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The Carlat Psychiatry Podcast

Jeffrey Epstein on the Couch: Part I

The Carlat Psychiatry Podcast

Pocket Psychiatry: A Carlat Podcast

Health & Fitness, Alternative Health, Medicine, Mental Health

4.7524 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. 

CME: Take the CME Post-Test for this Episode

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

Click on a timestamp to play from that location

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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