Do you always feel a sense of urgency—like you’re on edge, reactive to everything around you? Or, on the other hand, shut down and withdrawn? Then you may be experiencing dysregulation. Dysregulation occurs when the body and mind fall out of balance and struggle to return to a neutral state. Today, clinical psychologist Dr. Nicole LePera (@theholisticpsychologist) joins Treated to explore how and why so many of us live in a constant state of dysregulation.
Dr. Sara and Dr. Nicole discuss how our early environments shape the way we respond to stress as adults, what a healthy stress response looks like versus a chronically dysregulated one, and why women are more susceptible to dysregulation. Then they dive into the importance of taking a “bottom-up” approach to healing and explore the role cortisol plays in keeping us stuck in survival mode.Throughout the episode, Dr. Nicole shares personal stories from her own healing journey—from the impact of her mother’s emotional withdrawal during childhood, to using substances to self-regulate in high school, and even how her mother’s stress during pregnancy contributed to her chronic anxiety. To close, Dr. Sara and Dr. Nicole offer practical tools for regulating the nervous system– from setting boundaries to improving sleep.
// LEARN MORE FROM DR. NICOLE LEPERA //
Visit his website theholisticpsychologist.com
Follow her on Instagram @theholisticpsychologist.
Purchase all of her books through her website, How To Be The Love You Seek, How To Meet Yourself, How To Do The Work.
// KEEP IN TOUCH WITH DR. SARA //
If you have a question, leave a voicemail at speakpipe.com/treated
Follow on IG: @saragottfriedmd @treatedwithdrsara
Produced by Dear Media.
See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
The common prescription to heal our psyche today is to take an SSRI and go to talk therapy. But as we’ve learned through the past few episodes, this only works for 30% of people. That means we need to explore other ways to heal our consciousness. Today on Treated, Dr. Sara sits down with Dr. Brad Jacobs to learn about the alternative ways he has healed his consciousness. From taking MDMA for the first time in college, to surfing and skiing, doing Ayahuasca in ceremony, and both experiencing and prescribing Ketamine therapy—Dr. Brad Jacobs walks us through how to use the present moment as a tool for mental healing.
// LEARN MORE FROM DR. BRAD JACOBS //
Visit his website drbradjacobs.com
Follow him on Instagram @bradjacobsmd.
Listen to our first conversation here and second one here.
// KEEP IN TOUCH WITH DR. SARA //
If you have a question, leave a voicemail at speakpipe.com/treated
Follow on IG: @saragottfriedmd @treatedwithdrsara
Produced by Dear Media.
See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Join Dr. Sara and her sister, Anna Reed, for an honest, funny, and sincere conversation around navigating the healthcare system in the United States as a woman and learning how to regulate your nervous system with age. Anna is a fourth grade teacher and was diagnosed with endometriosis earlier on in life–-a condition that runs in their family. Today, she’s had three surgeries to remove it and underwent a hysterectomy last year. Anna shares the advice she got from Dr. Sara while going through that period and the health protocols she now follows. Then, Anna opens up about the joys and struggles of being a teacher, the importance of cultivating female friendships, and how she found herself after divorce. They close with practical tips to optimize your health for any stage of life.
// KEEP IN TOUCH WITH DR. SARA //
If you have a question, leave a voicemail at speakpipe.com/treated
Follow on IG: @saragottfriedmd @treatedwithdrsara
Produced by Dear Media.
See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Rob Fisher is a marriage and family therapist (MFT), Hakomi trainer, professor, and author. After working in the entertainment industry, he began studying for his master’s degree in psychology. About a decade later, he discovered Hakomi—a body- and mindfulness-centered approach to psychotherapy that emphasizes experiential healing and the importance of the therapeutic relationship. Today, Rob has taught many therapists this practice and is developing “The Compassion Companion,” an AI tool powered by ChatGPT, for patients to use.
Rob joins Dr. Sara on Treated to discuss what led him to switch careers, how he found Hakomi, why it’s such an important form of therapy, and what he’s learned about human nature through it. They also explore the power of writing and what inspired him to write both nonfiction and fiction books. Later, Rob shares his hopes and fears about AI and what the impact will be on human connection and in-person therapy. Dr. Sara tests out “The Compassion Companion,” Rob’s AI therapy tool, and they engage in a real-time Hakomi experience. To close, he shares a memory of one of his favorite clients and reflects on how he hopes to be remembered.
// LEARN MORE FROM ROB FISHER //
Visit his website robfishermft.com
Check out the Compassion Companion and use it here.
Purchase his book, The Weeping Buddha and Experiential Psychotherapy With Couples, A Guide for the Creative Pragmatist.
// OTHER REFERENCES //
Research studies on AI and psychotherapy: Kuhail, Mohammad Amin, Mohamed Bahja, Ons Al-shamaileh, Justin Thomas, Amina Alkazemi, and Joao Negreiros. "Assessing the Impact of Chatbot-Human Personality Congruence on User Behavior: A Chatbot-Based Advising System Case." IEEE Access PP (2024): 1-1. doi:10.1109/ACCESS.2024.3402977.
// KEEP IN TOUCH WITH DR. SARA //
If you have a question, leave a voicemail at speakpipe.com/treated
Follow on IG: @saragottfriedmd @treatedwithdrsara
Produced by Dear Media.
See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
What if the key to financial success and a fulfilling life is slowing down and feeling safe? Kate Northrup is an author, podcaster, and coach who helps people regulate their nervous systems to attract abundance. After the traumatic birth of her daughter in 2016, Kate was left with anxiety and hypervigilance. It was then that she realized she had been using stress and pressure as fuel—and began to strategically relax. When she did, abundance started to flow into her life.
In this episode, Kate guides us on how to move more slowly, engage our senses, and strengthen our intuition. Tune in to learn the simple, tangible advice that can lead to a life filled with more joy, peace, and abundance.
// LEARN MORE FROM KATE NORTHRUP //
Visit his website katenorthrup.com.
Follow her on Instagram @katenorthrup.
Listen to her podcast, Plenty, wherever you podcast.
Purchase her books, Do Less and Money: A Love Story.
// KEEP IN TOUCH WITH DR. SARA //
If you have a question, leave a voicemail at speakpipe.com/treated
Follow on IG: @saragottfriedmd @treatedwithdrsara
Produced by Dear Media.
See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Did you know that some people take a small dose of LSD in the morning instead of an SSRI to treat depression? Microdosing psychedelics has become more mainstream, and today, Dr. Sara explores the growing body of research on microdosing to improve overall health. Although limited, studies have shown that microdosing LSD and psilocybin can improve blood pressure, sleep, mood, social cognition, and—anecdotally—creativity, with no reported adverse side effects. Dr. Sara examines the intricacies of these studies and highlights some of their limitations—particularly the lack of research on microdosing in women, and why this needs to change as the field continues to grow. To finish, Dr. Sara shares her personal experience with microdosing and what she hopes to see in the future.
// BOOKS AND ARTICLES ON MICRODOSING //
‘Microdosing: The people taking LSD with their breakfast’
‘Silicon Valley Is Micro-Dosing ‘Magic Mushrooms’ To Boost Their Careers’
‘Microdosing Psilocybin Mushrooms Improves Mood And Mental Health After One Month, New Study Finds’
Ayelet Waldman — A Really Good Day: How Microdosing Made a Mega Difference in My Mood, My Marriage, and My Life
James Fadiman — Microdosing for Health, Healing, and Enhanced Performance
James Fadiman — The Psychedelic Explorer's Guide: Safe, Therapeutic, and Sacred Journeys
// RESOURCES ON MICRODOSING LSD //
Study published in 2024 (examining doses of 5 to 20 micrograms of LSD): Murphy, Robin J., Suresh Muthukumaraswamy, and Harriet de Wit. 2024. "Microdosing Psychedelics: Current Evidence From Controlled Studies." Biological Psychiatry: Cognitive Neuroscience and Neuroimaging 9 (5): 500-511. https://doi.org/10.1016/j.bpsc.2024.01.002.
Study published in 2024 by Allen et al. (examining 10 micrograms of LSD in men): Allen, Nathan, Aron Jeremiah, Robin Murphy, Rachael Sumner, Anna Forsyth, Nicholas Hoeh, David Menkes, William Evans, Suresh Muthukumaraswamy, Frederick Sundram, and Partha Roop. 2024. "LSD Increases Sleep Duration the Night After Microdosing." Translational Psychiatry 14. https://doi.org/10.1038/s41398-024-02900-4.
Study of eight men given LSD for creativity: Murphy, R.J., R.L. Sumner, K. Godfrey, et al. 2025. "Multimodal Creativity Assessments Following Acute and Sustained Microdosing of Lysergic Acid Diethylamide." Psychopharmacology 242: 337–351. https://doi.org/10.1007/s00213-024-06680-z.
Study in men on LSD and sleep (80 subjects): Allen, Nathan, Aron Jeremiah, Robin Murphy, Rachael Sumner, Anna Forsyth, Nicholas Hoeh, David B. Menkes, William Evans, Suresh Muthukumaraswamy, Frederick Sundram, and Partha Roop. 1 2024. "LSD Increases Sleep Duration the Night After Microdosing." Translational Psychiatry 14 (1): 191.
// RESOURCES ON MICRODOSING MUSHROOMS //
Study of 34 people given 0.5 grams of dried mushroom: Cavanna, Federico, Stephanie Muller, Laura Alethia de la Fuente, Federico Zamberlan, Matías Palmucci, Lucie Janeckova, Martin Kuchar, Carla Pallavicini, and Enzo Tagliazucchi. 2021. "Microevidence for Microdosing with Psilocybin Mushrooms: A Double-Blind Placebo-Controlled Study of Subjective Effects, Behavior, Creativity, Perception, Cognition, and Brain Activity." bioRxiv 2021.11.30.470657. https://doi.org/10.1101/2021.11.30.470657.
// RESOURCES ON MICRODOSING LSD AND MUSHROOMS //
Polito, Vince, and Priyanka Liknaitzky. 2022. "The Emerging Science of Microdosing: A Systematic Review of Research on Low Dose Psychedelics (1955-2021) and Recommendations for the Field." Neuroscience & Biobehavioral Reviews 139 (August): 104706. https://doi.org/10.1016/j.neubiorev.2022.104706.
Polito V, Liknaitzky P. Is microdosing a placebo? A rapid review of low-dose LSD and psilocybin research. J Psychopharmacol. 2024 Aug;38(8):701-711. doi: 10.1177/02698811241254831. Epub 2024 Jun 14. PMID: 38877715; PMCID: PMC11311906.
// KEEP IN TOUCH WITH DR. SARA //
If you have a question, leave a voicemail at speakpipe.com/treated
Follow on IG: @saragottfriedmd @treatedwithdrsara
Produced by Dear Media.
See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
How do we balance our polarities—our feminine and masculine, our lightness and darkness? In this episode, Dr. Brad Jacobs and Dr. Sara discuss how to balance our lives to optimize our healthspan by focusing on what is common sense but not common practice. Dr. Brad Jacobs delves into the top health issues he sees in his patients: loneliness, sleep disturbances, and a complete denial of their health. He then explores the complexities of modern masculinity and the pitfalls of traditional masculine models. To conclude, Dr. Brad Jacobs provides practical strategies for men to achieve balance, improve their well-being, and foster healthier relationships.
// LEARN MORE FROM DR. BRAD JACOBS //
Visit his website drbradjacobs.com
Follow him on Instagram @bradjacobsmd.
Follow on
// KEEP IN TOUCH WITH DR. SARA //
If you have a question, leave a voicemail at speakpipe.com/treated
Follow on IG: @saragottfriedmd @treatedwithdrsara
Produced by Dear Media.
See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
