The Big Silence

Dr. Eboni Cornish is the Associate Medical Director at Amen Clinics and president-elect of the International Lyme and Associated Diseases Society (ILADS), with 16+ years specializing in neuroinflammation, Lyme disease, mold illness, PANS/PANDAS, and long COVID. In this episode, she joins Karena to break down the overlooked root causes driving brain fog, anxiety, poor sleep, and chronic illness — making the case that most people suffering from mood and cognitive symptoms have an underlying physical cause that's going completely undetected. What if the anxiety, brain fog, and exhaustion you've been managing as mental health symptoms are actually your body flagging something physical — something that's never been investigated? When mental health is treated as brain health, the entire conversation changes. Dr. Eboni Cornish shows us what's possible when we stop medicating symptoms and start asking why. (02:15) Brain Health Is the Missing Piece of Longevity You can sauna, plunge, and lift — but if you're not sleeping, your brain can't heal Non-restorative sleep is the number one red flag your brain is under stress Hormones, cortisol, and fight-or-flight mode all disrupt sleep Supplements Dr. Cornish recommends: L-theanine, GABA, and magnesium (18:31) Mold, Environmental Toxins & Your Mood Mold toxins cause inflammation that mimics depression, anxiety, and even dementia Some patients' mood symptoms resolved entirely after leaving a water-damaged building HLA gene testing can reveal whether your body can clear mold toxins or retains them Brain fog is a symptom, not a diagnosis (33:49) Lyme Disease, Tick Bites & PANS/PANDAS in Kids and Adults Less than 50% of people with Lyme ever notice a tick bite or bullseye rash Lyme is a global disease, a "great imitator" that can present as depression, fatigue, or psychosis In kids, sudden personality changes after illness can signal PANS/PANDAS, an autoimmune neuropsychiatric response Thanks for the support from our partners, including: Guest Resources Visit Dr. Eboni Cornish's website (https://www.drebonicornish.com/) Follow her on Instagram (https://www.instagram.com/dr.ebonicornish/) Learn about Amen Clinics (https://www.amenclinics.com) Find an ILADS-trained physician (https://www.ilads.org) If this episode moved you, please consider supporting The Big Silence Foundation and exploring our resources: Connect with The Big Silence Community Order: The Big Silence Memoir audiobook (https://thebigsilence.com/pages/audiobook) Shop The Big Silence Self Love Collection (https://thebigsilence.com/collections/shop-all) Subscribe on YouTube (https://www.youtube.com/channel/UCaL3RrbvDLuTTGFN4VYzEpw) Donate to The Big Silence Foundation (https://thebigsilence.com/donate) The Big Silence Resource Guide (https://thebigsilence.com/pages/resources) Find exclusive offers from our supporters (https://thebigsilence.com/pages/our-podcast-partners) Show Resources: VISIT THE CHALLENGE PAGE (https://my.toneitup.com/pages/new-year-new-tiyou-challenge) THE BIG SILENCE PODCAST (https://podcasts.apple.com/us/podcast/the-big-silence/id1607181597) TONE IT DOWN PODCAST (https://my.toneitup.com/pages/tone-it-down-podcast) Tone It Up App (https://my.toneitup.com/pages/tone-it-up-app) Tone It Up YouTube (https://www.youtube.com/@toneitup/featured) Tone It Up Instagram (https://www.instagram.com/toneitup/?hl=en) Have a message for Karena? She'd love to hear from you and share your comment or question on air! Leave Karena a voicemail: https://www.speakpipe.com/KarenaDawn

In this conversation with Randy Spelling — life coach of 18 years, son of legendary TV producer Aaron Spelling, and co-host of the Oldish podcast — Karena explores how growing up with fame and fortune still left him empty. He shares how addiction nearly took his life and how he rebuilt himself through somatic therapy, EMDR, inner child work, and learning to trust his own intuition. You’ll gain practical tools for breaking negative self-talk, working with rumination, and taking the first steps toward real healing. What does real healing look like when you've already tried everything — and still hit rock bottom? Randy Spelling grew up inside one of Hollywood's most famous families, with every privilege imaginable — and still ended up at lost, searching for anything to dull the pain. In this deeply honest conversation, Randy walks Karena through the night that changed everything, the addiction that almost killed him, and the 18-year coaching practice he built on the other side of it. From inner child work to EMDR to rewiring negative self-talk, this episode is a masterclass in what it takes not just to survive, but to actually heal. (00:58) Presence Over Metrics: How Randy Coaches Today Most goals are placeholders for what people actually want to feel The vacation analogy: you can be on the beach at sunset and still be completely disconnected inside (07:14) Growing Up in Aaron Spelling's Shadow Despite enormous privilege, Randy never felt good enough or fulfilled Being highly empathic meant constantly reading the room to earn love and attention (13:22) Rehab, Relapse & the Decision That Actually Stuck His first rehab was someone else's choice- the second time, he chose it The time his heart stopped (22:27) EMDR, Somatic Therapy & the Healing That Goes Deeper Than Talk After years of traditional therapy, Randy felt he was going in circles — he needed something that moved what was stuck in his body He explored somatic therapy, Reiki, EMDR, and working with spiritual teachers (31:50) Inner Child Work, Negative Self-Talk & the Rumination Method Inner child visualization — seeing yourself at a specific age, making eye contact, and saying what that child always needed to hear For negative self-talk: write it down to get it outside your head, then alchemize it The rumination method: personify it, let it speak, take its notes, then consciously let it out of the car Thanks for the support from our partners, including: Guest Resources Visit Randy's website (https://www.randyspelling.com) Follow Randy on Instagram (https://www.instagram.com/randyspelling) Discounted offer to Randy's 'You 2.0' 14 Day program: YOU 2.0 (https://go.randyspelling.com/you-2-0) If this episode moved you, please consider supporting The Big Silence Foundation and exploring our resources: Connect with The Big Silence Community Order: The Big Silence Memoir audiobook (https://thebigsilence.com/pages/audiobook) Shop The Big Silence Self Love Collection (https://thebigsilence.com/collections/shop-all) Subscribe on YouTube (https://www.youtube.com/channel/UCaL3RrbvDLuTTGFN4VYzEpw) Donate to The Big Silence Foundation (https://thebigsilence.com/donate) The Big Silence Resource Guide (https://thebigsilence.com/pages/resources) Find exclusive offers from our supporters (https://thebigsilence.com/pages/our-podcast-partners) Show Resources: VISIT THE CHALLENGE PAGE (https://my.toneitup.com/pages/new-year-new-tiyou-challenge) THE BIG SILENCE PODCAST (https://podcasts.apple.com/us/podcast/the-big-silence/id1607181597) TONE IT DOWN PODCAST (https://my.toneitup.com/pages/tone-it-down-podcast) Tone It Up App (https://my.toneitup.com/pages/tone-it-up-app) Tone It Up YouTube (https://www.youtube.com/@toneitup/featured) Tone It Up Instagram (https://www.instagram.com/toneitup/?hl=en) Have a message for Karena? She'd love to hear from you and share your comment or question on air! Leave Karena a voicemail: https://www.speakpipe.com/KarenaDawn

Dr. Steven Storage is a child, adolescent, and adult psychiatrist at Amen Clinics, where brain SPECT imaging is used to diagnose and treat conditions like ADHD at the neurological level. In this episode, he and Karena cover the four pillars of brain health, how social media hijacks your dopamine, why ADHD is both genetic and environmental, the seven subtypes of ADHD, what low dopamine actually feels like, and a simple cognitive technique to stop negative thoughts from running your day. What happens to your focus, your mood, and your sense of self when your brain isn't getting what it needs — and how do you even know? Dr. Storage breaks down the neuroscience in a way that's impossible to unhear, from why one bad night of sleep costs you 30% of your executive function to how your social media habit may be draining the same brain chemical you need to feel motivated. This is the brain health conversation that has been missing from the wellness space. (00:38) The Four Pillars of Brain Health Sleep, exercise, nutrition, and avoiding toxins — the foundation for a functioning brain 20 minutes of higher-intensity cardio every other day shown to be as powerful as antidepressant medication for the brain What the brain is actually doing while you sleep Food is fuel or garbage — why refined sugar and processed foods are inflammatory for the brain (07:07) Social Media, Dopamine & the Addiction Loop Social media is engineered to produce a dopamine spike, and the crash after is real Doom scrolling depletes the same chemical needed for focus, motivation, and productivity Why students who decompress with video games before homework are setting themselves up to struggle (11:59) ADHD Explained — Genetics, Perimenopause & What's Really Happening ADHD is one of the most genetic conditions in psychiatry ADHD as a supply-demand issue: blood flow to the prefrontal cortex vs. the demands placed on it Why perimenopause triggers ADHD-like symptoms The difference between brain fog from perimenopause and preexisting ADHD — and why one makes the other worse (21:04) ADHD as a Superpower — And Why Medication Isn't the Enemy Why traits coded as ADHD likely survived evolution Creativity, hyper-focus, intuition, outside-the-box thinking — the real strengths of an ADHD brain The mismatch between ADHD wiring and traditional classrooms: why Dr. Storage doesn't view ADHD as a disorder Stimulants vs. non-stimulants — what Adderall actually does to the prefrontal cortex The goal isn't to eliminate the superpower — it's to modulate the brain so you can access focus when you need it without losing creativity (32:35) Brain Development, Early Diagnosis & Rewiring Negative Thoughts The prefrontal cortex isn't fully developed until mid-to-late 20s — so how do you know when to treat? New MRI data: kids treated for ADHD before age 12 showed accelerated prefrontal cortex development Dr. Storage's three-step method for negative thought patterns Why meditation builds metacognitive awareness and helps thoughts pass like luggage on a conveyor belt Thanks for the support from our partners, including: Guest Resources Follow Dr. Steven Storage on Instagram (https://www.instagram.com/drstevenstorage/) Follow Dr. Steven Storage on TikTok (https://www.tiktok.com/discover/dr-steven-storage) Visit Amen Clinics (https://www.amenclinics.com) If this episode moved you, please consider supporting The Big Silence Foundation and exploring our resources: Connect with The Big Silence Community Order: The Big Silence Memoir audiobook (https://thebigsilence.com/pages/audiobook) Shop The Big Silence Self Love Collection (https://thebigsilence.com/collections/shop-all) Subscribe on YouTube (https://www.youtube.com/channel/UCaL3RrbvDLuTTGFN4VYzEpw) Donate to The Big Silence Foundation (https://thebigsilence.com/donate) The Big Silence Resource Guide (https://thebigsilence.com/pages/resources) Find exclusive offers from our supporters (https://thebigsilence.com/pages/our-podcast-partners)

In this conversation with Kenny Santucci — personal trainer, entrepreneur, and founder of Strong New York — Karena explores how growing up broke in New Jersey shaped his relentless work ethic, why he lost millions and kept going, and how fitness became his anchor through canceled deals, failed businesses, and a suicidal crisis. Kenny also shares his philosophy on building real community through fitness, what the industry gets wrong, and why he believes a healthier city starts one workout at a time. How do you rebuild your life when every external win has been stripped away — and still choose to get up? Resilience isn't a personality trait. It's a decision you make in the dark, over and over again. (00:46) Jersey Roots, Zero Hand-Outs Growing up broke in Newark and learning early that work was the only way out Why Kenny's never taken investor money How coming from nothing shapes your hunger as an entrepreneur (03:15) The Fat Kid Who Became a Trainer Kenny's upbringing and the gym that changed everything How getting in shape shifted the way the world treated him — and what he actually thinks about that "If you want people to add to your cup, you need to give them some sort of value." (13:57) From the Docks to the Gym Floor From the Port Newark shipping yard to New York City What television taught him and why he walked away Why everyday clients, not celebrities, are the ones who make lasting changes (17:50) Getting Canceled and Going Broke Losing two gyms to bad partners Being canceled and the dark spiral that followed How he climbed out by chalking up wins, leaning on family, and just going for a run (32:57) What the Fitness Industry Gets Wrong Selling aesthetics over community is the industry's biggest disservice The "gateway drug" approach: try yoga, boxing, Pilates — and don't marry any of it Why you push 30–40% harder alongside other people (53:29) Strong New York, Plant Medicine & the Supplement Stack The mission behind Strong New York's September 26th event Kenny's take on psilocybin, microdosing, and the mental health case for plant medicine His actual supplement priority list: creatine, protein, nootropics Why a brain isn't a brain without other brains around — and what AI therapy is getting wrong Thanks for the support from our partners, including: Guest Resources: Follow Kenny on Instagram (https://www.instagram.com/kennysantucci) Follow Strong New York on Instagram (https://www.instagram.com/strongnewyork) Strong New York on YouTube (https://www.youtube.com/@StrongNewYork) If this episode moved you, please consider supporting The Big Silence Foundation and exploring our resources: Connect with The Big Silence Community: Order: The Big Silence Memoir audiobook (https://thebigsilence.com/pages/audiobook) Shop The Big Silence Self Love Collection (https://thebigsilence.com/collections/shop-all) Subscribe on YouTube (https://www.youtube.com/channel/UCaL3RrbvDLuTTGFN4VYzEpw) Donate to The Big Silence Foundation (https://thebigsilence.com/donate) The Big Silence Resource Guide (https://thebigsilence.com/pages/resources) Find exclusive offers from our supporters (https://thebigsilence.com/pages/our-podcast-partners) Show Resources: VISIT THE CHALLENGE PAGE (https://my.toneitup.com/pages/new-year-new-tiyou-challenge) THE BIG SILENCE PODCAST (https://podcasts.apple.com/us/podcast/the-big-silence/id1607181597) TONE IT DOWN PODCAST (https://my.toneitup.com/pages/tone-it-down-podcast) Tone It Up App (https://my.toneitup.com/pages/tone-it-up-app) Tone It Up YouTube (https://www.youtube.com/@toneitup/featured) Tone It Up Instagram (https://www.instagram.com/toneitup/?hl=en) Have a message for Karena? She'd love to hear from you and share your comment or question on air! Leave Karena a voicemail: https://www.speakpipe.com/KarenaDawn

In this conversation with Dr. Marc Brackett, founder and director of the Yale Center for Emotional Intelligence, Karena explores the science of emotional regulation, the RULER framework (Recognizing, Understanding, Labeling, Expressing, and Regulating emotions), and why traditional approaches to handling feelings often fail. Dr. Brackett shares his personal story of childhood trauma, discusses the unique challenges men face with emotional expression, and provides practical strategies for dealing with grief, anxiety, and everyday emotional overwhelm.How do you actually deal with your feelings instead of suppressing them—and why is emotional intelligence the key to better mental health, relationships, and longevity?Understanding how to regulate your emotions isn't about fixing or judging them—it's about building the vocabulary and tools to recognize, understand, and work with what you're feeling.(01:23) The RULER Framework & Navigating Grief Without JudgmentHow to be present for others during loss while protecting your own well-beingBecoming an "emotion scientist vs. emotion judge" during difficult timesEmotionally intelligent time travel: recognizing temporary circumstances and taking space when needed(07:18) Why Men Are Drowning in Suppressed Emotions & The Uncle Marvin StoryGender differences in emotional expression are socialized, not biologicalHow "toughen up" culture teaches boys to deny and suppress feelingsDr. Brackett's childhood sexual abuse, bullying, and why suppression creates emotional debt(15:42) From Trauma to Yale: Building Emotional Vocabulary & Understanding AnxietyHow childhood pain sparked Dr. Brackett's career researching emotional intelligenceWhy precise emotional vocabulary mattersBuilding emotional granularity to better understand your internal state(27:35) Realistic Optimism, Toxic Positivity & Six Strategies for Dealing With FeelingsWhy "everything will be fine" is dangerousLearn to deactivate your nervous system through meditation and breathworkThe biology of regulation: sleep, nutrition, and movement directly impact your ability to manage emotions(38:46) The Dealing With Feeling Wheel: Monthly Check-Ins for Emotional HealthMonitoring self-talk, breathing practices, reflection, and social connectionAssessing sleep quality, nutrition habits, and movement patternsWhy all these elements work together for mental health and longevityThanks for the support from our partners, including:Guest Resources

In this conversation with Bizzie Gold, founder of Break Method and creator of brain pattern mapping technology, Karena explores how childhood experiences create predictable patterns that shape your relationships, career, and mental health—and how understanding your source belief pattern can help you break free from self-deception and build a healthier life.How do you rewire the brain patterns formed in childhood that still control your life today?Understanding your source belief pattern is the first step toward breaking free from self-deception and building the life you actually want.(02:05) Brain Pattern Mapping & Bypassing Your StoryHow Bizzie created a predictive algorithm with 98.3% accuracyUnderstanding childhood experiences as a "distortion filter"Helping people see their own blind spots(06:16) The Sweet Spot of Trauma That Makes Great EntrepreneursWhy childhood instability creates self-trust and self-efficacyDeveloping situational awareness to stay safe and how it translates to businessBeing able to "think five rings down" when others can't see what's comingAttracting chaotic people because you have too much empathyWhy workaholism is easier than intimate relationships for abandonment patterns(13:47) Enmeshment Patterns & The Right Side of the SpectrumThe struggle with self-trust and decision-makingWhy enmeshed patterns need to learn to disappoint peopleUnderstanding why some people can't say no(27:18) Self-Deception & Why Your Brain Lies to YouHow childhood patterns create self-deception mechanismsWhy Bizzie keeps giving chances to people with bad intentionsThe lesson: don't let empathy destroy your business from the inside(40:33) Growing Up with Psychiatric Illness & Finding Your DriveBizzie's experience with an unstable, abusive childhoodActivities and achievement as a distraction from chaos at homeWhy self-preservation instincts don't come naturally for some patterns(49:08) Self-Care for Workaholics & Pattern OppositionWhy self-care is actually mental health work for go-go-go peopleDoing things that make you feel accomplished in self-careFor avoidant patterns: the opposition is to just...

What If Your Gut Could Heal Your Mind? In this deeply personal episode of The Big Silence, Karena sits down with functional medicine pioneer and bestselling author Dr. Will Cole. From growing up with a bodybuilding dad in the '80s to building the first functional medicine telehealth clinic, Dr. Cole shares his unconventional path to becoming one of the most trusted voices in holistic health. He opens up about the gut-brain connection, why psychiatry still ignores the organ it's treating, and how he practices what he preaches. If you've ever felt dismissed by traditional medicine, struggled with anxiety, or wondered why your mental health and digestive issues seem connected, this conversation will validate everything you've suspected and give you the tools to finally heal.Can you heal your mind by healing your gut? True healing requires looking at root causes, not just symptoms. Mental and physical health aren't separate—they're the same conversation.(00:00) From Bodybuilding to Functional Medicine PioneerGrowing up in the '80s with a Gold's Gym-owning bodybuilder dadHow his childhood of "crunchy granola" health became his life's workStarting the first functional medicine telehealth clinic 16 years ago(08:00) Why Doctors Told Karena They "Don't Deal With Mental Health"The devastating disconnect between mental and physical health in conventional medicineWhy psychiatry is the only field that doesn't test the organ it's treatingThe gut-brain connection: how inflammation, microbiome imbalance, and stress show up as anxiety and depressionBreaking down the stigma and siloed approach to healthcare(15:00) The Shame-Inflammation-Trauma Loop No One's Talking AboutHow toxic shame inflames your body and destroys gut healthThe science behind stress, trauma, and autoimmunityWhy unresolved emotional pain manifests as physical symptomsDr. Cole's personal struggle with anxiety and overthinkingThe tools that work: vagus nerve stimulation, peptides, nature, and movement(25:00) When Everything Hit at OnceHis father's sudden death The "Gwyneth bone broth" controversy Navigating professional chaos while grieving(33:00) The Real Tools for Anxiety, Stress & Staying GroundedTranscutaneous vagal nerve stimulation: what it is and why Dr. Cole wears it dailyThe role of peptides in healing and stress management

What if breaking your family’s silence was the first step to truly finding yourself?Author and educator, Dr. Joan Sung, joins Karena in Austin for a candid conversation about identity, intergenerational trauma, and what it really takes to prioritize mental health, especially within Asian American family systems. From the model minority myth to “tiger mom” dynamics, fetishization, and going “no contact”, Joan shares the tools, boundaries, and mindset shifts that helped her reclaim her story and raise her son with compassion and strength. She also opens up about therapy, inner-child work, and why an “emo tour” became her unexpected self-care.How do you heal when culture tells you to stay silent?Stripping away expectation starts with telling the truth about your past, your pain, and your needs, so you can build a life rooted in self-trust rather than approval.(1:25) Writing the Story That Wouldn’t Let GoTreat creative expression as catharsisExpect to re-encounter trauma Save old pages; fragments from earlier life chapters can become anchors Name your “why”: sharing openly helps others feel seen (and keeps you honest).(5:01) Dismantling the Model Minority MythLearn the history so you can spot manipulationReject perfectionism as belonging; create your own definition of “enough”Call out gendered stereotypes that penalize Asian women who self-advocatePractice bias disruption at work(10:49) When Silence Hurts: Stigma, History & Mental HealthReframing care as protecting the whole family lineIf talking feels foreign, blend modalities to ease inName intergenerational trauma so symptoms stop looking like “character flaws”Education heals: how learning context validates present pain(16:04) Tiger Mom, Pressure, and PerformanceSeparate love from achievement: high standards without shame build resilience, not anxietyChoose attunement over fearReplace internalized critics with compassionate coaching languageMeasure success by nervous-system safety(21:52) Boundaries that Break Cycles: Going No Contact“No contact” isn’t punishment; it’s acknowledging your capacity and choosing safetyExpect pushback; your healing doesn’t need consensusGrief comes with relief and tending to the inner child who still hopes

What if your need for control is actually what's keeping you stuck?In this revealing episode of The Big Silence, Karena sits down with licensed therapist, YouTuber, and bestselling author Kati Morton to dive into her most personal book yet: Why Do I Keep Doing This? From toxic independence to people-pleasing as manipulation, Kati unpacks the precarious relationship we have with control—and why trying to control what we can't is the root of so much unhappiness. She opens up about her own daddy issues, hyperindependence, and the patterns that kept her dating emotionally unavailable men. Whether you're a perfectionist, a people-pleaser, or someone who can't seem to stop repeating the same mistakes, this conversation will hit home. Hard.How do you break the toxic patterns that keep you trapped, and learn to let go of what you can't control?Understanding why we repeat destructive behaviors is the first step toward real change and healthier relationships.(00:00) Control, Perfectionism & People-PleasingThe thread that runs through everything: our relationship with controlWhy control can be both good and badPeople-pleasing as a form of manipulationWhy trying to control what's outside your "locus of control" only hurts you and others(09:24) The Blueprint: Daddy Issues, Emotional Unavailability & Running AwayGrowing up believing "I can only depend on me, I will save myself."How childhood patterns shape who you're attracted to as an adultDating emotionally unavailable men (17:48) Breaking the Pattern: Therapy, Self-Discovery & Learning to StayFiguring out what your "why" isThe importance of a therapist who challenges you, not just affirms youRewiring your nervous system and learning what safety actually feels likeSetting boundaries without being controlling or manipulativeHow to tell the difference between protecting yourself and pushing people away(26:12) Self-Care That Actually Works: Journaling, Movement & Showing Up for FriendshipsWhy journaling has been life-changing for Kati's mental healthThe power of morning pages and releasing control over a "perfect timeline"Why friendships matter more than we realize(33:35) YouTube Evolution, AI Therapy & Fighting the Loneliness EpidemicWhy personal experience changes minds more than DSM criteriaThe problem with AI therapy

Have a message for Karena? She'd love to hear from you and share your comment or question on air!Leave Karena a voicemail: https://www.speakpipe.com/KarenaDawnWhat if the thoughts that torment you don’t have to define you anymore?In this eye-opening episode of The Big Silence, Karena sits down with Jon Hershfield, MFT, director of the Center for OCD and Anxiety at Sheppard Pratt. From his own lived experience with OCD to becoming a leading voice in evidence-based treatment, Jon unpacks what OCD really is, looking beyond the stereotypes. He shares how obsessions and compulsions hijack your life, why diagnosis matters, and how exposure therapy and mindfulness can help you reclaim control. Whether you're struggling with intrusive thoughts, supporting someone with OCD, or just want to understand this widely misunderstood condition, Jon's wisdom offers clarity, hope, and a roadmap forward.How do you distinguish between quirky habits and a diagnosable condition, and what does true healing look like?Understanding the difference between personality and pathology is the first step toward compassionate, effective treatment.(00:00) From Lived Experience to Leading ExpertJon's 20-year battle with OCD Finding community in online support groups Why he decided to pursue a career helping others with OCDThe power of treating the whole person, not just compartmentalized diagnoses(08:00) What OCD Really Is: Beyond the StereotypeBreaking down the difference between being "quirky" and having a disorderObsessions: unwanted intrusive thoughts that violate your valuesCompulsions: ineffective strategies to relieve distress from obsessionsThe "psychic damage" of mental rituals: ruminating, analyzing, and seeking certaintyRecognizing when the "D" (disorder) part matters(16:00) Diagnosis, Identity & the Modern Mental Health LandscapeNavigating multiple diagnoses in a world of one-hour evaluationsThe danger of letting diagnoses become your identityHow OCD can coexist with other conditions like autism, ADHD, and personality disordersWhy specialization matters when seeking OCD treatment(25:00) ERP, Mindfulness & Doing the WorkWhy Exposure and Response Prevention (ERP) is the gold standard for OCD treatmentHow mindfulness helps you observe thoughts without attaching to themThe importance of homework in therapyFacing your fears until your brain realizes you can survive the uncertaintyMeditation and being present with discomfort(33:00) Finding Help, Resources & What Brings JoyWhere to start if you think you might have OCDWhy working with an OCD specialist is crucial for effective treatmentJon's upcoming book: Being a Parent with OCD (2026)The privilege of helping people expand their world when OCD has made it smallReconnect with yourself and your community: We start the New Year, New TI-YOU Challenge January 5th in the Tone It Up App. Just download the Tone It Up App at ToneItUp.com/app and we will see you January 5th! Episode ResourcesWatch The Big Silence...

Have a message for Karena? She'd love to hear from you and share your comment or question on air!Leave Karena a voicemail: https://www.speakpipe.com/KarenaDawnWhat if the sign you needed appeared at your darkest moment—and changed everything?In this deeply moving episode of The Big Silence, Karena sits down with actress, producer, and mental health advocate Sarah Gilman. Best known for her starring role as Delia Delfano in Disney Channel's "I Didn't Do It," Sarah has built an impressive career in Hollywood. But behind the bright lights lies a powerful story of survival. From her first suicidal thoughts at age eight, Sarah's journey is one of raw honesty and radical hope. Now, as the founder of the DD Hirsch NextGen Advisory Council, she's dedicated her life to mental health advocacy, making sure no one feels alone. Whether you're struggling yourself, supporting someone you love, or working to understand mental health better, Sarah's courage will inspire you to keep going.How do you rebuild your sense of self after hitting rock bottom, and learn that asking for help isn't a weakness?Stripping away shame and finding community proves that healing isn't linear. It's about showing up for yourself, even when it's hard.(01:37) When the Darkness StartedSarah's first journal entries about suicide as a young childCoping mechanisms that became self-destructiveThe suicide attempt that made her realize she wanted to liveThat split-second moment of regret—and why survivors often feel the same way(05:34) The Roots of Mental Illness: Family, Genetics & EnvironmentGrowing up with threads of OCD, anxiety, and depression in Sarah's familyThe collision of genetics and lack of emotional educationShared experiences as suicide survivors(08:03) Rock Bottom, Therapy & The Fork in the RoadWhen friendships dissolved Her moment of reckoning: keep going and die, or ask tough questions and healDeep diving into psychology, sociology, philosophy, and neuroscienceLearning she's a "big feeler" who just needed healthier ways to express emotions(18:45) Finding Your People: Community, Connection & HealingHow sharing experiences becomes part of the healing processThe power of being seen in your struggleWhy normalizing mental health conversations changes everything(27:30) Breaking the Stigma: Advocacy, Education & Social MediaUsing personal stories to create change in mental health spacesHow younger generations are reshaping mental health conversationsNavigating social media as both a tool and a potential trigger(38:15) Body Image, Eating Disorders & What Really MattersSarah's experience with eating disorders and recoveryWhy she doesn't post body pictures on social media anymoreThe realization: "My body is the least interesting thing about me"(50:19) Live from Vegas: The Not Alone Summit & 98816.5 million people have used 988 since 2022How 988 works: call or text for immediate, anonymous supportDebunking myths: less than 1% of cases escalate to 911, over 90% are de-escalatedSpecialized support available for LGBTQIA+, veterans, and different languagesReconnect with yourself and your community: We start the New Year, New TI-YOU Challenge January 5th in the Tone It Up App....

Have a message for Karena? She'd love to hear from you and share your comment or question on air!Leave Karena a voicemail: https://www.speakpipe.com/KarenaDawnWhat happens when you fight for a year to reclaim the company you built—and finally win?In this raw, emotional solo episode of The Big Silence, Karena Dawn breaks her silence and shares the news her community has been waiting for: she's bought back Tone It Up. After founding the company in 2009 at age 27, taking on investors in 2018, navigating a complicated acquisition, and spending the last year in intense negotiations, Karena now owns 100% of Tone It Up—with no investors. She opens up about the highs and lows of private equity, the days she wanted to walk away, why she stayed, and what's coming next for the community. From bringing back fan-favorite trainers to launching the new "Tone It Down" podcast, this episode is both a celebration and a masterclass in resilience. If you've ever fought for something you believed in, rebuilt yourself, or wondered what it takes to start over at 44, this one's for you.How do you hold on when everything feels like it's falling apart—and what does it take to reclaim what's yours?Fighting through years of uncertainty, negotiation, and emotional exhaustion proves that resilience isn't about never wanting to quit. It's about staying when every part of you wants to walk away.(00:00) The Big AnnouncementWhy this moment is both exciting and nerve-wracking for herThe core mission behind Tone It Up: creating a safe, judgment-free community for womenWhat The Big Silence is really about: breaking stigmas around mental health and self-development(03:00) What Happened in 2018? The Investor Story & Growing PainsThe reality of working with investors: when good intentions don't lead to good relationshipsThe emotional toll of the past 7-8 years: days she wanted to walk away vs. days she knew she had to stayGrowing up with the community: from 27 to 44, supporting each other through motherhood, loss, marriage, divorce, and perimenopause(07:00) The Year-Long Fight to Get Tone It Up BackWhy Karena spent the last year behind the scenes in intense negotiationsThe intuition that kept telling her: "I just want it back, big or small."How she funded the buyback(09:30) What's Next: The Future of Tone It UpNew fitness challenge launching in the Tone It Up appThe big reunion: Chyna, Stef, and Tori are back and just filmed workouts in Austin, TexasNew content across all platforms: YouTube, TikTok, Pinterest, Instagram—all socials are backBuilding a home studio to create more fitness content for the community(12:00) Introducing "Tone It Down" Podcast & How to ParticipateA new podcast launching in January with episodes featuring Tori, Stef, and ChynaSolo episodes where Karena will answer community questionsHow to participate: leave voicemails at speakpipe.com/karinadawnThe Big Silence will focus on mental health and self-development; Tone It Down will be fitness, nutrition, and womanhoodReconnect with yourself and your community: We start the New Year, New TI-YOU Challenge January 5th in the Tone It Up App. Just download the Tone It Up App at ToneItUp.com/app and we will see you January 5th! If this episode moved you, please