Therapist Confidential

In this Therapist Confidential short, Travis Heath takes a playful (and affectionate) look at therapist language—the phrases that show up in sessions, supervision, and training rooms so often they’ve become a dialect. From “holding space” and “what I’m hearing you say is…” to “let’s sit with that” and “where do you feel that in your body,” Travis roasts the clichés many of us rely on—himself included. This mini-episode isn’t a takedown of therapy skills. It’s a reminder that cliché phrases often start as useful training wheels—slowing things down, conveying presence, and creating safety—but over time can lose flavor and drift into autopilot. In an era where clients increasingly recognize therapy-speak (thanks to social media and mental health content), Travis invites clinicians to get curious about their own language: why we say what we say, when it helps, and how repeating scripts can sometimes get in the way of real human contact. Warm, self-deprecating, and practical—this one’s for therapists, students, and anyone who’s ever heard “that makes so much sense.”

In this solo episode of Therapist Confidential, Travis Heath explores the internal conversations therapists have every day—but rarely say out loud. Beneath the public image of therapy as a space of clarity, certainty, and expertise lies a quieter reality shaped by judgment, doubt, ethical tension, and very real limits. Travis reflects on uncomfortable but human thoughts therapists hold: noticing judgments, choosing not to relieve distress too quickly, sensing when therapy may not “fix” what a client is facing, and grappling with the ways therapy exists within economic and social systems. Rather than exposing these thoughts as confessions or grievances, this episode frames them as part of the responsibility of therapeutic work—held carefully, often privately, and sometimes alone. A reflective episode about presence over solutions, dignity over improvement, and why therapy’s power often lies not in certainty, but in staying with what cannot be easily resolved.

Travis Heath sits down with Dr. Tammie Lee Demler—board-certified psychiatric and geriatric pharmacist—for a wide-ranging conversation on psychopharmacology, stigma, loneliness, and what clinicians often miss when they talk about “meds.” From deprescribing and the realities of polypharmacy in older adults to the ethics of access and affordability, Dr. Demler offers a grounded, collaborative perspective that’s especially relevant for therapists who work alongside prescribers. They also unpack the Surgeon General’s framing of loneliness (and how it differs from social isolation), the importance of “noticing,” and why directly asking about suicide can be relieving—not harmful. Along the way, Dr. Demler shares research on teaching to reduce stigma, explores why testing “taboo” hypotheses can still be good science, and breaks down what’s notable (and challenging) about a newer antipsychotic option with a novel, muscarinic-based mechanism.

In this solo episode, Travis Heath explores the fast-moving question on every therapist’s mind: what does AI mean for psychotherapy—right now? After a surprising personal encounter with a highly realistic “client bot,” Travis unpacks why AI no longer feels like a future thought experiment, but an active force reshaping mental health care. He walks through the most compelling possibilities (access, 24/7 support, therapist relief, psychoeducation, and AI as a reflective mirror), alongside the most pressing concerns (privacy, misguidance, equity, overreliance, dehumanization of care, and subtle relational harms). Rather than panic or naïve optimism, Travis argues for a more useful stance: curiosity, ethical clarity, and collaboration—while protecting what is uniquely human about therapy. Ultimately, this episode asks a deeper question: if AI can do the worksheets, scripts, and surface-level empathy, what will it demand of us as therapists—and what might it invite us to reclaim?

In this solo episode of Therapist Confidential, Travis Heath reflects on what it means to speak the unspeakable in therapy. Drawing from years of clinical work and recent conversations in the aftermath of a polarizing act of political violence, Travis explores how people often experience feelings they are not given permission to have—relief, anger, shame, grief, and confusion—often all at once. He discusses why therapy can be one of the few places where these contradictions can be spoken without judgment, and why curiosity is not a soft skill but an ethical practice. This episode invites therapists and listeners alike to consider how systems shape emotion, how polarization flattens complexity, and how speaking what feels forbidden can restore humanity.