Catalog
Episodes
Feeling Joy in Difficult Times with Alexis BradbyApr 21, 2026 · 51 minMacey and Bijan sit down with Alexis Bradby to discuss which character she would be in an apocalyptic movie, feeling joy in such uncertain times, and black and white thinking.
Originally from East Tennessee, Alexis Bradby started her stand-up journey after moving to Los Angeles to attend the University of Southern California. Since her start in 2015, she has become a beloved performer in both Los Angeles and New York City. Alexis is known for her contagious smile and youthful energy, which led to her being featured on Holey Moley (ABC), The Price is Right (CBS), and iCarly(Paramount+). In addition to stand-up, she writes for television and was the writers’ room assistant for hit shows such as iCarly and Tab Time.- Take Your Shoes Off with Diana HongApr 14, 2026 · 51 minMacey and Bijan sit down with Diana Hong to discuss the disrespect of keeping your shoes on in the house, BPD, and spiral puzzling.
Diana is a Korean American lesbian writer and comedian whose grounded presence and calm delivery catch audiences off guard in the best way. Her storytelling is smart, sincere, and often surprisingly emotional. She tackles grief, identity, and cultural absurdities with heart and a deadpan edge that makes you laugh first and think later.
Whether she’s unpacking family dynamics or challenging the emotional weight of a carabiner, Diana’s comedy is rooted in radical empathy and observational brilliance.
Her comedy has been featured at major festivals including: Big Sky Comedy Festival, SF Sketchfest, and was selected as Best of Fest at 2022 Big Pine Comedy Festival. She’s also been seen on: Fuse TV and “Newcomers” on VEEPS.
Headshot photo credit: @tallsmallphoto
- Buying a New Clown Car with Cole SalehApr 7, 2026 · 51 minMacey and Bijan sit down with Cole Saleh to discuss performing for your family, buying a car, and having your own back.
Cole Saleh is an LA based clown and stand up who is originally from Houston TX.
- Too Kind for Your Own Good with Andrea JinMar 31, 2026 · 48 minMacey and Bijan sit down with Andrea Jin to discuss the pitfalls of being too nice, the ideal place to sit on a plane, and the importance of sardines.
Andrea Jin is a stand-up comedian, actor, and writer born in Shanghai, currently based in Los Angeles. She made her late night TV debut on The Late Late Show with James Corden October of 2022. You can hear her on JFL’s Best of the West Comedy Album and on her solo Juno Award winning comedy album 'Grandma's Girl' which is available to stream!
- Short King Spring with Sammy WeiserMar 24, 2026 · 48 minMacey and Bijan sit down with Sammy Weiser to explore the difficulty of dating in LA, break down the nuances of the sounds "uh" and "hm," and try to answer the burning question of why men are always holding fish in their dating app profiles.
Sammy Weiser is an LA based comedian who runs a monthly show called The Sweiser Show at the Comedy Store.
Photo credit: Alex Chrys
- The Art of Being on Time with Sam SkolnikMar 17, 2026 · 49 minMacey and Bijan sit down with Sam Skolnik to discuss being on time, graduating from therapy, and the meaning behind the lyrics of "Choosin' Texas."
Sam Skolnik, from the small town of Petaluma, CA is a stand-up comedian and actor now based in Los Angeles. He has appeared in the series' MONSTERS on Netflix, Doctor Odyssey on ABC, I'm A Virgo on Amazon Prime as well as a role in the HBO Max film Freaky Tales and the upcoming film Whalefall. Not to mention, he rap-battled Nick Cannon for a chance to win a spot on Wild'n Out on Live TV!
- Realizing I'm the Problem with Brittany RossMar 10, 2026 · 47 minMacey and Bijan sit down with Brittany Ross to discuss her 6 year old daughter's extensive morning routine, the dark side of moms groups, and slapping people at the grocery store.
Brittany Ross is a Los Angeles based standup comedian, actress, and writer who is celebrated for her dynamic performances nationwide. A regular at the iconic Hollywood Improv and Don’t Tell Comedy shows, she tackles culture and identity with her unique voice and razor sharp wit. Raised around a whirlwind of cultures – Alaska, Scotland, South America, Texas, Chicago, and Hawaii – she explores life on the other end of a dysfunctional childhood where she was forced to build comfort within chaos. Not only does her comedy dive into the hilarious clash between her eccentric working-class Southern family and her Swiss husband’s affluent family lifestyle, but also shines a light on the added identity challenges accompanying motherhood. Ross’s talent has garnered her spots on stage at Big Pine and Netflix is a Joke Festivals, and landed her roles on screen in hit shows Mythic Quest, Huge in France, The Middle, and 2 Broke Girls. With her relatable storytelling and infectious energy, she captivates audiences and leaves them wanting more.
- Do I Confront My Landlord or Let It Go? with YangMar 3, 2026 · 50 minMacey and Bijan sit down with Yang to discuss her relationship with her landlord, her experience with echolalia, and the moments when mirroring facial expressions can get her into trouble.
Yang is an LA-based comedian who recently performed at the Flyover Comedy Festival and opened for Beth Stelling. She has intrusive thoughts and struggles with normal social cues. She should be studied and examined for anthropological research, but until they discover her, watch her unravel online @stagenameyang.
- Cannabis Took My Literal Dreams Away with Kari AssadFeb 24, 2026 · 51 minMacey and Bijan sit down with Kari Assad to discuss how cannabis can take away your dreams (literally and metaphorically), why she feels stuck in her life right now, and the fact that none of her lovers went to college.
Kari Assad is a Mexican-Lebanese comedian and writer based in Los Angeles. She is the co-host of the popular show Mermaid Comedy Hour at the Hollywood Improv. Her silly and relatable content has been featured on the popular comedy platform WhoHaha, and she's also been a featured performer at premium festivals like Limestone, 10,000 Laughs, and Flyover where Tig Notaro personally picked her to open. When she's not on stage, you can find her borderline making out with your dog.
Photographer Credit: @mikefaltography
- ADHD Made Me Do It with Audrey StewartFeb 17, 2026 · 50 minMacey and Bijan sit down with Audrey Stewart to discuss ADHD, medication shortages, and making a Kia explode.
Audrey Stewart is a Los Angeles-based actress and stand-up comedian. She is a regular at the Hollywood Improv, Laugh Factory, and is currently in development at the World Famous Comedy Store. She also performs at clubs around the world. In 2023, she was named a New Face at the Just for Laughs Festival in Montreal, Canada, and performed at the 2024 Netflix Is a Joke Festival in Los Angeles.
Stewart has appeared on NBC, The Drew Barrymore Show, Netflix Is a Joke Radio, National Lampoon, America's Funniest Home Videos, and Facebook Watch, and has a set with Don’t Tell Comedy. She is also a cast member of the new YouTube prank series from the creator of Punk’d, titled Prank U.
- Imposter Syndrome, Self-Doubt, and the End of Season 2Aug 5, 2025 · 46 minIn the Season 2 finale of SSRI’M OK, psychiatrist Dr. Bijan Zarrabi and comedian Macey Isaacs dive into imposter syndrome and how it shows up in their careers and lives.
We reflect on:
• Bijan graduating from psychiatry residency
• What screening questionnaires really are
• How imposter syndrome relates to this podcast
• Our favorite moments from Season 2
• What we’re excited about for Season 3
• An episode that didn’t make the cut
• A surprise phone call to Julian Stern (is he camera ready?)
• Bijan tells us his Philz coffee order
Thank you for listening to season 2, and make sure you’re following the show to be notified when season 3 drops! Also, feel free to rate and review!
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Art by Zoe Zakson
Music by Raul Garcia
Edited by Katie Hettenbach
Check out our website: ssrimokpod.com
Follow us on IG: @ssrimokpod
Contact us: ssrimokpod@gmail.com
- What Social Media is Doing to Our Attention Spans (and What We Can Do About It)Jul 22, 2025 · 59 minIn this episode of SSRI’M OK, hosts Dr. Bijan Zarrabi, a psychiatrist, and Macey Isaacs, a stand-up comedian, talk about social media and what it’s doing to our attention spans. From flashlight metaphors to memory recall, they explore how attention works, what “brain rot” really means, and how to use social media more intentionally.
They dive into the science behind attention, including why multitasking can actually make it harder to focus and how engaging with multiple forms of media at once might affect memory and sustained concentration. Macey and Bijan also talk about the difference between passively scrolling and deeply engaging with a book or movie—and why that difference matters for your brain.
They cover:
• What is attention, and why your brain is like a flashlight
• The limited, precious nature of attention
• Why it’s so easy to procrastinate with social media
• The concept of “brain rot” and whether it holds up
• Passive consumption vs. immersive media
• Research on media multitasking and attention
• Is the problem the amount of time we spend on social media—or how we use it?
• Tips and tools for more intentional use (including Opal and Brick)
• The link between attention, memory, and even pupil dilation
Plus, Bijan shares a personal story about being sleepy at the wheel, and the episode ends with both hosts sharing what’s helping them feel “OK” these days.
Go to PureYogaTexas.com/pure-yogatv to become a member today!
Art by Zoe Zakson
Music by Raul Garcia
Edited by Katie Hettenbach
Check out our website: ssrimokpod.com
Follow us on IG: @ssrimokpod
Contact us: ssrimokpod@gmail.com
- What OCD Really Is (and Isn’t): A Comedian with OCD & a Psychiatrist Break It DownJul 8, 2025 · 1 hr 13 minOur guest Julian Stern has a show in Los Angeles on Friday, July 18th at The Crow. If you liked this episode and are in the area, please go see him live!
In this episode of SSRI’M OK, hosts Dr. Bijan Zarrabi, a psychiatry resident, and Macey Isaacs, a stand-up comedian, are joined by comedian Julian Stern—who shows up a little late, but jumps right into the deep end with us.
Julian opens up about what it’s actually like to live with OCD—beyond the casual “I’m so OCD” comments people throw around. We talk about what OCD really is (hint: it’s more than just liking things tidy), the difference between obsessions and compulsions, and how anxiety and depression often tag along for the ride.
Julian shares what it was like to be diagnosed at 10 years old, and how his early compulsions involved Animorphs, ice cubes, and checking locks. As an adult, OCD shows up in different ways—praying on airplanes, ordering iced red eyes, and obsessing over social media posts. We also explore different types of OCD, including harm, checking, contamination, intrusive thoughts, and something called scrupulosity (yep, it’s real).
We dive into how OCD differs from general anxiety, how indecision can feel paralyzing, and what treatment has helped Julian manage it all—plus how comedy fits into the picture.
Go to PureYogaTexas.com/pure-yogatv to become a member today!
Art by Zoe Zakson
Music by Raul Garcia
Edited by Katie Hettenbach
Check out our website: ssrimokpod.com
Follow us on IG: @ssrimokpod
Contact us: ssrimokpod@gmail.com
- The Mediterranean Diet Might Change Your Mood—Here's How with Matt DurndakJun 24, 2025 · 49 minIn this episode of SSRI’M OK, hosts Dr. Bijan Zarrabi, a psychiatry resident, and Macey Isaacs, a stand-up comedian, are joined by their favorite comedian and skeptic, Matt Durndak, to talk about the Mediterranean diet—and why it’s one of the best things you can do for your mental health.
They break down what the Mediterranean diet actually is (spoiler: it’s more than just olive oil and red wine) and why it’s considered the healthiest diet in the world. They cover how it supports brain health by reducing inflammation through folate, omega-3s, and antioxidants—and yes, they explain what antioxidants actually are.
They discuss:
• The SMILES trial and how diet can support depression treatment
• How to get started with the Mediterranean diet (even if you're overwhelmed)
• 10 quick tips to make the switch more doable
• Why gut health is so important—and how fiber and fermented foods play a role
• What you should and shouldn’t eat (hint: whole wheat, not white bread)
• If cheese and eggs are allowed (Matt eats six eggs for breakfast—so we get into it)
• Whether you can lose weight on the diet
• Why eating slowly, socially, and mindfully matters
• Their favorite Mediterranean snacks
Also, plants should be at the center of your plate. And yes—red wine is okay in moderation.
Resources Mentioned:
https://www.thedoctorskitchen.com/
Go to PureYogaTexas.com/pure-yogatv to become a member today!
Art by Zoe Zakson
Music by Raul Garcia
Edited by Katie Hettenbach
Check out our website: ssrimokpod.com
Follow us on IG: @ssrimokpod
Contact us: ssrimokpod@gmail.com
- Bonus: Misery Loves Mental Health from Misery Loves MandyJun 10, 2025 · 1 hr 13 minHere is a special bonus episode! Dr. Bijan Zarrabi and Macey Isaacs were guests on the podcast "Misery Loves Mandy" for episode number 146 titled "Misery Loves Mental Health." We loved it so much that we wanted to share it here on our feed. Below are the show notes taken from Misery Loves Mandy.
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They are miserable about the stigma that antidepressants kill creativity, performance anxiety, and the struggle to stay productive without burning out. In this special episode of 'Misery Loves Mandy' for Mental Health Awareness Month, Mandy sits down with Macey Isaacs and Bijan Zarrabi, hosts of the podcast 'SSRI'M OK.' The discussion covers a wide range of topics, including mental health, depression, anxiety, and the stigmas associated with these conditions. Bijan, a psychiatrist, shares professional insights while the group also explores the intersection of mental health and creativity, how antidepressants affect people, and tips for achieving a balance between personal life and professional ambitions. Tune in for an engaging and informative conversation that also touches on personal anecdotes and the challenges of life in comedy. 🌟Support the pod and join us for Misery Loves Mandy Unfiltered in Patreon: / miserylovesmandy 📩 Email YOUR "Misery Loves Company" story to miserylovesmandypod@gmail.com
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Go to PureYogaTexas.com/pure-yogatv to become a member today!
Art by Zoe Zakson
Music by Raul Garcia
Edited by Katie Hettenbach
Check out our website: ssrimokpod.com
Follow us on IG: @ssrimokpod
Contact us: ssrimokpod@gmail.com
- How to Find the Right Therapist—Even Without InsuranceMay 27, 2025 · 41 minIn this episode of SSRI’M OK, hosts Dr. Bijan Zarrabi, a psychiatry resident, and Macey Isaacs, a stand-up comedian, talk about how to find a good therapist—even if you don't have insurance.
They break down the steps, starting with figuring out how you’re going to pay and whether you’re using insurance. If you're not, don’t panic—there are still affordable options like sliding scale therapists and training clinics.
Bijan shares insights from his recent trip to the APA (American Psychiatric Association) conference, including what he learned about mental health and social media. They also get real about how just starting the search is often the hardest part.
They discuss:
• Tools that can help you actually sit down and start the process (like body doubling and setting timers)
• How to choose a therapist based on your goals
• Why ACT or CBT might be helpful—but why you shouldn’t stress too much about the specific modality
• The importance of connection over credentials
• Red and green flags to look out for
• What to ask during a first call (which you should always do)
• What Macey personally looks for in a therapist
• Why it’s completely OK to prefer certain therapist traits—like gender, sexual orientation, or therapeutic approach
• And a reminder that you’re not stuck with the first therapist you meet—you’re allowed to shop around
Also, Bijan has a great furrowed brow. That’s not helpful for finding a therapist, but it is true.
Resources Mentioned:
https://psychologytoday.com/
https://zencare.co
https://www.zocdoc.com/
https://www.therapyden.com/
https://therapymatcher.org/
https://openpathcollective.org/
https://www.focusmate.com/
Go to PureYogaTexas.com/pure-yogatv to become a member today!
Art by Zoe Zakson
Music by Raul Garcia
Edited by Katie Hettenbach
Check out our website: ssrimokpod.com
Follow us on IG: @ssrimokpod
Contact us: ssrimokpod@gmail.com
- Using Humor to Cope: When It Helps—And When It Hurts with Mandy MartinoMay 13, 2025 · 1 hr 1 minIn this episode of SSRI’M OK, hosts Dr. Bijan Zarrabi, a psychiatry resident, and Macey Isaacs, a stand-up comedian, are joined by fellow comic Mandy Martino (from Misery Loves Mandy) to explore the psychology of humor:
👉 Is humor always a healthy coping mechanism—or can it sometimes be harmful?
We dive into research on humor, mental health, and defense mechanisms, and explore how the jokes we make can reflect deeper emotional patterns.
Topics include:
• Mandy’s childhood trauma (yes, involving hamsters) and how comedians often turn pain into punchlines
• How using humor as a child can be a coping strategy—and whether that pattern evolves or gets stuck in adulthood
• The "sad clown" archetype in comedy: from Chris Farley to cult classics like Superstar and Joe Dirt
• Are comedians actually more mentally unwell than the average person?
• Coping mechanisms vs. defense mechanisms: what makes a defense “mature” or “immature”?
• Self-deprecating humor: why comedians use it, and when it becomes empowering—or toxic
• How humor can be adaptive or maladaptive—and what to do if your humor style isn’t serving you anymore
We also talk about what it means to bring purpose to pain and how comedy can be a powerful tool for healing—but only if it’s rooted in honesty rather than avoidance.
🎧 Whether you’re a fan of stand-up, a therapist, or someone who jokes their way through hard times, this episode offers real insight into how and why we laugh—and what that laughter might be covering up.
Go to PureYogaTexas.com/pure-yogatv to become a member today!
Art by Zoe Zakson
Music by Raul Garcia
Edited by Katie Hettenbach
Check out our website: ssrimokpod.com
Watch on YouTube: https://www.youtube.com/@SSRIMOKPod
Follow us on IG: @ssrimokpod
Contact us: ssrimokpod@gmail.com
- Sleep Apnea: The Snore You Ignore with Scotty CavApr 29, 2025 · 58 minIn this episode of SSRI’M OK, hosts Dr. Bijan Zarrabi, a psychiatry resident, and Macey Isaacs, a stand-up comedian, are joined by standup comedian Scotty Cav to talk about sleep apnea. Sleep apnea is surprisingly common, yet many people don’t even realize they have it. We break down exactly what sleep apnea is — a condition where breathing repeatedly stops and starts during sleep — and discuss the two main types: obstructive sleep apnea (OSA), the more common form caused by physical blockage of the airway, and central sleep apnea, which happens when the brain doesn't send the right signals to the muscles that control breathing. We also cover the serious health risks that can come with untreated sleep apnea, including high blood pressure, heart problems, and cognitive issues. Interestingly, sleep apnea can sometimes mimic symptoms of ADHD, making it even trickier to spot. We introduce listeners to the STOP-BANG questionnaire, a simple screening tool that can help identify potential sleep apnea risk. Scotty Cav shares his personal journey of undergoing a sleep study, getting diagnosed, and adjusting to life with a CPAP machine and mask. We also touch on different types of CPAP masks and explore alternatives for those who struggle with CPAP therapy. If you think you might be dealing with sleep apnea, this episode is a reminder to talk to your doctor and take the first steps toward better sleep — and better health.
Resources Mentioned:
• https://jamanetwork.com/journals/jama/article-abstract/2764461
• https://my.clevelandclinic.org/health/diseases/24443-obstructive-sleep-apnea-osa
• https://www.ncbi.nlm.nih.gov/books/NBK459252/
Go to PureYogaTexas.com/pure-yogatv to become a member today!
Art by Zoe Zakson
Music by Raul Garcia
Edited by Katie Hettenbach
Check out our website: ssrimokpod.com
Follow us on IG: @ssrimokpod
Contact us: ssrimokpod@gmail.com
- Therapy Talk: Boundaries with Leah BonnemaApr 15, 2025 · 1 hr 16 minIn this episode of SSRI’M OK, hosts Dr. Bijan Zarrabi, a psychiatry resident, and Macey Isaacs, a stand-up comedian, are joined by the hilarious Leah Bonnema (The Late Show with Stephen Colbert, Don’t Tell Comedy) for a deep—and deeply funny—conversation about boundaries. What are boundaries, anyway? They break it down with examples of physical, emotional, and time-based boundaries (yes, even Howie Mandel’s famous fist bump counts). They explore why boundaries are essential—not just for maintaining your own well-being, but for preventing resentment and burnout, and striking that delicate balance between your individual needs and the needs of others.
They also talk about the how: how to actually set a boundary using “I” statements, how to be consistent, and why it’s okay for boundaries to evolve over time. Plus, they unpack tricky territory like the weaponization of boundaries and how to tell the difference between a real boundary and just being selfish.
Leah also shares wild stories from her time growing up in rural Maine in the lawless ‘90s, and Bijan offers some practical tips for people pleasers who struggle with setting limits. It’s honest, funny, and might just give you permission to say “no” with love.
Resources Mentioned:
•
Mayo Clinic Health System – Setting Boundaries for Well-Being
https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/setting-boundaries-for-well-being
UC Davis Health – Why Boundaries Matter for Your Mental Health
https://health.ucdavis.edu/blog/cultivating-health/how-to-set-boundaries-and-why-it-matters-for-your-mental-health/2024/03
Psychology Today – Setting Boundaries: Self-Care or Selfish?
https://www.psychologytoday.com/us/blog/meaningfull/202209/setting-boundaries-self-care-or-selfish
DBSA (Depression and Bipolar Support Alliance) – 8 Tips for Setting Boundaries for Your Mental Health
https://www.dbsalliance.org/support/young-adults/8-tips-on-setting-boundaries-for-your-mental-health
• “Gift of Fear” by De Becker
• Potato gun
Go to PureYogaTexas.com/pure-yogatv to become a member today!
Art by Zoe Zakson
Music by Raul Garcia
Edited by Katie Hettenbach
Check out our website: ssrimokpod.com
Follow us on IG: @ssrimokpod
Contact us: ssrimokpod@gmail.com
- Therapy Talk: GaslightingApr 1, 2025 · 1 hr 6 minWarning: There is talk of Santa Claus in this episode. Listener discretion advised.
In this episode of SSRI’M OK, hosts Dr. Bijan Zarrabi, a psychiatry resident, and Macey Isaacs, a stand-up comedian, delve into the concept of gaslighting—what it actually means and why people do it. They start by breaking down the origin of the term “gaslighting” and how it got its name before exploring the many tactics people use to manipulate others in this way.
They also discuss what to do if you realize you’re being gaslit, the connection between narcissism and gaslighting, and how Taylor Swift’s “All Too Well” music video portrays emotional manipulation. To help listeners distinguish between a simple misunderstanding and actual gaslighting, they go through a practical checklist and highlight the importance of using “I feel” statements in difficult conversations.
Finally, Macey throws some real-life scenarios at Bijan, and he decides whether they qualify as gaslighting or not. Tune in for a mix of insight, humor, and practical advice on navigating manipulation in everyday life!
Resources Mentioned:
• “Gaslighter” by The Chicks
• https://www.thehotline.org/resources/what-is-gaslighting/
• “All Too Well” Music Video
• NAMI provides free, confidential help for mental health challenges. They can guide you to therapy, support groups, educational resources, and more.
• Helpline: 1-800-950-NAMI (6264)
• Website: nami.org
• Crisis Text Line
• If you’re in emotional distress or just need someone to talk to, you can text HOME to 741741 anytime, 24/7. You'll be connected with a trained crisis counselor for free, confidential support.
• Website: crisistextline.org
Go to PureYogaTexas.com/pure-yogatv to become a member today!
Art by Zoe Zakson
Music by Raul Garcia
Edited by Katie Hettenbach
Check out our website: ssrimokpod.com
Follow us on IG: @ssrimokpod
Contact us: ssrimokpod@gmail.com
- Bonus: Self-Care Tips for The HolidaysDec 17, 2024 · 51 minIn this bonus episode of “SSRI’M OK,” hosts Dr. Bijan Zarrabi, a psychiatry resident, and Macey Isaacs, a stand-up comedian, share practical tips for practicing self-care during the holiday season. Don’t forget to follow the podcast so you’re the first to know when Season 2 drops!
Resources Mentioned:
• https://pmc.ncbi.nlm.nih.gov/articles/PMC9873947/
• https://www.calm.com/blog/mindfulness-exercises
Go to PureYogaTexas.com/pure-yogatv to become a member today!
Art is by Zoe Zakson.
Music is “As I Figure” by Kevin MacLeod.
Check out our website: ssrimokpod.com
Follow us on IG or X: @ssrimokpod
Contact us: ssrimokpod@gmail.com
- Season Finale With Macey, Bijan, and ZoeSep 19, 2024 · 34 minThanks for listening this season! We cannot wait for season 2! For updates on future episodes, follow us on X or Instagram @ssrimokpod. In the meantime, feel free to send in your mental health questions or topics you'd like discussed in our next season.
Go to PureYogaTexas.com/pure-yogatv to become a member today!
Art is by Zoe Zakson.
Music is “As I Figure” by Kevin MacLeod.
Check out our website: ssrimokpod.com
Follow us on IG or X: @ssrimokpod
Contact us: ssrimokpod@gmail.com
- Defining DEI: What It Means and Why It Matters With Dr. Jason WestSep 4, 2024 · 1 hr 41 minIn this episode of “SSRI’M OK,” hosts Dr. Bijan Zarrabi, a psychiatry resident, and Macey Isaacs, a stand-up comedian, delve into the fascinating intersection of mental health, diversity, equity, inclusion (DEI.) They are joined by Dr. Jason West, the DEI and Belonging chair at Brigham Women’s Hospital and Harvard Medical School.
The discussion begins by defining DEI and its essential role in ensuring that all individuals, regardless of their background, have fair access to opportunities and resources. Equity is framed as an ethical issue, one that is not just a moral imperative but also crucial for the well-being of society as a whole. The conversation then shifts to the practical side of DEI—how these principles can be effectively implemented within institutions, and the common misconceptions that often hinder progress.
The hosts and Dr. West also address the apprehensions many people have when discussing DEI, acknowledging that these conversations can be uncomfortable but are necessary for meaningful change. They explore the concept of homophily, the tendency of people to associate with others who are similar to them, and its relationship to happiness and social cohesion. Dr. West shares his perspective on the wish some have for a world without DEI initiatives, noting that this could lead to less social cohesion and more division within communities.
Finally, the episode delves into the specific challenges of implementing DEI in the mental healthcare setting, where systemic issues and biases can significantly impact patient outcomes. Dr. West offers insights into how mental health professionals can navigate these challenges to create more inclusive and supportive environments for all patients.
Resources Mentioned:
• https://pubmed.ncbi.nlm.nih.gov/38662413/
• https://www.samhsa.gov/data/report/racialethnic-differences-mental-health-service-use
Go to PureYogaTexas.com/pure-yogatv to become a member today!
Art is by Zoe Zakson.
Music is “As I Figure” by Kevin MacLeod.
Check out our website: ssrimokpod.com
Follow us on IG or X: @ssrimokpod
Contact us: ssrimokpod@gmail.com
- ADHD with Dr. Saad Rahmat and Jessica Saul (Part 2)Aug 20, 2024 · 1 hr 6 minIn this episode of "SSRI’M OK," hosts Dr. Bijan Zarrabi, a psychiatry resident doctor, and Macey Isaacs, a stand-up comedian, are joined by Dr. Saad Rahmat and comedian Jessica Saul for this follow-up episode. In part 1, Dr. Rahmat provided an insightful overview of ADHD, and now, in this episode, Jessica Saul shares her personal experience living with the condition.
The conversation dives into the challenges of dealing with anxiety alongside ADHD, exploring how these two conditions often intertwine and exacerbate each other. Jessica opens up about her struggles with negative self-talk and self-criticism, providing a raw and relatable account of the mental hurdles she faces. She also shares her journey with medications like Wellbutrin and Strattera, discussing how these treatments have impacted her life.
The episode also touches on broader topics, such as the differences between American and European attitudes toward productivity and how these cultural perspectives can influence those with ADHD. The hosts and guests discuss how technology has drastically affected our attention spans, making it more difficult to practice sustained focus in today's fast-paced world.
Listeners will gain valuable insights into practical techniques for controlling your environment to better support yourself if you have ADHD. The episode also offers advice on how to help friends and loved ones who are navigating life with ADHD, emphasizing the importance of understanding and empathy.
In a lighter moment, Bijan reveals his old AIM screen name, adding a nostalgic touch to the discussion. Jessica shares a touching and humorous story about her shyness as a child and the moment she truly came out of her shell. She also recounts a memorable encounter with a woman in Target, adding a personal and entertaining anecdote to the episode. Finally, they all talk about the difficulty of not spiraling and the ongoing cycle of self-care.
Resources Mentioned:
• Jessica Saul’s Instagram
• https://publications.aap.org/pediatrics/article-abstract/139/2/e20162027/77150/The-Mediterranean-Diet-and-ADHD-in-Children-and
• Sleep: https://www.sciencedirect.com/science/article/abs/pii/S1389945710002170
• Exercise: https://pubmed.ncbi.nlm.nih.gov/25988743/
• Cannabis and ADHD: https://www.sciencedirect.com/science/article/abs/pii/S0376871613003025
• Joyful Recollections of Trauma by Paul Scheer
• Alcohol, Substance use, and ADHD: https://www.psychiatrist.com/jcp/impact-substance-disorder-adhd-treatment/
• Flora app
• Forrest app
• Focusmate
• MotionAI
Go to PureYogaTexas.com/pure-yogatv to become a member today!
Art by Zoe Zakson.
Music is “As I Figure” by Kevin MacLeod.
Check out our website: ssrimokpod.com
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- ADHD with Dr. Saad Rahmat (Part 1)Aug 6, 2024 · 1 hr 5 minIn this episode of "SSRI’M OK," hosts Dr. Bijan Zarrabi, a psychiatry resident doctor, and Macey Isaacs, a stand-up comedian, are joined by Dr. Saad Rahmat. Dr. Rahmat is a Child and Adolescent Psychiatrist at the Brigham and Women’s Hospital, Director of the Child Track in the BWH/HMS Psychiatry Residency Program, and Medical Director of Young Adult Mental Health in the Brigham Psychiatric Specialties. He is passionate about the development of evidence-based psychiatric care for transitional-age youth, particularly those with serious mental illnesses.
In this episode, Dr. Rahmat begins by defining ADHD, explaining what it is and clarifying that "ADD" is no longer a recognized diagnosis, having been subsumed under the broader category of ADHD. He then breaks down the different types of ADHD—Inattentive, Hyperactive, and Combined—and discusses how each presents unique challenges, particularly with impulsivity. The conversation then shifts to the complexities of diagnosing ADHD in adults, including how adult ADHD differs from childhood ADHD and whether ADHD can develop later in life.
Dr. Rahmat also explores the causes of ADHD and walks listeners through the diagnostic process, highlighting the criteria used to determine a diagnosis. Macey shares her personal experience with ADHD medication, specifically Ritalin, providing insight into the lived experience of managing the condition. The episode takes an intriguing historical turn as Dr. Rahmat touches on the use of stimulants in wars, particularly in Japan. The discussion then circles back to modern treatment options, including medication, behavioral techniques, and therapy, while also addressing the widespread misinformation surrounding inattention in ADHD.
Finally, the episode tackles important issues of gender differences and racial inequality in ADHD diagnoses, shedding light on how these disparities affect access to care and treatment. Throughout the conversation, the hosts and Dr. Rahmat aim to provide a comprehensive and engaging overview of ADHD, dispelling myths and offering practical advice for those affected by the condition.
Please listen to part 2 coming out in two weeks with comedian Jessica Saul. Jessica talks about her experience with ADHD and gets to talk to Dr. Rahmat about her struggles.
Resources Mentioned:
• Laurie Kilmartin’s special
• Jessica Saul’s Instagram
Go to PureYogaTexas.com/pure-yogatv to become a member today!
Art by Zoe Zakson.
Music is “As I Figure” by Kevin MacLeod.
Check out our website: ssrimokpod.com
Follow us on IG or X @ssrimokpod
Contact us: ssrimokpod@gmail.com
- Why Are We Feeling Lonely? with Dr. Brendan JohnsonJul 23, 2024 · 1 hr 8 minIn this episode of "SSRI’M OK," hosts Dr. Bijan Zarrabi, a psychiatry resident doctor, and Macey Isaacs, a stand-up comedian, are joined by the perceptive Dr. Brendan Johnson. Dr. Johnson was a Visiting Research Scholar at Blackfriars Hall, Oxford, where he conducted research on 'the mental commons' and its enclosure as a paradigm for explaining worsening mental health in society at large. He is the co-host of the “Social Medicine On Air” podcast.
In this thought-provoking episode, we explore how the structures and pressures of capitalism contribute to widespread unhappiness and anxiety. Dr. Johnson explains why people are more unhappy and anxious than ever before, delving into the societal factors driving these troubling trends. We discuss the increase in deaths of despair and the pervasive feelings of loneliness affecting many individuals today.
Central to our discussion is the concept of the "mental commons" and how it is being stolen, leading to negative impacts on mental health. Dr. Johnson emphasizes how climate change contributes to anxiety and a sense of hopelessness about the future, framing it as a thief of our collective future. We also touch on the critical role of social determinants in shaping mental health outcomes and provide practical advice and strategies to help individuals feel less isolated and more connected.
Additionally, we delve into the history of the enclosure of the commons and its relevance to today's mental health landscape. The importance of finding a "third place" outside of home and work to foster a sense of community and belonging is discussed, along with why traditional psychiatric answers often fall short in addressing the deeper "why" behind mental health issues.
Tune in to gain a deeper understanding of the intersection between society and mental health, and learn how we can work towards a more holistic approach to mental well-being.
Resources Mentioned:
• https://www.hhs.gov/about/news/2023/05/23/surgeon-general-issues-new-advisory-about-effects-social-media-use-has-youth-mental-health.html
• https://www.hhs.gov/about/news/2023/05/03/new-surgeon-general-advisory-raises-alarm-about-devastating-impact-epidemic-loneliness-isolation-united-states.html
• Bo Burnham’s interview about social media
• Case A, Deaton A. Deaths of Despair and the Future of Capitalism. Princeton UP; 2020.
• Fairlie S. A Short History of Enclosure in Britain. The Land. 2009;(7).
• Hardt M, Negri A. Commonwealth. Belknap; 2009.
• Seo H. America Is Getting Lonelier and More Indoorsy. That’s Not a Coincidence. The Atlantic. 2023.
• Smith AB, Johnson CD. Private Equity Ownership in Health Care Linked to Higher Costs, Worse Quality. JAMA. 2023;320(24):2567-2569.
• Wu T. The Attention Merchants: The Epic Scramble to Get inside Our Heads. Knopf; 2016.
• “Deep Work” by Cal Newport
• “Bowling Alone” by Robert Putnam
• “Commonwealth” by Michael Hardt
• “Social Medicine on Air” podcast
Go to PureYogaTexas.com/pure-yogatv to become a member today!
Art by Zoe Zakson.
Music is “As I Figure” by Kevin MacLeod.
Check out our website: ssrimokpod.com
Follow us on IG or X @ssrimokpod
Contact us: ssrimokpod@gmail.com
- Sex and Couples Therapy with Dr. Nikki HaddadJul 9, 2024 · 1 hr 15 minIn this episode of "SSRI’M OK," hosts Dr. Bijan Zarrabi, a psychiatry resident doctor, and Macey Isaacs, a stand-up comedian, are joined by the insightful Dr. Nikki Haddad. Dr. Haddad's clinical interests and expertise encompass women's mental health, trauma, and couples and sex therapy.
Join us as we dive deep into Dr. Haddad's journey and discover what inspired her to specialize in couples therapy. We explore the transformative benefits of couples therapy, including how it can strengthen relationships, improve communication, and foster a deeper emotional connection between partners. Dr. Haddad shares valuable insights and practical tips that can help couples navigate their challenges and enhance their relationships.
In this episode, you'll also learn about Dr. Zarrabi's love language, and how money can be more intimate than sex. We discuss the history of psychiatry's approach to sex, and Dr. Haddad's perspective on viewing sex from a pleasure lens rather than a pathological one. The conversation delves into the difference between arousal and desire, understanding sexual trauma, and Low Libido Disorder. We also address SSRI-induced sexual dysfunction, common misconceptions about sex, and the concept that all sex is queer sex.
Whether you're in a relationship or interested in the intricacies of mental health and therapy, this episode offers a wealth of knowledge and engaging conversation.
Tune in to gain a better understanding of the crucial role of couples therapy in promoting emotional well-being and maintaining healthy, fulfilling relationships.
Resources Mentioned:
• Couples Therapy on Showtime
• Where Should We Begin book (and podcast) by Esther Perel
• Masters of Sex on Showtime
• Come as You Are by Emily Nagoski
• Attached by Amir Levine
• Baby Reindeer on Netflix
• Sari M. van Anders’ study on The Heteronormativity Theory of Low Sexual Desire in Women Partnered with Men
• Sexvangelicals podcast
• Nikki Glaser’s Someday You’ll Die special on HBO
Go to PureYogaTexas.com/pure-yogatv to become a member today!
Art by Zoe Zakson.
Music is “As I Figure” by Kevin MacLeod.
Check out our website: ssrimokpod.com
Follow us on IG or X @ssrimokpod
Contact us: ssrimokpod@gmail.com
- Seasonal Depression with Dr. Cynthia PengJun 25, 2024 · 53 minIn this episode of "SSRI’M OK," hosts Macey Isaacs, a stand-up comedian, and Dr. Bijan Zarrabi, a psychiatry resident doctor, are joined by Dr. Cynthia Peng. Dr. Peng, who treats patients with psychiatric conditions in the inpatient, consult, and outpatient settings, will discuss Major Depressive Disorder with a Seasonal Pattern, also known as Seasonal Affective Disorder. It’s getting warmer and MDD with a Seasonal Pattern is not limited to the winter! Do you have that summertime sadness? She will define the disorder, explain how it can be diagnosed, and delve into its history and possible causes. Tune in to learn tips on combating Seasonal Affective Disorder while enjoying some laughs along the way.
Resources Mentioned:
Macey’s Yacht Rock Playlist on Spotify
Go to PureYogaTexas.com/pure-yogatv to become a member today!
Art by Zoe Zakson.
Music is “As I Figure” by Kevin MacLeod.
Check out our website: ssrimokpod.com
Follow us on IG or X @ssrimokpod
Contact us: ssrimokpod@gmail.com
- Religion and Psychiatry: A Happy Medium With Dr. Deborah Park and Comedian Matt DurndakJun 11, 2024 · 1 hr 16 minIn this episode of "SSRI’M OK," hosts Macey, a stand-up comedian, and Dr. Bijan Zarrabi, a psychiatry resident doctor, bring a unique blend of humor and mental health insights. They are joined by Dr. Deborah Park, a resident psychiatrist at Brigham and Women’s Hospital, to explore the intersection of religion, psychiatry, and happiness. Later, they are joined by comedian Matt Durndak to present the side of a skeptic. The conversation touches on belief, unbelief, locus of control, and more.
Resources Mentioned:
“Build the Life You Want” by Arthur Brooks and Oprah Winfrey
Maria Bamford is Down to Join Your Cult on NPR
“The Wounded Healer” by Henri J. Nouwen
Go to PureYogaTV.com to become a member today!
Art by Zoe Zakson.
Music is “As I Figure” by Kevin MacLeod.
Check out our website: ssrimokpod.com
Follow us on IG or X @ssrimokpod
Contact us: ssrimokpod@gmail.com
- More on SSRIs With Dr. Montie MeyerMay 28, 2024 · 1 hr 8 minIn this episode of "SSRI’M OK," hosts Macey, a stand-up comedian, and Dr. Bijan Zarrabi, a psychiatry resident doctor, bring a unique blend of humor and mental health insights. They are joined by Dr. Montie Meyer, staff psychiatrist at Brigham and Women’s Hospital, to delve even deeper into the world of SSRIs (Selective Serotonin Reuptake Inhibitors). The conversation touches on the science behind SSRIs, their effects, and common misconceptions, providing listeners with both educational content and lighthearted moments.
Resources Mentioned:
Moncrieff, J., Cooper, R. E., Stockmann, T., Amendola, S., Hengartner, M. P., & Horowitz, M. A. (2023). The serotonin theory of depression: a systematic umbrella review of the evidence. Molecular psychiatry, 28(8), 3243-3256.
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Art by Zoe Zakson.
Music is “As I Figure” by Kevin MacLeod.
Follow us on social media: @ssrimokpod
Contact us: ssrimokpod@gmail.com
- What Even Are SSRIs?May 14, 2024 · 31 minIn this episode, we briefly discuss what a selective serotonin reuptake inhibitor (SSRI) is since the name of our podcast is “SSRI’M OK” and some people don’t understand the reference and that’s okay. That’s what we get for trying to be creative. We also briefly discuss the history of the discovery of some antidepressant medications like SSRIs and monoamine oxidase inhibitors (MAOIs.)
Key Points:
• Your brain is made of cells. The two main types of cells in the brain are neurons, and glial cells, also known as neuroglia.
• Neurons communicate with each other using neurotransmitters like serotonin, norepinephrine, and dopamine.
• The space between the neurons where neurotransmitters are released is called the synapse.
• The neuron (let’s call it neuron A) that drops off neurotransmitters to another neuron (neuron B) has reuptake channels that take back the neurotransmitters that neuron A released. The reuptake channels are named after the specific neurotransmitter they reuptake (serotonin reuptake transporters reuptake serotonin, norepinephrine reuptake transporters reuptake norepinephrine, etc.)
• SSRI are “selective serotonin reuptake inhibitors,” meaning they block the reuptake transporters for serotonin. This leaves more serotonin in the synapse which can lead to downstream changes that are theorized to help treat depression.
• The discovery of antidepressant medications and the belief that “low serotonin leads to depression” was started when studying an anti-tuberculosis medication called “Isoniazid.”
• While investigating different formulations of isoniazid, they developed a similar medication called Iproniazid which is slightly different to Isoniazid molecularly.
• When they were giving Iproniazid to patients in their research trials, they found that anyone who got the drug, regardless of whether or not they had tuberculosis, had “mood elevating” effects. Patients showed improved sleep, sociability, and appetite. A psychiatrist, Max Lurie, coined the term “antidepressant” in reference to the mood effects that iproniazid had on people. [1]
• It turned out that Iiproniazid stops the activity of an enzyme in our brains that breaks down specific neurotransmitters like serotonin, dopamine, and norepinephrine. The enzyme is called MAO, short for monoamine oxidase.
• The pharmaceutical company Eli Lilly began developing molecules that would selectively inhibit the reuptake of serotonin at serotonin transporters to increase serotonin in the synapse, which led to the first report on an SSRI called fluoxetine being published [2].
• Fluoxetine was approved by the FDA in December of 1987 and was launched to the market in January 1988 under the trade name Prozac.
• SSRI examples: Prozac (fluoxetine), Zoloft (sertraline), Celexa (citalopram), Lexapro (escitalopram), Luvox (fluvoxamine), Paxil (paroxetine)• Brand names capitalize, generic names are in parentheses. They are the same medications.
• Some SSRIs don’t selectively bind to the serotonin reuptake transporter. For example, fluoxetine also binds to the norepinephrine reuptake transporter. It is sometimes referred to as an “activating” SSRI because norepinephrine is a neurotransmitter linked to alertness and arousal. However, the clinical relevance of this norepinephrine effect is not clear. Fluoxetine is an antagonist at 5HT2C receptors; this has been proposed as a potential mechanism for its activating properties. [3]
Resources Mentioned:
• Van Der Walt, M., & Keddy, K. H. (2021). The Tuberculosis-Depression Syndemic and Evolution of Pharmaceutical Therapeutics: From Ancient Times to the Future. Frontiers in psychiatry, 12, 617751. https://doi.org/10.3389/fpsyt.2021.617751
• Wong, D. T., Horng, J. S., Bymaster, F. P., Hauser, K. L., & Molloy, B. B. (1974). A selective inhibitor of serotonin uptake: Lilly 110140, 3-(p-trifluoromethylphenoxy)-N-methyl-3-phenylpropylamine. Life sciences, 15(3), 471–479. https://doi.org/10.1016/0024-3205(74)90345-2
• Ni, Y. G., & Miledi, R. (1997). Blockage of 5HT2C serotonin receptors by fluoxetine (Prozac). Proceedings of the National Academy of Sciences, 94(5), 2036-2040.
Also mentioned in today’s episode is “The Body Keeps the Score” by Bessel van der Kolk.
Go to PureYogaTV.com to become a member today!
Art by Zoe Zakson.
Music is “As I Figure” by Kevin MacLeod.
Contact us: ssrimokpod@gmail.com
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