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In this episode of NursesOutLoud, Jodi O’Malley is joined by Pamela Garfield-Jaeger, The Truthful Therapist, for a bold conversation on the Supreme Court decision protecting therapists’ free speech, the misuse of the term conversion therapy, and the growing collision between mental health policy, ethical therapy, and ideological affirmation.
Pamela explains why she believes therapy is being redefined, how fear-driven suicide narratives are used to pressure families and professionals, and why blue states are still advancing policies that could punish therapists for honest clinical exploration. Jodi and Pamela also react to the testimony of detransitioner Johnny Skinner, who described irreversible harm he says followed blockers and hormones, and they discuss the viral moment involving California Senator Scott Wiener.
The episode closes with Pamela’s message to parents and therapists: do not be intimidated, get to the root of the issue, and speak up while there are cracks in the system.


After completing this activity, the learner will be able to:
Identify the ethical and policy concerns discussed in relation to therapist free speech and exploratory therapy.
Discuss how language, coercion, and fear-based narratives can influence clinical decision-making and informed consent.


After completing this activity, the learner will be able to:
Identify the ethical and policy concerns discussed in relation to therapist free speech and exploratory therapy.
Discuss how language, coercion, and fear-based narratives can influence clinical decision-making and informed consent.
Jodi O’Malley, MSN, RN
Founder of NursesOutLoud and Righteous RN, LLC, Jodi O’Malley is a registered nurse, national speaker, whistleblower, and ethics educator with experience in ER, ICU, pre-op/PACU, detox & recovery, pain management, and federal nursing practice. She is the creator of nursing ethics education focused on moral courage, patient advocacy, professional integrity, and post-2020 ethical decision-making.
Guest: Pamela Garfield-Jaeger, LCSW
Pamela Garfield-Jaeger, also known as The Truthful Therapist, is a licensed clinical social worker, author, speaker, and advocate for children, families, and ethical mental health care. She is known for her work addressing the pressure placed on therapists to instantly affirm gender confusion without thoughtful exploration and is the author of Froggy Girl and A Practical Response to Gender Distress: Tips and Tools for Families. Connect with Pamela and her books at https://www.thetruthfultherapist.org/
Faculty/Planner Disclosure: All planners and faculty involved in this educational activity have disclosed no relevant financial relationships with ineligible companies.
Commercial Support: None.
Non-Endorsement Statement: Accredited status does not imply endorsement by the provider of any commercial products discussed or displayed in conjunction with this activity.
Righteous RN, LLC is an approved provider of nursing continuing education by the Kansas State Board of Nursing (KSBN Provider #LT 0345-1225). KSBN is accredited by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC), making CE hours valid in most U.S. states and accepted by national certifying bodies. It is the responsibility of each nurse to verify specific state and employer CE requirements.

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Jodi O’Malley, MSN, RN, founder of Nurses Out Loud is a long-standing provider of accredited Nursing Continuing Professional Development through the Kansas State Board of Nursing (Provider #LT 0345-1225)
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Thank you for standing with us.
Let’s keep the volume up — together.
Jodi O’Malley, MSN, RN, founder of Nurses Out Loud is a long-standing provider of accredited Nursing Continuing Professional Development through the Kansas State Board of Nursing (Provider #LT 0345-1225)
For monthly donor options, sponsor recognition, or collaboration inquiries, email us at: [email protected]
Thank you for standing with us.
Let’s keep the volume up — together.