Most of the guests on this show built private practices and never looked back. Ben Egbers is the outlier. He built one in rural Montana, and then he walked away from it.

Ben came to psychiatry the long way. A psychology and German degree in 2000. Years as a case manager, then teaching English in Europe. An avalanche in the backcountry that he barely survived, and that he dug his best friend out of. A career in pharma he hated, a $60,000 pay cut to go back to bedside psych nursing, and his own recovery from alcohol use disorder — this month he's ten years sober. He didn't finish his nursing doctorate until 2021.

Today he runs some of the most intensive treatments in the field, deep TMS and ketamine, while holding a belief that sounds almost backwards: the goal is the least medication a person needs, not the most.

We get into all  ...