What's really happening on the otherside of the chair? More than 75% of mental‑health providers reported that emotional exhaustion negatively impacted the quality of care they provided. Therapist burnout reduces the likelihood of PTSD patients achieving clinically meaningful improvement. But you would never know it, with the expectation that mental health workers have to be everything to everyone, how do they balance giving great care with a system that's is actively working to make people sicker? On What Does My Therapist Really Think? we explore the good, bad and all the in between of what it's like to work in the Mental Health industry. Hosted by Andrea Piazza, clinician, health systems researcher and founder for Dreavita and Katie Roletto, comedian and therapy go-er. Each week we'll have on guests in different specialties such as ADHD, trauma, relationship counseling. Because when we can understand the helpers, the help can actually begin.
What Does My Therapist Really Think?
Claim This Podcastby Dreavita Media
Podcast Overview
What's really happening on the otherside of the chair? More than 75% of mental‑health providers reported that emotional exhaustion negatively impacted the quality of care they provided. Therapist burnout reduces the likelihood of PTSD patients achieving clinically meaningful improvement. But you would never know it, with the expectation that mental health workers have to be everything to everyone, how do they balance giving great care with a system that's is actively working to make people sicker? On What Does My Therapist Really Think? we explore the good, bad and all the in between of what it's like to work in the Mental Health industry. Hosted by Andrea Piazza, clinician, health systems researcher and founder for Dreavita and Katie Roletto, comedian and therapy go-er. Each week we'll have on guests in different specialties such as ADHD, trauma, relationship counseling. Because when we can understand the helpers, the help can actually begin.
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Publishing Since
3/23/2026
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Recent Episodes
June 17, 2026
Hope Is the Plan: Closing Out Season One
<p class="font-claude-response-body break-words whitespace-normal"> We made it! In this season finale, Andrea and Katie sit down to reflect on everything that came out of Season One of What Does My Therapist Really Think? They talk through their favorite episodes (hint: a certain school counselor and a social media deep dive both made the list), the moments that almost didn't make the cut, and the unexpected wins that reminded them this whole thing has legs. They also get into their biggest takeaway from the season: that we cannot fix the mental health system without taking care of the people inside it, and look ahead to where Season Two might go, including conversations on VR therapy, TMS, eating disorders, and therapists who left the field entirely. Thank you for listening, for caring about providers, and for being part of Season One. Season Two is coming.</p> <p class="font-claude-response-body break-words whitespace-normal"> Follow us on Instagram and YouTube Shorts @DreavitaDreamedia and start your mental health journey at dreavita.com</p>
June 10, 2026
"How Do I Make These Thoughts Go Away?" Rethinking OCD and Phobias (with Meghan Cromie)
<p class="font-claude-response-body break-words whitespace-normal"> The first thing almost every new OCD client asks their therapist is "how do I make these thoughts go away?" — and according to therapist Meghan Cromie, that's the wrong question. Meghan, who specializes in OCD and phobias, joins hosts Andrea Piazza and Katie Roletto to demystify two of the most misunderstood corners of mental health.</p> <p class="font-claude-response-body break-words whitespace-normal"> She breaks down what OCD really is (and why she calls it "the doubting disorder"), the difference between a fear and a clinical phobia, and the surprising subtypes most people have never heard of — including Pure O, where the compulsions happen entirely inside your head. She walks Katie through a real arachnophobia exposure hierarchy in real time, explains why emetophobia (fear of vomiting) can quietly mirror an eating disorder, and shares how her own journey through panic and agoraphobia shapes the way she works with clients today.</p> <p class="font-claude-response-body break-words whitespace-normal"> Plus: how ERP (exposure and response prevention) actually works, why reassurance backfires, and Meghan's hot take that insight is overrated — you can't out-ruminate OCD.</p> <p class="font-claude-response-body break-words whitespace-normal"> Follow Meghan on TikTok <a class= "underline underline underline-offset-2 decoration-1 decoration-current/40 hover:decoration-current focus:decoration-current" href="https://www.tiktok.com/@megtherapy">@megtherapy</a> and Instagram <a class= "underline underline underline-offset-2 decoration-1 decoration-current/40 hover:decoration-current focus:decoration-current" href= "https://www.instagram.com/stillmindspsychology/">@stillmindspsychology</a>.</p> <p class="font-claude-response-body break-words whitespace-normal"> Follow What Your Therapist Really Thinks <a href= "https://www.instagram.com/dreavita/">@dreavita</a>, and start your mental health journey today at <a href= "https://dreavita.com/">dreavita.com</a>.</p>
June 3, 2026
Your Fandom Is Not a Disorder: The Case for Geek Therapy (With Geek Therapy)
<p class= "font-claude-response-body break-words whitespace-normal leading-[1.7]"> This week we're joined by two clinicians from Geek Therapy — Halley Palmer, Licensed Independent Clinical Social Worker and founder of The Therapy Guild, and Jessie Duncan, Licensed Clinical Professional Counselor and trauma specialist — for a conversation that might just change the way you think about therapy altogether. Geek Therapy is the practice of using the media you actually love — video games, anime, comics, D&D, sci-fi — as a real therapeutic tool. And it works, because the research is clear: the most important factor in whether therapy is effective isn't the modality. It's the relationship. When your therapist gets your world, trust builds faster — and that's when the real work can begin. We talk about what a session actually looks like, how Jessie uses trauma containers inspired by client fandoms, why geek culture has always been a safe space for people figuring out who they are, and why your obsession with Naruto, Dragon Ball Z, or Law and Order SVU might be the exact thing that unlocks your healing. Also — yes, everyone's a geek. Halley said it and we're not taking it back.</p> <p class= "font-claude-response-body break-words whitespace-normal leading-[1.7]"> Follow Geek Therapy at <a href= "https://www.instagram.com/geektherapy/?hl=en">@geektherapy</a> and learn more at <a href= "https://geektherapy.org/">geektherapy.org</a>.</p> <p class= "font-claude-response-body break-words whitespace-normal leading-[1.7]"> Follow us on Instagram and YouTube Shorts <a href= "https://www.youtube.com/@DreavitaDreamedia/shorts">@DreavitaDreamedia</a> and start your mental health journey at <a href= "https://dreavita.com/">dreavita.com</a></p>
13 total episodes available
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