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Long Story Longer

 The Long Story Longer Podcast is where a psychotherapist and a psych med prescriber team up to talk all things mental health.


Think of it as a behind-the-scenes peek into the worlds of psychotherapy and psychopharmacology—because sometimes there’s a weird little gap between the two, and we’re here to bridge it.

We’re mixing clinical insight with real talk—chatting about diagnoses, therapy, meds, and what actually works (and doesn’t) in the real world. 

We’ll throw in some personal and professional stories, a bit of humor, and probably go off on a few tangents along the way.

We aim for 15-minute episodes... but let’s just say our attention spans sometimes has other plans.

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Meet the hosts

Dr. Dominic Marano, DNP

Dr. Katie Brzozowski, DSW, LCSW

Dr. Katie Brzozowski, DSW, LCSW

Dominic has been a nurse practitioner for over 13 years. He was trained in Family Practice and worked in the acute care setting in Pulmonary, Medical Intensive Care, and Lung Transplant. After he received his Psychiatric Mental Health NP training, he worked in a non-profit seeing underserved clients and those with co-occurring substance i

Dominic has been a nurse practitioner for over 13 years. He was trained in Family Practice and worked in the acute care setting in Pulmonary, Medical Intensive Care, and Lung Transplant. After he received his Psychiatric Mental Health NP training, he worked in a non-profit seeing underserved clients and those with co-occurring substance issues. He has experience in managing Anxiety, Depression, Bipolar Disorder, Schizophrenia, Attention Deficit Disorder, and managing many different long-acting injectable medications. 

Because mental health is a complex, ever-changing facet of life that is shaped by experience, genetics, environment, and society, Dominic believes in forming a collaboration with his clients to achieve their goals. He understands that mental health management is a slow process and often requires psychotherapy in conjunction with medication. 

Link to Dominic's practice

Dr. Katie Brzozowski, DSW, LCSW

Dr. Katie Brzozowski, DSW, LCSW

Dr. Katie Brzozowski, DSW, LCSW

Katie is a psychotherapist and owner of SpeakEasy Counseling and Psychotherapy. For over 25 years (the last 13 of those in private practice), she has had the privilege of working with individuals, families, and groups from a wide variety of backgrounds. Prior to private practice, Katie worked in multiple medical settings where she provide

Katie is a psychotherapist and owner of SpeakEasy Counseling and Psychotherapy. For over 25 years (the last 13 of those in private practice), she has had the privilege of working with individuals, families, and groups from a wide variety of backgrounds. Prior to private practice, Katie worked in multiple medical settings where she provided psychosocial support to people across the life-span, including the neonatal ICU, critical care, Alzheimer’s and dementia units, and cardiac care. Katie completed an End-of-Life Care certificate program at Smith College School of Social Work and has a Doctorate in Clinical Social Work from the University of Pennsylvania.

Katie also spent a decade educating and mentoring hundreds of future mental health professionals through teaching appointments at Temple University, Rutgers University, Monmouth University, and others, as well as through providing clinical supervision and serving on national social work education committees. Katie views a person’s mental and emotional health from a person-in-environment lens and places a high value on the context of both the subjective and objective experience of one’s outside world. She believes in using authenticity in the therapeutic relationship, creating a safe, nonjudgmental, and ethical space, and utilizing evidence-based approaches.

Link to Katie's Practice

Episode List

Episode 1: Understanding ADHD: Diagnosis and Therapy/Medication Management Perspectives

Episode 2: Political Anxiety: Professional Perspectives of Therapy and Medication Interventions

Episode 2: Political Anxiety: Professional Perspectives of Therapy and Medication Interventions

 In this episode of Long Story Longer, hosts Dominic Marano and Katie Brzozowski explore the intersection of medication and psychotherapy in mental health, focusing on Attention Deficit Hyperactivity Disorder (ADHD). They discuss the prevalence of ADHD, the importance of understanding both medication and therapeutic approaches, and share personal insights on living with ADHD. The conversation emphasizes the need for a holistic view of mental health treatment, recognizing the complexities of diagnosis and the importance of individualized care. 

Episode 2: Political Anxiety: Professional Perspectives of Therapy and Medication Interventions

Episode 2: Political Anxiety: Professional Perspectives of Therapy and Medication Interventions

Episode 2: Political Anxiety: Professional Perspectives of Therapy and Medication Interventions

 In this episode of Long Story Longer, hosts Katie Brzozowski and Dominic Marano explore the intersection of medication and psychotherapy in mental health, focusing on the phenomenon of political anxiety . Regardless of political alignment, many people are experiencing distress related to the political atmosphere. They discuss medication and therapeutic approaches as well as changing versus accepting feelings. Political anxiety is not a formal diagnosis but falls under the umbrella of anxiety disorders and we are learning more and more about it during this turbulent political experience. 

Episode 3: Finding a Mental Health Provider and is your current provider a good fit for you?

Episode 3: Finding a Mental Health Provider and is your current provider a good fit for you?

Episode 3: Finding a Mental Health Provider and is your current provider a good fit for you?

 In this episode of Long Story Longer, hosts Dominic Marano and Katie Brzozowski discuss the importance of finding the right mental health provider. They explore how to identify a good fit, the significance of communication in provider relationships, and the evolving nature of mentalhealth diagnoses. The conversation emphasizes the need for specialized care and the importance of making sure your provider is right for your needs. 

Episode 4: BPD vs Bipolar Disorder

Episode 3: Finding a Mental Health Provider and is your current provider a good fit for you?

Episode 3: Finding a Mental Health Provider and is your current provider a good fit for you?

 In this episode of Long Story Longer, hosts Dominic Marano and Katie Brzozowski delve into the complexities of mental health, focusing on bipolar disorder and borderline personality disorder (BPD). They discuss the importance of accurate diagnosis, the differences between these two conditions, and the various treatment options available. The conversation emphasizes the need for understanding and compassion in mental health treatment, highlighting that individuals are not defined by their diagnoses and that effective treatment is a collaborative process. 

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