Self Disclosed

About Self Disclosed

Self Disclosed is a weekly podcast for Medicaid executives, clinical leaders, and anyone else tasked with the nearly impossible job of delivering better mental health outcomes for underserved youth — under budget, under pressure, and under public scrutiny.

Publisher

Patrick Gilligan

Category

health & fitness

Language

en

Explicit

No

First episode

10 Jun 2025

Latest episode

22 Sept 2026

Latest episodes

20 episodes in the feed.

1. 

   22 Sept 2026

   Why "Just Get Them Into Therapy" Stopped Working with Carmine DiMaro @ One Mind

   Carmine Di Maro reads hundreds of mental health startup pitches a year. He has watched 51 companies go through the One Mind Accelerator, raise $1.45 billion between them, and in some cases shut down. He also spent his first job out of college mired in addiction, reading every self-help book he could find, convinced that needing help was a personal failing. Both of those things are load-bearing in this conversation. Patrick and Carmine met in 2023, when Somethings was one of eleven companies in the accelerator's first cohort. Three years later they sit down as two people with lived experience of the thing they're both trying to fix, and the conversation moves fast between the systems level and the personal one. They get into why a decade of paid-for therapy hasn't moved outcomes, why a free 100-year-old program with no leadership still runs 2,000 meetings a week in Los Angeles, what a survey found about the one workplace benefit that actually improves mental wellness, and why neither of them thinks the health care system should be responsible for making sure you have friends. In this episode: • The survey question about confidants where the average answer came back zero • Why Carmine argues screen use meets the clinical criteria for addiction • What peer support does that therapy structurally cannot • The workplace benefit that outperformed every wellness perk in the study • How Covid lowered the barrier to a first 12-step meeting • Why adding psychiatric beds makes the bed problem worse • What Carmine would change about mental health if he had one wish Applications for the fifth One Mind Accelerator cohort are open through mid-October. Subscribe to Self Disclosed on YouTube, Spotify, and Apple Podcasts. Chapters: 00:00 Ten years of paying for therapy, no change 01:58 The average answer was zero 06:22 It meets the definition of addiction 09:25 The iPad at the dinner table 12:36 2,000 meetings a week, nobody in charge 15:01 Why the ER became a food bank 23:49 What it took to ask for help 34:12 A brain textbook with no psychiatry in it 37:35 The only perk that worked 55:41 Cohort five, and the EpiPen for addiction

2. 

   15 Sept 2026

   → It's Hard to Be a Human, So Help Someone | Laura Nolan, PhD, Director at Manatt

   Laura Nolan joined the Peace Corps out of college because she'd found community health at the very end of school, fallen for it, and wanted to go somewhere far from where she grew up. She landed in the Fiji Islands, assigned to a women's group, and spent the first stretch of her service talking to them about health and how to cook healthy food. Nobody was interested. Nobody wanted to hang out with her. So she stopped talking and started watching. What she saw was that health wasn't anywhere near the top of the list. These women didn't have resources and they didn't have agency, and everything else followed from that. She switched from being a health volunteer to a business volunteer and started helping them build businesses. A lot of beekeeping. Set up the hives, extract the honey, sell it to the resorts and the farmers market. Solve the root problem and a mother is more likely to have bus fare to get to the hospital when her kid has an infected cut. That instinct traveled. A PhD in demography and social policy at Princeton, a master's at Harvard Chan, seven and a half years at Mathematica analyzing data from the Medicaid and CHIP programs, and now director at Manatt. If you've ever cited a national number about who is enrolled in Medicaid or what services they got, there's a decent chance she had a hand in helping to calculate it. Patrick Gilligan sits with Laura on what the new federal legislation is doing to state Medicaid budgets, why every state's program is a snowflake, and the thing that keeps coming up in Somethings' own teen surveys: the single most cited barrier to a teenager getting mental health care is a parent. For a lot of those kids, the pain of asking for consent is worse than what they were already carrying, so they don't ask. Then it turns personal. Laura has two kids under seven and writes a Substack called The Family Stack about technology and products for parents and families, and her answer to how it all holds together is uncomfortably simple. Name the one thing you will not trade. Hers is picking up her kids. She does that as often as she can, does the bedtime routine, and goes back to her computer almost every night. Highlights: - The Peace Corps in Fiji, and the moment she realized she should stop talking - Beekeeping as public health, and what solving the root problem actually looks like - A nighttime tour of Harvard Chan that turned into a career - Two projects at once, adoring one and struggling through the other, and what that told her - What the new federal legislation is doing to Medicaid financing and work requirements - The silver lining for health plans: help people stay enrolled - Why Medicaid is a snowflake in all fifty states, and why that's hard to build for - Aligning an intervention with what payers actually pay for - How peer support gets billed, and why teens asked for an older sibling instead of a clinician - Parents as the number one cited barrier to teen mental health access - The shape of ambition after having kids - Be clear about your priorities and what works for yourself and your family - What she's afraid of for her kids: uncertainty and speed, together - Her mission, in seven words Subscribe to Self Disclosed for more honest conversations about what it actually takes to fix mental health care. New episodes on YouTube, Spotify, and Apple Podcasts. Timestamps: 00:00 Intro 01:00 The Peace Corps, and landing in the Fiji Islands 02:46 When she stopped talking about health and started listening 11:46 Two projects at once, and what her own reaction told her 13:55 What the new federal legislation is doing to Medicaid 17:47 Why Medicaid is a snowflake in all fifty states 26:31 How peer support actually gets billed 30:40 Parents are the number one barrier to teen mental health care 37:22 Name the one thing you will not trade 48:16 Her mission: I want my kids to be proud of me

3. 

   8 Sept 2026

   Stop Asking What’s Wrong With People | Dr. Jean Wright, NYC DOHMH

   In this episode of Self Disclosed, we sit down with Dr. H. Jean Wright II, founder and CEO of Mental Health Success Boost and former Executive Deputy Commissioner of Mental Hygiene at NYC DOHMH, on why the question you ask about a person decides the answer you get. We cover: ✅ Why “what happened to you” opens a conversation and “what’s wrong with you” shuts one down ✅ The interviews Jean refused to run until the guards took the leg irons and chains off ✅ How a Philadelphia division that started with two people, a peer specialist and an administrator, grew to 60 ✅ Why men serving life sentences pooled eight-dollar-a-week wages to pay for other families’ dinners ✅ What New York gets right about behavioral health, and the zip codes still getting left out Whether you run a system, fund one, or work inside one, this is a conversation about the difference between serving people and deciding for them. 🎧 Subscribe for more conversations like these #BehavioralHealth #MentalHealth #ServantLeadership #TraumaInformedCare #PublicHealth 00:00 Intro 02:11 The rent you pay for being on this earth 03:38 Twelve years old, and choosing the kids nobody picked 05:26 What his parents showed him about servant leadership 06:27 “Your career chooses you” 09:24 Crime shows, and the mentor who pushed him toward forensics 13:16 What happened to you, not what’s wrong with you 15:32 Fundamental attribution error 16:29 No formula, no fear: building rapport behind the walls 18:52 Why he refused to interview anyone in leg irons 20:42 The Montgomery decision and the men coming home 22:07 Fathers and Children Together 25:27 Philadelphia: from one person at a time to a whole city 29:59 Two people to sixty, and a division still running today 33:48 Peer specialists, years ahead of reimbursement 35:46 Influencing people who don’t answer to you 38:50 New York, times ten 44:13 What NYC gets right, and what he’d fix tomorrow 51:06 Changing mindsets and giving hope

Who has been a guest on Self Disclosed

Names identified in recent episode analyses. Showing up to five guests.

• Marc Fagan
• Nicole Six
• Christine Beck
• Mary Wilson
• Cheryl Fisher

Reach and audience

Public platform figures. Ratings count people who left a rating, not total listeners.

Apple Podcasts (US)

5.0 / 5

3 ratings

Podcast Authority Score: 25 / 100

A composite of feed quality, social presence, YouTube performance and engagement. Read the methodology.

Quality

37

Social presence

0

YouTube

0

Engagement

32

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Guest appearances

Books guests

Based on episode analysis; this does not confirm that the show is currently accepting guests.

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