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Holding It Together (Kinda): Daily Summaries Delivered
by Michael Mackniak, Esq
Here we will get real in our conversations about Mental Illness and Caregiving, and the messy reality of keeping it all balanced. No sugar-coating, no clinical jargon—just real talk about the hospitalizations, the medication battles, and the toll it takes on a home. This is for the parents, siblings, and partners who are doing the impossible every single day. Holding It Together is a home for the overthinkers, the multitaskers, and anyone who feels like they’re one spilled coffee away from a meltdown.
Latest Episodes
The most recent episodes — sign up to get AI-powered summaries of each one.
- 6 days ago59 min
The Future Proof Parent: Special Needs Planning Without Panic with Rebecca Iantuonni
Send us Fan Mail The scariest caregiving question isn’t medical. It’s the quiet one that shows up at 2 a.m.: “What happens to my loved one when I’m gone?” I sit down with my friend of 40-plus years, attorney Rebecca Iantoni, to make special needs planning feel human, doable, and real, not like a pile of legal forms you will “get to someday.” We talk about the fragile “house of cards” so many families build with public benefits like Medicaid, SSI, housing supports, and waiver programs, and wh...
- 1 weeks ago1h 0m
Understanding Hoarding
Send us Fan Mail A home packed with newspapers, dogs, broken toasters, or “valuable” scraps can look like a simple cleanup problem until you hear what the objects mean. Hoarding isn’t a character flaw, and it’s rarely about laziness. For many people, a pile is a memory system, a shield, or a last connection to someone they lost and trying to remove it can feel like real physical pain. Michael sits down with Angela and Stephanie to unpack what hoarding disorder actually is, what it isn’t, and...
- 2 weeks ago1h 6m
All the Wrong Doors
Send us Fan Mail “No wrong door” is one of the nicest promises in mental health policy. It’s also the line that can break you when you’re living the reality: months-long waits, intake appointments that lead nowhere, referral lists that are outdated, and a loved one who keeps getting discharged back home while you’re told to “just make some calls.” If you’ve ever felt like the door is there but your hand can’t find the handle, we made this one for you. We talk through what we call the loop of...
- 3 weeks ago53 min
Set Boundaries And Still Love Them with Dr Michelle Sherman author of Loving Someone with Mental Illness
Your loved one can be struggling in plain sight, and somehow the whole family learns to whisper about it. We sit down with clinical psychologist Dr. Michelle Sherman, author of *Loving Someone with Mental Illness or a History of Trauma*, to talk about the hidden workload of family caregiving, the silence that grows around stigma, and the very real barriers in the US mental health system that keep people from getting support early. We get specific about the emotional side too: ambiguous loss,...
- Jun 25, 20261h 5m
Caregiver Stress Reset with Alicia Feller
Your shoulders are up near your ears, your jaw is locked, and you are running on adrenaline again and calling it “fine.” If that sounds like caregiving life, you are not imagining it and you are not weak. I’m joined by Alicia Feller, LCSW and former Department of Mental Health executive, to get specific about the physical toll of caregiver stress and the smallest moves that can bring your nervous system back from the edge. We break down what chronic stress does to the body over time, why the...
- Jun 18, 202640 min
Make The Strawberry Bunny Then Eat It with Kathy Micheel
Caregiving can look heroic on the outside while you’re shaking behind the safety gate on the inside. We name that gap and get honest about the cost of trying to be endlessly patient, present, and “fine” while managing chronic illness, mental illness, appointments, meds, and the constant emotional load. For us, the real breakthrough is accepting a truth most caregivers were never taught: self-care is not self-indulgence, it’s the fuel that makes you competent, steady, and able to lead your fam...
- Jun 11, 20261h 9m
Is This Mushroom Edible with Emerson Kerr
AI is everywhere right now, and the noise makes it easy to assume one of two extremes: either it saves healthcare or it destroys it. I sit down with Emerson Kerr, a longtime sleep medicine leader and C-suite executive at Nox Medical, to talk about a third path where AI supports clinicians and caregivers while the human touch stays in charge. We dig into what “precision medicine” can actually mean on the ground, how large datasets can surface patterns no person could realistically see, and wh...
- Jun 4, 202651 min
Why Your Brain Wants Jelly Beans with Dr Matthew Galati
Your brain is not a fixed object, and neither is your future. I sit down with Dr. Matthew Galati, a family medicine and rehab physician who also survived a severe traumatic brain injury after a brutal car crash. He spent days in a coma, woke up unable to talk or walk, and had to relearn basic skills from the ground up. Then he did the thing the “experts” warned might never happen: he returned to medicine, finished his MD, and turned his recovery into a framework that helps other survivors and...
About Holding It Together (Kinda)
Here we will get real in our conversations about Mental Illness and Caregiving, and the messy reality of keeping it all balanced. No sugar-coating, no clinical jargon—just real talk about the hospitalizations, the medication battles, and the toll it takes on a home. This is for the parents, siblings, and partners who are doing the impossible every single day. Holding It Together is a home for the overthinkers, the multitaskers, and anyone who feels like they’re one spilled coffee away from a meltdown.
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