What if you've tried everything, but are still depressed? Did you know that  one third of people with depression don’t get enough relief from antidepressants? In this episode, I talk to psychiatrist and CMO of Neuronetics, Dr. Geoffrey Grammer, about what should people do when our mainstream treatments for depression fails us. He sheds light on new advancements for treatment-resistant depression: transcranial magnetic stimulation (TMS) and nasal esketamine, two evidence-based treatments that target the brain differently and raise the odds after meds stall.

We first talk about just how disappointing traditional medications and psychotherapies can be for chronically depressed patients. Then, Dr. Grammer explains how TMS works (precise, noninvasive brain stimulation that strengthens underactive mood circuits), what a session feels like, timelines for improvement, and why side effects are minimal compared to systemic drugs. We also explore nasal esketamine (Spravato) and how it works. Along the way, we dig into augmentation meds, common pitfalls, and the role of psychotherapy in turning short-term gains into lasting change.

What if the “problem behavior” you see- anger, anxiety, avoidance, endless scrolling- is your kid’s way of shielding against something deeper? In this episode, I chat with Dr. Marcus Rodriguez, director of the Youth and Family Institute and tenured professor at Pitzer College, about what parents can do when their young adult children struggle with adulting. We dig into when these young adults hit a wall, their nervous systems recruit anger, anxiety, and shame to avoid the pain of “I can’t.” Understanding that function changes how we respond at home.

With DBT expert Dr. Rodriguez, we unpack why this generation can be deeply caring and also overwhelmed by information designed to agitate. From algorithm-driven feeds that reward outrage to climate fear and economic uncertainty, young people face a flood of threats their brains aren’t built to regulate alone. We talk about wild cases of kids getting trapped in upsetting content loops and what media literacy and parent coaching can do to break that cycle.

Ever walk away from a conversation feeling like the villain in someone else’s story? In this episode, I dig into projection—the defense that pushes a person’s unwanted traits and feelings onto you—and show how it warps reality, fuels gaslighting, and leaves loved ones doubting their own character.

I break down the differences between borderline personality disorder and narcissistic personality disorder in plain terms: emotion dysregulation versus self-image dysregulation, and how people with both disorders often project  onto their loved ones. I also talk about my training in Transference Focused Psychotherapy to illustrate how expert clinicians address patients who don't want to take accountability for their own insecurities.

Little Helpers, this is a new era for this community: This is my first episode as the solo host of "A Little Help For Our Friends." It's Dr. Kibby and we're saying goodbye to my beloved co-host, Jacqueline Trumbull as she moves on from this podcast. This will be a new phase focused on what made this community matter from day one: centering caregivers, loved ones, people-pleasers, and supporters who carry the unseen weight of mental illness and addiction.

I revisit the show’s roots in evidence-based tools and how it grew into something braver—real stories about dating, divorce, near-death experiences, and the messy work of healing. I cover ethical storytelling, protecting privacy, and navigating the fallout when personal narratives collide with public platforms, including (gasp!) a legal threat.

To open Season 6 with a bang, we start where most hot takes end: with a self-aware narcissist describing his collapse, the shame behind the mask, and the painstaking choices that made empathy real. Jordan Monroe, a former tech founder turned emotional healing coach, joins us to explore a grounded path out of grandiosity, defensiveness, and reality wars—without dismissing the deep harm survivors endure.

We dig into what actually shifts behavior. Jordan explains why many narcissists don’t lack empathy so much as defend against it, and how guided “heart-opening” experiences help clients feel another person’s pain without spiraling. That visceral “ow” moment rewires daily habits: listening before defending, noticing a partner’s needs without being asked, and choosing small acts of care that build trust. 

What happens when the hamster wheels we've been running on suddenly stop spinning? In this raw and deeply personal Season 5 finale, we pull back the curtain on our own mental health journeys over the past year, revealing the profound transformations that occur when life forces you to confront your deepest wounds.

Dr. Kibby shares her post-cancer emotional reckoning, describing how surviving treatment was just the beginning of her healing journey. The conversation turns to our viral self-hatred episode, exploring what happens when you finally see the wounds that have defined your life- and the grief that comes with that awareness.

Meanwhile, Dr. Jacqueline reflects on her transformative year completing psychology internship in New York, finding healing and validation after years of feeling misaligned in the public eye.

What happens when two skeptical psychologists take a deep dive into the world of manifestation? In this episode, we take a look at what "manifestation" is, what is actually based in science...and then we try manifesting for real. 

We start by acknowledging our initial skepticism about the idea that you can get everything you want just by thinking about it- a practice that became popular from the book "The Secret." But as we peel back the layers, we discover powerful psychological mechanisms that explain why some manifestation practices genuinely work.

Do you have a family member, friend or roommate whose relationship to food is a little...concerning? Eating disorders hide in plain sight, often disguised as diet culture, fitness goals, or "healthy eating." But beneath these socially acceptable lifestyles lie deadly mental health conditions that claim more lives than almost any other psychiatric disorder.

In this episode, we break down the clinical realities of various eating disorders while exploring the profound ways they impact both individuals and their loved ones. We examine anorexia's deadly grip and how it combines food restriction with a distorted body image so powerful that even severely underweight individuals see themselves as fat. The disorder's perfectionism and need for control create a psychological prison that's hard to escape.

When does our help cross the line from supportive to harmful for our loved ones with mental health challenges? In this episode we dive deep into the complex dynamics of "unintentional reinforcement," a less judgmental term for "enabling" that acknowledges how our best intentions can sometimes backfire.

Drawing from personal experiences with addiction, depression, and avoidance behaviors, we explore how our actions sometimes shield our loved ones from the very consequences that might motivate change. Whether it's financially supporting a partner who refuses to work, making excuses for someone's alcohol abuse, or accommodating anxiety-driven avoidance, these patterns can gradually trap both parties in cycles that feel impossible to break.

Humiliation might be the most painful social emotion we experience, even traumatizing. Yet it's much less talked about compared to its cousin, shame. In this revealing episode, we unpack the distinct characteristics that make humiliation uniquely devastating and potentially dangerous.

When someone in a position of power debases you in public, that's not just intense shame- it's humiliation. You simply experience a profound loss of status and dignity. While someone might humiliate you to "teach you a lesson" or make you change, but it only brings up a powerful urge for revenge.

What happens when cultural expectations of family loyalty collide with the reality of narcissistic abuse? In this special episode, licensed clinical social worker Agatha Peters brings a fresh perspective to this complex intersection, drawing from her personal journey as a Nigerian-American and her professional expertise working with clients from collectivist cultures.

For those raised in communities where family honor and respect for elders are paramount values, recognizing and addressing narcissistic relationships presents unique challenges that go far beyond standard Western approaches to mental health. 

We explore how narcissistic parents in collectivist cultures can weaponize community expectations, creating situations where victims not only face abuse at home but also community reinforcement of harmful dynamics. This creates a devastating cycle where victims are gaslit not just by their abuser but by entire communities who view their complaints as dishonoring family or tradition.

Most powerfully, Peters shares how becoming a mother transformed her understanding of her own experiences. This discussion offered us profound insights into healing while honoring cultural identity. Subscribe now and join the conversation about supporting loved ones through their mental health journeys.

What happens when you look into a stranger's eyes and suddenly realize what's been missing from your marriage all along? In this episode, bestselling author Amber Rae joins us to share her transformative journey from a nine-year relationship that checked all the boxes on paper but lacked true intimacy and connection.

Amber's story challenges our conventional understanding of commitment, revealing how we can unknowingly convince ourselves that relationships are working when essential needs remain unmet. "I didn't know I was pretending," she reflects, describing how she repeatedly tried to fix her marriage through therapy, self-help books, and doubting herself. The wake-up call came unexpectedly when she experienced an electric yet calm connection with a stranger that made her question everything.

Now that Season 7 of "Love Island USA" has finished, we're unpacking the fascinating psychological dynamics that made this season so compelling.

In this episode, we discussed how the men of Love Island gave us a masterclass in modern masculinity. In an era where men's mental health is suffering from isolation and loneliness, these bromances offered a refreshing alternative to toxic masculinity. T It turns out that protecting and providing looks different in 2023, and these men showed what's possible when emotional intelligence takes center stage.

The budding romances in the villa gave us fascinating case studies in attachment styles and relationship patterns.

What happens when criticism feels like a physical blow? For some of you, rejection and criticism trigger an emotional response so intense it has its own name: Rejection Sensitivity Dysphoria (RSD).

In this episode, we deep into the painful world of RSD – that overwhelming feeling of shame and worthlessness that can follow even minor criticism for or rejection. Jacqueline shares a raw, personal story about crying in a supervisor's office following critical feedback, highlighting how even successful people can feel ambushed by the pain of rejection.
What's surprising is that the research shows that RSD is common with neurodivergent people with symptoms of attention deficit hyperactivity disorder (ADHD).

Ever wondered what reality TV can teach us about psychology? In this episode, we put our mental health expertise to "work" analyzing the relationship dynamics on the first 17 episodes of Season 7 of "Love Island USA,"  revealing fascinating patterns that mirror what therapists see in couples therapy every day.

The villa becomes our laboratory as we dissect the pursue-withdraw dynamic playing out between contestants like Ace and Amaya. Watch as we unpack how Ace masterfully maintains emotional distance while keeping women interested. His approach to "boundaries" offers a compelling case study in how this psychological concept can sometimes be misused in relationships.

Ever felt yourself going from calm to explosive in seconds flat? Or watched someone you care about transform into a raging stranger over something seemingly small? In this episode, we dive deep into the anatomy of emotional explosions - those high-conflict moments that can damage relationships and leave lasting scars. We unpack why these blowups happen, exploring how they often represent a reassertion of power when someone feels threatened, undermined, or disrespected. If you need more tips, get our free guide to De-Escalating Emotional Explosions. 

Drawing from relationship research and our clinical experience, we examine the triggers that spark these explosions. We talk about how many explosive relationships involve confusion between authentic self-expression and harmful communication patterns.

Do you ever feel like you're walking on eggshells around someone who constantly needs reassurance? In this episode, we tackle anxious attachment from a different angle - not just what it feels like to be anxiously attached, but how that attachment style can impact the self-esteem and identity of those on the receiving end.

What happens when you can't understand what others are thinking or feeling? Why do some people constantly misinterpret your intentions? The answers lie in a fascinating psychological process called mentalization.

Mentalization—our ability to understand the thoughts, feelings, and intentions of others and ourselves—forms the foundation of healthy relationships. When this process goes awry, as it often does in Borderline Personality Disorder (BPD), relationships become minefields of misunderstandings, hurt feelings, and confusion.

Ever wonder why holding your partner's hand during a stressful moment instantly calms you down? The answer lies in the fascinating neurobiological dance of co-regulation – when two nervous systems attune to and influence each other, creating safety, connection, and resilience that neither person could achieve alone.

Feeling stuck in the same arguments with your partner? Does it feel like a cycle of one of you is chasing and the other is running away? In this episode, we talk about the problematic cycle behind recurring relationship conflicts through the lens of Emotion-Focused Therapy (EFT).