction and the justice system.🎧 Listen on Spotify, Apple Podcasts, and wherever you get your podcastsFeatured resources:Rich JD, Wakeman SE, Dickman SL. Return to illicit drug use post-incarceration among formerly incarcerated Black Americans. Drug Alcohol Depend. 2018;187:77–82.Brinkley-Rubinstein L. Incarceration as a social determinant of health. Lancet Public Health. 2018;3:e165–e166.Binswanger IA, et al. Mortality after prison release. N Engl J Med. 2007;356:157–165.National Academies of Sciences. Medications for Opioid Use Disorder Save Lives. 2019.Subscribe for weekly conversations on psychiatry, addiction, and structural health00:00 – Welcome & episode overview02:10 – Why this conversation matters right now04:40 – Intergenerational incarceration, foster care, and homelessness07:30 – Lack of treatment inside jails and prisons10:15 – Why incarceration predicts drug use even after prior use is controlled14:20 – “What does the substance do for you?”18:45 – Trauma, PTSD, ADHD, and untreated psychiatric drivers23:10 – The myth that incarceration stops drug use27:30 – Court-mandated treatment vs readiness for change32:40 – Stages of change and why forced care often fails37:15 – Being the only bridge left for a patient41:50 – Carceral trauma and racialized trauma47:10 – What forensic psychiatry actually is51:30 – How clinicians should assess incarceration history56:20 – Addiction treatment during incarceration: what the evidence shows1:01:10 – Medicaid gaps, reentry, and continuity of care1:07:30 – Community organizations, peer specialists, and rehabilitation1:14:40 – Addiction vs diabetes: dismantling stigma1:21:10 – Case presentation: post-release escalation explained1:28:50 – Evidence-based interventions before release1:35:30 – Final reflections and key takeaways

    1h 2m
  2. When Triggers Are Everywhere: Holiday Survival and Substance Use | Season Finale

    12/18/2025

    When Triggers Are Everywhere: Holiday Survival and Substance Use | Season Finale

    In the season finale of The Transformed Minds, Dr. O brings the series full circle, reflecting on the season’s core lessons around evidence-based, humane, and equitable care in substance use and psychiatric treatment. This episode focuses on the heightened risks of the holiday season, a time when emotional stress, trauma activation, social isolation, and structural inequities often collide. Dr. O explores how holiday pressures can exacerbate substance use and psychiatric symptoms, while also highlighting concrete, actionable strategies to promote safety, continuity of care, and recovery. Drawing on clinical insight and real-world examples, the episode examines: The psychology of stress and trauma during the holidays Structural vulnerabilities that increase risk for relapse, overdose, and psychiatric crises Practical interventions for clinicians, caregivers, policymakers, and communities From anticipatory care planning and medication continuity to community-level harm reduction strategies such as naloxone distribution and syringe services, this finale underscores a central message of the season: support saves lives. Join us for a thoughtful, grounded discussion on how to build recovery-friendly environments and reduce harm during one of the most challenging and meaningful times of the year. Learning Objectives By the end of this episode, listeners will be able to: Identify evidence-based risk factors for substance use recurrence during the holiday season. Apply practical, anticipatory strategies to reduce relapse and overdose risk. Understand how trauma, social determinants, and system-level gaps shape holiday outcomes. Translate research into actionable steps for clinicians, patients, communities, and policymakers. Reframe holiday substance use risk as predictable and therefore preventable.

    32 min

About

Transformed Minds is a podcast dedicated to reshaping how we understand and approach mental health and substance use. Through evidence-based discussions, real stories, and expert interviews, we create a space for learning, reflection, and transformation. Hosted by theprayingpsychiatrist, a physician, researcher, and advocate for community and global mental health, this platform bridges evidence-based medicine, clinical insight and lived experience. Whether you're a provider, trainer, policymaker, patient, or loved one—this podcast is for you. Let’s learn, heal and transform – together!