TwoX Labs
Welcome to the TwoX Labs Podcast, where we explore the intersections of mental health, sexuality, and neurodiversity with a focus on the experiences of cis-women and other assigned female at birth identities (AFAB). Hosted by Dr. Erika Miley, LMHC, CST, this podcast dives deep into cutting-edge research, clinical insights, and practical tools for therapists, educators, and medical professionals. From navigating purity culture and ADHD’s impact on sexual functioning to addressing societal influences like the manosphere, TwoX Labs is your go-to source for inclusive, evidence-based conversations. Each episode features thought-provoking discussions, expert interviews, and actionable takeaways to help you better serve your clients and communities. Join us as we challenge outdated narratives, amplify marginalized voices, and work toward a more informed and compassionate approach to care. 🌟 Empowering professionals with education that truly matters. Stay connected with TwoX Labs: 🌐 www.twoxlabs.org 📩 twoxlabs@gmail.com 📱 Facebook & Instagram & TikTok: @drerikamiley
Episodes

49 minutes ago
49 minutes ago
We talk about stress.We talk about sex.But we rarely talk about how our jobs as therapists and healthcare providers silently impact our own sexual functioning.
In this powerful episode of TwoX Labs, Dr. Erika Miley sits down with Dr. Nazanin Moali, clinical psychologist, AASECT-certified sex therapist, and host of the Sexology Podcast, to break down the invisible ways that stress, emotional labor, and burnout can erode intimacy, pleasure, and connection — and what we can do about it.
💡 What You’ll Learn in This Episode:✅ How chronic workplace stress impacts arousal, desire, and intimacy✅ Why therapists and healthcare professionals are at unique risk for sexual burnout✅ How to help clients recognize the role of stress in their sexual wellness✅ Practical strategies for reclaiming pleasure and addressing shame around "low libido"✅ Why self-compassion is critical in healing sexual disconnection
🎧 This episode isn’t just about client care — it’s about taking better care of ourselves, too.
📍 Follow @twoxlabs on Instagram, FB, and YouTube @drerikamiley on TikTok🌐 Access more CEU courses and resources: www.twoxlabs.org📧 Contact us: twoxlabs@gmail.com
💜 You deserve pleasure. Your clients do too. Let's talk about it.#SexualWellness #StressAndSex #TherapistLife #HealthcareBurnout #SexTherapist #TwoXLabs #SelfCompassion #PleasureMatters #SexologyPodcast #DrNazaninMoali #therapists #therapy

7 days ago
7 days ago
Let’s talk about the lasting harm of purity culture—and how therapists can help clients heal. In this episode of TwoX Labs, Dr. Erika Miley sits down with Dr. Andreya Jones, AASECT Certified Sex Therapist and author of Deconstructing Purity Culture to Embrace Sexual Pleasure, to unpack the deep emotional, relational, and sexual impact of religious sexual messaging—especially on AFAB individuals.
With compassion and clarity, Dr. Jones explores what it means to reclaim agency, eroticism, and pleasure in the aftermath of religious trauma. If you're a therapist or healthcare provider supporting clients through this process, this episode is your roadmap.
💡 What You’ll Learn in This Episode:✅ How purity culture disrupts desire, embodiment, and intimacy✅ The difference between relational repair and internalized shame✅ Why the trauma of purity culture requires a body-based and integrative approach✅ How therapists can use a nonjudgmental, anti-oppressive lens to support sexual healing✅ Practical ways to help clients move from fear and obligation to empowered pleasure
🎧 Whether you're a therapist, educator, or someone who’s walked the path of religious sexual trauma, this conversation is packed with insight, truth, and healing.
📍 Follow @twoxlabs on Instagram, FB, and YouTube🌐 More CEU courses + education at www.twoxlabs.org📧 Contact: twoxlabs@gmail.com
💜 You are not broken. You are not alone. Pleasure is your birthright.#PurityCulture #SexualHealing #ReligiousTrauma #SexTherapy #DrAndreyaJones #TwoXLabs #Deconstruction #TherapistEducation #SexualWellness #AASECTCertified #therapists #therapisttraining

Monday Apr 07, 2025
Monday Apr 07, 2025
You can’t talk about sexual health without talking about the clitoris—yet somehow, we still do. In this powerful episode of TwoX Labs, Dr. Erika Miley sits down with world-renowned sex therapist, researcher, and author Dr. Laurie Mintz (Becoming Cliterate) to talk about why cis-women’s pleasure is still being ignored, and what therapists and healthcare providers must do to change that.
💥 This episode is for anyone who’s tired of the shame, silence, and bad sex ed. Let’s rewrite the narrative.
💡 What You’ll Learn:✅ The full structure and purpose of the clitoris (yes, it’s more than just a “button”)✅ Why the pleasure gap still exists in 2025✅ How sexual shame is reinforced by culture, providers, and misinformation✅ What therapists and educators can do to center pleasure in practice✅ How to talk about sex with clients—without discomfort or awkwardness
🎧 This conversation is smart, accessible, and a must-watch for therapists, sex educators, and anyone who cares about closing the pleasure gap.
📍 Follow @twoxlabs on Instagram, and YouTube🌐 More CEU content and expert episodes at www.twoxlabs.org📧 Contact: twoxlabs@gmail.com
💜 Your pleasure matters. Your clients’ pleasure matters. Let’s talk about it.#BecomingCliterate #ClitorisEducation #SexTherapy #PleasureIsHealth #TwoXLabs #SexualWellness #SexEd #TherapistEducation #DrLaurieMintz #ceu #therapists

Monday Mar 31, 2025
Monday Mar 31, 2025
🧠 What happens when the healing professions are wrapped in the values of capitalism? In this episode of TwoX Labs, Dr. Erika Miley talks with licensed therapist Kayla Bell-Consolver, MS, LMHC about how capitalistic systems show up in therapy and healthcare, and how they impact both providers and clients.
From the pressure to overwork and undercharge, to the emotional labor therapists aren’t paid for, to how marginalized folks are systemically underserved—this episode invites us to think critically and compassionately about the world we’re practicing in.
💡 What You’ll Learn in This Episode:✅ How capitalism shapes the structure of therapy and access to care✅ Why living wages for therapists are essential for ethical care✅ How to notice internalized capitalistic narratives in your practice✅ What community-based, values-driven models of care might look like✅ How providers can move toward liberation-focused, sustainable work
🎧 Whether you’re a therapist, supervisor, or healthcare provider, this conversation is a call-in to reflect, reimagine, and resist.
📩 Learn more at: www.twoxlabs.org📧 twoxlabs@gmail.com📱 Follow @twoxlabs on IG and FB
💜 Share this episode with someone who's ready to reimagine healing beyond hustle culture.#CapitalismInTherapy #TherapistBurnout #LiberatoryPractice #TherapistTalks #TwoXLabs #MentalHealthJustice #therapist #therapisttraining

Monday Mar 24, 2025
Monday Mar 24, 2025
🎙️ Understanding AuDHD & the Assessment Process with Laura Tewel, LMFT
What happens when autism and ADHD intersect—especially in AFAB individuals? In this episode of TwoX Labs, Dr. Erika Miley sits down with Laura Tewel, MA, LMFT, a neurodivergent therapist and expert in working with trauma, ADHD, and autism, to unpack the realities of living with AuDHD (Autism + ADHD) and how providers can better identify and assess it.
Too often, AFAB folks with neurodivergence fly under the radar due to outdated models, masking behaviors, and diagnostic bias. Laura brings her clinical wisdom and lived experience to this conversation, offering tools, insight, and strategies for professionals who want to improve their understanding and care.
💡 What You’ll Learn in This Episode:✅ What AuDHD looks like in AFAB individuals across the lifespan✅ The unique internal experience of masking—and how it relates to anxiety, shame, and burnout✅ When and how to refer clients for a formal autism or ADHD assessment✅ What non-specialist therapists can do to support late-diagnosed or self-diagnosed clients✅ The connection between AuDHD, emotional regulation, and trauma
🎧 Whether you're a therapist, educator, or healthcare provider, this episode will help you build a more affirming, accurate, and compassionate approach to neurodivergent clients.
📩 Connect with Us:🌐 www.twoxlabs.org📧 twoxlabs@gmail.com📱 Instagram & FB: @twoxlabs
💜 Like, subscribe, and share this episode to help close the diagnostic gap and create safer spaces for AuDHD clients!#AuDHD #Neurodivergence #AutismAndADHD #NeurodivergentTherapist #TwoXLabs #therapists #psychotherapist #assessment #affirming

Monday Mar 17, 2025
Monday Mar 17, 2025
🚨 What happens when shame becomes the foundation of sexual education?
In this episode of TwoX Labs Podcast, Dr. Erika Miley sits down with Dr. Nicole Prause, a neuroscientist and leading researcher on sexuality, to break down the rise of the manosphere and NoFap culture—and the real damage these movements are causing. Yes TwoX Labs is about cis-women and assigned female at birth people, and this episode is important for providers to know what some of their cis-male clients/patients are exposed to and how it is impacting their cis-women partners.
🔍 NoFap, semen retention, and other anti-m*sturbation ideologies have gained massive popularity online, promising men control, power, and "masculine success." But what does the science say? Dr. Prause dives into how these movements spread misinformation, increase shame, and reinforce toxic masculinity—harming cis-men's mental and s*xual health in the process.
💡 What You’ll Learn in This Episode:✅ The origins of NoFap and how it became a gateway to misogynistic ideologies✅ How the manosphere weaponizes s*xual shame to control men and fuel anti-feminist narratives✅ The real impact of NoFap culture on mental health, relationships, and sexual function✅ Why cis-men are at risk for sexual dysfunction and self-hatred from these beliefs✅ What therapists need to know when working with clients impacted by manosphere ideology
🎧 If you’re a therapist, educator, or just someone trying to understand the impact of s*xual shame on cis-men, this episode is a must-watch.
📩 Connect with TwoX Labs:🌐 Website: www.twoxlabs.org📧 Email: twoxlabs@gmail.com📱 Follow us: Instagram & FB @twoxlabs
🔥 Like, subscribe, and share to fight against s*xual shame and misinformation! 💜 #NoFap #Manosphere #SexualHealth #TwoXLabs #therapists #mentalhealthmatters #therapistsofinstagram #psychology #psychologist

Monday Mar 10, 2025
Monday Mar 10, 2025
Healthcare access for transgender and gender-diverse individuals is more crucial than ever, yet many providers still lack the training to offer truly affirming and competent care. In this episode of TwoX Labs Podcast, Dr. Erika Miley sits down with Dr. Adrienne Rowland to discuss what gender-affirming care really looks like—and why it’s essential for mental, emotional, and physical well-being.
💡 What You’ll Learn in This Episode:✅ The fundamental principles of gender-affirming care in medical and mental health settings✅ How systemic barriers create health disparities for trans and gender-diverse individuals✅ Best practices for providing affirming care in therapy and medical spaces✅ How providers can advocate for trans rights within healthcare systems
🎧 Whether you're a therapist, doctor, or ally, this episode is packed with practical tools, insights, and essential education to better serve transgender and gender-diverse clients and patients.
📩 Connect with TwoX Labs:🌐 Website: www.twoxlabs.org📧 Email: twoxlabs@gmail.com📱 Follow Us: Instagram & FB @twoxlabs
🔥 Like, subscribe, and share to help make gender-affirming care more accessible and widely understood! 💜 #GenderAffirmingCare #TransHealthcare #InclusiveMedicine #TwoXLabs #therapists

Monday Mar 03, 2025
Monday Mar 03, 2025
Summary
In this conversation, Dr. Erika Miley and Dr. Stacy Greeter discuss the challenges and strengths of neurodivergent individuals in the field of psychiatry. They explore the impact of medical hierarchies, the importance of authenticity, and the need for supportive environments that embrace neurodiversity. The discussion highlights personal experiences, advocacy for self-acceptance, and the unique contributions neurodivergent professionals bring to mental health care.
Takeaways
Advocacy for self-knowledge and self-acceptance is crucial.The healthcare system can be challenging for neurodivergent professionals.Creating supportive environments benefits everyone, not just neurodivergent individuals.Authenticity in practice fosters better patient relationships.Neurodivergent providers often excel in understanding complex emotional topics.Curiosity and compassion are key strengths in psychiatric practice.Supervisors play a significant role in shaping the experiences of neurodivergent trainees.Emotional fluffing can help bridge communication gaps in clinical settings.A cultural shift in medical education is necessary for inclusivity.Neurodivergent individuals can bring unique perspectives to patient care.
Chapters
00:00 Introduction to Neurodivergence in Psychiatry05:54 Personal Healing and Advocacy11:59 The Impact of Supervisors in Training17:44 Authenticity in Medical Practice33:43 The Challenge of Doctor Face38:37 Navigating Neurodiversity in Clinical Settings46:54 Unique Strengths of Neurodivergent Providers55:38 Embracing Socially Taboo Topics

Monday Feb 24, 2025
Monday Feb 24, 2025
📄 Therapists & Medical Professionals: Are You Documenting with Client Safety in Mind?
In this episode of TwoX Labs Podcast, Dr. Erika Miley sits down with Cairn Yakey, MA to discuss a critical yet often overlooked aspect of care—how we document our clients' information and the potential risks it carries.
For trans individuals, LGBTQIA2S+ clients, immigrants, neurodivergent individuals, and other marginalized populations, traditional documentation practices can create barriers, increase exposure to harm, or even put them at legal risk. This conversation explores how therapists and healthcare providers can rethink their approach to clinical and medical documentation to ensure safety, protect access to care, and minimize harm.
💡 What You’ll Learn in This Episode:✅ Why traditional documentation methods can be risky for marginalized communities✅ How coded language can be used to protect rather than out clients✅ Strategies for writing therapy and medical notes with safety and advocacy in mind✅ How to reframe diagnosis, travel letters, and medical necessity to avoid unnecessary risks
🎧 Whether you're a therapist, social worker, medical provider, or advocate, this episode is essential for ensuring your documentation aligns with client protection and well-being.
📩 Connect with TwoX Labs:🌐 Website: www.twoxlabs.org📧 Email: twoxlabs@gmail.com📱 Follow Us: Instagram & FB @twoxlabs
🔔 Don't forget to like, subscribe, and share this episode to help build a safer, more affirming approach to client documentation! 💜 #ClientSafety #ProtectiveDocumentation #TherapistResources #TraumaInformedCare

Monday Jan 20, 2025
Monday Jan 20, 2025
In this episode of TwoX Labs Podcast, Dr. Erika Miley sits down with Dr. Bethany Suppes, LMFT, to explore the complexities of family estrangement and the journey toward reconnection. They discuss the reasons behind estrangement, its emotional impact, and how compassionate boundaries play a crucial role in rebuilding relationships. Dr. Suppes shares actionable steps for therapists to guide clients through self-reflection and healing, while respecting their autonomy in navigating family dynamics. This episode provides practical insights for supporting clients as they navigate the challenges and opportunities of reuniting after a family cut-off. NBCC CEU available for this episode on www.twoxlabs.org