TopPodcast.com
Menu
  • Home
  • Top Charts
  • Top Networks
  • Top Apps
  • Top Independents
  • Top Podfluencers
  • Top Picks
    • Top Business Podcasts
    • Top True Crime Podcasts
    • Top Finance Podcasts
    • Top Comedy Podcasts
    • Top Music Podcasts
    • Top Womens Podcasts
    • Top Kids Podcasts
    • Top Sports Podcasts
    • Top News Podcasts
    • Top Tech Podcasts
    • Top Crypto Podcasts
    • Top Entrepreneurial Podcasts
    • Top Fantasy Sports Podcasts
    • Top Political Podcasts
    • Top Science Podcasts
    • Top Self Help Podcasts
    • Top Sports Betting Podcasts
    • Top Stocks Podcasts
  • Podcast News
  • About Us
  • Podcast Advertising
  • Contact
Not in our directory?
Add Show Here
Podcast Equipment
Center

toppodcastlogoOur TOPPODCAST Picks

  • Comedy
  • Crypto
  • Sports
  • News
  • Politics
  • True Crime
  • Business
  • Finance

Follow Us

toppodcastlogoStay Connected

    View Top 200 Chart
    Back to Rankings Page
    Health & Fitness

    Holding It Together (Kinda)

    Holding It Together (Kinda) is for people who look like they have it handled on the outside while knowing damn well it’s messier underneath.

    Host Michael Mackniak has honest conversations with caregivers, clinicians, advocates, experts, authors, and people who have learned something worth sharing by actually living through it. We talk about caregiving, mental health, illness, loss, relationships, broken systems, difficult choices, and those moments when you find yourself wondering: What the hell do I do now?

    The conversations are direct, curious, occasionally irreverent, and willing to go beyond the polished advice and easy answers.

    No pretending everything happens for a reason. No seven easy steps to fixing your life. Just real conversations about the things that happen to us, the choices we make, what we can control, what we can’t—and what comes next.

    Because most of us are holding it together.

    Kinda.

    Advertise
    • Apple Podcasts
    • Google Play
    • Spotify

    Latest Episodes:
    #10 Companion When AI Sounds Like A Doctor But Is Not Nov 03, 2026
    Show notes

    Send us Fan Mail

    AI can give you an answer in two seconds, but that speed can hide a serious problem: confidence is not the same thing as truth. We unpack what it means to hear a health claim from an app or algorithm and why it can feel “official” even when it isn’t a verified medical answer. That emotional gap matters, especially when you’re stressed, tired, or looking for certainty.
    We dig into the practical side of AI in healthcare, including how to treat AI-generated guidance as a starting point instead of a conclusion. I share the moment that really stuck with me: an algorithm is not the same thing as a human who can ask follow-up questions, weigh context, and take responsibility. To make it actionable, I point you toward an action companion worksheet you can download and use to run an AI health claim through a simple human-check questionnaire.
    We also connect this to sleep health, since sleep quality affects judgment, risk tolerance, and how we react to information. Alongside the AI conversation, we outline a short seven-day plan: track your sleep, test one AI claim with your own checklist, and pick one nighttime caregiving interruption you can reduce or share with someone else.
    If you want a clearer way to use medical AI tools without getting fooled by polished language, press play. Subscribe, share this with a friend who relies on health apps, and leave a review. What’s one AI health tip you’ve seen that you’d want to verify first?

    ABOUT MICHAEL MACKNIAK

    Michael Mackniak is an attorney, author, speaker and creator of the Guardian Model. For more than 30 years, his work has focused on mental illness, caregiving, care coordination and what happens when real families collide with systems that don't always work the way they're supposed to.

    READ MORE FROM MICHAEL

    Essays, stories, observations and occasional evidence that I'm still a work in progress:

    LinkedIn
    https://www.linkedin.com/in/michael-mackniak/

    Substack
    https://substack.com/@michaelmackniak

    Medium
    https://medium.com/@mwmackniak



    BOOKS BY MICHAEL MACKNIAK


    Saving Melissa: 7Cs to Cure the Mental Health System
    https://www.amazon.com/dp/0997421401


    Character: Become the Person Your Social Media “Friends” Already Think You Are

    https://www.amazon.com/dp/1790810612?lv=shuf&utm_source=chatgpt.com&channelId=480&plpRedirect=mhFallback



    Download the episode companion to this and other episodes here: https://drive.google.com/drive/folders/1hPXaKMrs3yrLEP2g7l1HIRH3hz65tK1g



    Rev. Barbara Ann Michaels: Humor As the Harbinger of Hope Oct 29, 2026
    Show notes

    Send us Fan Mail

    You can be exhausted, heartbroken, and still human enough to laugh again and that tiny laugh might be the first sign you are coming back to yourself. I sit down with Rev. Barbara Ann Michaels, an award-winning interfaith minister and professional clown, to talk about what humor really does when life is brutal: it does not erase the pain, it puts space around it so you can breathe, feel, and keep going.
    Barbara shares the story behind Humorville, her immersive interactive art “municipality” in Brooklyn designed for humor and wellness. Picture a post office, a library, a voting booth, a marriage bureau, and a phone booth where you “call” what you have been avoiding. It sounds absurd on purpose, because play and absurdity can slip past perfectionism and performance, letting people say the truest thing in the room. Her guiding line says it all: “You can only do it right at Humorville.”
    We dig into caregiver burnout, grief, and why “too soon” matters. Barbara breaks down the “first laugh” as a physiological and spiritual turning point, the moment healing becomes possible. We also name the traps: laughing at others, or using jokes to dodge the hard talk, versus laughing with each other as a community practice that restores connection. From “hard then, funny now” stories to the “unlived life” question of what we are healing for, this conversation is packed with practical reframes for resilience, mental health, and identity beyond labels.
    If any part of you is reaching for hope, hit play, share this with someone who needs a breath, and subscribe so you do not miss what comes next. After you listen, what is one thing you want more of in your life right now?

    Website:

    https://www.jesterofthepeace.com/

    LinkedIn

    https://www.linkedin.com/in/jesterofthepeace/

    Instagram

    https://www.instagram.com/jesterofthepeace/

    YouTube

    https://www.youtube.com/@BarbaraAnnMichaels


    Get the Journal

    https://guardian-academy.thinkific.com/courses/CareKeeperJournal

    Join Our Group: Mental Health Resource Network:

    Mental Health Resource Network | CARE Coalition | Facebook

    And become part of the Care Coalition:

    Serious Mental Illness Support | Care Coalition Homepage

    On lIne Course

    https://guardian-academy.thinkific.com/

    Featured Books by Michael

    Saving Melissa: 7Cs to Cure the Mental Health System

    https://www.amazon.com/Saving-Melissa-Mental-Health-System/dp/0997421401/ref=sr_1_4?crid=2M5UMT3SGX4F2&dib=eyJ2IjoiMSJ9.qTdx0uEZUvp8BB4cVx5nFF3asxtsbS9tk4J8iW1JOBTWeuKmhJNwn1ScqH9mM_KM3GhLBDHRQXsx5jLZVo9mUg.HidshKcNsUtePdlJzX2rEGe_jlxKyVCQiPmtAcygZh0&dib_tag=se&keywords=michael+mackniak&qid=1777383637&sprefix=mackniak%2Caps%2C305&sr=8-4

    Character: Become the Person Your Social Media “Friends” Already Think You Are

    https://www.amazon.com/Character-Become-Person-Friends-Already/dp/1790810612/ref=sr_1_2?crid=2M5UMT3SGX4F2&dib=eyJ2IjoiMSJ9.qTdx0uEZUvp8BB4cVx5nFF3asxtsbS9tk4J8iW1JOBTWeuKmhJNwn1ScqH9mM_KM3GhLBDHRQXsx5jLZVo9mUg.HidshKcNsUtePdlJzX2rEGe_jlxKyVCQiPmtAcygZh0&dib_tag=se&keywords=michael+mackniak&qid=1777383719&sprefix=mackniak%2Caps%2C305&sr=8-2

    ABOUT MICHAEL MACKNIAK

    Michael Mackniak is an attorney, author, speaker and creator of the Guardian Model. For more than 30 years, his work has focused on mental illness, caregiving, care coordination and what happens when real families collide with systems that don't always work the way they're supposed to.

    READ MORE FROM MICHAEL

    Essays, stories, observations and occasional evidence that I'm still a work in progress:

    LinkedIn
    https://www.linkedin.com/in/michael-mackniak/

    Substack
    https://substack.com/@michaelmackniak

    Medium
    https://medium.com/@mwmackniak



    BOOKS BY MICHAEL MACKNIAK


    Saving Melissa: 7Cs to Cure the Mental Health System
    https://www.amazon.com/dp/0997421401


    Character: Become the Person Your Social Media “Friends” Already Think You Are

    https://www.amazon.com/dp/1790810612?lv=shuf&utm_source=chatgpt.com&channelId=480&plpRedirect=mhFallback



    Download the episode companion to this and other episodes here: https://drive.google.com/drive/folders/1hPXaKMrs3yrLEP2g7l1HIRH3hz65tK1g



    #9 Companion A Brain Injury Survivor’s Guide To Pacing And Preemptive Rest Oct 27, 2026
    Show notes

    Send us Fan Mail

    Your brain can look “fine” on the outside while it fights a silent battle on the inside. I sit down with Matt Galati, a med student turned living proof of resilience after a serious car accident and severe brain injury, to talk about what recovery actually feels like when cognitive fatigue becomes the hidden driver of your day.
    We get specific about the moments people miss: how a short clinical appointment can fail to capture the real cost of ordinary tasks at home, why processing “simple” events can drain a brain injury survivor, and how caregivers can slide into burnout without noticing the warning signs. We also dig into practical tools like a cognitive fatigue map for catching early signals before exhaustion turns into crisis, plus the value of pacing and preemptive rest so you are not stuck in constant emergency recovery mode.
    We connect these ideas to brain health habits that support healing and function, including Matt’s emphasis on building around realistic hope. You will walk away with clearer language for what you are experiencing, a more proactive plan for managing cognitive load, and a simple way to bring better information to your care team, like three daily life facts and one recovery goal.
    If this resonates, listen through, grab the companion, and share it with someone who needs it. Subscribe, leave a review, and tell us what early warning sign you want to start tracking first.

    ABOUT MICHAEL MACKNIAK

    Michael Mackniak is an attorney, author, speaker and creator of the Guardian Model. For more than 30 years, his work has focused on mental illness, caregiving, care coordination and what happens when real families collide with systems that don't always work the way they're supposed to.

    READ MORE FROM MICHAEL

    Essays, stories, observations and occasional evidence that I'm still a work in progress:

    LinkedIn
    https://www.linkedin.com/in/michael-mackniak/

    Substack
    https://substack.com/@michaelmackniak

    Medium
    https://medium.com/@mwmackniak



    BOOKS BY MICHAEL MACKNIAK


    Saving Melissa: 7Cs to Cure the Mental Health System
    https://www.amazon.com/dp/0997421401


    Character: Become the Person Your Social Media “Friends” Already Think You Are

    https://www.amazon.com/dp/1790810612?lv=shuf&utm_source=chatgpt.com&channelId=480&plpRedirect=mhFallback



    Download the episode companion to this and other episodes here: https://drive.google.com/drive/folders/1hPXaKMrs3yrLEP2g7l1HIRH3hz65tK1g



    The Thin Line Between Care And Control Oct 22, 2026
    Show notes

    Send us Fan Mail

    A conservator refuses to sign consent for a pregnancy termination because of personal religious beliefs, so a client’s medical decision gets pushed into probate court. That’s where we start, because it captures the core tension we keep running into as fiduciaries and clinicians: the line between protection and control is thin, and the stakes are painfully human.
    From there, we unpack a case that forces the hardest question in mental health caregiving and medical ethics: what does capacity look like when someone is floridly psychotic and refusing cancer diagnostics and treatment? We talk through how schizophrenia, paranoia, and delusions can distort “choice,” why hospitals and doctors get nervous about liability when someone is conserved, and how involuntary psychiatric treatment can sometimes restore enough stability for real informed consent. The result isn’t a neat happy ending, but it is a path back to dignity and a plan that matches the person’s values.
    We also get into exploitation in the community: a former caregiver who returns and squats in a client’s apartment, the risk of eviction, and how loneliness makes predatory relationships hard to untangle even when everyone can see what’s happening. Then we zoom out to harm reduction and quality of life decisions, including the uncomfortable reality that taking away the one thing someone enjoys can create its own kind of harm. Finally, we cover court-ordered discharges that go sideways, the importance of a real safety net, and why “wellness checks” without eyes on can miss escalating danger.
    If you’ve ever felt trapped between someone’s rights and your responsibility to keep them safe, you’ll hear yourself in these stories. Subscribe, share this with a caregiver or provider who needs it, and leave a review with the line you think should never be crossed.

    Get the Journal

    https://guardian-academy.thinkific.com/courses/CareKeeperJournal

    Join Our Group: Mental Health Resource Network:

    Mental Health Resource Network | CARE Coalition | Facebook

    And become part of the Care Coalition:

    Serious Mental Illness Support | Care Coalition Homepage

    On lIne Course

    https://guardian-academy.thinkific.com/

    Featured Books by Michael

    Saving Melissa: 7Cs to Cure the Mental Health System

    https://www.amazon.com/Saving-Melissa-Mental-Health-System/dp/0997421401/ref=sr_1_4?crid=2M5UMT3SGX4F2&dib=eyJ2IjoiMSJ9.qTdx0uEZUvp8BB4cVx5nFF3asxtsbS9tk4J8iW1JOBTWeuKmhJNwn1ScqH9mM_KM3GhLBDHRQXsx5jLZVo9mUg.HidshKcNsUtePdlJzX2rEGe_jlxKyVCQiPmtAcygZh0&dib_tag=se&keywords=michael+mackniak&qid=1777383637&sprefix=mackniak%2Caps%2C305&sr=8-4

    Character: Become the Person Your Social Media “Friends” Already Think You Are

    https://www.amazon.com/Character-Become-Person-Friends-Already/dp/1790810612/ref=sr_1_2?crid=2M5UMT3SGX4F2&dib=eyJ2IjoiMSJ9.qTdx0uEZUvp8BB4cVx5nFF3asxtsbS9tk4J8iW1JOBTWeuKmhJNwn1ScqH9mM_KM3GhLBDHRQXsx5jLZVo9mUg.HidshKcNsUtePdlJzX2rEGe_jlxKyVCQiPmtAcygZh0&dib_tag=se&keywords=michael+mackniak&qid=1777383719&sprefix=mackniak%2Caps%2C305&sr=8-2

    If Holding It Together has encouraged or helped you, consider supporting the mission. Every coffee helps us continue providing peer support and resources. ❤️
    https://buymeacoffee.com/carecoalition

    ABOUT MICHAEL MACKNIAK

    Michael Mackniak is an attorney, author, speaker and creator of the Guardian Model. For more than 30 years, his work has focused on mental illness, caregiving, care coordination and what happens when real families collide with systems that don't always work the way they're supposed to.

    READ MORE FROM MICHAEL

    Essays, stories, observations and occasional evidence that I'm still a work in progress:

    LinkedIn
    https://www.linkedin.com/in/michael-mackniak/

    Substack
    https://substack.com/@michaelmackniak

    Medium
    https://medium.com/@mwmackniak



    BOOKS BY MICHAEL MACKNIAK


    Saving Melissa: 7Cs to Cure the Mental Health System
    https://www.amazon.com/dp/0997421401


    Character: Become the Person Your Social Media “Friends” Already Think You Are

    https://www.amazon.com/dp/1790810612?lv=shuf&utm_source=chatgpt.com&channelId=480&plpRedirect=mhFallback



    Download the episode companion to this and other episodes here: https://drive.google.com/drive/folders/1hPXaKMrs3yrLEP2g7l1HIRH3hz65tK1g



    The Kidz Are Alright (Kinda) with My Kids Oct 20, 2026
    Show notes

    Send us Fan Mail

    The kids are not confused about what they need. They’re tired of performing, tired of being reduced to a checklist, and tired of pretending the pressure isn’t real when the “social mirror” lives in their pockets 24/7.
    We sit down with five young people spanning ages 13 to 23 and ask the questions adults usually dodge: Do you feel watched at school? What kind of support actually helps? Is a mental health app enough when your chest is tight and your brain won’t shut off? You’ll hear how real friendship creates safety, why asking for help can feel harder than finding help, and how embarrassment, perfectionism, and fear of judgment show up in everyday moments. We also talk about teen mental health, youth mental health awareness, and the double-edged reality of social media and mental health, including how it can reduce stigma while fueling comparison.
    We go deeper into what schools and systems get wrong, from separating kids with specialized needs to skipping life skills that many students never learn at home. Faith shares what it’s like when professionals see a diagnosis on a screen instead of the whole person, and Jake reflects on the challenge of naming feelings as a young adult leader in the military. We end with a reminder that positive mental health is a daily practice, and that presence beats perfection every time.
    If this conversation hits home, subscribe, share it with a parent or educator, and leave a review so more families can find it. What’s one piece of “head trash” you want to clear out this week?

    On lIne Course

    https://guardian-academy.thinkific.com/

    Featured Books by Michael

    Saving Melissa: 7Cs to Cure the Mental Health System

    https://www.amazon.com/Saving-Melissa-Mental-Health-System/dp/0997421401/ref=sr_1_4?crid=2M5UMT3SGX4F2&dib=eyJ2IjoiMSJ9.qTdx0uEZUvp8BB4cVx5nFF3asxtsbS9tk4J8iW1JOBTWeuKmhJNwn1ScqH9mM_KM3GhLBDHRQXsx5jLZVo9mUg.HidshKcNsUtePdlJzX2rEGe_jlxKyVCQiPmtAcygZh0&dib_tag=se&keywords=michael+mackniak&qid=1777383637&sprefix=mackniak%2Caps%2C305&sr=8-4

    Character: Become the Person Your Social Media “Friends” Already Think You Are

    https://www.amazon.com/Character-Become-Person-Friends-Already/dp/1790810612/ref=sr_1_2?crid=2M5UMT3SGX4F2&dib=eyJ2IjoiMSJ9.qTdx0uEZUvp8BB4cVx5nFF3asxtsbS9tk4J8iW1JOBTWeuKmhJNwn1ScqH9mM_KM3GhLBDHRQXsx5jLZVo9mUg.HidshKcNsUtePdlJzX2rEGe_jlxKyVCQiPmtAcygZh0&dib_tag=se&keywords=michael+mackniak&qid=1777383719&sprefix=mackniak%2Caps%2C305&sr=8-2

    If Holding It Together has encouraged or helped you, consider supporting the mission. Every coffee helps us continue providing peer support and resources. ❤️
    https://buymeacoffee.com/carecoalition

    ABOUT MICHAEL MACKNIAK

    Michael Mackniak is an attorney, author, speaker and creator of the Guardian Model. For more than 30 years, his work has focused on mental illness, caregiving, care coordination and what happens when real families collide with systems that don't always work the way they're supposed to.

    READ MORE FROM MICHAEL

    Essays, stories, observations and occasional evidence that I'm still a work in progress:

    LinkedIn
    https://www.linkedin.com/in/michael-mackniak/

    Substack
    https://substack.com/@michaelmackniak

    Medium
    https://medium.com/@mwmackniak



    BOOKS BY MICHAEL MACKNIAK


    Saving Melissa: 7Cs to Cure the Mental Health System
    https://www.amazon.com/dp/0997421401


    Character: Become the Person Your Social Media “Friends” Already Think You Are

    https://www.amazon.com/dp/1790810612?lv=shuf&utm_source=chatgpt.com&channelId=480&plpRedirect=mhFallback



    Download the episode companion to this and other episodes here: https://drive.google.com/drive/folders/1hPXaKMrs3yrLEP2g7l1HIRH3hz65tK1g



    #8 Companion Caregiver Myths, Real Limits Oct 20, 2026
    Show notes

    Send us Fan Mail

    The fastest way to get stuck as a caregiver is to cling to “simple” legal lines that feel protective but turn out to be misleading. We are taking a short midweek pause to unpack a past conversation on caregiver misconceptions and to give you a practical tool you can use right away: a companion worksheet built for real life, not perfect timelines.
    We zoom back in on the big myths that routinely derail families, including misunderstandings about HIPAA, guardianship, capacity and incapacity, and the way medication decisions actually unfold. Instead of treating paperwork like a magic key, we talk about what these legal roles can and cannot guarantee and why families are too often blamed for outcomes that no document could control. If you have ever felt guilt when “doing everything right” still does not fix the situation, you are not alone, and you are not failing.
    We also focus on the questions that bring clarity when things feel chaotic: what is your loved one’s baseline, what does crisis look like for them, where are they living, what is their usual level of functioning, and what changes when they decompensate? We even touch a simple but powerful HIPAA truth that lowers stress fast: listening is not disclosing.
    Grab the companion link in the episode description, listen with it in hand, and keep your notes for the next appointment or family meeting. If this helps, subscribe, share the episode with a caregiver friend, and leave a review so more families can find it.

    ABOUT MICHAEL MACKNIAK

    Michael Mackniak is an attorney, author, speaker and creator of the Guardian Model. For more than 30 years, his work has focused on mental illness, caregiving, care coordination and what happens when real families collide with systems that don't always work the way they're supposed to.

    READ MORE FROM MICHAEL

    Essays, stories, observations and occasional evidence that I'm still a work in progress:

    LinkedIn
    https://www.linkedin.com/in/michael-mackniak/

    Substack
    https://substack.com/@michaelmackniak

    Medium
    https://medium.com/@mwmackniak



    BOOKS BY MICHAEL MACKNIAK


    Saving Melissa: 7Cs to Cure the Mental Health System
    https://www.amazon.com/dp/0997421401


    Character: Become the Person Your Social Media “Friends” Already Think You Are

    https://www.amazon.com/dp/1790810612?lv=shuf&utm_source=chatgpt.com&channelId=480&plpRedirect=mhFallback



    Download the episode companion to this and other episodes here: https://drive.google.com/drive/folders/1hPXaKMrs3yrLEP2g7l1HIRH3hz65tK1g



    Nesh Pillay: Be Kind To Little Man Oct 15, 2026
    Show notes

    Send us Fan Mail

    A brain injury can steal your past without touching your personality, and that gap is where so many families get lost. I sit down with Nesh Pillay, known from Amazon Prime’s 50,000 First Dates, to talk about what amnesia and traumatic brain injury actually feel like from the inside, including the strange reality of knowing facts about your life while lacking the “video playback” most people assume memory is.
    We dig into Nesh’s “little man in the basement” analogy for memory access, why time can stop feeling real, and how photos and videos become an external hard drive for someone with episodic memory loss. We also get practical about living and working with TBI: disclosure at work, stigma that confuses cognitive symptoms with intelligence, and the tools that help, from ruthless planning to adaptive supports like AI. If you care for someone with brain injury, this part matters because it shows what can be worked around and what simply needs rest.
    The heart of the conversation is caregiving and relationships. We talk about grief for the person who used to be, the quiet guilt on both sides, the risk of resentment, and why trust becomes non-negotiable when someone can’t always rely on their own brain. Nesh shares what acceptance looks like in real life, why therapy helps both caregiver and loved one, and why asking for help is not weakness. Subscribe, share this with someone who needs it, and leave a review with one takeaway you want more people to hear.


    Get the Journal

    https://guardian-academy.thinkific.com/courses/CareKeeperJournal

    Join Our Group: Mental Health Resource Network:

    Mental Health Resource Network | CARE Coalition | Facebook

    And become part of the Care Coalition:

    Serious Mental Illness Support | Care Coalition Homepage

    On lIne Course

    https://guardian-academy.thinkific.com/

    Featured Books by Michael

    Saving Melissa: 7Cs to Cure the Mental Health System

    https://www.amazon.com/Saving-Melissa-Mental-Health-System/dp/0997421401/ref=sr_1_4?crid=2M5UMT3SGX4F2&dib=eyJ2IjoiMSJ9.qTdx0uEZUvp8BB4cVx5nFF3asxtsbS9tk4J8iW1JOBTWeuKmhJNwn1ScqH9mM_KM3GhLBDHRQXsx5jLZVo9mUg.HidshKcNsUtePdlJzX2rEGe_jlxKyVCQiPmtAcygZh0&dib_tag=se&keywords=michael+mackniak&qid=1777383637&sprefix=mackniak%2Caps%2C305&sr=8-4

    Character: Become the Person Your Social Media “Friends” Already Think You Are

    https://www.amazon.com/Character-Become-Person-Friends-Already/dp/1790810612/ref=sr_1_2?crid=2M5UMT3SGX4F2&dib=eyJ2IjoiMSJ9.qTdx0uEZUvp8BB4cVx5nFF3asxtsbS9tk4J8iW1JOBTWeuKmhJNwn1ScqH9mM_KM3GhLBDHRQXsx5jLZVo9mUg.HidshKcNsUtePdlJzX2rEGe_jlxKyVCQiPmtAcygZh0&dib_tag=se&keywords=michael+mackniak&qid=1777383719&sprefix=mackniak%2Caps%2C305&sr=8-2

    If Holding It Together has encouraged or helped you, consider supporting the mission. Every coffee helps us continue providing peer support and resources. ❤️
    https://buymeacoffee.com/carecoalition

    ABOUT MICHAEL MACKNIAK

    Michael Mackniak is an attorney, author, speaker and creator of the Guardian Model. For more than 30 years, his work has focused on mental illness, caregiving, care coordination and what happens when real families collide with systems that don't always work the way they're supposed to.

    READ MORE FROM MICHAEL

    Essays, stories, observations and occasional evidence that I'm still a work in progress:

    LinkedIn
    https://www.linkedin.com/in/michael-mackniak/

    Substack
    https://substack.com/@michaelmackniak

    Medium
    https://medium.com/@mwmackniak



    BOOKS BY MICHAEL MACKNIAK


    Saving Melissa: 7Cs to Cure the Mental Health System
    https://www.amazon.com/dp/0997421401


    Character: Become the Person Your Social Media “Friends” Already Think You Are

    https://www.amazon.com/dp/1790810612?lv=shuf&utm_source=chatgpt.com&channelId=480&plpRedirect=mhFallback



    Download the episode companion to this and other episodes here: https://drive.google.com/drive/folders/1hPXaKMrs3yrLEP2g7l1HIRH3hz65tK1g



    #7 Companion Caregiver Burnout Is Information Oct 13, 2026
    Show notes

    Send us Fan Mail

    Dementia doesn’t just change memory. It changes family roles, daily math, and the emotional weather in your house. On this midweek unpack, I step back into one of our most downloaded conversations, the Daughter’s Guide to Dementia and Caregiver Burnout Recovery, and pull out the parts that land hardest for so many of us: the moment you realize you’ve become the coordinator, the financial helper, and the safety planner for the parent who once did that for you.
    I also share something we didn’t have ready when the original conversation aired: a companion PDF guide built specifically to help you process what you’re carrying. This isn’t “homework” or another box to check. It’s a short, practical way to slow down, name the emotions under the noise (guilt, fear, resentment, grief, safety worries), and figure out what’s actually happening in your care plan. Dementia caregiving often brings grief long before death, and pretending that isn’t true can quietly fuel caregiver stress and burnout.
    We talk about long-distance caregiving in a transient world, why burnout is not a lack of love, and how sustainable care comes from honest limits, coordinated support, and specific requests. If you’ve been trying to be strong by doing it all, this is your reminder that “too much” is a signal, not a verdict.
    Listen with the guide in hand, then subscribe, share this with a caregiver who needs it, and leave a review so more families can find real support.

    ABOUT MICHAEL MACKNIAK

    Michael Mackniak is an attorney, author, speaker and creator of the Guardian Model. For more than 30 years, his work has focused on mental illness, caregiving, care coordination and what happens when real families collide with systems that don't always work the way they're supposed to.

    READ MORE FROM MICHAEL

    Essays, stories, observations and occasional evidence that I'm still a work in progress:

    LinkedIn
    https://www.linkedin.com/in/michael-mackniak/

    Substack
    https://substack.com/@michaelmackniak

    Medium
    https://medium.com/@mwmackniak



    BOOKS BY MICHAEL MACKNIAK


    Saving Melissa: 7Cs to Cure the Mental Health System
    https://www.amazon.com/dp/0997421401


    Character: Become the Person Your Social Media “Friends” Already Think You Are

    https://www.amazon.com/dp/1790810612?lv=shuf&utm_source=chatgpt.com&channelId=480&plpRedirect=mhFallback



    Download the episode companion to this and other episodes here: https://drive.google.com/drive/folders/1hPXaKMrs3yrLEP2g7l1HIRH3hz65tK1g



    Claude Racine: Postpartum Is Not The Baby Blues Oct 08, 2026
    Show notes

    Send us Fan Mail

    The postpartum period can look normal from the outside while it feels like a full-body emergency on the inside. After the headlines around the Lindsay Clancy case, I wanted a real conversation about what postpartum depression and postpartum anxiety can actually feel like, why people minimize it, and how fast a new parent can lose their sense of self.
    Claude Racine joins me with raw honesty. She’s a former professional dancer and choreographer turned wellness advocate, and she describes going from relentless hustle and “I don’t need help” independence to panic, grief, and intrusive thoughts just days after giving birth. We talk about the pressure to perform motherhood, the reality of breastfeeding stress and sleep deprivation, and the hardest truth: when you’re scared of your own mind, “you’ll be fine” is not support. Claude explains what she needed most from loved ones, what partners often miss, and why acknowledgement and steady presence matter more than perfect advice.

    Claude was diagnosed with Hashimoto's. Working with a
    functional nutritionist, she reversed the autoimmune disease, lost 35 pounds, and felt like herself again. That experience lit a fire in her — she got certified in
    functional nutrition and built a practice helping over 1,000 women lose weight, reverse chronic illness, and come off psych meds.

    But three years in, Claude noticed the thing she built to help women was quietly costing her the two relationships she cared about most: her marriage and her presence as a mom. So in February 2024, she closed her business. Not because it wasn't working — but because she realized her power was better spent as a wife and mother than as a founder.

    We also get into the gut brain connection, inflammation, and how her health journey uncovered autoimmune issues that changed her recovery plan. From there, Claude shares the second arc many caregivers recognize: swapping pain for productivity, chasing success as a coping strategy, and then deciding to rebuild life around being present as a mom and a wife. You can find her at “Glow Up with Claude,” and she and her husband create relatable marriage and parenting content as “the Velinskys” on TikTok, Instagram, and Facebook.

    @thevalinskys

    @glowupwithclaude and @scientologylv for anyone curious or wanting to know more about Scientology!

    These days, you'll find Claude volunteering at her church, creating funny (and
    hopefully relatable) content with her husband about marriage and parenthood, and choreographing alongside him for work. Her mission now isn't just about impact in
    one area of her life — it's about showing up fully in all of them: as a wife, a mom, a creator, and a woman who finally gave herself permission to slow down.


    If this conversation helps, subscribe, share it with a new parent, and leave a review so more families find real postpartum mental health support. What’s one thing you wish people understood about postpartum?

    ABOUT MICHAEL MACKNIAK

    Michael Mackniak is an attorney, author, speaker and creator of the Guardian Model. For more than 30 years, his work has focused on mental illness, caregiving, care coordination and what happens when real families collide with systems that don't always work the way they're supposed to.

    READ MORE FROM MICHAEL

    Essays, stories, observations and occasional evidence that I'm still a work in progress:

    LinkedIn
    https://www.linkedin.com/in/michael-mackniak/

    Substack
    https://substack.com/@michaelmackniak

    Medium
    https://medium.com/@mwmackniak



    BOOKS BY MICHAEL MACKNIAK


    Saving Melissa: 7Cs to Cure the Mental Health System
    https://www.amazon.com/dp/0997421401


    Character: Become the Person Your Social Media “Friends” Already Think You Are

    https://www.amazon.com/dp/1790810612?lv=shuf&utm_source=chatgpt.com&channelId=480&plpRedirect=mhFallback



    Download the episode companion to this and other episodes here: https://drive.google.com/drive/folders/1hPXaKMrs3yrLEP2g7l1HIRH3hz65tK1g



    #6 Companion Who Gets To Decide When Minds Are Unsteady Oct 06, 2026
    Show notes

    Send us Fan Mail

    Client choice can feel like a clean principle right up until the moment symptoms surge, risk rises, and everyone around the person feels responsible for the outcome. I walk through why that moment becomes an ethical tightrope for legal advocates, clinicians, providers, peers, and family members and how quickly “help” can turn into control when we confuse disagreement with incapacity. If you care about mental health advocacy, disability rights, informed consent, and ethical crisis response, this conversation is built for you.
    We dig into the practical work of preserving someone’s autonomy when psychosis or impairment is part of the picture. That starts with protecting the person’s voice: their values, their words, their fears, and their goals, captured clearly instead of overwritten by other people’s opinions. We also talk about the power of documentation and why observable facts and timing beat vague labels like “noncompliant” or “difficult.” When you focus on what happened and when it happened, you create clarity across systems and reduce the chances of a rushed, assumption-driven decision.
    I also explain why disagreement across family members, lawyers, clinicians, providers, and even courts does not automatically mean bad faith. Often it means people are doing their jobs, with different duties pulling in different directions. As a lawyer, that conflict is especially sharp because my role is to do what my client wants, not what everyone else thinks they need.
    Grab the Cloak of Client Choice listener action guide at michaelmachniac.org, then subscribe, share this with someone who navigates tough calls, and leave a review so more people can find the show.

    DOWNLOAD THE FREE LISTENER ACTION GUIDE

    https://drive.google.com/file/d/1HrHl6opiJAKbvBoBvD4clhV92Q-6g1hi/view?usp=drive_link

    LISTEN TO HOLDING IT TOGETHER (KINDA)

    Spotify:
    https://open.spotify.com/show/2nobQzuuYVGKY9NYYWgcvO

    YouTube:
    Search for HITKINDA

    ADDITIONAL FAMILY AND CAREGIVER RESOURCES

    Care Coalition Journal:
    https://guardian-academy.thinkific.com/courses/CareKeeperJournal

    Mental Health Resource Network:
    https://www.facebook.com/groups/1296747162391859

    Care Coalition:
    https://carecoalition.org/

    ABOUT MICHAEL MACKNIAK

    Michael Mackniak is an attorney, author, speaker and creator of the Guardian Model. For more than 30 years, his work has focused on mental illness, caregiving, care coordination and what happens when real families collide with systems that don't always work the way they're supposed to.

    READ MORE FROM MICHAEL

    Essays, stories, observations and occasional evidence that I'm still a work in progress:

    LinkedIn
    https://www.linkedin.com/in/michael-mackniak/

    Substack
    https://substack.com/@michaelmackniak

    Medium
    https://medium.com/@mwmackniak



    BOOKS BY MICHAEL MACKNIAK


    Saving Melissa: 7Cs to Cure the Mental Health System
    https://www.amazon.com/dp/0997421401


    Character: Become the Person Your Social Media “Friends” Already Think You Are

    https://www.amazon.com/dp/1790810612?lv=shuf&utm_source=chatgpt.com&channelId=480&plpRedirect=mhFallback



    Download the episode companion to this and other episodes here: https://drive.google.com/drive/folders/1hPXaKMrs3yrLEP2g7l1HIRH3hz65tK1g



    1 2 3 5 Next

    Related Podcasts

    Fresh Air

    1

    Fresh Air Arts
    Twenty Thousand Hertz

    2

    Twenty Thousand Hertz Arts
    The Black Tapes

    3

    The Black Tapes Arts
    Snap Judgment

    4

    Snap Judgment Arts
    Here’s The Thing with Alec Baldwin

    5

    Here’s The Thing with Alec Baldwin Arts
    The NoSleep Podcast – Creative Reason Media Inc.

    6

    The NoSleep Podcast – Creative Reason Media Inc. Arts
    footer-logo

    Contact Us

    Toll Free: 844-670-7747

    Links

    • Home
    • Top Charts
    • Networks
    • Apps
    • Independents Podcasts
    • Podcast Advertising
    • Podcast News
    • Contact Us
    • About Us
    • Analytics & Insights

    Stay Connected

      Privacy, Terms of Use & Our Code of Ethics Protecting Content Creators Copyrights