Not Fixed, Still here

Send us Fan Mail In England and Wales in 2024, three quarters of all suicide deaths were male. The highest proportion in twenty-five years. Suicide is the leading cause of death for men under fifty. Not cancer. Not heart disease. Suicide. And yet men account for only 36% of referrals to psychological therapy in the UK. 40% of men don't talk about their mental health at all. Those two things —...

Send us Fan Mail There is a kind of sadness that doesn't have a name in ordinary conversation. Not the sadness after a death. Not the sadness that comes with a clear before and after that other people can recognise and acknowledge. It is the sadness of something that was never there. The childhood that should have been safe and wasn't. The parents who should have been present and couldn&...

Send us Fan Mail There is a particular experience that many survivors of complex trauma share. Not a flashback. Not a crisis. Just the ordinary experience of being in a room with people who feel safe — and feeling completely unable to trust it. Not because anything is wrong. But because your nervous system learned something very early about what safety means. And what it can turn into. This is not...

Send us Fan Mail It is Tuesday at 11pm. The anxiety won't let you sleep. Your therapist's next available slot is three weeks away. And there, immediately available, is an AI chatbot. Over 40 million people worldwide are now using AI-powered mental health tools every month. 1.2 million people per week are using ChatGPT specifically to discuss suicide. AI is already doing some genuinely us...

Send us Fan Mail Your gut and your mood move together. You've probably noticed. The stomach that doesn't feel right when you're anxious. The appetite that disappears when the depression is heavy. The physical dimension of something that's supposed to live entirely in the mind. You were noticing something real. Approximately 95% of the body's serotonin is produced in the gu...

Send us Fan Mail Last episode we looked at one device. One company. One gap between promise and proof. This episode is the pattern behind it. The mental wellness industry is now worth $166 billion globally — and growing. It is extraordinarily sophisticated at finding people in a specific psychological state: exhausted from trying, let down by systems that were supposed to help, and still, despite...

Send us Fan Mail The vagus nerve is real. The research is promising. And neither of those things is the problem. Nurosym is a wearable device that stimulates the vagus nerve through the ear. The science underlying it has genuine potential. Early-stage research is showing signals worth watching. The problem is the distance between "worth watching" and "trusted, proven, easy" — w...

Send us Fan Mail Sources: Treatment Resistance & Diagnostic Critique McIntyre et al. — Treatment-resistant depression: definition, prevalence, detection, management — World Psychiatry (2023) Karabulut & Düzgün — Treatment-Resistant Depression Rates: Pilot data from Türkiye — PMC (2025) Treatment-resistant depression: a problematic illness or a problem in our approach? — British Journal of...

Send us Fan Mail Was I always going to be like this? It's the question that shows up at 3am. When nothing else is working. Somewhere between despair and accusation. This episode goes looking for a real answer — not reassurance, not false hope, but what the science actually says. We go into genetics and what heritability really means for depression and anxiety. We go into epigenetics —the genu...

Send us Fan Mail The origins of CBT through Aaron Beck’s challenge to psychoanalysis summarize where CBT’s evidence base is strongest and examine how CBT became a system default in the UK—sometimes mismatched to complex trauma presentations. The episode closes by distinguishing PTSD vs. complex PTSD evidence, raising concerns about “unthinking” default application, and pointing listeners toward al...

Send us Fan Mail You are not as alone as it has felt. Nearly one in three adults in England and Wales experienced some form of childhood abuse before the age of eighteen. That is 13.6 million people —according to the most recent Crime Survey for England and Wales. But statistics can count people. They cannot hold them. In this episode we look at what the data actually shows about the lifetime prev...

Send us Fan Mail What does it mean to spend twenty years trying to understand your own mind — not just cope with it, but actually understand it? This is Episode 1 of Not Fixed, Still Here. Before the science, before the frameworks, before anything else—this episode is about why this show exists, who it's for, and what you can expect from it. We cover what mental health actually looks like in...

Send us Fan Mail A 41-second introduction to Not Fixed, Still Here — what this show is, why it exists, and who it's for. Not Fixed, Still Here launches [8th of May]. A podcast about mental health, all of it grounded in science and shaped by lived experience. Episode 1 drops fortnightly.   If you or someone you know is struggling, support is available 24/7. Call or text 988 or text HOME to 741...