If you're in crisis, call or text In crisis? Call or text 988 (Suicide & Crisis Lifeline, U.S.)
Crisis resources
Married psychiatrists Paul Keck, MD, and Tracey Skale, MD, bring a combined 70+ years of mental health expertise to sharing trusted knowledge, education, and insights with individuals on their mental health journey.
Two minds, better than one.
Generalized anxiety, social anxiety, phobias, panic disorder and agoraphobia, and the brain regions involved. Breathing, grounding, CBT, lifestyle changes, SSRIs and SNRIs, and limited benzodiazepine use.
Anxiety – When Worry Takes Over Your Life
We're Tracey and Paul, married psychiatrists with more than 70 years of combined experience in mental health. Throughout our careers, we've worked with individuals and families from all walks of life, deepening our understanding of how mental health shapes our lives.
We're passionate about sharing our expertise beyond clinical work through media, professional presentations, published research—and now TMBO: Two Minds, Better Than One.
On The TMBO Podcast: Docs Tracey and Paul Discuss It All, we bring our two unique perspectives to mental health, treatment, wellness, navigating healthcare, current issues, and everyday questions. We also welcome special guests and leading experts to the conversation.
Our goal is simple: to make mental health conversations informative, thoughtful, approachable, and relevant. We're glad you're here.
— Tracey & Paul
More than 70 years in psychiatry between them, and one conversation.
Senior Consulting Psychiatrist
Psychiatrist
Fact: Schizophrenia is “split from reality, not split personalities.” It involves psychosis, such as hallucinations and delusions.
Episode 4 and the schizophrenia guideFact: Major depressive disorder lingers: loss of interest, changes in sleep, appetite and energy, and a decline in functioning. It’s treatable, and the goal is full remission.
Episode 2 and the depression guideFact: Anosognosia is a brain-based symptom of the illness itself, not denial.
Episode 5 and the anosognosia guideFact: Bipolar disorder involves distinct episodes, including mania, hypomania or mixed states, that differ from everyday ups and downs.
Episode 3 and the bipolar disorder guideShort videos Tracey and Paul film at home: quick answers, myth-busting and a little marital banter.
Schizophrenia means a split from reality, not split personalities. Psychosis, typical onset, treatment and early intervention, from Episode 4.
By Dr. Tracey Skale & Dr. Paul Keck
New episodes of Docs Tracey and Paul Discuss It All! arrive every Wednesday.
