When I found this podcast, about a year ago, I downloaded all of the extant shows & started listening in order (surely indicative of some DSM-IVR malady).
The first 10 or so were unrelentingly awful, as (to be fair) one might expect from newbies. Awful sound, utter lack of format self-conception or self-discipline, on-mic bickering, continuous dog barking, bird chirping, cell phone ringing, etc. Skip these without a second thought. [I have just rescued several hours of your life better spent watching Jerry Springer or re-runs of Hogan's Heroes - you're welcome.]
Bad News the First: It really never got all that much better. Roy bought & figured out a new mic, which helped the sound considerably. What this ended up meaning, unfortunately, was much better sound staging for dog barking, pointless bickering, cell phone ringing…sound familiar?
Bad News the Second: If you're the sort of person who kind of just assumes (or needs to believe) that doctors in general and psychiatrists in particular are notably more intelligent than the average person walking down the street…surrender all hope. These folks, while perfectly nice, are stunningly average in general intelligence.
Yes, they made it through med school and residency and boards, so they're definitely not dumb. But they're not *smart* either, if you see what I mean.
They don't make connections between topics previously discussed or items in the news and previous topics of their podcasts; they aren't _at all_ self-aware WRT their presentation (and seem somewhat deficient WRT self-reflexivity in general); as a collective, they're surprisingly ignorant of broad swathes of popular culture, general news, and the sort of more informed general knowledge & opinion that one expects from readers of (e.g.) the New Yorker, Harper's, The Atlantic, The Economist, The Nation, or The New Republic (to say nothing of the NYRev of Books). It's a depressing experience if you've a naive faith in the elevating effects of higher professional education.
In other words, if your sub-conscious model of a shrink is a sort of scholarly child of Freud, learned and wise, broadly well-read and familiar with the world at large and the depth of human experience in general, look elsewhere.
Good News the First: Roy is easily the most informed and informative of the three - he seems the most plugged-in to the world in general, he's capable of focussing and not engaging in mindless cross-talk of either the process-talk variety ("Are we going to discuss X? I thought we were going to discuss X…or was it Y? Oh rightrightright, it was Z - Roy, weren't you going to mention Z? Maybe you do that and then I'll come back to X…or Y."), or of the utterly and generally inane variety ("Isn't there something about Girl Scout cookies and subterranean super-pythons? Wasn't there something in the news, something about cough lozenges, Anthony Bourdain, and testicular cancer?).
Bad News the Third: The other two have not improved one iota over the years. Hard to believe, but I've listened to every episode seriatim, hoping it would get better, but at some point I was just listening out of pure malicious curiosity. I hasten to disavow sexism as the source of that opinion - my own shrink is female, absolutely brilliant in a myriad of ways, and easily the best shrink I've ever had.
Final Upside: They do cover some topics of psychiatric interest, though usually not very well. Listen to one of the more structured podcasts (MGH, e.g.) if you really want informative commentary on psychiatric topics.
This show _could_ be so good; that's what made it such a huge disappointment. I hope three other shrinks somewhere will pick up the idea and make it work.