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Welcome to Tracey & Paul Discuss It All!
Psychiatric illness is unequivocally the foremost public health challenge confronting our society today. In this discourse, Docs Tracey and Paul (Dr. Paul E. Keck Jr., MD and Dr. Tracey Goodman Skale, MD) endeavor to illuminate the pervasive nature of mental health issues, and create public awareness and understanding of the signs and symptoms associated with various psychiatric disorders.
The goal of our podcast is to empower every day people – and mental health professionals – to recognize potential mental health struggles in themselves and those around them, and helping to facilitate timely access to appropriate care. In each episode, we'll explore the complexities of mental illness and dispel prevalent myths that cloud public perception.
With nearly 70 years of combined expertise in psychiatry, Docs Tracey and Paul are dedicated to fostering a compassionate dialogue surrounding mental health, ultimately advocating for the dignity and respect of those affected by mental illness.
DISCLAIMER: This podcast discusses mental health topics that may be sensitive or triggering for some listeners. The information shared is for educational and general discussion purposes only and is not a substitute for personalized medical advice, diagnosis or treatment. Please consult your own qualified healthcare professional for guidance tailored to your unique needs and circumstances.
If you are in crisis, reach out to a local mental health provider or call the 988 Suicide & Crisis Lifeline.
Psychiatry, Education, Insight. Docs Tracey and Paul Discuss it All! Two psychiatrists — Dr. Paul E. Keck Jr., MD and Dr. Tracey Goodman Skale, MD of TMBO (Two Minds, Better than One) — illuminate mental illness, teach signs and symptoms, dispel myths, and advocate timely care and dignity. Nearly 70 years of combined expertise. DISCLAIMER: educational/general discussion only, not personalized medical advice; in crisis call the 988 Suicide & Crisis Lifeline.
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Psychiatric illness is the
number one public health problem
in our country.
This is the most prevalent
problem that afflicts our society.
We're trying to raise
awareness, raise education, raise
recognition of what someone
might be suffering from, and then
try to give them some ideas
about what effective treatment is.
So our podcast is.
Docs Tracy and Paul discuss it all.
I feel like our podcast is for everyone.
This sounds so grandiose or
something, but it really is.
So it's a person that doesn't
know anything about mental illness
and might be interested in
some way or the person that has any
kind of mental illness
themselves, or, you know, we have
all these practitioners.
I have all my social workers
and all my staff.
They're so excited about what,
what's your next episode going to
be?
And people want to hear, you
know, what we're all about.
Paul's had 37 years of
psychiatric experience so far and
growing, and we're still working.
I've 31.
Between the two of us, we're
approaching 70 years of psychiatric
experience.
That's wild.
Tracy's taking care of the
most vulnerable among us, the sickest
of the sick, homeless people,
people with very severe mental illness.
And you've devoted your life
to that.
She's a nationally regarded
lecturer in the treatment of people
with severe mental illness, as
well as about the disease state,
the illness and what the
neurobiology and signs and symptoms,
as well as the important
things about how people have to be
kind and compassionate and
respectful to people with severe
mental illness.
That's beautiful.
Thank you.
That's so nice.
Paul is an expert in the field
of psychiatry, especially in mood
disorders.
He's internationally known.
He's one of the most published
psychiatrists in the world.
I do a lot of talks all over
the country and I love saying, and
my husband, Paul Keck, I just
throw that in there, name dropping,
celebrity dropping.
People like Paul Keck is your husband.
So we educate now one patient
at a time.
And it's wonderful.
It's the starfish model.
You know, there's a starfish
out on the beach, and there's lots
of starfish in the beach, and
you'd save one at a time.
That's what we do now.
And we've cherished every
moment of it and we love it, and
we've done important things
and made great connections with our
podcast.
We are reaching so many more people.
So we're helping people get
aware of what mental illness is,
how they can recognize it in
themselves or loved ones.
Talk about access to care.
So we're reaching so many more
people than we can on a one, on one
basis.
I think our podcasts are going
to help people by first of all, greatly
improving public awareness of
what the signs and symptoms of the
most common psychiatric or
mental illnesses.
Same thing are.
We want to demystify mental illness.
We talk a lot about the myths
of mental illness and there are many.
So we want to dispel those
myths with the general population.
If you have heart disease, you
inherit genes for high cholesterol.
If you eat a lot of bacon,
you're probably going to have a heart
attack.
At 35, if you try to take care
of it, you're still going to have
a heart attack.
Probably, but maybe not until
65 or 70.
For depression, people carry
around the risk.
So if they're genetically
predisposed, they should be watching
for certain things.
Exactly.
Knowledge is power.
And if you know that you, your
loved one, your friend, your friend's
friend are having a hard time.
Nobody's expecting a general
person to diagnose something, but
if they at least start
thinking, wow, this might be serious,
you really ought to go to a
mental health practitioner.
I think we're doing a world of good.
Our podcasts cover a variety
of topics, never ending.
So we do broadly, you know,
what is mental illness?
How do you know there's a problem?
But then we get into disease states.
Depression, bipolar disorder,
psychotic disorders, anxiety disorders,.
Post traumatic stress
disorders, addiction, eating disorders.
There are at least 10 major
mental illnesses that afflict too
many people and they're different.
And what we want to do is
explain what they are, how they're
different, and then what to do
to go get help.
Sometimes people with
neurological illnesses.
Right.
Frontal lobe strokes.
Exactly.
They think that they can move
their arm and they can't move their
arm.
Or sometimes people think they
can see, they can't see.
So a lot of our patients with
schizophrenia or severe bipolar disorder
do not think they have any
psychiatric illness, even though
they've been hospitalized
many, many times or maybe have a
run ins with the law.
I think the advantage of
having two minds instead of one is
that in general we're likely
to have consensus, agreement, synergy.
The two of us together are so
much better than either of us alone.
And we want to just have fun
working together.
We enjoy each other's company.
So I think we bring out the
best in each other in real life and
in our podcast.
But just psychiatrically, we
do have some.
Different thoughts, which
really means there's more.
Than, there's more than one
way to.
Treat right, by covering
different opinions and real world
options for people.
We're giving them choices that
we would do in our office.
It would be cruel to offer
hope if there were no treatments.
The great thing about this
field now is that there are great
treatments.
We still have a ways to go.
There are still unmet needs.
And not everybody responds to
otherwise effective treatments all
the time.
But the point is once you have
the knowledge to go get help, there
should be a lot of reasons to
be hopeful because treatment is usually
so effective.
You know, so some of the
people that both of us work with
have been treated by lots of
different people before, but they
come to us because we don't
give up hope.
And we're going to keep trying
different things and different avenues
and we're going to find the
answers 100% without question.
Without question.
Yeah, we never quit.
We don't quit.
I like that we don't.