
The Lou Perez Podcast
The Lou Perez Podcast - Andrew Hartz
Andrew Hartz is a psychologist and the founder of the Open Therapy Institute β a national directory of vetted, non-activist therapists, plus a peer-reviewed journal, conference, and podcast. He wrote a Wall Street Journal op-ed about political activism in mental health, got a grant to do something about it, and hasn't stopped since. We talked about: what an activist therapist actually looks like (APA's division on psychoanalysis lists 90 talks with zero mention of therapy, evidence, diagnosis, or treatment β but plenty on colonial domination, carcerality, and proximity to whiteness); how APA accredited a drag show called "Feel the F***ing Fantasy Redux" for continuing ed credits; a keynote speaker who co-translated Communism for Kids and wrote Abolish the Family; clinics diagnosing patients differently based on their race; patients being referred out for having the wrong politics; how mental health activism is backfiring on the people it claims to help (secondary gains and the evidence against rewarding symptoms); when this all started (earlier than you think β 2014, accelerating through 2019); why Lacanian nonsense writing infected academic psychology and what that sentence actually is; what CBT can and can't do; humor as a mature defense mechanism and why patients who laugh have better outcomes; why AI therapists worry Andrew more than most people realize; and Lou volunteering to coach soccer for a team of first graders despite having never played the sport. Find a vetted therapist β opentherapyinstitute.org Read the journal β Open Inquiry in Mental Health on Substack https://openinquirymentalhealth.substack.com/?utm_source=global-search TIMESTAMPS: 0:00 β Intro β Andrew Hartz and the Open Therapy Institute 3:23 β What is an activist therapist? The APA call for papers read aloud 6:24 β APA's division on psychoanalysis: 90 talks, 800 attendees, zero mention of therapy 8:29 β APA accredited a drag show for continuing ed credits 10:08 β Keynote speaker co-translated Communism for Kids, wrote Abolish the Family 11:53 β Lou's SJW Therapist sketch β and how close to reality it actually is 12:21 β Diagnosing people by their race β a white girl's anxiety vs. a black girl's anxiety 13:17 β The intake form that starts with pronouns β and what that signals 14:01 β Patient referred out for thinking she didn't get a fellowship due to affirmative action 14:41 β Who's paying for this? Insurance, premiums, and activist therapy 16:16 β "Evidence is Western" β activist therapists and why they reject research 17:25 β When did therapy start going this route? 2014, accelerating through 2019 19:47 β Lou's SJW Therapist video: January 2019 β right on time 20:12 β Mental illness as identity β secondary gains and how compassion backfires 21:33 β Test anxiety, extra time, and why rewarding symptoms makes them worse 23:52 β Lou used to wet himself before tests. He is not ashamed. 26:06 β The incoherence of activist academia β can anyone read this sentence? 27:23 β "Counter the extractive relations of cis heteropatriarchal racial capitalism" β a real sentence 29:54 β Lacan, oracular interpretations, and how academic nonsense writing spread 33:45 β If you have to build a birdhouse, the sentences have to make sense 36:36 β Greg Lukianoff, CBT, and what good therapy actually looks like 38:10 β Anger, dysregulation, and slowing down the loop 41:53 β What therapy cannot do: eliminate human emotion entirely 42:44 β Lou and the spiral β and why self-control matters 45:32 β Lou volunteered to coach soccer. He doesn't know how to play soccer. 49:30 β Humor as a mature defense β why patients who laugh have better outcomes 52:56 β Was it Good Will Hunting? What Robin Williams got right about therapy 54:55 β AI therapists β what they can replace and what they can't 57:17 β The danger of chatbot therapy for people who struggle with real relationships 58:03 β Open Inquiry in Mental Health journal and how to find a vetted therapist Watch full episodes on YouTube β https://www.youtube.com/watch?v=J4Vb53s4I0A&list=PLb5trMQQvT077-L1roE0iZyAgT4dD4EtJ Listen on Apple Podcasts β https://podcasts.apple.com/us/podcast/the-lou-perez-podcast/id1535032081 Listen on Spotify β https://open.spotify.com/show/2KAtC7eFS3NHWMZp2UgMVU Co-host of Happy Hour Econ β https://podcasts.apple.com/us/podcast/happy-hour-econ/id1863476697 Lou's book β That Joke Isn't Funny Anymore: https://amzn.to/3VhFa1r TheLouPerez.com | info@thelouperez.com βοΈ Newsletter: https://substack.com/@louperez #MentalHealth #Therapy #ActivistTherapy #OpenTherapyInstitute #AndrewHartz #CBT #Psychology #LouPerezPodcast #LionsOfLiberty #AITherapy






