
421: A Quick Clinical + Life Update
From Selling the Couch by Melvin Varghese, PhD
May 14, 2026 · 38 min
About this episode
Melvin Varghese shares a personal update on his evolving work at the intersection of psychology, AI, and performance under pressure.
In this deeply personal episode, Mel shares an honest update on a new chapter he’s building: one that sits at the intersection of psychology, nervous system regulation, golf, performance under pressure, and the future of clinical work in the age of AI. This is not a polished “success story.” It’s a real-time reflection on what AI is changing in mental health, why traditional private practice models no longer fit for some clinicians, and how to build work that feels deeply aligned with your life instead of consuming it. In this episode, Mel shares: The childhood basketball story that shaped his understanding of pressure and performance Why the same person can succeed under pressure one year and crumble the next How AI is transforming therapy, healthcare, and human work Why the future belongs to the irreplaceable parts of human connection The difference between burnout from the work vs. burnout from the model Why he chose not to return to traditional private practice The vision behind a new golf-focused performance psychology retreat How golf became a “laboratory” for understanding nervous system regulation under stress Why experiences and human presence may become the most…
People in this episode
Host: Melvin Varghese, PhD
Topics covered
- mental health
- AI in therapy
- performance under pressure
- golf psychology
- burnout
- clinical work
- human connection
Keywords
- mental health
- AI
- golf
- performance
- burnout
- nervous system
- therapy
- clinical work
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