In this thought-provoking episode, we explore the long and often troubling history of mental health treatment in the United States. From early—and sometimes dangerous—methods like metrazole-induced seizures, insulin shock therapy, and even malaria treatments, to the rise of large-scale institutions that warehoused those deemed “beyond help,” we uncover how limited understanding and fear shaped early psychiatric care.

We examine the deinstitutionalization movement of the 20th century, sparked by legal reform and shifting public attitudes, and how the promise of community-based care was often undermined by budget cuts and policy gaps. The result? A tragic increase in homelessness, incarceration, and unmet needs for people with serious mental illness.

This episode also looks at how stigma has evolved over the decades, how it continues to prevent people from seeking help, and why early intervention—especially for psychosis—is so critical. We highlight modern challenges, including workforce shortages, systemic underfunding, and disparities in access to care, particularly for communities of color.

We dive into recent data from SAMHSA and the CDC that paints a sobering picture of mental health in America today, including rising suicide rates among young people and the high percentage of individuals who need help but aren’t receiving it.

Despite the grim statistics, we focus on hope: the growing awareness, new treatment models, and real resources that can make a difference. If you or someone you know is struggling, there is support. Services like the 988 Suicide & Crisis Lifeline and FindSupport.gov are available to help.

This episode is a call to action—to break the stigma, improve access to care, and create a system that truly supports mental wellness for all.

Listen now and learn something that matters.