The Reframe

Treatment Architecture Then and Now: A Conversation with Dr. Laura Dunn and Doug Bodin

Mental health treatment for young people has changed dramatically over the last two decades, but are today’s approaches helping or unintentionally keeping families stuck? In this episode of The Reframe, host Doug Bodin is joined by Dr. Laura Dunn, Chair of Psychiatry at the University of Arkansas for Medical Sciences (UAMS) and Director of the UAMS Psychiatric Research Institute, for a thoughtful conversation about the evolving landscape of adolescent and young adult mental health care. Dr. Dunn also happens to be Doug’s sister, bringing an added layer of familiarity and candor to the discussion. Drawing on decades of experience and their shared background in family systems thinking, Doug and Dr. Dunn explore the rise of “slow motion crises” among young people, the impact of technology and overaccommodation, and why families often struggle to recognize when support has turned into enabling. They also discuss the evolution of therapeutic consulting, shifting cultural attitudes around mental health, the value of experiential and mentoring-based interventions, and why building confidence often starts with helping young people reconnect with the real world. Listen in for a thoughtful conversation about parenting, treatment, and the changing architecture of care. Key Points From This Episode: * Introducing Dr. Laura Dunn and her perspective on modern mental health care. * Why therapeutic consulting requires a “360-degree” family systems approach. * How family systems often get overlooked in traditional treatment models. * Why many clinicians struggle to address family dynamics in practice. * Acting in vs. acting out: how adolescent behavior has shifted over time. * From risk-taking to isolation: the rise of “slow motion” crises. * How technology and the pandemic reshaped adolescent development. * Hope and fear: the “twin pillars” of codependency in families. * The growing challenge of “failure to launch” in young adults. * Why overaccommodation can unintentionally keep young adults stuck. * The role discomfort and autonomy play in building resilience. * How “slow motion relational interventions” help families create change. * Why consistency, cohesion, and accountability matter for parents. * The debate around overdiagnosis, accommodations, and mental health treatment. * How mental health labels can become part of a young person’s identity. * Key ways mentoring helps young people build confidence through real-world action. * What was lost in the decline of wilderness therapy programs. * Why treatment works best as part of a larger long-term care blueprint. Links Mentioned in Today’s Episode: Laura Dunn on LinkedIn [https://www.linkedin.com/in/geriatricpsych/] Douglas Bodin [https://thebodingroup.com/dougbodin] The Bodin Group [https://thebodingroup.com/]

The Pressure to Perform: Balancing Resilience and Accommodation with Dr. Leena Khanzode

How do parents support anxious, high-achieving teens without turning childhood into another project? In this episode of The Reframe, host Doug Bodin sits down with Dr. Leena Khanzode to discuss the pressures adolescents face in today’s materialist and high-achieving world. Dr. Khanzode is an adjunct clinical faculty member at Stanford University and the founder and president of Taarika Foundation, where she supports youth mental health through education, awareness, and resilience-building programs. During their conversation, Dr. Khanzode shares her perspective on the intense pressure many adolescents face and how elite college admissions can shape a teen’s sense of identity and self-worth. She delves into how the pressure has shifted over time, the role of cultural expectations, parent-child dynamics, mental health treatment, and the growing reliance on accommodations. They also discuss how parents can move away from fixing and performing, listen more deeply, and support teens in building resilience without ignoring mental health needs. Tune in to learn about achievement culture, parenting, therapy, accommodations, and how families can reframe success in a more balanced and emotionally healthy way with Dr. Leena Khanzode. Key Points From This Episode: * Background about Dr. Khanzode and the work she does with adolescents and families. * Learn what adolescent pressures Dr. Khanzode sees most often in Silicon Valley. * How pressure has shifted from parents pushing teens to teens pushing themselves. * Explore why some high-achieving parents can start treating their children like projects. * Find out how pressure can extend into activities, therapy, and mental health treatment. * Why there is no quick fix for a struggling teen, and why the parents’ involvement is key. * Hear how Dr. Khanzode’s background informs her view of education and success. * Dr. Khanzode shares lessons from parenting her own daughter through high school. * Understand how college admissions pressure affects both parents and teens. * Insights into her approach to helping parents realign their expectations with their kids. * Unpack how mental health awareness can sometimes negatively impact teens.  * The ways over-accommodation can affect teens’ perseverance, resilience, and coping skills. * Discover how Taarika Foundation supports youth mental health awareness and resilience. Links Mentioned in Today’s Episode: Dr. Leena Khanzode [https://taarika.foundation/about-us/our-board-members/] Dr. Leena Khanzode on LinkedIn [https://www.linkedin.com/in/leena-khanzode-5249891b4/] Stanford University School of Medicine [https://med.stanford.edu/] Taarika Foundation [https://taarika.foundation/] Mindful, Beautiful, and Thriving Podcast [https://open.spotify.com/show/2mEHeUet0QkIpTIljIpQUi] Supporting the Whole Child on YouTube [http://www.youtube.com/@supportingthewholechild5247] Douglas Bodin [https://thebodingroup.com/dougbodin] The Bodin Group [https://thebodingroup.com/]

Inside the Corral: Healing and Growth in the Presence of Horses with Dr. Robert Magnelli

Healing doesn’t always begin with words. In this episode of The Reframe, host Doug Bodin is joined by Dr. Robert Magnelli, a clinical psychologist and pioneer in equine-assisted therapy, to explore how connection, rather than cognition, can unlock meaningful change. Drawing on decades of experience, Dr. Magnelli explains why horses, as highly attuned prey animals, read and reflect human emotion and intent, creating a powerful, non-judgmental space for self-awareness and healing. The conversation unpacks the science behind equine therapy, from shifts in stress hormones to changes in brain function, alongside real-world stories of breakthrough moments that emerge not through analysis, but experience. They explore why this work often succeeds where traditional talk therapy can fall short, particularly in helping people access emotion, regulate their nervous systems, and build authentic connections. Set against a broader reflection on the growing standardization of mental health care, this episode offers a compelling case for more human, relational approaches. Listen in for a thoughtful look at how healing can happen in the quiet presence of something much larger than ourselves. Key Points From This Episode: * A breakdown of equine therapy and why horses are so useful in animal-assisted therapy. * Horses as prey animals: constant awareness and how they read emotion and intent. * Connection as the foundation for healing and change in equine therapy. * Understanding equine therapy as experiential and relational, not cognitive or talk-based. * Brain and cortisol changes linked to equine-assisted therapy. * Measurable outcomes: reduced anxiety, depression, and behavior issues. * What happens in sessions: breakthroughs through lived experience. * The role of repeated sessions in building lasting internal shifts. * Using equine work to process trauma through calm and safety. * The limits of traditional, office-based therapeutic models. * Concerns about the corporatization and standardization of care. * The importance of relational, human-centered therapeutic experiences. * Expanding access through nonprofits, veterans, and youth programs. Links Mentioned in Today’s Episode: Dr. Robert Magnelli [http://www.horsepowerprogram.com/?page_id=40] Dr. Robert Magnelli on LinkedIn [https://www.linkedin.com/in/robert-g-magnelli-28a197143/] The Horse Power Program [http://www.horsepowerprogram.com/] Douglas Bodin [https://thebodingroup.com/dougbodin] The Bodin Group [https://thebodingroup.com/]

Couples Under Pressure: Competence and Mindfulness for Families with Dr. Kathryn Ford

When families are under pressure, is it ever really about one person? Or is it actually about the system they’re part of? In this episode of The Reframe, host Douglas Bodin speaks with Dr. Kathryn Ford, psychiatrist, couples therapist, and author of The Aperture Effect, about how stress within families often exposes deeper relational dynamics. Drawing on her systems-based approach, Dr. Ford explains why competence lives in relationships rather than individuals, and how mindfulness can help couples stay connected when tensions rise. They discuss how modern families have become more isolated, even while living together, and how this shapes the way parents respond to stress and conflict. Dr. Ford shares practical tools from her book, including the idea of “aperture”, or moment-to-moment openness, and explains how slowing down and noticing subtle shifts in connection can transform difficult conversations. The episode also explores the challenges parents face when raising adolescents and young adults, from learning how to let go of outcomes to supporting growth through uncertainty. Tune in for a grounded, thoughtful conversation on how to strengthen relationships when families are under pressure. Key Points From This Episode: * Systems thinking and why Dr. Ford works with couples rather than individuals. * How modern families have lost a sense of themselves as interconnected systems. * Why isolation can exist even when families live in the same household. * Competence as something created between people, not within an individual. * The limits of therapeutic models when presence and connection are missing. * How to use mindfulness as the foundation of moment-to-moment connection. * Learning to notice early “uh-oh” moments in difficult conversations. * How challenges can move couples from complacency into a growth mindset. * The shift parents must make from control to consultation with young adults. * Trusting young adults to learn through mistakes and recovery. * Dr. Ford’s tools for helping families slow down and stay present in conversation. * Practical exercises in The Aperture Effect for communication and learning. * How Dr. Ford works with families when a young adult at home is not thriving. * Ways that post-pandemic uncertainty has reshaped youth development. * Why growth, learning, and change remain possible at every stage of life. Links Mentioned in Today’s Episode: Dr. Kathryn Ford [https://www.kathrynfordmd.com/] Dr. Kathryn Ford on LinkedIn [https://www.linkedin.com/in/kathrynfordmd/] The Aperture Effect [https://www.kathrynfordmd.com/the-aperture-effect] Dialogue: The Art Of Thinking Together [https://www.amazon.com/Dialogue-Thinking-Together-William-Isaacs/dp/0385479999] A General Theory of Love [https://www.amazon.com/General-Theory-Love-Thomas-Lewis/dp/0375709223] Douglas Bodin [https://thebodingroup.com/dougbodin] The Bodin Group [https://thebodingroup.com/]

Learning to Endure Hope: The Power of Incremental Mastery with Dr. Ross Ellenhorn

Hope can be terrifying, especially when it has led to disappointment before. In this episode of The Reframe, Doug Bodin speaks with Dr. Ross Ellenhorn, founder of Ellenhorn, a robust community integration program, and co-founder and president of the Association for Community Integration Programs, about the “fear of hope” and why people often resist change not out of a place of despair, but self-protection. Drawing on decades of clinical and community-based care, Dr. Ellenhorn explains how repeated disappointment erodes faith in yourself and the world, and how small, incremental experiences of mastery can rebuild it. He makes a powerful distinction: the task is not to inspire hope, but to help people endure it. Challenging the medicalised, industrial model of treatment, he addresses the commoditisation of care and the risks of investor-driven systems. He also offers guidance on how families can thoughtfully evaluate mental health programs. From therapy as art to community as medicine, this conversation reframes recovery as a deeply human process. Listen in for a thoughtful rethink of how change truly happens. Key Points From This Episode: * What it means to have a fear of hope and how it prevents you from moving forward. * How repeated disappointment erodes your ability to hope. * Staying stuck as a logical strategy to avoid further pain and disappointment. * The difference between inspiring hope and enduring it. * How small, incremental mastery rebuilds confidence over time. * Self-efficacy as a lived experience, not a language exercise. * The unintended harms of a medicalised, industrial treatment model. * Therapy as a relational art rather than a manualised technique. * Pride, dignity, and the psychological impact of ostracism. * Belonging, ritual, and community as forms of medicine. * Ownership in therapy: why recovery cannot be outsourced. * The risks of forced treatment and commoditised care. * Reframing “codependency” as love shaped by fear. * Why it’s so important to give people the ability to talk about their life experiences. * What to look for when evaluating mental health programs. Links Mentioned in Today’s Episode: Dr. Ross Ellenhorn [https://www.ellenhorn.com/our-team/ross-ellenhorn/] Dr. Ross Ellenhorn on LinkedIn [https://www.linkedin.com/in/ross-ellenhorn-47a6751/] Ellenhorn [http://www.ellenhorn.com] Douglas Bodin [https://thebodingroup.com/dougbodin] The Bodin Group [https://thebodingroup.com/]