Podcast Summary: The Federal Government Shutdown and Mental Health
NCE Study Guide Podcast, Hosted by Glenn Ostlund
Date: October 30, 2025
Main Theme & Purpose
This episode transforms a real-world political crisis—the 2025 federal government shutdown and the ensuing executive action—into a clinically relevant case study for National Counselor Exam (NCE) preparation. Host Glenn Ostlund and a guest expert discuss the psychological, ethical, and developmental impacts of collective political dysfunction, focusing on how large-scale events translate into acute mental health crises for individuals, specifically using the fictional case of Angela, a furloughed Department of Agriculture employee.
Key Discussion Points & Insights
1. Setting the Scene: The Political Crisis and Its Fallout
- Backdrop:
Washington in October 2025: A lengthy federal government shutdown has left hundreds of thousands of federal workers unpaid or working without compensation, due to partisan deadlock. - Unprecedented Executive Action:
- President Trump orders the Pentagon to use $8 billion reserved for R&D to pay the military.
- Around the same time, billionaire Timothy Mellon donates $130 million to help cover military payroll.
- Critics allege this violates the Constitution (“power of the purse”) and the Anti-Deficiency Act, undermining Congressional authority and checks and balances.
- Quote:
“If a president can just unilaterally fund the military by pulling $8 billion from R&D, what stops a future from pulling funds from, say, education or infrastructure…?” (Glenn, 06:42)
2. Public Reaction: Division and Betrayal
- Supporters:
Saw the president’s actions as heroic—protecting military families, cutting through “political game playing.” - Critics:
Viewed the move as lawless, authoritarian, and eroding the rule of law; deepened fears about accountability. - Impact on Federal Workers:
While military personnel received pay, other federal employees like Angela felt invisible, expendable, and betrayed.- Quote:
“We keep the food supply safe, we run the nutrition programs, but we’re completely invisible until they need us for political sacrifice.” (Co-host, summarizing sentiment, 09:04) - Personal Impact:
Angela, a USDA employee, describes living on “rice and beans and hope” after weeks without pay. (Glenn, 10:09)
- Quote:
3. Angela’s Crisis: Biopsychosocial Mapping
- Psychological Symptoms:
- Crippling insomnia, inability to concentrate, intense anger, and despair.
- Triggered by the perceived moral injury of institutions bypassing/ignoring her work.
- Key Event:
Receiving news that only the military would be paid—the “breaking point.”- Quote:
“It was an immediate physical slap in the face.” (Angela’s reported feeling, 10:48)
- Quote:
- Ruptured Relationships:
Major argument with her father, a veteran and Trump supporter, who minimizes Angela’s civic service:- Father’s comment: “At least he took care of the people who really serve this country.”
- Angela yells: “I serve too.” The relationship breaks down. (Co-host/Glenn, 12:36)
- Social & Spiritual Impact:
Acute loss of purpose, disillusionment with government and—potentially—personal faith/values.
4. Clinical Assessment & Diagnosis
- Primary Diagnosis:
- Adjustment Disorder with mixed anxiety and depressed mood (F43.23)
- Linked directly to clear acute external stressor
- Adjustment Disorder with mixed anxiety and depressed mood (F43.23)
- Differential Ruling Out:
- GAD (F41.1): Symptom duration/trigger not consistent
- Major Depressive Episode: Does not meet full criteria, and symptoms are better accounted for as adjustment to recent events
- Quote:
“Angela’s worry, while intense, is very clearly and primarily tethered to this specific political and financial crisis…” (Co-host, 24:26)
5. Theoretical Frameworks: Layered Integration
- Existential Therapy:
- Focuses on Angela’s rupture of purpose and loss of meaning; reframes despair as moral sensitivity.
- “Her despair isn’t just seen as pathology, it’s reframed as moral sensitivity.” (Co-host, 26:14)
- Focuses on Angela’s rupture of purpose and loss of meaning; reframes despair as moral sensitivity.
- Feminist Therapy:
- Validates Angla’s anger as a justified response to systemic injustices; highlights invisibility of care-based labor vs. militarized labor.
- Polyvagal-Informed Somatic Therapy:
- Explains chronic nervous system dysregulation (sympathetic hyperarousal, HPA axis, etc.)
- Intervention: Uses somatic grounding (breathwork, body awareness) to regulate physiological response.
- “The body’s keeping score.” (Glenn, 13:39)
- Integration:
- Holds tension between validating systemic injury (feminist) and cultivating agency/meaning (existential).
- “Validate the external cause...but the therapeutic work focuses on strengthening her internal responsibility.” (Co-host, 28:43)
- Holds tension between validating systemic injury (feminist) and cultivating agency/meaning (existential).
6. Key Therapeutic Moments & Ethics
- Therapeutic Rupture:
Angela perceives suggestion of grounding exercise as gaslighting; triggers fear of being invalidated again.- Therapist’s ethical duty is to validate, not correct in that moment.
- ACA Code of Ethics Referenced:
- A1A (Client Welfare)
- A4B (Managing personal values/countertransference)
- Quote:
“So the first words out of the therapist’s mouth should be validation. Even though the accusation of gaslighting might not be technically accurate for the therapist’s intent.” (Glenn, 21:29) - Therapist Response Example:
“Thank you for telling me that—it makes sense you’re wary. You’ve had experiences… where people, even systems you trusted, have made you doubt your reality and dismissed your pain.” (Co-host, 21:39)
- Goal:
- To restore “autonomic sovereignty”—the ability to regulate internal state amidst external chaos.
7. Developmental Context: Erikson’s Stages
- Angela is at the “generativity vs. stagnation” stage (midlife). The shutdown undermined her generative purpose, leading to feelings of stagnation.
- Quote:
“The political failure didn’t just impact her bank account. It attacked the core psychological task of her developmental stage.” (Co-host, 18:25)
8. NCE Study Implications: Takeaways and Concepts
- Ethics:
- Validate client experience, even when accusations may not be factually accurate.
- Assessment:
- Distinguish adjustment disorder from GAD/MDE via time course, trigger, symptom pattern.
- Developmental Theory:
- Link life crises to Erikson’s psychosocial stages.
- Theory Integration:
- Justify simultaneous use of existential, feminist, and somatic frameworks—articulate how they balance and enrich each other.
- Client Guidance:
- Signs to seek therapy: persistent insomnia/physical symptoms, emotional blunting, chronic irritability/hopelessness, escalating conflict, compulsive media exposure.
Memorable Quotes & Segments with Timestamps
-
“The president can’t just spend money whenever or however they want. Congress has to explicitly say, yes…”
— Co-host, [04:41] -
“That feeling, that shift from being a dedicated public servant to just discarded leverage, that’s the toxic environment that ultimately triggered Angela’s crisis.”
— Co-host, [09:04] -
“It was an immediate physical slap in the face.”
— Glenn, [10:48] (Angela’s feeling at the news military will be paid, others not) -
“Her whole sense of belonging just collapses.”
— Glenn, [12:56] -
“When your government breaks its promises, your nervous system feels abandonment. That’s biology, not weakness.”
— Glenn, [34:01] -
“Regulation before cognition. Calm the body first. Validation before intervention. Acknowledge the pain before trying to fix it. And connection before correction.”
— Glenn, [35:31]
Important Timestamps & Segments
- [01:21–04:21]: Political/crisis context & executive action
- [09:29–12:56]: Angela’s clinical presentation; rupture with father
- [13:14–14:39]: Assessment—symptoms, nervous system
- [17:40–18:51]: Developmental context—Erikson’s generativity vs stagnation
- [19:06–23:02]: Therapeutic rupture; gaslighting accusation; how to ethically respond
- [24:18–25:56]: Diagnostic formulation and differential diagnosis
- [26:14–32:14]: Frameworks—existential, feminist, polyvagal theory, interventions
- [37:39–39:01]: NCE exam review—ethics, assessment, development, integration
Wrap-up & Guidance
- For NCE Candidates:
Understand the interplay between systemic/collective crises and individual mental health, especially regarding diagnosis, ethical boundaries, and intervention frameworks. Be able to articulate assessment criteria, developmental theory, and an integrative approach to case formulation. - For Practitioners/Listeners:
Seek professional help if political or job-related stress becomes chronic and impairs function. Therapy is about transforming systemic anger into resilience and constructive action, not just symptom suppression.
Final Thought:
“Our job increasingly isn’t just about managing individual symptoms of distress. It’s also about helping clients navigate the incredibly difficult process of reconstructing faith… when the very institutions they once relied on seem to be actively undermining that trust.”
— Co-host, [39:38]
