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Why Saying NO Boosts Mental Health & Speeds Healing | Set Boundaries to Heal Faster | MedHeads In this powerful episode of Substance Stories, Dr. Richard Bradlow and Nathan Akoka dive into one of the most essential—and misunderstood—aspects of addiction recovery: therapeutic boundaries. If you've ever questioned how a firm but compassionate “no” can change a life, or what it truly means when a clinician must make the difficult decision to discharge a client, this episode is for you. With decades of combined experience in addiction treatment and therapy, Dr. Bradlow and Nathan go beyond clichés to explore how boundaries aren't just rules—they're acts of care. Boundaries create safety, build trust, and model life-changing skills like honesty, resilience, and emotional regulation. They are a cornerstone of recovery and relapse prevention. Nathan offers raw, real-world insight from his work with young people and those experiencing homelessness, opening up about the emotional and ethical complexities of detox and support work. Together, he and Dr. Bradlow unpack the psychology behind consistent limit-setting, the consequences of blurred lines, and the healing power of saying “no” with empathy. Whether you're in recovery, supporting a loved one, or working in mental health, you'll walk away with practical tools and deep insights into how boundaries foster connection, not control—and how they pave the path toward lasting change. This is a must-listen for anyone committed to mental health, personal growth, and the art of healing through relationship. Chapters 00:00 Honesty in Recovery Conversations 04:32 "Importance of Consistent Boundaries" 07:16 Balancing Compassion and Boundaries 10:40 Private Sector Independence in Substance Recovery 13:46 "Maintaining Boundaries in Relationships"