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Brain Trash: Psychiatry from DSM to Dumpster Fire

Brain Trash: Psychiatry from DSM to Dumpster Fire

By: Maria Ingalla & Tabitha Arey
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About this listen

Welcome to Brain Trash, where we rip off the sugar-coated filter and talk about the raw, messy, and frustrating realities of psychiatry. Hosted by psychiatric nurse practitioners who know the system inside and out, this podcast is for clinicians tired of textbook psychiatry BS and everyday people trying to make sense of their mental health.


💊 Overdiagnosis. Self-diagnosis. Medications that help. Medications that ruin lives. The DSM. The WTFs of mental health. If you’ve ever side-eyed a diagnosis, questioned your meds, or felt like the system was failing you—you're not alone.

No gatekeeping. No corporate-sanitized psychiatry. Just honest, unfiltered conversations about neurodivergence, trauma, the cracks in the system, and what we need to do differently.


🔥 If you’ve ever felt dismissed by a mental health provider or questioned the way we do this—hit subscribe. Let’s rethink psychiatry together.


🎙️ Listen now & join the conversation:
🌍 Podcast: https://braintrash.buzzsprout.com/
🧠 Mental health care: https://www.paperflowerpsychiatry.com/
📚 Education for providers & patients: https://www.paperflowerinstitute.com/
📸 Follow us on Instagram: https://www.instagram.com/paperflowerpsychiatry
🎥 YouTube Channel: https://www.youtube.com/@paperflowerinstitute

♪ TikTok: https://www.tiktok.com/@dr.mariaingalla

© 2025 Brain Trash: Psychiatry from DSM to Dumpster Fire
Hygiene & Healthy Living Psychology Psychology & Mental Health
Episodes
  • Bedtime Battles: Autistic Sleep Demystified
    May 20 2025

    Send us questions here!

    Why Autistic Brains Struggle with Sleep | Brain Trash Podcast

    In this episode of Brain Trash, Maria Ingalla and Tabitha Arey unpack the science and lived experiences behind sleep struggles in autistic individuals. From melatonin dysregulation and altered sleep architecture to sensory processing and behavioral cycles—this episode digs into why sleep is so often misunderstood in neurodivergent care.

    Whether you’re a provider, parent, or navigating your own neurodivergent sleep landscape, this one’s for you.

    Topics Covered:

    • Why melatonin works differently in autistic people
    • What sleep architecture really looks like in autism
    • How sensory needs affect rest
    • The role of medication and when to consider it
    • Why structure is more than just a bedtime routine

    🎧 Subscribe for more episodes on autism, psychiatry, and neurodivergent mental health.

    Socials:
    Facebook: Paperflower Psychiatry
    Instagram&Threads: @paperflowerpsychiatry
    Tiktok: @dr.mariaingalla
    Websites:
    www.paperflowerpsychiatry.com
    www.paperflowerinstitute.com
    www.courses.paperflowerinstitute.com

    Show More Show Less
    25 mins
  • ICD, DSM, WTF: Decoding the Chaos of Mental Health Diagnoses
    May 13 2025

    Send us questions here!

    In this episode of Brain Trash, hosts Maria Ingalla and Tabitha Arey take a brutally honest look at what psychiatric diagnosis actually means in 2025. From rushed 15-minute appointments to diagnosis codes written for insurance companies—not care—this episode unpacks the messy, outdated system we're all stuck in.

    We dive into:

    • How ICD-10 and DSM coding shapes your treatment
    • The dangers of misdiagnosis (especially for neurodivergent folks)
    • Why screeners don’t tell the full story
    • The stigma and identity confusion that comes with labels
    • What we really need from a modern diagnostic system

    Whether you're a provider, patient, or someone navigating your own diagnosis, this one’s for you.

    🧠 Subscribe, rate, and share.
    Visit www.braintrash.buzzsprout.com for more

    Socials:
    Facebook: Paperflower Psychiatry
    Instagram&Threads: @paperflowerpsychiatry
    Tiktok: @dr.mariaingalla
    Websites:
    www.paperflowerpsychiatry.com
    www.paperflowerinstitute.com
    www.courses.paperflowerinstitute.com

    Show More Show Less
    22 mins
  • A Professional Deep Dive on the Autism Registry
    May 6 2025

    Send us questions here!

    RFK's proposed Autism Registry isn’t about public health—it’s about power.

    This week on Brain Trash, we dive into the controversial Autism Registry plan and what it means for neurodivergent communities. We discuss how data collection can be weaponized, why environmental blame narratives are harmful, and how this policy might impact access to services.

    We’re calling it what it is: a dangerous precedent.

    Hear the truth and download our free guide at paperflowerinstitute.com

    Socials:
    Facebook: Paperflower Psychiatry
    Instagram&Threads: @paperflowerpsychiatry
    Tiktok: @dr.mariaingalla
    Websites:
    www.paperflowerpsychiatry.com
    www.paperflowerinstitute.com
    www.courses.paperflowerinstitute.com

    Show More Show Less
    19 mins

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