Why Most Mental Health Treatments Don’t Work
For decades, mental health treatment has followed the same loop: diagnose, prescribe, manage symptoms, repeat. But outcomes haven’t improved—and in many cases, they’ve worsened.
In this episode of Decoded, Bizzie Gold sits down with Dr. Dave Rabin, board-certified psychiatrist, neuroscientist, and co-founder of Apollo Neuro, to confront why the system is failing and what actually heals trauma.
Dr. Rabin breaks down what he witnessed firsthand while treating severe PTSD: why “gold-standard” medications often stabilize but don’t resolve trauma, how unresolved fear lives in the body, and why safety—not insight—is the real prerequisite for healing. The conversation moves through psychedelic-assisted therapy, vagus nerve modulation, spirituality, belief, and the conditions under which mental illness is not just manageable—but reversible.
This episode challenges the chemical-imbalance narrative, exposes the risks of poorly screened psychedelic use, and explains how nervous-system regulation changes everything—from sleep and panic to long-term recovery. Watch closely. This is not a coping conversation.
SHOW NOTES
00:00 – Why Mental Health Outcomes Have Plateaued
02:50 – Inside the PTSD Treatment Failure
06:40 – Medication Stabilization vs. Actual Healing
10:55 – How Trauma Lives in the Nervous System
15:30 – Why Therapy Without Safety Fails
20:10 – Spirituality, Trust, and Trauma Recovery
26:45 – Awe as the Antidote to Futility
32:10 – Psychedelic Therapy: Who It Helps—and Who It Harms
40:05 – Personality Disorders and Psychedelic Risk
50:30 – Why Most People Are Poorly Screened
58:20 – The Origin of Apollo Neuro
01:05:40 – Vagus Nerve Modulation Explained
01:14:50 – Direct vs. Indirect Vagus Stimulation
01:22:30 – Can Mental Illness Be Cured?
01:30:10 – Belief, Biology, and the Future of Psychiatry
RESOURCE LINKS
Follow Dr. Rabin’s work: https://www.drdave.io/
Try the Apollo Neuro app: https://gmm.one/ce806e05-a01a-491b-88aa-e242b74821d3
Try the Apollo Neuro wearable $99 OFF here: https://apolloneuro.com/BGHEAL
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