Therapy uptake differences by gender

In this second part of our conversation, Columbia University psychiatrist and researcher Ragy Girgis examines the deeper social patterns behind the rise of modern mass violence. The discussion looks at how isolation, cultural change, and the loss of meaningful roles have reshaped the psychological landscape for many young men. Drawing on data from large case studies, the episode explores the difference between clinical mental illness and broader social breakdown. The result is a difficult but necessary conversation about what has changed in modern society and what it may take to reverse the trend.

Part 1: https://youtu.be/FiZT2NnJ3mY

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00:00 Go! 00:00:00 Violence, mental health, and social breakdown

00:04:47 When modern mass violence began rising

00:08:28 Environment, addiction, and the Rat Park insight

00:13:45 Media, identity, and the cultural aesthetics of violence

00:20:37 Masculinity, purpose, and social displacement

00:29:07 Categories and patterns in mass violence data

00:39:34 Psychological collapse and public attacks

00:48:30 Isolation, media ecosystems, and cultural drivers

00:57:30 Why current therapy models often miss men

01:04:55 Cultural figures filling the guidance vacuum

01:11:36 Alienation and the risk of ideological extremism

01:17:01 Why common policy responses fall short

01:21:26 Redirecting alienated young men toward purpose

01:27:02 Recognizing the crisis and searching for solutions

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