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October 15, 2025 39 mins
Childhood schizophrenia is one of the rarest — and most controversial — diagnoses in psychiatry. In this episode, host Rachel Star Withers (who lives with schizophrenia) and co-host Gabe Howard, joined by board certified psychiatrist Dr. Nicole Washington, explore the complexities of diagnosing schizophrenia in children and teens. Together, they unpack the challenges of distinguishing symptoms from typical childhood imagination, the life-altering implications of early treatment, and the risks of misdiagnosis with conditions like autism, ADHD, or bipolar disorder. Rachel also shares her own childhood experiences with hallucinations, offering a rare personal perspective on what it’s like to grow up with symptoms that may go unnoticed for years. Takeaways for listeners: why diagnosing schizophrenia in children is so complicated — and controversial how to tell the difference between usual childhood behavior and red flags the risks of misdiagnosis and overmedication what parents and clinicians should consider before starting treatment why early intervention can make all the difference — but also carries risks Whether you’re a parent, mental health professional, or simply curious, this episode sheds light on the difficult realities and unanswered questions surrounding childhood schizophrenia. Our guest, a highly respected physician in her field, Dr. Nicole Bernard Washington is a board certified Psychiatrist, speaker, author, and consultant who has always had an affinity towards working with populations who aren’t typically consumers of mental health services.  As Chief Medical Officer and founder of Elocin Psychiatric Services, she has become a staunch advocate for high level professionals who are dealing with untreated mental health issues or general occupational stressors. Dr. Nicole also co-hosts Healthline Media's Inside Bipolar podcast with Gabe Howard. Our host, Rachel Star Withers, (Link: www.rachelstarlive.com) is an entertainer, international speaker, video producer, and schizophrenic. She has appeared on MTV’s Ridiculousness, TruTV, NBC’s America’s Got Talent, Marvel's Black Panther, TUBI’s #shockfight, Goliath: Playing with Reality, and is the host of the HealthLine podcast “Inside Schizophrenia”. She grew up seeing monsters, hearing people in the walls, and having intense urges to hurt herself. Rachel creates videos documenting her schizophrenia, ways to manage, and letting others like her know they are not alone and can still live an amazing life. She has created a kid’s mental health comic line, The Adventures of ____. (Learn more at this link: https://www.amazon.com/Adventures-Fearless-Unstoppable-Light-Ambitious/dp/B0FHWK4ZHS ) Fun Fact: She has wrestled alligators. Our cohost, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He also hosts the twice Webby honored podcast, Inside Bipolar, with Dr. Nicole Washington. To learn more about Gabe, please visit his website, gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices
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