Episodi

  • The Future of PTSD Treatment Is Already Here. Why Can’t Veterans Access It?

    The Future of PTSD Treatment Is Already Here. Why Can’t Veterans Access It?
    Jun 25 2026
    In the final episode of our PTSD series, Scott speaks with Dr. Jessica Maples Keller of Emory University about the future of psychedelic-assisted therapy for PTSD.Emory has been studying MDMA and psilocybin in a clinical setting, with a focus on how these treatments might enhance evidence-based care like prolonged exposure therapy. Dr. Maples Keller explains how clinical trials are designed, why Schedule I status creates major barriers, what safety screening looks like, and why access and cost may become the next major challenge even if psychedelic-assisted treatments are eventually approved.Then LTG(R) Walt Piatt, CEO of Wounded Warrior Project, returns to close out the series. He reflects on where the veteran community stands in addressing PTSD, what the VA and DoD are getting right and wrong, and whether the innovation happening across nonprofits, universities, and private organizations is a hopeful story about American civil society — or a sign that government systems are still moving too slowly.This episode asks a simple question: if the future of PTSD treatment is already being built, why are so many veterans still waiting?Guests:Dr. Jessica Maples Keller — Associate Professor, Emory University School of MedicineLTG(R) Walt Piatt — CEO, Wounded Warrior ProjectResources:Emory Healthcare Veterans Program:https://www.emoryhealthcare.org/centers-programs/veterans-programFor information about Emory psychedelic-assisted therapy studies:PATstudy@emory.eduMAPS — Multidisciplinary Association for Psychedelic Studies:https://maps.org/STRONG STAR:https://www.strongstar.org/Compass Pathways:https://compasspathways.com/Heroic Hearts Project:https://heroicheartsproject.org/Oregon Psilocybin Services:https://www.oregon.gov/psilocybinAustralia Therapeutic Goods Administration — MDMA and psilocybin:https://www.tga.gov.au/products/unapproved-therapeutic-goods/mdma-and-psilocybineWounded Warrior Project:https://www.woundedwarriorproject.org/
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    1 ora e 29 min
  • The Deal Is Signed. The War Isn’t Over. | Robert Pape on Iran

    The Deal Is Signed. The War Isn’t Over. | Robert Pape on Iran
    Jun 22 2026
    This is the latest episode in The Escalation Trap, an ongoing series with Robert Pape of the University of Chicago tracking the war with Iran in real time. The U.S. and Iran have signed a memorandum of understanding. But according to Pape, that does not mean the war is over. Instead, the battlefield may be shifting to the negotiations themselves. Pape argues that while the U.S. and financial markets may view the agreement through a business-deal lens — oil flows, payments, stability, and costs — Iran may be approaching the negotiations through a balance-of-power lens. The question is not simply what the deal says. The question is whether the deal locks in a new regional balance of power. In this episode, we discuss what the MOU means, why Hormuz remains central, how Iran may use negotiations to gain leverage, what Hezbollah and Lebanon mean to Iran’s regional strategy, and why Israel may now face a far more difficult strategic environment. Why a signed deal does not necessarily mean peace How negotiations can become a battlefield of their own Why the business-deal model may miss the real power dynamics How Iran may use the MOU to lock in regional gains Why the Strait of Hormuz remains central to Iran’s leverage What Hezbollah and Lebanon mean to Iran’s regional strategy Why Israel may be in deep strategic trouble How the U.S.-Israel relationship could change under pressure What this means for Jordan, Egypt, and Gulf states Whether Iran could overreach in the negotiations A deal may stop the immediate shooting. But if the agreement shifts power toward Iran, the conflict may simply be entering a new phase. The war may not be ending. It may be moving to the negotiating table. New episodes released weekly as the conflict evolves. Escalation Trap Substack: https://escalationtrap.substack.com At the Water’s Edge delivers practitioner-level insight into national security and geopolitics — bridging academic theory with how conflicts actually unfold in the real world. In this episode:Key takeaway:Follow the series:Follow Robert Pape’s work:About the show:
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    32 min
  • Why Veterans Are Going Overseas for Psychedelics | PTSD Part 2

    Why Veterans Are Going Overseas for Psychedelics | PTSD Part 2
    Jun 17 2026
    Why Veterans Are Going Overseas for Psychedelics In part two of our PTSD series, Scott speaks with Jesse Gould, founder of the Heroic Hearts Project and a former Army Ranger from the 75th Ranger Regiment, about why some veterans are seeking psychedelic-assisted treatment outside the traditional U.S. medical system. Jesse shares his own story of leaving the military, struggling with PTSD, anxiety, depression, alcohol misuse, and hypervigilance, and eventually traveling to Peru for ayahuasca after feeling that the available treatment options were not enough. That experience led him to launch Heroic Hearts Project, a nonprofit helping veterans access legal psychedelic-assisted programs while emphasizing preparation, safety, screening, and integration. This conversation explores the promise, risk, controversy, and policy questions surrounding psychedelic treatment for veterans. It is not a discussion about miracle cures. It is about what happens when veterans run out of options, why many are looking beyond the VA, and whether the American medical system is ready for what may be coming next. Learn more about Heroic Hearts Project:https://www.heroicheartsproject.org/ Topics discussed: PTSD, veteran mental health, ayahuasca, psilocybin, MDMA-assisted therapy, the VA, alternative treatments, integration, risk mitigation, and the future of psychedelic medicine for veterans. Note: This episode is for informational purposes only and is not medical advice. Anyone considering treatment for PTSD or other mental health conditions should consult qualified medical professionals.
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    52 min
  • A Deal Doesn’t End This War | Robert Pape on Iran

    A Deal Doesn’t End This War | Robert Pape on Iran
    Jun 15 2026
    This is the latest episode in The Escalation Trap, an ongoing series with Robert Pape of the University of Chicago tracking the war with Iran in real time. Reports suggest the U.S. and Iran may be moving toward a deal. But Pape argues that a signing ceremony, memorandum, or public claim of victory does not necessarily mean the war is ending. For frontline U.S. forces in CENTCOM and the Gulf, the real signal is not diplomatic language. The real signal is whether U.S. forces physically leave the region. Until ships, aircraft, Marines, ground forces, tanker support, and carrier groups are actually withdrawn, the escalation trap remains in place. In this episode, we discuss what a possible agreement really means, why the 60-day negotiation window could increase Iran’s leverage, how oil inventories and energy markets affect escalation risk, and why Israel may become more isolated as Gulf states hedge toward Iran. Why a deal does not necessarily mean peace What U.S. forces in the Gulf should actually watch Why physical withdrawal matters more than diplomatic language How the 60-day negotiation window could shape escalation risk Why oil inventories give Iran growing leverage What the agreement could mean for Israel, Lebanon, and Hezbollah Whether Gulf states are hedging or bandwagoning toward Iran Why the Abraham Accords framework may be in trouble How the conflict could reshape nuclear deterrence debates in the region A deal is not the off-ramp unless the force posture changes. If U.S. forces remain in the Gulf, the war is not over. New episodes released weekly as the conflict evolves. At the Water’s Edge delivers practitioner-level insight into national security and geopolitics — bridging academic theory with how conflicts actually unfold in the real world. In this episode:Key takeaway:Follow the series:About the show:
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    34 min
  • Surviving War Was Only the Beginning | PTSD Part 1

    Surviving War Was Only the Beginning | PTSD Part 1
    Jun 11 2026
    Surviving war is only the beginning for many veterans. In Part 1 of this series on post-traumatic stress disorder, At the Water’s Edge examines what PTSD is, why it is so often misunderstood, why many veterans wait years before receiving care, and what effective treatment can look like. This episode features three voices from Wounded Warrior Project: Dr. Erin Fletcher, Director of Warrior Care Network; Ryan Kules, an Iraq veteran who lost an arm and a leg in an IED attack and now leads Project Odyssey; and John Eaton, Vice President for Complex Care. Together, they explain how trauma affects the brain and body, why stigma and system friction keep veterans from care, how evidence-based treatment works, and why recovery is possible. Before this series turns to psychedelic medicine and the future of PTSD treatment, we start with the foundation: PTSD is real, it is treatable, and getting care can change a veteran’s life.
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    1 ora e 7 min
  • Iran Is No Longer Just Surviving | Robert Pape on the Escalation Trap

    Iran Is No Longer Just Surviving | Robert Pape on the Escalation Trap
    Jun 8 2026
    This is the latest episode in The Escalation Trap, an ongoing series with Robert Pape of the University of Chicago tracking the war with Iran in real time. After 100 days of war, Pape argues that the conflict is no longer in its opening phase — but it is nowhere near over. Instead, the war has entered what he calls the middle of the escalation trap: a grinding phase where weeks of boredom can be punctuated by hours of terror. The key shift, according to Pape, is that Iran is no longer just trying to survive. Its ambitions are growing. In this episode, we discuss how Iran may be moving from survival toward dominance in the Persian Gulf, what that means for U.S. forces in the region, why the Red Sea could become the next major pressure point, and how financial markets may be underestimating geopolitical risk. Why the war has entered the middle phase of the escalation trap How Iran’s goals may be shifting from survival to ambition Why Iran may seek dominance in the Persian Gulf What it means for Iran to become a fourth center of world power Why the Red Sea could become the next major pressure point How Houthi threats to shipping could affect global oil markets Whether Iran could overplay its hand Why financial markets struggle to price geopolitical risk How the war could bookend the era of American unipolarity The longer this war continues, the more Iran’s ambitions may expand. This is no longer just about whether Iran survives. It is about what Iran may become if the escalation trap continues. New episodes released weekly as the conflict evolves. At the Water’s Edge delivers practitioner-level insight into national security and geopolitics — bridging academic theory with how conflicts actually unfold in the real world. In this episode:Key takeaway:Follow the series:About the show:
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    33 min
  • Trump Thought Iran Would Collapse. He Was Wrong. | Trita Parsi

    Trump Thought Iran Would Collapse. He Was Wrong. | Trita Parsi
    Jun 5 2026
    President Trump thought Iran would collapse quickly. According to Dr. Trita Parsi, that assumption may be one of the central miscalculations that pulled the United States deeper into war. In this episode of At the Water’s Edge, Scott Kelly speaks with Dr. Trita Parsi, co-founder and Executive Vice President of the Quincy Institute for Responsible Statecraft, about the war with Iran, the limits of American coercion, and what a realistic diplomatic off-ramp would require. They discuss why Iran has proven more resilient than Washington expected, where Tehran may have miscalculated, how the U.S. policy process broke down, and why military superiority does not always translate into political control. The conversation also covers the Abraham Accords, Gaza, U.S. military presence in the Middle East, sanctions relief, and whether international humanitarian law can survive in a multipolar world. This is a practitioner-focused conversation about strategy, escalation, diplomacy, and the future of American power. Find more from Trita Parsi here: Trita Parsi’s Substack: https://tritaparsi.substack.com/Quincy Institute: https://quincyinst.org/
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    46 min
  • Bombing and Talking at the Same Time | Robert Pape on Iran and the Escalation Trap

    Bombing and Talking at the Same Time | Robert Pape on Iran and the Escalation Trap
    Jun 2 2026
    This is the latest episode in The Escalation Trap, an ongoing series with Robert Pape of the University of Chicago tracking the war with Iran in real time. After two weeks of ceasefire claims, strikes, and renewed negotiations, Pape argues that the conflict is not moving toward real stability. Instead, the U.S. and Iran may be entering what he calls a new era of instability. Even if a memorandum of understanding is signed, the underlying issues remain unresolved: nuclear enrichment, Iran’s stockpiles, control of the Strait of Hormuz, oil prices, and the U.S. military presence in the Gulf. Pape also warns that diplomacy does not necessarily mean the danger has passed. The U.S. has a long history of bombing and talking at the same time, from Vietnam to Bosnia, and troops in the region should not assume negotiations mean escalation is off the table. Why a possible memorandum of understanding may not change the trajectory of the conflict Why Trump remains stuck in the escalation trap How tactical military success can worsen America’s strategic position Why instability itself may benefit Iran What the oil inventory countdown means for the next 30–60 days Why the Strait of Hormuz remains central to Iran’s leverage What would actually change the military reality for U.S. forces in the Gulf Why bombing and diplomacy can happen at the same time A deal is not the same thing as stability. Unless the underlying force posture changes, the war may remain trapped in a cycle of negotiations, skirmishes, oil pressure, and escalation. New episodes released weekly as the conflict evolves. At the Water’s Edge delivers practitioner-level insight into national security and geopolitics — bridging academic theory with how conflicts actually unfold in the real world. In this episode:Key takeaway:Follow the series:About the show:
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    28 min