In this episode of The NOCE Dose, host Bianca D. McCall is joined by Altamit Lewis for an honest conversation about burnout, functional distress, workplace wellness, and the importance of collective care. Drawing from more than 15 years of experience in behavioral health, crisis response, and workforce wellness, Altamit explores why so many helpers continue showing up professionally while silently struggling personally.
In this episode of The NOCE Dose, Bianca D. McCall sits down with Dr. Trudy Gilbert-Elliott, trauma specialist and clinician working alongside first responders and crisis teams, for a deeply human conversation about the cost of caring.
From “death by a thousand cuts” to the slow, often invisible onset of secondary trauma, Dr. Trudy unpacks what happens when exposure to crisis becomes cumulative—and how easily helpers can lose connection to themselves in the process.
At the heart of this conversation are two powerful truths:
we can’t hide our humanness, and too often, we are the only ones keeping someone’s story safe.
Together, they explore the importance of psychological safety, trusted relationships, and the internal “checklists” that help us recognize when we’ve crossed the line from present to performing. This episode also highlights the weight of holding others’ stories in isolation—and why healing cannot happen without connection.
Grounded in both clinical expertise and lived experience, this conversation is a reminder that being human is not a liability in this work—it’s the very thing that makes healing possible.
In this episode of The NOCE Dose, Bianca D. McCall is joined by Gabrielle Burton, LMFT, for a powerful conversation at the intersection of faith, trauma, and care work. Together, they explore what happens inside helping spaces—especially faith communities—when image becomes more important than authenticity.
In this episode of The NOCE Dose, Bianca D. McCall sits down with Jewels Crable, outreach coordinator with NAMI Western Nevada, for an honest conversation about what happens when helping starts to feel like carrying everyone’s everything.
This Listening Session addresses the emotional, cognitive, and professional impact of opioid-related crises on those working in prevention, treatment, and recovery, including clinicians, peers, first responders, and systems leaders. Drawing from suicide postvention frameworks and lived experience, the session explores the invisible injuries of care work, such as compassion fatigue, secondary trauma, and moral distress. Attendees will hear from colleagues who have navigated the grief and ethical ambiguity that follow overdose loss or suicide, while also gaining insight into sustainable work-life integration practices and emotional recovery strategies.
Season three of The NOCE Dose, hosted by Bianca D. McCall, centers the people doing the work—and the often invisible costs of caring. This season amplifies the voices of clinicians, peer support specialists, first responders, crisis teams, and community providers across Nevada who show up every day in response to the opioid crisis. Through powerful testimonies and expert insight, we explore how identity, access, and systemic expectations shape who receives support—and who suffers in silence. Each episode offers practical strategies to sustain the workforce, highlighting supervision, peer connection, physical health, and realistic approaches to self-care. Because supporting those on the frontlines isn’t optional—it’s essential.