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Sierra Miller
The following podcast is a Dear Media production. I'm on Prozac for, like, a year now, and it's amazing. I'm like, why did I ever raw dog this life? Okay, what are you gonna say? We're not scripted. We're actually all genuinely nuts. They're like, how much of it is real? How much of it is fake? And I'm like, it's all real. I just turned 30. I was a baby. I can't believe I was 24 when I filmed my first season.
Host 1
What can fans expect to see season 10?
Sierra Miller
We feel like I have. It's, like, a big milestone season.
Host 1
I want to talk about traitors.
Sierra Miller
I hate bugs. I would watch it and I would be like, I knew I was there. But, like, what actually? What happens?
Host 2
What did I do?
Sierra Miller
People would ask me what my strategy was, and I was like, I don't have a Strategy. We're under 247 surveillance when we're in the house. So, like, you forget things. I mean, like, I don't go on Reddit.
Host 1
Oh, no, no, no.
Sierra Miller
Reddit is like, it's too much.
Host 1
Oh, my gosh. We get to talk.
Sierra Miller
Yes. All my teachers in nursing school were like, you won't be able to start in the icu. And I was like, okay, watch me. It's crazy how night shift screws your, like, circadian rhythms up so much.
Host 1
That is, like, a big part of, like, why I struggled so much. Yeah, my ment because I was just working nights that whole time.
Sierra Miller
Tough exterior. Crybaby. People think that, like, I'm not, like, a feeler, but I literally cry all the time at everything. I would definitely tell myself to believe in myself a little more, you know, But I don't think I would go back and change anything necessarily.
Host 2
Okay, lemon drops, how are we doing? We're halfway through our week. Hope it's going well. Let's keep pushing through.
Host 1
We are almost there.
Host 2
It's nice and rainy where I am.
Host 1
I know half of this country is probably like, it's not nice and rainy.
Host 2
Because you're probably just in freezing cold weather. But we finally are getting some rain here in California, which is very nice and cozy. But anyways, this episode today I am so excited about because I have actually been a fan of our guest for quite some time, Ms. Sierra Miller. You may know her from Summer House or her season of Traitors. I was first introduced to Sierra on Traitor Season 3, and I just loved her.
Host 1
I love her personality.
Host 2
I love her style. I just felt like I really vibed with her and it makes sense because she is actually a nurse. As you can imagine, in this episode, we dive into all things summer House, all things traders, and especially into her. Her nursing career. We bonded over all things nursing, over icu, working through Covid, and we really got deep with both of our stories. And honestly was so refreshing.
Host 1
Cause I feel like I haven't had.
Host 2
Nurse to nurse conversation in a while, so that was so fun to have. We also dive into Sierra's mental health, what it's been like for her being a reality TV personnel and how that has affected her mental health, what it's been like to experience online. Hate how she sets boundaries with it. She also opens up about recently starting Prozac and how that has just changed her life. I loved her and we just had the best time.
Host 1
I feel like it was the perfect combination of girl chat yappy to also deep, heartfelt conversation.
Host 2
And I can't wait for you guys to hear it. I hope you enjoy. Well, Sierra, welcome to the Squeeze.
Sierra Miller
Oh, my God. Thanks for having me.
Host 1
I'm so excited because I feel like we randomly have a lot in common with nursing background.
Sierra Miller
Yeah, no, I literally said the same thing. I was like, that's so interesting. She's nursing background. We're both.
Host 1
Yeah. You know, I'm excited to dive into that. But we start first or we start.
Host 2
Each episode off with this jar. It's a little game called Citrus got Real.
Sierra Miller
Okay.
Host 2
I'm gonna pull a little piece of paper out of there and read it to our lemon drops.
Host 1
Those are our.
Host 2
Our lovely listeners.
Sierra Miller
Okay. Are you an early bird or a night owl? I'm the night owl. Like, I am watching the gates at night. Like, 2am, 3am I feel like I come alive. I have the best ideas, and I want to be a morning person so bad.
Host 1
When do you wake up in the morning?
Sierra Miller
Like, 10:30, 11? Because I'm up so late.
Host 1
Because you're up so late.
Sierra Miller
But, like, I'm trying to. Yeah. Be a morning person. I, like, just turned 30, and I'm like, I can't wait to start waking up at, you know, the crack of dawn for no reason. It hasn't happened yet, but I'm.
Host 1
I'm the opposite.
Sierra Miller
You're a morning person?
Host 1
Yeah. I, like, just. I wake up and I'm, like, ready to go.
Sierra Miller
I'm. No. I'm like, I need at least two hours to, like, get my life in order to get my thoughts right. I can't just, like, an alarm is not good.
Host 1
Yeah.
Sierra Miller
I snooze it.
Host 1
Yeah. I don't know what it is. My husband is not. He's the opposite of me.
Sierra Miller
Yeah.
Host 1
And that's always like the biggest fight in our marriage is I'm like, 10pm Come. Why? And I'm like, okay, let's lay down one more episode.
Host 2
Because he.
Host 1
I don't know what your thought thoughts are on this, but he's a.
Host 2
No.
Host 1
Like, TV or movie in bed.
Host 2
I think casinos.
Host 1
I'll fall asleep. But we watch everything on the couch and then I go into bed.
Sierra Miller
I believe in doing everything in bed. Like.
Host 1
Yeah.
Sierra Miller
Eating.
Host 1
Yeah.
Sierra Miller
Watching tv, everything. But I do love a couch situation.
Host 2
Yeah.
Sierra Miller
As well.
Host 1
Yeah.
Sierra Miller
I feel like your couch should be an extension of the bed. It should be comfortable. I don't believe in, like, designer couches that are, like, for show.
Host 1
Yeah.
Sierra Miller
It has to be.
Host 1
No.
Sierra Miller
Super deep.
Host 1
Yeah.
Sierra Miller
We have to lounge. Yeah.
Host 1
Especially I have two dogs. I don't know if you have pets, but Yeah.
Advertiser/Voiceover
I.
Host 1
There's no, like, nice couch because we just let. We have two. They're two big dogs and we just let them. Like rum.
Sierra Miller
Exactly. Yeah. No, I have a cat and he's Scratches.
Host 1
Yeah.
Sierra Miller
You can everything. So, I mean, it's. I mean, he has his own scratch post, but, you know.
Host 1
Yeah.
Sierra Miller
No, you can't really tell a cat.
Host 1
They never do the scratch post. They literally do everything else.
Sierra Miller
Yeah, but that. Yeah.
Host 1
Okay. I want to talk about Traders, because. Are you watching the season?
Sierra Miller
Okay, I'm not watching this season, but, like, I. I've been keeping up with it on threads and just like, I haven't had the time because I like to binge watch something, like, all at once.
Host 1
Yes.
Sierra Miller
Because I feel that I'm like, I don't want to be on a cliffhanger.
Host 1
Yeah.
Sierra Miller
Because even when I was on my season, I. It's. I would watch it and I would be like, I know I was there. But like, what actually, what happens? What did I do?
Host 1
Yeah. That's so funny. How did you seen the show before? When you got cast for it, did you then, like, start doing your research?
Sierra Miller
Well, I tried to. I didn't watch before. My manager called me. He was like, so do you want to go to Scotland in four days for Traders? And I was like, like, Matt, I don't know. I was like, I've never even seen the show. I start watching an episode and then I like, down. Then I'm like, trying to get ready for. Then I download it all. Because I was like, maybe I'll just watch it on the plane on the way to Scotland.
Host 1
Yeah.
Sierra Miller
I didn't download it. Right. So then I didn't even really get to see like.
Host 1
Yeah.
Sierra Miller
Good number of episodes before being thrown into it because, like they take your phones and everything. And so I kind of just had to wing it. But like, had I known that people like had these Personas and these like big. Yeah. Like it was an acting gig, basically, I would have put on a Persona. I was just myself and I was like, this is. I think I played the game all wrong. I mean, I lasted a good time.
Host 1
But no, I feel like. I feel like you did good.
Sierra Miller
We're.
Host 1
We're re watching season three because I feel like, I feel like your season is kind of better than this season.
Sierra Miller
Okay. People have also.
Host 1
Yeah. It's been through the. Well, I think. I think it's two things. I think. One, I think your season had a lot more gamers on it.
Sierra Miller
A ton of gamers.
Host 1
I know, I know quite a few got voted off this season, like right off the bat, but I feel like they just had more like a lot more like Survivor people.
Sierra Miller
Yeah.
Host 1
And there was just like almost half.
Sierra Miller
The cast was gamers. Yeah. Yeah.
Host 1
So I feel like that makes for like, good strategy.
Sierra Miller
It really does. Because people would ask me what my strategy was and I was like, I don't. I don't have a strategy.
Host 1
Yeah.
Sierra Miller
I was like, I didn't know people had a strategy. Like, when I was watching it back, I was like, I basically just showed up every day. I didn't know that.
Host 1
Yeah.
Sierra Miller
I was supposed to have this long drawn out plan. Yeah. And then I'm like watching the gamers work in real time and I'm like, I just don't know how to like. Yeah, I was like, the stakes aren't that high for me. I don't know. I. I'm like $200,000 was like, well, now if it's like, if multiple people win, then we have to split it. So I'm like, this isn't. Yeah. I might not win it anyway.
Host 1
Yeah, I know. I feel like it's that. And then also I like, I weirdly feel like the production is less like for this season.
Sierra Miller
Oh, interesting.
Host 1
Like, I feel like they put a lot more of like, like world building. Like a lot. Honestly, a lot more B roll and like shots of like the traders all like going up to the turret or like even just like Alan and his dog like it. There's. There's a lot of like little shots that really like made you feel like you were like there. Like you castle in this space in this season, there's not that much of it.
Sierra Miller
Oh, interesting. I wonder how. Probably depends on, like, how long. Like, they probably have so much content that they're trying to, like, squeeze in and so much story.
Host 1
Yeah.
Sierra Miller
I can't even. But yeah. Yeah. I mean, love that our season was better, you know, I mean, I think.
Host 1
We also had fun because we're friends with Dylan, so we got to, like, watch it. And each week my husband was, like, texting him. Like, it's so funny. Like, because we. We do Mafia game nights and we play mafia.
Sierra Miller
Okay. And I didn't know what mafia was, but people.
Host 1
Yes.
Sierra Miller
Very blind people were like, it's like, mafia. And I'm like, well, what's Mafia? And then after I get out, I'm like, okay, this is the exact same thing.
Host 1
Literally, we play it all the time. And so that's like. We really started watching less when season three started coming out.
Sierra Miller
Yeah.
Host 1
We've done, like, all of, like, the other ones.
Sierra Miller
Yeah.
Host 1
Like, obsessed.
Sierra Miller
You get hooked.
Host 1
Yeah.
Sierra Miller
It is, like, highly addicting, though. Yeah. But Dylan was like, no. Even in there. Dylan. I'm like. I'm like, do you have a strategy? I'm like, he was like, the nicest guy. I'm like. But then ends up winning. I'm like, of course. You know, I know. It's.
Host 1
It's so good. We played Mafia, like, over the holiday break with some friends, and we were cracking up because, like, I feel like we watched the show and they're like, it's so and so. And we're like, no, it's clearly not them. But because we have, like, that third person point of view.
Sierra Miller
Yeah.
Host 1
For the show. And then in real life, when we were like, I was playing the game with my friends at home, we, like, didn't, like, we would get it wrong all the time. Like, okay. I actually have more empathy.
Sierra Miller
It's so hard to tell when you're in there and people, like, give you such a hard time. I'm like, you don't understand. Like, we were in the car for, like, two hours together, just, like, shooting the shit, talking about whatever.
Host 1
A lot of downtime.
Sierra Miller
Yeah, you have a ton of downtime. Like, especially in between challenges. Yeah. So you're just, like, hanging out sometimes. Yeah. And so the more you're around someone, you're like, no way this person could be a traitor. And, you know, it's like, I was literally holding hands with Boston Rob, who.
Host 1
Was a traitor, but I'm like, well.
Sierra Miller
He got me through that challenge.
Host 1
Yeah.
Sierra Miller
No, Way. He's a traitor. Like, we didn't even have to hold hands for that long because Chrishell and Dolores got out immediately, so we, like, didn't need to even stick it out. But he was like, let's stick it out. Yeah. Yes.
Host 1
I was like, gotten back to that episode. Yeah.
Sierra Miller
I'm like. But I was like, no way. He's a traitor. Like, he really was fighting for that shield. So. Things change in the blink of an eye too. And I feel like there's so many walls in the house. It's so hard to tell, like, what is actually going down. Yeah, there's. There's a lot happening.
Host 1
Yeah. How are the bug challenges? Because I, like, I. They're like.
Host 2
They're all real.
Sierra Miller
And you're like, actually, yeah, I. I.
Host 1
Do you have a lack of fear now?
Sierra Miller
No, I hate bugs. And I. In my head, because the other team got out so fast, I was like, okay, we're good. We're done. We have shields. But then Boston Rob is just, like, another level of competitive. And I was like. And then the snake on my. And it's funny because I genuinely had my eyes closed the entire time, and I just had them shut. Couldn't see anything. Didn't want to open because the minute I saw something, I knew I would freak out. So I was like. When I. When it aired, I was watching it for the first time and I was like, is that what was in the box? That is terrifying and disgusting and. Oh, just, like, vile, you know?
Host 1
Oh, my gosh. Wait, that's crazy.
Sierra Miller
Yeah.
Host 1
Oh, I. Yeah, that was.
Sierra Miller
No, it's not. Definitely. At least I didn't have to, like, eat bugs.
Host 1
Yeah.
Sierra Miller
Like, that. I would. I'd bow out.
Host 1
Yeah.
Sierra Miller
Like, I'm not. I can't do the eating challenges.
Host 1
No, I could not.
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Host 1
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Host 2
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Host 1
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Sierra Miller
Oh, could this vintage store be any cuter? Right, and the best part, they accept Discover. Accept Discovery in a little place like this? I don't think so, Jennifer. Oh, yeah. Huh? Discover is accepted where I like to shop. Come on, baby. Get with the times. Right. So we shouldn't get the parachute pants. These are making a comeback, I think. Discover is accepted at 99% of places that take credit cards nationwide, based on the February 2025 Nielsen report.
Host 1
How.
Host 2
How did.
Host 1
How did filming that kind of compare? Because obviously Summer House is reality and Traders is also somewhat a reality, also a game show. Did it feel different to you filming that versus Summer House or.
Sierra Miller
Yeah, definitely. It's like, the stakes are so different and, yeah, we're throwing parties at the Summer House and, like, I've known these people and, like, you can kind of predict, like, well, maybe not always predict, but it's like, we know each other, we're friends. Like, if we're going to fight about something, sure. Like, we're going to get over it, most likely. But in Traders, it's like, I don't know these people. I don't know a ton of background on them. I don't know if they're lying to me or not. But I know coming out of it, I definitely had my back up against a wall because I was like, I just, like, don't trust anyone right now. Yeah. Not even my own cast mates that I filmed with for the past five seasons. It's just your back's kind of up against the wall. But I'm honestly so glad I did Traders because I felt like it gave me, like, a new level of confidence, even just like, in the filming world or filming aspect, because you're kind of there alone instead of, like, with like, a group of people that you've known for a while. Yeah, it kind of like pushed me out on the edge. Yeah.
Host 2
That's awesome.
Sierra Miller
Yeah, it was nice.
Host 1
When Summer House first started, how was that, like, adjustment for you with being like, a reality TV.
Sierra Miller
Yeah.
Host 1
Personality and people, like, 24.
Sierra Miller
And I was. Which I was like, I'm. I just turned 30. I'm was a baby.
Host 1
Yeah.
Sierra Miller
I was like, I can't believe I was 24 when I filled my first season. Highly intimidating and just.
Host 2
Yeah.
Sierra Miller
Reality. Would people think that we're like, we're half the time like, this is scripted. They're like, how much of it is real? How much of it is fake? And I'm like, it's all real. If it was fake and like, we were scripted, that would be so much easier for me. Yeah. I just, I know what to do. I read my lines like, I know what to expect, but we're not scripted. We're actually all genuinely nuts and reactions vary.
Host 1
Yeah.
Sierra Miller
But it was an interesting adjustment. I feel like I'm still adjusting, you know?
Host 1
Yeah.
Sierra Miller
Like, I feel like I kind of hid in my cocoon for the past couple years, like the first few years. And now I feel like just now I'm like, okay, maybe it's fine to like, open up a little bit more outside of the show and like, show people, you know, maybe more of myself outside of just like, what they're seeing.
Host 1
Yeah. Were you, like, apprehensive towards that just because it was really, like showing people who you were on, like a national.
Sierra Miller
Whoa. Or I think it's because. Well, I just feel like when the show's airing, people rip you apart for, like, your decisions in a one hour episode, you know?
Host 1
Yeah.
Sierra Miller
Which isn't like a true reflection of my life, but I like, I think I just kind of got into the mode of shutting down because. Yeah, I was like, you are. They already have so many opinions of me based on this one hour. Like, why would I give you more insight into, like, my life and who I am and what I love to do just for you to continue to, like, you know, rip it apart. Which not all comments are bad, but it's like the ones, it's like the little ones that you think inside your head that you see. Yeah. That get you.
Host 1
No, I, I feel like reality fan base is like, there's no, like, middle ground.
Sierra Miller
Yeah.
Host 1
Like all 100 love or all just 100.
Host 2
Yeah.
Host 1
Like tearing you down.
Sierra Miller
It's like low lows. High highs. Yeah. Yeah.
Host 1
I've become good friends with some of the Mormon wives and it's so, like, interesting even just like with this past season that came out, I've known like, what had happened and what was going to come out and it's just like, so. It's so. And like, I don't, I don't think I could like, ever do that. But it's so interesting to see, like, how people, like, what were you saying? Like, form opinions based off of like. Yes. It's a show. It's fabricated to some degree to make it dramatic.
Sierra Miller
Right. Like, yeah, it's edited. It's. Yeah. It's like it's not the full picture of some things. And also like, some of it's way much more light hearted than maybe it even is portrayed. Yeah. And some of it's more serious. It just really depends. But also it's like people have to take a step back. Like, you don't actually know us. Like, we. I love the fans. I feel like it's so nice to like, have that support. We wouldn't have a show without them. But I think there becomes like kind of a. A line that becomes crossed sometimes where it's like, whoa.
Host 1
Yeah.
Sierra Miller
You don't have to cut so deep, you know?
Host 1
Yeah, no, for sure. Have you had to, like, set any boundaries with social media and negativity?
Sierra Miller
Yeah. So, I mean, like, I don't go on Reddit.
Host 1
Oh, no, no, no.
Sierra Miller
That's like Reddit is like. It's like it's too much. I can't. Which one of my good girlfriends. She always is on Reddit. I'm like, I can't even.
Host 1
My girlfriend literally will look up herself and I'm like, why?
Sierra Miller
That's like, don't do it. I was like, no, that's like almost like cutting yourself. It's like too. I was like, when I want to cr. Cry, when I want to like, really hurt myself potentially, I'll go to Reddit, but like, typically not in the mood for that.
Host 1
Yeah.
Sierra Miller
You know, so no Reddit for me. Yeah. In terms of Instagram, like, for a while I would like, put certain, like, blocks on like, words and stuff. And I mute people and I block people.
Host 2
Great.
Sierra Miller
But yeah. And I'm not on Twitter. Yeah. I kind of try to stay aloof to the, like all of the happenings. But yes, it does come. It's impossible to an extent. Yeah. I definitely am not like, diving deep and reading every article. I don't have Google alerts on, like, smart. I don't want to know.
Host 1
Yeah. How are you feeling about the new season?
Sierra Miller
Season 10? I feel like I have. It's like a big milestone season. I feel like we had such a good summer. It was kind of a shake up a little bit. And I think it's just, it's. We're going to continue to evolve and. But it's just crazy that we've. That it's in its 10th season. I'm a little. I'm always a little nervous before the season comes out.
Host 1
Yeah.
Sierra Miller
Because I'm like we're under 247 surveillance when we're in the house. So, like, you forget things.
Host 1
Yeah. You have no control.
Sierra Miller
Yeah. You forget things that you say. It's just. You're like, wow. I don't even. You say things under your breath you don't even remember saying.
Host 1
Yeah.
Sierra Miller
So it's funny just to see how.
Host 1
Yeah.
Sierra Miller
It all gets compiled into these episodes.
Host 1
Yeah. What can fans expect to see this season?
Sierra Miller
Definitely a lot of. I feel like we definitely peel back some layers in terms of, like, certain friendships on the show, and just, like, we have bigger conversations, like, in more meaningful conversations. I think the new people were great additions. The guys were great. The girls are great, too. And they definitely. We're so open to the experience, which I feel like it helps because even though, you know, there's, like, a core group of us that have been friends for a while, it is kind of intimidating coming into that space. But it's gonna be a lot of great parties, a lot of deep conversations, which I think are great. Like friendships in a new light and some of the same crazy old that we're always up to, which is just like drinking and, you know, all the fun that comes. Yeah. All the craziness with throwing parties and going out in the Hamptons. Yeah.
Host 1
I love it.
Host 2
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Host 1
On a more serious note, I want to talk about your nursing background. Yeah. Because when I learned that about you, I was like, oh my gosh. Yay, we get to talk.
Sierra Miller
Yes. I love.
Host 1
When did, when did nursing start for you?
Sierra Miller
At 28. I graduated nursing school 2018. Okay. Which, wow, almost feels like, I guess it was almost 10 years ago.
Host 1
I know it all.
Host 2
Literally.
Host 1
It's.
Sierra Miller
Yeah, Yeah, I graduated in 2018 and then, yeah, May of 2018 and went into the hospital in like August or something.
Host 2
Okay.
Sierra Miller
Yeah.
Host 1
Did you start in icu?
Sierra Miller
Yeah, I did. Which it's like funny. I'm like, all my teachers in nursing school were like, you won't be able to start in the icu. And I was like, okay, watch me. I was like, I don't want to start on med surg. Like, I was like, I can't. No, I can't do it.
Host 1
What drew you to icu?
Sierra Miller
Did you just, like, how, like, the fast pace. I feel like you have to really think on your feet. And also just, like, the camaraderie and collaboration between, like, everyone. I also just, like, like, that type of acuity. I want to know why, how things function that way. I want to, you know, at least make a difference. It's kind of definitely, like the adrenaline and fast moving, which pace that I was attracted to.
Host 2
I feel like you just get to.
Host 1
Like, know your patients, like, so much more.
Sierra Miller
Yeah.
Host 1
To, like, on, like, such a deep level.
Sierra Miller
Right. And their fan. There's which obviously everyone's, like, very invested and.
Host 1
Yeah.
Sierra Miller
You. And like, when the families are great, like, you're. You feel like you really want to, like, help you want to make a difference and, like, which, you know, they always say, like, the ICU is like, the last place you go before the morgue or you get downgraded, you know, so it is that difference between, like, here and there, you know, for sure. Which I always felt like, was super important.
Host 2
Yeah.
Host 1
I never even wanted to go into the hospital. I love, like, or so I wanted to just do outpatient surgery and stuff like that. But then all that closed.
Sierra Miller
Yeah.
Host 1
And then I was like, nursing school also was the first time I ever liked school. Like, I got straight A's. I was like, I. In high school, I was like, yeah, like, all that school, I was like, I don't like this, but nursing, I was, like, obsessed with it, really. So I was like, I just like, I'm a new nurse. Like, I really want to do something. So I was like, I'm just gonna apply to this one trauma center if I get the job. Like, they're hiring, like, their new grad programs. Like, 10 nurses.
Sierra Miller
Yeah.
Host 1
Disperse. I was like, if I get it, great. If not, then I'll just wait it out. Yeah, I got it. And I always wonder, like, how was your experience with burnout with it? Because I think obviously, like, I got to do. So I got hired, like, August of 2020.
Host 2
So we weren't covet.
Host 1
There was, like, a little bit of a covet unit, but I got to, like, fully actually train.
Sierra Miller
Right.
Host 1
As a telemetry nurse.
Sierra Miller
Yeah.
Host 1
And then December, I was like, I think November, December, I was officially on my own at nights. And then that's when, like, the COVID started coming in. And that was like, our charge nurse was in the monitor room. So, like, I had no one we the route of ratio. And I just remember, like, I was like, a month in, and I was like, what is that?
Sierra Miller
You're like a brand new baby nurse.
Host 1
You're like, wait, I'm like.
Sierra Miller
You get thrown into, like, a global pandemic.
Host 1
Yeah.
Sierra Miller
And I was like, only like a year and a half in, but such a baby nurse still. But, like, in the unit. I feel like I. By the end of COVID so burnt out.
Host 1
Yeah.
Sierra Miller
And even though I was, like, travel nursing, like I did, I worked at this one hospital in New York, and, like, we were brought in as, like, relief nurses because the staff nurses haven't, like, had a break because they haven't been able to take off because the. How they just had a plethora of patients dying. And, like, they had the morgue trucks outside of the hospital. It was an awful scenario. But also.
Host 2
To.
Sierra Miller
In a.
Host 1
To.
Sierra Miller
To. To an external. To a certain extent, like, were conditioned to, like, deal with death. But, like, Covid took it up, like, 10 notches. And then I like, filmed my first season of summer house in 2020 after I had, like, been working, and I was like, okay, I'm gonna take a break for, like, six, eight weeks, go film this show, then go back. So I did that and then went back to nursing, and then we ended up filming Winter House. Went back to nursing after that.
Host 2
Yeah.
Sierra Miller
And then shortly after that, I think I took like, two, almost two years off. And then I went back at the top of maybe 2024, went back to my home hospital and Lane. I just like to put my feet back on the ground. I was like, I need to balance myself between the, like, reality TV world and, like, what's real.
Host 1
Yeah.
Sierra Miller
But stepping back into the unit after being away for some time, I was like, this is not what I remember. Like, just seeing people die and, like, having to, like, what a privilege to be able to, like, hold people's hands and be with them in their last moments. But, wow, so emotionally, like, taxing where and like, talking to my own old co workers. And it's like, we can laugh it off in the moment, but, like, once you've, like, taken a step back, it's like, whoa, like, what we're doing is actually insane. And, like, some of the scenarios that we're in and just, like, seeing these patients leave this earth in certain ways, it's like, not normal, but, like, when you're in the swing of it, you're in the mix. And like, yeah, it's just another day at work. But I was. When I went back, I was just like, this is not. I was like, this is so much. I'm like, one of my patients Died. Like, when I was first, like, on my first shift. Was I still on orientation? I was, like, still on orientation. It was, like, a couple days before I, like, got off orientation, and it was just such a gruesome death that I was like, this is so nuts. Like, and now I'm gonna fly back to New York and go film this show as if nothing happened. I was like, I just. I think I'm done with Bedside, you know, Just because I did it. I did my time at Bedside, but I'm like, I think there's a purpose for me outside of Bedside still in the nursing world.
Host 2
Yeah.
Sierra Miller
Because I still love the education and everything. Like, yeah. All the knowledge. I think it's vital, you know?
Host 1
No, I still. I still keep up with my license.
Sierra Miller
Same. I'm like, I need to renew my license literally by the end of this month.
Host 1
Yeah, you need. Yeah, I know. But I'm just like. I don't know if I'll ever, like, do. I definitely could not do Bedside again.
Sierra Miller
Because I think I would know.
Host 1
Panic attack.
Sierra Miller
Yeah.
Host 1
Because after Covid, I was like, everything felt easy.
Sierra Miller
Yeah.
Host 1
After that, to some degree. But then I actually ended up getting Covid, which was so funny. I got it visiting my husband on set and not ever at the hospital.
Sierra Miller
Oh, my gosh. I didn't get Covid for two years. Where people are, like, fighting against masks. I'm like, guys, they actually work. I mean, like, I'm in a Covid unit with COVID patients, like, donning and doffing all day long. Like, I'm telling you, it works. I didn't get it for two years. And then when I got it, I was like, I think I got. I didn't lose my taste or vision or anything. Luckily, the strain was, like, kind of diluted.
Host 1
But, no, I, like, I. I. I died. I had long coven. That's why I quit. I think that was, like, God, being like, dude, you gotta, like, chill. Like, you're not okay.
Sierra Miller
Yeah.
Host 1
Take a step back. Because I. I think it just comes with the nursing, like, mentality.
Sierra Miller
Like, I'm mine.
Host 1
Yeah. Like, I'm fine. Like, I'm not gonna, like, succumb to the new nurse quitting because there's just so much of that, like, seniority.
Sierra Miller
Highly competitive. Yeah. I feel like you. We overwork ourselves because we think it's like, a badge of honor. Yeah. Which I don't really know if I ever felt that way, but, like, I was. But it's like, you over. Like, it's cool to overwork and, like, pick up extra shifts and, like, want to be a helping hand, but I'm like, you get burnt out so fast and the hospital will use and abuse you until. But, like, also, you're a number, you know?
Host 1
No, it's so true.
Sierra Miller
You have to take care of yourself.
Host 2
Have you watched the Pit?
Sierra Miller
I have not watched the Pit, but people are saying it's like, the most realistic.
Host 1
I'm like, it is. I. I'm almost done with the first season because my husband will watch the show because it stresses him out, so I have to watch it on me time. But I was really. I waited a very long time to watch it because I was like, I don't. I had to do, like, EMDR therapy. I was like, really? Like, I was like, I don't know if I want.
Sierra Miller
Yeah.
Host 1
Re. Enter, like that space in my mind again. But I'm like, actually obsessed with it.
Sierra Miller
Really?
Host 1
It's so correct. I mean, it's just ER nursing, but. Or not just. But it's. Yeah, it is only in the er.
Host 2
And it's so I'm like, literally working.
Host 1
The shift because each episode is an hour of a 50. It's a 15 hour shift, and each episode is an hour of the shift.
Sierra Miller
So it's like, oh, wow.
Host 1
Seven to eight, eight to nine. It's. It's really cool.
Sierra Miller
Oh, interesting. Okay, so it's like one shift, like, each. Okay. Yeah, I need to watch because I've heard it's like, very accurate, which I'm like, I can't wa. I was like, I can't wa. I typically don't watch medical shows just because, I mean, like, before I went to nursing school, I was obsessed with House. Like, Gray's Anatomy. Yeah. But I think when you're, like, in it. I was like, this is not real life. But I heard they have, like, a really great. What do you. What do you call it? Like a. Like the consultant. Like a medical consultant.
Host 1
They have actual. Yeah, actual doctors that are like. They'll like, walk through the scene with them and be like, this goes here. Like, do it like this.
Sierra Miller
And right when I see, like an ET tube set, I'm like, what this is? I was like, there's literally a Yonker in this person's mouth. This is not an ET tube. This. They're not. This is not an intubation. This is.
Host 1
My husband now knows, like, he understands, like, what an IV is or like, what were we watching yesterday? Oh, we were watching one of the Batmans and, like, in it.
Host 2
So.
Host 1
But in some moment, like the third the third one with Christian Bale, the main one, I don't know if you've seen it, but he, like, sticks, like, just, like, a little needle on his arm as they're, like, in a plane that's crashing down. And it, like, Taylor's like, that's supposed to be an iv and he, like, knows.
Sierra Miller
Yeah. It's, like, not correct picking up. He's like, this isn't. This doesn't feel like the proper scenario. But we're just gonna let. But, like, most people don't know, so, I mean.
Host 1
Yeah. Why. Why would they? Or my favorite is, like, we rewatched Stranger Things, like, before this last season, and my favorite is, like, if a patient's like, will is, like, coding or, like, he's like, his heart rate's going up, but you just hear beep. Beep.
Sierra Miller
Yeah.
Host 1
Still just from the monitor. And, like, nothing changes.
Sierra Miller
Yeah.
Host 1
It makes me.
Sierra Miller
It makes me giggle.
Host 1
Yeah.
Sierra Miller
It's just funny. I'm like, I can't even watch TV anymore. Okay, wait, you said you did emdr. Did you like it?
Host 2
I did.
Sierra Miller
Okay. I.
Host 2
Have you been interested in that?
Sierra Miller
I have. Okay. And I'm like, one of my girl. One of my guy friends did it, and he was like, it changed my life. And I'm like, I've done the ketamine therapy, like, in an office.
Host 1
That scares me.
Sierra Miller
Ketamine. Like, ketamine therapy was it. It's fast moving. Like, you go in. Like I did at a doctor's office. It's like a journey.
Host 2
Yeah.
Sierra Miller
IV infusion. It's. It's fast moving, but I'm also like, so. I get so motion sick so easily, so. And it's a dissociative anesthetic, but, like, I think it works. I did four sessions, but you got to really release control to do it. You got to.
Host 1
Yeah.
Sierra Miller
Surrender. Which is kind of hard.
Advertiser/Voiceover
Yeah.
Host 2
I don't.
Host 1
I don't think.
Advertiser/Voiceover
I, like.
Host 1
I don't even like taking Advil sometimes. I'm like, so I don't.
Sierra Miller
Yeah.
Host 1
I think I would be, like, freaking out that something would happen now.
Sierra Miller
My first session, I completely jumped out of it and, like, had an anxiety attack and threw up and, like, all of the nine. But yeah. Then my second session, I was like, okay, I'm just here. I give up. Like, yeah, but the therapist was really great, and, like, that's good. Yeah.
Host 1
I think that makes a big difference. I did EMDR actually over zoom.
Sierra Miller
Oh, wow.
Host 1
Which I actually enjoy it. I did it, like, because you can either do it with Your eyes or like tapping. And I like, did the tapping with her. And I did it for nursing because I was just having still kind of like a lot of triggers and was still kind of just my. I was dissociating really bad. That was my thing. Like, I literally was forgetting, like my friends names. Like, I knew I knew them, but like, I couldn't. My brain just like.
Sierra Miller
Yeah.
Host 1
Turned off.
Sierra Miller
Yeah.
Host 1
And so I did it for that. And it was really helpful for me because I feel like I was able to like, put myself. It was easy for me to like, when we were talking about it, to put myself back, like, into like working Covid and like literally in the unit, talking through things. Because I know I'm not gonna like, be there again.
Sierra Miller
Right.
Host 1
I think that's. And I. I mean, I only did. I think I did like five or six sessions of it and it like, really helped me.
Sierra Miller
Yeah.
Host 1
I know people that. I mean, my husband tried it. He did like three sessions and he was sweet and kept trying. After the first one, I was like, I don't think I like it. I was like, just try it for me.
Host 2
Yeah.
Host 1
And he did two more and he was like, I'm not doing it. But I think it's harder when it's like, something that. That you haven't like. I think it can work if you're not fully removed from something.
Sierra Miller
Yeah.
Host 1
But I also, like. I think women were like, very much like, give me. Give me the woo.
Host 2
Woo.
Host 1
Give me the like, stuff.
Sierra Miller
I want to try everything. Yeah, yeah, yeah. Guys are like, so much more resistant.
Host 1
He's like, I'm not. I can't put myself in there. I'm like, okay, then never mind.
Sierra Miller
Yeah, it's not gonna work. Yeah.
Host 1
But no. Do you do talk therapy?
Sierra Miller
Yeah, I haven't done talk therapy in like a maybe two years now. But usually I am in therapy.
Host 1
Yeah.
Sierra Miller
I'm on Prozac. Newly. Well, I've been on Prozac for like a year now. And it's amazing. Oh, I love it.
Host 2
Awesome.
Sierra Miller
I'm like, why did I ever.
Host 2
Yeah.
Sierra Miller
Raw dog this life.
Host 1
Yeah.
Sierra Miller
You know, I was. I went 29 years. Yeah.
Host 1
What made you think it was like, time to.
Sierra Miller
I am like a isolationist. Like. Got it. Sit rot.
Host 1
Yeah.
Sierra Miller
Not leave my house. Hate social situations. Like, couldn't be social. I'm like, it was my biggest fear, Worst nightmare. Just anxiety, too.
Host 1
Yeah.
Sierra Miller
So it was like, getting to the point where I was like, okay, this is literally ridiculous. Like, you are, you know, living this life that you like once Prayed for, but you can't even enjoy it because you're just, like, bogged down by the anxiety of it all or it's just, like, so overwhelming. So I was like, I'm gonna try, like, I had. Did ketamine. I did ketamine therapy all over the course of, like, the past few years. Did therapy, did the ketamine therapy. Would go to, like, some wellness retreats and stuff and, like, try and recenter myself. And then finally I was like, I think I'm just. I'm gonna try Prozac and just see, you know, I think I'm like. I think I need an antidepressant of some sort. And so then went on Prozac last year and thank God. I love that. Yeah.
Host 1
It's so good. I know. I have some girlfriends that are, like, trying to figure out what to do, and I'm always like, if you haven't made, like. I always say I'm such an advocate for being on medication.
Sierra Miller
Yeah.
Host 1
Make sure you're, like, trying to, like, make active changes. Changes in your life totally before. Because if you're not, like, doing the simple. Like, it sounds so silly, but, like.
Host 2
The drinking water, the sun, and I.
Sierra Miller
Feel like going out, leaving your house.
Host 1
And I feel like I realized, like, when I was working nights how much just the simple stuff.
Sierra Miller
Yeah.
Host 1
Actually does matter.
Sierra Miller
Yeah.
Host 1
So I'm like, check. Check those boxes. Just make sure. Because honestly, sometimes it's like, oh, like, I just need it. You needed something small, you needed.
Sierra Miller
Yeah.
Host 1
Just some time for this.
Sierra Miller
It's crazy how night shift will, like, knock you out. Like, it really screws your, like, circadian rhythms up so much, and you have that normalcy and nights kind of, like, throws you out.
Host 1
No. I definitely think that is, like, a big part of, like, why I struggled so much with my mental health. Because I was just working nights that whole time.
Sierra Miller
Yeah.
Host 1
And the one good thing I got from it is I can now, like, sleep on command. I feel like I'm like, if it's like, I have 20 minutes nap. I'm like, head hitting the pillow. I'm close.
Sierra Miller
Yeah, you're out. Yeah. Wow. Yeah.
Host 1
That is when the one that's done.
Sierra Miller
That's nice to be able to control. I'm like, I am a good sleeper. Whether I'm. Which I hope it never leaves me. I'm the best sleeper. I can fall asleep in 20 seconds and I can sleep anywhere. It's honestly a gift.
Host 1
Yeah. No, it is.
Sierra Miller
I hope it stays with me.
Host 1
I love it. Okay, let's Head into our last little segment.
Sierra Miller
Okay.
Host 2
It's called Lemon7. Seven Questions. You could rapid fire them. Or if you feel like sharing a little story with our lemon Drops, you can. First question is, what movie or song title best describes your mental health today?
Sierra Miller
What movie or song title?
Host 1
Suddenly every song and movie goes, like, out of. Out of your brain. That's the question.
Sierra Miller
Pretty much any song off Justin Bieber's album is Me.
Host 1
Great.
Sierra Miller
Love it. Swag one and two. The whole album. Me. Love it. It's just. Yeah. I just feel like you need some background noise. You can do that. It's great. But if you want to, like, be deep in thought, you can do that. It's just. I feel like it carries me.
Host 1
That's good. It's versatile.
Sierra Miller
Yeah.
Host 1
Works for any mood.
Host 2
Number two is how open are you with people in life when struggling On.
Sierra Miller
A scale from 0 being not at all, 10 being the most. Probably like a. Probably a 6. Because here's the thing. I'm probably gonna cry about it first, and then, like, then I have to, like, open up about it. Yeah. I'm a crier. I'm a crybaby, literally.
Host 1
So, yeah, I like, whenever I get, like, emotion, I just, like, I cry.
Sierra Miller
Yeah. It's big feelings.
Host 1
Yeah.
Sierra Miller
Like, frustrated. Probably gonna cry. Yeah. I.
Host 1
So my best friend's the same way. And I'm like, thank God. Like, we just. My husband has really had to learn because he is, like, not. I mean. No, actually, that's a lie.
Sierra Miller
He is.
Host 1
He is very, like. He has emotional intelligence and is very, like, deep emotionally.
Sierra Miller
Yeah.
Host 1
But he does not cry like I do.
Sierra Miller
Yeah.
Host 1
And he, like, I'll, like, start, like, sharing. I'm, like, open. It's weird because I'm open in this scenario.
Host 2
Yeah.
Host 1
Talking about my mental health, I'm an open book. But when it comes to, like, me sharing a deep feeling of, you know, something, I'm feeling maybe, like, Taylor hurt my feelings about something or something was bothering me about work, whatever. It's something that I, like.
Host 2
I can't.
Sierra Miller
I'm horrible.
Host 2
Yeah.
Sierra Miller
Yeah.
Host 1
And I'll, like, open my mouth and I, like, start crying. I'm like, everything's fine. This is just my reaction. So, like, just.
Sierra Miller
Yeah, it has nothing.
Host 1
Just listen to what I have to say. And he, like, knows now. He's like, okay, yeah, he's gone.
Sierra Miller
She's gonna cry about it. But, like, listen to the message. Yeah.
Host 1
He's unfazed by the cry. If you can only follow three social media accounts, what would they be?
Sierra Miller
Three Social media accounts. Honestly, probably my girlfriends, all my friends. I'm like, what am I addicted to? Probably cat Instagrams. Great for one.
Host 2
Yeah.
Sierra Miller
My girl, like a friend. Yeah. And then I'm like, what else? Probably like the actually. Up next, designer, which is like fashion Instagram.
Host 2
Great, I love that.
Host 1
Next question is, what is your favorite.
Host 2
Form of self care?
Sierra Miller
Sitting, laying, rotting. I love it. Like, I can just be home in my space, take a bath, do whatever. Just being in my own space. I can either do a mask, skin care. Yeah, whatever. You know, just. It's the best home with like no obligations.
Host 1
Yeah. That's the weekend I have coming up.
Sierra Miller
Like, really excited, so. Nice.
Host 1
I'm like really excited about it. Yes. I will be doing the same thing. I will probably go to the farmer's market though. But then I will not leave.
Sierra Miller
Well, that's nice.
Host 2
Yeah, it's so little self care. Number five is what is the most.
Host 1
Misunderstood thing about you?
Sierra Miller
The most misunderstood? Okay. Probably that tough exterior crybaby. Like, looks like a. Looks like a cinnamon roll. Will kill you. You know that?
Host 1
Yeah.
Sierra Miller
And like, looks like a cinnamon roll. Or people would say, will looks like she'll kill you. Will kill you. Yeah, definitely, Like, I definitely have this, which I don't mean to like have a hard exterior. Very. No bullshit.
Host 1
Yeah.
Sierra Miller
And I think people think that, like, I'm not like a feeler, but I literally cry all the time at everything. But I just like have to have this exterior for most things, you know?
Host 1
Yeah.
Sierra Miller
And I just feel like. Yeah. Being in the hospital hardens you in a certain way for sure. But also just. It also makes you a little soft, baby, too. Yeah.
Host 1
Yeah, I know. I feel like it's. Everything's just like, not that, like, everything's not that serious.
Sierra Miller
No, it's not that serious.
Host 1
I always have to tell myself, my therapist, actually, for a long time, he was like. Because I still sometimes now will struggle with like a to do list. I think, like, I'm like trying to like. It's so funny. I feel like I'm like in a med room. I'm like trying to grab like all the stuff from downstairs. So I just have to make one trip upstairs.
Sierra Miller
Yeah.
Host 1
My brain finally now is like starting to calm down. It's like, no, I can actually walk up and down the stairs a couple times.
Sierra Miller
Yeah.
Host 1
And my therapist is always like, when I start to get like that, he's.
Host 2
Like, ask yourself, are people dying?
Sierra Miller
Right.
Host 1
Because you've been there.
Sierra Miller
Yeah.
Host 1
People aren't dying right now. Like, you can Miss the meeting. You can, this can whatever. Like something can get messed up.
Sierra Miller
Truly.
Host 1
You're not. No one's dying.
Sierra Miller
Yeah. My default is like, it's not that serious. The stakes are so different these days. Yeah. But like I am the same way with like that to do list where I'm like, I don't want to have to come back in this med room.
Host 1
Yeah.
Sierra Miller
For 50 frickin things. Especially if I have like a, you know, patient on isolation or something. And then you have to like take everything off. Go and get it. Like I just need to do it all at one time. But no, it's. Life isn't like that anymore.
Host 2
No, it's, it's not that serious. Who has had the most positive impact.
Host 1
On your mental health?
Sierra Miller
Who? Who?
Host 1
You're like my Prozac.
Sierra Miller
No, I literally the first person I thought of was my Prozac. My little teeny tiny bottle of Prozac. I wouldn't say, I honestly, I'm gonna say myself because I feel like, like love my parents, but they're not really like, yeah, you know, let's talk about mental health. I've really kind of had to do a lot of it myself and kind of figure it out on my own. And I think when I moved to New York, I was by myself and that was really the.
Host 2
Yeah.
Sierra Miller
Like, whoa, I am here by myself. Like, you're on your own. Rent is so high and expensive. Like you gotta figure it out, you know?
Host 1
Yeah.
Sierra Miller
But I definitely think, yeah, I've. I'll go try retreats. Like, I'll try things, I'll just do it. And I do a lot of it by myself because.
Host 2
Yeah.
Sierra Miller
Well, I'm single and like that's what you just have to learn to do. But yeah, I, I just, I feel like it. Kudos to myself for always trying to like remain open. But. Yeah, now. But sometimes I'm like my crunchy granola self where I'm like, you should go to this wellness retreat to everyone and you should be on this medication. Just try Prozac. Like.
Host 1
Yeah, good. It's good. Okay, last question is, if you can go back to one moment in your life, what moment would that be and.
Host 2
What would you say to yourself?
Sierra Miller
One moment in my life. You know, I don't know if I would actually go back. I don't think I would.
Host 1
Yeah.
Sierra Miller
Because I feel like you get to the point where, where you're at because of all of the things. Yeah. I definitely would tell myself to like believe in yourself a little more. Like you be confident, you know, which is always so much harder than it seems. But I would definitely tell myself to believe in myself a little more, you know, But I don't think I would go back and change anything necessarily.
Host 2
Yeah. Yeah.
Host 1
That's sweet.
Host 2
Well, thanks for coming and chatting.
Sierra Miller
Thanks for having me on. I really appreciate it.
Host 2
So much fun.
Sierra Miller
Foreign. Please note that this episode may contain paid endorsements and advertisements for products and services. Individuals on the show may have a direct or indirect financial interest in products or services referred to in this episode.
Episode: Ciara Miller: Knowing When to Walk Away
Date: February 18, 2026
Host: Taylor Lautner (joined by co-host, husband Taylor Lautner)
Guest: Ciara Miller (Nurse, Reality TV personality from Summer House and The Traitors)
This episode of The Squeeze dives deep into the intersections of mental health, nursing, and reality television with guest Ciara Miller. Ciara openly discusses her experiences as an ICU nurse during COVID-19 and as a reality TV star, the toll these roles have taken on her mental wellness, and her personal journey toward self-acceptance and healing. The conversation blends light-hearted camaraderie with raw honesty about burnout, online hate, therapy, and learning when to step away for the sake of mental health.
Turning 30 & Reflecting on Beginnings
(00:01) Ciara discusses coming to terms with turning 30 and looking back on starting Summer House at age 24, calling it "highly intimidating" but formative.
Transition to Reality TV
(16:58 – 19:14) Ciara describes the adjustment from nursing to reality television and how unscripted reality TV is, despite common misconceptions.
Joining the Show Unprepared
(06:18) Ciara was cast for The Traitors on short notice and went in mostly blind, without a strategy, unlike many “gamer” castmates.
Trust and Paranoia in Game Play
(11:25) The intensity of the competition made it difficult to trust anyone, even after returning to her original Summer House cast.
Memorable Moments: Bug Challenges
(12:38) Ciara recounts enduring genuine bug challenges on The Traitors and admits to keeping her eyes shut the entire time due to fear.
ICU Ambitions & Challenges
(30:07) Determined to start in ICU against "everyone's advice," Ciara relished the fast pace and challenge but was quickly thrown into the deep end by the pandemic.
Pandemic Experiences & Burnout
(32:23) The realities of COVID-19, death, and emotional toll led her to take multiple breaks from bedside nursing and ultimately step away.
Impact on Mental Health
Both Taylor and Ciara reflect on how night shift, trauma, and pandemic chaos contributed to prolonged anxiety and even dissociation.
Struggles with Anxiety and Isolation
(43:31) Ciara shares her tendency toward isolation and how anxiety kept her from fully enjoying life, even when achieving goals she'd wished for.
Therapy and Ketamine Treatment
(41:15) She briefly tried ketamine-assisted therapy and found it fast-paced and intense, leading her eventually to talk therapy and EMDR.
Prozac & Medication Acceptance
(43:13) After various holistic and therapeutic attempts, Ciara started Prozac and found major improvement.
Speaking Up About Medication
Taylor (host) and Ciara both stress that medication is valid, but encourage listeners to cover basics like sleep, nutrition, and self-care first.
The episode mixes humor (“Why did I ever raw dog this life?”) with deeply sincere reflections on trauma, burnout, and healing. Both Taylor and Ciara vulnerably share their journeys through the medical field, pandemic, and public scrutiny, emphasizing that resilience and self-compassion are essential—sometimes medication, rest, and retreat are legitimately the best way forward.
For listeners seeking honest conversations about burnout, boundaries, and embracing the messy parts of being both a caretaker and in the public eye, this episode delivers empathy, candidness, and actionable insight.