The Next Big Idea Daily: A Story of Psychiatric Treatment Resistance

The Next Big Idea Daily: A Story of Psychiatric Treatment Resistance

Released Monday, 21st April 2025
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The Next Big Idea Daily: A Story of Psychiatric Treatment Resistance

The Next Big Idea Daily: A Story of Psychiatric Treatment Resistance

The Next Big Idea Daily: A Story of Psychiatric Treatment Resistance

The Next Big Idea Daily: A Story of Psychiatric Treatment Resistance

Monday, 21st April 2025
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0:00

Monday. I'm Michael Kovnat, host of

0:02

The Next Big Idea's sister podcast,

0:04

The Next Big Idea Daily. Every

0:06

weekday, we deliver quick masterclasses from

0:08

the best nonfiction books written and read

0:11

to you by the authors themselves. You're

0:13

about to hear the episode we published

0:15

this morning. To get the rest of this

0:17

week's episodes, follow The Next Big Idea

0:19

Daily wherever you get your podcasts. Good

0:35

morning, everyone. I'm Michael Kovnat,

0:38

and this is the Next Big

0:40

Idea Daily, where we serve up

0:42

powerful insights from the best new

0:44

nonfiction books, no prescription required. Now,

0:46

today's episode may stir up

0:48

some strong opinions, especially if you've

0:50

ever struggled with your mental

0:52

health or questioned the medical system

0:54

that's supposed to help. Laura

0:56

Delano spent 14 years under

0:59

psychiatric care working with a

1:01

variety of diagnosed mental illnesses

1:03

and trying every drug and

1:05

therapy that promised to fix her.

1:08

But eventually she started wondering what

1:10

if the problem wasn't in her

1:12

brain but in the system itself. In

1:14

her searing new memoir, Unshrunk,

1:17

a story of psychiatric treatment

1:19

resistance, Laura recounts how

1:21

she reclaimed her life, not by

1:23

following doctors' orders, but by

1:25

learning to trust herself again. She

1:28

joins us now to share some of her

1:30

most hard -won insights, right after this quick

1:32

break. Hi,

1:46

I'm Jonathan Fields. Tune in to

1:48

my podcast for conversations about the

1:50

sweet spot between work, meaning, and

1:52

joy, and also listen to other

1:54

people's questions about how to get the most out

1:57

of that thing we call work. Check

1:59

out SPART wherever you enjoy podcasts.

2:03

From LinkedIn News, I'm Jesse

2:05

Hempel, host of the Hello Monday

2:07

podcast. Start your week with

2:10

the Hello Monday podcast. We'll navigate

2:12

career pivots. We'll learn where

2:14

happiness fits in. Listen to Hello

2:16

Monday with me, Jesse Hempel, on

2:18

the LinkedIn Podcast Network, or wherever

2:20

you get your podcasts. Hi,

2:27

my name is Laura Delano. I'm

2:30

an author, speaker, and consultant. Today,

2:33

I'm going to share five of the key

2:35

insights from my book, Unshrunk.

2:37

a story of psychiatric treatment

2:39

resistance. Insight number

2:42

one. Personal struggle doesn't

2:44

necessarily mean there's anything wrong

2:46

with you. In fact, it

2:48

may well be the very opposite. The

2:51

words we use to make sense

2:53

of our inner experiences shape the way

2:55

we understand ourselves, who

2:57

we are, what our thoughts and

2:59

emotions mean, how we fit

3:01

or don't fit into the world

3:03

around us. I spent the

3:05

most formative years of my

3:07

life thinking about myself through the

3:10

medicalized framework of mental illness

3:12

and mental health. I

3:14

translated my intense anger

3:16

and despair and angst

3:18

and loneliness and paranoia

3:20

and self -doubt into the language

3:23

of symptom, disease, and

3:25

psychopathology, and grew convinced

3:27

that my biochemistry needed fixing.

3:30

I eventually learned that the very

3:32

opposite was true. that my

3:34

struggle was a sign of my aliveness, my

3:37

sensitivity, my attunement to

3:39

the world. My book invites

3:41

the question, what if

3:43

your struggles are not indicative

3:46

of personal illness or malfunction, but

3:49

of the fact that something is

3:51

out of alignment in your relationship to

3:53

society around you, or perhaps

3:55

out of alignment in society itself?

3:58

Emotional pain does not have to

4:00

mean proof of pathology. It

4:02

can also mean that we are

4:04

fully here and in touch with

4:07

what's happening to and around us. No

4:11

one knows you better than you know yourself.

4:15

During my time in the mental health system, I

4:18

came to believe that I couldn't trust

4:20

my mind, that my thoughts and

4:22

emotions were something to be scared

4:24

of and managed rather than tuned

4:26

into for guidance. My

4:28

faithful identification with doctor

4:30

-imposed diagnostic categories arrested

4:32

my own process

4:34

of individual meaning -making. What

4:37

was the sense in cultivating curiosity about

4:39

why I felt the way I did

4:41

when it was simply the result of

4:43

biological malfunction? I believed

4:46

that my doctors, with all their

4:48

qualifications and years of training, were

4:50

experts on my suffering. Having

4:53

lost faith in the soundness of my

4:55

own opinions, I accepted their

4:57

delineation of my limits and what

4:59

I would be able to quote

5:01

unquote manage as a quote unquote

5:03

sick person. I learned

5:06

to quell the voice

5:08

inside me that voiced confusion

5:10

or discomfort or protest

5:12

because as a faithful patient, I had

5:14

internalized the belief that this was all

5:16

for my own good. When

5:18

I left the mental health system, I

5:20

had to undergo a process of

5:22

recovery. Not in the sense

5:24

of becoming mentally healthy, so to speak, but

5:27

in the sense of retrieval, of

5:29

finding what I'd lost. That

5:32

lost thing was trust in

5:34

myself, faith in

5:36

my ability to navigate and interpret the

5:38

world on my terms, knowing that

5:41

I had all the answers I needed

5:43

within me. Expertise

5:46

doesn't always come from having

5:48

letters after your name. We're

5:51

trained to believe that expertise

5:53

comes from formal education, from

5:56

accreditations and positions of

5:58

prestige in respected institutions. But

6:01

the word expertise actually

6:03

comes from the Latin experitus,

6:06

meaning tried, proved,

6:08

known through experience. When

6:11

I decided to come off psychiatric

6:13

drugs in 2010, I

6:15

did so with minimal help from my

6:17

prescriber. Neither of us knew

6:19

how to safely taper off medications, and

6:22

I ended up discontinuing five drugs

6:24

in the space of about six

6:26

months, which is essentially

6:28

going cold turkey and very

6:30

dangerous. At the

6:33

time, online communities of people

6:35

withdrawing from psychiatric drugs were

6:37

still in their infancy, and

6:39

so I muddled through withdrawal

6:41

without knowing what was happening. Since

6:44

then, Online withdrawal

6:46

communities have increased exponentially,

6:49

a telling indicator about the lack

6:51

of understanding and support from

6:53

medical professionals about psychiatric drug withdrawal.

6:56

It's been laypeople, not

6:58

scientists, not clinicians, who

7:01

have developed extensive knowledge

7:03

about safe tapering methods, all

7:05

based on their failed and successful

7:07

attempts to come off their medications. However,

7:11

Since this type of knowledge doesn't

7:13

come from those with letters after

7:15

their names or from academic institutions, layperson

7:18

expertise is often

7:21

considered invalid. And

7:23

yet, in the case of psychiatric

7:25

drug tapering, the science is

7:27

finally catching up with what laypeople

7:29

have known and been supporting each other

7:31

with all along. This

7:33

is just one example of a service

7:35

that we regularly outsource to professionals. that's

7:38

actually freely available in our

7:40

own communities. Don't

7:43

wait until you heal to start

7:46

living. I spent

7:48

my 20s in active pursuit

7:50

of mental health recovery. I

7:52

felt sure I couldn't focus on

7:54

living until I made it to

7:56

this endpoint where I'd feel emotional

7:59

balance, put togetherness, and personal arrival.

8:02

Achieving this state became my North

8:04

Star. Eventually, in

8:06

the wake of coming off my meds far

8:08

too quickly, and in the throes

8:10

of psychiatric drug withdrawal, I

8:12

realized I had to stop sitting in

8:15

the waiting room of my life. It

8:17

was only by showing up with my

8:19

mind on fire that I would heal. It

8:22

was by insisting on putting myself

8:24

out there in the world, and opening

8:26

up to all the possible moments

8:28

of feeling connected that I would recover.

8:31

And not despite feeling unready, but

8:33

because of it. The

8:36

objective to living isn't

8:38

happiness and balance. It's

8:40

meaning and authenticity. I

8:43

grew up in a wealthy

8:45

New England town where the air

8:47

itself seemed infused with happiness

8:49

and perfection. This, in

8:51

turn, created an alienating,

8:53

suffocating illusion that everyone

8:55

else, save you, had their

8:58

act together. The

9:00

underlying assumption that I was the only

9:02

one who hadn't cracked the happiness

9:04

code was a large part of what

9:06

drove me to surrender myself to

9:08

mental health professionals through my teens and

9:10

twenties. Since I'd failed

9:12

at feeling good, I concluded, I

9:15

must need help getting there. The

9:17

right meds, the right therapist, the

9:19

right behavior modification technique. It

9:22

wasn't until after I'd come

9:24

off my meds and abandoned my

9:26

diagnoses that I began to

9:28

understand how backwards this thinking was.

9:31

Books like Victor Frankl's Man's

9:33

Search for Meaning, and

9:35

the writings and poems of

9:37

Jiddu Krishnamurti, David White,

9:39

and Mary Oliver ignited a

9:41

profound revelation in me. Life

9:44

isn't about happiness. It's

9:47

about how connected you feel to yourself

9:49

and to the world around you. It's

9:51

about moving through the world with a

9:54

sense of meaning and purpose. The

9:56

consumerist, hyper -individualist nature

9:58

of our society teaches

10:00

us otherwise. If

10:02

one feels discomfort, be

10:04

it boredom, sadness, self

10:07

-doubt, anger, loneliness,

10:09

grief, fear, the

10:11

list goes on, there's a

10:14

prescription available, a product

10:16

or service or drug we can call

10:18

on to help alleviate our symptoms. But

10:20

what if the prison isn't pain itself

10:23

but the belief that we need to be

10:25

free of it? Being human

10:27

is about living in shadows

10:29

and light. It took me a

10:31

long time to learn that and I

10:33

came out stronger as a result. Thank

10:39

you, Laura. Okay everyone,

10:41

you can get a copy of Un

10:44

wherever Get Your Books. That's

10:46

our show for the day. If you

10:48

got something out of it, please leave

10:50

a rating or review in your podcast

10:52

player so others can find it too.

10:54

Stay tuned to the next big Idea

10:56

Daily because this week we'll be sharing

10:58

big ideas about leadership, privacy, and how

11:00

to access the wild courage you need

11:02

to get what you want out of

11:04

life. I'm Michael Kovnat. See you

11:06

tomorrow.

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