From leadership and healthcare to money and meaning, this show is about understanding the human condition—how we think, what we fear, and why we act. In a world defined by complexity, we look beneath the surface of psychology and ask: what forces are really driving our choices? Few forces are more psychological than money. In this episode, I sit down with Eric Semler, Chairman of Semler Scientific. You’ve may have heard of MicroStrategy. But you may not know that Semler Scientific quietly became the second U.S. public company to adopt a Bitcoin treasury strategy. This wasn’t a marketing move. It was a high-conviction shift—rooted in discipline, personal history, and the belief that a broken monetary system undermines everything, including healthcare. Eric’s path—from journalism to finance to leading a medical device company—gives him a unique lens. We unpack how he moved the company into Bitcoin, the influence of Michael Saylor, and how he thinks about capital not just as dollars, but as a tool for human flourishing. 🎧 Subscribe for conversations that challenge conventional thinking in health, money, and leadership.

Any port in the storm. That’s what they say, right? But some storms, you don’t just ride out. Some storms are meant to break you open, strip away the old wood, and leave you staring at what’s left—raw, honest, real. It’s been two years since my last episode. In that time, I recorded several conversations but never released them. I got caught in the cycle of overthinking, chasing perfection, and losing sight of why I started this podcast in the first place. Funny how the mind works. It builds its own labyrinth, and before you know it, you’re pacing the same damn hallways, touching the same cold walls, thinking maybe if you run the pattern long enough, you’ll find a way out. But that’s not how it works. Not in life. You don’t think your way out of it. You walk. You fight. You let yourself be seen. You lean on the ones who’ve been there before, the ones who don’t flinch at the weight of your story because they’ve carried their own. The kind who have walked through fire and came out carrying something worth sharing. Today I’m joined by three men who've been there before. Good men. Not perfect men—real ones. John Trapp, Ryan Collins, and Cody Lakevold—serial entrepreneurs, business owners, and family men who are now the founders of Longship. Longship is a space where men can come together, drop the masks, and hold each other accountable in their growth—mentally, physically, and spiritually. What draws me to their work is its realness. It’s not about self-improvement as a buzzword. It’s about showing up, doing the work, and creating a community where men can support each other in becoming better versions of themselves. I’m grateful to be back. Let’s dive in.   For those interested in learning more about Longship you can visit www.longshipmen.com   

“System problems with the type of magnitude the world is dealing with cannot be fixed by the system creating the problem. A different way of thinking is required.”- Jeff Booth   I have spent the past decade trying to understand why the mental health crisis worsens while stigma reduction efforts and funding for mental health services are on the rise.I used to think the problem was a lack of money, but what if the problem was the monetary system itself?   With inflation wreaking havoc across the globe and adding incredible stress and anxiety to millions of families, I thought it would be worth re-sharing my conversation with Jeff Booth from April of this year.Jeff and I discuss various themes from his recent book The Price of Tomorrow: Why Deflation is Key to an Abundant Future, and how money, as it is currently structured, is serving to fragment our collective well-being.   Jeff’s key arguments: Our Economic System is Sick. Our debt-dependent economic growth has created an economic system that is not fit for purpose. As technological advancement accelerates into unprecedented territory, our need for inflation to support this system is being confronted by the natural force of deflation. We need to urgently rethink our approach. Technology is an Unstoppable Deflationary Force. The emergence of new technologies, such as self-driving cars, virtual reality, and additive manufacturing, will soon create unstoppable deflationary pressure on this system. Coupled with innovation in renewable energy and artificial intelligence, this deflationary pressure cannot be stopped through our model of currency debasement and debt. The Dangers and Possible Solutions. Our current approach is widening inequality and will inevitably lead to the discontent that sows the seeds for totalitarianism. While history tells us that policymakers will probably turn to further money printing and universal basic income as responses, a fuller reset is inevitable. We need to decentralize and fix our monetary system, and we need to confront the deflationary reality now rather than later.   Jeff has become a passionate advocate for Bitcoin as a tool to move us towards a fairer system based on truth and a free market of ideas, a system that moves us from scarcity to abundance.Fix the money, fix the world?Mark

Greg Foss has spent over thirty years working with money. He knows it inside and out: the good, the bad, and the ugly.  Greg was a founding shareholder at 3IQ, one of Canada’s largest digital asset managers. He is currently CFO and Bitcoin strategist at Validuspower.com. Greg holds an MBA from the Johnson School of Business, Cornell University (1988) and a Bachelor of Mechanical Engineering from McGill University (1986).   Greg and I met at the 2022 Bitcoin Conference in Miami, where he was a speaker and moderator. During one of his talks, Greg shared some of the mental health struggles he has dealt with throughout his life. For those that know Greg, this may come as a surprise. But, as the saying goes, never judge a book by its cover.   I have spent the past decade trying to understand why the mental health crisis continues worsen as stigma reduction and funding for mental health services are at historic highs.   I used to think the problem was lack of money -- I am becoming more and more convinced of the opposite: There's too much of it.   Greg and I discuss this idea in further detail and how #Bitcoin proposes to fix the underlying problem.   Fix the Money, Fix Mental Health?

Dr. Timothy Caulfield is a Professor and Canada Research Chair in Health Law and Science Policy at the University of Alberta.   Timothy may be the most well-known face of scientific myth-busting.    He is the host of Netflix’s The User’s Guide to Cheating Death, and the author of multiple bestsellers on science and misinformation, including Relax: A guide to everyday health decisions with more facts and less worry; The Cure for Everything: Untangling the Twisted Messages about Health, Fitness and Happiness; and, last but not least: Is Gwyneth Paltrow Wrong About Everything?   Tim and I confront misinformation, disinformation, science communication; how it contributes to increased anxiety in our daily lives, and what we can do about it.    

My guest today is Canadian journalist Mr. Jonathan Kay. Jonathan was the editor-in-chief of The Walrus (2014–2017) and is presently a senior editor of Quillette, an online magazine focused on long-form analysis and cultural commentary. Jon currently hosts the Quillette podcast and previously co-hosted a podcast with Dr. Debra Soh entitled, Wrongspeak.   As a pages editor, columnist, and blogger, Jonathan also previously worked for the National Post. He continues to contribute to the newspaper on a freelance basis. He is also a book author and editor, a public speaker, and a regular contributor to Commentary and the New York Post.   Jonathan and I discuss his career in media and how he has watched the landscape shift over time. We discuss the evolution, or devolution, of media, political correctness, the blurring lines between media and activism, and the crowdsourcing of censorship.    We also address the attempt to have Jon 'de-platformed' from this podcast by an activist who sought to discredit him as a "rabid" transphobe.   It was a great conversation. Despite Jon's suspect Twitter game, he is articulate, thoughtful, funny, empathetic, and engaging.    Editors note: Jon's PCR test, taken just before the interview, came up negative for rabies.   Enjoy.  

Pathological Altruism: Behavior in which attempts to promote the welfare of another, or others, results instead in harm that an external observer would conclude was reasonably foreseeable.   Over the holidays, I read a book by author Michael Schellenberger, "San Fransicko: Why progressives are ruining cities."    The book posits that progressive policies on homelessness, inequality, and crime have made the cities that progressives control worse, not better.    Schellenberger believes that the real problem isn't a lack of housing or money for social programs. The real problem is an ideology that designates some people, by identity or experience, as victims entitled to destructive behaviors. The result is an undermining of the values that make cities and civilization itself possible.   Mr. Tom Wolf appears prominently in San Fransicko. Tom is a former homeless heroin addict who has now become an advocate for recovery. While reading the book, I couldn't help but be impressed by Tom. He has the voice of lived experience combined with a pragmatic, empathetic, and non-ideological approach. I was thrilled he agreed to speak on this episode.   I was also grateful to have City of Edmonton Police Chief Dale McFee join in the conversation. Dale is a systems-oriented thinker who has been leading transformational change within Edmonton Police Force.   We discuss homelessness, addiction, mental illness, drug and housing policies, policing, and politics. We also draw on Tom's experiences in San Francisco to help us consider the type of policies our cities in Canada need to investigate further.   I loved this conversation and am grateful to have had the opportunity to listen to Tom and Dale grapple with some of the most intractable challenges of our time.

“An expectation is a pre-meditated resentment. If we could just take that one saying and start to just have conversations, be able to co-exist, and have a bit more acceptance, that would be a good start.”– Karen Gosbee, from Ep. 23, Confronting the Madness Expectations among people are often based on an implicit social contract. That is, without actually verbalizing expectations about give-and-take in a relationship, people construct stories in their heads about legitimate expectations of each other. So, people in a relationship have a "deal" in which the specifics of the deal are never really talked about. It is hard for someone to live up to your expectations when they don't know what they are, but you still might see this failure as a violation of your social contract.... During this episode, Karen shares the trauma she endured in silence for many, many years.Karen and her three children lost their husband and father, George Gosbee, to suicide in 2017.What was unknown to many prior to George's suicide was he struggled for many years with mental illness and substance abuse. Through those years, Karen was a victim of both physical and emotional abuse.She chronicles her journey in detail in her book, “A Perfect Nightmare: My Glittering Marriage and How It Almost Cost Me My Life.”I highly recommend you read the book and share with those whom you think may benefit from reading it....Karen is someone who I consider to be a friend and kindred spirit. She is someone I have deep admiration for.We share a unique bond with each other in that psychologically healthy people bore us.That said, rumour has it that the next DSM revision will include a new disorder entitled, “psychologically healthy disorder” or PHD for short. So that may change our perspective on the psychologically healthy population. Another ingenious discovery by the mental health power brokers, adding to the growing list of diagnosable disorders we didn’t know we had....Karen has channeled her lived experience to become an advocate and community leader, working to improve the mental healthcare system. She is the co-chair of Mental Health and Addiction Stewardship Group for The City of Calgary and was a Member of The Government of Alberta Mental Health and Addictions Advisory Council.Keep Confronting the Madness in your lives.- Mark  

On #WorldMentalHealthDay, there is no person I would rather be speaking with. I am privileged to call my next guest, first and foremost, a friend.   Dr. Vincent Agyapong stands, in my eyes, as one of the most generous, kind, supportive, thoughtful, and empathetic men I know.  I went through a personal challenging period in 2020 and Vincent made sure to call me week in and week out just to check in. As a professional, I have not come across a more hard working, innovative, and dynamic individual.  It is no wonder he has been sought after by many organizations around the world. Vincent is the newly minted Professor of Psychiatry and Global Mental Health and the Head of the Department of Psychiatry at Dalhousie University. He is also the Chief of Psychiatry for the Central Zone at Nova Scotia Health Authority.  In this episode Vincent and I focus on global and digital mental health issues and trends. We talk in depth about his major health innovation: supportive text message interventions.  His various text messaging programs have had over 80,000 subscribers.  As founding board members of The Global Psychological eHealth Foundation, Vincent and I also talk about our efforts to focus on global mental health research, advocacy and consulting work. The Global Psychological eHealth Foundation has a specific interest in developing, implementing, and evaluating impacts of, evidence based, easily scalable, and cost-effective e-mental health tools geared at closing the treatment gap for communities in low-, middle- and high-income countries Happy Thanksgiving and Happy World Mental Health Day. If you look in the right places, there is so much to be grateful for.

Antifragile is a term coined by Nassim Nicholas Taleb to suggest that “things benefit from shocks; they thrive and grow when exposed to volatility, randomness, disorder, and stressors and love adventure, risk, and uncertainty...Antifragility is beyond resilience or robustness. The resilient resists shocks and stays the same; the antifragile gets better. My guest today, Luke Jahjefendic embodies Antifragility. Born in Bosnia, Luke immigrated to Canada during the midst of the Bosnian War.  Landing in Toronto at age thirteen, Luke joined the Canadian Armed Forces in his early twenties as way to payback the country who he says, “saved his life.” In total, Luke did five tours of duty and spent over 1200 days serving in Afghanistan -- one of the most of anyone in the Canadian Armed Forces.  During our conversation, we unpacked each tour one by one. The notion of suffering is woven throughout our conversation. Suffering often carries a negative connotation, but like Taleb, who believes that “complex systems are weakened, even killed, when deprived of stressors”, Luke’s perspective on suffering is worth absorbing. In many ways, our society is being weakened due to a lack of significant stressors placed on our systems.  I’m referring specifically to those of us who are living “comfortable” lives.  We often equate comfort with happiness, but, ironically, most people find the opposite is the case. Confronting, and then transcending, suffering is where meaning, purpose, and happiness live.  During this conversation Luke provides us all a reminder of that.        

In this episode I had the great pleasure of speaking with Dr. Valerie Taylor.  Originally hailing from Newfoundland, Valerie is now the Calgary Zone Lead for Addiction and Mental Health with Alberta Health Services as well as the Chair of the Department of Psychiatry at the University of Calgary. Her research focuses on working to identify new treatment modalities for those suffering from mental illness. In 2020, Valerie was named one of Canada’s 100 most powerful women. Valerie has a keen interest in the area of the brain body interface.  A major focus of her research is the gut brain axis and investigating how manipulation of this system can be used as a potential therapeutic target for new treatments and how psychiatric illness impacts the gut microbiome. Valerie is currently running the only clinical trial in North America using fecal transplant to target mood disorders (must listen to become a convert), and are running a longitudinal microbiome biobank which contains detailed clinical, fMRI, and biological (feces, urine, blood) data. Just recently, Valerie announced The Parker Psychedelic Research Chair, the first of its kind in Canada, thanks to a $3M gift by UofC Alumnus Jim Parker. I'm so impressed by Valerie and the innovation she is driving in Calgary.  I love this episode so much and would be prepared to donate my stool to her research, but the only issue is I wouldn't quality as a "healthy subject.":)   .  

In the episode, I had the pleasure of speaking with one of my favorite people, Dr. David Goldbloom.  David has been a leading mental health advocate long before it was en vogue.  He is a leading psychiatrist and an Officer of the Order of Canada. He maintains an active clinical and teaching role as a Psychiatrist and Senior Medical Advisor at the Centre for Addiction and Mental Health (CAMH) in Toronto – Canada's largest mental health teaching hospital and one of the world's leading research centres.  David is also a Professor of Psychiatry at the University of Toronto. In 2007, he was appointed Vice-Chair of the Board of the Mental Health Commission of Canada; he subsequently served as Chair from 2012-2015. He has authored numerous scientific articles and book chapters and has provided talks and lectures to student, professional and public audiences. He is the co-author of the 2017 best-selling book “How Can I Help? A Week In My Life As a Psychiatrist”. David and I spent the bulk of our conversation discussing his most recent book “We Can Do Better: Urgent Innovations to Improve Mental Health Access and Care.” I have been personally involved in Alberta helping launch some of the innovations discussed.  Many of the challenges that I experienced while attempting to encourage these innovations related to significant institutional barriers: bureaucratic stagnation; political indifference; a fragmented array of historical program and services; and, legacy funding programs that no longer meet the needs of health systems, service providers, or, most importantly: the patient. I agree with David:  We can do better, much better, and that many of the innovations discussed in this episode have promise to Improve Mental Health Access and Care. In order to unleash these innovations at scale, we require more flexible governmental support, which includes agile funding programs. We also require bold leadership: individuals within and outside the “system”, committed to collaborating fulsomely while also challenging the legacy system that is currently in place. We can all agree: the status quo will no longer suffice.  

My guest today is Yalda Kazemi.  Yalda’s story is powerful, emotional, honest, and raw.  Her courage in sharing her story is admirable.  I feel obliged to make a content warning to listeners that some of the stories discussed in this episode are raw. Yalda and I spoke about her journey battling postpartum depression, which eventually lead to postpartum psychosis. 23% of mothers having recently given birth reported feelings consistent with postpartum depression or anxiety.  The incidence of postpartum psychosis is 1-2 per one thousand births or, .001 -.002% likelihood. 10% of mothers who are diagnosed with postpartum psychosis result in either a mother’s suicide or infanticide. Yalda is a mom, mental health advocate, entrepreneur, and author of a new book entitled Unapologetic Truths: The Realities of Postpartum We Don’t Talk About.  Her personal experience with postpartum mental illness has led her on a mission to be a voice for mothers who suffer in silence; and to raise awareness and break stigmas associated with mental illness. A powerful conversation, with a powerfully courageous woman.

My guest for Episode 15 of Confronting The Madness is Dr. David M. Clark.  Dr. Clark is a Professor of Psychology at the University of Oxford and a National Clinical Adviser for the United Kingdom’s Department of Health. Dr. Clark’s research has led to the development of new and effective cognitive therapy programs for panic disorder, social phobia, and post traumatic stress disorders.  Alongside economist Richard Layard, Dr. Clark wrote the book Thrive: How Better Mental Health Care Transforms Lives and Saves Money. Dr. Clark was instrumental in pioneering the development and implementation of the Improving Access to Psychological Therapies (IAPT) program in 2008. IAPT has grown each year since 2008 and now sees over 1 million people each year.  Dr. Clark has won numerous awards in the UK and the USA. Such recognition includes Lifetime Achievement Awards from the British Psychological Society and the American Psychological Association. I hope you enjoy this conversation as much as I did.

Joining me for Episode 14 is Dr. Thomas Insel, an american psychiatrist and neuroscientist.  Without question Tom is one of the most influential minds as it comes to mental health in the world today.    Tom is currently a co-founder and adviser to Mindstrong -- a company seeking to transform mental health through innovations in virtual care, data measurement, and data science.  Tom has also recently been named the mental health czar for the state of California by Governor Gavin Newsom.   From 2002-2015, Dr. Insel served as Director of the National Institute of Mental Health (NIMH), advising people like President Barack Obama on mental health policy.  The NIMH is the largest research organization in the world specializing in mental illness with a budget of $1.5 billion dollars.   After leaving NIMH, Tom moved to the private sector and from 2015-2017 he led the Mental Health Team at Google Life Sciences, now known as Verily.   Humble, honest, reflective, entrepreneurial, and aspirational are the words that come to mind after talking with Tom.    I hope you enjoyed our conversation as much as I did.

In Episode 13, I had the great fortune of reconnecting with an old friend, lead singer Ewan Currie of The Sheepdogs.  The Sheepdogs are a Canadian rock and roll band and first unsigned band to make the cover of Rolling Stone magazine.  Since then, they have gone onto win four Juno Awards along with a number of multi-platinum albums. They have performed at some of the largest music festivals in the world:  including South by Southwest, Coachella, Bonnaroo, and Lollapalooza — and last but not least, the Grey Cup. Please forgive us in advance for some of the inside baseball conservations we indulge in.  It was literally our first conversation in 20 years.  Ewan and the Sheep Doggs have had a quite the ride so far.  It's a testament to their character that through their rise in fame they have stayed humble, driven, and are still in love with making music because they love music; and I think there is great beauty and meaning in that. I hope you enjoyed the conversation as much as I did - Mark

I had the great pleasure of speaking with City of Edmonton Police Chief, Dale McFee. Dale is one of the most transformational, systems oriented thinkers I have had the pleasure to speak with.  He is an authentic and courageous leader, doing the work for the right reasons.  I think we are extremely fortunate to have him as our police chief, especially during these turbulent times. Dale and I spent a considerable amount of time discussing how to recalibrate the social safety net ecosystem in an integrated, coordinated, collaborative, and sustainable fashion.  I strongly encourage you all to take a look at the Edmonton Social Impact Audit Report developed by Dr. Alina Turner and her organization HelpSeeker (HelpSeeker.org) if you are interested in exploring the subject further. I hope you enjoy this discussion.

My guest today is Dr. Tyler Black. Tyler is a Child and Adolescent Psychiatrist and Suicidologist who has been in clinical practice for over ten years. He is the Medical Director of Emergency Psychiatry at BC Children's Hospital. On top of clinical duties, he is an Assistant Clinical Professor at the University of British Columbia, and a researcher specializing in suicidology, psychopharmacology, and video games. Tyler is the co-creator of the HEARTSMAP (www.openheartsmap.ca), a psychosocial assessment and guidance tool for youth in emergency departments, and the creator of the ASARI (Assessment of Suicide And Risk Inventory), a documentation tool for clinicians who are assessing or noticing suicide risk. Tyler and I spoke about the impact of school closures on youth mental health; the politicization of suicide during covid 19; the ineffectiveness of suicide prevention programs; and the future prospects of psychiatry.  Enjoy!

Believing that you should never hesitate to trade your cow for a handful of magic beans, Ronan has built a career out of doing things that others say cannot be done. Ronan started his career as a securities lawyer at Blake, Cassels & Graydon LLP but left that after realizing he was much too creative for the profession of law. Since then, Ronan has helped launch business across a number of industries from gold, to cannabis, and, most recently, in psychedelics where he is a Co-founder and the Executive Chairman of Field Trip Health Ltd. (CSE: FTRP, OTCBB: FTRPF), a global leader in the development and delivery of psychedelic therapies. When not being thoroughly incorrigible, Ronan lives in Toronto with his wife and two children. Ronan and I discussed his entrepreneurial journey on the bleeding edge of healthcare; his belief in trading your cow for a handful of magic beans; and, why being a stern foe for all sham serves as his north star. Oh, we also discussed mental health, Field Trip, and the future of healthcare. Enjoy!

The long-awaited return of Cody Lakevold, for part two of our conversation has arrived. It’s not entirely necessary to listen to our first podcast (Ep. 1) but would be helpful for following the thread during this conversation.  It also helps with my download numbers, which of course, supersedes any value one might gain from this conversation. Cody follows up from our first discussion by navigating us through his journey to address the tragic losses he experienced in his life, and shares the various treatment modalities he pursued: EDMR, psychotherapy, and lastly MDMA with augmented psychotherapy—an approach that, I think it’s safe to say, gave him his life back We also talked about the state of well-being in our society today, notions such as anti-fragility, the over-medicalization of mental illness, and other sub-optimal wellness pathways our society is trending towards today. Please note:  None of the following should be taken as medical advice.  Also, brace yourself for some new CTM intro music — it’s going to hit you like a Rob Lovelace (google him) punch to the solar plexus.