If your marriage feels like a roommate relationship with your husband or wife, this episode is for you. Dr. Kat Derrig-Palumbo, licensed psychologist, walks through the 5 signs of a roommate marriage: conversations that are all logistics, no touch, planning trips but not closeness, separate emotional lives, and intimacy that quietly stopped. Then she gives you the first steps back: the honest conversation, bringing back touch, baby steps, date nights, and courting each other again.

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Living with someone who seems physically present but emotionally elsewhere can leave you lonely, devalued, and questioning what changed. The phone scrolling, flat answers, constant busyness, and sense that they always have one foot out the door can slowly turn a relationship into a place where neither person feels truly met.

Dr. Kat breaks down six common signs of emotional disconnection, including going through the motions in conversation, avoiding time together, and offering little support when a partner is vulnerable. She also looks at the domino effect of ongoing neglect—and why rebuilding connection requires consistently resisting patterns of avoidance and leaning back into real engagement. If you’ve been wondering whether distance in your relationship is more than a rough patch, this conversation puts words to what daily disconnection can feel like.

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When performance, money, and public opinion are all on the line, there may be nowhere to put the anxiety. College athletes are expected to compete, build a brand, handle criticism, and keep going—even after a bad game. College football coach, author, and former Penn State coach Jay Paterno talks with Dr. Kat about the human pressure behind the sport’s most visible moments.

Jay explains how NIL, social media, transfers, parents, and the draft process have changed what young athletes carry. He and Dr. Kat discuss anxiety, self-medication, team culture, learning to hear constructive criticism, and the importance of a grounded support system. Jay also shares Joe Paterno’s “blue line” lesson: focus on what is in front of you, then leave it there when it’s time to return to the rest of your life.

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When the truth feels unclear, your mind starts filling in the blanks—and often with the worst-case scenario. As questions about UAPs, UFOs, and possible disclosure keep circulating, uncertainty can bring fear, distrust, anger, and concern about what the future might mean for ourselves and our children.

Dr. Kat looks at UAP conversations through a psychological lens, including ontological shock: the unease that comes with the possibility that our sense of reality could change. She explains why uncertainty can feel harder than bad news, how “puzzle piecing” missing information can fuel anxiety and conspiracy thinking, and how to talk about these topics with children without passing along fear. The goal isn’t to decide what is true—it’s to stay informed, grounded, and thoughtful when answers are still incomplete.

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When a child is struggling with drugs, fear and shame can make families go quiet—especially when a parent is trying to help without pushing their child further away. Mary Cosby’s public grief and openness about her son’s substance use bring that private turmoil into view: the shock, the helplessness, and the instinct to keep loving someone through a crisis.

Dr. Kat reflects on Mary’s response when her son disclosed his drug use, and why honest conversation can open the door to support rather than isolation. She also talks about the many ways people grieve, the coping skills that help people carry an unbearable loss, and concerns about today’s high-potency cannabis, including anxiety, paranoia, and cannabis-induced psychosis. This is a compassionate conversation for anyone carrying worry, loss, or silence in their own family.

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Surviving addiction, grief, illness, or loss doesn’t automatically make life feel better. Sometimes you make it through the crisis only to find yourself exhausted, grieving what’s gone, and wondering how to rebuild without simply waiting for the next thing to fall apart. Andrew Minuto, author of Fatally Resilient, shares what it has meant to keep starting over after addiction, the deaths of his parents, divorce, and recurring cancer.

Dr. Kat and Andrew talk honestly about trauma’s physical triggers, why substances can be about relief rather than pleasure, and the difference between blaming yourself and taking accountability. They also explore EMDR, grief, small daily victories, and returning to the hopes and “fantasies” that give life direction. For anyone asking, “I survived—now what?” this conversation makes room for both exhaustion and the choice to keep building.

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Splitting the bill can sound fair—until you notice that the cost of a date often starts long before anyone reaches the restaurant. Women are navigating pay gaps, pressure to look a certain way, and safety calculations that can shape everything from what they wear to how they get home.

Dr. Kat looks beyond the 50/50 debate at the hidden financial, emotional, and practical costs women carry. She talks about the pressure created by beauty standards, the everyday vigilance many women are taught around personal safety, and why focusing only on the check can become a form of cherry-picking. A story about a school dance offers a simple example of what it can look like to recognize the fuller picture.

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When you’ve tried therapy, medication, and all the usual advice but still feel stuck, it can be hard to know what else is worth considering. Dr. Kat talks with Myriam Barthes, co-founder and CEO of Journey Clinical, about ketamine-assisted psychotherapy—not as a shortcut or a “magic pill,” but as a treatment option that combines medicine with an ongoing therapeutic relationship.

They break down the practical side of psychedelic-assisted therapy: medical eligibility screening, therapist training, preparation, dosing sessions, and integration afterward. You’ll hear why difficult or anxious moments during treatment are not necessarily “bad trips,” how safety and trust shape the experience, and why the work continues long after a session ends. For anyone wondering whether feeling stuck means they’ve run out of options, this conversation offers a more grounded way to think about what support can look like.

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