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    Health & Fitness

    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. 

    Advertise
    • Apple Podcasts
    • Google Play
    • Spotify

    Latest Episodes:
    Communication and the Cost of Silence Aug 27, 2026
    Show notes

    Send us Fan Mail

    A single missed conversation can be the most dangerous part of treatment. We start with David, a 62-year-old man living with schizophrenia who is stable on a complex antipsychotic regimen until an urgent care visit adds the wrong sedative. His family tries to warn the provider about medication interactions, gets blocked by privacy talk, and the outcome is catastrophic. It is a brutal reminder that care coordination between psychiatry, primary care, and emergency medicine is not optional when severe mental illness is in the mix.
    From there, we get concrete about why this keeps happening: the “unreliable historian” problem, anosognosia, rushed appointments, and electronic health records that still do not travel cleanly between systems. We share what actually helps families in real time, including keeping a current paper medication list, building a simple timeline of hospitalizations and placements, and learning when to escalate with names, dates, and documented calls. We also dismantle a common misunderstanding about HIPAA and patient privacy: even when a clinician cannot disclose information back to you, they can often still receive critical information from you, and that “one-way street” can save a life.
    We close with practical communication tools that reduce blowups and increase honesty, like half-and-half meetings that let caregivers speak freely before bringing a loved one in, plus a focus on patient-centered care that meets paranoia and delusions with curiosity instead of dismissal. If you’ve ever felt like you were shouting into the cracks of the system, you are not alone, and you are not a liability. Subscribe, share this with someone who is caregiving, and leave a review so more families find it. What’s the hardest barrier you’ve hit when trying to share information with a hospital or clinic?

    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

    SPECIAL ANNOUNCEMENT

    We are moving to a platform called Discord. Think of it as our own private, invite-only living room.

    JOIN HERE: https://discord.gg/2TCSdfNb


    Download this episode companion worksheet here: https://michaelmackniak.org/free-listener-action-guides

    Get the Journal https://guardian-academy.thinkific.com/courses/CareKeeperJournal

    Become part of the Care Coalition: https://carecoalition.org/

    SPECIAL ANNOUNCEMENT

    We are moving to a platform called Discord. Think of it as our own private, invite-only living room.

    JOIN HERE: https://discord.gg/2TCSdfNb

    I want to be there for you more deeply, but as many of you know, our private Facebook group hasn't been working. It became cluttered, it lacked real privacy, and it turned into a place for people to advertise instead of support one another.

    So, I have shut it down, and I’ve built us a brand-new, private home.

    There are no algorithms, no social media noise, and absolutely zero spam or advertising.

    I’ve set it up with a Free General Area where you can log in, pull up a chair, and just vent or chat with other caregivers who truly understand your day.

    There’s no video required—you don't have to worry about getting dressed up or what your house looks like. You can just listen in and talk to me like a private phone call.

    Now, if you aren't tech-savvy, please do not worry. I promise it is simple.

    I can’t wait to see you there, talk to you directly, and finally give you the supportive community you deserve. Now, let’s get into today's show."

    How to Join Our Private Care Community (Step-by-Step):

    1. Click this link: https://discord.gg/2TCSdfNb
    2. If you are on a phone, it will prompt you to download the free, secur...

    When The Doctor Becomes Family with Dr Mohamed Elziam Aug 20, 2026
    Show notes

    Send us Fan Mail

    A white coat can make people think medicine is all control, clarity, and clean answers. Then a crisis hits your own family, and you learn how fast that illusion collapses. We sit down with Dr. Mohamed Elziam, a family physician, to talk about his brother’s late-onset schizophrenia and what it’s like to live in two roles at once: the clinician who understands diagnoses and pharmacology, and the brother who is grieving, advocating, and trying to keep everyone safe.
    We get specific about the mental health system problems families run into every day: symptoms that get dismissed as “drug-induced,” discharge plans that assume motivation and capacity, and a fragmented pipeline where nobody owns follow-through once the patient leaves inpatient psychiatry. We also dig into the realities of schizophrenia and anosognosia, where medication noncompliance is not simple stubbornness, and where repeated decompensations can change a person’s baseline over time. Dr. El Zin shares why long-acting injectable antipsychotics can be a turning point, and why getting there often takes more persistence than families should ever have to provide.
    We also unpack HIPAA and patient privacy, including the common misunderstanding that clinicians cannot even listen to family context. That myth creates silence where there should be collaboration, and it fuels caregiver burnout. If you’re supporting someone with severe mental illness, this conversation offers language, perspective, and a clearer map of the traps built into the system.
    If the story resonates, subscribe, share this with someone who is caregiving, and leave a review so more families can find these tools and feel less alone.

    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&am

    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


    SPECIAL ANNOUNCEMENT

    We are moving to a platform called Discord. Think of it as our own private, invite-only living room.

    JOIN HERE: https://discord.gg/2TCSdfNb


    Download this episode companion worksheet here: https://michaelmackniak.org/free-listener-action-guides

    Get the Journal https://guardian-academy.thinkific.com/courses/CareKeeperJournal

    Become part of the Care Coalition: https://carecoalition.org/

    SPECIAL ANNOUNCEMENT

    We are moving to a platform called Discord. Think of it as our own private, invite-only living room.

    JOIN HERE: https://discord.gg/2TCSdfNb

    I want to be there for you more deeply, but as many of you know, our private Facebook group hasn't been working. It became cluttered, it lacked real privacy, and it turned into a place for people to advertise instead of support one another.

    So, I have shut it down, and I’ve built us a brand-new, private home.

    There are no algorithms, no social media noise, and absolutely zero spam or advertising.

    I’ve set it up with a Free General Area where you can log in, pull up a chair, and just vent or chat with other caregivers who truly understand your day.

    There’s no video required—you don't have to worry about getting dressed up or what your house looks like. You can just listen in and talk to me like a private phone call.

    Now, if you aren't tech-savvy, please do not worry. I promise it is simple.

    I can’t wait to see you there, talk to you directly, and finally give you the supportive community you deserve. Now, let’s get into today's show."

    How to Join Our Private Care Community (Step-by-Step):

    1. Click this link: https://discord.gg/2TCSdfNb
    2. If you are on a phone, it will prompt you to download the free, secur...

    Elder Care Is A Life Plan with Shanika Batchelor Aug 13, 2026
    Show notes

    Send us Fan Mail

    “A nursing home” is one of the most emotionally loaded phrases in caregiving and it often shuts down the real conversation we need to have. We sit down with Shanika Bachelor, founder of Armana Assisted Living in Egypt and co-founder of an assisted living operation in Wisconsin, to rethink what long-term care can look like when dignity, autonomy, and community come first.
    We dig into the practical side of elder care and senior living, including the clear differences between small group homes, assisted living, and skilled nursing facilities. Shanika explains why memory care for Alzheimer’s and dementia is becoming essential, and how the best communities reduce disruption by letting residents step into higher support without losing their familiar environment. We also talk about couples aging together, and how assisted living can keep partners close even when one person needs dementia care.
    Then we zoom out to the big forces reshaping everything: caregiver guilt, the mental load of managing meds and appointments, a more transient population living far from parents, and the rising cost of care in the United States. Shanika shares why Egypt and the broader Middle East and North Africa region may be ready for a new assisted living model, and why “luxury” often means basics that should be standard: calming design, good lighting, meaningful activities, and spaces that feel human.
    If you’re planning for aging parents or for yourself, hit play, share this with a sibling, and subscribe. After you listen, leave a review and tell us: what would make long-term care feel less scary and more like a real life plan?

    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&spref

    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

    SPECIAL ANNOUNCEMENT

    We are moving to a platform called Discord. Think of it as our own private, invite-only living room.

    JOIN HERE: https://discord.gg/2TCSdfNb


    Download this episode companion worksheet here: https://michaelmackniak.org/free-listener-action-guides

    Get the Journal https://guardian-academy.thinkific.com/courses/CareKeeperJournal

    Become part of the Care Coalition: https://carecoalition.org/

    SPECIAL ANNOUNCEMENT

    We are moving to a platform called Discord. Think of it as our own private, invite-only living room.

    JOIN HERE: https://discord.gg/2TCSdfNb

    I want to be there for you more deeply, but as many of you know, our private Facebook group hasn't been working. It became cluttered, it lacked real privacy, and it turned into a place for people to advertise instead of support one another.

    So, I have shut it down, and I’ve built us a brand-new, private home.

    There are no algorithms, no social media noise, and absolutely zero spam or advertising.

    I’ve set it up with a Free General Area where you can log in, pull up a chair, and just vent or chat with other caregivers who truly understand your day.

    There’s no video required—you don't have to worry about getting dressed up or what your house looks like. You can just listen in and talk to me like a private phone call.

    Now, if you aren't tech-savvy, please do not worry. I promise it is simple.

    I can’t wait to see you there, talk to you directly, and finally give you the supportive community you deserve. Now, let’s get into today's show."

    How to Join Our Private Care Community (Step-by-Step):

    1. Click this link: https://discord.gg/2TCSdfNb
    2. If you are on a phone, it will prompt you to download the free, secur...

    The Dilemmas of Addiction Aug 06, 2026
    Show notes

    Send us Fan Mail

    We explore the hard edge between autonomy and suffering through Jamie’s story and the wider reality of co‑occurring addiction and mental illness. We ask when saving a life becomes enough, how families hold the line, and why systems confuse stabilization with success.<br><br>• co‑occurring disorders shaping addiction and depression<br>• families as first responders at the front line<br>• the broken safety net after detox and discharge<br>• autonomy versus intervention and stages of change<br>• stigma, neuroscience, and reframing addiction as brain disease<br>• commitment laws, beds, and practical barriers<br>• ACT teams, navigators, and continuity of care<br>• boundaries, culture, guilt, and self‑care for families<br>• guardianship limits and realistic expectations<br>• redefining success beyond survival toward quality of life<br><br>Find us on YouTube at HITKINDA and subscribe. Like, follow, comment, vent, throw rocks, tantrum, whatever you need to do today, but please follow us<br>



    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

    SPECIAL ANNOUNCEMENT

    We are moving to a platform called Discord. Think of it as our own private, invite-only living room.

    JOIN HERE: https://discord.gg/2TCSdfNb


    Download this episode companion worksheet here: https://michaelmackniak.org/free-listener-action-guides

    Get the Journal https://guardian-academy.thinkific.com/courses/CareKeeperJournal

    Become part of the Care Coalition: https://carecoalition.org/

    SPECIAL ANNOUNCEMENT

    We are moving to a platform called Discord. Think of it as our own private, invite-only living room.

    JOIN HERE: https://discord.gg/2TCSdfNb

    I want to be there for you more deeply, but as many of you know, our private Facebook group hasn't been working. It became cluttered, it lacked real privacy, and it turned into a place for people to advertise instead of support one another.

    So, I have shut it down, and I’ve built us a brand-new, private home.

    There are no algorithms, no social media noise, and absolutely zero spam or advertising.

    I’ve set it up with a Free General Area where you can log in, pull up a chair, and just vent or chat with other caregivers who truly understand your day.

    There’s no video required—you don't have to worry about getting dressed up or what your house looks like. You can just listen in and talk to me like a private phone call.

    Now, if you aren't tech-savvy, please do not worry. I promise it is simple.

    I can’t wait to see you there, talk to you directly, and finally give you the supportive community you deserve. Now, let’s get into today's show."

    How to Join Our Private Care Community (Step-by-Step):

    1. Click this link: https://discord.gg/2TCSdfNb
    2. If you are on a phone, it will prompt you to download the free, secur...

    The Great Earwax Contraband Caper with Jolene Breinig Jul 30, 2026
    Show notes

    Send us Fan Mail

    Caregiving gets called a “labor of love,” but that phrase can hide the bruising reality: the physical work, the mental load, the split-second decisions, and the guilt that keeps families trying to do it all alone. We’re joined by RN Jolene Breinig, a home health nurse who works at the intersection of medical necessity and personal connection, to talk about what caregiving actually looks like day to day and why dignity matters as much as any task list.
    We dig into why families seek out smaller, consistent home care instead of large rotating agencies, especially when dementia care or Alzheimer’s makes unfamiliar faces feel threatening. Jolene explains what she’s seeing in the field, including the rise of “PCA” staffing with minimal training, and what families should look for when hiring help: bravery, patience, empathy, communication, and documentation that doesn’t leave doctors and loved ones guessing. We also talk about the messy part nobody wants to admit: sibling conflict, resentment, and the quiet pressure adult children carry when they believe they “should” be able to handle everything.
    Then we go straight at caregiver burnout and compassion fatigue, including the red flags that show up before you crash, and the coping tools that help regulate your nervous system when the day keeps coming at you. We connect the dots to the bigger system too: long-term care costs, memory care reality, and why better care coordination and simple tools like a caregiver journal can keep everyone on the same page.
    If you’re supporting an aging parent, living the long-distance caregiver life, or trying to keep your own cup from running dry, this conversation is for you. Subscribe, share it with a caregiver who needs relief, and leave a review with the one boundary you’re committing to this week.


    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

    SPECIAL ANNOUNCEMENT

    We are moving to a platform called Discord. Think of it as our own private, invite-only living room.

    JOIN HERE: https://discord.gg/2TCSdfNb


    Download this episode companion worksheet here: https://michaelmackniak.org/free-listener-action-guides

    Get the Journal https://guardian-academy.thinkific.com/courses/CareKeeperJournal

    Become part of the Care Coalition: https://carecoalition.org/

    SPECIAL ANNOUNCEMENT

    We are moving to a platform called Discord. Think of it as our own private, invite-only living room.

    JOIN HERE: https://discord.gg/2TCSdfNb

    I want to be there for you more deeply, but as many of you know, our private Facebook group hasn't been working. It became cluttered, it lacked real privacy, and it turned into a place for people to advertise instead of support one another.

    So, I have shut it down, and I’ve built us a brand-new, private home.

    There are no algorithms, no social media noise, and absolutely zero spam or advertising.

    I’ve set it up with a Free General Area where you can log in, pull up a chair, and just vent or chat with other caregivers who truly understand your day.

    There’s no video required—you don't have to worry about getting dressed up or what your house looks like. You can just listen in and talk to me like a private phone call.

    Now, if you aren't tech-savvy, please do not worry. I promise it is simple.

    I can’t wait to see you there, talk to you directly, and finally give you the supportive community you deserve. Now, let’s get into today's show."

    How to Join Our Private Care Community (Step-by-Step):

    1. Click this link: https://discord.gg/2TCSdfNb
    2. If you are on a phone, it will prompt you to download the free, secur...

    The Future Proof Parent: Special Needs Planning Without Panic with Rebecca Iantuonni Jul 23, 2026
    Show notes

    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 why a single windfall inheritance can accidentally knock it all down. Rebecca explains Medicaid waivers in plain English, why private insurance doesn’t always replace state resources, and how to move past analysis paralysis by taking “small clicks” across life stages like age 18 decision making, transition planning after high school, employment supports, and community life.
    Then we get into the practical tools: how a special needs trust is designed to supplement benefits, why purely discretionary distributions help protect Medicaid eligibility, and how a letter of intent can capture the details a future caregiver will desperately need. We also cover funding strategies like second-to-die life insurance and retirement account planning in a post-SECURE Act world, plus a blunt conversation about siblings, boundaries, and why family trustees should take a fair fee to prevent resentment.
    If you’re a parent, sibling, guardian, or caregiver trying to balance love with logistics, this one will give you a starting point you can act on today. Subscribe for more, share this with someone who needs it, and leave a review. After you listen, what’s the very first “small click” you’re willing to write down?

    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

    SPECIAL ANNOUNCEMENT

    We are moving to a platform called Discord. Think of it as our own private, invite-only living room.

    JOIN HERE: https://discord.gg/2TCSdfNb


    Download this episode companion worksheet here: https://michaelmackniak.org/free-listener-action-guides

    Get the Journal https://guardian-academy.thinkific.com/courses/CareKeeperJournal

    Become part of the Care Coalition: https://carecoalition.org/

    SPECIAL ANNOUNCEMENT

    We are moving to a platform called Discord. Think of it as our own private, invite-only living room.

    JOIN HERE: https://discord.gg/2TCSdfNb

    I want to be there for you more deeply, but as many of you know, our private Facebook group hasn't been working. It became cluttered, it lacked real privacy, and it turned into a place for people to advertise instead of support one another.

    So, I have shut it down, and I’ve built us a brand-new, private home.

    There are no algorithms, no social media noise, and absolutely zero spam or advertising.

    I’ve set it up with a Free General Area where you can log in, pull up a chair, and just vent or chat with other caregivers who truly understand your day.

    There’s no video required—you don't have to worry about getting dressed up or what your house looks like. You can just listen in and talk to me like a private phone call.

    Now, if you aren't tech-savvy, please do not worry. I promise it is simple.

    I can’t wait to see you there, talk to you directly, and finally give you the supportive community you deserve. Now, let’s get into today's show."

    How to Join Our Private Care Community (Step-by-Step):

    1. Click this link: https://discord.gg/2TCSdfNb
    2. If you are on a phone, it will prompt you to download the free, secur...

    Understanding Hoarding Jul 16, 2026
    Show notes

    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 why it so often shows up alongside depression, ADHD, anxiety, OCD, and even dementia-related changes. We walk through the patterns we see on the ground: how one room quietly spreads to the whole house, why “files vs piles” can paralyze decision making, and how acquiring can create a dopamine hit that temporarily relieves stress while making the problem worse over time. We also talk about the hidden casualties, including spouses and kids who feel like strangers in their own home.
    Then we zoom out to the safety and systems side: fire hazards, pests, Section 8 inspections, blight complaints, and the blunt force of housing court and forced cleanouts. We explain why dumpsters can clear a hallway without solving the cause, and what helps instead: harm reduction, safe pathways, coordinated teams, and evidence-based treatment like cognitive behavioral therapy and exposure work built on trust.
    If hoarding is touching your family, you’re not alone and you’re not crazy for feeling exhausted. Subscribe, share this with someone who needs it, and leave a review so more caregivers can find these conversations. What part of hoarding feels hardest to talk about in your home?

    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

    SPECIAL ANNOUNCEMENT

    We are moving to a platform called Discord. Think of it as our own private, invite-only living room.

    JOIN HERE: https://discord.gg/2TCSdfNb


    Download this episode companion worksheet here: https://michaelmackniak.org/free-listener-action-guides

    Get the Journal https://guardian-academy.thinkific.com/courses/CareKeeperJournal

    Become part of the Care Coalition: https://carecoalition.org/

    SPECIAL ANNOUNCEMENT

    We are moving to a platform called Discord. Think of it as our own private, invite-only living room.

    JOIN HERE: https://discord.gg/2TCSdfNb

    I want to be there for you more deeply, but as many of you know, our private Facebook group hasn't been working. It became cluttered, it lacked real privacy, and it turned into a place for people to advertise instead of support one another.

    So, I have shut it down, and I’ve built us a brand-new, private home.

    There are no algorithms, no social media noise, and absolutely zero spam or advertising.

    I’ve set it up with a Free General Area where you can log in, pull up a chair, and just vent or chat with other caregivers who truly understand your day.

    There’s no video required—you don't have to worry about getting dressed up or what your house looks like. You can just listen in and talk to me like a private phone call.

    Now, if you aren't tech-savvy, please do not worry. I promise it is simple.

    I can’t wait to see you there, talk to you directly, and finally give you the supportive community you deserve. Now, let’s get into today's show."

    How to Join Our Private Care Community (Step-by-Step):

    1. Click this link: https://discord.gg/2TCSdfNb
    2. If you are on a phone, it will prompt you to download the free, secur...

    All the Wrong Doors Jul 09, 2026
    Show notes

    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 despair and why a system that’s meant to be a safety net so often becomes a labyrinth. With Sara and Stephanie, we get specific about what actually helps families navigate social services and mental health care: asking about openings before repeating your whole story, matching the right level of care to the right need, and pushing for real discharge planning while someone is still inpatient. We also dig into system overload, why care turns reactive, and what happens to the people stuck on the edge between “not sick enough” and “too complex.”
    Then we get into the practical power moves that don’t require you to burn bridges: document everything, set boundaries, become a respected ally to the team, and escalate up the chain when apathy or misinformation becomes a pattern. We also explain the probate court pivot, including how a court-appointed attorney can help unlock action when you’re truly stuck. We end with the balance that keeps you in this for the long haul: proactive advocacy paired with real self-care.
    If this helps, subscribe, share it with someone who’s carrying too much, and leave a review so more families can find us.

    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

    SPECIAL ANNOUNCEMENT

    We are moving to a platform called Discord. Think of it as our own private, invite-only living room.

    JOIN HERE: https://discord.gg/2TCSdfNb


    Download this episode companion worksheet here: https://michaelmackniak.org/free-listener-action-guides

    Get the Journal https://guardian-academy.thinkific.com/courses/CareKeeperJournal

    Become part of the Care Coalition: https://carecoalition.org/

    SPECIAL ANNOUNCEMENT

    We are moving to a platform called Discord. Think of it as our own private, invite-only living room.

    JOIN HERE: https://discord.gg/2TCSdfNb

    I want to be there for you more deeply, but as many of you know, our private Facebook group hasn't been working. It became cluttered, it lacked real privacy, and it turned into a place for people to advertise instead of support one another.

    So, I have shut it down, and I’ve built us a brand-new, private home.

    There are no algorithms, no social media noise, and absolutely zero spam or advertising.

    I’ve set it up with a Free General Area where you can log in, pull up a chair, and just vent or chat with other caregivers who truly understand your day.

    There’s no video required—you don't have to worry about getting dressed up or what your house looks like. You can just listen in and talk to me like a private phone call.

    Now, if you aren't tech-savvy, please do not worry. I promise it is simple.

    I can’t wait to see you there, talk to you directly, and finally give you the supportive community you deserve. Now, let’s get into today's show."

    How to Join Our Private Care Community (Step-by-Step):

    1. Click this link: https://discord.gg/2TCSdfNb
    2. If you are on a phone, it will prompt you to download the free, secur...

    Set Boundaries And Still Love Them with Dr Michelle Sherman author of Loving Someone with Mental Illness Jul 02, 2026
    Show notes

    Send us Fan Mail

    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, resentment, and the grief of watching a “new normal” take shape. Dr. Sherman brings a research grounded view of psychosis outcomes and a recovery framework that doesn’t sugarcoat relapses but refuses to label anyone as permanently “gone.” We also talk about how to hold hope when you can’t feel it for your loved one, and why it still counts to build hope for yourself.
    Then we turn practical: how to show up to short psychiatry appointments with a tight list of facts, how to advocate without getting dismissed, and why relationship and listening have to come before any hard conversation about hygiene, meds, or daily functioning. We also name the siblings and kids who become invisible in these families, and what support can look like for them.
    Finally, we tackle boundaries and red lines, including what to do in acute crisis when safety is at stake and the only priority is getting yourself and your family safe. If you’re a caregiver, a partner, a parent, or a sibling trying to hold it together, this one gives you language you can use today. Subscribe, share this with someone who’s carrying it quietly, and leave a review with the boundary or tool that helped you most.

    Guest Info

    “Loving Someone with a Mental Illness or History of Trauma: Skills, Hope, and Strength for Your Journey” (Johns Hopkins University Press, 2025)
    “I’m Not Alone: A Teen’s Guide to Living with a Parent Who Has a Mental Illness or History of Trauma” (2nd edition, 2024) - there are SO few resources for these teens!


    Both books strive to build resilience by providing information, practical skills, and resources. They differ from other books as we merge facts and actionable strategies with reflection questions, activities, and stories from adults and teens with lived experience. You can see the Table of Contents, sample chapters, and other resources on our website.

    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

    SPECIAL ANNOUNCEMENT

    We are moving to a platform called Discord. Think of it as our own private, invite-only living room.

    JOIN HERE: https://discord.gg/2TCSdfNb


    Download this episode companion worksheet here: https://michaelmackniak.org/free-listener-action-guides

    Get the Journal https://guardian-academy.thinkific.com/courses/CareKeeperJournal

    Become part of the Care Coalition: https://carecoalition.org/

    SPECIAL ANNOUNCEMENT

    We are moving to a platform called Discord. Think of it as our own private, invite-only living room.

    JOIN HERE: https://discord.gg/2TCSdfNb

    I want to be there for you more deeply, but as many of you know, our private Facebook group hasn't been working. It became cluttered, it lacked real privacy, and it turned into a place for people to advertise instead of support one another.

    So, I have shut it down, and I’ve built us a brand-new, private home.

    There are no algorithms, no social media noise, and absolutely zero spam or advertising.

    I’ve set it up with a Free General Area where you can log in, pull up a chair, and just vent or chat with other caregivers who truly understand your day.

    There’s no video required—you don't have to worry about getting dressed up or what your house looks like. You can just listen in and talk to me like a private phone call.

    Now, if you aren't tech-savvy, please do not worry. I promise it is simple.

    I can’t wait to see you there, talk to you directly, and finally give you the supportive community you deserve. Now, let’s get into today's show."

    How to Join Our Private Care Community (Step-by-Step):

    1. Click this link: https://discord.gg/2TCSdfNb
    2. If you are on a phone, it will prompt you to download the free, secur...

    Caregiver Stress Reset with Alicia Feller Jun 25, 2026
    Show notes

    Send us Fan Mail

    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 fight flight freeze response keeps firing even when the “threat” is paperwork, phone calls, or constant uncertainty, and how modern overload from news, notifications, and social media keeps us stuck in survival mode. Alicia shares simple daily check-ins, a powerful rule for mornings (hint: your phone can wait), and breathwork strategies like box breathing that you can do in minutes, not hours.
    We also dig into practical tools that meet you where you are: mindfulness as five-senses awareness, mindful eating when you cannot find quiet, sensory grounding with music, and how aromatherapy and essential oils can support relaxation or energy. We talk gratitude journaling as a brain-training practice, why self-care is not selfish, and sleep hygiene basics like reducing blue light and building a calmer bedtime routine when your mind will not shut off.
    If you are carrying the mental load for someone you love, pick one tool and try it today. Subscribe, share this with a fellow caregiver, and leave a review so more people can find stress management help that actually fits real life.

    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

    SPECIAL ANNOUNCEMENT

    We are moving to a platform called Discord. Think of it as our own private, invite-only living room.

    JOIN HERE: https://discord.gg/2TCSdfNb


    Download this episode companion worksheet here: https://michaelmackniak.org/free-listener-action-guides

    Get the Journal https://guardian-academy.thinkific.com/courses/CareKeeperJournal

    Become part of the Care Coalition: https://carecoalition.org/

    SPECIAL ANNOUNCEMENT

    We are moving to a platform called Discord. Think of it as our own private, invite-only living room.

    JOIN HERE: https://discord.gg/2TCSdfNb

    I want to be there for you more deeply, but as many of you know, our private Facebook group hasn't been working. It became cluttered, it lacked real privacy, and it turned into a place for people to advertise instead of support one another.

    So, I have shut it down, and I’ve built us a brand-new, private home.

    There are no algorithms, no social media noise, and absolutely zero spam or advertising.

    I’ve set it up with a Free General Area where you can log in, pull up a chair, and just vent or chat with other caregivers who truly understand your day.

    There’s no video required—you don't have to worry about getting dressed up or what your house looks like. You can just listen in and talk to me like a private phone call.

    Now, if you aren't tech-savvy, please do not worry. I promise it is simple.

    I can’t wait to see you there, talk to you directly, and finally give you the supportive community you deserve. Now, let’s get into today's show."

    How to Join Our Private Care Community (Step-by-Step):

    1. Click this link: https://discord.gg/2TCSdfNb
    2. If you are on a phone, it will prompt you to download the free, secur...

    Previous 1 2 3 4 Next

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