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The American Masculinity Podcast is hosted by Timothy Wienecke — licensed psychotherapist, Air Force veteran, and award-winning men's advocate. Real conversations about masculinity, mental health, trauma, fatherhood, leadership, and growth. Each episode offers expert insight and practical tools to help men show up differently — as partners, fathers, friends, and leaders. No yelling. No clichés. Just grounded, thoughtful masculinity for a changing world.

09 Not Weak, Just Worn Down: Masculinity, Suicide, and What Actually Helps

Interview with Khara Croswaite Brindle, TEDx Speaker & Suicide Prevention Expert

Description:

Why are so many men dying by suicide—and why aren’t we talking about it?

In this powerful and deeply grounded episode, mental health expert Khara Croswaite joins us to unpack the myths and realities surrounding male suicide. We dive into the social and emotional factors putting men at risk, from loneliness and emotional suppression to the belief that asking for help is weakness. Khara brings two decades of experience working with men in crisis and offers clear, respectful insight into what actually helps.

If you've ever felt like you’re supposed to “handle it on your own”—this episode is for you.

You’ll hear:

- Why suicide and overdose data for men may be undercounted
- How isolation and masculine norms increase risk—but also where men are finding strength
- The dangerous gap between what men feel and what they show
- What to listen for when a man doesn’t “seem like the type” to be suicidal
- Tools for support that feel practical, not patronizing
- How we build competence and connection, even in the hardest moments

Resources:

National Crisis Line: Dial 988 for the Suicide and Crisis Lifeline

https://suicidology.org/resources/community-support-resources/

https://livingworks.net/training/livingworks-asist/

Books Mentioned:📚

https://bookshop.org/lists/amp-9-not-weak-just-worn-down-masculinity-suicide-and-what-actually-helps/edit

Chapters:

00:00 – Cold Open: Why This Conversation Matters
05:23 – What the Data Misses About Men and Suicide
13:02 – Why “He Didn’t Seem Like the Type” Is a Dangerous Myth
24:11 – Emotional Repression, Masculinity, and Warning Signs
36:00 – Internal Competence vs. Self-Sufficiency
47:28 – What Actually Helps: Practical Suicide Prevention
56:55 – The Role of Connection and Language in Recovery
01:06:40 – Cold Close + Crisis Resources

Transcript

timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: [00:00:00] [00:00:10] Hey Kara, thanks for coming [00:00:20] on for such a cheery and uplifting topic. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: You know, I'm always game for the hard conversations. Let's do it. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Good deal. Well, let's jump right in to make sure that we're, uh, gonna get to [00:00:30] all this 'cause it's a pretty big topic. Uh, one of the things that I've been really thinking a lot about lately in regards to suicide is its connection to isolation [00:00:40] and how we're starting to refer to like the deaths of despair, right, to include overdose. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: We know that suicide rates and [00:00:50] overdose rates among men, especially men between their twenties and thirties, are very, very high. What are you seeing in the research and data that's explaining some of that? khara-croswaite-brindle--she-her-_2_04-11-2025_121813: [00:01:00] Yeah, it just makes me think of the 20 20, 20 21 data that came out. 'cause we're also dang curious about like, oh, what happened in a pandemic? Did it make it worse? Did it make it better? I remember that [00:01:10] all the suicidologist were excited to see like the number go down slightly, specifically with like the young adult and teenage population when it came to death by suicide. But then we saw an uptick in those overdoses, timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: [00:01:20] Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: can't ask those individuals, was this a suicide attempt or not? It. It didn't really give us that heartfelt, happy picture we were hoping for of like, oh, we all came together [00:01:30] I think we're going through it again with the state of the world right now of like, we're gonna see the numbers keep climbing timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: isolation and fear and anxiety and trauma. It's just [00:01:40] gonna get worse, unfortunately. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: , I think of my own training and. In suicide, but also as a suicide trainer that really spoke to me that might help listeners, is that suicide is [00:01:50] more about pain than it is about death. And so when folks. Have the thought show up for all the reasons you've named of, like maybe they're in isolation. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Maybe there's like a big stressor in their life. Maybe they're going [00:02:00] through some trauma or abuse. Lots of legit reasons why it shows up. But when I think about it from the lens of pain, it all starts to make more sense. It doesn't mean like we want people in our lives to die by suicide [00:02:10] or overdose, it almost like. Brings clarity to like the whole, why is this happening in question? Because lots of suicides could be predictable, but not all of them are [00:02:20] predictable. And I think people start to wonder, what did I miss? Which are never gonna get into that in this episode, but timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: that lens of pain and overdose and suicide. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Both have [00:02:30] that. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: I think it's gonna be imperative for people to, there's so many people either listening or in that space where they feel like people aren't reaching for [00:02:40] them, or they don't know how to reach for the men in their life. I. With a lot of guys, there's that pressure of people won't reach for me, [00:02:50] if I talk about my weakness, if I talk about my pain, if I seek help people, like there's this, uh, dissidence by, [00:03:00] if I reach, I'll be rejected, and that'll be worse than just not reaching and sitting in isolation. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Is there any research and kind of those traditional masculine coping strategies of just like [00:03:10] John waning it through? Is there anything that kind of like khara-croswaite-brindle--she-her-_2_04-11-2025_121813: the John Wayne. I love it. I mean, you, you put a name to something that in my head is the Honor or Die cult. Culture, the timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: die [00:03:20] culture. There we go. Can't even get it outta my mouth here. Um, so we see that with like certain areas of the country even, and timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: culture, certain populations, men absolutely are part of [00:03:30] that. rates are still higher in men, right? So like when we think of the Honor or Die, it's kind of this stoicism, this strength of I can't ask for help. And I feel [00:03:40] like that's what popped in my head as you were talking just now of like John waning it or call it an honor or die. We live in Colorado, which is considered the West, which blows my mind. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: 'cause I'm actually from the west coast. I'm like, this is not [00:03:50] the West, but like Cowboy west. And that timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah, different kind of west. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: is like, you're strong, you're stoic. You don't need anything. You don't want anything. So [00:04:00] I see how that could resonate with some of your listeners of like, huh, there's like this whole pervasive culture to it of be strong. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: you mentioned different parts of the country. Is there any information as [00:04:10] far as political ideation, like the right or the left leaning, who's, who we're losing more of or less of? khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Good question. know, because suicide is still so highly stigmatized, [00:04:20] people aren't really being. with their experiences with suicidal thought. Now the number keeps climbing. So we are always about two years behind. So right now, for like [00:04:30] 2023 data, we had 16.6 million people who had a suicidal thought in 2023. As you can imagine, that number's probably under representing what's actually happening because [00:04:40] so many people aren't forthcoming to say, yep, that's me. I had a suicidal thought. Now with those suicidal thoughts, it doesn't always come. Plans and action and a death by suicide. Um. just [00:04:50] normalizing the number, I think is a factor. I think of, okay, what are the top 10 states with suicide rates? That might be something that would tell us what's going on culturally. [00:05:00] So Alaska's always in the top 10. Montana, Utah, Colorado is always in the top 10, and we think about if anything they have in common, it's isolation, it's [00:05:10] rural, it's spread out. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: It's a population that's not concentrated. then maybe that honor or die culture still comes in with the pioneering or the cowboys, whatever label we put on it. I [00:05:20] kind of think of those data points of like who's in the top 10 states every year, and with the 16.6 million thoughts of suicide, continue to hear from our community, regardless of [00:05:30] race, gender, et cetera, that tell someone I'm suicidal, puts me at risk of being hospitalized, which then takes away that agency, that autonomy that I think men in particular really [00:05:40] want. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah, I was noticing a bit in the data around that too. So I, I, I think some of it, the, I feel like the danger in the right side of the ID [00:05:50] IDA. Lemme try that again. I think the danger in the right is that very, very tiny box that men have to fit in. That like [00:06:00] self-sufficiency, that like stoicism with a little less instead of a capital S like stoicism is a great philosophy I used in my practice. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: But the idea that I just always have to be [00:06:10] stony, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: that's what kills us. 'cause you can't connect through stone khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Right. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: on the left side. The amount of shame I hear. From [00:06:20] white liberal to moderate guys khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: and how often they feel like they can't share it. They're in their community and no one wants to hear [00:06:30] that a white dude on the left is feeling away. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: And especially what's going on, that's coming up a lot. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Mm-hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: And so I think it's this [00:06:40] one is isolated because that's their perceived norm and the other is isolated because they can't join. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Right. Just makes me think of like the stay [00:06:50] strong. Don't cry, boys. Don't cry. Nonsense. That's been perpetuated and that's coming up when you share that. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah. Well, and I think that's the thing is, you [00:07:00] know, you have more liberal, moderate guys who are trying to kinda change these things and trying to do better, but they were still raised in this. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Mm-hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: You don't change these [00:07:10] things in a generation. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah. Especially not with that pain combination. And then I think about the people who have freely told me about their suicidal thoughts. [00:07:20] amazing how much their brain convinces them that people would be better off without them. So they're back to that stoicism strength of like, I'm actually doing my family a favor to die. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: They'd be better off [00:07:30] without me. And when I had a 12-year-old say that to me, I was floored. I was just like, how at 12 years old have you convinced yourself so with so much certainty that your family would be better off without you, [00:07:40] you're 12. so I obviously I get passionate about this. I'm like, what the hell is going on? khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Why? Why is this being perpetuated? But of course, we're here naming that like this has been around for so [00:07:50] long. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: I mean, that's the darkness of it. I mean, I've struggled with so suicidal ideation at different points in my life khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: just being able to, to [00:08:00] disclose to guys how normal that is of, you know, I get what it feels like if you don't feel useful, that you shouldn't be here. And I always think back to one of [00:08:10] the classes that you came and presented at where you did the data on the suicide notes. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Can you speak to that a little bit about the words that people are using when they're on their way out to give us an idea on what guys are going [00:08:20] through? khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah, timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: I. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: I think there is a gender difference that we see more suicide notes in males than females, but the notes about a third if that. Like it's actually pretty low how [00:08:30] many people leave a suicide note, and when they do, it's sometimes nonsensical. It doesn't make any sense. Sometimes it's. Apologizing as we're kind of naming now. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: But more often than not, [00:08:40] it expresses the pain that was on the inside. Right? So it might be like, and this isn't professional sounding, but like the word vomit of like, here it all is, this is my last thing I'm ever gonna say or do. I'm gonna put this on [00:08:50] paper I'm a suicide loss survivor, and I've had two family members die by suicide who are both men in my life, both uncles and my family tree. And one of them left a suicide note that I never [00:09:00] saw because I was a minor at the time of his death. my parent, when I asked him, when I asked my dad, like. you see the suicide note? He said, yeah. And I was like, what landed for you? He's like, [00:09:10] it made no sense. Like it wasn't like he was accusing people of things. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: He was obviously hurting. Like that was the theme that my dad could tell me is like your uncle was hurting so much that like this all spewed [00:09:20] out of him before he died. And so even when we think that there might be some comfort first from a suicide note, it's not actually comforting. It usually just expresses the pain. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: And then maybe the [00:09:30] loved ones, the survivors, feel worse. yeah, more often than not, there's men with suicide notes and we think of like Kurt Cobain and his note, which is very public, very much [00:09:40] pain. Like it's just like all on the page, like almost like a rant of the pain. An apology. I'm so sorry. I'm so sorry. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: I'm so sorry. Which is heartbreaking as a clinician, as a human, that men don't feel like they can [00:09:50] tell people what's truly going on before it's too late. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah, for what I see with clients, it, it, it's interesting there, there [00:10:00] isn't a uniformed guy I've worked with that when I frame it as it's normal to imagine our end. When have you thought about it? All of them have. [00:10:10] Every single person I work with that's wor a uniform to include the women because you're around death. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Right. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: So that's just kind of like, well, what would happen [00:10:20] if, what would it take for me? And that I can't be of use, I'm too weak, like this [00:10:30] is happening because I'm too weak to do what I'm supposed to be doing. My family and the money part, right? My family would be better off with a life insurance. My family would be better off with [00:10:40] the providing aspect of my service to them than my humanity. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah, so important to name the money piece. think the better off [00:10:50] without anything comes from if they're struggling from substance abuse, if they're struggling with depression. PTSD, it makes me think of, um, Dr. Thomas Joiner's work. I know I talked about this with your [00:11:00] students. He talks about this Venn diagram of three bubbles, right, of like one being fearlessness. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: I absolutely think of our military or people in uniform for fearlessness. Seeing things I can't imagine, and I have [00:11:10] a really good imagination. This is why I don't watch drama anymore or horror. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Same thing. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: fearlessness is in one bubble. Then we've got burdensomeness, which we've already established as part of [00:11:20] suicidal thought, and then we have isolation. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Joyner would say, when all three of these things are present, the capacity for suicide is there. So as a clinician, my light bulb moment was, oh, [00:11:30] here's a population in this case let's talk veterans, um, who have higher suicide rates, and they hit all three of those bubbles. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: sometimes when we ask those folks who are [00:11:40] actively suicidal, it's not the money, it's, I'm not functioning well enough, I'm not contributing, maybe not even financially, just like in life timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: I won't be a burden. [00:11:50] Yeah. It's, it's interesting too, when I talk to my veteran buddies, there's a, there's a morality around it that's a little different when you're aging in the veteran [00:12:00] community khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Mm-hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: where a lot of times the assumption is I. We have a higher rate of neurological diseases and we tend to get them far earlier, right? timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: So we [00:12:10] have a much higher rate of Ms, much higher rate of Parkinson's, and we tend to get 'em 10 years sooner than everybody else. And we don't know why. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Wild. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Uh, all those guys, and since it's so [00:12:20] prevalent, we talk about it and the conversation isn't like how to live through that. The conversation is when to stop living through that, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: of just like, when am when do [00:12:30] I not wanna be here anymore? timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: And it's just like, um. It's heavy, it's not spoken of flippantly, it's not spoken of, [00:12:40] uh, dismissively, but it is just kind of an assumed of like, at some point, I won't wanna do this anymore. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Mm-hmm. something admirable about that truthfulness timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: [00:12:50] Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Like from the place of humanity, we've all thought about our death. We've all thought about maybe, well, maybe not everybody, but like what our funeral would look like timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: you know, what people would say. That's an [00:13:00] actually very powerful therapy exercise. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: FYI listeners. Um, timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Say more about that. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: there's something to that, [00:13:10] I've lost my thought here, Tim. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Well say more about that exercise you just said for listeners. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah, for, for this like eulogy exercise, for timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Um, know [00:13:20] some people have done it in family therapy where they're like, Hey, I'm not feeling appreciated. I'm not feeling valued. Let's go through this pretend funeral as if I wasn't here and I'm [00:13:30] gonna witness it. I'm gonna lay on the floor as if I was not alive, and I'm gonna witness my family say their last thoughts and memories of me as if it was a service. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: even the thought of it makes me wanna [00:13:40] cry. Like it's just timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: It's so powerful. Um, timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: folks who are going through the narrative of, I'm a burden. I'm a burden, I'm a burden. Can they take that in? Like maybe this would be a really powerful intervention for [00:13:50] someone who's actively suicidal, of like, you ask your family what they would say? And they'd be like, I'm devastated. gonna forget you. my parent. I don't know how you could [00:14:00] leave me. Like, there's so many thoughts there timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: I think when we're in our full suicidal thoughts, they're not coming in. It's like we're not timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: that. But when someone articulates it in this mock [00:14:10] funeral. We hear it. We hear it loud and clear. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah. Yeah. As you were saying that I was, I just kind of connected two dots in my [00:14:20] mind around the, like what men are trying to leave for families is we want a financial legacy at some point. Like in particularly guys that are [00:14:30] older, this like, I wanna leave my family, well, like if I was a good man, I've left the world with more than I took. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: And I think that is a good masculine goal. I, I think that [00:14:40] there are ways to do that, but we need to detach it from money, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: That's timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: right? Like just a good person who's lived a good life leaves the world better than they found it, I think is a [00:14:50] very admirable, very doable thing for most of us. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: But the cost of end of life care contributing so much to the bankruptcy of [00:15:00] families. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: As that number has gone up, has suicide rates among the elderly gone up? khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Oh yeah. I mean, I was thinking about the ages earlier when we were chatting [00:15:10] of like the highest suicide rates are in 85 and older. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: about like stage of life as you just named, there might be like decline. Physically. We've lost loved ones. Maybe we've lost a big [00:15:20] chunk of our community. We're probably not working and if we are, we're not working in the same ways that we used to. So like the clock is ticking kind of feeling for 85 and older plus Alzheimer's [00:15:30] to mention things are more common in 80 and older. So 85 and older tracks for me, regardless of gender. most at risk group is 65 and older. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: change of life, [00:15:40] life transitions. Even though I hate that phrase 'cause I'm like, what the hell are we talking about? Which life transition, they're showing up there. Uh, retirement, divorce, marriage, death, widow, whatever [00:15:50] that looks like. And so financially, I remember hearing this from a, a colleague, she said, that takes $12,000 for like living in some of these places. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: [00:16:00] 12,000 a month. So if you're like, Hey, I've never been rolling in the dollars. How am I supposed to sustain that for 10, 15, 20 years depending on what's going on with my health? Um, so that [00:16:10] financial pressure, I could see why that now is coming up as can I take my own life, put people in a different place, this is now noble, timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: do. And we are seeing an uptick of [00:16:20] educated, so think masters and doctorate level individuals who are taking their life by suicide. 'cause they're like, I'm aware that I don't want to live through the decline of my mind or my body. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yes. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: want to exist in [00:16:30] that. So they're making that choice, which feels so different than the narrative that you and I had to go through grad school saying, oh, we have to save everybody. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: them to live, which is a whole different [00:16:40] platform. I could talk about that. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. Well, and it, I've always had a hard time with that because just. From my veteran community, from like, I think some of it's just how I was raised, [00:16:50] and there's probably some dissidence there, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: but I don't like that we force people at a certain level of ability to stay if they don't want [00:17:00] to. I think it's cruel. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: I think it's destructive, and I'm not supposed to say that as a clinician. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Oh yeah. But I'm right here with you going like. [00:17:10] Who am I to look at a client and say, I know better than you. I'm going to keep you alive like we did. We go from client first, humanistic person centered to, I am now the [00:17:20] gatekeeper of figuring out if you should live or die like that is. I mean, I know that feels like pretty dramatic to say it that way, but we are getting some sort of message of, as a professional, I know better than you. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: is never [00:17:30] how I wanted to show up in my clinical work. I do not know better than my client. They're the expert in their own life. My job when it comes to suicide is to help them think about what is here, to keep them [00:17:40] alive, what is keeping them going. Not to timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: to stay or go, but to stay curious. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: And I think that is shifting in our community. If I can have my way, it will be timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: [00:17:50] Yeah. Well, and it, and it's starting to rate like how many states now have legalized suicide assistance. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Oh, gosh, I don't even know because I keep trying to change the name of it. So for a while it was [00:18:00] physician assisted suicide, and then it was medical assisted aid and dying. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: like just tracking each state's language for it. I haven't timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Is, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: a temperature check right now timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: yeah, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: [00:18:10] that. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: I know it's expanding, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Mm-hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: which I, I think overall will be a good thing as long as we protect people. I, I guess to kind of bring this back around to the, the people listening [00:18:20] to this, when we see the older people in our life. And I know we've talked a lot about this in our classes and [00:18:30] in our training of there's this hesitancy to ask, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Hmm, timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: which then leaves someone in isolation. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: that's right. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: [00:18:40] What would you say to a son or a grandson who saw a family member struggling? I. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: So many things. I wanna say the first of which is [00:18:50] you've started to allude to, we have this pervasive myth that if we ask about it, we give someone the idea. So let's just say that to listeners right now. That is a complete myth. If you [00:19:00] ask someone about suicide, two things will happen. If they're truly suicidal, it gives them permission. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: You've modeled for them it's okay to talk about it. So now they're gonna tell you, yes, I'm suicidal. And a conversation can [00:19:10] be had. If it's not part of the person's experience, they will quickly correct you. Nope, I'm not suicidal. This is not the direction we need to go, and you move forward. So both [00:19:20] of these outcomes in my mind are positive in the sense of you have some information now you didn't have before. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: You're not. Guessing you're not assuming, you're outright asking, are you suicidal? Are [00:19:30] you having suicidal thoughts? Do you wanna die right now? And so I'm modeling that even in this podcast to be like, go direct. Don't circle around it. Don't be like a little shark circling around and all [00:19:40] soft. Like show the person that you care enough about them to ask the in the words, are you suicidal? khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Use the word suicide timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. Well, and I think that's just culturally [00:19:50] competent with those kind of the, the boomer generation and the like later Xers khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: that we'd be talking about. Those guys don't know how to [00:20:00] talk in another way. They're not gonna get soft language. They're gonna be like, yeah, it's hard. What? khara-croswaite-brindle--she-her-_2_04-11-2025_121813: yeah. Not to mention the soft language might unintentionally [00:20:10] tell the person I'm asking that I'm not comfortable. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Which if I'm not comfortable, why would they open up? I don't care if you're a clinician, a grandson, a father, to the person. Like if you're not comfortable, why would they [00:20:20] tell you the truth suicide? timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Well, it's one of the things I, I learned from you that modified on how I teach some of those interventions on when we're going through our [00:20:30] disclosure of like, when is the line for reporting and making sure that you say something along the lines of, this isn't a guide on what not to tell me. This is a guide [00:20:40] on if you tell me these things, I need to know them. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Because this is the resource changes. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah, that's right. Oh, that's nice to hear that that tracked for you of timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: with [00:20:50] clients we're gonna say, I wanna talk to you about it so I can make a choice with you. I don't wanna make a choice without you. Like if you tie my hands by saying, I don't wanna talk about suicide, but I am suicidal. There's not much [00:21:00] more choice I have other than hospitalization. But I always tell my clients and my supervisees and my students, want hospitalization to be the last for resort. if our community at large could hear that, they'd [00:21:10] probably be a little bit more forthcoming about their suicidal experience if they knew that their loved one or friend or pastor or whoever was not gonna put 'em in a hospital. 'cause that timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: traumatic.[00:21:20] timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah. Yeah. I, I always like the idea of putting it down. Like for hospitalization. The, the, [00:21:30] I've had a few clients go now, and luckily, like we've talked about before, I've, I haven't lost anybody, but I've, I've had a number of close calls, um, and [00:21:40] the ones that catch it before the attempt and go is because like, you get to put this down for a little while, like a 48 hour hold [00:21:50] it. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: It's gonna put this down. You don't have to fight it anymore. They're gonna fight it for you. And it's gonna increase the access to resources that you'll have. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: [00:22:00] Yeah, timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: How does a, how does a 48 hour break sound? khara-croswaite-brindle--she-her-_2_04-11-2025_121813: I love that. 'cause so many of us, no matter what we've got going on, would like a break from whatever timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: [00:22:10] Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: work. Um, I like that language a lot. For my client who did die by suicide, she was female, but. She said, I'm just so damn tired, Kara. I'm tired timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: So [00:22:20] that showed up as you were just sharing that of like, huh? khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah. So many people, the pain feels inescapable. It feels unchangeable. They're tired of fighting. It's mentally and physically exhausting to [00:22:30] do this day in, day out as a human to human. I understand what they're telling timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: had my own suicidal thoughts like you have. I get it. Doesn't mean I'm saying let's. Uh, [00:22:40] co-sign that you should die right now. I wanna make that very clear to listeners. I'm not like for suicide at all, but I get from that human perspective why this is happening. There's so timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah.[00:22:50] khara-croswaite-brindle--she-her-_2_04-11-2025_121813: I. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Well, I think it's just respecting that it's an, it's a choice and if you don't respect people's efficacy, you can't have a clean conversation around it. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: [00:23:00] Right. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: You know, we don't have to say I'm for suicide, and I think suicide is a good idea in these instances, but what we can say is, what would it take for you [00:23:10] to live? timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: What would it take for you to wanna die? khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Mm-hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: I think most people when they get thoughtful can answer that question. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah. So coming back to [00:23:20] grandson, we kind of established like ask the question. You're allowed to ask your loved one. Are you suicidal? timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: And if you are comfortable asking that question, be [00:23:30] prepared for the next piece, which might be like, what are your options? What are your resources? If they say yes, timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Maybe. probably gonna have an adrenaline reaction. 'cause I still do, and I've been doing this [00:23:40] for 15 years. So like you're still gonna be a human with a heartbeat that goes up and sweatiness or whatever shows up for you. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: are your resources? Is it hotline? Is it the [00:23:50] stabilization unit? Is it going to the er? khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Is it just sitting down and saying, tell me more. How did this come to be? that right there is what we call the suicide story. This is Dr. Stacy Freeth's [00:24:00] work. Lean In. How do we go into the suicide story with the person we love? So for grandson it might be like, tell me more what? What's going on? And just sitting in that, which a [00:24:10] lot of timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: do, we're afraid of pain, right? khara-croswaite-brindle--she-her-_2_04-11-2025_121813: So we're like wired to kind of go away from it, to lean back, lean in. you can timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Is there any good data [00:24:20] on religious resourcing in these instances? khara-croswaite-brindle--she-her-_2_04-11-2025_121813: say more about that when you timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: resourcing. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: so I talk a lot with chaplains within the fire service and the [00:24:30] police service, and we talk a lot about intervention and how to engage. And I know that good pastoral work comes with [00:24:40] training around this, and there's a lot of bad actors that don't, that step in outta their lane, just like there's plenty of therapists that all of a sudden decide to be spiritualist, [00:24:50] right? timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Like I get it. Um, but I'm wondering if, I know religiosity tends to be a protective factor, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Mm [00:25:00] mm-hmm. Can timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: and I'm wondering like, how would somebody suss that out if they, you know, their family member is religious. If they're having the conversation, how would they [00:25:10] know whether that was an option for them or what they, what should they look for for a competent resource, I should say? khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Hmm. I mean, I feel like this is a twofold question. Question. 'cause the first [00:25:20] thought is like, what does religion mean to the person who's suicidal? I timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: it's protective or could actually be one of the reasons that they're feeling suicidal. I'm just gonna throw that in there. Religious timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Good [00:25:30] catch. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Lots of things. Um, so I think curiosity goes a long way when we're talking to people of all backgrounds, to be like, if I can stay curious, if I can stay open, if I can stay present [00:25:40] with the person who's suicidal, that will go a long way. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: of Brene Brown's video where it's like, here's sympathy, which is, oh, that sucks for you. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: She doesn't say those words. Those are my words. Versus [00:25:50] empathy has come alongside, sit down next to them, be in the pain with 'em, which is timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: which is what a lot of therapists. Are trained to do. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: that's coming up. But when it comes to [00:26:00] like sussing out resources, I mean, I would be, as a clinician, I'm looking for like the training the person has. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: So can a lay person ask like, Hey, do you have any training in suicide? What's [00:26:10] your philosophical response to suicide? timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: As a clinician, I'm asking what's your bias with suicide? Do you have beliefs about age? Like are you have ageism stuff showing up? Do you [00:26:20] have, oh, they have a terminal illness, this is okay, versus, Hey, they're 15. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: This is not okay. Like, know our own edges timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: show up. whether you're a religious leader or a [00:26:30] clinician or a grandson, I think even just knowing our own stuff, our own bias is really important here. ' cause timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: how we show up and our response with resources. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: yeah, [00:26:40] yeah, that, that makes a lot of sense. What? What's coming up for me when it comes to being ready to approach somebody khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Hmm.[00:26:50] timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: is you have to have emotional competency. You know, if you aren't in a place where you can handle their answer, [00:27:00] it's okay not to ask them then. But khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: go get the competence you need. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: That doesn't mean you get to abandon a loved one. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: All right. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: [00:27:10] And I, I think this is where the kind of fundamental shift I'm seeing with that 25 to 30 range of folks that we're losing is there's [00:27:20] this assumption that they're supposed to be competent already. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Hmm. Like they have to have it all figured out. It's like the 15-year-old saying, I should be like, have it all figured out. I'm like, I don't know about you Tim, but [00:27:30] at 15 I was a mess. Like I did not have it figured out. So I don't know why this timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: I. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: thinks they should. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: I think that's the beauty of 40 is you just stop trying to have it all figured out and just start surfing.[00:27:40] khara-croswaite-brindle--she-her-_2_04-11-2025_121813: I call it the fuck it. Forties. Yes. I timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yep, yep, yep, yep. Just all right. No, no one's got it figured out. Everybody's learning something. Everybody's failing at something, [00:27:50] and if you didn't ever fail at anything, I promise you, you never learned how to do anything. Well, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Mm. Mm-hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: and that's, that's [00:28:00] been a major push with clients and something I'm trying to bring to our listeners is. If to be a man is to be competent, get confident by [00:28:10] being comfortable that you're gonna make the mistakes along the way. Like anybody who's expecting you to show up out of nowhere with no training and no guidance and be good at something is an asshole. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: [00:28:20] how unrealistic that sounds, right. Just you're gonna say that out loud. It makes me think of our, our good colleague Alex, who's like, notice the human first. Everyone's human. make [00:28:30] mistakes. Permission to make mistakes to be timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: I wanna get him a bumper sticker. Like, like it's a catchphrase. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah. I quote him a lot in different trainings for different reasons. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: 'cause it's like, makes sense. It, it timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah. He's just [00:28:40] awesome. He's an easy guy to quote. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Mm-hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: So on that end right, getting that support, timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: if you've got a loved one that you're concerned about having the conversation with is a suicide crisis [00:28:50] line prepared to talk somebody through how to have the conversation with somebody. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yes, that is actually one of their trainings that they are fully versed in. I mean, that's what I love about the [00:29:00] crisis lines, when they are working well, which this year we have heard some delays and timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: It's crazy what happens when you cut the funding for them. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Uh, yeah. Different, different [00:29:10] problem there. Um, a hundred percent. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: what I love about the crisis lines as they've become more mainstream, for lack of better word, is they have videos that show like, here's what [00:29:20] you can expect. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Or like, here's a walkthrough of a call. But yeah, we're actually encouraged to. Tell loved ones. You can call on behalf of someone you care about and you can timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: through it [00:29:30] and or like, here are their options. Here are some resources. Here's a question you might ask. So that nice, like warm handoff slash handholding, I think really helps someone who feels [00:29:40] paralyzed in fear of, oh my gosh, my loved one is suffering and they're saying they're suicidal. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: And I'm not a therapist, I'm not a PA pastor. I'm not someone religious, like, what do I do? timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: they're panicked and that person can walk 'em through.[00:29:50] timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah, I remember a story in the military. Adolescent cutting and suicide where it's not as direct line as [00:30:00] people are afraid it is when they see it. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: that's right. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: And I think that lack of knowledge can really hurt us. So just having somebody with just a little bit more knowledge than you to mentor you khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Mm-hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: [00:30:10] is so key for these things to feel any kind of competence around it. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Oh yeah. And even just this podcast episode hopefully can be some knowledge for people of like, what's normal? What's something we're seeing [00:30:20] versus this feels abnormal. So I love that you brought up the self-harm piece. 'cause like you said, a lot of people are like cause and effect, they think self-harm equals suicide. Self-harm. There are actually [00:30:30] like nine, 10, a dozen raisins, people self-harm. And this is someone else's research. This is Dr. Jack clots research, and he'd say suicide is one of nine options that people self harm. [00:30:40] So coming back to that tool of curiosity, if we could just stay curious and say, what was the intention timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: self-harm? That's self-harming behavior? What was your intent? If they can [00:30:50] say, if they can articulate, I was hurting. That's gonna change the response, right, like timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: versus I was trying to die by suicide. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: so because there are eight other reasons [00:31:00] for self-harm, I never want someone to jump from self-harm to suicide, like I want them to stay curious and ask some questions first. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. And I, I think that comes back to [00:31:10] that kinda emotional mastery of when someone you care about is hurting themselves in any way. It's scary. It just is and, and it should be. That's, that's not a [00:31:20] insane reaction. It, it's not an inappropriate emotional response. You care, of course you're afraid. Of course you're worried. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: But then the way to be [00:31:30] effective with that is to get curious. And I don't know, one of my, one of my big things that I've been pushing on lately with clients is we've started mistaking anxiety for worry. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: [00:31:40] Hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: And worry is incredibly , healthy. It's how we do things. And the way that worry works is as you develop out a plan and as you get in for more information, the worry [00:31:50] decreases in strength. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Right? timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: know, it's anxiety when no amount of information is helping. Right. And, and I think that curiosity is so powerful here or khara-croswaite-brindle--she-her-_2_04-11-2025_121813: [00:32:00] like gives us motivation, right? So like once timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: mm-hmm. Mm-hmm. So what are some, what are kinda the other big myths that you wish [00:32:10] more people knew? khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Outside of asking about it makes people have the idea. I mean, timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: And self-harm we've got asking about it makes it worse. Self-harm is always tied to [00:32:20] suicide. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: I dunno if this is a myth, but it's definitely an assumption, which is timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: assume what keeps someone alive, right? So timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Oh yeah. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: new to the field, I totally stuck my foot in my mouth with that [00:32:30] 12-year-old. I was mentioning earlier when I said, oh, here are these things that are keeping you alive. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: But I didn't ask it as a question. I made an assumption timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: You're just like, here's your bullet point list, right? This is correct. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: [00:32:40] So I said, you know, your family is keeping you alive. Your pet is keeping you alive. Like I just made a lot of assumptions and did, oh, that 12-year-old, like ripped me apart. She was like, you're wrong. Fuck [00:32:50] you. Like I'm already hurting and now you don't even understand me. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Right? timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: I was able to repair that relationship and I learned a lot from her and I'll always have her in my head and she's doing well. So listeners, [00:33:00] I just wanna give you happy news. She's doing well. She graduated, she's moved on in her life. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: but at that point I got a really clear message, was just never assume. Never assume what might be a protective factor for you [00:33:10] as a human, as a protective factor for the person in front of you who's hurting. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: it is their pet, maybe it's their family, maybe their family's the reason they're suicidal. I mean, we gotta look at both sides of that coin. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: [00:33:20] Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: maybe there's something going on with bullying or discrimination. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Maybe it's stress or pressure at school or work like there's so timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Hm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: that make someone stay alive versus wanna die. [00:33:30] So just don't assume, ask what's keeping you alive. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Just ask it. There's nothing wrong with asking that question. I'm curious. What's keeping you alive? timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: I think why so many [00:33:40] people have a hard time with that question is because they want to be one of the reasons, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Nah. Mm-hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: right? khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah. Or they timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: But I care, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: a reason or whoever. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: I. [00:33:50] But I care, stay for me. And I think there is a acknowledgement when you're asking somebody for the service to suffer for you. 'cause that's what you're asking when [00:34:00] somebody's suicidal and you're asking them to stay for you without any relief, you're asking for their service. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Right. And [00:34:10] I don't, I think family can ask for that and Right. Make it less burdensome. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Right. Like, oh, now I'm even more of a [00:34:20] burden. So we've reinforced beliefs than the suicidal person that we timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. Yeah. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: there's a lot to that. Mm-hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: I think that's another key point [00:34:30] for listeners is like, what's keeping them alive? Ask about it. Stay curious about it. Don't assume it. But this is a conversation. It's not a one and done with a lot of timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: the conversation once and never talk [00:34:40] about it again. Uh, a lot of us who have had suicidal thoughts in our, our history, they show up for certain periods of time for certain reasons and then life might get better. Um, but I think the more we [00:34:50] can normalize that this is a process, the more timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: say, oh my gosh, I failed this person. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: 'cause I talked about it once and then thought we were good to go. kinda looking at my 3-year-old and saying, have a good cry, and you're [00:35:00] done. Right? Like, well, maybe that's not how she's gonna regulate in that moment. Maybe it's, she needs more time timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: ready for you to be done. Which is timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: And, or, or maybe like, okay kid, you gotta put that [00:35:10] away so we can get to school, but we'll come back. How are you doing? khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Right. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: I, timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: And I, I think that's the other thing is there's this assumption that I'm gonna spend five hours hashing this out with [00:35:20] somebody. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: And that's not always the case either. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Sometimes it's the start of a conversation that you're gonna have over the course of weeks, months, years, depending on the relationship and depending on what's going [00:35:30] on. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: The few times that I've had the opportunity for those longer running relationships, they get easier. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: [00:35:40] Mm-hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: because now you're not so afraid of, it's imminent. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: You're not so uninformed about what's happening with them. And [00:35:50] so khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Right. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: the conversation gets more traction, gets more grounding, gets more connected. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Sure. me think of, uh, same person, Dr. Stacey Frieden Ball [00:36:00] wrote the book Helping the Suicidal Person, which is for clinicians and professional helpers. And then she put out a book a couple years later called Loving the Suicidal Person, she wrote in her introduction, she's like. [00:36:10] If you need to change the word loving to caring, because some people would like get turned off by the word loving. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Like, I don't love my neighbor, um, but maybe I care about them. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: she had this [00:36:20] invitation at the beginning of like, change the word if you have to. But what she did so beautifully in that book was she named the rollercoaster of emotions that we've seen when we work with clients who are the loved one of someone who's [00:36:30] suicidal. The anger, the sadness, the panic, the grief, I'm so tired of this shit. Like, I mean, that's the human rollercoaster response to suicide because it feels. [00:36:40] and unpredictable at times, and we're scared shitless of it. And so I timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: that for listeners, like, just 'cause we do all this work and we do our own work to like stay regulated doesn't mean we're not [00:36:50] scared of the possible outcome that the person across from us could die. 'cause that's still possible. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah. One. I think that goes back into the idea of [00:37:00] people trying to be therapist khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Hmm timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: of in community or in family. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: mm-hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: You don't have to not feel a way about these things with your loved one. [00:37:10] That's my job. I. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Get your loved one to me. I'm the one that can hold that. You don't have to. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: And that's also why it's so [00:37:20] important if you are one of those guys that this is on your mind to come to one of us. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Only one in four guys go [00:37:30] to help when they feel like they need help right now and. I think a lot of it is because that there's that burden, there's that assumption of what therapy is gonna look [00:37:40] like, which we're hopefully dispelling for our listeners as they listen to these shows khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Mm-hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: around. Therapy is not just two people crying in chairs next to each other. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Oh my gosh. [00:37:50] Or my 12, a different 12-year-old boy saying, Hey, are you gonna put me in a dark room and make me look up weird pictures? Like he thought That's what therapy was. This was. Decades ago, I was like, how interesting that [00:38:00] that's timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: N khara-croswaite-brindle--she-her-_2_04-11-2025_121813: thought this timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: that's not this type of therapy. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Oof. Yeah. Yeah. Not at all. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah. So [00:38:10] yeah, one in four. It, it's, and some of it I think is resourcing, right? We just don't have the resources. Um, I also don't think that [00:38:20] people are valuing men's lives in the way that we should as a society. I think that's been true for a long time. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Mm-hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: And I think it's easy for guys to internalize that, [00:38:30] of just the fact that we're a human and living isn't enough to be here. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: So [00:38:40] for the guys that are maybe listening that this is on their mind, that they're thinking about this and they're not thinking from someone who's worried about someone else, but they're thinking like, yeah, [00:38:50] this is me. I'm, I've, I'm here. I've been here. What? Are the range of things that they can reached out to. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: So we've talked about [00:39:00] therapy, we've talked about the crisis line. If therapy isn't what you have access to or isn't what you're willing to do, what are some of the other things to do in those moments? To try to [00:39:10] put down some pain and have a reason to stick around. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah, I mean, I feel like the big theme so far has been connect with somebody, timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: [00:39:20] Mental health, first aid trade or someone who's not gonna cause further harm, when their own reaction shows up for their own shit gets projected on the person who's suffering. Um, 'cause unfortunately that has happened to some of our clients, right? khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Where [00:39:30] they to be vulnerable and tell someone and that person reacted poorly and that's their timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: So maybe to your previous question of like how do we like kind of vet or source the right [00:39:40] people? Is it someone who has demonstrated some sort of comfort with mental health issues? Maybe they've said something online about it, or they've posted about their own mental health or giving you some sort of [00:39:50] breadcrumb that tells you this person might be a safe person. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: We don't know until you actually try, but. Maybe that's safe. Um, on the professional side, maybe you're looking for, do they have trainings in some of the [00:40:00] things like suicide would be Mental Health First Aid assist, which is from Living Works. Are they Cams trained? Like all of these are like compassionate tools for suicide and [00:40:10] suicide assessment versus the cold clinical checklist we come from. So that might be something that someone who's hurting might sniff out a little bit. But if it's not connecting in person with someone, [00:40:20] maybe it's coming to your online community. I timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: many guys go on like Reddit or other platforms and just like share with this place of, from this place of, um, being [00:40:30] anonymous, right? khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Of like, no one can hurt me. No one can like really rip me a new one if they don't know who I am. So that might feel like a small step towards I'm connecting with somebody and hopefully it's not harming me. It's doing [00:40:40] some good. The other side of this in my head is. Safety planning, which I know some of your listeners are like, oh God, safety planning. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: But like it's really [00:40:50] kind of doubling down on the conversation of what's keeping you alive. And so it's like, what am I gonna try when I'm in that deep dark space of like three in the morning, no one's really awake, or none of the people I wanna talk to are awake. [00:41:00] How am I gonna double down on. I'm having the thought and I have a plan now, and that's kind of scaring me. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: So like, do I need to do a healthy distraction? Do I need to go somewhere? Do I [00:41:10] need to lean on something? so I'm thinking more of like the here and now tools of like, listen to music, take a shower, put your hands in cold water. Like it depends on the person, what they [00:41:20] like, of those like really accessible things. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: So it takes a minute to find the right person, but it could take a couple seconds to grab the thing that might help you feel better in the moment. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: [00:41:30] Yeah. Yeah, I like that. And it, and it's, I don't know. The longer I do this job, the things that keep people alive are astounding to me. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: [00:41:40] Hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: I think we've talked about a few times where I've now had, I'm up to four different guys I've worked with that survived a weekend 'cause they were dog [00:41:50] sitting. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Wow. Wow. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Like that was it. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: That was the thin line that kept them going is they had responsibility for somebody else's animal, wasn't even their dog. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: This is why we [00:42:00] like pets so much, right? As therapists, like get a timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Oh, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: for timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: get a pet, please God. Well, and dogs love is perfect. They love you no matter what. They can't help it. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: [00:42:10] Um, so yeah, I guess the, the kinda story I'm hearing there is find some skills, find some plans, and if at all possible, find some [00:42:20] connection. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Mm-hmm. And it doesn't even have to be a therapeutic connection. Like I also wanna call out project helping at least here in Colorado for your Colorado listeners. Health is like, Hey, we know that [00:42:30] people aren't feeling isolated. We know their mental health is tanking. Let's create 32. Volunteer opportunities a month in the metro and beyond timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: for people to just connect. And [00:42:40] I'll bet you, but like I'm not a fan of like speed dating. Hey, hi, how are you? Here's my timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: They're awkward. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: volunteering feels like a much easier ask to be like, this is a passion I'm excited about. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: I wanna go timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: [00:42:50] Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Great. I can talk to people casually as I play with puppies. It feels like a different lift than going, Hey, I have to be intimate and connect with someone and tell 'em my whole life story. No, we're just talking about [00:43:00] puppies. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Well, and that's the difference. Yeah. That's the difference between conversating and having community. Community is I'm around people who care about the same thing. I don't have to like all of them. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah. [00:43:10] Love that. Mm-hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: And then some of 'em you will and some of 'em you won't, but you're all there to, you know, clean up that street, paint that wall. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Fill that food bank, whatever, it [00:43:20] doesn't matter. People who volunteer are happier, which sounds weird, but it's very, very true. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah. That altruism and connection of just like, oh, I'm around other people. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: I used to live [00:43:30] in a basement level, uh. House. When I was in grad school, I was like, oh my gosh, this like cabin fever, stir crazy feeling is not good for my mental health. I would just get up and walk around the neighborhood and every time I'd see [00:43:40] someone I'd just like acknowledge 'em. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Hi, how are you? Now I come from Washington State where people were not friendly when you walked around. I think this is why coffee is such a thing and why Starbucks came from Washington State as well as [00:43:50] grunge music. Just a theory. but like no one said hi. So when I moved to Colorado and all these people were like smiling at me saying, Hey, good morning. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: I was like. Do I have tourists on my forehead? Like what's happening [00:44:00] here? fast forward two more years and I was like, I was leaning on that. I timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: for my own mental health as I was like a full-time grad student with not many connections outside of my [00:44:10] program. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: see people. Just being in a space with people at a park felt better than being alone. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah, and I think that also, you know, sun [00:44:20] sunshine kills depression. You know, just being out in the world doesn't, it gives your depression less of a handhold to convince you you'd belong outside of the world.[00:44:30] khara-croswaite-brindle--she-her-_2_04-11-2025_121813: So many mood shifts for the better when we're outside. We're timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Um, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: with what, 300 plus days as sun. There is timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: or just khara-croswaite-brindle--she-her-_2_04-11-2025_121813: that timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: even if it's shitty weather, just being around people, right? Like. [00:44:40] It gives some perspective. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: So as always, I love having you talk about these things and I'm fairly sure I could continue to [00:44:50] pick your brain for another hour, but I wanna respect your time and I wanna make sure we get to some of your story because I like to be honest, this has been my favorite part about a lot of the podcast is [00:45:00] I have all these people that I like on and I get to know you a little bit better with these. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Mm-hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: So very selfishly, but hopefully our listeners are also finding just these stories to be a little bit more normalizing to get us [00:45:10] to talk about some things that maybe we weren't tracking. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Game for it. Let's go. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Fantastic. So what is a truth about masculinity that you learned at [00:45:20] 12 or earlier that remains true today? khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Such a loaded question, especially being a woman. Um, 12, 12, 12, 12. [00:45:30] Although it varied for a couple years in the angsty teenage years, there was a truth [00:45:40] of don't suffer the fools, if that makes sense. Like, don't allow yourself to feel small in front of men. Backstory, I was learning karate at the time, so I remember [00:45:50] like kicking the ass of some of these other 12-year-old kids, um, who were mostly boys and my dad being so proud of me for that. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: So that definitely reinforced some things, [00:46:00] Don't, you know, like don't be girly or don't like, make yourself look weak, like kick ass is what I learned. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: You know, if you're going to show up in masculine competitive space, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: apparently he's [00:46:10] not, I mean, he's scared of me sometimes, but like, not in a like, abusive way, just like, timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: but only on appropriate levels. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: but like, don't suffer the timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: I can't do that. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Well, I, I think you'll find [00:46:20] some, maybe some peace in this. Like it's, it's been very validating on the idea that we all have a little bit of masculinity as we all have a little bit of femininity. Because so far, when I was asking women these [00:46:30] questions, my expectation was for you to talk about expectations for men. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: And that has not been y'all's answers. It's been, I have this piece of masculinity and this is how it shows up and [00:46:40] how I was taught to show up with it. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah. Fascinating. Huh? I'm timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: followed suit with the rest of the timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: I'm sure someone won't, but it's been, you know, so far, [00:46:50] so far khara-croswaite-brindle--she-her-_2_04-11-2025_121813: I mean, it feels a timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: and, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: to say like, here's my advice for men. I'm not a man. Right. But I timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: well, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: here's timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: I don't think it's advice, like when I talk to female friends about it, [00:47:00] it's, they have expectations for the men around them. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Not advice on how to complete those expectations, but like, when I see a man, this is what I expect, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: and [00:47:10] I like that everybody's truth is internally ranged. So far it's been nice. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: That's pretty cool. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: And I think your dad was right. Like if you're going to, no matter who you [00:47:20] are, if you're in a masculine competitive space, show up to play. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: That's it. The rest of it, there's other, there's other space for, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: he raised two really strong [00:47:30] daughters. He's married to a really strong woman and all. And both my husband and my brother-in-law married these strong women, timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: we also had to have partners that weren't assholes. [00:47:40] So I think there was some connection, but like, don't suffer the fool, but also like you're not attracting an asshole because you're holding your own and you're gonna be strong as a woman. And so the men we brought in are secure in their [00:47:50] masculinity. Because they also know, like there are times that we drive as like strong women, and timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: that. I'm like, okay. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah. Well, and I think for, for me, [00:48:00] um, a significant portion of the women that I've been closely intimate with have been violently capable. And there's a piece in that for me as a guy, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Mm-hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: like I worry [00:48:10] about them less in the world. And when I was younger, it made me feel more confident that if I was doing something wrong, something would let me know. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: A. Yeah,[00:48:20] timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: And so I think, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: or give you feedback. Mm-hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: yeah, and, and I think a lot of guys would do khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Okay. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: benefit from looking for that. Like if you're a guy who doesn't know how to, [00:48:30] like, I don't know how to approach women, I don't know how to do this. Find women who will tell you when you're screwing it up, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: you know, not call you a bad person, not toss you out, but like, don't do that. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: [00:48:40] Right. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: boundary, not them being an asshole to you. Mm-hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah. Good. So the next one is, what's a time [00:48:50] pursuit of your gender identity has hurt you? khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Hmm. Um. I think I [00:49:00] took, kind of going off the story we just talked about, I think I took that to heart to the point where I didn't need anyone. So actually your audience will resonate with this, right? That like stoicism, I don't [00:49:10] need anyone. Hyper independence as I would call it. that hurt me for a long time. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Like that isolation was there. I wasn't digging anyone. People were like intimidated by me. That was the word I heard a lot [00:49:20] from school through my like late twenties. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: you're intimidated as fuck. I don't know how to talk to you like. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: You're a lot. I'm gonna be over here. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah. [00:49:30] And so I think that hurt me, right? timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: to the folks listening of like, if you feel isolated, like there's this loneliness of, oh, I can't connect with anyone on an intimate [00:49:40] level 'cause I don't feel like I need anyone. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: And I timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: looked at me one day and she's like, Kara, if you're too strong and you make a man feel like they don't need you, they're not gonna come around. They're gonna be like, why would you want me [00:49:50] if you don't need me to help you with anything? And I looked at her and I was like, what you mean? khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Like open the jar of pickles. And she's like, no, no, like you'll get it someday. Like if you can't hear this right now, you'll get it later. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: was [00:50:00] trying to tell me is like, YI was repelling the people, I was keeping them in arms length with my hyper independence. I can do this myself. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: there's like an act and vulnerability of asking for [00:50:10] help and like being okay with that. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah. Well, it's kind of funny. I will, my Special Forces guys run into that a lot 'cause they're just, [00:50:20] everything about their entire life has been being the most competent guy in the room anywhere they go. And it tends to be fairly destructive for their marriages. And so I usually catch [00:50:30] 'em on their second or third marriage khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Mm-hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: me and they're out. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: And one of the big things that makes the transition to this is the person that's gonna stick with me is they're [00:50:40] willing to not have to be the competent one when they're with this person. That there is safety in like I can trust them to guide me through this. I can trust them to accept I don't know how to do this. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: [00:50:50] I don't have to bluster, I don't have to charge through. And. I think a lot of guys and just people in general, but guys in particular, [00:51:00] it's not that you need to do that with everybody. In fact, if you did, you'd be doing it really wrong. The world is not safe. That is, that is not, don't just go around and throw around your [00:51:10] insecurities, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Mm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: but if the people you're closest with can't brace them for you, you're not very close. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah. Isn't that like a Marilyn [00:51:20] Monroe quote of like, you can't handle me at my worst. You don't deserve me at my best. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: I always hate that quote. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Well, tell me why you hate it. 'cause I was thinking it [00:51:30] was like a positive of like, doesn't timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Um, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: our worst, but like someone who we feel safe enough that we can show 'em our edges and they're like, I still love you. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: I, I think there's a difference between showing [00:51:40] somebody your edges and expecting them to put up with your worst. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Ah. Gotcha. Mm-hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Like that one robs it of accountability. Like I have been an absolute mess and hurt a lot of [00:51:50] people I deeply care about, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Mm-hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: and the ones that stay in my life are the ones that help me be a better person By holding me accountable khara-croswaite-brindle--she-her-_2_04-11-2025_121813: [00:52:00] Mm-hmm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: doesn't mean that they run away. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Doesn't mean that they're like, you're out on this one mistake. But it also doesn't mean like, no, no, that's just you and I love you anyway. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Got it. Yep. It's important [00:52:10] distinction. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Yeah. Yeah, I don't know why. Like, I think, oh yeah, it was a client that got me mad about that the first time [00:52:20] 'cause they were just like justifying all of their behaviors and like how they're not gonna change 'em and how it's just their personhood and how everybody should just accept that. And I'm like, no, that, no, that's not. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: It [00:52:30] does sound good. Does it? I feel like for me it's like the attachment style, so like the anxious attachment IE me, um, when I was younger, brought, had some comfort in being like, okay, I can have [00:52:40] these edges and not be perfect and someone else will love me. But yeah, if we come at it from the avoidant attachment lens, the island, I don't need anyone timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: and I'm an asshole and you just have to handle me as an asshole. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: [00:52:50] Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: sound right. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: That's always something that I like. You hear the truth tellers dropping. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Alright. And we, we get to go out on a, on a high [00:53:00] note, what is a time where pursuit of your gender? I. Empowered you. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Hmm. I [00:53:10] mean, motherhood shows up in my head timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: like being really proud of the body. I have to birth a baby and make a baby and hold a baby. Um, [00:53:20] it seems really interesting to say on a podcast for men, so. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: has been a consistent answer for folks with kids. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah, like I didn't actually think I [00:53:30] wanted to be a parent, so timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: be something that listeners would resonate with regardless of gender. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Like I was very committed to my career. It was part of that like hyper independence. I'm gonna make something of myself. And then the pandemic hit [00:53:40] and I was like, is this it? Is this, all my life is, is working? 'cause I backslid into worker holism again. 'cause there was nothing else to do. I wasn't timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: seeing people. And I remember my sister, she [00:53:50] lives in the city. She came to my door and she dropped something off and she stepped back and I was like looking at her from the balcony and I was like, this is awful. my family next to me. And I was like, and I want [00:54:00] her and I also want my own family. And so my, my spouse was like, oh my God, I finally get to be a dad. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Like, he was so excited. He's always wanted to be a dad, but I was just like, what, timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: That's crazy. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: if the pandemic [00:54:10] didn't hit? 'cause like, that was the turning point for me of like seeing my family that I could not touch or hug or say hello to, and they lived in the fucking same city I was in. Like it was awful. So. [00:54:20] Happy note though is I became a parent. Women's bodies are phenomenal. They can do amazing things, and lo and behold, I am a happy parent of a three major. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: [00:54:30] Well, it sound, it sounds like the, that nurturing part of yourself that. Has been so leveraged in your professional life. There's a reason why people love referring from you [00:54:40] to you and learning from you, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Mm. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: but it sounds like you'd really had that walled off and the pandemic made you realize that that nurturing, and I think nurturing [00:54:50] is more of a feminine quality. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Doesn't mean that there isn't men that can be nurturing. I'm one, but I really love that that frame let you get that part of yourself in other places in your [00:55:00] life, khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Yeah, thank you. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: eh? khara-croswaite-brindle--she-her-_2_04-11-2025_121813: it's like amazing how the world or whatever universe, higher power, whatever you believe in, like. It shows you some things that you're like, huh, I didn't even [00:55:10] know how happy I could be. I can't imagine what my life would be like without her now. 'cause she's such a part of it. But, yeah. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Well, I feel closer to you now because I think we're both like the major changes I've made in my life have [00:55:20] become because of exactly that kind of vibe of like, no, that's bullshit. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: You're like, timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Like, no, no, I'm mad now. Now I'm gonna go change that. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Mm-hmm. [00:55:30] Talk about that motivator. Right. External motivation or internal motivation of like, I'm on, I'm fired up now I wanna make a difference. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Anger isn't toxic. It's just [00:55:40] misused. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: That's fair. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Well, Kara, thank you so much for coming on. I, I always feel like I learn a little bit more about a topic that I already know quite a bit about. Every time [00:55:50] I talk to you, it's part of why I love having you in my community. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Aw, timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Uh, hopefully we can have you back on at some point to talk about money in the future, as that is one of your other specialties, and I actually haven't got to hear you [00:56:00] talk about that that much. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: So I'm really excited at some point to bring you back. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Take a dive in that. Yep. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: for listeners like that's the placeholder. Money and emotions. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Mm-hmm. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: do it. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: [00:56:10] Well, Americans aren't money motivated, so it makes sense that we don't have any emotional ties to it. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: yeah. My job is secure. timothy-wienecke--ma--lpc--lac--he-him-_2_04-11-2025_121813: Forever. [00:56:20] All right, well take care and we'll see you next time. khara-croswaite-brindle--she-her-_2_04-11-2025_121813: Thank you. [00:56:30]

Citations & References

Centers for Disease Control and Prevention. (2023). Suicide mortality in the United States, 2021. National Center for Health Statistics. https://www.cdc.gov/nchs/products/databriefs/db470.htm

Substance Abuse and Mental Health Services Administration. (2023). 2022 National Survey on Drug Use and Health (NSDUH) releases. U.S. Department of Health and Human Services. https://www.samhsa.gov/data/report/2022-nsduh-annual-national-report

Centers for Disease Control and Prevention. (2023). CDC WONDER: Underlying Cause of Death, 1999–2021. https://wonder.cdc.gov/ucd-icd10.html

U.S. Department of Veterans Affairs. (2023). 2023 National Veteran Suicide Prevention Annual Report. https://www.mentalhealth.va.gov/suicide_prevention/data.asp

Centers for Disease Control and Prevention. (2023). Suicide rates by age group—United States, 2021. National Vital Statistics System. https://www.cdc.gov/suicide/facts/index.html

Gould, M. S., et al. (2005). Evaluating iatrogenic risk of youth suicide screening programs. JAMA, 293(13), 1635–1643. https://doi.org/10.1001/jama.293.13.1635

CareScout & Genworth. (2025). Cost of Care Survey 2024: National and State Long-Term Care Costs. Genworth Financial. https://www.genworth.com/aging-and-you/finances/cost-of-care.html

Peltz, C. B., et al. (2021). Association of mild TBI with and without loss of consciousness with Parkinson disease. PLOS One, 16(9), e0256532. https://doi.org/10.1371/journal.pone.0256532

Iverson, K. M., et al. (2020). Mild traumatic brain injury and risk of dementia in U.S. veterans. Neurology, 95(7), e767-e775. https://doi.org/10.1212/WNL.0000000000010269

Alosco, M. L., et al. (2023). Chronic traumatic encephalopathy in US veterans. JAMA Neurology. https://doi.org/10.1001/jamaneurol.2023.1513

Vetter, C., et al. (2016). Association between rotating night shift work and risk of coronary heart disease among women. JAMA, 315(16), 1726–1734. https://doi.org/10.1001/jama.2016.4454

Barger, L. K., et al. (2015). Sleep disorders, health, and safety in firefighters and EMS workers. Journal of Clinical Sleep Medicine, 11(3), 233–240. https://doi.org/10.5664/jcsm.4470

Substance Abuse and Mental Health Services Administration. (2022). National guidelines for behavioral health crisis care: Best practice toolkit. U.S. Department of Health and Human Services. https://www.samhsa.gov/sites/default/files/national-guidelines-for-behavioral-health-crisis-care-02242020.pdf

Klonsky, E. D. (2007). The functions of deliberate self-injury: A review of the evidence. Clinical Psychology Review, 27(2), 226–239. https://doi.org/10.1016/j.cpr.2006.08.002

Joiner, T. E. (2005). Why people die by suicide. Harvard University Press. https://www.hup.harvard.edu/books/9780674018576

Shea, S. C. (2011). The practical art of suicide assessment: A guide for mental health professionals and substance abuse counselors. Mental Health Press. https://www.suicideassessment.com/the-practical-art-of-suicide-assessment/


The American Masculinity Podcast™ is hosted by Timothy Wienecke — licensed psychotherapist, Air Force veteran, and men’s advocate.Real conversations about masculinity, mental health, growth, and how men can show up better — as partners, leaders, and friends.We focus on grounded tools, not yelling or clichés. If you have questions or want a tool for something you're wrestling with, leave a comment or send a message — your feedback shapes what we build next.Note: While this doesn’t replace therapy, it might help you notice something worth exploring.

Note: This show offers insight and education but isn’t a substitute for therapy.  

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