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Personal essays · professional opinion

The Salty Social Worker

Josh writes the way he talks: no clinical distance, no pulled punches. Disability, recovery, mental illness, masculinity, and the systems that fail people — from a licensed clinician who's been on both sides of the desk.

Josh Cutler

Josh Cutler, LICSW

Editor, Producer & Clinical Contributor · these are his personal essays, hosted on his Substack

August 17, 2026

Why I posted about my colonoscopy journey on social media.

It turned out to have little to do with cancer and a lot more to do with my moral injury as a covid-era healthcare worker.

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August 10, 2026

The trials of working parents in the united states

My friends are having another baby. It has me thinking about how American society's lack of support for families contributed to my breakdown and disability.

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August 1, 2026

I'm liberal, not a radical left fanatic.

Being progressive makes me a realist and a populist who wants the best for all people. I want my kids (and yours) to be supported by our community to have a good life.

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July 31, 2026

You might not be mentally ill, but I am.

It's time to reckon with the fantasy that everyone needs therapy and fully fund services for people that actually have serious conditions.

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July 26, 2026

The honor students are about to be the losers

Learn to think for yourself, think critically, and think creatively or you are going to be left behind.

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July 21, 2026

The Burden of Proving Disability

The lasting legacy of DOGE is dangerous.

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July 18, 2026

Pantsuits, Privilege, and a Party?

Sometimes being authentic isn't just about unmasking, it is about unpantsing.

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July 17, 2026

Dear President Obama,

What now?

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July 16, 2026

Summer Camp

It’s still a special place!

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July 10, 2026

My First Tattoo

Under the Needle: The lesson that Ketamine, Tattoos, and a Sea Turtle taught me about recovery and love.

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July 9, 2026

A way forward

Towards a 21st Century Mental Health System

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July 8, 2026

Why try Acceptance and Commitment Therapy?

Because... ACT is Awesome!

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July 5, 2026

Wounded Healer

Chiron: The Man, The Myth, The Legend

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April 24, 2026

Here's to the projects.

This morning I was scrolling Facebook and sipping my coffee, in true Xennial fashion. A big smile spread across my face. My teenage daughter passed by and gave me a funny look. “What are you smiling about?” “A rototiller.” “A what?” “A rot…

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January 6, 2026

Rain City Parenting

I had an important conversation with my eight year old daughter, on the way to elementary school, when she left the house with an umbrella on this wet dark day.

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October 3, 2025

Podcast: Ryan’s Story

Special episode out today!

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September 18, 2025

Keeping men alive

I hung out with my two best friends (from middle school) last night.

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August 24, 2025

Walking with the caregivers… a recovery story.

A note to the caregivers…

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August 24, 2025

Reflector Vest

My neighbor just gave me the most awesome vest ever.

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June 13, 2025

Hey Man; It's Ok Episode 310 - Exploring Emotions, Spirituality, and Mental Health with Randy Lyman

In this thought-provoking episode of 'Hey Man; It's Okay' - A men's Mental Health Podcast, hosts Sky and Ryan Heapy welcome Randy Lyman, the self-proclaimed Spiritual Cowboy.

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These are Josh's personal essays and opinions, published on his own Substack and pulled in here automatically — reading them takes you to his publication. They're one clinician's voice, not medical advice; the Find Help directory is always the place for support. Subscribe on Substack to get new pieces in your inbox.