Inside Mental Health

Today we peel back the layers of body dysmorphic disorder (BDD) — a condition far beyond simple vanity. Host Gabe Howard and clinician Scott M. Granet tear apart the facade of BDD — a mental battle where the mirror becomes your worst enemy. 

This episode exposes a disorder that distorts reality, making you question every reflection. Forget cosmetic fixes — plastic surgery rarely provides salvation. Scott bares his soul, recounting his harrowing struggle from a college crisis over a few stray hairs to a lifelong fight against the obsessive compulsion to fix what isn’t really broken.

With raw honesty and expert insights, this conversation dives into the complexities of living with BDD, highlighting the vital role of support systems and cognitive behavioral therapy. Whether you or someone you know battles inner demons or simply seeks a deeper understanding of mental health, this episode promises a captivating exploration of perception versus reality.

Special thanks to the Anxiety and Depression Association of America for sponsoring this episode.

“If you're somebody with BDD who has a problem with your physical appearance, your first thought is not going to be, I should go see a psychotherapist. Your first thought is probably going to be, I want to get this fixed. And even if they suspect they have a psychiatric problem, a major issue with BDD is that it's often considered a shame based disorder. There can be so much shame associated with this, to the point where people don't want to go for therapy and, you know, they're too embarrassed to tell somebody about this problem.” ~Scott M. Granet, LCSW



Today's guest, Scott Granet, LCSW, specializes in the treatment of OCD and BDD. He has presented at numerous conferences worldwide and has taught continuing education classes at universities and other institutions throughout the U.S., including the Rutgers University School of Social Work, the UC Berkeley Extension, the University of Chicago Crown Family School of Social Work, Policy and Practice and the NYU Silver School of Social Work. Mr. Granet is the author of “The Complete OCD Workbook: A Step-by-Step Guide to Free Yourself from Intrusive Thoughts and Compulsive Behaviors” and “Body Dysmorphic Disorder, Mine and Yours: A Personal and Clinical Perspective.”

Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington.

Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com.
Learn more about your ad choices. Visit megaphone.fm/adchoices

Why would a person make their own child sick — or lie about it — for attention? In this gripping and eye-opening episode, retired detective Mike Weber joins Gabe Howard to expose the disturbing reality behind Munchausen syndrome by proxy, now medically known as factitious disorder imposed on another. With 40 years of law enforcement experience and over 50 cases investigated, Weber pulls back the curtain on a form of child abuse that's more prevalent — and more chilling — than most people realize.

Forget what you think you know from TV dramas. This is not just a mental illness — it often involves calculated crime. Learn how people with this condition can manipulate doctors, deceive family members, and train children to play along in a twisted performance. Discover why nearly all are mothers, how children are affected, and why the justice system struggles to prosecute these complex cases.

If you're interested in true crime, psychology, or the darker corners of human behavior, this episode will stay with you long after it ends.

“She was given five years probation. That child was left in her care even after criminal charges were filed, even after she was convicted. These offenders have a compulsion very similar to what child sex abuse offenders have. That would be akin to placing a child back in the home with a child sex abuse offender that had offended on that child previously and expecting them to offend no more. That is what family court does quite often in these cases. Because we don’t want to believe that a mother could hurt their own child. That is just how we are as a society. We want to believe that all mothers are good and all mothers are not good.”  ~Detective Mike Weber, Author of "The Mother Next Door"

Our guest, Detective Mike Weber, has 40 years law enforcement experience, including 15 years as a crimes against children investigator. Detective Weber has investigated over 50 reports of Medical Child Abuse that have led to 13 convictions, 3 cases pending trial. Detective Weber co-authored the APSAC best practice guidelines on Medical Child Abuse titled Munchausen by Proxy: Clinical and Case Management (APSAC Advisor journal March 2018). Weber also authored a separate article in the same issue of the Advisor titled Investigation of Factitious Disorder Imposed on Another and Medical Child Abuse. Detective Weber authored Investigating Medical Child Abuse for the FBI Law Enforcement Bulletin journal (August 2018). Detective Weber was awarded the 2016 NCMEC Texas Hero for Children Award for the investigation of Geronimo Aguilar and Medical Child Abuse Cases. Weber is currently assigned to investigate crimes against children for the Tarrant County Sheriff’s Office and handles all reports of medical child abuse in Tarrant County. Detective Weber contributes to the true crime/educational podcast “Nobody Should Believe Me,” which examines medical child abuse through previous cases. Detective Weber co-authored the true crime novel “The Mother Next Door” with Andrea Dunlop.

Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington.

Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com.
Learn more about your ad choices. Visit megaphone.fm/adchoices

Sometimes, you are so consumed by caring for a loved one with a serious mental illness, like schizophrenia or bipolar disorder, that taking a moment for yourself feels like a betrayal. In this episode, host Gabe Howard and Dr. C. Alec Pollard reveal the hidden crisis of caregiver burnout in the world of serious mental illness. They dismantle the myth that self-care is selfish, showing how neglecting your own needs can worsen stress and strain the very relationships you cherish.



Dr. Pollard dives into the toxic beliefs that trap caregivers—those who support individuals with schizophrenia, bipolar disorder, and other severe conditions—into a cycle of resentment and exhaustion. With breakthrough strategies and compassionate advice, this episode offers a wake-up call for anyone feeling overwhelmed by the relentless demands of caregiving. Learn how nurturing yourself not only protects your well-being but also empowers you to care more effectively for your loved one.

Funding for this episode was provided by Evernorth Health Services.

“If you can do no good, at least do no harm. A lot of the, the things that families don't understand and caregivers is that they're actually doing things that not only they know it doesn't work okay. When they're doing these things, these naggings and lectures and all that, they know it's not working. But what they may not appreciate is it's actually making things worse over time.” ~C. Alec Pollard, PhD

Our guest, C. Alec Pollard, Ph.D., is Founding Director of the Center for OCD and Anxiety-Related Disorders at Saint Louis Behavioral Medicine Institute and Professor Emeritus of Family and Community Medicine at Saint Louis University School of Medicine. He is a licensed psychologist who works with a range of obsessive-compulsive and anxiety-related disorders, with a special interest in obstacles that might inhibit the pursuit of recovery or interfere with effective participation in treatment. He is on the Scientific and Clinical Advisory Board of the International OCD Foundation and chairs the organization’s Training Subcommittee, including a national training initiative called the Behavior Therapy Training Institute.  Dr. Pollard is former chair of the Clinical Advisory Board of the Anxiety and Depression Association of America and has authored over 100 publications, including 3 books – “The Agoraphobia Workbook, Dying of Embarrassment: Help for Social Anxiety & Phobia,” and “When a Loved One Won’t Seek Mental Health Treatment: How to Promote Recovery and Reclaim Your Family’s Well-Being.”



Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington.

Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com.
Learn more about your ad choices. Visit megaphone.fm/adchoices

What does it really mean to grieve — and when does grief become a danger to your life? In this weighty episode, host Gabe Howard sits down with Dr. Mary-Frances O’Connor, a leading expert in psychology whose work on grief and loss has touched millions. Dr. O’Connor shares groundbreaking insights on the subtle yet critical differences between the stereotypical grief process and prolonged grief, revealing why your heart can literally stop functioning due to loss.

From staggering statistics showing a man’s heart attack risk skyrockets on the day his spouse dies, to the intimate science of how our bonds regulate our well-being, this conversation is as thought-provoking as it is moving. Discover practical strategies to navigate those raw, overwhelming moments of loss, and learn how to build a personal toolkit for healing. Whether you're coping with grief yourself or supporting someone who is, this episode promises a deep, human exploration into turning heartbreak into hope.

This episode has been sponsored by the Anxiety and Depression Association of America (ADAA).

“It's not just that you're having grief, which is normal. It's that we're unable to find a way to adapt given that we have grief. So people with prolonged grief feel like life holds no meaning anymore, or they feel so angry and bitter about what's happened that they have trouble connecting with their living loved ones.” ~ Mary-Frances O'Connor, PhD


Our guest, Mary-Frances O’Connor, PhD, is a professor of psychology at the University of Arizona, where she directs the Grief, Loss and Social Stress (GLASS) Lab, investigating the effects of grief on the brain and the body. Her book “The Grieving Brain” was included on Oprah’s list of Best Books to Comfort a Grieving Friend. O’Connor holds a PhD in clinical psychology from the University of Arizona and completed a postdoctoral fellowship in psychoneuroimmunology at the UCLA Semel Institute for Neuroscience and Human Behavior. Having grown up in Montana, she now lives in Tucson, Arizona.


Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington.
Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com.
Learn more about your ad choices. Visit megaphone.fm/adchoices

When children grieve, the adults around them are often grieving, too—but how do we help them process loss when we’re struggling ourselves? In this powerful conversation, author Lindsay Bonilla shares the deeply personal story behind her children’s book “The Hole,” written to help young readers understand and express grief.

With host Gabe Howard, together they explore the challenges of discussing death with kids, why grief shouldn’t be “filled in” and forgotten, and how storytelling can create space for healing. Whether you're a parent, caregiver, or someone who has experienced loss, this episode offers heartfelt insights into navigating grief—both for children and yourself. Listen now for a moving discussion on love, loss, and the importance of remembering.

“A lot of children have experienced a lot of loss. So, letting kids lead and tell you what they need. Giving them tools, like children's books that address grief. Or if they see something. I mean, gee, there's a lot of, lot of movies. I mean, my son's obsessed with Star Wars. There's a lot of loss in that. And sometimes just taking the time to have the conversation at the level that they're comfortable with and letting them kind of lead the conversation. Rather than just acting like, well, they're fine. You know? [Laughter]” ~Lindsay Bonilla


Our guest, Lindsay Bonilla (LindsayBonilla.com), is a professional storyteller and author whose previous picture books include The Storyteller, the Parents’ Choice Award winner Polar Bear Island, I Love You with All of My Hearts, and The Note Who Faced the Music. She lives with her husband, two wild and creative kids, and her dog, Blitzen, in North Canton, Ohio.


Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington.

Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com.
Learn more about your ad choices. Visit megaphone.fm/adchoices