In this episode of the Personality Couch Podcast, I (licensed clinical psychologist, Doc Bok) take a different approach and lean into the clinical practice part of this podcast. I spill the tea on significant changes in the healthcare landscape, particularly focusing on the rise of telehealth and the influence of venture capital-backed mega telehealth companies. I highlight the conflicts of interest with wealthy investors, ethical and privacy concerns, and market consolidation that threaten the integrity of mental health care and private practice as we know it. This episode emphasizes the importance of patient and clinician awareness, and I provide actionable steps to navigate the evolving healthcare environment.

📝Let me know your feedback on this "tea spilling episode!" https://www.personalitycouch.com/#contact

👩‍💼Are you a clinician stuck on the business side of private practice? To schedule a consultation, please visit the practice website! https://www.questpsych.org/

Chapters 00:00 Healthcare Changes Post Pandemic 03:24 What is a Venture Capital Company? 04:13 How Venture Capital Telehealth is Different From Private Practice 05:29 Meet the Telehealth Companies’ Investors 08:02 Conflicts of Interest for Investors 09:52 Privacy Concerns 12:19 Ethical Concerns 14:28 Market Consolidation 19:02 Vertical Integration 20:09 Therapists’ Stories & Lawsuits 23:12 What Can Patients Do? 24:08 What Can Clinicians Do?

In this episode of The Personality Couch, we (licensed clinical psychologists Doc Bok and Doc Fish) dive deep into the dark end of the paranoid personality spectrum, focusing on three notorious cases of mass murder: Jeffrey Weise (school shooter), Richard Farley (jilted lover), and Timothy McVeigh (Oklahoma City bomber). We explore the psychological underpinnings of each of these severe paranoid personalities, the impact of childhood trauma, and how their psyches came unglued. We firstly look at the case of Weise, a 16-year-old school shooter who experienced significant childhood trauma and rejection at the hands of his family. We then turn to look at Farley, an incredibly dangerous example of how erotomania, or extreme unrequited love, can turn into your worst nightmare. Lastly, we take a close look at the infamous Timothy McVeigh, a domestic terrorist obsessed with fantasy, fiction, and comics about revenge. Separating from the Army, but desperate to be a hero, he found an enemy in the very US Government that he used to defend. Our discussion emphasizes that while not all paranoid personalities are violent (most aren’t), paranoid personalities in forensic settings can quickly unravel, making them among the most likely to commit mass murder.

Are you a clinician stuck on a case? To schedule a consultation, please visit the practice website to contact us! https://www.questpsych.org/

Chapters 00:00 Introduction to Paranoid Personalities and Violence 02:07 Childhood Trauma’s Impact 05:00 Case Study: Jeffrey Weise - The Traumatized Killer 05:37 Weise’s background 07:52 The Day of the Shooting 10:18 Motivations 11:11 Analysis & Discussion 14:00 Case Study: Richard Farley - The Rejected Lover 14:50 Farley’s obsession with Laura Black 17:45 The Day of the Shooting 21:50 Farley’s Motivations 23:30 Analysis & Discussion 24:46 Masochistic Infatuation Defined 25:18 Erotomania Explained 27:22 Case Study: Timothy McVeigh: The Oklahoma City Bomber 27:44 Background 33:07 Leading up to the Bombing 36:48 Motivations 38:30 Analysis & Discussion 40:19 Summary & Conclusions

In this episode of The Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack how paranoia, paranoid personalities, and psychotic disorders overlap. We explore the line between personality disorders and psychosis; misuse of the term schizophrenia; and introduce the concept of paraphrenia as it relates to psychosis in the paranoid personality. We also explore the historical context of paranoia, the nuances between paranoia and delusions, and how the terms became so intertwined in history. We end with our own unfiltered thoughts about limitations to DSM diagnostic categories and how paranoia became so confusing!

Are you a clinician stuck on a case? To schedule a consultation, please visit the practice website, which will guide you to the email address to use. https://www.questpsych.org/

Chapters 00:00 Introduction to Paranoia and Psychosis 02:14 Defining Paranoia 03:15 Sociocultural Paranoia: The Salem Witch Trials 04:22 How Paranoia Leads to Psychosis: A Train Metaphor 06:51 Defining Delusions 08:21 Persecutory Delusions 08:55 Delusions of Grandeur 09:32 Jealous Delusions 10:01 Erotomanic Delusions 12:01 When Paranoia Becomes a Diagnosis 13:14 Paranoia in Personality Disorders 14:34 Wait- Paranoid Schizophrenia is NOT a Diagnosis?! 16:03 Defining Paraphrenia 16:43 Defining Schizophrenia 17:54 How is Paranoid Personality Disorder Different from Schizophrenia? 22:50 The Difference Between Schizophrenia and Paraphrenia 23:11 Confusion in Definitions and DSM Limitations 27:24 Closing