Inside Schizophrenia

For decades, the narrative surrounding schizophrenia has focused almost exclusively on controlling symptoms. But with no cure, can someone actually get better? Recovery in the context of schizophrenia isn’t about the absence of symptoms. It’s a deeply personal process — one that centers on restoring hope, self-determination, and a meaningful life, even when hallucinations, delusions, and setbacks continue to exist.

In this episode, host Rachel Star Withers, who lives openly with schizophrenia, and co-host Gabe Howard explore what recovery really means for people with serious mental illness. From clinical symptom remission and functional abilities to redefining purpose and identity, they unpack how recovery can look — and why it rarely fits the “back to normal” expectation held by loved ones and society.

Later in the episode, Dr. Mark Ragins, who is a pioneer and leading voice in person-centered, recovery-based psychiatry, joins the conversation.

Listener takeaways 

why people — not illness — should be at the center of treatment

how recovery can include setbacks and still be real progress

how the psychosis triangle explains both breakdown and healing

how relationships can stabilize psychosis even when symptoms persist

Listen now as this episode challenges outdated ideas of recovery, validating lived experience and showing how a meaningful life is possible with schizophrenia, symptoms and all.

Our guest, Mark Ragins, MD, has been a psychiatrist for 40 years, working in community mental health centers, as the Medical Director for 27 years at the Mental Health America Village in Long Beach, California, an award-winning model of recovery-based mental health services, as the students’ psychiatrist at Cal State Long Beach, and on street medicine teams working with homeless people on the streets throughout LA county. His book, “Journeys Beyond the Frontier: A Rebellious Guide to Psychosis and Other Extraordinary Experiences,” is based on true stories of working with some of the most underserved and difficult-to-engage people in our community. Countless people have come to experience the work being done at the Village firsthand and Mark has given hundreds of presentations and lectures to wide-ranging audiences nationally and internationally. He is one of the true pioneers and leaders of person-centered, recovery-based psychiatry. Many of his writings are posted online at markragins.com, including his short book A Road to Recovery. He was also featured in Steve Lopez’s book The Soloist. Over the years, Mark has won a number of awards, including from the American Psychiatric Association, the Psychiatric Rehabilitation Association, NAMI, and Mental Health Advocacy Services.

Our host, Rachel Star Withers, (Link: www.rachelstarlive.com) is an entertainer, international speaker, video producer, and schizophrenic. She has appeared on MTV’s Ridiculousness, TruTV, NBC’s America’s Got Talent, Marvel's Black Panther, TUBI’s #shockfight, Goliath: Playing with Reality, and is the host of the HealthLine podcast “Inside Schizophrenia”. She grew up seeing monsters, hearing people in the walls, and having intense urges to hurt herself.

Rachel creates videos documenting her schizophrenia, ways to manage, and letting others like her know they are not alone and can still live an amazing life. She has created a kid’s mental health comic line, The Adventures of ____. (Learn more at this link: https://www.amazon.com/Adventures-Fearless-Unstoppable-Light-Ambitious/dp/B0FHWK4ZHS )

Fun Fact: She has wrestled alligators.

Our cohost, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author.

To learn more about Gabe, please visit his website, gabehoward.com.
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Many people manage symptoms of serious mental illness but hesitate to seek help. Fear, embarrassment, and uncertainty about what actually happens during a psychological assessment can keep someone from taking that crucial first step.

In this episode, host Rachel Star Withers (who lives with schizophrenia) undergoes an initial psych evaluation with psychologist Dr. Aaron Brinen to show you exactly what the process looks like for someone experiencing symptoms of schizophrenia. Their conversation demystifies the assessment, removes fear from the unknown, and helps you understand what professionals are really looking for.

Dr. Aaron P. Brinen, PsyD, is a clinical psychologist in private practice who uses evidence-based treatments to support people living with serious mental health conditions. He is the co-developer of Recovery-Oriented Cognitive Therapy (CT-R) and trains clinicians worldwide. Dr. Brinen is also the author of the new book Living Well With Psychosis.

Our guest, Dr. Aaron P. Brinen, PsyD, is a clinical psychologist in private practice, where he employs evidence-based treatments to help people recover from serious mental health conditions. He is also Assistant Professor of Psychiatry and Behavioral Sciences at Vanderbilt University Medical Center in Nashville, Tennessee. Dr. Brinen is a co-developer of recovery-oriented cognitive therapy (CT-R), and has been active in adapting CT-R for different settings and training therapists from around the world.

Our host, Rachel Star Withers, (Link: www.rachelstarlive.com) is an entertainer, international speaker, video producer, and schizophrenic. She has appeared on MTV’s Ridiculousness, TruTV, NBC’s America’s Got Talent, Marvel's Black Panther, TUBI’s #shockfight, Goliath: Playing with Reality, and is the host of the HealthLine podcast “Inside Schizophrenia”. She grew up seeing monsters, hearing people in the walls, and having intense urges to hurt herself.

Rachel creates videos documenting her schizophrenia, ways to manage, and letting others like her know they are not alone and can still live an amazing life. She has created a kid’s mental health comic line, The Adventures of ____. (Learn more at this link: https://www.amazon.com/Adventures-Fearless-Unstoppable-Light-Ambitious/dp/B0FHWK4ZHS )

Fun Fact: She has wrestled alligators.

Our cohost, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author.

He also hosts the twice Webby honored podcast, Inside Bipolar, with Dr. Nicole Washington.

To learn more about Gabe, please visit his website, gabehoward.com.
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The integration of artificial intelligence, AI, in mental healthcare holds promise for enhancing treatments, diagnosing, personalizing care, and more. An emerging new use of AI is in therapy, but is it ready for schizophrenia?

In today’s episode, host Rachel Star Withers, a diagnosed schizophrenic, and co-host Gabe Howard are going to explore the benefits and dangers of AI therapy in schizophrenia care.

Our guest is Dr. Nick Haber. Dr. Haber is a researcher and assistant professor at the Stanford Graduate School of Education. His research group develops artificial intelligence systems meant to mimic and model the ways that people learn in early life, exploring their environments through play, social interaction, and curiosity. He is the senior author of a new study about exploring the dangers of AI in mental healthcare.

Our guest, Nick Haber, is an Assistant Professor at the Stanford Graduate School of Education, and by courtesy, Computer Science. After receiving his PhD in mathematics on Partial Differential Equation theory, he worked on Sension, a company that applied computer vision to online education. He then co-founded the Autism Glass Project at Stanford, a research effort that employs wearable technology and computer vision in a tool for children with autism. Aside from such work on learning and therapeutic tools, he and his research group develop artificial intelligence systems meant to mimic and model the ways people learn early in life, exploring their environments through play, social interaction, and curiosity.

Our host, Rachel Star Withers, (Link: www.rachelstarlive.com) is an entertainer, international speaker, video producer, and schizophrenic. She has appeared on MTV’s Ridiculousness, TruTV, NBC’s America’s Got Talent, Marvel's Black Panther, TUBI’s #shockfight, Goliath: Playing with Reality, and is the host of the HealthLine podcast “Inside Schizophrenia”. She grew up seeing monsters, hearing people in the walls, and having intense urges to hurt herself.

Rachel creates videos documenting her schizophrenia, ways to manage, and letting others like her know they are not alone and can still live an amazing life. She has created a kid’s mental health comic line, The Adventures of ____. (Learn more at this link: https://www.amazon.com/Adventures-Fearless-Unstoppable-Light-Ambitious/dp/B0FHWK4ZHS )

Fun Fact: She has wrestled alligators.

Our cohost, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author.

He also hosts the twice Webby honored podcast, Inside Bipolar, with Dr. Nicole Washington.

To learn more about Gabe, please visit his website, gabehoward.com.

Please share this episode and podcast with anyone who could benefit. Thank you!

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What if you were certain you were perfectly healthy — but everyone around you insisted you had schizophrenia? This may not be denial; it could be anosognosia — a neurological symptom that prevents people from recognizing they have a mental illness. 

In this special bonus episode, host Rachel Star Withers, who lives with schizophrenia, sits down with Dr. Xavier Amador, world-renowned psychologist and founder of the LEAP Institute, to unravel one of the most misunderstood symptoms in psychiatry.

Dr. Amador, author of the bestselling book “I Am Not Sick, I Don’t Need Help!,” shares the science behind anosognosia, why logic and education often fail, and how empathy and connection can bridge the gap between awareness and treatment. Drawing from his own family’s experience, Dr. Amador introduces the LEAP method (Listen, Empathize, Agree, Partner) — a revolutionary communication strategy proven to help loved ones accept treatment, even when they don’t believe they’re ill.

Listen and learn:

the brain science behind why some people can’t recognize their own illness

how to tell the difference between denial and anosognosia

why love and empathy — not confrontation — are the keys to connection

practical steps for families to rebuild trust and encourage treatment

This episode offers understanding, hope, and tools for anyone supporting a loved one living with schizophrenia, bipolar disorder, or other serious mental illnesses.

Our guest, Dr. Xavier Amador, Founder and President of the LEAP Institute, is a world-renowned clinical psychologist, forensic expert, and author of 9 books, including the bestseller “I Am Not Sick, I Don’t Need Help!” His extensive work, books, and clinical research in schizophrenia, bipolar disorder, and other mental illnesses have been translated into 30 languages. Additionally, he has authored over 130 peer-reviewed scientific papers and has contributed his expertise to over 80 death penalty cases. He is also a family caregiver of two close relatives with schizophrenia and another with bipolar disorder.

Dr. Amador has trained tens of thousands of professionals and families on LEAP® (Listen-Empathize-Agree-Partner), a communication approach that creates trusting relationships with people who have serious mental illness and anosognosia.

www.leapinstitute.org

Our host, Rachel Star Withers, (Link: www.rachelstarlive.com) is an entertainer, international speaker, video producer, and schizophrenic. She has appeared on MTV’s Ridiculousness, TruTV, NBC’s America’s Got Talent, Marvel's Black Panther, TUBI’s #shockfight, Goliath: Playing with Reality, and is the host of the HealthLine podcast “Inside Schizophrenia”. She grew up seeing monsters, hearing people in the walls, and having intense urges to hurt herself.

Rachel creates videos documenting her schizophrenia, ways to manage, and letting others like her know they are not alone and can still live an amazing life. She has created a kid’s mental health comic line, The Adventures of ____. (Learn more at this link: https://www.amazon.com/Adventures-Fearless-Unstoppable-Light-Ambitious/dp/B0FHWK4ZHS )

Fun Fact: She has wrestled alligators.

Our cohost, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author.

He also hosts the twice Webby honored podcast, Inside Bipolar, with Dr. Nicole Washington.

To learn more about Gabe, please visit his website, gabehoward.com.
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Childhood schizophrenia is one of the rarest — and most controversial — diagnoses in psychiatry. In this episode, host Rachel Star Withers (who lives with schizophrenia) and co-host Gabe Howard, joined by board certified psychiatrist Dr. Nicole Washington, explore the complexities of diagnosing schizophrenia in children and teens.

Together, they unpack the challenges of distinguishing symptoms from typical childhood imagination, the life-altering implications of early treatment, and the risks of misdiagnosis with conditions like autism, ADHD, or bipolar disorder. Rachel also shares her own childhood experiences with hallucinations, offering a rare personal perspective on what it’s like to grow up with symptoms that may go unnoticed for years.

Takeaways for listeners:

why diagnosing schizophrenia in children is so complicated — and controversial

how to tell the difference between usual childhood behavior and red flags

the risks of misdiagnosis and overmedication

what parents and clinicians should consider before starting treatment

why early intervention can make all the difference — but also carries risks

Whether you’re a parent, mental health professional, or simply curious, this episode sheds light on the difficult realities and unanswered questions surrounding childhood schizophrenia.

Our guest, a highly respected physician in her field, Dr. Nicole Bernard Washington is a board certified Psychiatrist, speaker, author, and consultant who has always had an affinity towards working with populations who aren’t typically consumers of mental health services.  As Chief Medical Officer and founder of Elocin Psychiatric Services, she has become a staunch advocate for high level professionals who are dealing with untreated mental health issues or general occupational stressors. Dr. Nicole also co-hosts Healthline Media's Inside Bipolar podcast with Gabe Howard.

Our host, Rachel Star Withers, (Link: www.rachelstarlive.com) is an entertainer, international speaker, video producer, and schizophrenic. She has appeared on MTV’s Ridiculousness, TruTV, NBC’s America’s Got Talent, Marvel's Black Panther, TUBI’s #shockfight, Goliath: Playing with Reality, and is the host of the HealthLine podcast “Inside Schizophrenia”. She grew up seeing monsters, hearing people in the walls, and having intense urges to hurt herself.

Rachel creates videos documenting her schizophrenia, ways to manage, and letting others like her know they are not alone and can still live an amazing life. She has created a kid’s mental health comic line, The Adventures of ____. (Learn more at this link: https://www.amazon.com/Adventures-Fearless-Unstoppable-Light-Ambitious/dp/B0FHWK4ZHS )

Fun Fact: She has wrestled alligators.

Our cohost, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author.

He also hosts the twice Webby honored podcast, Inside Bipolar, with Dr. Nicole Washington.

To learn more about Gabe, please visit his website, gabehoward.com.
Learn more about your ad choices. Visit megaphone.fm/adchoices