The Psychology of It All

Why do certain behaviors keep repeating—despite insight, treatment, and real effort to change? In this episode of The Psychology of It All, Dr. Raymond Zakhari breaks down a deeper model of human behavior that goes beyond traditional psychiatric diagnosis. You’ll learn how the Research Domain Criteria (RDoC) framework shifts our understanding of mental health from rigid labels to underlying brain...

Why do people keep repeating behaviors they know are harmful? In this episode, Dr. Raymond Zakhari explores process addiction and compulsive behaviors through a deeper, patient-centered lens. From gambling, pornography, and shopping to workaholism, chaotic relationships, and digital overuse, these patterns are often less about pleasure and more about emotional regulation, shame, familiarity, and n...

Why does everything suddenly feel like ADHD? Difficulty focusing. Procrastination. Emotional overwhelm. Restlessness. Brain fog. Scroll through social media and you’ll find endless videos telling you these are signs of ADHD—or trauma, or anxiety. And for many people, those descriptions feel accurate. But here’s the problem: These symptoms overlap across multiple conditions. In this episode, we tak...

Therapy is often presented as the universal solution for relationship conflict, family tension, and personal struggles. But what happens when therapy itself becomes part of the problem? In this episode of The Psychology of It All, I explore the uncomfortable reality that counseling is not always helpful—and in certain situations it can actually make things worse. When the psychological conditions...

Why do some relationships feel emotionally exhausting, unpredictable, and impossible to stabilize? In this episode of The Psychology of It All, we take a deep dive into Borderline Personality Disorder in relationships—a pattern that often leaves spouses, parents, friends, and coworkers feeling like they are constantly “walking on eggshells.” Borderline Personality Disorder (BPD) is frequently misu...

Teen mental health is in crisis—but what if some of the solutions we’ve embraced are actually making things worse? In this episode, I unpack a surprising finding highlighted by Olga Khazan in The Atlantic: a school program that taught teenagers dialectical behavior therapy (DBT) skills resulted in worse mental-health outcomes and poorer relationships with parents compared with a standard health cl...

In this powerful 10-minute episode, Dr. Raymond Zakhari, DNP, triple board-certified nurse practitioner and combat veteran, explores the hidden patterns of addiction that affect Manhattan's most successful professionals. From the ritual of unwinding after demanding days to the subtle progression of dependency, this episode reveals why high-achieving individuals are increasingly turning to alcohol,...

When Men Go Numb: Depression as a Survival Response In this compelling episode, we unravel the hidden ways depression uniquely manifests in men—not as sadness, but as numbness, burnout, and emotional shutdown. Through expert insight and real-world examples, you'll discover how the male nervous system uses "functional freeze" as a deeply wired safety strategy. We explore the roots of this survival...

🧠 Episode Summary: In this episode of The Psychology of It All, Dr. Raymond Zakhari explores why psychiatric treatments work for some but not others. It’s not just about the medication—it’s about the person receiving it. Using clear analogies and real-world clinical examples, Dr. Zakhari demystifies the concepts of moderators, mediators, confounders, and biomarkers—revealing how these variables s...

Episode Title: From Trials to Trust — Seeing Through the Fog of Psychiatric Research Podcast: The Psychology of It All Host: Dr. Raymond Zakhari, NP Why do some medications seem to work in studies but fall short in real life? In this episode, Dr. Raymond Zakhari walks you through the hidden layers of psychiatric research—from p-values and placebo effects to Type I, II, and III errors. Learn how sm...

In this episode of “Beyond the Pill: Demystifying Evidence, Numbers & Causation in Psychopharmacology,” we pull back the curtain on how psychiatric medications earn their stripes—and what their numbers really mean. You’ll learn: • Why all studies aren’t created equal, from meta-analyses and randomized controlled trials down to cohort studies and case reports, and the ethical or practical reaso...

The holidays can be a joyful time, but for professionals and recovery. It also brings the unique stressors and challenges that increase the risk of relapse in this episode. Dr. Raymond Zakhari will explore 10 common risk factors that professionals face during the holiday and provide some practical strategies for maintaining sobriety for managing holiday stress and peer pressure to navigating emoti...

Much of the benefit of psychotherapy happens between visits. You may have not felt anything during the visit or you may have had a lot more to say. This podcast will help you organize your thoughts and help you do the work of therapy between sessions.

The post Mortem analysis, and failing to achieve your goal, cognitive behavioral therapy strategies to help you achieve your goal

Cognitive behavioral techniques used in therapy to help you change a behavior to improve your health #self-analysis #SelfImprovement #CBT

Cognitive behavioral therapy paced pursed respiration exercise, and 4-7-8 breathing exercise

CBT for Insomnia Strategies: One effective treatment for insomnia is Cognitive Behavioral Therapy (CBT). Here are some CBT strategies that you can try: Sleep Hygiene: Sleep hygiene involves creating a sleep-conducive environment and developing habits that promote good sleep. This includes creating a dark and quiet sleeping environment, avoiding caffeine and alcohol before bedtime, and sticking to...

Recommend solutions:          deep breathing and relaxation exercises standing up every hour to take a walk and deep squat·         staying hydrated soaking in a hot tub #jockstraps (support and natural hang NOT compression or pouch (can also provide some modesty if you get a #prostatemassage) Show notes: ARE YOU A TIGHT ASS? WHAT YOUR PELVIC FLOOR SAYS ABOUT YOUR MENTAL HEALTH AND WELLNESS? https...

A description of the modern men’s physical exam and what you should expect. How to get the most out of your health care experience to promote your health. MetroMedicalDirect.com check out the blog The Whole Package to see if an Executive physical is right for you.

Alzheimer’s dementia vascular dementia Lewy body dementia: strategies to talk to loved ones who may be suffering with dementia. Medical and psychiatric housecalls in Manhattan

Premature ejaculation occurs when a man ejaculates (cum) too soon. It can be as early as the thought of sex or if it occurs in less than 2 minutes after your penis enters your partner. Premature ejaculation is a common sexual complaint of both men and women. Up to one-third of men can experience this sexual dysfunction at one time or another for various reasons. As long as it is not the pattern of...

Have you ever wondered how a psychiatric diagnosis is made? Unlike other medical specialties there are no blood tests, or brain scans that prove that someone has a mental illness.  The steps that the psychiatrist should take in formulating a diagnosis include making sure your behaviors are not due to an underlying medical condition, and that it is not caused by some substance you are taking....

Sex therapy can help couples and individuals understand their core sexual script that plays out in their daily life. It can help address sexual problems related to relational conflicts such as arousal and orgasm difficulties. Sex therapy can help facilitate conversations about needs and desires.  You can ask questions on Twitter @MetroMedicalNY or on the Facebook page @DrRaymondZakhariNP&nbsp...

In therapy the use of silence is very helpful in allowing the client to speak freely. The therapist is listening for more than the content of you speech. I am listening for how you say it, when you say it, the order in which you say it, the number of times you repeat yourself, while looking at your reaction to the words coming out of your mouth. I am also listening for your fantasies about the sit...

Abuse in teen dating relationships can and does occur, but because it is so unexpected it often goes missed by parents. There 5 common types of abuse that can occur. They are physical, sexual, emotional, psychological (mental), and financial.  Abusers can be either male or female as can their victims.    Parents should remain vigilant in the dating lives of their children, and...