There are moments in medicine that don’t fit inside the chart. Moments where a patient’s suffering can’t be explained by labs or imaging, and the usual tools fall quiet. For some physicians, that silence becomes the beginning of a different kind of listening. Today, psychiatrist Dr. Judy Tsafrir sits with me to explore what happens when astrology, intuition, and clinical practice begin to speak to one another — not in contradiction, but in a deeper coherence. This conversation moves slowly and honestly through the questions physicians aren’t trained to ask, yet inevitably face: What is a soul wound? What makes a crisis arrive on time? And what does healing require when the mind isn’t the only thing in pain?00:00 Introduction to Sacred Psychiatry01:04 A Life-Changing Consultation with an Astrologer02:39 Embracing Astrology and Esoteric Practices05:48 The Journey of Self-Discovery and Healing07:54 Integrating Spirituality into Medical Practice14:37 The Importance of Energy and Diet in Healing30:39 Astrological Shifts and Spiritual Awakening38:49 Introduction to Chiron in Astrology39:11 The Myth of Chiron41:17 Chiron's Wound and Prometheus43:40 Chiron Return and Life Transitions44:52 Astrological Cycles and Midlife Crisis45:38 The Power of Authenticity48:37 Spiritual Practices in Medicine52:09 The Shift to Air Signs and Quantum Reality55:05 Physician Suicide and Mental Health59:15 Life After Death and Spiritual Experiences01:01:56 Living with an Open Heart01:07:02 Final Thoughts and ReflectionsJudy speaks from a place few clinicians are willing to name: the recognition that a patient’s suffering is often entangled with spiritual injury, archetypal patterns, and timing that feels strangely precise. She describes the moment astrology found her — during a season of profound personal crisis — and how the natal chart, the Chiron wound, and midlife transits became a map she couldn’t dismiss. Not because they were mystical, but because they were useful. Because they helped her make sense of what medicine alone couldn’t reach.But this conversation is not abstract. It’s grounded in the real costs of being a physician today — the moral injury, the exhaustion, the quiet grief of watching the system fracture while trying to remain human inside of it. Judy speaks with clarity about physician suicide, about the inner split that comes from abandoning one’s own truth for the illusion of safety, and why authenticity becomes a survival skill rather than a spiritual luxury.We explore diet, energy, intuition, trauma, spiritual awakening, consciousness, and the long arc of healing that moves through the body as much as the psyche. Judy shares how she weaves astrology into her clinical work without losing scientific integrity, and why the future of medicine may require a shift toward an “air sign consciousness” — one that values subtlety, resonance, and quantum patterns as essential dimensions of health.If the ideas in this episode move something in you, stay with it. Let it breathe. These are the kinds of truths that don’t demand belief — only curiosity. And if you find resonance here, subscribe, share, or join us for the next conversation inside Open Heart, where science meets soul and the interior life is taken seriously.🔗 CONNECT WITH JUDY TSAFRIR, MDWebsite: https://www.judytsafrirmd.com/Instagram: https://www.instagram.com/sacred_psychiatry/reels/?hl=am-et@sacred_psychiatryTikTok: https://www.tiktok.com/@sacred_psychiatry@sacred_psychiatryLinkedIn: https://www.linkedin.com/in/judytsafrirmd/Book — Sacred Psychiatry:https://www.amazon.com/Sacred-Psychiatry-Transpersonal-Transform-Consciousness/dp/B0CB9G8699Subscribe to Open Heart with Priya Rao, MD to hear more conversations where modern medicine and spirituality meet — where we remember that healing is as much about consciousness as it is about care.Follow Priya & Open Heart:Instagram.com/openheartthepod