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Top 25 Mental Health Articles on Substack

Best Mental Health Articles


Mental(izing) Health: On Madness

Newsletter, #60
Struggling to welcome the new year? A brisk, no-nonsense beginning might be fitting: “madness” is the word that pops into my mind. And then I wonder: is madness is still a meaningful term? Has it become politically-suspect, conjuring images of people who are wild, regressed and scary? Is it an inherently stigmatizing attribute? But w…
Elliot Jurist ∙ 5 LIKES
Michael Golden
Thank you for this, Elliott. I've just released a book today with a whole bunch of mental health vignettes -- of my own 'manic mind'! https://tinyurl.com/2rkez486
Elliot Jurist
I am all for a contagious, renewed kind of sanity; not sure about transfigured. One of things that is so scary now is Trump facing major crises around the world with no knowledge or curiosity about history. I agree with you about how much hope matters during these times. Thanks for sending your thoughts.



Job Searching Is a Pain in The Ass

Why don't they grow on trees?
For as long as I can remember I’ve always loathed the job search process.
Patrick Meowler ∙ 24 LIKES
Kat
FAITH over fear. You definitely have the right attitude there! Whatever is meant to be will come your way, but I totally get the impatient feeling of waiting. I'm also potentially going to start looking for a new job and the thought of it sounds very daunting and exhausting, but I know for my own well-being a change is necessary. Sending you good energy that whatever will be will be the right fit for you!


The mental health of it all

Chicken, egg, or shredded chicken omelette?
Last week, I opened up a thread to my subscribers. It was an interview request for anyone willing to share their experiences at the interface of mental health and pelvic floor dysfunction.
Cait Van Damm, OTD, OTR/L, RYT ∙ 7 LIKES
Josephine Raye Kelly
I’m so glad you wrote this piece! There’s such little knowledge of pelvic floor health that when you’re struggling with PFD it’s isolating and sometimes feels hopeless.
I struggled with pelvic pain for years. It was indisputably connected to my mental health, specifically sexual trauma I experienced as a teen. Physical therapy helped me a ton but it was really the yoga and psychotherapy that helped me relax enough to no longer experience chronic pain and anxiety that always anticipated the pain.
Anna Maltby
Love this. When I encourage people to get help for PFD — especially when they don’t think it’s that big of a deal (i.e. the old “i just had a baby! It’s normal! Oh well!”) — I often share that when i resolved my own PFD it was like a low-lying cloud of anxiety lifted, and I hadn’t even realized it was there until it was gone. The feeling that i could trust my body and just be out in the world without worrying was so freeing and so incredible for my day to day mental health. I didn’t know how much ease i was missing until i found it!


My Least Favorite Platitudes and Ableist Lies

and How to Avoid Them in the New Year
As the year starts and the social discourse shifts to focus on resolutions, plans, and goals for the next 12 months, the pressure to define and name everything that my energy wil…
Steph Fowler, LCPC, CADC ∙ 4 LIKES

Rapid Acting Mental Health Treatment SF 2025!

Featuring The Carlat Report and UnitedHealth Group Leaders In The Same Room!?! Coming January 12th!
The Frontier Psychiatrists started having live-action newsletter events last year. We called them rapid-acting mental health treatment, or “RAMHT” for short. This year, we have discussants, to whom I will now introduce you.
Owen Scott Muir, M.D ∙ 10 LIKES
Meg
“Rapid acting mental health treatment” sounds enticing in it of itself! I look forward to your writings post event!


The Making of a Mental Health Rockstar

Does Mike King’s popularity come with a big dose of impunity?
Hi, If you’re a New Zealander — you know who Mike King is. He is the face of New Zealand’s battle against mental health problems. He can be loud and brash. He raises, and is entrusted with, a lot of cash. Last year his “I Am Hope” charity reported a revenue of over 7 million dollars.
David Farrier ∙ 350 LIKES
theangelbird
Absolutely brilliant post giving me all the answers to the questions I didn't realise I had. Having worked in, and left, mental health, the disparity between the kaupapa he scaffolds and the way he behaves is huge. I couldn't have these conversations about him with anyone I worked with and I couldn't find all the facts. My webworm subscription has just been repaid ten times over. Thank you David and Jess!! 🫶🏽🙏🏽
Sue Beadle
Thank you for this. As a counsellor I did some work with some I Am Hope clients about 5-6 years ago. The work itself I think was desperately needed, picking up on younger teenagers who were unable to get a referral for therapy through their GP due to age. But the funding ran out fairly quickly and I ended up not being paid for some of the work. It was okay - I wasn’t hugely dependent on being paid for the work but when this issue was raised in the media I heard Mike King make a statement that all counsellors had been paid. I knew that wasn’t true and it put me off doing any more work for the foundation.

Lundinke
Jan 13

Mental Health Benefits of Playing an Instrument

Enhancing mental well-being in the workplace
Playing, whether in the form of recreational activities, creative play, or structured games, has been recognized as a powerful tool for enhancing mental well-being, especially in the workplace. Amid the demands of work and the often high-pressure environments many people experience, incorporating play can serve as a cata…
Ron W ∙ 2 LIKES


you up? it's me, sleep 😴

how to sleep guide
What if there was a free, science-backed way to improve your mood, lower anxiety, boost memory, and even protect your heart? You’d be all over it, right? Well, it exists—it’s called consistent, quality sleep.
Jake Goodman, MD, MBA ∙ 48 LIKES
Catherine Ann
Love the feeling of a good night’s sleep. Retirement helps. Going to bed at a regular time, feeling at peace with life, not having to wake up to an alarm that shocks you awake for work purposes - all pluses for better sleep.
Mike Mc Govern
Well I have found a lady who has cracked it but will only reveal her secrets if you hand over almost $500 for her "Sleep Success" course So I wrote her an email complaining I couldn't afford it and she actually wrote back saying if I answered 3 questions about this book by Eckhard Tolle something about peacefulness that her "team" may award me a scholarship with the course for free So I got on to AI Chat GPT and asked it for the answers and I've sent them off to her so it must be based on his teachings but if I do manage to get it for free I will pass it on to you and maybe you can extract the wisdom from it and then pass that on to all yor followers for free too

Dark Chocolate, Dementia, and Depression: What You Need to Know

How many steps a day can reduce depression risk? Dark chocolate vs. milk chocolate for health? Are there early predictors of dementia?
Jake Goodman, MD, MBA ∙ 381 LIKES
LM
I stopped eating chocolate because of high levels of lead and cadmium found in many brands. How do I balance the risk/benefit?
Judi Bailey, M.Ed
Very interesting. If you’re interested in networking, I do a newsletter, Falling Leaves, covering dementia and caregiving. I use education as well as my own experience with dementia.

A stupid meditation practice for my stupid mental health

I started meditating in 2023 and was very skeptical of its benefits, but I'm here to tell you that it works and it's worth it. But you'll also suck at it for a while...
For years, health professionals and psychics alike had told me that I would benefit from meditation. Maybe it’s all the caffeine I drink or the rampant and, at the time, untreated anxiety, but everyone was suggesting it. So I ignored it.
Lindsey Weidenbach ∙ 8 LIKES
Joanne Carr
Sassy, affirming, and so positive. Thanks for that!

How to KEEP Your New Year's Resolutions, Backed by Neuroscience

Hint: Tell Nobody.
HOW IS IT ALREADY 2025?!
Jake Goodman, MD, MBA ∙ 80 LIKES
Ames
Thanks for your words of wisdom. Looking forward to the new year but life can be challenging, being mentally ill
Maria Morley
Thanks for your wise words Dr Jake. As a retired reg. Psych, I have followed Liz throughout this year & a colleague & I hold tickets to her up-coming Melbourne appearance in Feb.
At the risk of jinxing myself, my NYR is to learn to swim (properly

An Alternative to Silly Smart Phone & Mental Health Arguments

A skeptic’s guide to social media research
Please hit the ❤️ “Like” button at the top or bottom of this article if you enjoy it. It helps others find it.
38 LIKES
Jon Macaskill
Oh man... after reading Jonathan's book, The Anxious Generation, I'm in the anti-smartphone group BUT I am addicted to mine. I'm going to watch this conversation. Thanks for sharing Todd. Hope you're doing well.
Doug Hensch
Wow, this is a hard one. I love how technology makes me more effective and more efficient, at times. You can't stop technological advance and trying is just going to frustrate you. With that being said, I can remember Thanksgiving and Christmas dinners (and all dinners for that matter) where there was no threat of distraction. Kids learned how to talk, listen and connect.
My real fear, however, is simply the amount of information that young brains consume compared to previous generations. It's just more opportunity to worry and fear the future.
Sherrie Terkel writes that 'we have lost the ability to be bored.' I remember loathing the 3-hour ride to the Jersey Shore...and then I would stare out the window and let my imagination run wild. I learned how to work through boredom and strengthen my creativity.
Smartphones aren't the end of the world - they're just making it harder to have a healthy childhood and young adulthood.

Adventures and Misadventures in Ketamine Therapy

I tried ketamine treatments for depression. My experience was less than amazing.
Earlier this year I tried ketamine therapy, and I didn’t love it—at least not enough to keep doing it. But I’m also glad I tried? And I did learn some things along the way?
Chris Guillebeau ∙ 53 LIKES
Victoria Klein (VK)
I appreciate the honesty of this! I've considered doing ketamine therapy and, of course, most of what you see out there is glowing reviews. It's nice to see a view that is more "meh, it's ok". All the more proof that there is not one solution from every issue humans face. :)
Stacy Burrell
I did three in clinic sessions via IV with the dosage increased each time. For the most part, my experience was the same as Chris's: I would be "floaty" during the 30-45 minutes of each session and would be back to feeling normal within an hour. The recommendation was for six sessions, but at $450 a session, I needed to see a marked effect for that kind of money. Now, people that I told about the treatments said they did notice an improvement in my mood. But I wonder if there was a placebo effect in making me more mindful when I felt myself cycling down. Overall, I wouldn't discourage someone from trying it. I would just tell them that their miles may vary.

the truth about alcohol and cancer.

The Surgeon General warns: alcohol raises cancer risk—time to rethink drinking
Dry January is here—a month-long challenge to pause alcohol consumption, reset habits, and focus on health. I embraced Dry January in 2024 and found it so transformative that I extended it through the entire year, only having a glass of wine on one or two special occasions, like a wedding or celebration.
Jake Goodman, MD, MBA ∙ 107 LIKES
Mick Skolnick, MD
The fact is that ethanol is a poison, and poisons aren’t good for people, even in subclinical doses. We may have to put up with a certain amount of unavoidable toxins, such as pollutants in the air we breathe, because we need the oxygen. I fail to see any similar health upside to beer, wine, and liquor. There’s not enough resveratrol in red wine to justify drinking it.
The World Health Organizations says, “No level of alcohol consumption is safe for our health.”
The American Cancer Society says, “Alcohol use accounts for about 6% of all cancers and 4% of all cancer deaths in the United States.”
The American Heart Association “does not recommend drinking wine or any other form of alcohol to gain potential health benefits.”
Once you know that alcohol, even in small amounts, is bad for you, if giving it up is something that you want to do, you’ll find a way to do it. Or, you can find excuses to keep drinking.
Sofia Sabeti
The bigger question I see: if radiation is the biggest risk of cancer, where is this exposure coming from? Should our cell phone use come under bigger discussion as it’s almost double the risk of alcohol?

Americans' Vanishing Social Life: A Mental Health Crisis?

Even as more people flock to therapy, U.S. mental health is getting worse by multiple metrics. Suicide rates have risen by about 30% since 2000
Let’s admit it: our social lives are slipping like butter on a hot pancake. Between 2003 and 2023, American adults cut back on face-to-face hangouts by a whopping 30%. For unmarried folks, it's even worse—over 35%! Teenagers? Don’t even get me started—more than 45%! It's like we're all becoming recluses without the hermit beards. But what’s behind this …
Devin C. Hughes ∙ 2 LIKES
DawnWE
Well timed with SG Vivek Murthy's "parting Prescription for America" release, and just spot on. Thanks for the reinforcement!


The Multilevel Mailer
December 24, 2024

Is Mental Health Therapy Political?

Graduate programs in counseling insist that we must always inject politics into therapy. But who does that help? Part 3 in a series.
Ryan Rogers is currently a graduate student in clinical mental health counseling. He has a bachelor’s degree in psychology and a work background in addiction treatment. His book The Woke Mind comes out in January. This is his third installment detailing the fanatical social justice influence in counselor training. His
Ryan Rogers and J.D. Haltigan ∙ 54 LIKES
Desirèe Norwood, LPCC
I’m grateful to see this piece written. When I was in graduate school after completing our mandatory multiculturalism course, I had a one on one with the Dean of the clinical counseling department to raise a number of issues about the framework and ways we were to navigate conversations with clients of color. As a Latina, I saw many of the issues you speak to in this article. Please keep up the good work.
John Williams PhD
Wow, I don’t recognize myself at all in that portrayal of therapy, nor do I recognize any of my clients, most of whom are nonwhite. I know one thing for sure, I’d make a terrible activist. I think I’ll stick to evidence-based treatments until the evidence base changes.

Journalists, Please Stop Saying “Against Their Will” re Mental Health Treatment

No, my son is not okay. He just hasn’t been hurt badly enough yet to qualify for help.
Last month in NYC, a woman was set on fire and burned to death on a subway train in Brooklyn.
Randye Kaye ∙ 19 LIKES
Roxanne Coyne
We've been down that road in our family, too, Randye, but it wasn't as bad as what you are going through. Thanks for bringing light to this issue. It should be front and center. Not shoved into the shadows.
Katie R. Dale
yes! precisely this: "his refusal of care isn’t a sign of independence—it’s a symptom of his condition." Very true!

Trauma Nightmares and Mental Health: Realistic Dreams a Key Warning Sign

Replicative nightmares indicate unprocessed trauma -- they can and should be treated.
A veteran who dreams about being back in the thick of an intense battle, or a car accident victim who repeatedly wakes up from a nightmare just before what feels like a potentially fatal impact… dreams that create vivid and direct experience of someone’s most traumatic memories are clinical red flags. A new study offers even more support for us to take …
Leslie Ellis ∙ 3 LIKES