SSRI’M OK

Using Humor to Cope: When It Helps—And When It Hurts with Mandy Martino

In this episode of SSRI’M OK, hosts Dr. Bijan Zarrabi, a psychiatry resident, and Macey Isaacs, a stand-up comedian, are joined by fellow comic Mandy Martino (from Misery Loves Mandy) to explore the psychology of humor:👉 Is humor always a healthy coping mechanism—or can it sometimes be harmful?
We dive into research on humor, mental health, and defense mechanisms, and explore how the jokes we make can reflect deeper emotional patterns.
Topics include:
Mandy’s childhood trauma (yes, involving hamsters) and how comedians often turn pain into punchlines
How using humor as a child can be a coping strategy—and whether that pattern evolves or gets stuck in adulthood
The "sad clown" archetype in comedy: from Chris Farley to cult classics like Superstar and Joe Dirt
Are comedians actually more mentally unwell than the average person?
Coping mechanisms vs. defense mechanisms: what makes a defense “mature” or “immature”?
Self-deprecating humor: why comedians  use it, and when it becomes empowering—or toxic
How humor can be adaptive or maladaptive—and what to do if your humor style isn’t serving you anymore
We also talk about what it means to bring purpose to pain and how comedy can be a powerful tool for healing—but only if it’s rooted in honesty rather than avoidance.
🎧 Whether you’re a fan of stand-up, a therapist, or someone who jokes their way through hard times, this episode offers real insight into how and why we laugh—and what that laughter might be covering up.
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Art by Zoe Zakson
Music by Raul Garcia
Edited by Katie Hettenbach
 
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Sleep Apnea: The Snore You Ignore with Scotty Cav

In this episode of SSRI’M OK, hosts Dr. Bijan Zarrabi, a psychiatry resident, and Macey Isaacs, a stand-up comedian, are joined by standup comedian Scotty Cav to talk about sleep apnea. Sleep apnea is surprisingly common, yet many people don’t even realize they have it. We break down exactly what sleep apnea is — a condition where breathing repeatedly stops and starts during sleep — and discuss the two main types: obstructive sleep apnea (OSA), the more common form caused by physical blockage of the airway, and central sleep apnea, which happens when the brain doesn't send the right signals to the muscles that control breathing. We also cover the serious health risks that can come with untreated sleep apnea, including high blood pressure, heart problems, and cognitive issues. Interestingly, sleep apnea can sometimes mimic symptoms of ADHD, making it even trickier to spot. We introduce listeners to the STOP-BANG questionnaire, a simple screening tool that can help identify potential sleep apnea risk. Scotty Cav shares his personal journey of undergoing a sleep study, getting diagnosed, and adjusting to life with a CPAP machine and mask. We also touch on different types of CPAP masks and explore alternatives for those who struggle with CPAP therapy. If you think you might be dealing with sleep apnea, this episode is a reminder to talk to your doctor and take the first steps toward better sleep — and better health.
Resources Mentioned:
https://jamanetwork.com/journals/jama/article-abstract/2764461
https://my.clevelandclinic.org/health/diseases/24443-obstructive-sleep-apnea-osa
https://www.ncbi.nlm.nih.gov/books/NBK459252/
 
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Art by Zoe Zakson
Music by Raul Garcia
Edited by Katie Hettenbach
 
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Therapy Talk: Boundaries with Leah Bonnema

In this episode of SSRI’M OK, hosts Dr. Bijan Zarrabi, a psychiatry resident, and Macey Isaacs, a stand-up comedian, are joined by the hilarious Leah Bonnema (The Late Show with Stephen Colbert, Don’t Tell Comedy) for a deep—and deeply funny—conversation about boundaries. What are boundaries, anyway? They break it down with examples of physical, emotional, and time-based boundaries (yes, even Howie Mandel’s famous fist bump counts). They explore why boundaries are essential—not just for maintaining your own well-being, but for preventing resentment and burnout, and striking that delicate balance between your individual needs and the needs of others.
They also talk about the how: how to actually set a boundary using “I” statements, how to be consistent, and why it’s okay for boundaries to evolve over time. Plus, they unpack tricky territory like the weaponization of boundaries and how to tell the difference between a real boundary and just being selfish.
Leah also shares wild stories from her time growing up in rural Maine in the lawless ‘90s, and Bijan offers some practical tips for people pleasers who struggle with setting limits. It’s honest, funny, and might just give you permission to say “no” with love.
Resources Mentioned:
Mayo Clinic Health System – Setting Boundaries for Well-Being
https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/setting-boundaries-for-well-being
UC Davis Health – Why Boundaries Matter for Your Mental Health
https://health.ucdavis.edu/blog/cultivating-health/how-to-set-boundaries-and-why-it-matters-for-your-mental-health/2024/03
Psychology Today – Setting Boundaries: Self-Care or Selfish?
https://www.psychologytoday.com/us/blog/meaningfull/202209/setting-boundaries-self-care-or-selfish
DBSA (Depression and Bipolar Support Alliance) – 8 Tips for Setting Boundaries for Your Mental Health
https://www.dbsalliance.org/support/young-adults/8-tips-on-setting-boundaries-for-your-mental-health
“Gift of Fear” by De Becker
 Potato gun
 
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Art by Zoe Zakson
Music by Raul Garcia
Edited by Katie Hettenbach
 
Check out our website: ssrimokpod.com
Follow us on IG: @ssrimokpod
Contact us: ssrimokpod@gmail.com

Therapy Talk: Gaslighting

Warning: There is talk of Santa Claus in this episode. Listener discretion advised. 
In this episode of SSRI’M OK, hosts Dr. Bijan Zarrabi, a psychiatry resident, and Macey Isaacs, a stand-up comedian, delve into the concept of gaslighting—what it actually means and why people do it. They start by breaking down the origin of the term “gaslighting” and how it got its name before exploring the many tactics people use to manipulate others in this way. 
They also discuss what to do if you realize you’re being gaslit, the connection between narcissism and gaslighting, and how Taylor Swift’s “All Too Well” music video portrays emotional manipulation. To help listeners distinguish between a simple misunderstanding and actual gaslighting, they go through a practical checklist and highlight the importance of using “I feel” statements in difficult conversations. 
Finally, Macey throws some real-life scenarios at Bijan, and he decides whether they qualify as gaslighting or not. Tune in for a mix of insight, humor, and practical advice on navigating manipulation in everyday life! 
Resources Mentioned:
“Gaslighter” by The Chicks
https://www.thehotline.org/resources/what-is-gaslighting/
“All Too Well” Music Video
NAMI provides free, confidential help for mental health challenges. They can guide you to therapy, support groups, educational resources, and more.
Helpline: 1-800-950-NAMI (6264)
Website: nami.org
Crisis Text Line
If you’re in emotional distress or just need someone to talk to, you can text HOME to 741741 anytime, 24/7. You'll be connected with a trained crisis counselor for free, confidential support.
Website: crisistextline.org
Go to PureYogaTexas.com/pure-yogatv to become a member today!
 
Art by Zoe Zakson
Music by Raul Garcia
Edited by Katie Hettenbach
 
Check out our website: ssrimokpod.com
Follow us on IG: @ssrimokpod
Contact us: ssrimokpod@gmail.com

Bonus: Self-Care Tips for The Holidays

In this bonus episode of “SSRI’M OK,” hosts Dr. Bijan Zarrabi, a psychiatry resident, and Macey Isaacs, a stand-up comedian, share practical tips for practicing self-care during the holiday season. Don’t forget to follow the podcast so you’re the first to know when Season 2 drops!
Resources Mentioned:
https://pmc.ncbi.nlm.nih.gov/articles/PMC9873947/
https://www.calm.com/blog/mindfulness-exercises
 
Go to PureYogaTexas.com/pure-yogatv to become a member today!
 
Art is by Zoe Zakson. 
 
Music is “As I Figure” by Kevin MacLeod.
 
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Season Finale With Macey, Bijan, and Zoe

Thanks for listening this season! We cannot wait for season 2! For updates on future episodes, follow us on X or Instagram @ssrimokpod. In the meantime, feel free to send in your mental health questions or topics you'd like discussed in our next season.
 
Go to PureYogaTexas.com/pure-yogatv to become a member today!
 
Art is by Zoe Zakson. 
 
Music is “As I Figure” by Kevin MacLeod.
 
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Contact us: ssrimokpod@gmail.com

Defining DEI: What It Means and Why It Matters With Dr. Jason West

In this episode of “SSRI’M OK,” hosts Dr. Bijan Zarrabi, a psychiatry resident, and Macey Isaacs, a stand-up comedian, delve into the fascinating intersection of mental health, diversity, equity, inclusion (DEI.) They are joined by Dr. Jason West, the DEI and Belonging chair at Brigham Women’s Hospital and Harvard Medical School.
The discussion begins by defining DEI and its essential role in ensuring that all individuals, regardless of their background, have fair access to opportunities and resources. Equity is framed as an ethical issue, one that is not just a moral imperative but also crucial for the well-being of society as a whole. The conversation then shifts to the practical side of DEI—how these principles can be effectively implemented within institutions, and the common misconceptions that often hinder progress.
The hosts and Dr. West also address the apprehensions many people have when discussing DEI, acknowledging that these conversations can be uncomfortable but are necessary for meaningful change. They explore the concept of homophily, the tendency of people to associate with others who are similar to them, and its relationship to happiness and social cohesion. Dr. West shares his perspective on the wish some have for a world without DEI initiatives, noting that this could lead to less social cohesion and more division within communities.
Finally, the episode delves into the specific challenges of implementing DEI in the mental healthcare setting, where systemic issues and biases can significantly impact patient outcomes. Dr. West offers insights into how mental health professionals can navigate these challenges to create more inclusive and supportive environments for all patients.
 
Resources Mentioned:
https://pubmed.ncbi.nlm.nih.gov/38662413/
https://www.samhsa.gov/data/report/racialethnic-differences-mental-health-service-use
Go to PureYogaTexas.com/pure-yogatv to become a member today!
 
Art is by Zoe Zakson. 
 
Music is “As I Figure” by Kevin MacLeod.
 
Check out our website: ssrimokpod.com
 
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ADHD with Dr. Saad Rahmat and Jessica Saul (Part 2)

In this episode of "SSRI’M OK," hosts Dr. Bijan Zarrabi, a psychiatry resident doctor, and Macey Isaacs, a stand-up comedian, are joined by Dr. Saad Rahmat and comedian Jessica Saul for this follow-up episode. In part 1, Dr. Rahmat provided an insightful overview of ADHD, and now, in this episode, Jessica Saul shares her personal experience living with the condition.
The conversation dives into the challenges of dealing with anxiety alongside ADHD, exploring how these two conditions often intertwine and exacerbate each other. Jessica opens up about her struggles with negative self-talk and self-criticism, providing a raw and relatable account of the mental hurdles she faces. She also shares her journey with medications like Wellbutrin and Strattera, discussing how these treatments have impacted her life.
The episode also touches on broader topics, such as the differences between American and European attitudes toward productivity and how these cultural perspectives can influence those with ADHD. The hosts and guests discuss how technology has drastically affected our attention spans, making it more difficult to practice sustained focus in today's fast-paced world.
Listeners will gain valuable insights into practical techniques for controlling your environment to better support yourself if you have ADHD. The episode also offers advice on how to help friends and loved ones who are navigating life with ADHD, emphasizing the importance of understanding and empathy.
In a lighter moment, Bijan reveals his old AIM screen name, adding a nostalgic touch to the discussion. Jessica shares a touching and humorous story about her shyness as a child and the moment she truly came out of her shell. She also recounts a memorable encounter with a woman in Target, adding a personal and entertaining anecdote to the episode. Finally, they all talk about the difficulty of not spiraling and the ongoing cycle of self-care. 
Resources Mentioned:
Jessica Saul’s Instagram
https://publications.aap.org/pediatrics/article-abstract/139/2/e20162027/77150/The-Mediterranean-Diet-and-ADHD-in-Children-and
Sleep: https://www.sciencedirect.com/science/article/abs/pii/S1389945710002170
Exercise: https://pubmed.ncbi.nlm.nih.gov/25988743/
Cannabis and ADHD: https://www.sciencedirect.com/science/article/abs/pii/S0376871613003025
Joyful Recollections of Trauma by Paul Scheer
Alcohol, Substance use, and ADHD: https://www.psychiatrist.com/jcp/impact-substance-disorder-adhd-treatment/
Flora app
Forrest app
Focusmate
MotionAI
Go to PureYogaTexas.com/pure-yogatv to become a member today!
 
Art by Zoe Zakson. 
 
Music is “As I Figure” by Kevin MacLeod.
 
Check out our website: ssrimokpod.com
 
Follow us on IG or X @ssrimokpod
 
Contact us: ssrimokpod@gmail.com

ADHD with Dr. Saad Rahmat (Part 1)

In this episode of "SSRI’M OK," hosts Dr. Bijan Zarrabi, a psychiatry resident doctor, and Macey Isaacs, a stand-up comedian, are joined by Dr. Saad Rahmat. Dr. Rahmat is a Child and Adolescent Psychiatrist at the Brigham and Women’s Hospital, Director of the Child Track in the BWH/HMS Psychiatry Residency Program, and Medical Director of Young Adult Mental Health in the Brigham Psychiatric Specialties. He is passionate about the development of evidence-based psychiatric care for transitional-age youth, particularly those with serious mental illnesses.
In this episode, Dr. Rahmat begins by defining ADHD, explaining what it is and clarifying that "ADD" is no longer a recognized diagnosis, having been subsumed under the broader category of ADHD. He then breaks down the different types of ADHD—Inattentive, Hyperactive, and Combined—and discusses how each presents unique challenges, particularly with impulsivity. The conversation then shifts to the complexities of diagnosing ADHD in adults, including how adult ADHD differs from childhood ADHD and whether ADHD can develop later in life.
Dr. Rahmat also explores the causes of ADHD and walks listeners through the diagnostic process, highlighting the criteria used to determine a diagnosis. Macey shares her personal experience with ADHD medication, specifically Ritalin, providing insight into the lived experience of managing the condition. The episode takes an intriguing historical turn as Dr. Rahmat touches on the use of stimulants in wars, particularly in Japan. The discussion then circles back to modern treatment options, including medication, behavioral techniques, and therapy, while also addressing the widespread misinformation surrounding inattention in ADHD.
Finally, the episode tackles important issues of gender differences and racial inequality in ADHD diagnoses, shedding light on how these disparities affect access to care and treatment. Throughout the conversation, the hosts and Dr. Rahmat aim to provide a comprehensive and engaging overview of ADHD, dispelling myths and offering practical advice for those affected by the condition.
Please listen to part 2 coming out in two weeks with comedian Jessica Saul. Jessica talks about her experience with ADHD and gets to talk to Dr. Rahmat about her struggles. 
Resources Mentioned:
Laurie Kilmartin’s special
Jessica Saul’s Instagram
Go to PureYogaTexas.com/pure-yogatv to become a member today!
 
Art by Zoe Zakson. 
 
Music is “As I Figure” by Kevin MacLeod.
 
Check out our website: ssrimokpod.com
 
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Why Are We Feeling Lonely? with Dr. Brendan Johnson

In this episode of "SSRI’M OK," hosts Dr. Bijan Zarrabi, a psychiatry resident doctor, and Macey Isaacs, a stand-up comedian, are joined by the perceptive Dr. Brendan Johnson. Dr. Johnson was a Visiting Research Scholar at Blackfriars Hall, Oxford, where he conducted research on 'the mental commons' and its enclosure as a paradigm for explaining worsening mental health in society at large. He is the co-host of the “Social Medicine On Air” podcast. 
In this thought-provoking episode, we explore how the structures and pressures of capitalism contribute to widespread unhappiness and anxiety. Dr. Johnson explains why people are more unhappy and anxious than ever before, delving into the societal factors driving these troubling trends. We discuss the increase in deaths of despair and the pervasive feelings of loneliness affecting many individuals today. 
Central to our discussion is the concept of the "mental commons" and how it is being stolen, leading to negative impacts on mental health. Dr. Johnson emphasizes how climate change contributes to anxiety and a sense of hopelessness about the future, framing it as a thief of our collective future. We also touch on the critical role of social determinants in shaping mental health outcomes and provide practical advice and strategies to help individuals feel less isolated and more connected.
Additionally, we delve into the history of the enclosure of the commons and its relevance to today's mental health landscape. The importance of finding a "third place" outside of home and work to foster a sense of community and belonging is discussed, along with why traditional psychiatric answers often fall short in addressing the deeper "why" behind mental health issues.
Tune in to gain a deeper understanding of the intersection between society and mental health, and learn how we can work towards a more holistic approach to mental well-being.
Resources Mentioned:
https://www.hhs.gov/about/news/2023/05/23/surgeon-general-issues-new-advisory-about-effects-social-media-use-has-youth-mental-health.html
https://www.hhs.gov/about/news/2023/05/03/new-surgeon-general-advisory-raises-alarm-about-devastating-impact-epidemic-loneliness-isolation-united-states.html
Bo Burnham’s interview about social media
Case A, Deaton A. Deaths of Despair and the Future of Capitalism. Princeton UP; 2020.
Fairlie S. A Short History of Enclosure in Britain. The Land. 2009;(7).
Hardt M, Negri A. Commonwealth. Belknap; 2009. 
Seo H. America Is Getting Lonelier and More Indoorsy. That’s Not a Coincidence. The Atlantic. 2023.
Smith AB, Johnson CD. Private Equity Ownership in Health Care Linked to Higher Costs, Worse Quality. JAMA. 2023;320(24):2567-2569.
 Wu T. The Attention Merchants: The Epic Scramble to Get inside Our Heads. Knopf; 2016.
“Deep Work” by Cal Newport
“Bowling Alone” by Robert Putnam
“Commonwealth” by Michael Hardt
“Social Medicine on Air” podcast
Go to PureYogaTexas.com/pure-yogatv to become a member today!
 
Art by Zoe Zakson. 
 
Music is “As I Figure” by Kevin MacLeod.
 
Check out our website: ssrimokpod.com
 
Follow us on IG or X @ssrimokpod
 
Contact us: ssrimokpod@gmail.com