00:00:30.000Quick warning before we start this episode, today we are going to be talking about mental health and various mental health disorders and also a little bit of suicide and suicidal ideation.
00:00:43.120If this is something that could be a trigger for you, we want you to take care of yourself.
00:00:46.620come a little closer let's talk about how difficult it is to live with an anxiety disorder
00:01:01.860here's some tips for showering on a very hard day there's a tool called rebalance with mindfulness
00:01:08.480which i find really helpful and this is about helping you to accept your feelings i've spent
00:01:16.060the last month living inside mental health Instagram. I've been affirmed. I've been
00:01:24.580diagnosed. Set a finger down if you have trust issues. Put a finger down. Put a finger down,
00:01:29.700emotionally unstable, and nobody knows. According to one TikTok quiz, I may be depressed, anxious,
00:01:38.000and borderline. I'm trying a lot. Even more types of OCD.
00:01:43.740Hey guys, I'm Bipolar Bobby and this is Northy.
00:01:48.360According to another, I just need to add more protein to my diet.
00:01:55.820I've been given recommendations for so many drugs that I've never even heard of.
00:02:01.200But the ones I have heard of, Zoloft, don't worry, already on that one.
00:02:05.720Take my pill in a half a day, boom, love, love me some Zoloft.0.92
00:02:09.440But I've also been given recommendations for Xanax, Klonopin, some kind of horse tranquilizers, which sound fucking great.
00:02:18.560Probiotics, prebiotics, camel milk, and Valium.
00:02:23.280Sometimes when we fight our feelings, when we...
00:02:25.460What are the most common signs? You may have complex PTSD.
00:02:28.520Nice symptoms, ADHD, and trauma share.
00:02:31.080And it's my difficulty in life forever since I've made a video.
00:04:00.680But after just looking at 10 to 20 TikToks of her describing the depression cycle and the spiral, I started to feel really bad. And I was like, why does this make me feel so bad?
00:04:14.600And I realized I was re-experiencing some depression that I've been going through this past year, and I had no one to talk to about it. It was one-sided.
00:04:23.500it was just me staring at a screen and I could just keep going and looking and looking and
00:04:28.520looking for more answers. But I don't think, well, I know I wouldn't have found them there,
00:04:32.900but I don't know if most people know that. And I think that that is dangerous because,
00:04:39.760you know, I actually talked to one woman who didn't want to come on the show, but she told me,
00:04:44.320she read so much from one mental health influencer that she was like, oh, I'm definitely bipolar.
00:04:49.660and then her friend had pills that are prescribed for when you're bipolar but she's like the friend
00:04:56.140was like I'm not bipolar but I can't use these pills do you want these pills and this woman got
00:05:00.680so sick but I feel like that is happening but more than we think right people are self-diagnosing
00:05:08.460and then getting themselves into dangerous situations which makes me very very nervous0.96
00:05:13.580yeah it's a public safety issue right yeah I really am on the fucking fence because I'm like0.59
00:05:19.660I think it's wonderful that people also have something to make them just feel a little bit0.69
00:05:23.000better, especially moms, because we're not, I don't think postpartum depression and trauma is
00:05:28.180not treated at all seriously. So there is a sense of community, but then there is also a line because
00:05:34.520so many people, so many people are not licensed therapists too, that are giving. Right, right.
00:05:39.460Or their license was revoked and now they're a mental health influencer.
00:05:42.260so here's the conundrum we don't have adequate mental health care in this country0.96
00:05:51.380we don't it's a fucked up terrible system but the stuff that we turn to online might be even0.80
00:05:59.040more worrisome even more dangerous at times than we even know but some of it is good and some of0.82
00:06:06.700it is helpful. There just has to be a way to figure out what is what. There also has to be
00:06:13.740a way that we can feel better. We're going to try to figure all of this out, together.
00:06:20.780I'm Jo Piazza, and you're under the influence.
00:06:29.580Episode 5, The Parasocial Socials.0.97
00:06:36.700okay therapists in philadelphia that take insurance this is a popular fucking google search0.85
00:06:49.420so i've been trying for a while now to find a therapist who takes my insurance0.93
00:06:59.660Most of it just involves a lot of phone calls, a lot of pressing one to talk to someone and
00:07:17.960then getting an answering machine and then never getting called back.
00:07:20.920And that's not even how I've had to deal with my insurance company to find out what exactly the hell they even cover, if they're going to cover anything.
00:09:16.360And frankly, you know what? Validation is what's driving so much of our desire to seek out this sort of content. We want reassurance that what we're feeling and seeing and how messed up our brains feel all the time, that it's not just us. We want a shared experience. And Amanda Montel found so much of this in her own reporting on mental health influencers.
00:09:43.020Some of these people end up having a net positive effect.
00:09:51.160But of course, like everything else on the internet, this can go wrong very, very quickly.
00:09:58.940So there are some mental health influencers who are sort of capitalizing on the conspiratorial
00:10:07.260proclivities of our culture right now and can intentionally or unintentionally take advantage
00:10:13.120of someone's desire to want to heal themselves without an expensive therapist or without
00:10:20.200pharmaceuticals because the pharmaceutical industry can be exploitative and there are
00:10:25.140problems with it. So there are people who see this very valid problem and then use the dark
00:10:33.800magic of the algorithm to push people down rabbit holes into potentially much more dangerous
00:10:39.400QAnon level territory. But yeah, I've seen people totally disown their families, go off1.00
00:10:44.360their medication. I spoke to someone whose brother attempted suicide because of the negative effects
00:10:49.440of the ideas that he was learning from one mental health influencer in particular. So
00:10:52.640it can get really dark. Okay. Okay. I'm going to slow us down here. This does not always go
00:11:01.900into life-threatening territory, but it is a definite possibility. So we do need to back up
00:11:09.860and talk a little bit about how people can even get to the point where they will just blindly
00:11:15.280follow whatever their mental health influencer of choice tells them to do, even if deep down they
00:11:21.140know that this is not the right path to go down. And what I'm learning is that this has to do with
00:11:27.840the way that we relate to influencers in general. Mental health creators today have a much more
00:11:33.640direct and intimate pipeline to their audiences than advice givers have ever had before. That veil
00:11:40.300between creator and consumer, between advice giver and advice taker, those are the terms that I'm
00:11:48.380using, is incredibly thin and with social media practically non-existent. That can make things
00:11:54.880very confusing on both ends. People, I think, forget that they know a lot about me, so they
00:12:05.220feel connected to me, but I don't know them really at all. That's Amanda White. We have two Amandas
00:12:12.320on this show. This Amanda is a clinical psychologist and a therapist who runs the Therapy for Women1.00
00:12:17.700Center here in Philly. Amanda White has nearly half a million Instagram followers who regularly0.77
00:12:22.780read her content on mental health, sobriety, working through shame, practicing self-compassion,
00:12:29.360and reparenting yourself. It's worth noting here that just looking at Amanda White's account
00:12:35.900feels comforting. That it's beautiful. Lots of soft hues, millennial pink. It's just lovely.
00:12:45.640Now, Amanda is very smart, and she also sees both sides of the Instagram mental health quandary.
00:12:51.240On one hand, woo-fucking-hoo, that we are finally talking about this in a real and unfiltered and often helpful way.
00:12:59.780I feel like millennials specifically, they've kind of been dubbed the therapy generation and have done a lot of work to destigmatize therapy.0.88
00:13:09.940We're finally talking about mental health.
00:13:12.420I mean, the pandemic completely blew the lid off with finally everyone, like I think really a lot of stigma going away with that.
00:13:20.180but I think it was there before too. On the other hand, this cannot be our only form of therapy.
00:13:28.920It's unregulated. People can say they're a licensed professional or a therapist and no
00:13:34.540one is really checking up on that. There's, I think, a big overstep sometimes with coaches.
00:13:40.100Some coaches are fantastic, but some coaches can think that they're therapists and they can
00:13:46.020not totally know where that line is, which can be frustrating.
00:13:51.400Instagram is just not a place that's designed to filter out bad advice.
00:16:45.360yeah if you're a regular around the interwebs like me then you've heard the word parasocial
00:16:52.540thrown around a lot by now parasocial interaction is hey guys welcome back to the channel whether
00:16:57.640someone's talking about John Mulaney or their favorite influencer. And see, when I hear
00:17:05.940parasocial relationships, I usually just nod my head and I pretend that I know what it means.
00:17:12.960Same way that I pretend I've watched Citizen Kane. Told Roger Ebert that once. But I haven't.
00:17:19.380Never seen it. Rosebud. Anyway, the truth is, I don't know exactly what parasocial means.
00:17:26.300and we're going to figure it out after the break.
00:17:45.480One of the things that makes influencers so successful
00:17:48.480is that you can very easily relate to them.
00:17:52.180It's completely different from your relationship
00:17:54.660with an actual therapist that you see in person.
00:17:57.660My therapists in the past have been completely unrelatable.
00:18:02.860They wanted me to know nothing about their lives outside the office.
00:18:06.940It's as if they didn't exist outside the office
00:18:09.900to an extent that I once asked my couple's therapist
00:18:13.080where he got his beautiful postmodern lamp and couch0.99
00:18:16.460and he just looked at me as if I'd asked him what he names his penis.0.99
00:18:20.780I still don't know where that lamp came from.0.96
00:18:22.640so real life therapists seem to want you to know as little as possible about their lives
00:18:29.520but influencers influencers share a lot about their lives we see them not just on a couch
00:18:37.260we see them talking about themselves and their stories and that's the linchpin of the influencing
00:18:43.560industrial complex we have an intimate connection with influencers and that is playing off this
00:18:50.660little nugget of human nature that is just dying, dying to connect with people, even if they aren't
00:18:57.140people we know in real life. And that's the crux of a parasocial relationship. But even though it's
00:19:03.560really heightened in the world of influencing, it's not unique to influencing. Not at all.
00:19:09.140Goes back some ways. Celebrity comes with an interesting and weird relationship with people,
00:19:20.180right? That's Angele Cristant. I'm an assistant professor of communication at Stanford. I was0.69
00:19:26.140trained as a sociologist and I study how people use and make sense of algorithmic technologies.
00:19:33.900She is here to once again tell us that none of this is anything new. Social media didn't create
00:19:39.540parasocial relationships. As human beings, we are naturally inclined to seek connection and to
00:19:45.360imagine things about people we like and respect, even if we've never met them in person.
00:19:50.180on the one hand, because you are famous, people recognize you and project all kinds of feelings
00:19:57.700onto you, right? And so that's like very much, for example, what Rousseau was talking about
00:20:03.200already in the 18th century. Yeah. Okay. Angel is going to bring this back to Jean-Jacques Rousseau
00:20:09.440and how he used to say that so many of his fans of his philosophy felt like they knew him.
00:20:15.640People think they know a guy named Rousseau. That guy is not me. I have nothing to do with me, right? It's like, I'm Jean-Jacques. This Rousseau guy is like someone else. That's just not me.
00:20:27.460This idea goes all the way back to the beginning of the printing press and the rise of the celebrity
00:20:33.200philosopher in the 18th and 19th centuries. These were men like Jean-Jacques Rousseau,
00:20:39.260that is my French accent, and Voltaire, the one-name wonder, the Madonna of his time.
00:20:45.440We call them philosophers, but isn't philosophy just pretentious self-help?
00:20:50.520hmm something to think about so as more and more people were reading the work of rousseau
00:20:59.220and voltaire they hung on their every word and they made heroes of these guys and they started
00:21:05.320guiding their own lives by these teachings and as they were following them they also built up
00:21:11.440whole identities around these men based just off their words and not who they actually were
00:21:17.020And this reflection, the more famous you get, the more this reflection is kind of distorted, right? It's this kind of like distorted, like funny house type of mirror. And that's very much something that's been around since the 18th century. And I think that you could even say since the invention of mass media, right?
00:21:36.980So in the 18th century, it was book printing. And the fact that, you know, the books of Voltaire and Rousseau were typically kind of circulating very widely, much in a much more wider ways than any of the previous kind of famous people, you know, writing and images had been circulating.
00:21:55.520So that very much has to do with mass media.
00:21:58.140Then you had kind of a next step in this kind of rise of like mass fame and mass celebrity with printed newspapers.
00:22:06.540Then another one with radio, then another one with television.
00:23:44.600And do influencers have an incentive to kind of cultivate these parasocial relationships? Because we know that engagement, so the more someone likes you on the platform, boosts the algorithm, all of those things. So aren't they kind of looking to cultivate these kinds of relationships?
00:24:01.820They are. They are. It seems that they are. At least, I think parasocial relationships can be sort of an unintended secondary consequence of other incentives that influencers have to build massive followings and to generate sort of a sense of connection with them and to generate the sense of influence they have over their followers and their fans.
00:24:22.680Influencing basically thrives off parasocial relationships.
00:34:57.980No, it is. I don't want to be on mental health Instagram. I don't really want to look at it anymore. I really liked talking to Amanda White, actually. And she's a therapist who's here in Philly.
00:35:15.600and i'm hoping it's not too weird to cross to cross some kind of line now some parasocial line
00:35:23.100to be like oh okay you're here maybe maybe you have appointments maybe maybe i just used this
00:35:27.900podcast to get myself a therapist and if that worked amazing but i'll also bet that you know
00:35:34.700i don't know if she takes my insurance it's so funny when i think because i've only known my
00:35:38.640therapist on a screen and i was your therapist you're there wait a second back up a second your
00:35:43.160therapist is virtual, right? Well, because when I started with her, it was still under pandemic
00:35:48.680rules, which are shifting. And so I've only been with her now a month or so, but I was thinking
00:35:54.300the other day, would it be strange to meet her in person now? Because our dynamic is very much
00:36:00.340virtual on a screen. I don't know how tall she is. I don't know what she looks like from the
00:36:05.040neck down. I don't know any of her body language. It's almost like having a pen pal or like,0.95
00:36:09.760like when you've go on a first date with someone you've been texting with, you're like,
00:36:12.960I've made myself vulnerable to you, but it felt safe through a screen and now to meet you in
00:36:17.880person. And so I think that's also a weird dynamic that's been established here. It's also strange.
00:36:23.380I just keep thinking about something Matt Johnson said when he said that when you're deprived of
00:36:29.080actual human connection, the mind develops a relationship with itself. And that was, it gave
00:36:36.480me chills and it terrified me. And I guess where I'm at, the big conclusion that I've come to right
00:36:42.480now is I want more real humans in my life and less screams. And that's what's going to help
00:36:49.800my mental health. You know, you came here, Glynis and I saw each other in real life under terrible
00:36:55.080circumstances. My son was in the hospital with a concussion and Glynis got on a train and came here
00:37:02.760because she's the greatest friend in the whole world. But just your physical presence that
00:37:09.260helped me that saved me right right and I want more of that I'm craving more of that more real
00:37:17.220people in real life and less people on Instagram and less even friends on my screens I think the
00:37:24.200answer for me is putting down my phone for now which is where we ended last season
00:37:32.720but I don't I mean this ties into mental health because when you go to therapy because you're in
00:37:41.660these cycles of behavior you can't break right and it's interesting to me that in seeking therapy
00:37:46.440the solution for seeking therapy online is to get offline like we're all we all know the answer we
00:37:52.940all want to get off our phones and yet in order to help us cope with this we're drawn back into
00:37:58.280our phones like we're seeing this replay over and over and over again then maybe they are the answer
00:38:03.520is that there is no answer no i think the answer is we need to regulate use of this the same way
00:38:08.340we do cigarettes and drugs but i i suspect we're a long ways away from that oh yes my solution for
00:38:14.420right now is more more more real people in in the real world i can't get off totally i can't i have
00:38:20.400to use it for work but i know for a fact my mental health will improve the more time i spend with
00:38:26.380real humans in the real world yes agreed so you want to get on a train today and come see me
00:38:32.540i will soon okay that was a weirdly fun weekend despite the terrible um oh god it was it was
00:38:41.040terrible and we were you and i were stuck in a children's hospital with a concussed four-year-old
00:38:45.760and yet the three of us did manage to bring joy into that room charlie did a bunch of puzzles like
00:38:52.300we had, we had, that was, and that's, and that's my village. The name of the first mental health
00:38:56.540episode was, where's my village? And the truth is you're my village and I want my village to be with
00:39:03.600me in the real world. Yes. Agreed. Goodbye, everyone. We solved the problems of the world
00:39:12.480right there. See you in the real world. See you in the real world. See you there.
00:39:16.400okay okay so we didn't solve all the world's problems but i think we solved a little problem
00:39:25.620i might not have a therapist who takes my insurance yet but what i have learned is that
00:39:32.720seeing and talking to the people that i love that i care about that care about me
00:39:37.000helps my mental health more than instagram
00:39:39.360him. For now. At the beginning of this episode, we asked, how are we all going to feel better?
00:39:48.540And the answer, at least for me, is to connect in real life. Go to the beach with your friends,
00:39:54.660take a train to visit the people who don't live close to you, call a friend, text a friend,
00:40:00.720show up at a friend's house like Kimmy Gibbler and just say, hey, can you have a coffee on your
00:40:06.740stoop with me, or hey, can I hold your screaming child while you take a shower? We've got to go0.62
00:40:12.480back out into the real world. We've got to turn off that thing in our pocket. Our mental health
00:40:17.440depends on it. But, but, but, we're not putting it down forever. No. There's still things that
00:40:27.540are useful on that device. And next week, we're going to talk about a place on Instagram that is
00:40:33.020so complicated and so thorny, but also so necessary because there's not nearly enough
00:40:40.100support out there for women going through it. We're talking about fertility Instagram, my friends.
00:40:46.280There are infertility influencers out there. And at the time, most of them were not physicians.
00:40:52.920And the large majority were actually patients sharing their own stories and sharing what was
00:40:57.540happening in their lives and kind of creating like a community. I don't think I would have
00:41:01.680gotten pregnant if it wasn't for Instagram. One of the things that boggles my mind is, you know,
00:41:06.960we talk about as a society how much work needs to be done on destigmatizing infertility and
00:41:12.260pregnancy loss. If we can't share that to social media, which is where we all sort of live now,