Insights from the Couch - Mental Health at Midlife

What happens when the reflection staring back at you no longer matches the youthful image in your mind? In this episode, we peel back the layers of the “midlife mirror” to explore how aging intersects with body image, vanity, and the deep-seated need for validation. We get raw and real about the emotional shifts that come when our appearance begins to change—and how those shifts impact everything from self-esteem to social dynamics.

Join us as we unpack the roots of toxic vanity, explain what dysmorphia really looks like (clinically and subclinically), and reflect on our own person...

This week on Insights From the Couch, we sit down with the powerhouse attorney, author, and survivor, Alreen Haeggquist. From her deeply personal story of growing up in an abusive household to becoming a leading legal advocate for survivors of sexual harassment and assault, Alreen’s journey is a testament to the strength of the human spirit—and the power of owning your story.

We explore the long path from trauma to triumph, what it really takes to heal, and how acknowledging the past is the first step toward freedom. Alreen shares how inner child work, therapy, and...

Hey everyone—We’re diving into a topic that gets tossed around a lot but rarely unpacked in a way that actually matters: self-care. If you’ve ever felt confused or overwhelmed by what self-care really is (and isn’t), this is for you. In this episode, we unpack the myths, call out the cultural noise, and get real about what it truly means to care for yourself, especially during midlife.

We talk about the difference between real self-care and the performative kind, and how embodying your values, setting boundaries, and nurturing self-compassion can actually refill your tank. We...

In this episode, we're taking a closer look at the science (and soul) of happiness—not that shiny, fake, “good vibes only” stuff, but the real-deal, research-backed version. After attending a powerful talk by Harvard professor and happiness expert Arthur C. Brooks, we came back buzzing with insights, and we couldn’t wait to break it all down for you.

We’re exploring what happiness actually means—spoiler: it’s not just about smiling all the time—and how much of it is actually within our control. From the surprising role of genetics to the transformational power of habits, trans...

How do we create deep, secure, and lasting relationships—not just in romance, but in parenting, friendships, and even with ourselves? In this episode, we sit down with Tara Boothby, psychologist, author of Love and Love’s Energy, and expert in attachment science. She takes us on a journey into the heart of connection, breaking down the complexities of attachment styles, emotional safety, and the power of co-regulation.

We explore the difference between being loved and lovable, how attachment wounds impact our relationships, and why true security is something we earn over time. Plus, Tara shares her own...

Hey friends! We cannot believe we’re saying this—but it's officially been ONE YEAR since we launched Insights from the Couch! Not only are we celebrating our podcast anniversary, but this is also our 50th episode, and we're taking a moment to reflect on the wild, messy, beautiful journey that brought us here. Spoiler alert: we had no idea what we were doing when we started, but we’re proof that big things can happen when you leap before you feel "ready."

In this episode, we open up about the highs, the facepalms, and everything in betwee...

What actually works for healthy, vibrant skin—and what’s just hype? In this episode, we sit down with the brilliant and refreshingly honest Dr. Mary Alice Mina, Harvard-trained dermatologist and host of The Skin Real podcast. We dive deep into what midlife skin really needs, what treatments are worth the money, and how hormonal changes can shake up everything we thought we knew about our skincare routines.

Together, we unpack skin minimalism, sunscreen truths (spoiler: it really matters), and the difference between aging gracefully and chasing the next trending procedure. We also get personal—sharing our own fr...

What happens when you spend your whole life taking care of others, and suddenly realize you’ve lost yourself in the process? In this powerful episode, we sit down with Debbie R. Weiss, bestselling author, entrepreneur, and inspirational speaker, who shares how she spent decades as a family caregiver—first to her father, then to her son with autism, and later to her husband battling mental illness and cancer. At 50, she had an epiphany: if she didn’t start prioritizing herself, she’d keep putting her own life on hold.

Debbie opens up about her journey of shifting...

In this heartfelt episode, we’re joined by our dear friend and fellow therapist, Helen Keeling-Neal, as she bravely shares her journey through grief after the sudden loss of her husband. Helen opens up about the profound and unexpected challenges that come with navigating life as a young widow and single mom, all while finding ways to heal, grow, and embrace a new path forward. Whether you’ve experienced a similar loss or simply want to support a loved one going through grief, Helen’s story is full of insights, compassion, and real-life wisdom.

We explore the comple...

Do you find yourself saying “yes” when you really want to say “no”? Do you feel responsible for keeping the peace, even at your own expense? If any of that sounds familiar, this episode is for you. From childhood conditioning and gender expectations to how this behavior shows up in our adult relationships—romantic, professional, and personal—we’re talking about it all.

In this episode, we get real about our own struggles and growth around people pleasing. We explore the line between kindness and self-abandonment, how saying “no” can actually strengthen relationships, and the subtle (and not-so-subtle) way...

In this eye-opening episode, we sit down with Nicole Swartz, a licensed therapist specializing in helping people heal from the damaging effects of diet culture and generational body-image trauma. Nicole shares her personal story of overcoming an eating disorder, offers insights into her revolutionary coaching program, and explains how shifting mindsets around food and body image can create lasting, positive change for both individuals and families. This conversation dives into how diet culture infiltrates our lives, generational differences in attitudes toward body image, and the transformative power of self-compassion and acceptance. 

Episode Highlights:

Are you navigating the tricky world of dating after divorce? In this heartfelt and hilarious episode, we sit down with the incredible Andrea Baker, an actor, voiceover artist, and co-host of the pet-centric podcast Tales to Tell. Andrea opens up about her personal journey through divorce, the unexpected twists of dating midlife, and the surprising lessons learned along the way. Together, we explore the challenges of rediscovering yourself, setting boundaries, and embracing both independence and connection.

Andrea’s candid and relatable storytelling will leave you inspired and laughing, while her practical insights might just reshape how you th...

Buckle up. In this episode, we get real about what it's like to raise kids between the ages of 10 to 18 in a world that looks nothing like the one we grew up in. From the emotional rollercoaster of middle school years to navigating social media, anxiety, and the constant pressure to be “on,” we break down the mental load parents are carrying—and what actually helps. Spoiler: It’s not control, and it’s definitely not panic.

Join us as we unpack what long-leash parenting really looks like, why emotional regulation (yours and theirs) is key, and how to cre...

In this episode of Insights from the Couch, we’re joined by Dr. Kelly Kessler, a physical therapist and transformation coach, who’s on a mission to help high-achieving women break free from self-abandonment and stress. Kelly shares her own journey of moving from a life of chronic self-sacrifice to one of self-honor and balance, offering strategies that can help you find your way back to yourself. She talks about nervous system regulation, the power of breath work, and why setting boundaries is essential to reclaiming your well-being. 

Together, we uncover why it’s crucial for women to prio...

We’re back for Season 4 of Insights From the Couch: Mental Health at Midlife, and we’re kicking things off with a juicy deep dive into the twisted psychological underpinnings of HBO’s The White Lotus. As therapists and mega-fans of the show, we couldn’t resist unpacking the layers of sex, power, betrayal, and just downright messed-up family dynamics in this season. From the uncomfortably intimate Ratcliffe family to the passive-aggressive unraveling of a trio of longtime female friends, we’re peeling back the layers and asking—what’s really going on beneath the surface?

In this episode...

Let’s get into one of our favorite topics—creativity and life force. Have you ever felt stuck or disconnected from your true self? In this episode, we explore how creativity can be a powerful tool to reconnect with your life force and live your best life. Whether it's through artistic practices, engaging with nature, or simply tuning into your surroundings, we discuss practical ways to awaken your creative energy and feel more alive.

Join us as we share personal anecdotes, practical tips, and insights from influential books that have inspired us, including Rick Rubin’s "The Creati...

Ever wondered how mindfulness, neuroscience, and therapy intersect to create profound healing? In this episode, we’re thrilled to chat with Natalie Baker, a licensed psychotherapist, meditation teacher, and Neurofeedback expert. Natalie shares how her unique blend of Eastern and Western psychology—alongside cutting-edge brain training techniques—helps people overcome anxiety, trauma, and other challenges. From rewiring the brain for resilience to cultivating self-awareness, Natalie’s holistic approach inspires balance and growth.

We dive into fascinating topics like neuroplasticity, how neurofeedback taps into your brain's natural ability to reset, and why meditation is more than just a stress-r...

In this episode, we tackle the challenging topic of the Sandwich Generation – those caught between raising children and caring for aging parents while managing their own careers and lives. Let’s get into the emotional, financial, and physical toll this can take. We will offer practical advice on how to cope without losing oneself to help you navigate this demanding phase of life.

We will discuss strategies for setting boundaries, asking for help, and maintaining your well-being. Whether in the thick of it or just preparing for what’s ahead, this episode provides relatable experiences and actionable tips t...

In this episode, we’re inviting you into a conversation that might just change the way you think about sexuality, agency, and self-discovery. We’re joined by the incredible Dr. Juliana Hauser, a psychologist, sex educator, and thought leader in holistic sexuality. If you’re wondering what that means, you’re not alone! Dr. Juliana walks us through the nine pillars of holistic sexuality and why understanding ourselves as sexual beings is the "final frontier" of self-development.

We explore everything from sexual agency and desire in midlife to the unspoken barriers that hold us back from fully embracin...

Hey everyone, Colette and Laura here! This week, we’re diving deep into one of the biggest, most emotionally loaded topics: What makes a good mother? If you’re a parent (or ever had one), you’ve likely asked yourself this question in some form—whether it’s self-reflection, societal pressure, or those internalized voices from childhood.

We unpack the emotional complexities of motherhood, the impact of attachment, and how our childhood experiences shape the way we parent. Plus, we dive into the wild case of Ruby Franke—the “mommy blogger” turned convicted abuser—to contrast what real maternal love...

Autism Spectrum Disorder (ASD) has long been misunderstood, especially in women and girls. In this episode, we’re joined by Dr. Brady Bradshaw and Dr. Allison Brazendale, two experts in adolescent and adult mental health, to break down why ASD is often underdiagnosed in females. We dive into pink flags, the subtle signs that might indicate ASD, and discuss why so many girls and women go undiagnosed for years. Plus, we explore the overlap between ASD and ADHD, the role of sensory sensitivities, and how understanding ASD can lead to greater self-acceptance and connection.

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