Psycho in Maximum Security: Dr. Kajal Sakhrani on Serial Killers and Prison Therapy

Ever wondered what therapy looks like in a maximum-security prison—or what drives someone to become a sociopath?

Licensed clinical psychologist Dr. Kajal Sakhrani, who works both in private practice and with incarcerated men in California, joins Madison + Ashley to break it all down. She takes us inside high-security mental health treatment, explains the difference between sociopathy and psychopathy, and shares chilling real-life stories - from therapy breakthroughs to the darkest behaviors she’s witnessed.

This episode isn’t just a conversation - it’s an emotional dive into power, control, and what happens when science meets confinement.

Content warning: contains descriptions of violence and mental illness