The Thinking Mind: Mental Health & Personal Growth

A major new government review has been published into mental health, ADHD and autism. Some headlines have framed it as a warning about ADHD and autism being overdiagnosed, but is that really what the report says?

In this episode, Dr Alex looks at the executive summary of the review and explains why the findings are more complicated than some of the coverage suggests.

Dr Alex discusses the report’s concerns about underdiagnosis, misdiagnosis and overdiagnosis, the difference between having traits and having a diagnosable condition, the role of independent providers, the question of CQC regulation, and the proposed shift from a “diagnosis-dependent” system to a “needs-led plus diagnosis” model.

He also shares his own questions about what this would mean in practice: how need should be assessed, whether diagnosis can really be separated from support, and how services can avoid replacing one flawed system with another.

Presented by Dr. Alex Curmi. Dr. Alex is a consultant psychiatrist and a UKCP registered psychotherapist.

Get in touch: https://alexcurmitherapy.com/contact/

Check out The Thinking Mind Substack: https://thinkingmindblog.substack.com/

Speaking inquiries: https://alexcurmitherapy.com/speaking/

Coaching: https://alexcurmitherapy.com/practice/

Alex is not currently taking on new psychotherapy clients, if you are interested in working with Alex for psychological coaching , you can email - alexcurmitherapy@gmail.com with "Coaching" in the subject line.
Give feedback here - thinkingmindpodcast@gmail.com Follow us here: Twitter @thinkingmindpod Instagram @thinkingmindpodcast

We talk constantly about “mental health”, but do we actually know what it is?
Psychiatry is very good at defining mental disorders: depression, schizophrenia, ADHD, anxiety and many others. But that raises a more fundamental question: what does a mentally healthy person actually look like? 
In this episode, Dr Alex is joined by philosopher and psychotherapist John T. Maier, author of the forthcoming book The Minds We Want: A Theory of Mental Health.

They discuss whether mental health is simply the absence of mental illness, whether it should be defined by how well we function, and who ultimately gets to decide what a “healthy” mind is supposed to be.

They discuss psychiatry’s medical model, psychotherapy, personality, self-actualisation, possible functions of a healthy mind and what mental health services should actually be trying to achieve.
Learn more about John's work - https://www.jmaier.net/
Interviewed by Dr. Alex Curmi. Dr. Alex is a consultant psychiatrist and a UKCP registered psychotherapist. 

Get in touch: https://alexcurmitherapy.com/contact/

Check out The Thinking Mind Substack: https://thinkingmindblog.substack.com/

Speaking inquiries: https://alexcurmitherapy.com/speaking/

Coaching: https://alexcurmitherapy.com/practice/

Alex is not currently taking on new psychotherapy clients, if you are interested in working with Alex for psychological coaching , you can email - alexcurmitherapy@gmail.com with "Coaching" in the subject line.
Give feedback here - thinkingmindpodcast@gmail.com Follow us here: Twitter @thinkingmindpod Instagram @thinkingmindpodcast

In this clip from E184 of the podcast, Dr Alex Curmi explores the psychology of the “nice guy” through the film Obsession (2026). He examines the difference between genuine kindness and niceness, and why suppressing desire, anger and assertiveness can have unhealthy (even dangerous) consequences.
Listen to the full episode released on July 24th 2026 for the full analysis of Obsession. 
Presented by Dr. Alex Curmi. Dr. Alex is a consultant psychiatrist and a UKCP registered psychotherapist. 

Get in touch: https://alexcurmitherapy.com/contact/

Check out The Thinking Mind Substack: https://thinkingmindblog.substack.com/

Speaking inquiries: https://alexcurmitherapy.com/speaking/

Coaching: https://alexcurmitherapy.com/practice/

Alex is not currently taking on new psychotherapy clients, if you are interested in working with Alex for psychological coaching , you can email - alexcurmitherapy@gmail.com with "Coaching" in the subject line.

Give feedback here - thinkingmindpodcast@gmail.com Follow us here: Twitter @thinkingmindpod Instagram @thinkingmindpodcast

How did amphetamines help shape the dopamine hypothesis of schizophrenia?
In this clip from From E185 of The Thinking Mind Podcast, Dr Alex speaks with Professor Justin Garson about the experiments that helped transform psychiatry’s understanding of psychosis and schizophrenia.

They discuss how amphetamine-induced psychosis led researchers to focus on dopamine, how Solomon Snyder’s work helped establish the dopamine hypothesis of schizophrenia, and why this became such an influential turning point in biological psychiatry.

Full episode: E185 | How Psychiatry Became Fixated on Chemical Imbalance (w/ Prof. Justin Garson)

Interviewed by Dr. Alex Curmi. Dr. Alex is a consultant psychiatrist and a UKCP registered psychotherapist. Website: alexcurmitherapy.com

Check out The Thinking Mind Blog on Substack: https://thinkingmindblog.substack.com/

If you would like to invite Alex to speak at your organisation please email alexcurmitherapy@gmail.com with "Speaking Enquiry" in the subject line.

Alex is not currently taking on new psychotherapy clients, if you are interested in working with Alex for psychological coaching , you can email - alexcurmitherapy@gmail.com with "Coaching" in the subject line.

Give feedback here - thinkingmindpodcast@gmail.com Follow us here: Twitter @thinkingmindpod Instagram @thinkingmindpodcast

This is a shorter Thinking Mind update on a developing story - our usual long-form episodes will continue as normal.
Dr Alex discusses reports that a forthcoming government review could significantly change how ADHD is assessed and supported in England. He explains the proposed shift toward a more "needs-based system", why it is being considered, and the potential implications for people seeking diagnosis and treatment.
Dr Alex also highlights three concerns about how such a system might work in practice, including how need would be judged, the risk of overlooking “high-functioning” patients, and the uncomfortable overlap between clinical decision-making and healthcare rationing.

The final review has not yet been published, so the details may still change.

Presented by Dr. Alex Curmi. Dr. Alex is a consultant psychiatrist and a UKCP registered psychotherapist. Website: alexcurmitherapy.com

Check out The Thinking Mind Substack: https://thinkingmindblog.substack.com/

If you would like to invite Alex to speak at your organisation please email alexcurmitherapy@gmail.com with "Speaking Enquiry" in the subject line.

Alex is not currently taking on new psychotherapy clients, if you are interested in working with Alex for psychological coaching , you can email - alexcurmitherapy@gmail.com with "Coaching" in the subject line.
Give feedback here - thinkingmindpodcast@gmail.com Follow us here: Twitter @thinkingmindpod Instagram @thinkingmindpodcast