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Back from the Abyss: Psychiatry in Stories
Craig Heacock MD
135 episodes
3 days ago
How do you rebuild trust amidst the ashes of trauma? This is the story of Sean, an up and coming star tennis player whose coach carefully selected him and then groomed him for years of sexual assault. His trust destroyed, Sean had to find a way to try to trust again…..and after many years of hiding and pretending and near self-destruction, Sean finally was able to share the details of what happened to him. Thus began his therapeutic journey of finding compassion for himself and trust toward o...
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Health & Fitness,
Mental Health,
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All content for Back from the Abyss: Psychiatry in Stories is the property of Craig Heacock MD and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
How do you rebuild trust amidst the ashes of trauma? This is the story of Sean, an up and coming star tennis player whose coach carefully selected him and then groomed him for years of sexual assault. His trust destroyed, Sean had to find a way to try to trust again…..and after many years of hiding and pretending and near self-destruction, Sean finally was able to share the details of what happened to him. Thus began his therapeutic journey of finding compassion for himself and trust toward o...
Show more...
Medicine
Health & Fitness,
Mental Health,
Science
Episodes (20/135)
Back from the Abyss: Psychiatry in Stories
Trapped in secrecy and shame-- A boy, his coach, and healing trauma with MDMA
How do you rebuild trust amidst the ashes of trauma? This is the story of Sean, an up and coming star tennis player whose coach carefully selected him and then groomed him for years of sexual assault. His trust destroyed, Sean had to find a way to try to trust again…..and after many years of hiding and pretending and near self-destruction, Sean finally was able to share the details of what happened to him. Thus began his therapeutic journey of finding compassion for himself and trust toward o...
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6 days ago
1 hour 36 minutes

Back from the Abyss: Psychiatry in Stories
BFTA Summer Special-- The Wisdom of the Psychedelic Therapy Underground
In this fourth annual summer psychedelic special, Dr. H sits down to hear some hard-earned wisdom from a therapist colleague who has been doing underground MDMA and psilocybin work for years. "I Love You, I Hate You, Are You My Mom?" An intensive experiential workshop exploring transference with Dr. H and Dr. Hillary McBride, Feb 4th-6th 2026 in Joshua Tree, CA https://www.craigheacockmd.com/i-love-you-i-hate-you-are-you-my-mom/ BFTA episode recommendations/Podcast page https://w...
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1 month ago
1 hour 1 minute

Back from the Abyss: Psychiatry in Stories
Chris, Craig, and Special Guest Fish in Fishbowl 6
Chris and Craig invite Antonio Sacre, an LA-based professional storyteller, author, and BFTA super-advisor into the Fishbowl to deconstruct season 6. BFTA episode recommendations/Podcast page https://www.craigheacockmd.com/podcast-page/
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3 months ago
1 hour 51 minutes

Back from the Abyss: Psychiatry in Stories
Psychiatric Nurse Practitioners in the Treatment Landscape
Text us a message! Craig sits down with his mentee and colleague Mandy Bliss, a psychiatric NP in Louisville KY, to explore the compelling and complex challenges of meeting the ever-expanding need for psychiatric care. Unlike in psychiatric residencies, much of the current training of psychiatric NPs is done online. Does this constitute adequate training? And what of psychotherapy? Mandy Bliss MSN, APRN, FNP-BC, PMHNP-BC https://blisspsych.com/ BFTA on IG @backfromtheabysspodcast http...
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4 months ago
1 hour 2 minutes

Back from the Abyss: Psychiatry in Stories
The Enneagram in the Therapeutic Relationship
Send us your questions for Fishbowl 6! Craig sits down with Colorado-based psychotherapist and Enneagram expert Joy Gribble (Elemental Psychedelics; Reflective Healing) to explore how the Enneagram can predict the strengths, fears, and blind spots of both the therapist and the client/patient in the complex dynamics of therapy. Joy Gribble https://www.reflectivehealing.com/about-joy-gribble-fort-collins BFTA on IG @backfromtheabysspodcast https://www.instagram.com/backfromtheabysspodcast...
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4 months ago
1 hour 18 minutes

Back from the Abyss: Psychiatry in Stories
Meds can't fill the trauma hole-- Attachment, maternal wounding, and the challenges of coming off meds
Send us your questions for Fishbowl 6! Here Dr. H sits down with Lisa, a pediatric nurse practitioner, to witness her story of developmental trauma, concomitant chronic depression, and eventually her path of healing and rebuilding trust and connection, largely through psychotherapy. During her years of intermittently crippling and suicidal depression, she was put on various psych meds, which might have helped at the time, but later became shockingly difficult to try to taper and stop. T...
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5 months ago
54 minutes

Back from the Abyss: Psychiatry in Stories
Desperately seeking safety -- A trauma healing journey with Koelle Simpson
Send BFTA a comment Craig sits down with Colorado-based equine and somatic therapist Koelle Simpson to witness her harrowing and moving story of healing from repeated sexual assaults through a deep psychospiritual connection with horses, then learning how to trust her male psychotherapist, and finally coming to face the darkness and shame head on through the use of psilocybin mushrooms. A heads up-- this episode contains graphic descriptions of sexual assault, please be mindful of whether thi...
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5 months ago
2 hours 5 minutes

Back from the Abyss: Psychiatry in Stories
The Art of Deprescribing
Send BFTA a comment Dr. H breaks down the complex task of deprescribing into six clear steps, starting with the most important and challenging question of all: Who is the patient and why are they suffering? "Bringing Therapy into Med Management"-- a psychotherapy training intensive with Dr. H for psych NPs and PAs this October in Ft Collins https://www.craigheacockmd.com/training/ BFTA on IG @backfromtheabysspodcast https://www.instagram.com/backfromtheabysspodcast/ BFTA/ Dr. ...
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6 months ago
22 minutes

Back from the Abyss: Psychiatry in Stories
Developing field awareness: Working with transference and countertransference
Send BFTA a comment This is an interview that Dr. H recently did on a podcast called "The Web: Weaving Psychology and Soul in Circle" where he goes deep into his own journey learning how to work with transference and countertransference. Carrie Haynes and "The Web" https://carriehayneslpc.com/ "I Love You, I Hate You, Are You My Mom?" An intensive experiential workshop exploring transference with Dr. H and Dr. Hillary McBride, May 28-30 in Victoria BC https://www.eventbrite.com/e/i-...
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6 months ago
1 hour 10 minutes

Back from the Abyss: Psychiatry in Stories
Sex Hormones and Psychiatric Illness with Dr. Neill Epperson
Send BFTA a comment Dr. H sits down with Dr. Neill Epperson, chair of the University of Colorado Department of Psychiatry, to talk all things hormonal. "I Love You, I Hate You, Are You My Mom?" A intensive experiential workshop exploring transference with Dr. H and Dr. Hillary McBride, May 28-30 in Victoria BC https://www.eventbrite.com/e/i-love-you-i-hate-you-are-you-my-mom-tickets-1112117516429?aff=ebdssbdestsearch BFTA on IG @backfromtheabysspodcast https://www.instagram.com/backf...
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6 months ago
1 hour 3 minutes

Back from the Abyss: Psychiatry in Stories
Adventures in Exposure Therapy (Re-release)
Send BFTA a comment This is a re-release of an episode called "Adventures in Exposure Therapy" which first published in 2020. That episode was the second of a two part exploration of OCD, the first episode was called "OCD in the Time of Corona." In brief, "OCD in the Time of Corona" was the story of Dr. H's patient Erin, who suffered from disabling OCD that focused on a catastrophizing fear of cold sores and the herpes virus. Dr. H initially treated Erin, then referred her to Dr. Amy In...
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7 months ago
44 minutes

Back from the Abyss: Psychiatry in Stories
Can MDMA save a marriage? One couple's story
Send BFTA a commentToday’s story is the story of so many marriages— starting off with hope and excitement, then settling into careers and kids and unforeseen challenges, then facing emerging disenchantment and mounting frustrations, then maybe even reaching a breaking point, where the marriage seems unable to withstand all the stuff life is throwing in its path. For Daniel and Mindy, their initial years of love and hope and adventure were slowly buried by layers of physical ...
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7 months ago
53 minutes

Back from the Abyss: Psychiatry in Stories
Psychedelics, psychiatric meds, and the question of tapering
Send BFTA a commentOne of the more interesting and difficult challenges of integrating psychedelics into psychiatry is how to deal with the fact that so many of the folks who will seek out care for their treatment-resistant depression or OCD or body dysmorphia or PTSD or attachment trauma are on psychiatric meds, many of which can have very significant and even dangerous interactions with certain psychedelics.Here Dr. H explores some of the key issues around med tapering with ketamine, psiloc...
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8 months ago
18 minutes

Back from the Abyss: Psychiatry in Stories
In the room with Hillary McBride and Saj Razvi--- A moment to moment exploration of psychedelic somatic trauma therapy
Send BFTA a commentSaj Razvi and Hillary McBride return to BFTA, this time together, for one of the most compelling and fascinating episodes we have featured on the podcast-- an in depth, in the room exploration of the moment to moment unfolding of a psychedelic-assisted trauma session. During her training to work with Saj’’s psychedelic somatic model, called PSIP, Hillary did a profound session with Saj that led to some very unexpected gifts for Hillary. Interestingly, the psychedelic u...
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8 months ago
1 hour 5 minutes

Back from the Abyss: Psychiatry in Stories
Recognizing and Treating OCD
Send BFTA a commentIn this solo episode, Craig synthesizes the most salient aspects of identifying and treating OCD, with some cool musical interludes to boot-- in just over 20 minutes!"I Love You, I Hate You, Are You My Mom?" A intensive experiential workshop exploring transference with Dr. H and Dr. Hillary McBride, May 28-30 in Victoria BChttps://www.eventbrite.com/e/i-love-you-i-hate-you-are-you-my-mom-tickets-1112117516429?aff=ebdssbdestsearchBFTA on IG @backfromtheabysspodcasthttp...
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9 months ago
21 minutes

Back from the Abyss: Psychiatry in Stories
Therapists in the abyss: A journey back to self
Send BFTA a commentYou don't end up working in psychiatry/mental health by accident-- therapists and psychiatrists almost always come from their own place of emotional pain. Here Dr. H sits down with his colleague Kristen, a well-respected Colorado psychotherapist who always appeared to have it all together, while battling her own inner demons of feeling like a fraud-- broken, unworthy, irredeemable. This is Kristen's story of finding a way through her double life, of coming to peace wi...
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9 months ago
1 hour 12 minutes

Back from the Abyss: Psychiatry in Stories
What I'm thinking about now: Working in the Here and Now; Polypharmacy; Diagnostic Parsimony; Ketamine Microdosing; Psych NP Training
Send BFTA a commentIn this solo episode Dr. H shares his current thoughts on working in the here and now; polypharmacy; the root causes of suicidality; diagnostic parsimony ; ketamine microdosing; and online psych NP training programs.BFTA on IG @backfromtheabysspodcasthttps://www.instagram.com/backfromtheabysspodcast/BFTA/ Dr. Hhttps://www.craigheacockmd.com/podcast-page/
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10 months ago
23 minutes

Back from the Abyss: Psychiatry in Stories
Reconstructing the narrative-- Trauma, dissociation, psychedelics, and working in the negative transference
Send BFTA a commentKate lived for many years in a hazy and numbing dialectic, thinking that her life was “perfect”, but also having a vague and gnawing sense that just under the surface something was terribly wrong. This is a story of forgetting and remembering, a story of finding a therapist who was willing and able to sit through years of hateful negative transference and let Kate work through her parent-child wounds. And finally this is a story of MDMA and psilocybin helping so...
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10 months ago
1 hour 20 minutes

Back from the Abyss: Psychiatry in Stories
I had to rebuild who I was-- Finding trust and a pathway out of psychosis
Send BFTA a commentVery few people are willing and/or able to share and describe their descent into psychosis— in part because memory formation and consolidation are so impaired during episodes of psychosis…..and also because there is often so much fear and shame tied up in the experience of losing one’s mind. Here Dr. H's patient Corben describes his very early onset illness, how it started with years of depression, then shifted into profound alienation and increasingly frighteni...
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11 months ago
57 minutes

Back from the Abyss: Psychiatry in Stories
Why med management is mostly doomed to fail-- The top 10 (12!) reasons with Dr. Will Van Derveer
Send BFTA a commentThe prevailing model of psychiatric care in the US is called "med management"-- this typically means a 10-15min appointment to review symptoms and choose medications. Here Dr. Will Van Derveer of the Integrative Psychiatric Institute sits down with Dr. H to deconstruct this deeply flawed model and posit a more holistic and hopeful way of thinking about psychiatric care. Dr. Van Derveer and the Integrative Psychiatric Institutehttps://psychiatryinstitute.com/BFTA/...
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11 months ago
57 minutes

Back from the Abyss: Psychiatry in Stories
How do you rebuild trust amidst the ashes of trauma? This is the story of Sean, an up and coming star tennis player whose coach carefully selected him and then groomed him for years of sexual assault. His trust destroyed, Sean had to find a way to try to trust again…..and after many years of hiding and pretending and near self-destruction, Sean finally was able to share the details of what happened to him. Thus began his therapeutic journey of finding compassion for himself and trust toward o...