In this powerful and deeply compassionate episode, Dr. Sally Spencer-Thomas talks with Monica Kramer McConkey, one of the nation’s leading voices on rural and agricultural mental health, about the silent crisis facing farm families across America.

Monica brings both clinical expertise and lived experience—she grew up on a farm in northwestern Minnesota and has spent over 30 years supporting agricultural communities through depression, addiction, and suicide loss. Together, Sally and Monica explore the intersection of isolation, economic pressure, and cultural stoicism—and how resilience, connection, and tailored interventions are changing lives across rural America.

Listeners will gain insight into how we can bridge the urban-rural divide in mental health, build suicide-safe communities, and sow hope where it’s needed most.