Jeffrey Epstein on the Couch: Part I
The Carlat Psychiatry Podcast
Pocket Psychiatry: A Carlat Podcast
4.7 • 524 Ratings
🗓️ 9 March 2026
⏱️ 15 minutes
🧾️ Download transcript
Summary
Narcissism, antisocial, pedophilia… We examine the diagnoses people invoke to explain Jeffrey Epstein and determine if any fit.
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Published On: 03/09/2026
Duration: 15 minutes, 29 seconds
Chris Aiken, MD, and Kellie Newsome, PMHNP, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Transcript
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| 0:00.0 | We've been digging through the Epstein files, and today we'll bring you updates that shed light on his psychiatric diagnosis. |
| 0:11.2 | Welcome to the Carlet Psychiatry Podcast, keeping psychiatry honest since 2003. |
| 0:17.2 | I'm Chris Egan, the editor-in-chief of the Carlet Psychiatry Report. |
| 0:20.8 | And I'm Kelly Newsom, a psychiatric-in-chief of the Carlatte Psychiatry Report. |
| 0:25.3 | And I'm Kelly Newsom, a psychiatric MP, and a dedicated reader of every issue. |
| 0:34.2 | Jeffrey Epstein's crimes are upending power structures in politics, business, law, and academia. |
| 0:39.0 | They also impact us in psychiatry in at least three ways. First, there's the victims, whose plight is a reminder of how survivors of sexual trauma |
| 0:45.5 | are often dismissed, ignored, or blamed for the abuse. |
| 0:50.5 | Then there's Epstein, who we're going to put on the couch today and try to see if |
| 0:54.6 | psychiatry has anything to offer about what drove him. |
| 0:59.1 | Finally, there's the public reaction. |
| 1:01.6 | In a world divided over conspiracy theories, this is one that brings everyone together. |
| 1:06.6 | Well, almost everyone. |
| 1:08.9 | Reasonable people believe claims about Epstein that are usually the kind of things reserved for conspiracy theorists. |
| 1:15.2 | That he was an international spy, that he built his fortune on blackmail, |
| 1:19.7 | or that he ran an international sex trafficking operation, |
| 1:23.8 | as opposed to a more limited ring of abuse for himself and a few friends, |
| 1:29.2 | or that his suicide was a murder. |
| 1:32.7 | There is evidence for each of those positions and for their opposites. |
| 1:37.5 | The story is so bewildering that I started to question my own reality as I researched it for this podcast, and it keeps unfolding. |
| 1:46.2 | We're going to bring some new revelations in this series, but we're also going to try to |
| 1:50.3 | stick to the facts. Along the way, you'll learn something about psychiatric disorders that |
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