TNT Open Mind Insights - Mental Health Interview Series

TNT Open Mind Insights - Mental Health Interview Series

TNT Open Mind Insights - Mental Health Interview Series is a health podcast hosted by Unknown Host, with 57 episodes on record and a Required Pod Score of 80. PitchCentric scores this show on Booking Probability, Listen Score, and live audience signals refreshed every 24 hours.

Unknown Host hosts TNT Open Mind Insights - Mental Health Interview Series, a health show with 57 episodes published.

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  TNT Open Mind Insights - Mental Health Interview Series

  Treating Addiction in Primary Care with Dr. Ihuoma Chukwueke

  Aug 12, 202633 min

  What do you do when you can see the problem and don't have the solution? For years, Ihuoma Chukwueke, MD, DrPH , FAAFP, DipACLM, would take a social history, hear about a patient's drinking or drug use, and write a referral to an addiction specialist. The wait to be seen runs about three months. Readiness rarely survives it. A family physician with a doctorate in public health and board certification in lifestyle medicine, she had built a career around prevention and root causes — and substance use was the one place her tools ran out. Then a colleague talked her into applying for addiction medicine training for primary care providers. In this conversation she describes what changed: how she works substance use screening into visits that started with something else entirely, why quantifying a patient's drinking changes the conversation, and what happened when a woman who came in for a hand injury left having started treatment for alcohol use. She also lays out the arithmetic driving all of it. Roughly 3,000 addiction specialists nationwide against 48 million Americans who meet the criteria for a substance use disorder. In this episode: Why primary care providers are the first point of contact for substance use and mental health The three-month wait for addiction specialists and what gets lost in it Screening for substance use at well-child visits, including cannabis use at nine and alcohol at twelve How quantifying "just a glass of wine" changes what patients understand about their own drinking The connection between isolation, dopamine, and why the brain resists stopping Treating chronic disease and substance use as one problem instead of two Speaking about addiction in faith communities where stigma keeps people silent. 0:00 Introduction 0:22 Training Abroad and Six Years to a Medical Degree 1:52 Community Service in Communities That Had Nothing 2:24 From Public Health to a Doctorate in Preventive Care 3:21 Board Certification in Lifestyle Medicine and Addiction Medicine Training 4:30 Why You Cannot Separate Mental Health from Physical Health 5:35 The Referral She Could Not Make Work 6:03 3,000 Specialists and 48 Million Americans 7:16 Tobacco, Secondhand Smoke, and the Deaths We Are Not Addressing 8:28 The Colleague Who Talked Her Into Applying 10:12 Quantifying the Drink and Naming Alcohol a Carcinogen 11:27 Motivational Interviewing and the Shift from Empathy to Compassion 12:56 Screening at Well-Child Visits: Cannabis at Nine, Alcohol at Twelve 14:14 Prevention Versus Treating the Symptom 16:11 Chronic Disease and Substance Use as One Problem 18:34 Isolation, Dopamine, and the Hijacked Brain 21:01 A Hand Injury and the Conversation That Followed 23:35 Fifteen Minutes That Became Thirty-Five 25:15 Two Patients a Day, Every Day, Since March 27:38 Empowering Clinicians to Be the Hands and Feet 29:19 Speaking About Addiction Where Stigma Keeps People Silent 31:00 One in Eight High School Students 32:15 A Request That the Training Continue If you practice primary care, screen patients for substance use, or believe prevention belongs at the front of medicine — this conversation is for you. Learn more about TNT Open Mind Insights: www.tntopenmind.org substance use disorder, addiction medicine, primary care, behavioral health, mental health, lifestyle medicine, prevention, alcohol use disorder, substance use screening, primary care providers, stigma, Ihuoma Chukwueke, TNT Open Mind Insights, TNT Primary Care Fellowships, UC Irvine, family medicine, opioid crisis, motivational interviewing, underserved communities, public health Subscribe to TNT Open Mind Insights - Mental Health Interview Series on Soundwise

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  TNT Open Mind Insights - Mental Health Interview Series

  Technology Teaches & Clinicians Care with Dr. Brian Mayhugh

  Jul 31, 202631 min

  It's a documented crisis that we don't have enough mental health providers. When the answer isn't as simple as finding more clinicians how can we make each one more effective? Dr. Brian Mayhugh, trained psychologist and CEO & Co-founder of MindStreet Inc., unpacks this solution to one of healthcare's most urgent challenges. His cloud-based CBT platform reduces provider time by 80% while matching the outcomes of in-person therapy — bringing gold-standard care to patients wherever they are. In this conversation, you'll learn why CBT remains the gold standard and what makes it so difficult to scale, why the human element remains irreplaceable even in a digital-first world, and why treating behavioral health improves outcomes for chronic conditions like diabetes and cardiac disease. Whether you're a clinician looking to expand your reach, a health system administrator searching for scalable solutions, or a community member who wants better access to care — this conversation is for you. 0:00 — Welcome & Introduction to Dr. Brian Mayhugh 1:25 — A Career Rooted in Direct Patient Care 3:55 — The Access Problem: Where the Crisis Really Begins 5:10 — Discovering the Beck Institute & the Early Days of CBT 6:55 — What Is CBT? Breaking Down the Core Framework 8:50 — How Mind Street Works: The Platform Walkthrough 13:00 — The Human-Supported Model: Why Technology Alone Isn't Enough 16:30 — Reducing Provider Burnout Through Smart Offloading 18:05 — Can AI Replace the Human Element? 19:45 — Reaching Rural Communities: Care Without Geography 21:55 — Mind Street vs. Other Mental Health Apps: What Makes It Different 23:30 — The Research: NIH Validation & Gold-Standard Outcomes 26:35 — Conditions CBT Can Treat — Beyond Anxiety & Depression 29:35 — Comorbidity: The Behavioral Health–Chronic Disease Connection 31:20 — How Providers Can Implement Mind Street Today 32:05 — The Vision: Scaling Evidence-Based Care Across Communities 34:25 — A Family Legacy in Behavioral Health Interview Recorded on March 20, 2026 Subscribe for more conversations about innovation in mental health care. Watch more interviews in the series: tntopenmind.org CBT therapy, cognitive behavioral therapy, mental health technology, behavioral health, mental health access, Mind Street, digital therapeutics, provider shortage, mental health platform, evidence-based therapy, telehealth mental health, rural mental health, comorbidity, primary care mental health, mental health tools, therapy at scale, NIH research, psychologist interview, mental health advocacy, healthcare innovation Subscribe to TNT Open Mind Insights - Mental Health Interview Series on Soundwise

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  TNT Open Mind Insights - Mental Health Interview Series

  Managing Pain, Monitoring Addiction with Jocelyn Nato Ligayo

  Jul 17, 202628 min

  What happens when the provider handing out the prescriptions is the one who starts to question them? Jocelyn Ligayo spent years watching strong pain medication get prescribed for the simplest cases, first as a bedside nurse and then as a nurse practitioner in pain management. A patient who threatened her life over a refill became the turning point that moved her into primary care, where she now serves unhoused patients through Hope Christian Health Center's outreach program in Las Vegas. In this conversation, Jocelyn talks with Yami Reyes-Lima about facing her own assumptions — about prescribing, about addiction, and about the people she once believed had simply made bad choices. She gets honest about the stigma she carried into the work, why she says it's often the soul that's in pain and not the body, and what she thinks every provider owes the patient in front of them. Whether you work in healthcare, prescribe for pain, or care about how we treat people living with addiction, this conversation is for you. Chapters: 0:00 – Introduction 1:38 – Why she became a nurse and chose pain management 4:21 – The reality check: what she believed about prescribing 5:52 – When addiction hit close to home 6:11 – The turning point: a patient's threat 7:41 – Moving into primary care and outreach 8:00 – Facing her own stigma about homelessness 11:13 – What the patients' stories revealed 12:43 – The biggest barrier to care 13:26 – "It's the soul that's in pain, not the body" 14:09 – Caseloads vs. the time to show up 15:06 – Why her director urged her toward the TNT Fellowship 15:57 – Months-long waits for psychiatric care in Nevada 17:14 – Sending patients in crisis to the ER 17:56 – Her hopes for the fellowship and the ripple effect 22:18 – Solutions: kindness and communication 26:57 – What lawmakers should know 29:08 – Family, faith, and staying grounded 31:00 – A message to other providers 36:25 – Closing thoughts and how to help Interview Recorded On: March 20, 2026 Subscribe for more conversations with providers rethinking how we treat addiction and mental health. Watch more interviews in the series: www.tntopenmind.org nurse practitioner, substance use disorder, addiction, pain management, opioid prescribing, controlled substances, provider stigma, homelessness, unhoused, mental health, behavioral health, primary care, harm reduction, addiction medicine, compassionate care, provider responsibility, Nevada healthcare, Las Vegas, underserved communities, TNT Primary Care Fellowship, TNT Open Mind Insights Subscribe to TNT Open Mind Insights - Mental Health Interview Series on Soundwise

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  TNT Open Mind Insights - Mental Health Interview Series

  Chronic, Not Crisis: Rethinking Behavioral Health Systems with Luke Bergmann

  Jul 3, 202637 min

  What if the fix for America's mental health crisis isn't more funding or more infrastructure, but common sense? Dr. Luke Bergmann has spent 15+ years leading behavioral health systems in New York and California — most recently as San Diego County's Director of Behavioral Health, now a Principal at Health Management Associates. In this conversation, he pulls back the curtain on why our system so often fails the people who need it most: institutions incentivized to keep beds full instead of keeping people well, a billing policy that split his own stepfather's care in two, and a federal policy landscape he calls "whiplashy." This hits close to home for Bergmann. He shares the story of his stepfather, whose final year was shaped by a system that couldn't treat him as a whole person, and how that experience now drives his work bringing county behavioral health and community clinics to the same table. Whether you work in healthcare, advocate for mental health reform, or are simply trying to understand a system that touches almost every family, this conversation offers a clear-eyed, hopeful case for change. 🔔 Subscribe for more conversations at the intersection of mental health and policy. 🔗 Watch more interviews in the series: [tntopenmind.org] Interview recorded on Jan 16, 2026 00:00 – Introduction 00:45 – Why Dr. Bergmann dedicated his career to behavioral health 02:59 – Staying hopeful amid policy "whiplash" ($2B in grants cut, then restored) 04:38 – A personal story of common sense abandoned 09:04 – The billing policy that split his stepfather's care in two 11:38 – Current work: bridging county behavioral health & community clinics 14:00 – Fixing the community clinic problem that took his stepdad 16:09 – HR1 and the threat to Medicaid enrollment 18:11 – Twin crises: community clinics and county behavioral health 21:31 – Fixing the same-day billing policy — low-hanging fruit 22:03 – Why county behavioral health is often the most resistant to change 24:12 – What behavioral health can learn from primary care 25:43 – Why behavioral health is "obsessed" with the word crisis 28:04 – Renaming crisis as chronic illness — and the pushback he got 29:56 – Inpatient psych beds: the "motel chain" business model 32:08 – Training primary care doctors in psychiatry: a real-world example from NYC 34:18 – De-stigmatizing care by integrating it into primary care 34:53 – Final thoughts: common sense, hope, and getting in touch Tags: behavioral health, mental health, mental health policy, mental health advocacy, healthcare reform, integrated care, psychiatry, mental illness, substance use disorder, addiction recovery, community health, primary care, Medicaid, healthcare policy, mental health crisis, health equity, public health, healthcare leadership, San Diego County, Health Management Associates, HR1, FQHC, crisis care, chronic illness, mental health awareness Subscribe to TNT Open Mind Insights - Mental Health Interview Series on Soundwise

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  TNT Open Mind Insights - Mental Health Interview Series

  The Pediatrician Who Became a Child Psychiatrist with Dr. Bruce Leewiwatanakul

  Jun 24, 202628 min

  Most parents, and plenty of providers, assume mental health "treatment" means medication. A triple-boarded child psychiatrist explains what it actually looks like for kids. Dr. Bruce Leewiwatanakul is a pediatrician and child psychiatrist. He now runs integrated and collaborative care, the model built to reach kids with mild-to-moderate mental health needs before those needs turn into a crisis. In this conversation with Dr. Sarah Arshad, Dr. Leewiwatanakul breaks down how collaborative care actually works in a pediatric setting, why so much of effective treatment has nothing to do with a prescription, and what early screening is already getting right. He's candid about where the model strains under a teen's schedule and a parent's, what it would take to expand past anxiety and depression into behavior management, and the investment kids' mental health still isn't getting. In this episode: In this episode: Why a pediatrics background changes how you diagnose and treat in psychiatry What the Post-Pediatric Portal Program is, and why most people have never heard of it How collaborative care manages a whole population of kids proactively Why "treatment" usually starts with sleep, screens, and behavioral activation, not medication What's working: earlier screening and catching kids before things get worse Where the model breaks down for teens, and what real investment would unlock His plea to stakeholders, families, and government on kids' mental health Interview recorded on: Jan 16, 2026 Learn more about TNT Open Mind Insights: www.tntopenmind.org If you're a pediatrician, primary care provider, NP, PA, fellow, or anyone building behavioral health into a pediatric practice, this conversation is for you. 0:00 Introduction — meet Dr. Bruce Leewiwatanakul 0:47 Why medicine, and a mother's advice to do something worthwhile 1:43 The detour into teaching near UCLA 2:29 What drew him to kids and family systems 5:59 Finding psychiatry by listening to kids at midnight 7:10 The gap pediatrics alone couldn't fill 8:12 What the Post-Pediatric Portal Program is 9:47 Pediatrician or child psychiatrist? Holding both 10:26 How a pediatrics brain changes his psychiatry 12:40 Prevention and anticipatory guidance in mental health 13:01 Why he joined the TNT Child & Adolescent Psychiatry Fellowship 14:36 Collaborative care and integrated care, explained 16:30 What's working: screening and catching kids early 17:40 What "treatment" actually means 19:15 Why therapy for kids looks nothing like the movies 22:54 The magic-wand question: investing in collaborative care 25:07 A plea to stakeholders, families, and government 26:30 What keeps him doing the work child psychiatry, pediatric mental health, collaborative care, integrated care, behavioral health, child and adolescent psychiatry, primary care psychiatry, post pediatric portal program, Bruce Leewiwatanakul, OHSU, Doernbecher Childrens Hospital, behavioral health care manager, anticipatory guidance, early intervention, youth mental health, behavioral activation, TNT Open Mind Insights, pediatrician to psychiatrist, kids mental health Subscribe to TNT Open Mind Insights - Mental Health Interview Series on Soundwise

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