Mad in America: Rethinking Mental Health

Beatrice Birch is the Founder and Director of Inner Fire, a residential program in rural Vermont, which is unique in one particular way. It provides support for tapering from psychiatric drugs, including antipsychotics, which is an essential aspect of the therapy.
In this interview, Beatrice introduces Inner Fire, tells us about the programme and staff and explains how kindling our inner fire can hold up a mirror that tells people they are worthy and valuable.
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Thank you for being with us to listen to the podcast and read our articles this year. MIA is funded entirely by reader donations. If you value MIA, please help us continue to survive and grow. https://www.madinamerica.com/donate/
To find the Mad in America podcast on your preferred podcast player, click here: https://pod.link/1212789850
© Mad in America 2026. Produced by James Moore https://www.jmaudio.org

Justin Garson is a philosopher and historian of science at the City University of New York. He has published several books and articles on biology, the mind, and madness, including Madness: A Philosophical Exploration in 2022. He also contributes to Psychology Today and Aeon.
His latest book, The Madness Pill: One Doctor's Quest to Understand Schizophrenia, was published by St. Martin's Press in April 2026.
In this interview, Justin joins us to talk about the work of Solomon Snyder, whose discoveries ushered in the era of biological psychiatry. We also talk about the race to develop new psychiatric drugs based on his research and the implications for our understanding of psychosis.
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Thank you for being with us to listen to the podcast and read our articles this year. MIA is funded entirely by reader donations. If you value MIA, please help us continue to survive and grow. https://www.madinamerica.com/donate/
To find the Mad in America podcast on your preferred podcast player, click here: https://pod.link/1212789850
© Mad in America 2026. Produced by James Moore https://www.jmaudio.org

Kelsey Osgood is the author of How to Disappear Completely: on Modern Anorexia, which was chosen for the Barnes and Noble Discover Great Writers New Program. Her work has appeared online and in print at The Atlantic, The New York Times, Harper's and The New Yorker, among other outlets.
In this interview we talk about Kelsey's new book Godstruck: Seven Women's Unexpected Journeys to Religious Conversion and her experiences with anorexia and psychiatric drugs.
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Thank you for being with us to listen to the podcast and read our articles this year. MIA is funded entirely by reader donations. If you value MIA, please help us continue to survive and grow. https://www.madinamerica.com/donate/
To find the Mad in America podcast on your preferred podcast player, click here: https://pod.link/1212789850
© Mad in America 2026. Produced by James Moore https://www.jmaudio.org

Psychosis and conditions like Schizophrenia have been tainted with pessimism right from the beginning. Doctors often don't know that recovery is possible and can convey this fatalism to their patients. Prateeksha Sharma's lived experience and research work challenges this pessimism. Prateeksha is a musician, a researcher, a composer, a counselor, and a writer. However, for the longest time, she was only thought of as a patient.
She is a distinguished research fellow at the National Academy of Legal Studies and Research in Hyderabad and the founder of Brightside Family Counseling Center. She received a diagnosis of bipolar disorder as a college student and has managed these achievements while navigating the horrors and the gifts of psychosis. Prateeksha's writings critically examine psychiatric systems and foreground survivor perspectives. She brings intellectual depth and personal clarity to what it means to move from being labeled a patient, to being recognized as a person.
In this interview, we discuss psychiatric subjectivation, medical zombification, the silencing effects of diagnosis, and how lived experience completely reshapes the conversation about mental health.
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Thank you for being with us to listen to the podcast and read our articles this year. MIA is funded entirely by reader donations. If you value MIA, please help us continue to survive and grow. https://www.madinamerica.com/donate/
To find the Mad in America podcast on your preferred podcast player, click here: https://pod.link/1212789850
© Mad in America 2026. Produced by James Moore https://www.jmaudio.org

Linda Michaels is a psychologist in private practice in Chicago and a co-founder of the Psychotherapy Action Network (PsiAN). She trained at the Illinois School of Professional Psychology and completed the Psychoanalytic Psychotherapy program at the Chicago Psychoanalytic Institute. Before becoming a clinician, she worked in marketing, innovation, and management consulting, including work with organizations in the U.S. and Latin America.
Michaels is the chair and co-founder of PsiAN, a public-facing effort focused on helping people understand different forms of psychotherapy and advocate for the kind of care they are seeking. She is also a Consulting Editor at Psychoanalytic Inquiry and Clinical Associate Faculty at the Chicago Center for Psychoanalysis. She is currently a Fellow at the Lauder Institute Global MBA program.
In this conversation, we trace her path from market research to psychotherapy and then to organizing. We talk about what clients say they want from therapy and how training, insurance, and digital platforms have reshaped the conditions under which psychotherapy is practiced and accessed.
We also discuss her writing and research, including PsiAN's national survey work on public attitudes toward therapy ("Going Beneath the Surface: What People Want from Therapy") and a follow-up paper published in 2025 ("The Therapy World Has Changed: Where are We Now?"). We talk about her 2025 article in The American Psychoanalyst, "Corporations in the Consulting Room: What do we stand for, and what stands in our way?" and her edited volume, Advancing Psychotherapy for the Next Generation: Humanizing Mental Health Policy and Practice.
Linda also recounts some of the advocacy work she's done and the adversity PsiAN has faced, including being sued by a major therapy platform, as well as how institutional alliances across our professional organizations are reshaping the contemporary mental health marketplace.
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Thank you for being with us to listen to the podcast and read our articles this year. MIA is funded entirely by reader donations. If you value MIA, please help us continue to survive and grow. https://www.madinamerica.com/donate/
To find the Mad in America podcast on your preferred podcast player, click here: https://pod.link/1212789850
© Mad in America 2026. Produced by James Moore https://www.jmaudio.org