Convos from the Couch by LifeStance Health

From Warrior to Elder: Rethinking Mental Health and Aging for Men

In this episode, we’re joined by therapist Ed Collins for a candid conversation about the often-overlooked mental health challenges faced by older men. Together, we explore how traditional masculinity and societal expectations can create barriers to mental wellness and prevent men from seeking the support they need. Ed offers a powerful framework for aging with purpose, encouraging a shift from the role of “warrior” to “tribal elder.” He makes the case for celebrating aging as a time of meaning, growth, and intentional transition. The episode closes with thoughtful reflections on retirement and planning for life’s final chapters—not with fear, but with hope and clarity.

Pride 2025: A Discussion on Gender Affirming Care

In this 2025 Pride episode, we explore the critical importance of gender-affirming care. Nicholette is joined by Melanie Falls, Han Wetmore, and Dr. Shain Miller—three experts deeply involved in supporting LGBTQ+ communities. Together, they discuss the clinical realities of gender dysphoria, and the vital role of family and community in affirming trans youth. The conversation highlights the resilience of transgender individuals, the mental health implications of restricted care, and practical steps clinicians and allies can take to offer support. Resources like Trans Family, PFLAG, and local LGBT centers are also shared for those seeking guidance.

Healing After the Flames: Coping with Trauma from the Los Angeles Fires

Join psychologist Dr. Rachael Polokoff on Convos from the Couch as she revisits the traumatic January 2025 Los Angeles fires, highlighting the ongoing psychological challenges faced by survivors, including PTSD, anxiety,  and depression.
Drawing from personal experience and professional expertise, Dr. Polokoff discusses effective therapeutic approaches such as EMDR (Eye Movement Desensitization and Reprocessing), trauma-focused Cognitive Behavioral Therapy (CBT), mindfulness practices, and journaling. This insightful discussion emphasizes the importance of specialized mental health interventions, community connection, and authentic empathy in healing after devastating events.

Empowering Students Through School-Based Mental Health Programs

In this inspiring episode of Convos from the Couch, Angela Caiazza, Clinical Director at LifeStance Health, shares her passion and insights into the transformative power of School-Based Mental Health Programs. Learn how providing accessible mental health support within schools helps students and families overcome common barriers, improves academic and emotional outcomes, and strengthens entire communities. This innovative collaboration between therapists, educators, and families creates a more supportive environment for student wellness, breaking stigma and building hope one classroom at a time.

Women's Mental Health: Navigating Challenges & Breaking Barriers

Women face unique mental health challenges, but many of these struggles remain overlooked or misunderstood. In this episode of Convos from the Couch, host Nicholette Leanza speaks with psychologist Dr. Ara Lambert about the realities of women’s mental health, from the impact of hormonal changes and societal expectations to the difficulty of balancing multiple roles. They discuss generational shifts in seeking therapy, the importance of community support, and how self-care can be a radical act of empowerment. Tune in to learn how women can prioritize their well-being in a world that often demands too much.

Healthy Aging vs. Dementia: Understanding Cognitive Changes

Is it normal forgetfulness or a sign of something more? In this episode of Convos from the Couch, host Nicholette Leanza speaks with neuropsychologist Dr. Blair Scribner-Weiss about the differences between healthy aging, mild cognitive impairment (MCI), and dementia.
They explore common misconceptions about cognitive decline, the role of lifestyle factors in brain health, and practical strategies to reduce dementia risk. Dr. Scribner-Weiss also shares expert advice on when to seek neuropsychological evaluation how to keep the brain sharp through social engagement, exercise, and mental stimulation. Tune in for an insightful discussion on aging and cognitive wellness!

The Power of Prenatal Psychotherapy

Pregnancy is not just a physical journey—it’s an emotional and psychological one too. In this episode of Convos from the Couch, host Nicholette Leanza speaks with Dr. Rosita Cortizo about the transformative power of prenatal psychotherapy.
They discuss how therapy can support expectant mothers, strengthen the bond with their unborn baby, and address common challenges like anxiety, trauma, and tokophobia (fear of childbirth). Dr. Cortizo shares insights from her decades of experience, emphasizing the importance of mental health care as part of prenatal wellness. Tune in to discover how approaches like EMDR and trauma-informed therapy can help create a more positive pregnancy experience for both mother and child.

Navigating the Manosphere: Masculinity and Mental Health

In this eye-opening episode, host Nicholette Leanza is joined by LifeStance therapist Will Acton for a timely conversation about masculinity, mental health, and the growing influence of the “manosphere.”
Sparked by themes in the Netflix series Adolescence, they dive into the world of online communities that push extreme views on manhood—ranging from men’s rights groups to incel forums. Will breaks down how these spaces can fuel toxic behaviors, emotional repression, and even mental health crises. They unpack the appeal of certain influencers, share red flags to watch for, and offer practical ways to steer men and boys toward healthier, more authentic versions of masculinity.