When you walk into the elegant home of Dr. Peter Carnochan, you’re greeted by a statue of Avalokiteshvara, the Bodhisattva of compassion. Over the course of our dinner together and podcast conversation, it becomes clear that the figure is not decorative. It’s emblematic of Peter himself.

Peter Carnochan is something of a paradox. He describes himself as half California hippie and half East Coast WASP. He came up through alternative schooling that centered art and creativity. From there, he studied at Harvard University, earning a degree philosophy—an intellectual backbone that now undergirds everything he does.

Both in real life, and in the award-winning documentary, Andre Is an Idiot, Peter played the real life role of Andre Ricciardi’s psychologist. His client, Andre, is dying of colon cancer and, in many ways, becomes a kind of embodiment of “infinite jest”—finding humor in everything, even in the face of death, while documenting the experience. Peter’s defining qualities are on full display: infinite compassion paired with grounded wisdom. The result is a remarkable film that captures humor, courage, and an almost defiant vulnerability. In several scenes, Peter offers guidance that is both clinically precise and deeply human, gently expanding Andre’s capacity to face reality while staying connected to the people he loves.

Today, Peter has returned to his Silicon Valley roots, working as an executive coach to some of the titans of the tech world. He brings to that ecosystem not just strategy, but a grounded life philosophy that blends compassion, insight, and a deep respect for the complexity of being human.

Credits:

River is High, Ticketless Traveler

Carl Reisman, guitar, singer, and songwriter

Jenny Goodwine, vocals

James Singleton, bass

Johnny Vidocovich, drums

Dave Easley, steel guitar

Produced by Morgan Orion Reisman

for more information, carlreisman@gmail.com

Copyright 2025

WCMI networking group
A networking group for mindfulness-focused clinicians dedicated to learning together & collaborating for more information click here

What if the real issue isn’t that you lack confidence—but that you’ve been living from the wrong kind of consciousness? And what if worth isn’t something you earn, but something you are born with?

In this episode, I sit down with Dawna Daigneault, author of Understanding Self-Worth: A Guide to Worth-Conscious Theory and Psychotherapeutic Practice (Routledge, 2026), to explore a fresh and clinically compelling framework for understanding self-worth. Dawna introduces Worth-Conscious Theory (WCT), a model she has been developing for over a decade, which distinguishes between self-consciousness—a state rooted in evaluation, comparison, and performance—and worth-consciousness, a more grounded, inherent sense of being enough.

We unpack how many individuals struggle with what Dawna calls “systemically denied self-worth,” and how this shows up in anxiety, perfectionism, relationships, and the relentless pressure to prove oneself. She also walks us through the “Conscious Moment” technique—an accessible, ACT-informed intervention designed to help clients (and the rest of us) shift out of self-judgment and into a more stable, compassionate awareness of worth.

This conversation bridges theory and practice, offering clinicians and everyday listeners a powerful lens—and practical tools—for rewiring the inner narrative from “Am I enough?” to a deeper, quieter knowing that you already are.

If you’ve ever felt caught in the loop of self-doubt or driven by the need to earn your worth, this episode offers a meaningful way out.

Credits:

River is High, Ticketless Traveler

Carl Reisman, guitar, singer, and songwriter

Jenny Goodwine, vocals

James Singleton, bass

Johnny Vidocovich, drums

Dave Easley, steel guitar

Produced by Morgan Orion Reisman

for more information, carlreisman@gmail.com

Copyright 2025

WCMI networking group
A networking group for mindfulness-focused clinicians dedicated to learning together & collaborating for more information click here

Dr. Jim interviews Dr. Julia Sheffield, professor at Vanderbilt University and clinician specializing in psychotic and delusional disorders. She discusses her research and her interview with The New York Times on how AI chatbots may unintentionally reinforce or contribute to delusional thinking.

Dr. Sheffield explains how AI can mirror and amplify distorted beliefs by bypassing reality testing, raising concerns about vulnerable users forming unhealthy attachments — reminiscent of Her starring Joaquin Phoenix where a man falls in love with a bot and slowly loses his grounding.

Invoking the image of being “10 feet tall” — a nod to - Alice's Adventures in Wonderland - people ask Dr. Sheffield how not to fall into the rabbit hole. How altered perception, magnified meaning, and distorted reality can take hold in both human psychology and AI-mediated experience.

Dr. Sheffield frames psychosis on a spectrum and challenges the field’s overreliance on the medical model, emphasizing that therapy can be highly effective. She calls for clinicians to engage more confidently with this often-avoided yet deeply treatable population.

A timely conversation at the intersection of AI, attachment, delusion, and reality.

Credits:

River is High, Ticketless Traveler

Carl Reisman, guitar, singer, and songwriter

Jenny Goodwine, vocals

James Singleton, bass

Johnny Vidocovich, drums

Dave Easley, steel guitar

Produced by Morgan Orion Reisman

for more information, carlreisman@gmail.com

Copyright 2025

WCMI networking group
A networking group for mindfulness-focused clinicians dedicated to learning together & collaborating for more information click here