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Chelsea McCarty and Heather McPaul unpack EMDR, a trauma-focused approach that helps the brain process stuck memories without needing to analyze every detail. Heather explains why it can help with both “big T” and “little T” trauma, and why the biggest shift often happens when the body, emotions, thoughts, and beliefs are allowed to move through the system.

This episode is especially useful for clinicians and clients who are curious about how EMDR works in practice. Heather also walks through what a session looks like, what clients might notice, and why the process can be effective even when someone feels skeptical at first.

Key topics

• In this episode, Chelsea introduces the conversation as a deep dive into EMDR, with Heather leading the explanation as the certified clinician on the show.
• Heather’s elevator pitch for EMDR is that it is often the fastest way to resolve unresolved trauma compared with traditional talk therapy alone.
• The hosts distinguish between “big T” trauma, like sexual assault, car accidents, and natural disasters, and “little T” trauma, like repeated childhood experiences that shape negative beliefs about self.
• Heather explains EMDR as eye movement desensitization and reprocessing, tying it to the brain’s natural REM sleep processing and the way the mind files away daily information.
• The episode breaks down the core EMDR ingredients: image, body sensations, emotion, negative belief, and preferred positive belief.
• Heather describes the SUD scale, a zero to ten measure of disturbance, and the one to seven scale for how true a positive belief feels during processing.
• The conversation emphasizes that EMDR does not require analyzing every image or memory that comes up. Instead, the goal is to keep following the thread so the memory network can process quickly.
• Chelsea and Heather discuss how EMDR can uncover earlier childhood experiences that sit underneath adult trauma responses, including work with veterans, first responders, and clients with grief.
• Heather shares how EMDR can be especially helpful for traumatic grief, because it helps remove the horrific layer that can block someone from being able to mourn.
• The hosts also talk about how EMDR can help clients who are highly analytical, stuck in their heads, or unsure whether they are “doing it right.”

Listener takeaway:

This episode reminds us that healing from trauma doesn’t always require perfectly remembering or explaining what happened. EMDR can help people process memories through images, emotions, body sensations, and beliefs—sometimes revealing connections the conscious mind hasn’t been able to access. With the right support, fear can become caution, and people can regain a sense of safety in their bodies and daily lives.

Production credit:
Edited by Vast Videography

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In this episode of Clinical Tea Podcast, Chelsea McCarty and Heather McPaul dig into one of the biggest issues facing mental health care today: how hard it is for people to actually get the right help. Using the Lindsay Clancy case as a jumping-off point, they explore the gaps, barriers, and system failures that can leave people struggling without the support they need.

The conversation covers why “just ask for help” is far too simplistic, especially when people are dealing with insurance barriers, confusing provider directories, limited access to specialized care, and long waits. Heather and Chelsea also talk candidly about the pressures on clinicians, including credentialing problems, inaccurate insurance profiles, scarcity mindset in private practice, and the challenge of ethically knowing when to refer someone out.

They also break down how insurance companies and reimbursement structures shape the kind of care clients receive, including the growing concern around value-based care, medical necessity reviews, and time-limited treatment models that don’t fit trauma, addiction, or long-term mental health needs. The episode also touches on the realities of working with veterans and first responders, the importance of cultural competence, and the role of relationship-building in effective therapy.

Toward the end, Heather and Chelsea share practical advice for finding the right therapist:

• Ask for word-of-mouth recommendations
• Review therapist websites carefully
• Look for specialization and real training, not just broad checkboxes
• Learn a little about the therapy style before you book
• Give the relationship a few sessions, but don’t be afraid to switch if it isn’t a fit

This is a thoughtful, honest conversation about what’s broken in the system and what people can do to better navigate it.

Topics discussed:

• Mental health care access barriers
• Insurance and reimbursement issues
• Specialized therapy and ethical referral practices
• Veterans, first responders, and culturally competent care
• How to find the right therapist
• Why therapy is not one-size-fits-all

Listener takeaway:
Getting help should not be this hard. The right therapist, the right timing, and the right support can make all the difference — but the system needs serious change to make that possible.

Production credit:
Edited by Vast Videography

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In this episode, Chelsea and Heather explore why true crime is so compelling, from morbid curiosity and suspense to the emotional rush of trying to solve a mystery. They dig into the psychology behind the genre, the role of trauma, and why some stories feel more fascinating than frightening. They also discuss the difference between fictionalized crime stories and real-life cases, and how different listeners respond to the genre in very different ways. Along the way, they cover the ethical side of true crime, the importance of victim sensitivity, and why not every story is meant for every audience.

Content warning: This episode discusses murder, violence, trauma, and child abuse. Listener discretion is advised.

Key topics include:

• Why true crime hooks so many listeners
• The emotional cycle of suspense, dread, and catharsis
• How trauma and attachment show up in criminal behavior
• Why some people find true crime calming, and others find it activating
• The difference between watching crime stories and listening to them
• The ethical line between curiosity and exploitation
• How true crime can help us think about safety, empathy, and human behavior

Cases and references discussed:

• OJ Simpson
• Love Trapped
• The Crash
• Mindhunter
• The Staircase
• What Happened to Aunt Diane
• The Trials of Gabriel Fernandez
• Maternal Instincts
• Gilgo Beach murders

Mentioned in the episode:

• If true crime starts increasing anxiety, paranoia, intrusive thoughts, or sleep issues, it may be time to cut back or stop listening.
• The hosts invite listeners to subscribe, follow, and send fan mail with questions or future topic ideas.

Production credit:
Edited by Vast Videography