Tony Mantor: Why Not Me ?

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We sit down with former Congressman and psychologist Tim Murphy to show how mental health laws really get made and why “good ideas” often get changed or stripped before they ever help families. 
We dig into Medicaid rules, treatment access, psychosis risks, and the hard truth that silence is how broken systems stay in place. 
• the real path of a bill from idea to compromise to final vote 
• why mental health policy creates intense conflict between groups 
• assisted outpatient treatment as an alternative to repeated hospitalization 
• how “gravely disabled” standards shape who can get care 
• Medicaid payment rules that discourage psychiatric beds and longer stays 
• why Congressional Budget Office scoring can derail reforms 
• what happens when severe mental illness is handled in jails 
• solitary confinement as a driver of worsening symptoms and suicide risk 
• high potency marijuana and the rising risk of psychosis 
• the estimated $340B to $380B annual cost of schizophrenia 
• families left holding the system together without guidance 
• HIPAA and confidentiality blocking parents from sharing critical history 
• why large organizations lose focus and stall action 
• how autism and schizophrenia advocacy can find common ground 
• practical steps to educate legislators through emails letters and visits 
If you know someone who has a story to you, tell them to contact us at why notme.world. 
One last time, spread the word about why not me. 

INTRO/OUTRO Music: T. Wild
Mantor Music BMI

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intro/outro music bed written by T. Wild
Why Not Me the World music published by Mantor Music (BMI)

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We bring together seven voices to face the hardest question families live with: when severe mental illness and psychosis take over, what does “choice” really mean. We share what it looks like when schools, hospitals, and law enforcement treat brain illness like behavior, and we lay out concrete steps that can shorten the gap to real care.
• capacity and consent when someone refuses help during psychosis
• power of attorney and psychiatric advance directives plus where they fall short
• anosognosia explained through dementia comparisons and street homelessness
• the “10-year gap” to diagnosis and why mandatory care and AOT come up
• early warning signs of psychosis and why peers and schools need training
• privacy barriers and why HIPAA is often misread or over-restricted
• CIT training realities and the need for the right officers
• frustration with professional leadership and the call for more beds and workforce training
• legislative paths including HR 4022 and ending the IMD exclusion
Before we jump in, if you haven't already, I invite you to tap follow.
If you know someone who has a story to share, tell them to contact us at why notme.world.
One last thing. Spread the word about why not me.

Music INTRO?OUTRO: T. Wild
Mantor Music BMI

https://tonymantor.com
https://Facebook.com/tonymantor
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https://youtube.com/tonymantormusic
intro/outro music bed written by T. Wild
Why Not Me the World music published by Mantor Music (BMI)

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We sit with seven voices to name what happens when psychosis and serious mental illness are misunderstood, under-treated, and pushed into jails, courts, and the streets. We challenge the quiet standard of neglect and outline what it takes to turn awareness into policy, funding, and care that actually saves lives. 

• failures in jail-based competency restoration and medication continuity 
• why anosognosia is under-taught and widely misunderstood 
• the life expectancy gap for schizophrenia and why it should alarm all of us 
• first-episode psychosis dismissed at intake unless suicide is stated 
• families carrying trauma in silence and why tragedies stay out of public view 
• reframing “crime” as illness when actions happen during psychosis 
• culture change through education and responsible media storytelling 
• courts naming behavioral health as a top driver of caseloads and cost 
• coalition-building across chambers and parties to move stalled bills 
• cost comparisons of hospitalization and incarceration versus treatment up front 
• homelessness as a revolving door and the role of AOT 
• the Medicaid IMD exclusion as a barrier to beds, housing, and long-term care 

Before we jump in, if you haven't already, I invite you to tap follow. 
If you know someone who has a story to share, tell them to contact us at why notme.world. 
Spread the word about why not me. 

INTRO/OUTRO: T. Wild
Mantor Music BMI

https://tonymantor.com
https://Facebook.com/tonymantor
https://instagram.com/tonymantor
https://twitter.com/tonymantor
https://youtube.com/tonymantormusic
intro/outro music bed written by T. Wild
Why Not Me the World music published by Mantor Music (BMI)

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We bring together seven voices to talk honestly about serious mental illness and why families are pushed to wait for crisis before help is allowed. We challenge outdated laws, uneven state systems, and stigma while naming practical fixes that can make outpatient care real and measurable. 
• mental health codes built for inpatient care in an outpatient world 
• step-up assisted outpatient treatment and why earlier petitions matter 
• accountability gaps when AOT lacks judge involvement 
• voluntary programs colliding with anosognosia in schizophrenia 
• stigma and discrimination treating brain disease differently than other medical emergencies 
• early intervention standards shifting from “dangerousness” to “risk of harm” 
• discharge planning and why follow-up community treatment changes outcomes 
• Arizona and California as opposites on laws, funding, and hospital beds 
• criminal justice and forensic systems filling the void left by civil care 
• medication non-adherence, substance use, and the revolving door to rehospitalization 
• recruiting and training psychiatrists and clinicians to handle the hardest cases 
• families as full-time caregivers with little support and no consistent standard of care 
• building statewide councils to align stakeholders and move legislation 
I invite you to tap follow. 
If you know someone who has a story to share, tell them to contact us at why notme.world. 
One last thing, spread the word about why not me.

https://tonymantor.com
https://Facebook.com/tonymantor
https://instagram.com/tonymantor
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https://youtube.com/tonymantormusic
intro/outro music bed written by T. Wild
Why Not Me the World music published by Mantor Music (BMI)

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Dr. Rachel Moseley on Autistic Suicide Prevention, Masking, Misdiagnosis, and Autistic Menopause

Host Tony Mantor in Nashville welcomes returning guest Dr. Rachel Mosley to discuss her UK-based research on autistic suicidality, self-injury, masking/burnout, misdiagnosis, and menopause.

Mosley explains that changes in autistic suicide rates are hard to track due to delayed and incomplete reporting, and cites data indicating suicide as the leading cause of death in autistic children in the National Child Mortality Database, likely undercounted due to missed diagnoses.

Autistic participants in her research emphasize suicide prevention requires systemic societal change addressing stigma, discrimination, bullying, education accessibility, employment, financial security, and healthcare.

They discuss clinicians mistaking autism for mental illness, common misdiagnosis as borderline personality disorder, the safety-driven nature of masking, and the complex emotions and relief of late diagnosis.

Moseley challenges the “lack of empathy” narrative and highlights autistic joy through passions, sensory joy, and stimming. She also presents her book, "Autistic Menopause," featuring interviews with 16 autistic people.

Show Welcome

Meet Dr Rachel Mosley

Suicide Research Update

revention Needs System Change

Misdiagnosis And Cure Myths

Mental Health And Masking

Autistic Girls And Early Diagnosis

Late Diagnosis Emotions

Empathy Myth Debunked

Autistic Joy And Flourishing

Changing Systems And Policy

Autistic Menopause Book

Final Thanks And Outro

INTRO/OUTRO: T.Wild

Mantor Music BMI

The content on Why Not Me: Embracing Autism amd Mental Health Worldwide, including discussions on mental health, autism, and related topics, is provided for informational and entertainment purposes only. 
The views and opinions expressed by guests are their own and do not reflect those of the podcast, its hosts, or affiliates.
Why Not Me is not a medical or mental health professional and does not endorse or verify the accuracy, efficacy, safety of any treatments, programs, or advice discussed.
Listeners should consult qualified healthcare professionals, such as licensed therapists, psychologists, or physicians, before making decisions about mental health or autism- related care.
Reliance on this podcast's contents is at the listener's own risk. 
Why Not Me is not liable for any outcomes, financial or otherwise, resulting from actions taken based on the information provided.
https://tonymantor.com
https://Facebook.com/tonymantor
https://instagram.com/tonymantor
https://twitter.com/tonymantor
https://youtube.com/tonymantormusic
intro/outro music bed written by T. Wild
Why Not Me the World music published by Mantor Music (BMI)