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Holding It Together (Kinda): Daily Summaries Delivered
by Michael Mackniak, Esq
Here we will get real in our conversations about Mental Illness and Caregiving, and the messy reality of keeping it all balanced. No sugar-coating, no clinical jargon—just real talk about the hospitalizations, the medication battles, and the toll it takes on a home. This is for the parents, siblings, and partners who are doing the impossible every single day. Holding It Together is a home for the overthinkers, the multitaskers, and anyone who feels like they’re one spilled coffee away from a meltdown.
Latest Episodes
The most recent episodes — sign up to get AI-powered summaries of each one.
- 5 days ago1h 9m
Is This Mushroom Edible with Emerson Kerr
AI is everywhere right now, and the noise makes it easy to assume one of two extremes: either it saves healthcare or it destroys it. I sit down with Emerson Kerr, a longtime sleep medicine leader and C-suite executive at Nox Medical, to talk about a third path where AI supports clinicians and caregivers while the human touch stays in charge. We dig into what “precision medicine” can actually mean on the ground, how large datasets can surface patterns no person could realistically see, and wh...
- 1 weeks ago51 min
Why Your Brain Wants Jelly Beans with Dr Matthew Galati
Your brain is not a fixed object, and neither is your future. I sit down with Dr. Matthew Galati, a family medicine and rehab physician who also survived a severe traumatic brain injury after a brutal car crash. He spent days in a coma, woke up unable to talk or walk, and had to relearn basic skills from the ground up. Then he did the thing the “experts” warned might never happen: he returned to medicine, finished his MD, and turned his recovery into a framework that helps other survivors and...
- 2 weeks ago52 min
Caregiver Misconceptions with ("Host") Victoria Cuore
HIPAA gets thrown around like a brick wall, guardianship gets sold like a silver bullet, and families get blamed for not having “the right paperwork” while they’re actively in crisis. We slow all of that down and get specific about what’s true, what’s hype, and what actually helps when you’re trying to protect someone you love during a mental health emergency. Michael Mackniak and Victoria Cuore unpack five common misconceptions that show up in real hospitals, real courtrooms, and real famil...
- 2 weeks ago48 min
A Daughter’s Guide To Dementia Care And Family Survival with Karmin Jenkins
Silence is one of the cruelest parts of caregiving. When a parent has cancer, people show up with food and texts. When dementia or a mental health crisis blows up your family’s “normal,” the support often evaporates and you’re left holding the paperwork, the fear, and the grief that starts long before a funeral. We get into that reality with Karmen Jenkins, a retired licensed clinical social worker, military veteran, and life coach who has lived the daughter-to-caregiver role reversal firstha...
- 3 weeks ago1h 5m
The Cloak of Client Choice
A locked door, a hoarse voice saying “go away,” and a body on the brink of failure. We dive into the harrowing gray zone where autonomy meets danger and ask a hard question: when a mind is hijacked by illness, is “client choice” really a choice? Using Anne’s near-fatal refusal as the anchor, we unpack how good intentions and recovery-language can morph into paralysis, leaving providers frozen on porches while symptoms take the wheel. We bring multiple vantage points into focus: lawyers bound...
- May 14, 20261h 0m
An Off Switch For Neurospicy Brains with Danniel Worthen Cullumber
Trauma doesn’t always arrive like a lightning strike. Sometimes it settles in, becomes routine, and starts shaping the way a whole household breathes, talks, sleeps, and copes. We sit down with Danniel Worthen Cullumber, MSW, LCSW of Willow Medela Wellness, a Utah trauma therapist and licensed clinical social worker, to name what that kind of trauma really is and why “just move on” is often the least helpful advice a family can hear. We get honest about the medical model and the ways it can ...
- May 7, 20261h 0m
The Kidz Are Alright (Kinda) with My Kids
The kids are not confused about what they need. They’re tired of performing, tired of being reduced to a checklist, and tired of pretending the pressure isn’t real when the “social mirror” lives in their pockets 24/7. We sit down with five young people spanning ages 13 to 23 and ask the questions adults usually dodge: Do you feel watched at school? What kind of support actually helps? Is a mental health app enough when your chest is tight and your brain won’t shut off? You’ll hear how real f...
- May 1, 202654 min
This Is What It Takes with Victoria Cuore
Caregiving doesn’t just exhaust your schedule. It rewires your brain into a constant loop of meds, appointments, forms, and fear and then the system expects you to sound calm, concise, and “reasonable” on command. We’re done pretending that’s normal. Michael Mackniak sits down with Victoria Cuore, a domestic violence survivor, crisis advocate, and longtime caregiver, to lay out what real support looks like when mental illness, chronic illness, and complex care collide with a rushed medical sy...
About Holding It Together (Kinda)
Here we will get real in our conversations about Mental Illness and Caregiving, and the messy reality of keeping it all balanced. No sugar-coating, no clinical jargon—just real talk about the hospitalizations, the medication battles, and the toll it takes on a home. This is for the parents, siblings, and partners who are doing the impossible every single day. Holding It Together is a home for the overthinkers, the multitaskers, and anyone who feels like they’re one spilled coffee away from a meltdown.
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