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Holding It Together (Kinda)

Michael Mackniak, Esq
Mental Health
Caregiving
Dementia
Caregiver Burnout
Traumatic Brain Injury
Recovery Oriented System Of Care
Clinician-Attorney-Family Dynamics
Care Coordination
Trauma
Autonomy
Time Management
Memory
Caregiver Grief
Ambiguous Loss
Youth Mental Health
Schizophrenia
HIPAA
Six Hospitals, Two States, Nine Months
Companion Pamphlets
Postpartum Depression

Holding It Together (Kinda) is for people who look like they have it handled on the outside while knowing damn well it’s messier underneath.

Host Michael Mackniak has honest conversations with caregivers, clinicians, advocates, experts, authors, and people who have learned something worth sharing by actually living through it. We talk about caregiving, mental health, illness, loss, relationships, ... more

PublishesTwice weeklyEpisodes36Founded6 months ago
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Mental HealthHealth & Fitness

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Latest Episodes

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The fastest way to get stuck as a caregiver is to cling to “simple” legal lines that feel protective but turn out to be misleading. We are taking a short midweek pause to unpack a past conversation on caregiver misconceptions and to... more

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A brain injury can steal your past without touching your personality, and that gap is where so many families get lost. I sit down with Nesh Pillay, known from Amazon Prime’s 50,000 First Dates, to talk about what amnesia and traumat... more

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Dementia doesn’t just change memory. It changes family roles, daily math, and the emotional weather in your house. On this midweek unpack, I step back into one of our most downloaded conversations, the Daughter’s Guide to Dementia a... more

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The postpartum period can look normal from the outside while it feels like a full-body emergency on the inside. After the headlines around the Lindsay Clancy case, I wanted a real conversation about what postpartum depression and po... more

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Recent Guests

Nesh Pillay
Subject and star of 50,000 First Dates, living with traumatic brain injury and amnesia
Amazon Prime show 50,000 First Dates
Episode: Nesh Pillay: Be Kind To Little Man
Claude Racine
Former professional dancer and choreographer, wellness advocate, mother
Self / Wellness Advocacy
Episode: Claude Racine: Postpartum Is Not The Baby Blues
Alan Houston
Spouse of Tammy; caregiver and advocate
Houston family
Episode: Allan Houston and Tamara Houston: What Does Radical Acceptance Look Like At Home
Tammy Houston
Spouse of Alan; caregiver and advocate
Houston family
Episode: Allan Houston and Tamara Houston: What Does Radical Acceptance Look Like At Home
Danielle Worthen Cullenberg
Guest on episode discussing neurodivergence and caregiving
Episode: #5 Companion If You Say Calm Down, We Fight
Walt Hampton
Author and time-management expert
Author of The Power Principles of Time Mastery
Episode: Reclaim Calm in the Chaos: Time Mastery with Walt Hampton
Kayla Allen Omeiza
Author, Oxford-trained researcher, founder of I'm Heard Incorporated
I'm Heard Incorporated
Episode: Kala Allen Omeiza: I Got Bullied In An Autism Lab
Joanne Schaeffer
Doctor invited to discuss caregiver grief and ambiguous loss
Unknown medical/academic affiliation mentioned in episode
Episode: Episode 2 Care Companion: You Can Love Them And Still Feel Worn Out
Justin Ray
Board certified psychiatric nurse practitioner, Navy veteran, mental health clinician
South Chesapeake Psychiatry / Transforming Minds Interventional Psychiatry
Episode: Justin Ray: Hospitals Without Walls

Host

Michael Macniac
Host of Holding It Together Kinda; frequently discusses caregiving, mental health systems, and family dynamics.

Chart Rankings

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Talking Points

Recent interactions between the hosts and their guests.

Nesh Pillay: Be Kind To Little Man
Q: Tell the listeners about yourself and how this all came about and what the hell happened.
Nesh explains her rise to public awareness through 50,000 First Dates, her brain injury and amnesia, and how she began sharing her story to connect with others and normalize caregiver experiences.
When The Doctor Becomes Family with Dr Mohamed Elziam
Q: How can technology and privacy rules coexist to improve care for families without violating patient rights?
Technology should streamline care while respecting patient autonomy, but clinicians and families need clearer understandings of HIPAA and better channels for safe information sharing. Training and standardized releases can let families participate without turning care into a privacy nightmare.
When The Doctor Becomes Family with Dr Mohamed Elziam
Q: What are the biggest failures of the system in managing schizophrenia, and what changes would help?
The key failures are lack of consistent follow-through, poor integration between inpatient and outpatient care, and over-reliance on patient autonomy without adequate supports for those who lack capacity. Better outpatient commitments, more social workers on teams, and structured family involvement could prevent many crises.
When The Doctor Becomes Family with Dr Mohamed Elziam
Q: Could you explain how your medical training influenced your view of your brother's illness and the care he received?
My training helped me see the diagnosis clearly and to push for a more proactive approach, but it also highlighted how the system often overlooks caregiver insights. It cemented the idea that clinicians should value family input as essential data, not just background noise.
Kala Allen Omeiza: I Got Bullied In An Autism Lab
Q: How did the autism diagnosis change your approach to your work and your nonprofit?
The diagnosis validated her personal experiences and pushed her to integrate her story into her advocacy, broadening the nonprofit's mission to address stigma and support families as well as individuals.

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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?

The show centers on real-world mental health challenges and caregiving, featuring conversations with clinicians, advocates, and real families navigating system gaps, hospitalizations, and day-to-day resilience. Episodes frequently explore caregiver stress, practical caregiving strategies, guardianship and conservatorship issues, and how to coordinate care across disciplines and institutions. A notable throughline is turning expert guidance into actionable tools—journals, checklists, advocacy scripts, and caregiver education resources—to help listeners reclaim balance amid chaotic care journeys. The format often blends personal stories with clinical insight, making complex topics accessible to caregivers, health professionals, and advocates ... more

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Which podcasts are similar to Holding It Together?

These podcasts share a similar audience with Holding It Together:

1. The Mel Robbins Podcast
2. Let's Be Honest with Kristin Cavallari
3. The Missing Conversation
4. Unashamed with the Robertson Family
5. Stuff You Should Know

How many episodes of Holding It Together are there?

Holding It Together launched 6 months ago and published 36 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. Nesh Pillay
2. Claude Racine
3. Alan Houston
4. Tammy Houston
5. Danielle Worthen Cullenberg
6. Walt Hampton
7. Kayla Allen Omeiza
8. Joanne Schaeffer

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