Doorknob Comments

Doorknob Comments was named for a phenomenon that sometimes happens at the end of a therapy session, when the patient may mention something important and riddled with conflict, right as you’re walking out the door. Equal parts frustrating and enlightening, it surfaces key issues which may--or may not!-- get addressed anytime soon.

Embracing Your Many Sides for Growth & Productivity

On this episode of Doorknob Comments, Fara and Grant focus on why people often struggle to do things that are good for them while continuing habits that might be harmful. They discuss the concept of multiple self-states or personality parts that can sometimes conflict with each other, leading to procrastination, guilt, and difficulty in enjoying leisure activities. The conversation touches on topics such as the challenges of balancing productivity with self-care, the role of brain activity in procrastination, and the importance of self-reflection in understanding one's own motivations and behaviors. Throughout the episode, Fara and Grant draw on psychoanalytic theories, personal experiences, and clinical observations to offer insights into how individuals can better navigate their internal conflicts and make more constructive choices.  We hope you enjoy.  Resources and Links Doorknob Comments https://www.doorknobcomments.com/ Dr. Fara White https://www.farawhitemd.com/ Dr. Grant Brenner https://www.granthbrennermd.com/ https://www.linkedin.com/in/grant-h-brenner-md-dfapa/

03-03
42:51

Insight and Mental Health

In this episode, Grant and Fara delve into the topic of insight. They discuss its meaning, the benefits of having insight, and the various ways in which insight can be lacking. They also explore strategies for enhancing one's insight into their mental health and the role of therapy in encouraging patients to critically engage with their mental illness. We hope you find it enjoyable. Resources and Links Doorknob Comments https://www.doorknobcomments.com/ Dr. Fara White https://www.farawhitemd.com/ Dr. Grant Brenner https://www.granthbrennermd.com/ https://www.linkedin.com/in/grant-h-brenner-md-dfapa/

10-08
51:10

Inside Out 2: Anxiety and Insecurity

In this episode, Grant and Fara dive into the animated film Inside Out 2, exploring its creative depiction of emotions and the educational value it offers. They begin by providing a synopsis of the film, followed by an in-depth discussion on how emotions like anxiety and sadness play a crucial role in the protagonist Riley's conflicts and emotional growth. The conversation also touches on the portrayal of emotional frameworks in the film and how they reflect real-life therapeutic approaches. As always, they wrap up with some thoughtful closing remarks and doorknob comments. We hope you enjoy it. In This Episode [0:00] Introduction [1:20] Episode Overview [2:00] Synopsis of Inside Out 2 [5:00] Exploring Emotional Representation and Educational Themes [12:40] Anxiety's Impact on Riley's Journey [15:40] Anxiety as a Manifestation of Insecurity [19:00] Sadness and Emotional Integration [21:00] Dialectical Behavioral Therapy Depicted in the Film [23:00] Which Emotion Takes the Lead? [29:20] Navigating Social Challenges and Stereotypes in Adolescence [33:10] Linking Gendered Social Dynamics Back to Childhood [36:15] Final Thoughts and Closing Remarks Resources and Links Doorknob Comments https://www.doorknobcomments.com/ Dr. Fara White https://www.farawhitemd.com/ Dr. Grant Brenner https://www.granthbrennermd.com/ https://www.linkedin.com/in/grant-h-brenner-md-dfapa/

08-19
40:54

Active Inference, the Free Energy Principle, and Therapy

In this episode, Grant and Fara are joined by esteemed neurophysicist and authority on brain imaging, Dr. Karl Friston. His revolutionary impact on studies of the brain derives from his inventive use of probability theory to analyze neural imaging data. They discuss how we might think about psychotherapy from the point of view of Dr. Friston's work and briefly touch on artificial general intelligence, AGI, through Karl's work on VERSES AI. We hope you enjoy! In This Episode [0:00] Introduction [1:35] Episode Overview [02:30] Journey into Brain Imaging Research [6:30] Mathematics and Brain Processing [12:10] Active Inference and its Relevance to Psychotherapy [24:10] Therapeutic Alliance as Computational System [27:50] Revising Entrenched Beliefs Through Therapy [32:20] Trauma, Condition, and Altered Rationale [55:00] Mindfulness and Managing Prediction Errors [1:00:00] Consciousness and Selfhood [1:04:35] Verses AI and the Future of Psychiatry Resources and Links Doorknob Comments https://www.doorknobcomments.com/ Dr. Karl Friston https://profiles.ucl.ac.uk/2747-karl-friston https://www.verses.ai/ Dr. Fara White https://www.farawhitemd.com/ Dr. Grant Brenner https://www.granthbrennermd.com/ https://www.linkedin.com/in/grant-h-brenner-md-dfapa/

07-15
01:19:31

What Does My Therapist Really Think?

In this episode, Fara and Grant approach the sticky subjects in therapy, such as: billing, scheduling, boundaries, connection... and whether I really AM my therapist's favorite patient!! They provide insights into the challenges associated with managing this relationship and offer guidance on how to effectively communicate with your therapist. How do you bring up your concerns? Is it wrong to feel emotionally or romantically attracted to your therapist? This episode covers a wide range of topics to hopefully ease some of your anxieties. We hope you enjoy. Key Takeaways: Therapists, like anyone else, have their unique ways of approaching therapy based on their training and sensibilities. If you ever feel uncertain or have questions about your therapy, please don't hesitate to bring them up with your therapist. It's important to work through any concerns in your relationship with your therapist, and they are there to take them seriously and support you. In This Episode: [0:00] Introduction [01:00] Episode Overview [03:15] Getting to Therapy on Time (...or not) [07:30] Balancing Scheduling and Boundaries [12:10] Adapting Therapy Practices [15:10] Professionalism and Remote Therapy [19:40] Ethical Boundaries in Therapist-Patient Relationships [24:50] Handling Multiple Sources of Advice [31:47] Am I Your Favorite?? [38:53] Therapeutic Obligations Resources and Links Doorknob Comments https://www.doorknobcomments.com/ Dr. Fara White https://www.farawhitemd.com/ Dr. Grant Brenner https://www.granthbrennermd.com/ https://www.linkedin.com/in/grant-h-brenner-md-dfapa/

07-01
42:33

The Gaslight Effect with Dr. Robin Stern

In this episode, Grant and Fara have a conversation with Dr. Robin Stern, the Co-Founder and Senior Advisor for the Yale Center for Emotional Intelligence. Dr. Stern is also the author of The Gaslight Effect [https://www.amazon.com/Gaslight-Effect-Survive-Manipulation-Control/dp/0767924452] and the host of The Gaslight Effect Podcast [https://podcasts.apple.com/us/podcast/the-gaslight-effect-podcast/id1645322193]. They delve into Dr. Stern's journey in exploring gaslighting, the common tactics used by gaslighters in relationships, the role of shame and isolation for victims, and much more. Drawing from her 30 years of experience in treating individuals, couples, and families, Dr. Stern offers valuable insights into gaslighting dynamics and the steps to reclaiming one's narrative. We hope you enjoy! Key Takeaways The longer you're in a relationship where you're second-guessing your reality and accommodating the other, the harder it is to leave. Many times shame can begin to creep into gaslighting relationships. Victims might be ashamed to bring their gaslighters behavior up to family and friends, and can further isolate themselves. In This Episode [0:00] Introduction [1:05] Episode Overview [02:30] Robin's Journey to Exploring Gaslighting [10:10] Red Flags and Disavowal [17:15] 'Stage 3' of Gaslighting [18:40] Masquerading Gaslighting in Relationships [22:10] The Role of Isolation and Shame [24:30] Reclaiming Reality and Pushing Back [27:40] Gaslighting vs. Other Forms of Dysfunctional Communication [30:40] Navigating Behavioral Intention [33:55] What about Gaslighters? [35:40] Closing Thoughts Resources and Links Doorknob Comments https://www.doorknobcomments.com/ Dr. Robin Stern https://robinstern.com/ https://howwefeel.org/ Dr. Fara White https://www.farawhitemd.com/ Dr. Grant Brenner https://www.granthbrennermd.com/ https://www.linkedin.com/in/grant-h-brenner-md-dfapa/

06-19
40:35

Therapy Under Fire

In this episode, Grant and Fara discuss the recent criticism that therapy has faced following the release of several publications, particularly "The Therapist Who Hated Me" by Michael Bacon. They delve into the dynamics of the therapist-patient relationship in various therapeutic approaches and the potential challenges that may arise. They emphasize that there is no universal solution for therapy and stress the importance of evaluating treatment options to find what works best for each individual.  We hope you find this discussion insightful and enjoyable. Key Takeaways * No treatment is perfect, it is important to evaluate what's happening in therapy. Negative therapeutic experiences are valid, but hopefully shouldn't be the only experiences * "Therapy is first and foremost meant to help facilitate development in a good direction"  In This Episode * [0:00] Introduction * [01:10] Episode Overview * [04:50] "The Therapist Who Hated Me" and Melanie Klein * [08:05] Exploring the Therapist/Patient Relationship * [13:30] Finding the Right Fit, the Right Treatment * [17:30] Boom in Popularity for Therapy * [25:00] Different Definitions of Mental Health Care * [27:15] Countertransference of a Therapist * [34:30] Negative Experiences in Therapy  * [37:00] Evaluating Your Treatment Resources and Links Doorknob Comments * https://www.doorknobcomments.com/ Dr. Fara White * https://www.farawhitemd.com/ Dr. Grant Brenner * https://www.granthbrennermd.com/ * https://www.linkedin.com/in/grant-h-brenner-md-dfapa/

05-27
41:01

Where Do Doorknob Comments Come From?

Join hosts Fara and Grant on the latest Doorknob Comments podcast episode, where they delve into the intricate dynamics shaping the therapist-client relationship. They dissect the subtleties of this bond, emphasizing its profound impact on therapy efficacy. Ethical dilemmas like confidentiality and intervention in client danger are explored, alongside the significance of self-awareness and transparent communication. The episode navigates the therapist's role in addressing risk behaviors and physical health, while tackling challenges posed by clients with trauma or depression. The paramount importance of prioritizing client well-being resonates throughout the discussion. P.S. Remember, therapy is a journey we take together, and every step reveals new horizons. Let's discover them together. Tune in now and let's continue the conversation. Key Takeaways * Dynamics of the therapeutic relationship * Ethical considerations: confidentiality, intervention * Client autonomy and decision-making empowerment * Potential pitfalls of therapist self-disclosure * Addressing unspoken and unconscious aspects of therapy Resources and Links Doorknob Comments * https://www.doorknobcomments.com/ Dr. Fara White * https://www.farawhitemd.com/ Dr. Grant Brenner * https://www.granthbrennermd.com/ * https://www.linkedin.com/in/grant-h-brenner-md-dfapa/

03-27
42:59

Developing Engaged Citizens

In this episode of the Doorknob Comments podcast, we are excited to sit down with Dr. Edward Shapiro, a distinguished author and psychoanalyst. During our conversation, we discuss his book "Finding a Place to Stand." We explore the significance of family dynamics, institutional roles, and citizenship. He highlights the value of self-reflection and the challenges of leadership in a polarized society. Dr. Shapiro also shares a story illustrating the importance of action in confrontational situations. His book serves as a testament to the value of this learning process and is a recommended read for anyone interested in leadership, group relations, and active citizenship. Key Takeaways * Engaged citizenship is vital for a cohesive society and involves active listening and open-mindedness. * Group relations conferences provide insights into organizational dynamics and the role of authority. * Leadership requires courage to act in challenging situations, as illustrated by a social worker's story. * Learning from others and self-reflection enhance leadership. * Asking "How are they right?" rather than "How am I right?" is a paradigm shift for effective listening and collaboration. In This Episode: * [04:30] Experiences and journey to Austin Riggs * [14:30] Therapy and its role in family dynamics * [19:49] The family as an institution * [22:39] The book's idea in addressing societal issues * [24:28] The concept of good citizenship * [30:10] Group relations conferences and their impact * [45:19] "Why do I have to do this?" Notable Quotes * [12:47] "People resist impatient people who are labeled by others as one of the problems of family dynamics." - Ed * [19:49] "The family is an institution and like any institution, it has a mission on behalf of society, and that mission is development - Ed * [38:32] "I don't know that everybody wants to be a leader. Many people are afraid of leadership because of what's happened in their families around taking up leadership roles. We always bring our family role into our organization." - Ed Resources and Links Doorknob Comments * https://www.doorknobcomments.com/ Dr. Edward Shapiro * https://www.edwardrshapiro.com/ * Finding a Place to Stand [https://www.edwardrshapiro.com/finding-a-place-to-stand] Dr. Fara White * https://www.farawhitemd.com/ Dr. Grant Brenner * https://www.granthbrennermd.com/ * https://www.linkedin.com/in/grant-h-brenner-md-dfapa/

02-13
48:34

Survivor Siblings

In this episode of the Doorknob Comments podcast, we are thrilled to be joined by psychoanalyst and author Johanna Dobrich. In our conversation, Johanna discusses her book "Working with Survivor Siblings" and her research into the unique challenges faced by individuals who grew up with chronically or severely disabled siblings. The conversation examines the profound impact these sibling relationships have on personal development, the influence of parental dynamics, and the necessity for therapists to understand these complex peer relations. The episode also addresses the effects of medical trauma on families, highlighting the importance of increased awareness and therapeutic support for all members affected. Key Takeaways * Sibling relationships significantly influence personal development, especially when one grows up with a sibling who has chronic or severe disabilities. * Survivor siblings face unique challenges, including balancing their own needs with the demands of their sibling's disability. * Therapeutic approaches should be more nuanced and tailored to address the specific needs of survivor siblings. * The resilience and strength of survivor siblings highlight the human spirit's capacity to cope with and adapt to challenging circumstances. In This Episode: * [01:46] Understanding sibling relationships/sibling rivalry * [14:43] Defining survivor siblings * [16:34] Impact of chronic medical conditions * [22:20] Sharing life with a sibling * [26:00] Siblings who disrupt family dynamics/troublemaker siblings * [30:08] Transmission of trauma and attachment * [33:24]The importance of children feeling delighted by their parents Resources and Links Doorknob Comments * https://www.doorknobcomments.com/ Johanna Dobrich * https://www.johannadobrich.com/ * https://www.linkedin.com/in/johannadobrich/ * Working with Survivor Siblings in Psychoanalysis: Ability and Disability in Clinical Process [https://www.amazon.com/Working-Survivor-Siblings-Psychoanalysis-Perspectives/dp/0367645769#:~:text=Editorial%20Reviews-,Working%20with%20Survivor%20Siblings%20in%20Psychoanalysis%3A%20Ability%20and%20Disability%20in,the%20enduring%20effects%20of%20lateral] Dr. Fara White * https://www.farawhitemd.com/ Dr. Grant Brenner * https://www.granthbrennermd.com/ * https://www.linkedin.com/in/grant-h-brenner-md-dfapa/

01-30
38:22

Dear Ani: A Conversation with Keith Wasserman

Today, Grant and Fara are joined by Keith Wasserman, who is a producer and a major figure in the film "Dear Ani". In this episode, they have a conversation with Keith about his life, the process of making the film, and his relationship with and understanding of his experiences of mania. "Dear Ani [https://www.pbs.org/video/dear-ani-2bpwnu/]" is a journey that explores music, art, and mania. We hope you enjoy listening to this episode of the podcast. You can follow Keith on Instagram at @the_deep_wink [https://www.instagram.com/the_deep_wink].  You can also follow us on Instagram at @doorknobcomments [https://www.instagram.com/doorknobcomments/], and check out our TikTok account at doorknobcommentspodcast [https://www.tiktok.com/@doorknobcommentspodcast]. Don't forget to visit our website [https://www.doorknobcomments.com/]too!

11-21
40:52

Enactments

In this episode, Grant and Fara talk about something that psychoanalysts call enactment. They talk about the positive and traumatic experiences that shape enactments, and how we can use these moments for learning and therapeutic benefit—not only during therapy but also in everyday life.  We hope you enjoy.

10-31
34:42

Learning about Paruresis with Dan Rocker

In this episode, Fara and Grant are joined by Dan Rocker [https://danrocker.com/], the President of the International Paruresis Association, and the Co-Director of the Shy Bladder Center. Dan Rocker is an expert on Paruresis (significant urinary hesitation and inhibition) and breaks down some myths and misconceptions about the social phobia. We hope you enjoy! Follow us on Instagram at @doorknobcomments [https://www.instagram.com/doorknobcomments/], on TikTok at doorknobcomments [https://www.tiktok.com/@doorknobcomments?is_from_webapp=1&sender_device=pc], and visit our website DoorknobComments.com [https://www.doorknobcomments.com/].

07-25
41:02

Narratives and Self-Identity

In this episode, Fara and Grant talk about the way narratives shape self-identity. They discuss the constraints of certain personal narratives, the effects of trauma on narrative construction, and how altering our perspective on these narratives might offer us more mental and emotional clarity.  We hope you enjoy.

07-03
34:39

Making Sense of Intrusive Thoughts

In this episode, Grant and Fara discuss intrusive thinking. What it may or may not mean, and ways to make sense of these thoughts. They touch on personal experiences with intrusive thoughts, research on the phenomenon, and pigeons!  We hope you enjoy it.

06-19
29:06

To Friend or Not to Friend

In this episode, Fara and Grant talk about ways that people make, grow, and end friendships. They discuss the anxiety around reaching out to new people, the difficult conversations that can come with holding friends accountable, and how we might part ways when we feel wronged in existing friendships.

06-05
37:20

Happiness and Satisfaction: Fleishman Is in Trouble

In today's episode, we're going to talk about the trials and tribulations facing people in the middle and upper middle classes as they try to work out what is meaningful in life. Is it about worldly success, money, and the schools you go to? Is it about how you live and how spend your time and with whom?  We'll be exploring the television series, Fleishman Is in Trouble, as an entry point for our conversation.

04-17
37:11

Noise and Disinformation: Mental Health Treatment and Social Media

Today we cover what we see as some of the noise and disinformation around mental health treatment. We explore social media's benefits and pitfalls as a space for learning about potential remedies: from giving patients greater autonomy and information, to unsafe substance usage with potentially harmful outcomes. We hope you enjoy it and take something away.

04-03
46:36

New Years Resolutions and Motivation

Today we talk all about motivation and New Year's resolutions. The episode was recorded early in January, but the conversation may be even more important today. Throughout the episode, try to reflect on some of the goals you may have set for yourself this year. And if you're struggling with  some of these goals, how might you reframe your motivations in a healthy manner? Thinking about the benefits can help respark motivation! And remember to give yourself credit for the progress you've made!

03-21
42:42

Mental Health Stigma: From NYC to the Workplace

In this episode, Fara and Grant discuss recent mental health initiatives in NYC for hospitalizing unhoused people, school policies that may be harmful or stigmatizing to students, and the foundations of stigma and the implications for individuals and society.

01-02
31:14

Jannat Shah

The idea of multiple self-states or conflicting personality parts is a fascinating way to explain why we sometimes act against our own best interests. Track a plane's current location, altitude, speed, and estimated arrival time. View past flights and routes.https://flightracker.com.au/

03-14 Reply

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