Inside Schizophrenia

Schizophrenia may develop in people of all ages, and the early signs of the disorder vary greatly from person to person. While the symptoms are the same, the presentation of them can change due to age of onset, gender, and severity. Host Rachel Star Withers, a diagnosed schizophrenic, and co-host Gabe Howard explore how the early signs of schizophrenia can present differently and specific behaviors to watch for. Joining them is Dr. Gus Alva, a distinguished fellow of the American Psychiatric Association and board certified by the American Board of Psychiatry and Neurology and the American Board of Geriatrics. As an author and coauthor, Dr. Alva's work has been published in peer-reviewed medical journals, including the International Journal of Geriatric Psychiatry and the Journal of the American Psychiatric Association. He has been featured on numerous media outlets and has served as an expert guest in various television programs, such as CNN News. About Our Guest & Hosts Our guest, Dr. Gus Alva, is a Distinguished Fellow of the American Psychiatric Association. He is also Board Certified by the American Board of Psychiatry and Neurology and the American Board of Geriatrics. He completed his residency training at the University of California, Irvine Medical Center in the Department of Psychiatry and Human Behavior, where he served as chief resident during his final year of residency. He also served as an associate professor and deputy director in the department of psychiatry at U.C. Irvine Medical Center, and he is currently serving as an assistant professor at U.C. Riverside Medical School, Department of Neuroscience. As author or co-author, his work has been published in peer-reviewed medical journals, including the International Journal of Geriatric Psychiatry, The Journal of the American Psychiatric Association, and Clinics in Geriatric Medicine. He has published numerous articles and presented at national and international meetings and conferences. He was the recipient of the First Annual Senior Care Humanitarian Award as Outstanding Physician in Dementia Care and the Physician’s Recognition Award by the American Medical Association. He has been featured in numerous media outlets and has served as an expert guest in various television programs, such as CNN News, Inside OC, Salud Es Vida, Despierta America, The Morning Blend, Healthy Body, Healthy Mind. Our host, Rachel Star Withers, (Link: www.rachelstarlive.com) is an entertainer, international speaker, video producer, and schizophrenic. She has appeared on MTV’s Ridiculousness, TruTV, NBC’s America’s Got Talent, Marvel's Black Panther, TUBI’s #shockfight, Goliath: Playing with Reality, and is the host of the Healthline podcast “Inside Schizophrenia”. She grew up seeing monsters, hearing people in the walls, and having intense urges to hurt herself. Rachel creates videos documenting her schizophrenia, ways to manage, and letting others like her know they are not alone and can still live an amazing life. She has created a kid’s mental health comic line, The Adventures of ____. (Learn more at this link: https://www.amazon.com/Adventures-Fearless-Unstoppable-Light-Ambitious/dp/B0FHWK4ZHS ) Fun Fact: She has wrestled alligators. Our cohost, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He also hosts the twice Webby honored podcast, Inside Bipolar, with Dr. Nicole Washington. To learn more about Gabe, please visit his website, gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Psychosis is a state of impaired reality which may include hallucinations and delusions. Experiencing psychosis can impair your functioning and have a negative effect on various aspects of your daily life, such as work, school, and the ability to maintain relationships. Being in a state of psychosis can be extremely frightening and confusing. Many times, it can be difficult for loved ones, caregivers, and even medical professionals to understand what it's like to experience psychosis. Host Rachel Star Withers, a diagnosed schizophrenic, and co-host Gabe Howard discuss what psychosis is like and how you can help someone who is experiencing psychosis in this episode of Inside Schizophrenia. Clinical psychologist Dr. Aaron Brinen joins as the guest. Dr. Brinen is the co-developer of recovery-oriented cognitive therapy (CT-R), and has been active in adapting CT-R for different settings and training therapists from around the world. He also has a new book out, “Living Well with Psychosis.” Our guest, Dr. Aaron P. Brinen, PsyD, is a clinical psychologist in private practice, where he employs evidence-based treatments to help people recover from serious mental health conditions. He is also Assistant Professor of Psychiatry and Behavioral Sciences at Vanderbilt University Medical Center in Nashville, Tennessee. Dr. Brinen is a co-developer of recovery-oriented cognitive therapy (CT-R), and has been active in adapting CT-R for different settings and training therapists from around the world. Our host, Rachel Star Withers, creates videos documenting her schizophrenia, ways to manage and let others like her know they are not alone and can still live an amazing life. She has written Lil Broken Star: Understanding Schizophrenia for Kids and a tool for schizophrenics, To See in the Dark: Hallucination and Delusion Journal. Fun Fact: She has wrestled alligators. To learn more about Rachel, please visit her website, RachelStarLive.com. Our cohost, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, please visit his website, gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Up to 70% of people with schizophrenia don’t take their medication as prescribed. This nonadherence is tied to higher risks of psychosis, relapse, ongoing symptoms, and even suicide attempts. So why do so many people with schizophrenia struggle to stay on their meds — despite such serious consequences? And what can actually be done about it? In this episode of Inside Schizophrenia, host Rachel Star Withers — who lives with schizophrenia — and co-host Gabe Howard explore the complicated reality behind medication adherence. Rachel shares her own experiences with skipping or stopping meds, shedding light on the emotional and psychological challenges that aren’t often discussed. They’re joined by Dr. Alberto Augsten, a toxicologist and psychopharmacologist who consults with pharmaceutical companies and helps shape best-practice guidelines for psychiatric medications. Dr. Augsten brings expert insight into how treatment can be improved and what steps can be taken to support long-term recovery. Listen now to learn more! Our guest, Dr. Alberto Augsten, is a board certified toxicologist and psychopharmacologist. He is a consultant and expert witness specializing in psychopharmacology and clinical toxicology. Offering professional, impactful, and strategic consulting services, Dr. Augsten caters to legal, healthcare, and clinical practice development. His expertise encompasses many areas, ensuring clients receive top-notch guidance and insights. Dr. Augsten specializes in providing tailored consulting services to assist in the development and optimization of clinical practice standards. His expertise covers many areas crucial for clinic development, allowing for standard of care reviews concerning those matters. Dr. Augsten's influence extends beyond his clinical practice. He offers consultation and education services to pharmaceutical companies, contributing to the advancement of pharmaceutical knowledge and practices. Through his contributions, he is helping to improve patient outcomes and ensure the highest quality of care. Our host, Rachel Star Withers, creates videos documenting her schizophrenia, ways to manage and let others like her know they are not alone and can still live an amazing life. She has written Lil Broken Star: Understanding Schizophrenia for Kids and a tool for schizophrenics, To See in the Dark: Hallucination and Delusion Journal. Fun Fact: She has wrestled alligators. To learn more about Rachel, please visit her website, RachelStarLive.com. Our cohost, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, please visit his website, gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Schizophrenia is a complex and often misunderstood mental illness, and misinformation and stigma surrounding the condition are still prevalent in our societies. The stereotypes and the myths of schizophrenia create challenges for people with diagnosed schizophrenia, but also for healthcare workers, family members, and caretakers. Host Rachel Star Withers, a diagnosed schizophrenic, and co-host Gabe Howard break down the top myths surrounding schizophrenia. Remember, just because society believes that it’s true doesn’t mean it is. Guest Psychiatrist Dr. Richard W. Miller joins to discuss the myths he is confronted with daily working in the mental health field. To learn more -- or read the transcript -- please visit the official episode page. Our Guest, Dr. Richard (Rick) W. Miller, is a psychiatrist in East Greenwich, Rhode Island, and is affiliated with multiple hospitals in the area, including South County Hospital and Landmark Medical Center. He received his medical degree from Rutgers New Jersey Medical School and has been in practice for 14 years. Our Host, Rachel Star Withers, creates videos documenting her schizophrenia, ways to manage and let others like her know they are not alone and can still live an amazing life. She has written Lil Broken Star: Understanding Schizophrenia for Kids and a tool for schizophrenics, To See in the Dark: Hallucination and Delusion Journal. Fun Fact: She has wrestled alligators. To learn more about Rachel, please visit her website, RachelStarLive.com. Our Host, Gabe Howard is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, please visit his website, gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

The average age of onset for schizophrenia is in early adulthood, late teens to early 30s. This is an intense stage of life for anyone — graduating high school, first time living on your own, entering the workforce, attending college, and figuring out what you want to do with your life and who you want to be. Now add experiencing psychosis for the first time, hallucinations, delusions and losing touch with reality. In this episode of Inside Schizophrenia, hosts Rachel Star Withers and Gabe Howard explore the challenges of managing early adulthood with a schizophrenia diagnosis. Why does schizophrenia emerge so often in this time frame, what experiences contribute to schizophrenia symptoms, and what are the challenges for young adults with schizophrenia? Joining us later in the episode is Jules, a 22-year-old artist and college student studying marine biology at Columbia University who lives with schizophrenia. To learn more -- or read the transcript -- please visit the official episode page. Our guest, 22-year-old Jules, is an accomplished artist and Columbia University freshman who began her studies this fall in both art and marine biology. Jules’ love for art began when she was just 5 years old. She has continued to nurture this deep passion throughout her life, honing her craft at The New School, and was commissioned by Mount Sinai Hospital in NYC to paint a feature mural. But when Jules was in her early teens, she first started experiencing hallucinations. She was afraid to tell anyone what she was experiencing and would try to physically fight her hallucinations. She eventually was admitted to a treatment facility for care and received a schizophrenia diagnosis. Today, Jules is doing well, although she continues to experience symptoms. Throughout her journey with schizophrenia, Jules has found her art to be a powerful tool to express how her condition impacts her. She incorporates depictions of the eels and lemons she sees in her hallucinations into her work as a way of illustrating her experience with schizophrenia. Art has become Jules’ coping mechanism, and she credits her creativity partly to her condition. Jules is hoping to host an art show next year to showcase her latest projects, in addition to the Mount Sinai mural she’ll be busy working on! In partnership with the Live Your PosSCZible campaign (an awareness program by Bristol Myers Squibb), Jules is sharing her story to inspire others who might be living with schizophrenia. Our host, Rachel Star Withers, creates videos documenting her schizophrenia, ways to manage and let others like her know they are not alone and can still live an amazing life. She has written Lil Broken Star: Understanding Schizophrenia for Kids and a tool for schizophrenics, To See in the Dark: Hallucination and Delusion Journal. Fun Fact: She has wrestled alligators. To learn more about Rachel, please visit her website, RachelStarLive.comm. Our co-host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To learn more about Gabe, please visit his website, gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Cognitive deficits are a core feature of schizophrenia and account for much of the impaired functioning associated with this disorder. What are the cognitive deficits associated with schizophrenia? When do they start? Do they ever stop? And does cognitive decline continue throughout our lives? And most importantly, how do we treat these cognitive deficits? In this episode of Inside Schizophrenia, host Rachel Star Withers and co-host Gabe Howard discuss how the cognitive symptoms of schizophrenia impact people’s lives. Rachel opens up about her ongoing struggles and fears over her cognitive decline. Guest Dr. Derin Cobia, a clinical neuropsychologist and associate professor of psychology and neuroscience at Brigham Young University, joins to share the research his lab is doing on how changes in brain structure influence cognition and behavior in schizophrenia. To learn more -- or read the transcript -- please visit the official episode page. This episode is sponsored, in part, by Cornbread Hemp. They produced the first-ever USDA-certified organic CBD gummies in America. Save 30% on your first order using code "Inside30." Our guest, Dr. Derin Cobia, is a clinical neuropsychologist and Associate Professor of Psychology and Neuroscience at Brigham Young University. Currently, he is Director of the BYU MRI Research Facility and directs the Brain Imaging and Behavior Lab. Broadly, his research interests include using structural neuroimaging to study how changes in brain structure influence cognition and clinical behavior in psychosis-spectrum and neurodegenerative disorders. Our host, Rachel Star Withers, creates videos documenting her schizophrenia, ways to manage and let others like her know they are not alone and can still live an amazing life. She has written Lil Broken Star: Understanding Schizophrenia for Kids and a tool for schizophrenics, To See in the Dark: Hallucination and Delusion Journal. Fun Fact: She has wrestled alligators. To learn more about Rachel, please visit her website, RachelStarLive.com. Our cohost, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To learn more about Gabe, please visit his website, gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

A common symptom of schizophrenia is anosognosia. Anosognosia is when a person is unaware that they have mental health condition or cannot perceive their condition accurately. It is believed that between 50% to 98% of people with schizophrenia have some form of anosognosia. Is anosognosia that common? Could it be confused with denial? And how can caregivers, family, and loved ones of people with schizophrenia help them gain awareness into the disorder? Host Rachel Star Withers, a diagnosed schizophrenic, and co-host Gabe Howard discuss the symptom of anosognosia and the popular way of treating it, the LEAP method, in this episode of Inside Schizophrenia. Dr. Xavier Amador, creator of the LEAP method, world renowned clinical psychologist, and forensic expert joins in a conversation with Rachel on how caregivers and loved ones can use the LEAP method to help those in their lives struggling with schizophrenia symptoms. To learn more -- or read the transcript -- please visit the official episode page. This episode is sponsored, in part, by Cornbread Hemp. They produced the first-ever USDA-certified organic CBD and THC gummies in America. Save 30% on your first order using code "Inside30." Our guest, Dr. Xavier Amador, Founder and President of the LEAP Institute, is a world-renowned clinical psychologist, forensic expert, and author of 9 books, including the bestseller “I Am Not Sick I Don’t Need Help!” His extensive work, books, and clinical research in schizophrenia, bipolar disorder, and other mental illnesses have been translated into 30 languages. Additionally, he has authored over 130 peer-reviewed scientific papers and has contributed his expertise to over 80 death penalty cases. He is also a family caregiver of two close relatives with schizophrenia and another with bipolar disorder. Dr. Amador has trained tens of thousands of professionals and families on LEAP® (Listen-Empathize-Agree-Partner), a communication approach that creates trusting relationships with people who have serious mental illness and anosognosia. Our host, Rachel Star Withers, creates videos documenting her schizophrenia, ways to manage and let others like her know they are not alone and can still live an amazing life. She has written Lil Broken Star: Understanding Schizophrenia for Kids and a tool for schizophrenics, To See in the Dark: Hallucination and Delusion Journal. Fun Fact: She has wrestled alligators. To learn more about Rachel, please visit her website, RachelStarLive.com. Our cohost, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To learn more about Gabe, please visit his website, gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices