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Artwork for Holding It Together

Holding It Together (Kinda)

Michael Mackniak, Esq
Mental Health
Recovery Oriented System Of Care
Dementia
Caregiver Burnout
Conservatorship
Mental Health Law
Hospitals
Trauma
Care Coalition
Grief
End Of Life Planning
Traumatic Brain Injury
Care Coordination
Trauma-Informed Care
Health Insurance
Hospital System
Caregiving
Mental Health Resource Network
Autonomy
Family Dynamics

Here we will get real in our conversations about Mental Illness and Caregiving, and the messy reality of keeping it all balanced.

No sugar-coating, no clinical jargon—just real talk about the hospitalizations, the medication battles, and the toll it takes on a home

This is for the parents, siblings, and partners who are doing the impossible every single day.

Holding It Together is a home for... more

PublishesTwice weeklyEpisodes12Founded2 months ago
Number of ListenersCategories
Health & FitnessMental Health

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Artwork for Holding It Together

Latest Episodes

Caregiving can look heroic on the outside while you’re shaking behind the safety gate on the inside. We name that gap and get honest about the cost of trying to be endlessly patient, present, and “fine” while managing chronic illness, mental illness,... more

AI is everywhere right now, and the noise makes it easy to assume one of two extremes: either it saves healthcare or it destroys it. I sit down with Emerson Kerr, a longtime sleep medicine leader and C-suite executive at Nox Medical, to talk about a ... more

Your brain is not a fixed object, and neither is your future. I sit down with Dr. Matthew Galati, a family medicine and rehab physician who also survived a severe traumatic brain injury after a brutal car crash. He spent days in a coma, woke up unabl... more

HIPAA gets thrown around like a brick wall, guardianship gets sold like a silver bullet, and families get blamed for not having “the right paperwork” while they’re actively in crisis. We slow all of that down and get specific about what’s true, what’... more

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Recent Guests

Matthew Galati
Brain injury survivor, medical doctor, founder of Brain Changes Initiative
Brain Changes Initiative
Episode: Why Your Brain Wants Jelly Beans with Dr Matthew Galati
Victoria Cuore
Caregiving advocate and expert guest
CARE Coalition
Episode: Caregiver Misconceptions with ("Host") Victoria Cuore
Karmin Jenkins
Dynamic caregiver advocate with military and clinical background
Abundant Life / Inner Healing for Abundant Living
Episode: A Daughter’s Guide To Dementia and Caregiver Burnout Recovery
Danielle Worthen Cullumber
Trauma therapist; founder and CEO of Willow Medela Wellness
Willow Medela Wellness
Episode: An Off Switch For Neurospicy Brains with Danniel Worthen Cullumber
Victoria Cure
Advocate for domestic violence survivors; bioethicist; author
Episode: This Is What It Takes with Victoria Cuore
Joanne Schaefer
Author of The Unspoken Side of Grief
MD, author, healthcare consultant
Episode: Caregiver Grief And The Pain Of Loving Someone Who Changed with Dr. Joann Schaeffer, Author of The Unspoken Side of Grief
Rebecca Iantuonni
Attorney in New Haven focusing on special needs planning and guardianship
DeepHitney law firm
Episode: MIGMA: Make Involuntary Guardianship Mandatory Again!! With Rebecca Iantuonni

Host

Michael MacNack
Host of Holding It Together Kinda (co-hosts show real-talk about mental illness and caregiving, focusing on hospitalizations, medication battles, and home life).

Chart Rankings

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Talking Points

Recent interactions between the hosts and their guests.

Why Your Brain Wants Jelly Beans with Dr Matthew Galati
Q: Can you tell us about the Wolves Den and its purpose?
The Wolves Den is a Brain Changes support group that centers on shared experience and solutions, bringing in experts to discuss the six pillars and provide tools for recovery in a community setting.
Why Your Brain Wants Jelly Beans with Dr Matthew Galati
Q: What would be the one major pillar to focus on above all else?
There isn't a magic pill; aerobic exercise often has the most immediate impact, but the best outcomes come from adapting the pillar approach to the individual, considering medical conditions and the specifics of the brain injury.
Why Your Brain Wants Jelly Beans with Dr Matthew Galati
Q: What are the six pillars of brain health?
The six pillars are aerobic exercise, cognitive stimulation, nutrition and brain-healthy diet, sleep hygiene, limiting harmful exposures, and mindfulness meditation or stress management, all aimed at supporting neuroplasticity and cognitive recovery.
A Daughter’s Guide To Dementia and Caregiver Burnout Recovery
Q: How can listeners find you and engage with your work?
Listeners can reach Karmin through social media and her website ih4al.com, with additional contact via LinkedIn, Facebook, TikTok, and Instagram; she also uses a QR code on her materials for quick access.
A Daughter’s Guide To Dementia and Caregiver Burnout Recovery
Q: What are you working on now, and what gets you fired up these days?
Karmin describes a focus on introspective journals for women, coaching, and ongoing podcasting and presentations, all aimed at helping women navigate personal growth and caregiving alongside other responsibilities.

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Frequently Asked Questions About Holding It Together

What is Holding It Together about and what kind of topics does it cover?

This show covers the realities of managing mental illness and caregiving within family systems, from hospitalizations and medication challenges to the day-to-day toll on relationships and home life. Episodes often center on caregiver burnout, care coordination gaps, and system-level friction—exploring topics like guardianship, autonomy, advocacy, and practical tools for navigating fragmented care. A hallmark is blunt, experience-driven discussion that blends clinical insights with lived experience, aimed at helping families, caregivers, and professionals balance compassion with pragmatism. Noteworthy angles include ethical decision-making in crisis, the impact of policy on individual lives, and the emergence of collaborative, community-base... more

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1. Scouting for Growth

How many episodes of Holding It Together are there?

Holding It Together launched 2 months ago and published 12 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on Holding It Together?

Recent guests on Holding It Together include:

1. Matthew Galati
2. Victoria Cuore
3. Karmin Jenkins
4. Danielle Worthen Cullumber
5. Victoria Cure
6. Joanne Schaefer
7. Rebecca Iantuonni

To view more recent guests and their details, simply upgrade your Rephonic account. You'll also get access to a typical guest profile to help you decide if the show is worth pitching.

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