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On the Convos From The Couch podcast, you’ll hear engaging, informative conversations with leading mental health care professionals that will help guide you on your journey to leading a healthier, more fulfilling life.
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Beyond Weight Loss: How GLP‑1 Medications can Affect the Mind and Body
LATEST EPISODE
July 15, 2026 Kara Guevara, MSW, LCSW with Kara Guevara, MSW, LCSW
Relationship / Dating | Seniors

The Mental Health Cost of Family Estrangement
Family estrangement is more common than many people realize, yet it remains one of the most misunderstood and isolating experiences individuals and families can face. In this episode, we are joined by LifeStance therapist Kara Guevara and her patient Ken to explore the emotional impact of losing contact with a family member and the complex grief that...

Featured Episodes

Psychiatry

Bipolar Disorder: A Dialogue with Psychiatric Experts – Podcast

In honor of World Bipolar Day, host Nicholette Leanza sits down with psychiatrists Dr. Robert Herman and Dr. Joe Foundriest to explore the complexities of Bipolar disorder. Dr. Herman shares how personal experiences shaped his passion for the field, his research on Lamotrigine, and his work with the International Society for Bipolar Disorders. Dr. Foundriest provides insights into the psychodynamics of the...
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Personality Disorders

Borderline Personality Disorder: Debunking Myths and Navigating Treatment – Podcast

Borderline Personality Disorder (BPD)  is one of the most misunderstood mental health conditions, often surrounded by myths and stigma. In this episode of Convos from the Couch, host Nicholette Leanza sits down with psychologist Dr. Aaliyah Gibbons to break down the truth about BPD, its connection to trauma, and how it’s often misrepresented. Dr. Gibbons...
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Self-Help & Wellness

The Impact of Social Media on Mental Health – Podcast

Host Nicholette Leanza sits down with LifeStance therapist Leanna Stockard to unpack the complex relationship between social media and mental health. Leanna explores how social media can both normalize conversations about mental health and contribute to challenges like misinformation and self-diagnosis. They dive into:How online stories can reduce stigma. The risks of overusing terms like “narcissism” or...
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Eating Disorders

Beyond Weight Loss: How GLP‑1 Medications can Affect the Mind and Body

What happens in the mind—not just the body—when someone starts a GLP‑1 medication? In this episode, we explore what’s happening in the brain and body when someone takes a GLP‑1, including changes in appetite, metabolism, and what many patients describe as a reduction in “food noise.” We look closely at the psychological impacts clinicians are...
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Women

Understanding Postpartum Psychosis

LifeStance therapist Kellen Smith joins us to explore the complex and often misunderstood reality of postpartum psychosis. The conversation unpacks what postpartum psychosis is, how it differs from postpartum depression, and why early recognition and support are so critical. Drawing from her background in forensic psychology, Kellen helps listeners understand key warning signs, including severe mood...
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Addiction

When Scrolling Takes Over: Understanding Social Media Addiction

In this episode, we sit down with LifeStance therapist Jordan Parmenter to unpack a conversation that’s increasingly hard to ignore: the impact of social media on our mental and emotional well-being. Grounded in a recent landmark court case that held major platforms accountable for addictive design features like infinite scroll and autoplay, the discussion goes beyond headlines...
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Diagnosing (Testing & Evaluation)

Understanding Adult Autism: Masking, Burnout, and Missed Diagnoses

LifeStance Psychologist Dr. Audrey Oliva explores what psychological assessment for adult autism really involves—and why so many adults are missed earlier in life. We discuss the full evaluation process, from the initial intake to in‑depth testing, behavioral observation, and comprehensive feedback. The conversation unpacks key concepts like masking, twice exceptionality, and autistic burnout, and explains how high intelligence, long‑term...
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Self-Help & Wellness | Sleeping Disorders | Trends and Predictions

The Sauna Boom: Wellness Trend or Helpful Mental Health Tool?

Saunas are having a serious moment — from gyms to backyard builds to endless social media claims promising everything from better sleep to reduced stress. But behind the hype, what’s actually true?LifeStance Health Clinical Directors Aimee McWilliams and Mark McGrosky join us to explore this wellness trend. Together, the group unpacks the growing popularity of saunas and looks at...
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Self-Help & Wellness

Understanding the Loneliness Epidemic: Why Connection Matters

Feeling disconnected—even when you’re not alone? You’re not the only one. In this episode, we chat with therapist Lauren Corsillo to unpack the growing loneliness epidemic—and why it’s affecting people of all ages. Drawing on research, clinical insight, and real-world experiences, Lauren explores how loneliness shows up in our lives and what’s driving its rise. Together, we break...
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Self-Help & Wellness

Supporting Ourselves Through Political Stress

In a time when the headlines feel relentless and conversations can quickly turn charged, we sit down with therapist Eva Tukuafu for a thoughtful, grounding conversation on navigating political stress. Eva shares practical guidance for staying present, maintaining psychological flexibility, and navigating challenging conversations without losing sight of our values or our relationships. From understanding the difference between...
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Sleeping Disorders

How Better Sleep Supports Better Mental Health

LifeStance psychiatrist Dr. Kenya Windley and psychologist and author Dr. Eugene Carroccia join us for a grounded, eye‑opening conversation about one of the most overlooked mental health tools: sleep. Together, they explore why sleep is often the first thing people sacrifice and how deeply it influences emotional regulation, focus, mood, and overall well‑being. Dr. Windley shares her clinical perspective on...
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LGBTQ+ | Relationship / Dating

Why “Heated Rivalry” Hit Us So Hard

In this episode, host Nicholette Leanza is joined by co-host and Public Relations Manager Samantha Miller, along with LifeStance therapists Harley Rubin and Khannah (Han) Wetmore, to unpack the emotional impact of the HBO Max series Heated Rivalry—and why it has struck such a chord with viewers. Together, the group explores the complex relationship between characters Shane and Ilya,...
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Nicholette Leanza, M.Ed, LPCC

MEET THE HOST

Nicholette Leanza, M.Ed, LPCC

Nicholette possesses nearly 30 years of experience working with individuals to improve their lives through thought-provoking and creative therapy techniques. She is a licensed professional clinical counselor and an award-winning university instructor with several media interviews related to psychological health and well-being.

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