Episodios

  • Free Speech Is Good For Mental Health with Dr. Chloe Carmichael
    Nov 26 2025
    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

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    48 m
  • Making Mental Health & Addiction Visible with Matteo Esposito from the Invisible Challenge
    Nov 19 2025
    In this powerful conversation, Matteo Esposito shares the story that shaped his mission to help others reclaim their lives from addiction and mental illness. Matteo is a Certified Addiction Recovery Coach and co-founder of Invisible Challenge, a movement focused on ending the stigma around invisible illnesses including bipolar disorder, substance use disorders, and suicidality.Mark and Matteo explore the difficult reality of dual diagnosis, the limits of our current system, and the lived experience behind manic episodes, depression, and the pull of addiction. Matteo explains how suffering, time, and honest acceptance led him to recovery, and why connection is often stronger than willpower alone.They discuss the gaps in psychiatry, the trial and error of medications, the danger of self-medication, the unpredictable nature of relapse, and the emotional toll on families who walk beside a loved one in crisis. Matteo also opens up about rebuilding his life, repairing relationships, and using his lived experience to support others who are still trying to find their footing.This is an honest and deeply human look at mental illness, addiction, and what it truly takes to heal.Matteo Esposito, Certified Addiction Recovery Coach : https://invisiblechallenge.org/Episode Takeaways 1. Invisible illnesses are often dismissed because they do not show up on scans, yet they can be as disabling as any physical condition.2. Dual diagnosis is complex. Treating bipolar disorder and addiction separately does not work. Both must be addressed together.3. Self medication hides deeper problems. Many people use alcohol or cannabis to manage anxiety, insomnia, or early psychiatric symptoms.4. Mania has clear warning signs. Loss of sleep, high energy, pressured speech, and risky decisions are red flags that should never be ignored.5. Addiction is a brain illness. It is not a moral failure, not a weakness, and not a lack of willpower.6. Suffering often precedes change. For many people, the turning point comes only after repeated lows and accumulated exhaustion.7. Connection is protective. Recovery becomes possible when someone is surrounded by people who understand the journey.8. Professional guidance matters. Matteo credits his progress to finally following recommendations from clinicians instead of relying on his own judgment.9. Peer support accelerates healing. Helping others in recovery strengthens sobriety and reduces the risk of relapse.10. Families carry their own burden. Loving someone with addiction or mental illness is heavy, complex, and often painful.11. Recovery is a daily commitment. Even years later, it is maintained one decision and one day at a time.12. Hope is a vital tool. Matteo reminds anyone struggling that change is possible, suffering is not permanent, and no one is alone in the process.Episode Timestamps 01:27 – Matteo describes entering the mental health system and navigating inconsistent levels of care. 02:21 – Mark breaks down substance use disorders and explains the limits of current treatments. 03:38 – Matteo discusses early experiences with psychiatrists and the difficulty of treating substance use and bipolar disorder together. 04:39 – Matteo explains when his mania first escalated and how substances intensified the symptoms. 05:49 – Matteo talks about the relationship between depression, self-medication, and worsening addiction. 06:11 – Mark explains why people self-medicate with alcohol or cannabis when their mind starts to unravel. 07:11 – Matteo shares how he gained partial stability with bipolar disorder before realizing his addiction was growing. 08:20 – Matteo describes the moment he recognized he had lost control over weed and alcohol. 09:57 – Mark explains the difference between mood disorders and personality disorders and why bipolar is often misunderstood. 10:23 – Matteo identifies the behavioral warning signs of mania, including loss of sleep, pressured speech, and risky decisions. 12:24 – Mark explains mood-stabilizing therapy and how medications level out extreme highs and lows. 12:47 – Matteo reflects on the importance of connection as the opposite of addiction. 14:30 – Matteo explains why suffering and time were the two forces that finally pushed him toward recovery. 15:54 – Mark outlines why addiction treatment has low success rates and why relapse is common. 17:24 – Matteo discusses peer support and how helping others helps him stay sober. 20:47 – Matteo describes how following professional guidance instead of his own instincts became a turning point. 23:13 – Matteo reflects on repairing relationships with family and how addiction strains loved ones. 25:08 – Matteo discusses how families struggle with the line between love and enabling. 27:29 – Matteo shares words of encouragement for people who feel hopeless in addiction or mental illness. 30:45 – Mark and Matteo discuss therapy, lived experience, and the need for ongoing self-awareness in ...
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    52 m
  • Voice: The 5th Vital Sign with Dr. Kang Hsu
    Nov 12 2025
    Your voice says more than you think.

    In this episode, Dr. Mark Bonta sits down with Dr. Kang Hsu, Chief Medical Officer of Canary Speech, to explore how AI and vocal biomarkers could make the human voice the next vital sign in medicine.


    They unpack the science behind this breakthrough, showing how subtle shifts in tone, rhythm, and cadence can reveal early signs of depression, anxiety, Parkinson’s, or cognitive decline long before symptoms appear.

    Dr. Hsu shares the origin story of Canary Speech, the research that powers its models, and how voice-based screening is already being used in healthcare, from telehealth visits to smart devices.

    It is a look into a future where a 40-second voice sample could help doctors detect disease, personalize treatment, and bring empathy back into digital medicine.

    Guest Link : https://canaryspeech.com/


    Timestamps


    00:00:00 — Welcome and opening reflections
    00:00:07 — A candid start: location, context, and conversation
    00:01:32 — Meet Dr. Kang Hsu, Chief Medical Officer of Canary Speech
    00:02:44 — How voice became medicine: the story behind Canary Speech
    00:03:29 — Why this conversation matters to clinicians and patients alike
    00:04:05 — Making science accessible: breaking down complex ideas
    00:05:59 — Behind the mic: how each episode comes together
    00:06:59 — Keeping it real: refining, revising, and staying authentic
    00:08:00 — Can your voice reveal your health? The rise of vocal biomarkers
    00:12:00 — From telehealth to wearables: real-world applications
    00:18:00 — The uphill climb: innovation vs. healthcare resistance
    00:24:00 — The road ahead: what the future of voice in medicine could look like
    00:30:00 — Closing thoughts and a glimpse into what’s next

    Episode Takeaways


    1. Voice as a Vital Sign
    Your voice holds more data than you realize. Subtle changes in tone and rhythm can reveal early signs of depression, anxiety, or even cognitive decline.

    2. Objectivity Through AI
    Canary Speech uses vocal biomarkers to turn speech into measurable data, giving clinicians objective insight where surveys and self-reporting fall short.

    3. New Frontiers in Telehealth
    Voice analysis can run quietly in the background of virtual visits and smart devices, creating a noninvasive way to monitor mental and physical health between appointments.

    4. The Challenge of Change
    Healthcare moves slowly. Adoption depends on awareness, trust, and showing how accessible technology like this can ease strain on overburdened systems.

    5. A Future Built on Listening
    In time, voice may join heart rate and blood pressure as a standard vital sign. It can help detect disease earlier and make care more personal, not less.

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    39 m
  • Erections: A Window into Cardiovascular Health? with Dr. Eliott Justin
    Nov 5 2025
    Welcome back to Ditch the Labcoat. This week, host Dr. Mark Bonta sits down with Dr. Elliot Justin, emergency physician, innovator, and founder of FirmTech, for a conversation that’s equal parts fascinating, funny, and paradigm-shifting. Together, they explore a topic that most people find awkward to talk about—but everyone is curious about: male sexual health.Dr. Justin shares how a personal injury and a deep curiosity about human physiology led him to develop an unexpected form of wearable technology—an erection ring that can not only enhance sexual performance but also collect valuable health data. Beneath the humor and candor lies something revolutionary: nocturnal erections, it turns out, may be one of the most powerful predictors of cardiovascular health we’ve been overlooking.In this episode, Dr. Bonta and Dr. Justin unpack what it means when men stop getting morning erections, how this can serve as an early warning sign for heart disease, and why the term “erectile dysfunction” might need to be retired altogether. They explore the complex interplay between vascular, neurological, and psychological factors that drive sexual performance; and how rebranding “dysfunction” into erectile fitness reframes the conversation around men’s health, confidence, and relationships.From bedside humor to hard science, Dr. Justin reveals how FirmTech’s technology has already identified hidden cardiac disease in users, improved relationships, and empowered men to take charge of their health in a completely new way. The discussion ranges from cardiovascular physiology to the social stigma surrounding male sexual health—and how technology might just be the bridge that makes it easier to talk about.If you’ve ever wondered what your body might be trying to tell you, why sex can be one of medicine’s most underused diagnostic tools, or how innovation can transform intimacy and health alike, this episode is for you.Let’s ditch the lab coat and get real about the science—and future—of erections.Dr. Elliot Justin, MD, FACeP, CEO of FirmTechhttps://myfirmtech.comEpisode Timestamps 01:00 Introduction to Health Metrics02:56 The Journey to Sexual Health Technology05:48 Understanding Nocturnal Erections09:13 The Role of Vascular Health11:57 Redefining Erectile Dysfunction14:54 The Impact of Technology on Sexual Health17:53 The Importance of Venous Return21:06 Patient Experiences and Relationship Dynamics24:02 The Power of Data in Sexual Health26:56 Safety and Usage of the Technology29:57 Future of Sexual Health Screening32:54 Concluding Thoughts on Sexual HealthEpisode TakeawaysNocturnal erections can serve as a leading indicator of cardiovascular health, offering a non-invasive way to monitor heart health.The technology developed by Elliot provides a dual-purpose solution: tracking nocturnal erections and serving as an erection ring to maintain sexual performance.Elliot's personal journey from emergency medicine to developing this technology highlights the importance of addressing sexual health as a vital component of overall well-being.The conversation challenges the stigma around erectile dysfunction, advocating for a shift towards discussing "erectile fitness" to promote a positive and proactive approach to sexual health.The data collected from the wearable technology can help differentiate between psychogenic and physiological causes of erectile issues, providing valuable insights for personalized treatment.Elliot emphasizes the need for a personalized approach to health, where individuals can use data to understand their unique health needs and make informed decisions.The episode underscores the potential of wearable technology to disrupt traditional medical practices by providing actionable insights and empowering individuals to take control of their health.Dr. Mark Bonta and Elliot discuss the broader implications of their work, suggesting that it could lead to new standards of care for men over 45 or those with specific health conditions.The conversation highlights the importance of open dialogue about sexual health, encouraging listeners to consider the benefits of integrating sexual health monitoring into their wellness routines.Elliot's innovative approach to sexual health technology is positioned as a tool for enhancing relationships and improving quality of life, beyond just addressing medical concerns.DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts ...
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    38 m
  • Trick, Treat or Trauma with Dr. Mark Bonta
    29 m
  • Life Span - Redefining longevity with anti-aging expert : Dr. Filippo Ongaro
    Oct 22 2025
    Welcome back to Ditch the Labcoat. This week, Dr. Mark Bonta sits down with Dr. Filippo Ongaro. He is a physician, bestselling author, and former flight surgeon at the European Space Agency who joins Dr. Bonta in the studio to explore a topic that’s redefining how we think about aging: the pursuit of healthspan over lifespan.


    In a world obsessed with biohacking, supplements, and quick fixes, Dr. Ongaro brings the conversation back to fundamentals; how to age strong, not just long. Drawing from his years working with astronauts exposed to the accelerated aging effects of space travel, he reveals how lessons from outer space can transform how we live here on Earth.

    Together, Dr. Bonta and Dr. Ongaro unpack what it really means to live well into our later decades; why preserving muscle is the key to longevity, how sleep acts as free medicine, and why fitness, nutrition, and environment are the true “anti-aging” tools. They challenge the hype around lifespan extension and focus instead on the daily, unsexy habits: movement, connection, consistency - that have the biggest impact on well-being.

    Dr. Ongaro also shares how his work has evolved to emphasize coaching, where he works to help people bridge the gap between knowing what to do and actually doing it. From setting up your home to promote healthy choices, to rethinking gratification, he offers practical, science-informed ways to turn small behavioral changes into lifelong transformation.

    If you’ve ever wondered whether living to 100 is the goal; or if living well to 80 might be the better and more realistic one, this episode will reshape your understanding of aging, motivation, and what it truly means to thrive over time.

    Let’s ditch the lab coat and get real about living longer AND stronger.

    Check out Dr. Filippo Ongaro, MD Youtube Channel https://www.youtube.com/@DrFilippoOngaro

    Episode Timestamps


    02:00 Exploring Biohacking and Longevity
    03:08 The Importance of Healthspan vs. Lifespan
    06:11 Principles of a Good Healthspan
    09:06 Habit Change and Behavioral Science
    11:49 Creating a Supportive Environment for Health
    15:08 Lessons from Astronauts and Aging
    20:00 Motivating Change in Health Behaviors
    30:05 The Future of Longevity and Healthspan

    Episode Takeaways
    1. Biohacking is about more than just extending lifespan; it's about enhancing healthspan and quality of life.
    2. Fitness plays a crucial role in maintaining a high quality of life and can significantly impact healthspan.
    3. Habit change is essential for long-term health benefits, and coaching can be a powerful tool in facilitating this change.
    4. The lessons learned from astronauts about muscle preservation and stress management can be applied to everyday life.
    5. Simple lifestyle changes, like improving sleep quality and home ergonomics, can have a profound impact on health.
    6. The focus should be on applying existing knowledge about healthspan rather than seeking new, unproven methods.
    7. Behavioral change is key to improving health outcomes and should be integrated into medical practices.
    8. The concept of healthspan should become a common part of medical conversations to drive meaningful change.
    9. Practical interventions, like having a home gym, can be accessible and effective for many people.
    10. The future of longevity lies in making healthspan a universal focus, not just for biohackers or early adopters.


    DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.


    >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.


    Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.
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    43 m
  • Gut Health: A collaborative episode with The Gut Doctor
    Oct 15 2025
    In this week’s episode of Ditch The Labcoat, host Dr. Mark Bonta sits down with gastroenterologist and podcast host Dr. Neil Parikh—known from The Gut Doctor Podcast—for a fascinating journey through one of the most complex and misunderstood systems in the human body: the gut.


    Together, they unpack the modern obsession with “gut health,” the hype around the microbiome, and why everyone from wellness influencers to scientists seems to think the key to longevity lies somewhere between our mouth and anus. But this conversation goes far deeper than digestion—it explores how what we eat, how we live, and even how we think shapes our gut and, in turn, our overall health.

    Dr. Parikh blends science with relatable insights from his life as both a physician and a dad, sharing how early childhood experiences, diet, sleep, stress, and even how we talk about “tummy troubles” influence lifelong health. The discussion spans from the everyday nuisances of bloating and irritable bowel syndrome to the more serious red flags of inflammatory bowel disease—and the grey area in between that frustrates so many patients (and doctors).

    You’ll hear about why our guts become more sensitive with age, why sugary drinks can wreak havoc on our internal ecosystem, and how something as simple as portion control—or a good night’s sleep—can dramatically improve digestive wellness. Along the way, Dr. Bonta and Dr. Parikh also challenge the commercialization of gut health, questioning whether expensive probiotic supplements or social media trends actually stand up to science.

    If you’ve ever wondered what your microbiome is really doing, whether yogurt is worth the hype, or why your stomach isn’t as resilient as it used to be, this episode will give you the clarity you’ve been craving.

    Time to get real about gut health and digest the science while crapping out the myth.

    Listen to The Gut Doctor Podcast by Dr. Neil Parikh, MD
    https://podcasts.apple.com/us/podcast/the-gut-doctor/id1605040922

    Episode Timestamps

    03:35 The Role of Gut Microbiome in Health
    09:16 The Importance of Gut Flora and Its Functions
    17:45 Dietary Choices and Their Impact on Gut Health
    21:08 Irritable Bowel Syndrome: A Spectrum of Symptoms
    30:23 Distinguishing Between IBS and Inflammatory Bowel Disease
    34:44 Current Understanding of Inflammatory Bowel Disease
    37:09 Practical Dietary Advice for Gut Health

    Episode Takeaways

    1. Gut health is a broad term that encompasses various aspects of digestive well-being, often misunderstood even by medical professionals.
    2. The gut microbiome plays a crucial role in digestion and overall health, but our understanding of it is still evolving.
    3. Lifestyle factors such as diet, sleep, and mental health significantly impact gut health and can influence conditions like irritable bowel syndrome.
    4. There is no one-size-fits-all approach to gut health; individual experiences and symptoms can vary widely.
    5. Probiotics and fermented foods like yogurt can support gut health, but their effectiveness may vary depending on individual conditions.
    6. Understanding the difference between normal digestive discomfort and symptoms that require medical attention is key to managing gut health effectively.
    7. The conversation around gut health is becoming more open, allowing for better management and understanding of digestive issues.
    8. Cultural and dietary habits, such as those observed in European "blue zones," may offer insights into maintaining a healthy gut.
    9. The relationship between gut health and other conditions, such as autoimmune diseases, is an area of ongoing research and interest.
    10. Personalized approaches to diet and lifestyle can help manage and improve gut health over time
    4. There is no one-size-fits-all approach to gut health; individual experiences and symptoms can vary widely.
    5. Probiotics and fermented foods like yogurt can support gut health, but their effectiveness may vary depending on individual conditions.
    6. Understanding the difference between normal digestive discomfort and symptoms that require medical attention is key to managing gut health effectively.
    7. The conversation around gut health is becoming more open, allowing for better management and understanding of digestive issues.
    8. Cultural and dietary habits, such as those observed in European "blue zones," may offer insights into maintaining a healthy gut.
    9. The relationship between gut health and other conditions, such as autoimmune diseases, is an area of ongoing research and interest.
    10. Personalized approaches to diet and lifestyle can help manage and improve gut health over time.

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    43 m
  • Unlocking Peak Performance With The Mindset First Approach (Part 2)
    Oct 8 2025
    This episode applies a clinical lens to the mindset first philosophy shared by Dr. Cassidy Preston in Part 1.


    In this insightful episode, Dr. Mark Bonta, Dr. Sebastian Mafeld, and Dr. Cassidy Preston delve into the intersection of mindset and medicine. They explore how principles from sports psychology can enhance medical practice, emphasizing the importance of adaptability, presence, and continuous learning. Through personal anecdotes and professional experiences, they discuss the transformative power of coaching and the potential for integrating these strategies into medical education. Join us for a thought-provoking conversation that challenges traditional paradigms and inspires a new approach to healthcare.

    Our Guests :
    Dr. Sebastian Mafeld, Vascular & Interventional Radiologist.
    Cassidy Preston, PhD in Sport & Performance Psychology.
    https://cepmindset.com/

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    43 m