Ditch The Labcoat

Clinical psychologist Dr. Chloe Carmichael joins Dr. Mark Bonta for an important and timely conversation about free speech, emotional regulation, and the psychology of open dialogue. Drawing on her clinical work and her new book, Dr. Carmichael explains how suppressing opinions affects stress, anxiety, and even physical health. She describes her own experience with media self censorship, the impact of masking policies during COVID, and how moving from New York to Florida revealed the mental health benefits of open discussion.

The episode explores how naming emotions reduces amygdala activity, how repressing thoughts can lead to acting out, and why honest conversation promotes neural coupling and lowers cortisol. Together they examine bullying, victimhood, groupthink, and how language can unintentionally shut down dialogue instead of inviting clarity and connection.

Listeners will learn practical tools for navigating political disagreements, managing emotional overload during difficult conversations, and practicing reflective listening to stay grounded and curious rather than reactive.

Dr. Carmichael’s message is simple and powerful. Dialogue matters. Open conversation strengthens emotional regulation, builds healthier relationships, and supports mental clarity. Her invitation to the audience is to have more honest disagreements and to rediscover the psychological value of speaking freely.

Dr. Chloe Carmichael Link : https://www.drchloe.com/

Episode Takeaways
1. Free Speech Supports Mental Health: Speaking openly improves emotional regulation, strengthens relationships, and reduces anxiety.
2. Suppressing Thoughts Has Consequences:Bottling emotions disrupts emotional processing and can lead to acting out, stress, and internal tension.
3. Labeling Emotions Lowers Fear Response: Simply naming what we feel reduces amygdala activation and increases clarity and control.
4. Self Censorship Takes a Psychological Toll: Avoiding truthful expression to fit social expectations erodes authenticity and increases distress.
5. Groupthink Is Dangerous: Institutions that suppress debate become vulnerable to poor decisions and intellectual stagnation.
6. Open Disagreement Is Healthy: Learning to disagree politely strengthens community bonds rather than damaging them.
7. Authoritarian Environments Harm Wellbeing: Chronic suppression of speech leads to anxiety, helplessness, and depressive patterns across populations.
8. Language Can Shut Down Dialogue: Words like bullying or victim can be used as shields, stopping rational discussion and reflection.
9. Listening Does Not Mean Agreeing: Separating listening from endorsement allows conversations to stay civil and productive.

Episode Timestamps
01:23 – Dr. Carmichael’s clinical background and early media experience
03:40 – Moving from New York to Florida over masking policies
04:38 – Mark on masking, speech development, and emotional suppression
06:32 – Why naming emotions lowers amygdala activity
07:00 – Emotional suppression and how bottling feelings leads to acting out
10:00 – Media censorship and limiting acceptable viewpoints
13:00 – Listening versus agreeing and the psychology of disagreement
17:00 – Thought replacement as a tool for staying grounded
20:00 – Why political conversations feel dangerous and how to navigate them
24:00 – Groupthink in institutions and intellectual environments
26:32 – How suppressing discussion harms innovation and clarity
27:10 – Authoritarian environments and mental health consequences
28:16 – Living with hidden thoughts and long term anxiety
30:24 – The power of labels like bullying to shut down dialogue
32:00 – Victimhood culture and the upside down bully victim dynamic
35:45 – Why shutting down dialogue creates conflict rather than reducing it
40:16 – Dr. Carmichael’s call for more open, happy disagreements
42:21 – Closing reflections and holiday dinner table dynamics
42:52 – Invitation to join discussion groups with her book purchase



Creators and Guests

Producer
Cameron Stack
Partner of Podcast Sins - A Full Service Podcast Production and Strategy Firm

What is Ditch The Labcoat?

Candid conversations between healthcare experts, every Wednesday at 5am EST on Labcoat.fm, your destination for evidence-based insights into the world of medicine, with no holds barred debate about hot topics in healthcare.

This is for all the closet doctors, nurses, pharmacists and all others who are deeply fascinated about medicine but view the headlines with science-based skepticism.