Mental Health Rewritten

When Tamika talks about becoming a mother, you can hear how it rewrote her sense of identity. But when her daughter Allegra was later diagnosed with severe depression and psychosis, that identity began to unravel—and reveal something much deeper. Behind the scenes of her family’s history was an untreated illness that had already shaped the shoreline: schizoaffective disorder. This episode dives into the space where psychosis meets mood disorder, where reality and emotion overlap in ways that can feel impossible to untangle.

In this Mental Margins segment, we share bonus content and confront a critical question with Jack Register from episode 106: Why do we treat mental health crises differently than physical ones? If someone has a diabetic episode behind the wheel, we rush in with the jaws of life, pull them from the wreckage, and never question their willpower. Yet when a person spirals into suicidality or psychosis, society often steps back—expecting them to “help themselves” before we decide they’re worth saving. This conversation dives into the systemic contradictions at the heart of mental health care: The Power and Peril of Diagnosis – Labels like “narcissist” or “histrionic” are tossed around in pop culture as if they’re harmless, when in fact DSM and ICD diagnoses can alter the entire trajectory of someone’s life. The Hidden Penalties of Honesty – Military members, law enforcement officers, licensed professionals, and those with security clearances risk losing their livelihoods if they disclose certain conditions. Stigma isn’t just social—it’s structural. The Critical Window of 13 to 24 – The age when schizophrenia, bipolar disorder, and major depression most often emerge—just as young adults are stepping into independence. A diagnosis at this stage can reroute college, housing, and even financial aid, sometimes more drastically than a felony conviction. A Godson’s Story – A brilliant 19-year-old with schizophrenia, once bound for Ivy League scholarships, now cycles through homelessness, suicide attempts, and a chaotic care system that changes his medication with each insurance shift—each “fix” spiraling him further from stability. At the heart of this reflection is a haunting metaphor: an emotional car accident. When the crash comes, we too often stand at the roadside, unsure if we’re allowed to intervene—when what’s needed is decisive, lifesaving action. Background Context: The DSM-5 and ICD-11 both emphasize that mental disorders are defined not only by symptoms but by their impact on functioning and social participation. Yet history shows us how easily labels can be weaponized—from Benjamin Rush’s early 19th-century medical pathologizing of “moral” failings to today’s casual pop-psychology shorthand of “toxic” or “narcissistic.” This segment underscores the moral tension in diagnosis: clinical categories can validate care, but they can also exclude, penalize, or silence those already most vulnerable. In the end, the question remains: If we would pull a stranger from the wreckage of a car without hesitation, why do we hesitate when the crash is invisible, when it is of the mind?

A breakdown of episode 106

In this episode, we explore the aftermath of mental health crises through personal stories and expert insight. Featuring voices of Tamika Christy, Jack Register, and Ashley Holder, the discussion delves into grief after suicide loss, the challenges within mental health systems, and the emotional toll on caregivers and first responders. We also examine how trauma ripples through communities and the evolving ways we memorialize those we’ve lost online. Key Segments & Topics Grief and Suicide Loss: Author Tamika Christy shares her experience after losing a loved one to suicide, confronting stigma and complicated emotions. The conversation highlights how a suicide’s impact ripples outward – one study estimates 135 people are exposed to each suicide death– and how social media profiles of the deceased often serve as “digital gravestones” where friends and family post tributes. Tamika reflects on navigating insensitive questions (like “Do you feel better now that she’s gone?”) and the journey of healing from trauma as both a loved one and caregiver. Mental Health Systems & Reforms: Jack Register (licensed clinical social worker and mental health advocate) discusses systemic responses to mental illness. He breaks down the rollout of the new 988 Suicide & Crisis Lifeline, which in its first year received about 4 million calls, texts, and chats – a 33% increase from the previous year – and improved answer times to ~35 seconds on average. Jack notes ongoing challenges for 988, including uneven funding and public awareness gaps. The episode also examines California’s controversial CARE Court program: a new civil court system that lets judges order treatment plans (medication, therapy, housing) for individuals with severe untreated psychotic illnesses like schizophrenia. Governor Newsom touts CARE Court as a “care-first” solution to help people before they become dangerous to self or others, but disability rights groups argue it violates civil liberties by forcing treatment and potentially fast-tracking noncompliant patients into conservatorships (loss of autonomy). Jack helps unpack this legal framework and the debate between public safety and personal rights. Caregiver Trauma & First Responder Perspectives: Ashley Holder, a first responder and trauma survivor, speaks to the emotional toll of responding to crises and caring for those with severe mental illness. She highlights the often overlooked suicide risk in serious mental health conditions – for instance, individuals with psychotic depression have a higher likelihood of suicide than those with non-psychotic depression, and research shows about 34% of patients with schizoaffective disorder (which combines mood disorder and psychosis) have attempted suicide in the past. Ashley and Jack discuss initiatives like Crisis Intervention Team (CIT) training for police, a 40-hour de-escalation program now adopted by over 2,700 communities nationwide, designed to improve law enforcement responses to people in mental health crisis instead of relying on force. Ashley also opens up about the mental health struggles among first responders themselves – notes that firefighters and law enforcement officers are now more likely to die by suicide than in the line of duty, due to chronic exposure to trauma and stress. The segment underscores the need for peer support, training (like CIT), and systemic change to support both those in crisis and the professionals who help them. Resources & References Golden Gate Bridge Survivor Regrets – All 29 people who survived a Golden Gate Bridge suicide attempt later “regretted their decision as soon as they jumped.” (Mental Health First Aid training stat, reported by TeacherToolkit, 2022). Spanish Flu & Suicide Rates – U.S. suicide rates dropped ~24% during the 1918–20 influenza pandemic and then rebounded ~12% higher in the decade after (Chan et al., Prim Care Companion CNS Disord., 2021). This “pulling-together” effect during crises echoes Durkheim’s theory of social cohesion. DSM-5 vs. ICD-11 Definitions – Schizoaffective disorder in DSM-5 requires meeting criteria for schizophrenia plus a mood disorder, including at least 2 weeks of psychosis without mood symptoms (to distinguish from depression with psychotic features). ICD-11 takes a cross-sectional approach: the diagnosis is made only when full criteria for schizophrenia and a moderate/severe mood episode are present concurrently (for ≥4 weeks). Psychotic depression is defined as a major depressive episode accompanied by delusions or hallucinations (“mood-congruent” or “mood-incongruent” per DSM-5 specifier). 988 Crisis Lifeline Performance – In its first year (July 2022–July 2023), the 988 Lifeline answered ~4 million contacts (calls, chats, texts), 33% more than the previous year’s volume. Average response speeds improved (most contacts in ~30–40 seconds). However, the system faces challenges: many centers rely on short-term federal funds and need sustained state support, public awareness is still growing (only ~63% of Americans knew about 988 by mid-2023), and some callers remain wary due to privacy concerns and confusion with 911. (Source: Colleen DeGuzman, KFF Health News, 2023). CARE Court (California) – The Community Assistance, Recovery, and Empowerment (CARE) Court is a new California law (enacted 2022) creating a civil court process for certain individuals with schizophrenia or other psychotic disorders. It enables family, clinicians, or first responders to petition a court to mandate a 12- to 24-month care plan (mental health treatment and housing). Supporters, including Gov. Gavin Newsom, argue it’s a “no one left behind” approach to get help for those who are homeless or declining due to severe mental illness. Critics (e.g. Disability Rights California, ACLU) warn that it erodes civil rights, forcing treatment on people who may not consent and potentially leading to conservatorship if they refuse to comply. Legal challenges claim CARE Court violates due process and may not address the root problem (the shortage of voluntary treatment options). “Digital Gravestones” & Social Media Grief – Personal social media accounts often turn into digital memorials after someone dies. For example, Facebook allows “Memorialized” profiles (with a Remembering banner) where friends and family continue to post memories and condolences. By 2021, experts noted our online accounts “may become like our digital gravestones” – enduring virtual monuments to our lives. This trend raises new questions about managing one’s “digital legacy” and the role of social platforms in the grieving process (e.g. legacy contacts, auto-delete settings, etc.). (David R. Polgar, BuiltIn, 2021). Suicide’s Ripple Effect – According to a 2018 study (Cerel et al., published in Suicide and Life-Threatening Behavior), each suicide leaves behind a wide circle of people in its wake. On average 135 individuals are exposed (knew the person who died) and about 1 in 5 of those report that the loss had a devastating or life-altering impact on them. This updated figure (“not six”) underscores that the reach of a suicide loss extends far beyond immediate family – including friends, coworkers, classmates, clinicians, and community members who may also need support. Psychotic Disorders & Suicide Risk – Major depression with psychotic features and schizoaffective disorder carry elevated suicide risk. Patients who have experienced psychotic depression have a higher likelihood of future relapse and suicidal behavior than those with non-psychotic depression. For schizoaffective disorder, which combines mood disturbance and schizophrenia-like symptoms, studies indicate roughly 34% of patients have attempted suicide at least once. (By comparison, about 5–10% of those with pure schizophrenia die by suicide over a lifetime, and ~20% attempt, according to psychiatric research.) Careful risk assessment and integrated treatment (addressing both psychosis and mood symptoms) are crucial for these diagnoses. CIT – Crisis Intervention Team Training – CIT is a specialized 40-hour training program for law enforcement officers on responding to mental health crises. Launched in Memphis in 1988, the “Memphis Model” CIT program has now been adopted by over 2,700 communities across the U.S.. CIT training equips police to recognize psychiatric distress, de-escalate situations, and divert individuals to treatment instead of jail when safe to do so. Research shows CIT-trained officers use force less often and more effectively connect people to mental health services. (Sources: NAMI, 2020; Dupont et al., 2007). First Responders & Trauma – First responders (police, firefighters, EMS, 911 dispatchers) experience frequent trauma and high stress, which has led to disproportionate suicide rates in these professions. A 2021 CDC report noted that law enforcement officers and firefighters are more likely to die by suicide than in the line of duty. In addition, EMS providers have a 1.4 times higher suicide risk than the general public. Studies have found elevated rates of PTSD (e.g. ~1 in 5 dispatchers) and depression in these jobs. These findings have spurred initiatives like the Helping Emergency Responders Overcome (HERO) Act in the U.S., aiming to establish better tracking of first responder suicides and expand mental health resources (peer support, counseling) to this workforce. Mental Health Rewritten, created by the OWLS Education Company, in collaboration with the Ummah Collective Group is hosted, written and produced by me, Dominic Lawson   Executive Producers Kenda Lawson and Dr. Whitney Howzell   Cover art was created by Alexandria Eddings of Art Life Connections.    Some music was provided by DJ Krate Digga of the Mighty SoundChampz Crew  

In this special reflection, Dominic steps away from the usual storytelling format to speak directly with listeners. After the powerful response to Episode 105, where we shared Nia’s story, Dominic opens up about the impact that episode had on his own mental health—and why Mental Health Rewritten exists in the first place. He shares the outpouring of messages from listeners who connected deeply with Nia’s journey, and how those words of gratitude also brought a heavy reminder: that even in telling these stories, healing is not linear. The weight of these conversations can stir up personal emotions, and sometimes, stepping back is necessary. Dominic talks honestly about his brief hiatus, the importance of decompressing, and how he rediscovered a grounding practice—flying drones—that has helped him regulate, reset, and return with clarity. It’s a reminder that even storytellers and advocates need space to breathe. As he prepares to launch Episode 106, Dominic invites listeners to continue walking with him on this journey. Expect more moments of check-ins, reflections, and honest conversations about mental health—not as side notes, but as part of the process itself.

The call from the sheriff’s office. The Netflix notification from Baja. The 3 a.m. plea for a room. Each detail reads like a breadcrumb trail—fragile, almost surreal—marking the chaos of a loved one’s unraveling. What happens when systems meant to protect instead withhold? When family becomes both the lifeline and the witness to an impending collapse? This Mental Margin segment pulls us into that liminal space between presence and absence, where silence from a loved one becomes unbearable, and news delivered at the doorstep turns final. This preview sets the scene for our upcoming full episode of Mental Health Rewritten, releasing September 19th.

This Mental Margins bonus segment expands on Episode 105: Rewriting the Conversation Around Suicide. In the full episode, we heard Ashley-Lauren Elrod’s powerful story of surviving prolonged suicidal ideation. Here, Tina Aggarwal offers additional commentary that did not make it into the main release—breaking down the complex, overlapping forces that can drive someone toward a suicide attempt. Tina emphasizes a critical truth: suicidality is never the result of a single factor. Instead, it emerges from a combination of influences—mental illness, racial trauma, childhood sexual trauma, chronic health challenges, isolation, and substance use. She describes how these stressors accumulate over time, leading to months of persistent suicidal thoughts before a person reaches a breaking point. Her most haunting insight is the metaphor of the hijacked mind: when suicidality reaches its peak, the brain enters a trance-like state where the individual feels pulled toward one singular mission—ending their life. At that stage, intervention is nearly impossible, which is why communities must act long before someone reaches this point of no return. This bonus reflection underscores the urgency of early intervention and compassion, reminding us that suicide prevention is not just about crisis response—it’s about recognizing the warning signs and creating safety long before the mind is hijacked. 👉 If you or someone you know is struggling with suicidal thoughts, dial 988 in the U.S. for the Suicide & Crisis Lifeline. You are not alone, and help is available.

In this segement of Mental Margins, we share two perspectives on the hidden weight of high-functioning pain. First, trauma therapist Denise D. Moore shares a testimonial and reflects on dismantling the “strong Black woman” stereotype—reminding us that while not every story ends with a cure, every story can still carry meaning. Then, from Episode 105: Rewriting the Conversation Around Suicide, we check in with Nia—the friend who remembers every birthday, keeps the group chat alive, and always shows up for everyone else. From the outside, she’s the glue holding her circle together. Inside, she’s carrying storms she’s never named.

In this week's Mental Margin, we step back from the noise and dig deep into Major Depressive Disorder (MDD)—not just as a diagnosis, but as a lived experience. With over 700,000 lives lost to suicide annually, understanding MDD isn't just clinical—it's critical. We explore how Major Depressive Disorder manifests beyond sadness: in executive dysfunction, in physical exhaustion, in a feeling of cognitive suffocation. 

In this episode of Mental Health Rewritten, we tackle the subject of suicidal ideation with care, nuance, and urgency. Through a combination of real survivor stories, fictionalized scenes, clinical insight, and historical framing, host Dominic Lawson guides listeners through what it means to live on the edge of despair — and what it takes to survive it. We hear the stories of: Nia, a high-functioning professional whose emotional unraveling is invisible until it’s too late. Ashley-Lauren, a survivor navigating abuse, chronic illness, and a suicide attempt that ultimately catalyzed her healing. Sean, a veteran who faced combat trauma, alcoholism, and stigma in the military before becoming a suicide awareness trainer. Vernon, a comedian whose laughter masks a legacy of trauma dating back to childhood — and who now saves lives one conversation at a time. Clinician Tina offers expert insight on how we understand suicidal ideation, the brain’s escape mechanisms, and the ripple effects of silence. The episode reframes suicide not as a selfish act, but as a signal — one we must learn to recognize with compassion, not judgment.    Key Themes The Diathesis-Stress Model as a framework for understanding breakdowns under compounded trauma The language of suicide and why shifting from “committed suicide” to “died by suicide” matters The invisibility of high-functioning depression and what it means to check on the “strong” ones The interplay of PTSD, survivor’s guilt, and stigma within veteran communities The power of disruption — how a call, a laugh, or a knock at the door can save a life The legacy of silence, especially in BIPOC and male communities, where vulnerability is often punished or pathologized Mental Health Rewritten, created by the OWLS Education Company, in collaboration with theUmmah Collective Group is hosted, written and produced by me, Dominic Lawson   Executive Producers Kenda Lawson and Dr. Whitney Howzell   Cover art was created by Alexandria Eddings of Art Life Connections.    Some music was provided by DJ Krate Digga of the Mighty SoundChampz Crew   Sources Cited Global Suicide Statistics World Health Organization. (2021). Suicide worldwide in 2019: Global health estimates. Geneva: WHO. Youth Suicide Rankings World Health Organization. (2021). Suicide: Key facts. Terminology ("Died by Suicide" vs. "Committed Suicide") American Foundation for Suicide Prevention. (n.d.). Recommended language about suicide. National Alliance on Mental Illness. (n.d.). Suicide. Great Depression Suicide Spike Centers for Disease Control and Prevention (CDC). (1999). Historical Statistics on Suicide in the U.S., 1900–1999. Liu, Y. (2004). Macroeconomic conditions and suicide rates in the United States. American Journal of Public Health, 94(5), 768–773. Prevalence of Suicidal Ideation Nock, M. K., Borges, G., Bromet, E. J., et al. (2008). Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. The British Journal of Psychiatry, 192(2), 98–105. Major Depressive Disorder (MDD) Diagnostic Criteria American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.) (DSM-5). Washington, DC Ingram, R. E., & Luxton, D. D. (2005). Vulnerability-Stress Models. In B. L. Hankin & J. R. Z. Abela (Eds.), Development of Psychopathology: A Vulnerability-Stress Perspective (pp. 32–46). SAGE Publications. Veteran Suicide Data U.S. Department of Veterans Affairs. (2023). 2023 National Veteran Suicide Prevention Annual Report. Military & Digital Suicide Prevention Tools U.S. Department of Veterans Affairs. (n.d.). REACH VET: Recovery Engagement and Coordination for Health – Veterans Enhanced Treatment. O’Reilly, K. B. (2018, Oct). How AI is helping detect and prevent suicide. American Medical Association (AMA). Murder-Suicide Case (Bay Area, 2024) Gafni, M. & Baum, G. (2024, Feb 28). Former Meta employee kills wife, twin sons, self in San Mateo. Mercury News. Domestic Violence and Suicide/Homicide Risk Campbell, J. C., et al. (2003). Risk factors for femicide in abusive relationships: Results from a multisite case control study. American Journal of Public Health, 93(7), 1089–1097. Listener Resources If you or someone you know is struggling with suicidal thoughts, you are not alone. Help is available. 988 Suicide & Crisis Lifeline (USA) – Call or text 988 any time, day or night https://988lifeline.org Veterans Crisis Line – Call 988, then press 1 https://www.veteranscrisisline.net Crisis Text Line – Text HOME to 741741 https://www.crisistextline.org The Trevor Project (LGBTQ+ youth support) – Call 1-866-488-7386 or text START to 678678 https://www.thetrevorproject.org National Alliance on Mental Illness (NAMI) – https://www.nami.org/help

In this segment from episode Starting The Conversation Around Sexual Anorexia, we begin with what looks like a familiar path—trauma responses—but quickly uncover a deeper, more insidious truth: how intimacy, when distorted by early harm, can turn into a war zone. Janet's story isn’t just about survival. It's about expectation, submission, and the silent cultural scripts many women are forced to internalize about marriage, sex, and safety.

In this deeply personal bonus segment from Episode 104 Starting The Conversation About Sexual Anorexia, we hear more from Janet Bentley, a woman navigating the silent emotional toll of sexual anorexia within her marriage. What begins as a quiet irritation toward her partner, Simon, unravels into a poignant reflection on internalized shame, intimacy avoidance, and the emotional impact on those who love us. She courageously details her struggle to name what she was experiencing, her relief in discovering Patrick Carnes' work on the sexual addiction spectrum, and the painful vulnerability of sharing that journey with her partner.

In this segment, Janet reflects on her lifelong struggle with intimacy and the emotional walls built from trauma, exploring the complex relationship between Female Sexual Interest/Arousal Disorder (FSIAD) and sexual anorexia—two conditions often conflated but profoundly distinct. Perfectionism as Protection: Janet shares how perfectionism, an unhealthy coping mechanism, became her shield from past trauma, providing control while distancing her from deeper emotional wounds. Terror of Intimacy: Janet vividly describes the escalating fear that intimacy evokes—initially sexual, but eventually manifesting in everyday acts like holding hands or engaging in emotional conversations. Survival vs. Connection: Janet’s story reveals a heartbreaking paradox where her greatest desire—intimacy—is also her greatest fear, trapping her in profound loneliness even within marriage. Clinical Insights (Host Reflection): The segment explores the clinical perspective, highlighting how FSIAD in the DSM-5 categorizes a lack of desire or arousal biologically and culturally, yet often fails to capture the lived reality of trauma survivors. Beyond the DSM: Janet’s narrative underscores how clinical terms like FSIAD may fall short, illustrating a gap between diagnostic categories and real-world experiences, especially when trauma is central. Understanding Through Listening: The episode emphasizes the importance of validating individual experiences and listening deeply to understand mental health challenges beyond conventional frameworks.   Female Sexual Interest/Arousal Disorder (FSIAD), according to DSM-5, is specifically defined around desire and arousal issues experienced by those assigned female at birth, combining two previous diagnoses (low desire and arousal issues) into one. Sexual anorexia, although not officially recognized in the DSM-5 or ICD-11, focuses on an intense fear-driven avoidance of intimacy, distinctively linked to trauma rather than simply desire or arousal issues.

Kyle sits awake at 2 AM, the glow of his laptop revealing a single word in the search bar: “avoidance.” He scrolls past harsh phrases like fear of intimacy and sexual withdrawal that feel like accusations. Then one term stops him—“sexual anorexia.” For the first time, he wonders: What if I’m not broken, but scared? And what if scared has a name? This episode of Mental Health Rewritten explores the little-discussed realm of sexual anorexia, a term for fear-driven intimacy avoidance often rooted in trauma. Though not officially listed in the DSM-5, sexual anorexia is a profoundly real experience, marked not by mere disinterest but by an instinctual, protective shutdown of the body and emotions in the face of intimacy. It’s a concept that can help survivors put a name to what was once shrouded in shame. Narrative storytelling and expert insight intertwine as we follow Kyle’s journey and others like him. Survivor Janet Bentley shares her struggle with physical closeness after sexual abuse, describing how discovering the term sexual anorexia transformed her self-understanding from silent shame to shared understanding. Janet’s personal account — from feeling isolated and “broken” to finding hope in healing after sexual abuse — illustrates the power of naming trauma and seeking support. Her experience led her to found the Courageous Survivors nonprofit, creating a safe space for those with similar stories. Renowned clinician Dr. Alexandra Katehakis offers compassionate commentary on why the mind and body respond this way. She explains how deeply embedded trauma can hijack the nervous system (drawing on the Polyvagal Theory of Dr. Stephen Porges) and cause a fight, flight, or freeze response during intimacy. Listeners learn how the body may literally shut down or go numb when triggered — not as dysfunction, but as the nervous system’s attempt to feel safe. Dr. Katehakis discusses somatic healing techniques and the slow rebuilding of safety, trust, and consent in a relationship, highlighting the neurobiology behind why “the body remembers what the mind wants to forget.” The episode also explores how these trauma responses fit (or don’t fit) into clinical labels. We delve into Female Sexual Interest/Arousal Disorder (FSIAD), the official diagnosis for low sexual desire in women, and why such labels often fail to capture the nuance of trauma-related intimacy avoidance. This discussion shines light on the inadequacy of one-size-fits-all diagnostic terms when intergenerational shame and personal trauma histories are involved. By blending Kyle’s fictional story, Janet’s real-life testimony, and Dr. Katehakis’s scientific expertise, the narrative challenges the stigma around sexual avoidance. Intimacy avoidance born from trauma is recast not as a life sentence of dysfunction, but as a protective response that can gradually be understood and healed. Join host Dominic Lawson in this conversation that destigmatizes sexual anorexia and offers hope for trauma recovery. From the quiet pain of avoidance to the slow steps of reconnection, Mental Health Rewritten invites you to reconsider intimacy after trauma through a new lens — one of empathy, understanding, and the radical act of naming our truth out loud. This episode is a compassionate guide toward healing after sexual abuse, reminding listeners that what feels like “brokenness” can, in time, become a story of courage and reconnection. Mental Health Rewritten, created by the OWLS Education Company, in collaboration with theUmmah Collective Group is hosted, written and produced by me, Dominic Lawson   Executive Producers Kenda Lawson and Dr. Whitney Howzell   Cover art was created by Alexandria Eddings of Art Life Connections.    Some music was provided by DJ Krate Digga of the Mighty SoundChampz Crew Major Themes Covered Understanding Sexual Anorexia: Defining sexual anorexia as an extreme fear of sexual intimacy and compulsive avoidance of sex, viewed through a trauma-informed lens rather than as mere lack of desire. Intimacy as a Triggering Threat: How past sexual abuse or deep-seated shame can make intimacy avoidance a self-protective response, with the body’s nervous system instinctively shielding the survivor (e.g. freezing or shutting down during closeness). Personal Story of Recovery: Janet Bentley’s candid account of her journey healing after sexual abuse – from decades of feeling alone with intimacy fears to discovering the term sexual anorexia and finding empowerment in naming her experience. Expert Insight and Somatic Healing: Dr. Alexandra Katehakis’s commentary on trauma and the body – discussing Polyvagal Theory, somatic therapy, and how understanding the neurobiology of trauma (e.g. fight/flight/freeze responses) can inform gentle healing and the rebuilding of trust and consent in relationships. Beyond Diagnostic Labels: An exploration of clinical terms like Female Sexual Interest/Arousal Disorder (FSIAD) and why such diagnoses may fall short. The conversation highlights the limitations of traditional labels in addressing trauma-related intimacy issues, questioning whether what is often pathologized as dysfunction is actually a normal adaptive response to abnormal experiences. Intergenerational Shame and Stigma: Insight into how shame around sexuality – often passed down through families or cultural messages – can compound trauma, and the importance of breaking silence and stigma. The episode emphasizes creating a supportive social context that validates survivors’ experiences instead of adding to their shame. The Power of Naming and Storytelling: A central theme of turning “silent shame into shared understanding,” demonstrating how putting words to one’s experience (like calling it sexual anorexia) can be a first step in trauma recovery. Through Kyle’s fictional narrative and Janet’s real story, the show illustrates that naming the problem opens the door to community, professional help, and hope for change. Resources & Mentions Courageous Survivors – Nonprofit founded by Janet Bentley to support adult survivors of sexual trauma.  The B Word Podcast (Episode with Janet Bentley)* – Janet shares her story of sexual trauma and healing.  Book – Sexual Anorexia: Overcoming Sexual Self-Hatred by Patrick J. Carnes, PhD – A pioneering look at sexual anorexia and its ties to trauma (Hazelden, 1997). (Explores fear of intimacy and provides recovery strategies.) Book – The Sexual Healing Journey by Wendy Maltz, LCSW – A compassionate guide for survivors of sexual abuse to reclaim healthy intimacy (Updated Edition, 2012). Polyvagal Theory (Dr. Stephen Porges) – An influential framework explaining how the autonomic nervous system (vagus nerve) responds to trauma and safety cues. (Helps make sense of “freeze” and shutdown responses in intimacy.) Center for Healthy Sex – Dr. Alexandra Katehakis’s therapy center in Los Angeles, offering resources on sex addiction, sexual anorexia, and trauma recovery.    Sources Diagnostic status of “sexual anorexia”: Medical News Today – “Sexual anorexia: Symptoms, treatment, causes, and more.” Confirms that sexual anorexia is not an official DSM-5 diagnosis.  Patrick Carnes definition: Patrick Carnes’ book Sexual Anorexia defining it as “the emptiness of profound deprivation, a silent suffering”. Also describes the fear-driven avoidance and how it can mask as disinterest.  DSM-5 Female Sexual Interest/Arousal Disorder: (NIH/NLM) – “Female Sexual Interest/Arousal Disorder.” Explains that FSIAD in DSM-5 merged the prior desire and arousal disorders for women and is distinct to females.  Polyvagal freeze response: Reclaim Therapy Blog – “Understanding the Freeze Trauma Response” by Sarah Herstich, LCSW. Provides an overview of Polyvagal Theory (Dr. Stephen Porges) and the three neural pathways: social engagement, fight/flight, and dorsal vagal freeze when threat overwhelms.  Trauma and sexual dysfunction statistic: Journal of Sexual Medicine review (Pulverman, 2018) – “Impact of Childhood Sexual Abuse on Women’s Sexual Health.” Indicates that in random community studies, 25–59% of women with CSA histories have sexual dysfunction, highlighting the strong link.  Avoidance behaviors and symptoms: LovePanky (educational blog) – “Sexual Anorexia: 19 Signs…” Enumerates signs like fear of sex, avoidance of anything sexual (even revealing clothes or media), and judging one’s own sexuality – matching the episode’s descriptions.  Marital rape legal history: CriminalDefenseLawyer.com – “Marital Rape Laws.” States that marital/spousal rape is illegal in all US states only since 1993, and notes the prior marital exemption laws.  Current bodily autonomy debates: The Nation (June 2023) – “The Supreme Court Has Dealt Another Devastating Blow to Women.” Describes a recent SCOTUS ruling (Medina v. Planned Parenthood) as part of “the assault on bodily autonomy.” Illustrates ongoing legal battles over women’s control of their bodies. Simone de Beauvoir on women’s bodies: The Second Sex via PhilosophyNow summary – Beauvoir observed that society makes a young woman feel her body is objectified and shameful (e.g. men’s leering causing her to wish to be “invisible”).  Virtual reality therapy for sexual trauma: ABC News (Apr 2018) – “Inside the VR therapy designed to help sexual assault survivors heal by facing attackers.” Reports on psychologists using VR scenarios to help rape survivors confront fears in a safe, controlled way.

In this special reflection episode of Mental Health Rewritten, host Dominic Lawson celebrates 40 days of the podcast's journey with over 1,000 subscribers and nearly 13,000 downloads. Dominic shares heartfelt gratitude for listeners' impactful messages, highlighting how powerful storytelling can transform conversations about mental health. Listeners discover the deliberate use of the gentle chime within episodes—a signal indicating insights grounded in respected clinical texts, DSM-5 and ICD-11, ensuring a balance of accuracy, clarity, and empathy. Bonus Content Highlights: Dr. Justin Dodson offers additional commentary from Episode 102: "Rewriting the Conversation Around Pornography," deepening the exploration of Gio's compelling story and the complexities surrounding pornography's impact on mental health. Gio's Personal Revelation: Listeners experience an intimate and candid moment as Gio explains his involvement in OnlyFans to his ex-girlfriend and mother, revealing the nuanced emotional landscape behind personal choices and societal judgment. Mental health is everyone's conversation. Through empathy, accuracy, and courageous storytelling, Mental Health Rewritten continues reshaping our understanding, breaking stigma, and fostering essential dialogue.

In this segment from episode 103, Rewriting The Conversation Around Sexual Assault, psychotherapist Havi Kang explores how societal perceptions around trauma, sexual assault, and mental health are evolving, highlighting the influence of movements like #MeToo and increased online dialogue.  Dr. Justin Dodson joins the conversation to discuss the significant impacts when education about sexual health and trauma is suppressed, illustrating consequences from personal and professional perspectives.

In this segment, host Dominic Lawson pauses the narrative to ground the discussion in clinical reality. With the term "trauma" now widely used in cultural and digital discourse, this segment brings clarity to its true clinical definitions, as outlined in the DSM-5 and ICD-11. The conversation reframes trauma not just as catastrophic events but also as chronic, cumulative experiences—what clinicians call "small t trauma.  Why It Matters: This segment reinforces our mission to rewrite mental health narratives by ensuring that language, especially around trauma, is used responsibly and compassionately. It's a call to acknowledge lived experiences, even when they don't fit the stereotypical mold of trauma.

In this segment of Episode 103, "Rewriting the Conversation Around Sexual Assault," Mental Health Rewritten explores the often-overlooked experiences of men who have survived sexual violence. With poignant insight from Havi Kang and Dan Woerheide, the episode challenges pervasive myths that silence male survivors and hinder healing.

In this segment, hosts Dominic Lawson and Dan Woerheide explore the enduring psychological toll of sexual assault, turning their focus to Complex PTSD (C-PTSD). Dan reflects on the harrowing process of forensic exams for survivors—a clinical necessity that often reactivates trauma. Despite the compassion of SANE (Sexual Assault Nurse Examiner) professionals, the experience underscores how systemic procedures can inadvertently retraumatize those they've been designed to help. Dominic introduces listeners to the concept of Complex PTSD, a diagnosis that goes beyond the acute symptoms of traditional PTSD. Unlike PTSD, which often follows a single traumatic event, Complex PTSD emerges from chronic, inescapable trauma—such as childhood abuse, captivity, or intimate partner violence. Dominic also touches on the lack of formal recognition for C-PTSD in the DSM-5, where it is instead often subsumed under the ambiguous category of “Other Specified Trauma- and Stressor-Related Disorder.” This gap reflects an ongoing debate in psychiatry but presents real challenges for survivors seeking validation and appropriate care. Through Dan’s testimony and Dominic’s clinical context, this segment underscores Mental Health Rewritten's mission: to elevate hidden narratives, question institutional frameworks, and humanize the psychological aftermath of trauma.

In this powerful and necessary episode of Mental Health Rewritten, we open with a deceptively simple question: “Is this sexual assault?” From that moment forward, we begin a journey that challenges long-held beliefs about consent, trauma, and silence, especially when the abuse doesn’t look the way we expect it to. At the heart of this episode is Maria, a fictional composite of real stories. We explore the types of harm that don’t come through force, but through the absence of consent, emotional pressure, or the quiet rewriting of boundaries inside long-term relationships. But Maria’s story is just the beginning. We’re also joined by Ashley-Lauren Elrod, a survivor whose candid testimony spans over a decade of sexual abuse, much of it at the hands of family members. Her story is raw and revealing of how trauma fragments memory, distorts identity, and leaves lingering questions like: Who am I outside of what happened to me? How do I tell the truth when the people who hurt me are the ones who raised me? Together with expert voices—therapists Havi Kang, Dr. Justin Dodson, Dr. Alex Katehakis, and Dan Woerheide—we examine: Why sexual assault in marriage is still so often denied or minimized How dissociation becomes the mind’s defense when the body can’t escape What gaslighting looks like in everyday language—and how it erodes self-trust The difference between love and entitlement, and how one can masquerade as the other What real trauma-informed healing requires—from clinicians, partners, and communities We also confront institutional betrayal through the lens of the Larry Nassar and USA Gymnastics case, using it as a sobering parallel: If world-class athletes weren’t believed, what does that say about the everyday survivor sitting silently at your dinner table? This episode is a call to rethink what sexual harm looks like—not just in headlines, but in homes. It’s about naming what happened, even when the world tells you it wasn’t “bad enough.” And it’s about rewriting what healing looks like, starting with truth. Mental Health Rewritten, created by the OWLS Education Company, in collaboration with The Ummah Collective Group, is hosted, written, and produced by Dominic Lawson. Executive Producers: Kenda Lawson and Dr. Whitney Howzell Cover Art: Alexandria Eddings of Art Life Connections Some music was provided by DJ Krate Digga of The Mighty Sound Champz Crew Research and Statistics References Bureau of Justice Statistics – Criminal Victimization, 2021: This U.S. Justice Department report provides official data on crime reporting rates. It shows that only 21.5% of rape/sexual assaults were reported to police in 2021 highlighting the underreporting problem and reasons victims cite (fear of reprisal, etc.) bjs.ojp.gov. Centers for Disease Control and Prevention (CDC) – National Intimate Partner and Sexual Violence Survey (NISVS): The CDC’s research on sexual violence prevalence. According to recent CDC findings, approximately 1 in 4 women and 1 in 13 boys in the U.S. experience sexual abuse in childhood. nationalchildrensalliance.org  Academic Review on Revictimization: “The Prevalence of Sexual Revictimization: A Meta-Analytic Review” (Trauma, Violence, & Abuse, 2017) – A study synthesizing data on how often survivors of sexual abuse experience new incidents later. It found nearly 50% of survivors faced revictimization on average. nsvrc.org, though estimates vary. pubmed.ncbi.nlm.nih.gov Institutional Betrayal Case Study – Larry Nassar and USA Gymnastics: News investigations and a 2019 U.S. Senate report document how USA Gymnastics and Michigan State University failed to stop Nassar. Example resource: The Guardian report “How was Larry Nassar able to abuse so many gymnasts for so long?” which describes how complaints were ignored in favor of protecting reputations. theguardian.com. Also see ESPN’s piece on victim-blaming in this case. espn.com. “Ideal Victim” Myth in Sexual Assault: For context on this concept, see Nils Christie’s work in victimology and modern commentary such as “The ‘Perfect Victim’ Myth” by Kim Machray (Empoword Journalism, 2023), which explains how societal stereotypes of a “blameless, ideal victim” can marginalize many survivors. empowordjournalism.com. Complex PTSD – ICD-11 vs. DSM-5: World Health Organization’s ICD-11 includes Complex PTSD as a diagnosis distinct from PTSD. ptsd.va.gov. In contrast, the DSM-5 (the American manual) does not formally recognize “C-PTSD” as separate. (See the U.S. National Center for PTSD explainer on “Complex PTSD: History and Definitions.) Support Organizations & Hotlines for Survivors RAINN – Rape, Abuse & Incest National Network (U.S.): The largest U.S. anti-sexual violence organization. RAINN operates the National Sexual Assault Hotline at 1-800-656-HOPE and online chat support rainn.org. They offer help 24/7 for survivors, plus extensive educational materials and referrals.  National Sexual Violence Resource Center (U.S.): NSVRC provides research, toolkits, and a directory of local services. nsvrc.org. (While not a hotline, NSVRC is a hub for understanding sexual violence and finding support by state or territory). 1in6 (U.S. & Global): A nonprofit specializing in male survivor support. Provides anonymous online chat groups and resources for men who’ve experienced sexual abuse. Named after the statistic that at least 1 in 6 men have experienced abusive sexual experiences by age 18. 1in6.org. National Child Abuse Hotline (U.S.): For anyone affected by child sexual abuse (survivors, parents, concerned individuals). Operated by Childhelp at 1-800-4-A-CHILD (1-800-422-4453), 24/7 confidential crisis counseling and referrals nationwide. National Domestic Violence Hotline (U.S.): Many sexual assaults occur in the context of intimate partner violence. The NDVH (🌐 thehotline.org, or call 1-800-799-SAFE) offers support and can connect survivors of partner or marital sexual abuse to local services. DoD Safe Helpline (Worldwide, for U.S. Military Community): An anonymous 24/7 hotline for members of the U.S. military (active or veteran) affected by sexual assault. Accessible worldwide via phone or online chat (🌐 safehelpline.org). rainn.org International Resources – “NO MORE” Global Directory: A comprehensive global directory of sexual assault and domestic violence helplines by country (🌐 nomoredirectory.org). If you’re outside the U.S., this resource (developed with the UN) helps locate local support services anywhere in the world. nomoredirectory.orgnomoredirectory.org. Rape Crisis England & Wales (UK): National network of centers for sexual violence survivors in the UK. Offers a 24-hour phone helpline at 0808 802 9999 and online resources (🌐 rapecrisis.org.uk). (For Scotland, see Rape Crisis Scotland; for Ireland, see Dublin Rape Crisis Centre, etc.) Ending Violence Canada – Sexual Assault Centre Directory: A Canadian resource listing provincial sexual assault centres and crisis lines. Survivors in Canada can find local support services via this directory endingviolencecanada.org. (For other regions: many countries have similar organizations or hotlines – e.g. 1800-RESPECT in Australia, the Women’s Helpline in India, etc. See the NO MORE Global Directory above for an extensive international list.) Educational Resources – Trauma, Dissociation, Sexual Health, and Healing Book – The Body Keeps the Score (2014) by Dr. Bessel van der Kolk: A best-selling book on how trauma impacts the body and mind, and paths to healing. Explores phenomena like dissociation, flashbacks, and the neuroscience of trauma in an accessible way. (Penguin Books)penguinrandomhouse.com Book – It Didn’t Start with You (2016) by Mark Wolynn: An insightful look at intergenerational trauma. Explains how trauma can be passed down through family generations and offers strategies to break the cycle (psychologytoday.com). Good for understanding how family history of abuse or trauma might affect someone’s mental health in the present. Book – Trauma and Recovery (1992; updated 2015) by Dr. Judith Herman: A foundational text by a psychiatrist that coined the concept of Complex PTSD. It covers the impact of sexual and domestic violence, the importance of survivor empowerment, and stages of recovery. (BasicBooks). Documentary – Athlete A (2020): A Netflix documentary about the USA Gymnastics sexual abuse scandal. Follows investigative journalists and survivors (like Maggie Nichols, “Athlete A”) as they expose Larry Nassar’s crimes and the institutional cover-up. An impactful look at how a powerful institution silenced victims and how the truth finally came out. Documentary – Resilience: The Biology of Stress & the Science of Hope (2016): Explores the science of Adverse Childhood Experiences (ACEs) and toxic stress. Shows how childhood trauma (including abuse and neglect) can affect health across a lifetime, and highlights initiatives to build resilience and break intergenerational cycles of trauma. rocofilms.com. (Director: James Redford). Toolkit – The Trauma Toolkit (Klinic Community Health, 2013): A comprehensive guide (available free online) for trauma-informed approaches. While aimed at service providers, it’s written in plain language about what trauma does to the brain, body, and how healing can occur. Includes sections on grounding techniques, understanding dissociation, and cultural/historical trauma. 🌐 trauma-informed.ca  Sidran Institute (Trauma/Dissociation Resources): A nonprofit organization that focuses on helping people understand and recover from traumatic stress and dissociative disorders. Their website offers fact sheets on conditions like Dissociative Identity Disorder, grounding skills for flashbacks, and how to find a trauma-informed therapist (🌐 sidran.org). National Child Traumatic Stress Network – Resources on Childhood Trauma: NCTSN (🌐 nctsn.org) provides guides for both survivors and parents. For example, “Why Don’t They Tell? Teens and Sexual Assault Disclosure” (NCTSN, 2008