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Social media has made ADHD a household term, but the lived reality is a lot messier and more human than a checklist or a trending label.

Dr. Andrew Rosen and Dr. David Gross talk honestly about how attention and distractibility show up across a lifetime. From restless kids labeled as troublemakers to adults juggling work, relationships, and nonstop stimulation, the conversation keeps coming back to a simple question. When does difficulty focusing become a disorder, and when is it just part of being human?

They reflect on how ADHD often starts in childhood, why it can feel louder in adulthood, and how identity, self-esteem, and life stress all get tangled together. There are real stories from clinical work, moments of dry humor, and a lot of nuance about creativity, hyperfocus, impulsivity, and the ways people learn to compensate or struggle when they cannot.

This is a grounded, experience-based conversation about attention, overload, and what happens when something goes unnamed for too long.

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Dr. Andrew Rosen and Dr. David Gross spend time on the parts of mental health care that don’t show up in textbooks or research papers. The human side. What it actually feels like to sit with a clinician. How hope gets communicated without being promised. Why optimism, sincerity, and presence matter just as much as any method or treatment.

They talk about how people often arrive feeling stuck, discouraged, or convinced nothing will ever change, and why logic alone rarely shifts that belief. Experience, consistency, and genuine care tend to do more of the work. Stories of people who have overcome deep adversity come up, not as inspiration, but as reminders that change is possible even when it feels unimaginable.

The conversation moves through ideas of hope, resilience, self worth, and how early life experiences shape the way people see themselves and the world. They reflect on the consulting room as a place of safety, acceptance, privacy, and active engagement, where people can question long held beliefs and begin to rebuild their internal shock absorbers for life.

At its core, this is a grounded conversation about why therapy works when it works, and what really makes a difference over time.

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Dr. Andrew Rosen and Dr. David Gross talk through why choosing a type of therapy can feel so confusing and why so much of the work comes down to the beliefs people carry with them from earlier in life. They reflect on how psychotherapy evolved from rigid models into approaches that focus more directly on how people think, interpret events, and act on those interpretations.

The conversation spends time on irrational beliefs and expectations that quietly shape mood, motivation, and self worth. They use everyday examples, clinical stories, and a few familiar metaphors to show how people can get stuck believing that one failure defines a lifetime or that happiness is something external that will eventually arrive.

They also explore how depression can grow out of mismatched expectations, negative self talk, and faulty assumptions about the future, and why noticing what is already present in life can be surprisingly difficult. Throughout, they return to the idea of therapy as a safe space to question long held beliefs and experiment with thinking and behaving differently without judgment.

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Dr. Andrew Rosen and Dr. David Gross start with a simple question they hear all the time. What actually is psychotherapy, and why does it feel so hard to understand?

The conversation moves from the early days of talk therapy and Freud’s influence to why so many people still expect a couch and silence when they walk into an office. They talk honestly about why long, insight focused approaches work for some people and not for others, especially when someone is in real emotional pain and needs relief sooner rather than later.

They explore how different styles developed, why thinking patterns matter so much, and why therapy is not one size fits all no matter how tempting that is for clinicians or patients. Along the way, they share real world examples, analogies that actually make sense, and a few dry observations about training, turf wars, and how people end up confused in the first place.

The thread that runs through it all is the importance of fit, careful evaluation, and asking clear questions before committing to any approach.

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Dr. Andrew Rosen and Dr. David Gross explore one of the biggest obstacles in mental health care: the shame and stigma that still surround asking for help. Even as conversations about mental health have become more open, many people continue to equate needing support with weakness or personal failure.

They unpack how centuries old views of mental illness shaped modern misunderstandings, and why everyday struggles like anxiety, depression, and difficulty adjusting to life are often wrongly associated with severe psychiatric illness. The conversation also looks at how cultural values around independence, self reliance, and perfection make it harder for people to admit vulnerability.

The discussion reflects on what happens when suffering stays private, how self criticism and embarrassment grow in silence, and why simply talking out loud can bring immediate relief. There is also a focus on the role families and loved ones play, especially when well intentioned comments like “just snap out of it” unintentionally deepen the struggle.

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In this episode of Two Shrinks & A Mic, Dr. Andrew Rosen and Dr. David Gross kick off the new year by answering two of the most common and confusing questions in mental health care: what type of treatment should you choose, and how long should you stay in it? They break down the differences between medication and psychotherapy, explain why a thorough evaluation matters, and explore how to tell whether symptoms are rooted in life stress, biology, or both.

The conversation covers what to expect from antidepressants, including timelines, side effects, and duration of use, as well as how structured therapies like cognitive behavioral therapy differ from more open ended approaches such as interpersonal psychotherapy. Dr. Rosen and Dr. Gross also discuss motivation, trust, hope, and why being in emotional pain can sometimes make recovery clearer and faster.

If you have ever wondered whether therapy should be short term or long term, how to know if medication is right for you, or what progress in treatment really looks like, this episode offers clarity, perspective, and reassurance.

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Choosing the right mental health professional can feel overwhelming, especially when the differences between psychiatrists, psychologists, and other therapists are not always clear. In this episode of Two Shrinks & A Mic, Dr. Andrew Rosen and Dr. David Gross break down the major mental health disciplines and explain how their training, approaches, and roles in treatment differ.

The conversation explores what psychiatrists and psychologists actually do, how medication and therapy work together, and why there is no one size fits all solution in mental health care. They discuss common challenges patients face, including misdiagnosis, rigid treatment approaches, and the growing confusion around credentials in the field.

Dr. Rosen and Dr. Gross also share guidance on how to evaluate a provider, what to expect from therapy and medication, and why feeling supported and understood by your clinician matters just as much as their degree. This episode is designed to help listeners feel more informed, empowered, and hopeful as they take the next step toward getting the care they need.

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In this episode of Two Shrinks & A Mic, psychologist Dr. Andrew Rosen and psychiatrist Dr. David Gross tackle one of the most common and confusing questions people face when struggling with mental or emotional health issues. Who should I see first and how do I know what kind of help I actually need?

Drawing from decades of shared clinical experience, they break down the differences between psychiatrists, psychologists, therapists, counselors, social workers, and other mental health providers. They discuss how anxiety, depression, grief, trauma, substance use, phobias, and life stressors can overlap and why getting a clear and thorough evaluation matters.

The conversation explores how to identify your symptoms, how to describe changes from your normal baseline, and how to avoid getting lost in online searches or mismatched treatment approaches. Dr. Rosen and Dr. Gross explain the importance of the biopsychosocial model, the value of multidisciplinary practices, and how to advocate for yourself when using insurance or telehealth services.

If you or someone you care about is feeling stuck, overwhelmed, or unsure where to turn for mental health support, this episode offers practical guidance, reassurance, and a thoughtful roadmap for finding the right kind of care.