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Renegade Psych: Daily Summaries Delivered
by Ethan P. Short, MD
In more than a decade of training and clinical practice as a psychiatrist, I've become increasingly disillusioned by the American healthcare system. It prioritizes profit over progress at the expense of OUR health. The average American spends almost twice as much on healthcare as the next highest spending country, yet our life expectancy drags four years behind other industrialized nations and ranks OUTSIDE the top 50 in the world. The system is a disaster, yet it's broadcast as 'the greatest healthcare system in the world.' Renegade Psych wants to return medicine's focus to PROGRESS OVER PROFIT, and limit the influence and power of the pharmaceutical industry and big business entities, whose primary motivations are financial in nature.This conversational podcast is released monthly via SERIES on particular topics. There are 8-12 SEGMENTS, or episodes, per topic. I interview internationally-recognized experts in their fields AND relatively unknown, up-and-coming healthcare provi
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- 3 weeks ago51 min
52 Lindsay Clancy
ACT Therapist Dr. Jessica Borushok: Stop Fighting Anxiety—Change Your Relationship to It: In this episode of Renegade Psych, psychiatrist Ethan and co-host Ellie Jay examine the Lindsay Clancy case, in which a Massachusetts mother experiencing severe postpartum mental health struggles tragically killed her children. They discuss how Clancy's symptoms evolved over months following the birth of her third child, beginning with anxiety and insomnia and escalating into intrusive thoughts, sleep deprivation, and psychosis. Ethan walks through her extensive medication history — multiple SSRIs, benzodiazepines, and antipsychotics prescribed by a rotating cast of providers, including nurse practitioners — arguing that possible bipolar-spectrum misdiagnosis and SSRI-induced manic reactions may have worsened her condition rather than helping. The conversation highlights the difficulty people have conceptualizing psychosis, noting that the conscious mind can be effectively "shut down" during florid episodes, making it nearly impossible for those who haven't witnessed it to understand how someone could act so far outside their character. The discussion then broadens into systemic critiques of American healthcare: 15-minute appointment slots that leave no time to build trust or gather collateral information and the deep disconnect between specialties like psychiatry, OBGYN, and endocrinology. Ethan makes a compelling case that estrogen's dramatic post-pregnancy drop likely plays a significant role in postpartum psychosis, citing studies showing estradiol treatment resolving psychotic symptoms in women with critically low levels — yet this approach remains underexplored due to the inability to patent natural hormones and the financial disincentives that follow. They close by calling for a healthcare system that prioritizes patient care over profit, with better integration between specialties and more time invested in understanding each patient's full clinical picture. Timestamp Topic 1:58 Introduction — Ethan welcomes Ellie Jay to discuss the Lindsay Clancy case 3:58 Understanding psychosis — How could someone become so impaired they act against their own character? 5:46 The spectrum of psychotic states — Losing awareness and the "glazed look" of florid mania 12:10 Postpartum psychosis statistics — 1 in 25 untreated women with postpartum psychosis will kill their child 12:28 Why society can't face psychosis — The fear that this could happen to anyone, and the urge to "other" those affected 24:06 Lindsay Clancy's timeline — Birth of her third child and the onset of symptoms 29:46 The tragedy — January 24th: Clancy kills her children and attempts suicide 34:18 Nurse practitioners in psychiatry — Training gaps, time constraints, and culture of fear in prescribing 38:50 Hormones and psychosis — The overlooked role of estrogen fluctuations in postpartum mental health 39:10 Estrogen as a mood stabilizer — The dramatic post-pregnancy estrogen crash and its psychiatric implications 43:32 Research on estradiol treatment — 1999 and 2000 studies showing estrogen resolving postpartum psychotic symptoms 46:46 Systemic disconnection — How specialty silos in US healthcare leave critical gaps in patient care 50:02 Closing remarks — Call to action and contact information Pop on over to our YouTube channel and subscribe and join for membership if you're interested. And, if you're passionate about what we do here at Renegade Psych, we're now on Patreon! Check us out on our socials #RenegadePs
- May 28, 20261h 9m
51 Jessica Borushok, The ACT Therapist, PsyD
ACT Therapist Dr. Jessica Borushok: Stop Fighting Anxiety—Change Your Relationship to It: In this episode of Renegade Psych, the host speaks with Dr. Jessica Borushok ("The ACT Therapist"), a clinical psychologist and ACT trainer, about shifting from symptom control to values-driven living by building psychological flexibility. They discuss how Acceptance and Commitment Therapy (ACT) and Relational Frame Theory (RFT) explain anxiety, trauma triggers, and the mind's tendency to form symbolic networks that fuel rumination and avoidance. Dr. Borushok breaks down practical ways to notice "hooks," distinguish automatic thoughts from chosen cognitive behaviors, and decide when problem-solving is useful versus when it becomes unhelpful mental avoidance, using tools like metaphors and small committed actions. They also explore perceived vs actual control, how clinicians get stuck in outcome-focused rigidity, the mixed role of diagnosis and medication depending on function, and why she started a YouTube channel to make ACT concepts accessible. 00:00 Support the Channel 00:26 Medical Disclaimer 00:59 Meet Dr Jessica Bach 02:00 Her ACT Origin Story 05:28 Why ACT Clicks 07:49 RFT Explained Simply 11:52 Using RFT in Sessions 14:11 Modern Minds and Threats 19:48 Complaining and Rumination Loops 20:50 Hooks and Problem Solving 24:22 Lemon Metaphor for Rumination 26:35 Avoidance and Addiction Reframed 30:38 From Bad Dad to Values 33:15 Committed Action in Real Life 35:46 Process Over Outcomes 37:09 Stories Shape Behavior 37:25 Process Over Outcomes 38:32 Control and Panic Skills 41:29 Therapist Stuck Moments 45:14 From Knowing to Feeling 49:12 Medication and Diagnosis Nuance 55:05 Why Start YouTube 01:01:49 Evolving Clinical Thinking 01:03:26 Medical Causes First 01:06:15 How Little We Know 01:08:14 Closing and Call to Action Pop on over to our YouTube channel and subscribe and join for membership if you're interested. And, if you're passionate about what we do here at Renegade Psych, we're now on Patreon! Check us out on our socials #RenegadePsych and if you'd like to support our work, you can! Or not... I'll continue putting out content as long as my other jobs pay the bills. Other things you can do: liking, commenting, and sharing our posts also go a long way! https://patreon.com/RenegadePsych. Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at Renegadepsych@gmail.com and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website. Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
- Apr 22, 202651 min
50.1 Functional Psychiatry with Dr. Jim Greenblatt, MD
Hey folks, I'm trying something different by posting my full audio episodes on all non-YouTube platforms monthly instead of weekly. You can still see the video with graphics on my YouTube channel, which will separate each full-length interview into appropriately titled segments for more concise viewing. This month, I'm talking again with James Greenblatt, MD and psychiatrist who specializes in an integrative (or functional) approach to psychiatry. Dr. Greenblatt is openly critical of the current shotgun-treatment-approach to mental health, throwing medications and other treatments at conditions without first obtaining more information to decipher potential root causes of things like OCD, addiction, anorexia/eating disorders, bipolarity, depression, anxiety, and more. Dr. Greenblatt has been a critical advocate for the increased use of lithium supplementation to treat lithium deficiency and both of us felt vindicated by the August 2025 Harvard Alzheimer's study, which, in our clinical opinion, is icing on the cake of evidence that lithium supplementation has a clear and obvious role in Alzheimer's prevention and treatment with a phenomenal benefit:risk ratio. Pop on over to our YouTube channel and subscribe and join for membership if you're interested. And, if you're passionate about what we do here at Renegade Psych, we're now on Patreon! Check us out on our socials #RenegadePsych and if you'd like to support our work, you can! Or not... I'll continue putting out content as long as my other jobs pay the bills. Other things you can do: liking, commenting, and sharing our posts also go a long way! https://patreon.com/RenegadePsych. Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at Renegadepsych@gmail.com and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website. Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
- Mar 25, 202648 min
49.1 Brazil perspective: Immoral Marketing of SSRIs, MAOIs, Lithium, Benzo's - FULL Interview Antonio Nardi, MD
Hey folks, I'm trying something different by posting my full audio episodes on all non-YouTube platforms monthly instead of weekly. This conversation is with Antonio Nardi, MD, and we discuss the immoral and aggressive marketing of SSRIs, overpromised in terms of efficacy and safety profiles, which led to the near-dissolution of use of the MAOI class of antidepressants, which are significantly more effective than SSRIs in treating depression. We also talk about the underutilization of lithium, and how to appropriately use benzodiazepines in clinical practice and find the balance between creating dependence/withdrawal cycles AND using them when they're indicated for short-term or intermittent use. What I see in clinical practitioners is that older docs/providers UNDERESTIMATE the risks of addiction and younger professionals tend to OVERESTIMATE the risks and UNDERUTILIZE this very effective (in the short-term) tool of psychopharmacology. I want to point out EPISTEMIC HUMILITY - knowing what you don't know, as a KEY FEATURE of my talk with Dr. Nardi, and I have so much respect for that being at the heart of his clinical practice philosophy. ENJOY! Pop on over to our YouTube channel and subscribe and join for membership if you're interested. And, if you're passionate about what we do here at Renegade Psych, we're now on Patreon! If you'd like to support our work, you can! Or not... I'll continue putting out content as long as my other jobs pay the bills. Other things you can do: liking, commenting, and sharing our posts also go a long way! https://patreon.com/RenegadePsych. Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at Renegadepsych@gmail.com and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website. Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
- Mar 10, 202610 min
48.1 Philanthropic Funding of Research by Elizabeth Lukens, DO student
Join me as I read a monologue by a 3rd-year DO student (Pikeville, KY), Elizabeth Lukens, about ways to secure unbiased and unattached funding in order to remove financially motivated entities from designing studies and interpreting data sets in a way that is biased towards their ultimate financial profitability goals. In Elizabeth's mind, there are better ways to independently decipher the truth by promoting evaluators disconnected from potential bias to explain how the data and methodology should be interpreted. Pop on over to our YouTube channel and subscribe and join for membership if you're interested. And, if you're passionate about what we do here at Renegade Psych, we're now on Patreon! If you'd like to support our work, you can! Or not... I'll continue putting out content as long as my other jobs pay the bills. Other things you can do: liking, commenting, and sharing our posts also go a long way! https://patreon.com/RenegadePsych. Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at Renegadepsych@gmail.com and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website. Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
- Mar 4, 202621 min
47.4 Anti-Amyloid Therapies for Alzheimers: EXPENSIVE, UNSAFE, and INEFFECTIVE with Jon Berner, MD, PhD
Join me and Jon Berner, MD/psychiatrist and PhD, about the broken US healthcare system, the abysmal state of affairs in treating and diagnosing mental health, and, of course, lithium. If you're looking for a polished conversation high on professionalism, keep looking. If you're looking for an unfiltered, in-your-face appraisal of the disastrous consequences of poor psychiatric management, then you're in the right place. Enjoy this multi-part series, and if you're a provider, don't fall victim to the FANTASIES OF UNDERSTANDING REALITY and for God's (or Allah's, or Buddha's, or the Flying Spaghetti Monster's) sake, USE MORE LITHIUM, though IT IS NOT A PANACEA... and for God's sake, do your research on these new anti-amyloid therapies like Lecanemab and Donanemab (Lequembi and Kisunla). Dr. Berner harps on the importance of their extortionate cost, but I think they offer a POOR BENEFIT:RISK ratio with a high side effect burden and low likelihood of efficacy. Pop on over to our YouTube channel and subscribe and join for membership if you're interested. And, if you're passionate about what we do here at Renegade Psych, we're now on Patreon! If you'd like to support our work, you can! Or not... I'll continue putting out content as long as my other jobs pay the bills. Other things you can do: liking, commenting, and sharing our posts also go a long way! https://patreon.com/RenegadePsych. Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at Renegadepsych@gmail.com and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website. Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
- Feb 24, 202626 min
47.3 Lithium is NOT a Panacea: Jon Berner, MD, PhD
Join me and Jon Berner, MD/psychiatrist and PhD, about the broken US healthcare system, the abysmal state of affairs in treating and diagnosing mental health, and, of course, lithium. If you're looking for a polished conversation high on professionalism, I'd keep looking. If you're looking for an unfiltered, in-your-face appraisal of the disastrous consequences of poor psychiatric management, then you're in the right place. Enjoy this multi-part series, and if you're a provider, don't fall victim to the FANTASIES OF UNDERSTANDING REALITY and for God's (or Allah's, or Buddha's, or the Flying Spaghetti Monster's) sake, USE MORE LITHIUM!, though Dr. Berner reminds us in this segment of the conversation that LITHIUM IS NOT A PANACEA!!! Pop on over to our YouTube channel and subscribe and join for membership if you're interested. And, if you're passionate about what we do here at Renegade Psych, we're now on Patreon! If you'd like to support our work, you can! Or not... I'll continue putting out content as long as my other jobs pay the bills. Other things you can do: liking, commenting, and sharing our posts also go a long way! https://patreon.com/RenegadePsych. Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at Renegadepsych@gmail.com and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website. Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
- Feb 17, 202611 min
47.2 USE MORE LITHIUM: Jon Berner, MD, PhD
Join me and Jon Berner, MD/psychiatrist and PhD, about the broken US healthcare system, the abysmal state of affairs in treating and diagnosing mental health, and, of course, lithium. If you're looking for a polished conversation high on professionalism, I'd keep looking. If you're looking for an unfiltered, in-your-face appraisal of the disastrous consequences of poor psychiatric management, then you're in the right place. Enjoy this multi-part series, and if you're a provider, don't fall victim to the FANTASIES OF UNDERSTANDING REALITY and for God's (or Allah's, or Buddha's, or the Flying Spaghetti Monster's) sake, USE MORE LITHIUM! Pop on over to our YouTube channel and subscribe and join for membership if you're interested. And, if you're passionate about what we do here at Renegade Psych, we're now on Patreon! If you'd like to support our work, you can! Or not... I'll continue putting out content as long as my other jobs pay the bills. Other things you can do: liking, commenting, and sharing our posts also go a long way! https://patreon.com/RenegadePsych. Thanks for listening to the audio podcast... You should check out our posted video podcast on YouTube (https://www.youtube.com/channel/UCaZ1bds1MGMM4tSbY7ISqug) as there are graphics overlaying the video to make it all more interactive and educational. For more social media content, check us out on all social media platforms @RenegadePsych. If you have any comments, questions or challenges to the information we've presented here, if you'd like to be a guest to the show, or if you have general comments, questions, or suggestions, email us at Renegadepsych@gmail.com and follow the link https://renegade-psych.podcastpage.io/ to our website for source material, transcripts, and additional links for my guests. If you feel passionate about our message and what we're trying to do, and you'd like to donate, you can also follow the link in the show notes to our website. Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
About Renegade Psych
In more than a decade of training and clinical practice as a psychiatrist, I've become increasingly disillusioned by the American healthcare system. It prioritizes profit over progress at the expense of OUR health. The average American spends almost twice as much on healthcare as the next highest spending country, yet our life expectancy drags four years behind other industrialized nations and ranks OUTSIDE the top 50 in the world. The system is a disaster, yet it's broadcast as 'the greatest healthcare system in the world.' Renegade Psych wants to return medicine's focus to PROGRESS OVER PROFIT, and limit the influence and power of the pharmaceutical industry and big business entities, whose primary motivations are financial in nature.This conversational podcast is released monthly via SERIES on particular topics. There are 8-12 SEGMENTS, or episodes, per topic. I interview internationally-recognized experts in their fields AND relatively unknown, up-and-coming healthcare provi
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Frequently Asked Questions
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It's a free AI-powered email that summarizes new episodes of Renegade Psych as soon as they're published. You get the key takeaways, notable quotes, and links & mentions — all in a quick read.
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