The Hardcore Self Help Podcast with Duff the Psych

In this quick episode, I share what has been going on with the podcast and why I haven't been uploading. The truth is, that I am taking a step back from the show. I explain why and what comes next. Part of the episode is me reading off a post that I wrote, which you can read below. ------ I think it's time to let go of my podcast. Episode 1 of the Hardcore Self Help Podcast aired on 3/16/2016. Nearly 450 episodes later, I think it might be time to let it go. When I began the show, podcasting wasn't cool. This was before Huberman Lab and Diary of a CEO. This is before every influencer had their own podcast. I certainly wasn't one of the first podcasts, but I was in the cohort of podcasters that were influenced by Pat Flynn, Cliff Ravenscraft, and Daniel J. Lewis. Podcasts were the up and coming way to generate an audience and scale your craft. For me, this was a way to bring mental health content to the masses. In 2014, I released my first book, Hardcore Self Help: F**k Anxiety. I wrote this during my pre-doctoral internship at Kaiser Permanente in San Diego. The book was written and published in a matter of a couple weeks, driven by my frustrations with the mental health field following my wife's hospitalization (more about that in my TedX talk). Since the market was not yet saturated with potty-mouth self-help books, it was a hit and quickly became my primary source of income. With the popularity of the book came emails and direct messages asking me questions. As someone who was working toward becoming licensed as a psychologist, it was important that I didn't give out direct advice to people in a private forum unless I had an established care relationship with the person. That's when I realized I could make my childhood dreams of having a newspaper advice column come true by starting a podcast. Truthfully, this was not my first foray into podcasting. I tried to start a podcast about the 90s with my friends called The Good Old Days, but that failed to launch. Then I had a podcast that ran for a good while called The Voices Among Us, in which I interviewed unhoused people on the street about their lives. Those experiences meant that I had the tools and knowledge necessary to launch the Hardcore Self Help Podcast. And man, has it been great. I have had the opportunity to answer questions about anxiety, relationships, sexuality, school, neuroscience, medications, abusive families, PTSD, depression, bipolar, autism, mushrooms, ketamine, queerness, blackness, multiculturalism, gender identity and so much more. I've been able have great conversations with Seth Godin, Dr. Andrea Letamendi, Kati Morton, Gary Bishop, Dr. Anna Yusim, Tiffany Jenkins, Jenn Harris, Dr. Patrick McGrath, Tony Weaver Jr., Dr. Judy Ho, Dr. David Burns, and many others. And yet, as the years of the podcast march on, the interest is waning. I will always have pride for being something of an O.G. in the mental health podcasting space, but as my wife said recently, it's important to make room for other voices and to not force something that isn't working. I wouldn't say the podcast isn't working, but it certainly isn't what it once was. At one point in time, I was getting enough listens to garner thousands per month in advertising revenue. These days, I'm lucky if an episode hits 5,000 listens in a month. To be clear, that is still a substantial amount, but for the hours that I put into the podcast, the decline in listenership over time becomes hard to justify at a certain point. Here's a graph from my podcast hosting platform so you can see what I mean:  I worry a bit about coming off as ungrateful or just chasing numbers. Hopefully it's clear that I am immensely proud of what I've been able to do with the podcast and so incredibly grateful for the opportunity to have a platform like this. I have a folder in my email with feedback from people that I have answered questions for, and trust me when I say there is no better pick-me-up on a rainy day than reading through some of them. However, ultimately, I need to figure out the best path forward for myself, for my career, and for my family. Unfortunately, a lot of that comes down to income right now. I need to make more money. While I get many benefits from continuing the podcast, it is no longer lucrative, and it takes up a great deal of time and mental space to maintain. As someone who always has my hands in many pies, I need to take a step back every so often to re-evaluate my priorities. To weigh the pros and cons of each facet of my career and life and determine where I should be increasing or decreasing my focus. Between my clinical work as a neuropsychologist and therapist, podcasting, writing books, giving professional talks, and being a presence for my family and loved ones, there isn't an obvious answer. But there is one that I am begrudgingly starting to admit to myself. I haven't even made an actual change yet, and I am already starting the grieving process. This project has been so incredibly important to me and central to my life. It's like letting go of a child. In fact, as I'm writing this, my 10-year-old just came in and told me that he doesn't want me to quit. Sigh… these choices are never easy. I should know – once upon a time, I wasn't known as Duff The Psych, I was known as the ASMRtist, Justawhisperingguy. And just like there are some OGs out there who have stuck around since my first ASMR videos, there will be OGs who are still with me a decade from now that started following me from my first podcast episodes. So, all of this begs the question: What now? I don't think I am going to be cutting off the podcast cold turkey. For one, I don't have any interest in getting rid of the entire back catalogue, so I'm not going to suddenly stop paying for my podcast host. I also may occasionally come back to post something on the podcast feed if I record an interview or have the bug to make some content. My Youtube channel will continue to be the primary platform where I release longform content. But it's time to take a big step back. It's time to find another avenue to continue building and engaging with my audience. It's time to put some effort into marketing my next book. It's time to stop stressing out because the kids are taking a long time to go to sleep or are being too loud so I can't record. It's time to take a deep breath and step off into the next stage of my life and career. Whatever the hell that may turn out to be.   Love, Robert

In this insightful interview, I'm joined by Marcia Bonato Warren, a trauma-informed body therapist, somatic counselor, interculturalist, and author. Marcia brings over 30 years of experience working with cross-cultural mental health, and she shares a powerful lens on how identity, culture, and trauma intersect in the body. Together, we explore the concept of embodied code switching, how our bodies carry cultural and ancestral imprints, and how healing often involves not just the mind, but movement, sensation, and deep awareness of the self. Marcia discusses her personal journey as a Brazilian and Native American woman navigating multiple cultural worlds—and how her lived experience shaped her professional path and inspired her new book. This episode is a rich blend of personal storytelling, professional insight, and hope for a more connected, empathetic world. Key Discussion Points: Marcia's multicultural background growing up between Pueblo traditions and Brazilian culture What it means to experience culture somatically when language isn't accessible The definition and practice of embodied code switching How somatic therapy works and how the body holds trauma, history, and healing Cultural embodiment and the importance of body-based awareness across social, emotional, and environmental realms The internal work of bridging identities that may feel in conflict Intergenerational trauma and healing as a form of cultural resilience Marcia's new book as a form of protest and empowerment amid sociopolitical turmoil The value of curiosity and reclaiming our sense of wonder Timestamps: 00:00 – Intro to Marcia and her multicultural upbringing 04:30 – Advocating through names and early sense of identity 09:00 – Growing up between cultures and learning through somatic experience 14:00 – Noticing what it feels like to “not belong” in any cultural space 17:00 – The physical experience of fitting in (or not) 20:00 – What is somatic counseling and body-based psychotherapy? 24:00 – Holding multiple identities and forming relationships between them 28:00 – Embodied code switching: definitions and origins 35:00 – Identity, trauma, and resilience in the nervous system 40:00 – Diversity, empathy, and learning across differences 43:30 – Somatics, symbolism, and healing in therapy 47:00 – Marcia's career in advocacy and transition to therapy 52:00 – Her new book as resistance and hope in a polarized world 58:30 – Book structure, audience, and why it matters now 1:06:00 – Final reflections on curiosity, awareness, and personal power Guest Links: Website: https://www.embodiedculture.com Book Info & Resources: https://www.embodiedcodeswitching.com Instagram: https://www.instagram.com/marciabonatowarren Buy the Book on Amazon: https://www.amazon.com/Movement-Identity-Multiculturalism-Awareness-Code-Switching/dp/1839978376 Contact Me: Email: duffthepsych@gmail.com Website: https://duffthepsych.com YouTube: https://www.youtube.com/@duffthepsych Instagram: https://instagram.com/duffthepsych If you enjoyed this episode, please consider leaving a review, sharing it with a friend, or tagging me on social to let me know your thoughts. And if Marcia's story resonated with you, I'd love to hear how this conversation landed.

In this episode, Dr. Duff takes on two powerful listener questions in a raw and compassionate Q&A format. The first question comes from a survivor of extensive childhood abuse, religious trauma, and complex family dynamics, who is wrestling with the decision of whether or not to publish a deeply personal memoir. Dr. Duff dives into the emotional, psychological, and ethical layers of this situation, offering validation, insight, and a heartfelt reminder that healing and storytelling can be acts of empowerment. The second question comes from a newly single parent facing feelings of loneliness and hopelessness after a recent divorce. After a disappointing family trip, they wonder if happiness is still possible in this new chapter of life. Dr. Duff breaks down the process of emotional adjustment, the importance of realistic expectations, and how small steps can lead to renewed hope and connection. As always, this episode is filled with empathy, nuance, and practical encouragement for anyone going through dark or uncertain times. Key Discussion Points The complexities of publishing a memoir about trauma and abuse Understanding the impact of complex PTSD and generational trauma Navigating family threats and estrangement with personal boundaries Grieving the loss of an idealized future after divorce Why happiness doesn't have to look how you thought it would Tips for finding support and resilience as a single parent The value of community, therapy, and chosen family Timestamps 00:00 – Intro and personal update 03:00 – Content warning for the first question 04:05 – Listener story: Surviving severe childhood abuse and family rejection 07:00 – Dr. Duff reflects on complex PTSD and trauma recovery 08:30 – The power of isolation in abusive systems 10:00 – Complicated dynamics with the listener's mother 11:30 – Should I publish my book about my trauma? 13:00 – Weighing the risks and benefits of publishing under a pseudonym 14:30 – Standing in your truth despite family pushback 15:00 – Listener story: Facing loneliness and doubt after divorce 16:30 – Grieving the version of life you hoped for 18:00 – Family disappointment and changing dynamics 19:30 – The importance of time and realistic expectations 21:00 – Children often remember things differently than we expect 22:00 – Challenging fatalistic thoughts about the future 23:30 – Modeling resilience and authenticity for your kids 24:30 – Final thoughts and encouragement Mentioned in This Episode Episode 130: Complex PTSD – What It Is and How to Recover YouTube channel: https://www.youtube.com/@duffthepsych More mental health content at: https://www.duffthepsych.com Submit a Question Have a question you'd like answered on the show? Reach out any time:

In this episode, I address two deeply personal listener questions that highlight the complex nature of anxiety and emotional healing in relationships. The first question comes from a listener who has struggled with anxiety for most of their life, recently facing severe limitations due to Generalized Anxiety Disorder and medication changes. We talk about the genetic components of anxiety, the risks of benzodiazepines in older adults, and the importance of advocating for the right care—even if that means seeking new providers or considering higher levels of treatment. The second question dives into the emotional fallout after infidelity. A listener is working to rebuild their marriage after their wife's emotional and physical affairs but finds themselves overwhelmed by anger and trauma in the aftermath. I explore the importance of time, trauma-informed coping strategies, and how rebuilding trust is possible with consistent effort and support. Whether you're dealing with anxiety yourself or navigating complex relationship dynamics, this episode offers validation, practical advice, and hope. Key Discussion Points Question 1: Genetic Anxiety and Benzodiazepines Anxiety can be partially genetic—up to 50% of risk may be inherited. Environmental factors, early life experiences, and chronic stress also play key roles. Long-term anxiety can even change brain structures like the amygdala. Benzodiazepines such as Xanax and Klonopin can be risky for older adults, but abrupt changes in medication are harmful and inappropriate. Importance of finding the right provider—psychiatric care may be more appropriate than primary care in severe cases. Options like partial hospitalization, intensive outpatient programs, or even voluntary hospitalization if suicidal thoughts worsen. Consideration of alternative treatments like TMS, ketamine therapy, EMDR, or comprehensive medical workups. Encouragement and validation that meaningful change is possible—even later in life. Question 2: Healing from Infidelity Emotional and physical infidelity can lead to feelings of inadequacy and intense emotional reactivity. The resurfacing of past wounds during present-day arguments is a trauma response. Healing takes time; both partners must commit to rebuilding trust. Grounding, breathing, and self-regulation tools are essential in emotional moments. Individual therapy and journaling can help process complex feelings and trauma. Couples therapy with a specialist in infidelity recovery can provide structure and support. It's possible to rebuild a stronger relationship—but it takes honest effort from both sides. Timestamps 00:00 – Intro 01:12 – Listener question: Is anxiety genetic? 03:22 – Genetics vs. environment in anxiety development 05:10 – Medication history and benzodiazepine concerns for older adults 08:45 – Advocating for appropriate psychiatric care 12:30 – Suicidal thoughts and higher levels of support 14:50 – Exploring alternative and emerging treatment options 17:15 – Words of encouragement and validation 19:45 – Listener question: Coping with infidelity and feeling inadequate 21:20 – Emotional fallout and trauma from betrayal 24:10 – Regulating emotional responses during arguments 26:00 – The role of time, patience, and couples therapy 28:20 – Journaling and individual processing for long-term healing 31:10 – Rebuilding a stronger relationship after infidelity 33:00 – Closing thoughts and takeaways Resources & Links Website: http://duffthepsych.com Email: duffthepsych@gmail.com YouTube: https://www.youtube.com/@duffthepsych Instagram: https://instagram.com/duffthepsych If today's episode resonated with you, consider leaving a review or sharing it with someone who could use the support. Your stories and questions continue to make this podcast what it is—thank you for being here. Until next time, take care and keep pushing forward. You've got this.

Just a quick update! Back to regularly scheduled programming next week!

Pre-Order Bipolar Answers https://www.amazon.com/Bipolar-Answers-Questions-Answered-Psychologist-ebook/dp/B0F1DW5WQZ/ In this special episode, Dr. Robert Duff announces the pre-order launch of his latest book, Bipolar Answers: Questions from Real People Answered by a Real Psychologist. To celebrate, he provides listeners with an exclusive reading of the book's introduction and one full chapter, giving a firsthand look at what to expect. This book is built from real questions asked on The Hardcore Self Help Podcast, expanded with deeper insights, case studies, and practical strategies for managing bipolar disorder. Dr. Duff shares details about the book's structure, how it tackles common misconceptions, and why he felt compelled to write it. He also reads a powerful chapter about navigating college after a bipolar episode, offering valuable guidance on advocacy, accommodations, and resilience. Timestamps: [00:00] – Introduction and book announcement: Bipolar Answers is now available for pre-order on Amazon! [02:00] – What the book covers: real questions, practical answers, case studies, and clear explanations. [03:00] – Full reading of the book's introduction, covering the basics of bipolar disorder, diagnostic criteria, and case study of Olivia, a professional managing bipolar I. [18:00] – Full chapter reading: Navigating college after a bipolar episode. [24:00] – The importance of self-advocacy, understanding accommodations, and legal rights for students and employees with bipolar disorder. [37:00] – Encouragement and final thoughts: Pre-order now and stay tuned for updates on the print and audiobook releases. Key Takeaways: Bipolar Answers is designed to cut through misinformation and offer real, actionable advice. Bipolar disorder is complex and often misunderstood—this book provides a clear and stigma-free breakdown. Returning to school or work after a bipolar episode can be daunting, but knowing your rights and advocating for yourself can make all the difference. The book includes real-life examples, diagnostic clarifications, and practical tools for individuals living with bipolar and those supporting them. Connect with Dr. Robert Duff: Website: https://www.duffthepsych.com Email: duffthepsych@gmail.com YouTube: https://www.youtube.com/@duffthepsych Instagram: https://instagram.com/duffthepsych If you enjoyed this episode, please share it with someone who might find it helpful! Your support means the world.

Episode 433: Navigating PTSD Triggers & Overcoming Shame In this episode of The Hardcore Self Help Podcast, I tackle two listener questions related to PTSD, trauma, and the emotional challenges that come with them. The first question is from someone who is deeply affected by their environment, living in a house that serves as a constant PTSD trigger. They want to move forward but feel completely stuck. The second question is about dealing with strong emotional reactions in public and the embarrassment that follows. I offer compassionate, practical advice to help both listeners begin taking steps toward healing and self-acceptance. What We Cover in This Episode: Understanding why trauma responses persist and how they impact daily life The role of avoidance in PTSD and how to begin addressing it Practical strategies for tackling overwhelming life changes How to communicate with a therapist about deeply buried trauma The importance of seeking trauma-informed therapy and possible medication options Exposure techniques for gradually confronting PTSD triggers Journaling as a tool for processing trauma at your own pace Overcoming embarrassment when experiencing emotional reactions in public Using gratitude as a way to shift focus from shame to connection Coping strategies to regulate emotions and build resilience Timestamps: 00:00 – Introduction & request for listener questions 02:00 – Listener question: Living in a house that triggers PTSD 05:00 – Why trauma responses persist and the role of avoidance 10:00 – Communicating openly with a therapist about severe trauma 12:00 – Seeking trauma-informed therapy and medication considerations 16:00 – Making an actionable plan to move forward and sell the house 21:00 – Practical steps to start addressing home repairs and tasks 22:00 – Listener question: Managing PTSD emotional reactions in public 24:00 – Using gratitude to counter feelings of shame and embarrassment 27:00 – Grounding techniques and exposure exercises to build resilience 30:00 – The importance of seeking support from others 32:00 – Closing thoughts & listener engagement request Connect with Me: Email: duffthepsych@gmail.com Website: https://www.duffthepsych.com YouTube: https://www.youtube.com/@duffthepsych Instagram: https://instagram.com/duffthepsych If you found this episode helpful, please consider sharing it with someone who might benefit. And as always, take care of yourself!

In this episode of The Hardcore Self Help Podcast, I sit down with the incredible psychotherapist and author, Terri Cole, to discuss high-functioning codependency, boundaries, and how we can break free from people-pleasing tendencies. Terri shares her own journey from working in the entertainment industry to becoming a therapist and how her personal struggles with boundaries led her to specialize in this area. We dive deep into the traits of high-functioning codependency, where it comes from, and actionable steps you can take to create healthier relationships and reclaim your inner peace. What We Cover in This Episode: Terri's journey from talent agent to psychotherapist Recognizing high-functioning codependency in yourself How childhood and societal expectations shape codependency The role of self-awareness and therapy in breaking codependency patterns Practical tools for overcoming codependent tendencies The importance of setting boundaries and learning to say no How to conduct a resentment inventory and why it's helpful Addressing difficult family dynamics around social and political issues How Terri's book, Too Much, can help you break free from codependency Timestamps: 00:00 – Introduction to Terri Cole and her background 01:00 – How Terri transitioned from talent agent to psychotherapist 16:00 – Recognizing high-functioning codependency 25:00 – Childhood & societal influences on codependency 30:00 – The importance of self-awareness and therapy 39:00 – Practical tools for overcoming codependency 42:00 – Navigating difficult family dynamics 49:00 – Setting boundaries and learning to say no 52:00 – Conducting a resentment inventory 58:00 – How Too Much can help you break free Resources Mentioned: Too Much by Terri Cole: https://www.terricole.com High-Functioning Codependency Toolkit: https://www.terricole.com/HFC Mastermind program (Flourish): https://www.terricole.com/flourish Terri's membership community: https://www.terricole.com/TCM The Terri Cole Show Podcast: https://www.terricole.com/podcast Connect with Me: Email: duffthepsych@gmail.com Website: https://www.duffthepsych.com YouTube: https://www.youtube.com/@duffthepsych Instagram: https://instagram.com/duffthepsych If you found this episode helpful, please consider sharing it with someone who might benefit. And as always, take care of yourself!

Episode 431: Pathological Demand Avoidance in Coaching & Persistent Depression Welcome to another episode of the Hardcore Self Help Podcast with Dr. Robert Duff! In this Q&A episode, Dr. Duff tackles two insightful listener questions on very different but equally important mental health topics. Question 1: Pathological Demand Avoidance (PDA) in Coaching A listener working as an individual sports coach seeks advice on how to best support a talented but highly resistant student who displays signs of Pathological Demand Avoidance (PDA). Dr. Duff dives into: What PDA is and how it manifests in individuals, particularly in relation to autism, ADHD, and other neurodivergent conditions. The importance of reframing PDA as a high drive for autonomy rather than defiance. Practical coaching strategies to work around demand avoidance, including collaborative goal setting, offering choices, and making training sessions more engaging and playful. The significance of open-ended questions and genuine curiosity in understanding the root of a student's resistance. Question 2: Chronic Low-Grade Depression (Persistent Depressive Disorder) A listener describes their struggle with long-term, low-grade depression despite attempts with medication and therapy. Dr. Duff provides insights into: Understanding Persistent Depressive Disorder (formerly known as dysthymia) and how it differs from episodic major depression. Behavioral activation as a treatment approach, including strategies for identifying and engaging in potentially enjoyable activities despite a lack of motivation or pleasure. The five-minute rule to help overcome resistance to activities. Medication considerations, including alternatives like Wellbutrin (bupropion) and the combination drug Auvelity, which may have fewer side effects. Non-medication treatments such as Transcranial Magnetic Stimulation (TMS) and ketamine therapy. The importance of evaluating life circumstances to identify external contributors to chronic depression, such as hidden identity struggles or unsatisfying relationships. Chapters [00:00] Intro and updates on Dr. Duff's upcoming bipolar book [03:00] Question 1: Pathological Demand Avoidance (PDA) in coaching [12:00] Strategies for engaging students with PDA [14:00] Question 2: Chronic low-grade depression and treatment options [19:00] Behavioral activation and the five-minute rule [23:00] Medication alternatives and non-pharmacological treatments [27:00] Life circumstances and their role in persistent depression [28:00] Outro and listener support requests Resources & Links Dr. Duff's website: http://duffthepsych.com Email your questions: duffthepsych@gmail.com Follow Dr. Duff on Instagram: https://instagram.com/duffthepsych Dr. Duff's book “Hardcore Self Help: F**k Depression”: https://www.amazon.com/Hardcore-Self-Help-Depression/dp/B01J4H5A40 Previous episodes on TMS and ketamine treatments: http://duffthepsych.com/podcast More on ketamine treatments: https://duffthepsych.com/ect-and-ketamine/ Thank you for tuning in! If you found this episode helpful, please consider sharing it with a friend or leaving a review. Your support helps the podcast grow and reach more people who need it. See you next time!

Episode 430: Integrative Approaches to Recovery with Dr. Malasri Chaudhery-Malgeri In this episode of The Hardcore Self Help Podcast, I sit down with Dr. Malasri Chaudhery-Malgeri, also known as Dr. Mala, to discuss her integrative approach to addiction recovery, rehabilitation, and mental health treatment. Dr. Mala shares her personal journey that led her into the field, the importance of holistic and individualized treatment, and how she has worked to break down barriers in accessing quality care. What We Cover in This Episode: Dr. Mala's personal journey into psychology and addiction recovery work The challenges of pushing for integrative mental health care How trauma informed her approach to treatment The importance of cultural competence in mental health and recovery Understanding addiction recovery as a non-linear process The necessity of breaking isolation in the recovery journey The evolving role of virtual therapy and accessibility in mental health care How alternative and holistic approaches such as yoga, meditation, and adventure therapy are valuable in rehabilitation The role of family and loved ones in supporting recovery How to advocate for personalized treatment if current options aren't working Resources available through Recovery.com for both individuals and families Timestamps: 00:00 – Introduction to Dr. Mala and her background 02:00 – How Dr. Mala entered the field of psychology and recovery 06:00 – Why she emphasizes integrative approaches in treatment 10:00 – Challenges in advocating for a holistic recovery model 12:00 – Misconceptions about addiction and recovery 16:00 – The importance of connection and breaking isolation 21:00 – Alternative therapeutic approaches that work 27:00 – The role of family and community in recovery 33:00 – Steps to take if current treatment isn't effective 38:00 – Recovery.com and available resources 44:00 – Final words of wisdom for those struggling or supporting a loved one Resources: Recovery.com: https://www.recovery.com State of Recovery 2025: https://recovery.com/news/the-2025-state-of-recovery-5-trends-in-behavioral-health-you-need-to-know-about/ Giving Voice to Depression Podcast: https://www.givingvoicetodepression.com Connect with Dr. Mala: Recovery.com Podcast: https://www.recovery.com/podcast Instagram: https://www.instagram.com/recoverydotcom Connect with Me: Email: duffthepsych@gmail.com Website: https://www.duffthepsych.com YouTube: https://www.youtube.com/@duffthepsych Instagram: https://instagram.com/duffthepsych If you found this episode helpful, please consider sharing it with someone who might benefit. And as always, take care of yourself!

In this solo Q&A episode of the Hardcore Self Help Podcast, I answer two deeply personal and important listener questions. The first comes from a trans man struggling with the impact of anti-LGBTQ+ legislation, fear for his safety, and overwhelming feelings of hopelessness. We talk about tangible ways to navigate the stress of doomscrolling, finding community, and taking back control in uncertain times. The second question dives into the pain of heartbreak—specifically, the loss of a best friend after unrequited love. I discuss how to process grief, handle regret, and move forward when a relationship changes in ways you didn't expect. Whether you're facing fear, loss, or uncertainty, this episode offers support, validation, and practical steps to help you through it. Chapters: 00:00 — Intro: You Are Seen, You Are Valid 02:00 — Shoutout to the Finch App: A Fun Self-Care Tool 03:00 — Coping with Fear & Uncertainty as a Trans Person in a Hostile Climate 10:30 — Managing Doomscrolling & Social Media Overwhelm 14:00 — The Importance of Community & Seeking Safe Spaces 18:00 — Mental Health Resources & Seeking Support 19:00 — Handling Unrequited Love & The Pain of Heartbreak 22:30 — Why You're Not to Blame for How Things Changed 24:00 — Navigating Grief & Loss in Relationships 27:30 — The Power of Solo Time & Rebuilding Your Life 29:00 — Closing Thoughts & Next Episode Preview Resources & Links: • Finch App – A self-care companion that makes mental health a little more fun! Download here • Trans Lifeline – www.translifeline.org | (877) 565-8860 • The Trevor Project – www.thetrevorproject.org | Crisis support for LGBTQ+ youth • Find a Therapist – www.psychologytoday.com About the Podcast I'm Dr. Robert Duff, a clinical psychologist and the host of the Hardcore Self Help Podcast. My goal is to break down mental health topics into real, relatable, and actionable advice. Whether it's tackling anxiety, navigating personal challenges, or discussing the latest in psychology, I'm here to help you thrive. Connect With Me:

In today's episode of the Hardcore Self Help Podcast, I sit down with world-renowned psychiatrist, author, and DBT expert Dr. Blaise Aguirre to tackle the complex topic of self-hatred. As a pioneer in the treatment of borderline personality disorder (BPD) and adolescent mental health at McLean Hospital, Dr. Aguirre offers a compassionate and illuminating perspective on how self-hatred forms, why it's so persistent, and how we can work toward healing. Dr. Aguirre explains why self-hatred is often learned early in life through invalidating experiences and abusive environments and why it differs from self-criticism or depression. He introduces practical tools to break free from self-loathing, such as identifying its roots, recognizing toxic relationships, and taking steps to separate identity from these damaging beliefs. We also discuss the challenges of treating patients with self-hatred, the transformative power of dialectical behavior therapy (DBT), and how his latest book, I Hate Myself, provides a groundbreaking resource for those suffering from this deeply ingrained struggle. If you've ever wrestled with feelings of unworthiness or struggled to overcome negative beliefs about yourself, this episode is packed with strategies, hope, and actionable advice to help you move toward a healthier relationship with yourself. Chapters: 00:15 — Introduction: Meet Dr. Blaise Aguirre 02:00 — From Philosophy to Psychiatry: Dr. Aguirre's Career Path 07:30 — Understanding Self-Hatred: How It Develops and Why It Persists 15:00 — The Role of Validation in Parenting and Mental Health 20:45 — The DBT Approach: Why Skills-Based Therapy Works for BPD and Self-Hatred 27:00 — Breaking Down Self-Hatred: Separating It from the Self 34:20 — Overcoming Self-Hatred: Practical Tools and Steps for Healing 40:15 — The Importance of Compassionate Treatment in Mental Health Care 45:00 — A Sneak Peek Into I Hate Myself 50:20 — What Parents and Caregivers Need to Know 57:00 — Dr. Aguirre's Final Thoughts on Healing and Hope About the Podcast I'm Dr. Robert Duff, a clinical psychologist and the host of the Hardcore Self Help Podcast. My mission is to break down complex mental health topics into relatable, actionable advice. On this podcast, we dive deep into mental health, personal development, and the strategies that help us thrive. Each episode features expert interviews, practical tips, and answers to listener questions, all designed to help you live a healthier, more fulfilled life. Guest Links: Dr. Blaise Aguirre's Website: www.IHateMyselfBook.com Learn More About DBT: McLean Hospital's DBT Program I Hate Myself: Dr. Aguirre's Latest Book (Coming February 2025) Connect With Me: Website: duffthepsych.com Instagram: @duffthepsych YouTube: Dr. Duff's Channel Sponsored By: This episode is brought to you by NoCD, a leading provider of virtual therapy for obsessive-compulsive disorder (OCD). If intrusive thoughts and compulsions are impacting your daily life, NoCD offers specialized Exposure and Response Prevention (ERP) therapy. Schedule a free 15-minute consultation to learn more at www.nocd.com. Hope you find this conversation as inspiring and thought-provoking as I did! Don't forget to share your thoughts and takeaways in the comments. Tags: #MentalHealth #SelfHatred #BlaiseAguirre #DBT #BorderlinePersonalityDisorder #SelfCompassion #TraumaHealing #Parenting #Mindfulness #SelfHelp

In this special episode of the Hardcore Self Help Podcast, I lead you through a guided meditation designed to help you let go of mental burdens and find focus in an overwhelming world. Using visualization techniques and intentional breathing exercises, this meditation offers a space to acknowledge your stressors, release tension, and tap into a feeling of calm and clarity. This experience is set in a vivid mindscape of space, where you can imagine yourself aboard a futuristic spacecraft, surrounded by the beauty of the cosmos. Together, we'll navigate through moments of recognition, release, and rejuvenation. By the end of this session, you'll feel more centered and grounded, with a renewed connection to how you'd like to move forward. Whether you're a seasoned meditator or new to mindfulness, this episode is a judgment-free zone to focus on yourself. Bookmark it to return to anytime you need a mental reset. Sponsor This episode is brought to you by NOCD, a leading provider of virtual therapy for obsessive-compulsive disorder (OCD). If you're stuck in cycles of overthinking, compulsive behaviors, or intrusive thoughts, NOCD offers specialized treatment using Exposure and Response Prevention (ERP)—a gold-standard therapy for OCD. They provide virtual sessions with licensed therapists, accept many major insurance plans, and offer support between sessions to make treatment as accessible as possible. Visit https://www.nocd.com to schedule a free 15-minute consultation and take the first step toward relief. For more insights on OCD and ERP, check out my interview with Dr. Patrick McGrath in episode 406 of this podcast. Chapters: 00:15 — Introduction: Why This Meditation Matters 03:00 — Sponsor: NOCD – Treatment for OCD Symptoms 04:30 — Setting the Scene: Guided Visualization in Space 08:00 — Acknowledging and Offloading Mental Burdens 13:00 — Breathing for Release: Techniques to Let Go 17:00 — Choosing Your Focus and Setting Your Intention 19:30 — Relaxation Breathing and Body Scan 25:00 — Final Reflections and Letting the Experience Settle About the Podcast I'm Dr. Robert Duff, a clinical psychologist and host of the Hardcore Self Help Podcast. My mission is to make mental health topics relatable and actionable. Whether through guided meditations like this one, Q&A sessions, or expert interviews, I aim to help you navigate life's challenges with clarity and confidence. Connect With Me: Website: https://duffthepsych.com Instagram: https://instagram.com/duffthepsych YouTube: https://youtube.com/duffthepsych Hashtags: #GuidedMeditation #Mindfulness #MentalHealth #Relaxation #StressRelief #SelfHelp

In this inspiring episode of the Hardcore Self Help Podcast, I sit down with Dr. Jordan Grumet, a hospice director, author, and podcast host, to explore how we can transform our lives by embracing the concept of “little p purpose.” Dr. Grumet shares insights from his latest book, The Purpose Code, which offers actionable strategies to uncover and build a meaningful life, regardless of your circumstances. Our conversation dives deep into the difference between “big P Purpose” (society's lofty, often unattainable ideals) and “little p purpose” (daily actions that bring joy and meaning). Dr. Grumet shares his personal journey—from losing his father at a young age to becoming a physician driven by unresolved trauma, to ultimately finding fulfillment by pursuing his passions for writing, speaking, and connecting with others. Key takeaways from our discussion include practical ways to recognize your purpose anchors, how to turn regrets into motivations, and why pursuing joy in small, intentional ways can lead to profound impact and lasting legacy. We also explore how Dr. Grumet's work in hospice has shaped his understanding of what truly matters in life, highlighting lessons from those at the end of their journeys. This episode is packed with wisdom for anyone feeling stuck, searching for meaning, or simply looking to live with more intentionality and joy. Sponsor This episode is brought to you by NOCD, a leading provider of virtual therapy for obsessive-compulsive disorder (OCD). If you're caught in an endless loop of “what-ifs” or struggling with obsessive thoughts and compulsive behaviors, NOCD offers specialized, evidence-based therapy designed just for OCD—Exposure and Response Prevention (ERP). They accept many major insurance plans, making it accessible and affordable, with support available between therapy sessions. Take the first step by visiting https://www.nocd.com to schedule a free 15-minute call with their team. Plus, check out my interview with Dr. Patrick McGrath, NOCD's Chief Clinical Officer, on episode 406 of this podcast to learn more about OCD and their approach. Chapters: 00:15 — Introduction: Meet Dr. Jordan Grumet 02:00 — Finding Purpose After Loss: Dr. Grumet's Early Life 06:15 — Purpose Anchors: Joyful Work vs. Goal-Oriented Burnout 10:45 — Lessons from the Hospice Life Review 16:30 — Regrets of the Dying: Turning Regret into Action 20:00 — Building Purpose When You Feel Stuck 24:15 — Tools and Levers: Joy of Addition and Art of Subtraction 30:00 — The Difference Between Meaning and Purpose 37:00 — How Small Joys Create Big Impact and Legacy 44:15 — Practical Steps to Start Building a Purposeful Life 50:30 — Final Takeaways: Finding Your Purpose Anchors About the Podcast I'm Dr. Robert Duff, a clinical psychologist and the host of the Hardcore Self Help Podcast. My mission is to break down complex mental health topics into relatable, actionable advice. Each episode dives deep into mental health, personal development, and strategies for living authentically and fulfilling your potential. Guest Links Dr. Grumet's Website: https://jordangrumet.com The Purpose Code: https://jordangrumet.com/books Podcast: https://www.earnandinvest.com/episodes Connect With Me: Website: https://duffthepsych.com Instagram: https://instagram.com/duffthepsych YouTube: https://youtube.com/duffthepsych #MentalHealth #Purpose #PersonalDevelopment #Legacy #SelfHelp #Mindfulness

In today's year-end wrap-up episode of the Hardcore Self Help Podcast (Episode 425), I reflect on 2024 and reveal my guiding word for 2025. Instead of traditional New Year's resolutions, I choose a single word each year to serve as a focal point and inspiration. I revisit last year's word—Connection—and discuss what worked well, like strengthening family bonds and growing professionally through clinical supervision and podcast interviews, as well as what didn't go as planned (like making new friends or achieving full Spanish fluency). These reflections highlight how intentions can guide growth in unexpected ways. Looking ahead to 2025, my new word is Mend. From addressing health issues to repairing lingering logistical and financial tasks, I want to focus on making what I already have stronger and more sustainable, rather than building from scratch. This year's theme is about restoring, improving, and taking care of what's important in my personal life, home, and professional endeavors—including the podcast and Duff the Psych projects. Join me as I wrap up 2024, share my aspirations for 2025, and encourage you to reflect on your own values, accomplishments, and future direction. Thank you for another year of support and attention. I'll see you in 2025! Chapters: 00:00 — Reflecting on Another Year: Gratitude & Long-Term Listeners 01:00 — Beyond Resolutions: Choosing a Guiding Word Each Year 03:00 — Reviewing 2024's Word “Connection”: Wins, Misses & Insights 05:00 — Personal Highlights: Family Bonding, Board Games & Quality Time 09:00 — Professional Growth: Clinical Supervision, Networking & Interviews 11:00 — Language Ambitions: Progress in Spanish, But Not Fluent Yet 13:00 — Introducing 2025's Word: “Mend” 14:00 — Repairing & Improving: Health, Home Projects & Finances 16:00 — Podcast & Brand Updates: Refining Instead of Expanding 18:00 — Final Thoughts: Entering 2025 with Intention & Flexibility About the Podcast I'm Dr. Robert Duff, a clinical psychologist aiming to make mental health more accessible. On the Hardcore Self Help Podcast, I break down complex psychological concepts, share actionable tips, and provide relatable advice to help you live a healthier, more fulfilled life. Whether through solo episodes, interviews, or listener Q&A, my goal is to support your mental well-being without unnecessary jargon. Connect With Me: Website: https://www.duffthepsych.com/ Contact: https://www.duffthepsych.com/contact Email: duffthepsych@gmail.com Instagram: https://www.instagram.com/duffthepsych/ YouTube: https://www.youtube.com/c/DuffThePsych #MentalHealth #SelfHelp #PersonalDevelopment #Mindfulness #NewYear #Goals #Intention #Reflection #Podcast

In this solo Q&A episode of the Hardcore Self Help Podcast (Episode 424), I tackle two listener questions that address challenging mental health scenarios. The first question delves into the concept of antidepressant-associated chronic irritable dysphoria (ACID), a proposed condition rather than a formally recognized diagnosis, and the potential long-term effects of antidepressants in the context of bipolar disorder. I break down the limited research behind ACID, emphasize the importance of comprehensive care, and acknowledge the frustration that can arise when medications seem to worsen symptoms instead of helping. The second question focuses on waking up early with irritability and racing thoughts. I provide practical strategies like pre-bed journaling to offload worries, identifying actionable steps for lingering concerns, and creating a calming buffer before sleep. I also discuss the importance of reexamining one's work environment, considering meaningful changes, and finding fulfillment outside of a stressful job. Throughout the episode, I offer insights on self-advocacy, exploring alternative treatments, and laying the groundwork to regain a sense of control in your daily life. Chapters: 00:15 — Introduction: Needing More Questions & Holiday Scheduling 02:00 — ACID Explained: A Proposed Condition, Not a Formal Diagnosis 08:00 — Bipolar Disorder & Antidepressants: Complex Interactions and Research Gaps 11:00 — Frustration with Care: Inadequate Guidance and Long-Term Medication Issues 14:00 — Exploring Alternatives: Therapy, Lifestyle Changes, and Treatments Like TMS/Ketamine 21:00 — Morning Irritability: Unpacking Workplace Stress & Uncontrollable Factors 24:00 — Reevaluating Work: Finding Meaning Outside Employment and Considering Changes 27:00 — Pre-Bed Journaling: Offloading Worries, Identifying Action Steps, and Creating Buffers 30:00 — Final Thoughts: Gratitude, Year-End Plans, and Continuing the Journey About the Podcast I'm Dr. Robert Duff, a clinical psychologist and the host of the Hardcore Self Help Podcast. I'm here to demystify mental health, break down psychological concepts, and provide actionable advice without unnecessary jargon. Through expert interviews, listener Q&A, and relatable discussions, this podcast aims to help you live a healthier, more fulfilled life. Connect With Me: Website: https://www.duffthepsych.com/ Contact: https://www.duffthepsych.com/contact Email: duffthepsych@gmail.com Instagram: https://www.instagram.com/duffthepsych/ YouTube: https://www.youtube.com/c/DuffThePsych #MentalHealth #Antidepressants #Bipolar #WorkStress #Journaling #SleepHygiene #QandA #SelfHelp #Psychology

In today's episode of the Hardcore Self Help Podcast, I sit down with psychologist, professional speaker, and author Dr. Matt Zakreski to explore the concept of neurodiversity and how to create a more supportive world for neurodivergent individuals. Drawing from both personal and professional experiences, Dr. Matt shares his journey as someone who is gifted and ADHD, and how that shaped his understanding and advocacy for neurodivergent folks. We discuss what neurodiversity truly means, highlight differences between neurotypical and neurodivergent brains, and break down why it's crucial to avoid framing neurodivergent individuals as “failed neurotypicals.” Dr. Matt provides practical strategies for understanding executive functioning challenges, improving communication, and fostering more inclusive environments both in schools and in everyday life. Whether you're neurodivergent yourself, raising a neurodivergent child, or simply looking to become a better ally, this episode is packed with insights and guidance to help you understand, accept, and celebrate neurological differences. Chapters: 00:15 — Introduction: Send in Your Questions & Introducing Dr. Matt Zakreski 02:00 — Defining Neurodiversity and Neurodivergence 08:00 — The Performance Cliff: When School Outpaces Natural Ability 11:00 — Common Threads: Executive Functioning and Pragmatic Language in Neurodivergence 17:00 — Brain-Based Differences: Sensory Input, Basal Ganglia, and Emotional Intensity 21:00 — Universal Design in Education: Creating Systems That Work for All 24:00 — Shame, Emotionality, and the Reality of ADHD 28:00 — Inattentive vs. Hyperactive: Recognizing Subtle Signs and Misdiagnoses 33:00 — Rethinking Assessment: Moving Beyond DSM Checklists 38:00 — Why Specialists and Relationships Matter in Mental Health Care 41:00 — Making Therapy Work for Kids: Meeting Them Where They Are 43:00 — The Neurodiversity Playbook: Tools, Strategies, and Action Points 48:00 — Intention vs. Impact: Communicating Clearly and Compassionately 52:00 — Practical Tips for Executive Functioning in Daily Life 54:00 — Final Takeaways: Building Community and Embracing Your Unique Brain About the Podcast I'm Dr. Robert Duff, a clinical psychologist and the host of the Hardcore Self Help Podcast. My mission is to break down complex mental health topics into approachable, actionable advice. Each episode dives deep into mental health, personal development, and practical strategies for thriving. Whether through expert interviews, audience Q&A, or practical tips, this show is all about making meaningful changes without unnecessary jargon or fluff. Guest Links: The Neurodiversity Playbook by Dr. Matt Zakreski: https://www.drmattzakreski.com/the-neurodiversity-playbook Dr. Matt Zakreski's Website: https://www.drmattzakreski.com/ Instagram: https://www.instagram.com/drmattzakreski/ Connect With Me: Website: https://www.duffthepsych.com/ Instagram: https://www.instagram.com/duffthepsych/ YouTube: https://www.youtube.com/c/DuffThePsych #Neurodiversity #ADHD #Gifted #TwiceExceptional #Autism #ExecutiveFunction #InclusiveEducation #MentalHealth #SelfHelp #PersonalDevelopment

In today's episode of the Hardcore Self Help Podcast, I sit down with Pulitzer Prize-winning journalist and best-selling author Charles Duhigg to explore the science of effective communication and its profound impact on our personal and professional lives. Charles shares insights from his latest book, Supercommunicators: Unlock the Secret Language of Connection, delving into how skills like empathy, active listening, and understanding different types of conversations can transform the way we connect with others. Our conversation uncovers the neurological underpinnings of communication, including the concept of neural entrainment and the matching principle. We discuss practical strategies for improving communication in various contexts—from personal relationships to the workplace—and address common pitfalls people face, such as social anxiety and miscommunication. Whether you're looking to enhance your relationships, become a better listener, or navigate tough conversations with ease, this episode is packed with valuable insights to help you on your journey. Chapters: 00:15 — Introduction: Meet Charles Duhigg 03:00 — From Business to Journalism: Charles's Unconventional Path 08:00 — The Power of Storytelling in Communication 11:45 — Understanding the Science Behind Effective Communication 14:00 — The Three Types of Conversations: Practical, Emotional, Social 17:00 — The Matching Principle: Aligning Conversations for Connection 21:00 — Diagnosing and Matching Conversation Types 24:00 — Looping for Understanding: A Technique for Better Listening 28:00 — Common Communication Mistakes and How to Avoid Them 31:00 — Empathy Without Mimicry: Connecting Without Oversharing 34:00 — Real-World Examples: Doctors, Therapists, and Effective Communication 38:00 — Advice for Introverts and Those with Social Anxiety 44:00 — The Power of Asking Questions in Social Settings 47:00 — Overview of 'Supercommunicators' and Its Practical Applications 51:00 — Navigating Tough Conversations: Tips and Strategies 54:00 — A Challenge for Listeners: Reconnecting with Someone 57:30 — Closing Thoughts and Where to Find Charles's Work Hope you find this enlightening conversation as engaging as I did! Feel free to share your thoughts and experiences in the comments below. About the Podcast I'm Dr. Robert Duff, a clinical psychologist and the host of the Hardcore Self Help Podcast. My mission is to break down complex mental health topics into relatable, actionable advice. On this podcast, we dive deep into mental health, personal development, and the strategies that help us thrive. Each episode is a mix of expert interviews, practical tips, and answers to listener questions, all aimed at helping you live a healthier, more fulfilled life. Guest Links: Charles's Latest Book: Supercommunicators: Unlock the Secret Language of Connection — https://www.amazon.com/Supercommunicators-Unlock-Secret-Language-Connection/dp/0593243919 Website: CharlesDuhigg.com — https://www.charlesduhigg.com/ Twitter: @cduhigg — https://twitter.com/cduhigg Connect With Me: Website: duffthepsych.com — https://www.duffthepsych.com/ Instagram: @duffthepsych — https://www.instagram.com/duffthepsych/ YouTube: Dr. Duff's Channel — https://www.youtube.com/c/DuffThePsych #MentalHealth #EffectiveCommunication #CharlesDuhigg #SelfHelp #Supercommunicators #PersonalDevelopment #ListeningSkills #SocialAnxiety

In this Q&A episode of the Hardcore Self Help Podcast, I address two insightful listener questions. The first explores coping with the end of a therapeutic relationship, while the second delves into the physical manifestations of depression and strategies to manage them. This episode offers practical advice and empathetic understanding for those navigating these challenges. Chapters: 00:15 — Introduction: Returning to Q&A After a series of interviews, I return to answering your questions. Learn how to submit your own and connect with the podcast. 02:05 — Coping with the End of Therapy A listener shares the grief experienced after concluding therapy with a transformative therapist. I discuss why these feelings are normal, the concept of transference, and practical ways to navigate the loss of such a significant relationship. 12:15 — Understanding the Physical Symptoms of Depression Addressing a listener's concern about the often-overlooked physical manifestations of depression, including fatigue, dissociation, and the role of self-injury as a coping mechanism. I explore what these symptoms can look like, why they occur, and practical tools to help reconnect with the body and manage the emotional weight. 24:00 — Final Thoughts and Encouragement Reflecting on the courage it takes to share these challenges and offering guidance on taking small steps toward healing. About the Podcast I'm Dr. Robert Duff, a clinical psychologist and the host of the Hardcore Self Help Podcast. My mission is to break down complex mental health topics into relatable, actionable advice. Each episode combines expert insights, practical tips, and answers to listener questions, all aimed at helping you live a healthier, more fulfilled life. Connect With Me: Website: duffthepsych.com Instagram: @duffthepsych YouTube: youtube.com/duffthepsych Mentioned in This Episode: Book: Skin Game: A Memoir by Caroline Kettlewell. This memoir provides a vivid account of living with and overcoming self-injury. Available on Amazon: I hope you find this episode insightful and supportive. If you'd like to send me a question for a future episode, please email me at duffthepsych@gmail.com.

In today's episode, I sit down with Dr. Manu Kapur, a professor of learning sciences, to delve into his unique approach to education: productive failure. Dr. Kapur explains how intentionally designing failure within the learning process can lead to deeper understanding and greater knowledge retention. We discuss the science behind productive failure and how it differs from traditional methods, which often focus on direct instruction followed by application. Dr. Kapur shares his experiences from childhood dreams of soccer to academic life at ETH Zurich, showing how personal failures have shaped his life and work. Together, we explore key concepts like the “four A's” of productive failure: Activation, Awareness, Affect, and Assembly. This method encourages learners to first explore problems in a safe space, where failure is expected, to prepare them for deeper learning through expert guidance afterward. Dr. Kapur's insights reveal how frustration and negative emotions, when managed safely, can enhance memory and motivation, making failure a powerful tool in the learning process. In this episode, Dr. Kapur provides real-world examples, from learning statistical concepts in the classroom to developing retrieval paths in social interactions. We also discuss how productive failure can be applied beyond the classroom to daily life and parenting, helping adults model and reinforce the benefits of persistence and exploration for children. Chapters: 00:15 — Introduction: Meet Dr. Manu Kapur and the Concept of Productive Failure 05:30 — The Science Behind Learning Through Failure 12:00 — The “Four A's” of Productive Failure: Activation, Awareness, Affect, and Assembly 18:30 — Real-Life Examples: Productive Failure in the Classroom 24:00 — The Role of Emotions in Memory and Learning 30:05 — Applying Productive Failure in Daily Life 36:25 — Parenting and Productive Failure: Teaching Kids Resilience 41:50 — Productive Failure's Global Applications and Cultural Reflections 47:05 — Key Takeaways and Where to Find More from Dr. Kapur About the Podcast I'm Dr. Robert Duff, and on this podcast, we dive deep into mental health and personal growth, bringing expert insights and practical advice to help you navigate life's challenges. Join us for conversations that break down complex concepts into actionable steps. Guest Links: Dr. Kapur's Book: Productive Failure: Unlocking the Science of Failure for Deep Learning and Growth Website: ProductiveFailure.com Follow Dr. Kapur on LinkedIn, Connect With Me: Website: http://duffthepsych.com Instagram: http://instagram.com/duffthepsych YouTube: http://youtube.com/duffthepsych #ProductiveFailure #Learning #Education #GrowthMindset #MentalHealth  

In today's episode of the Hardcore Self Help Podcast, I'm thrilled to sit down with marketing guru and best-selling author Seth Godin. Seth shares his near-death experience off the coast of San Clemente—a moment that became a powerful reminder of his mission to teach and contribute. We explore his philosophy of “strategy as a philosophy of becoming” and discuss practical ways to craft personal life strategies that align with our values, whether in creativity, mental resilience, or personal growth. In our conversation, Seth and I cover a range of ideas, from recognizing societal systems that impact our lives to overcoming societal pressures and finding meaning in service to others. Seth's “lifeguard analogy” emphasizes the importance of focusing on helping others, and his insights are full of actionable takeaways for anyone looking to lead a more purpose-driven life. Tune in for an episode packed with practical strategies and reflections that can help you shape a life you're proud of. Topics Covered: Breaking Down Writer's Block and Building Creative Confidence The Lifeguard Analogy: Why Starting with Generosity Can Change Your Life Recognizing the Systems That Influence Our Daily Lives How Strategy and Mental Health Intersect in Our Modern World Building Powerful Daily Creative Habits Avoiding the Trap of Playing Games We're Meant to Lose Developing Authentic Networks and Finding Your Community Timestamps: 00:15 — Introduction: Meet Seth Godin 02:05 — Breaking Down Writer's Block and Building Creative Confidence 06:00 — Learning Through the Lifeguard Analogy: How to Start Contributing Now 12:15 — Recognizing the Systems Shaping Our Lives 18:30 — Personal Strategy and Mental Health: How They Intersect 24:00 — The Power of Daily Creative Habits 30:40 — Real-Life Applications: Who's It For, What's It For? 36:25 — Avoiding the Trap of Playing Games We're Meant to Lose 41:50 — How Strategy Can Help Us Cope with Modern Mental Health Challenges 47:05 — Building Authentic Networks and Finding Community About the Podcast I'm Dr. Robert Duff, a clinical psychologist dedicated to breaking down complex mental health topics into relatable, actionable advice. On the Hardcore Self Help Podcast, we dive deep into mental health, personal development, and practical strategies to help you thrive. Each episode features expert interviews, useful tips, and answers to listener questions, all to support your journey toward a healthier, more fulfilling life. Guest Links: Seth's Latest Book: This is Strategy Seth Godin's Blog: Seth's Blog Seth's Podcast: Akimbo Podcast Connect With Me: Website: duffthepsych.com Instagram: @duffthepsych YouTube: Dr. Duff's Channel

In this episode, I sit down with Anna Runkle, better known as the Crappy Childhood Fairy, to explore her journey of healing from childhood PTSD and the unique methods she has developed to help others do the same. Anna has helped hundreds of thousands of people worldwide re-regulate their nervous systems and recover from deep emotional wounds using simple but powerful techniques. We dive deep into what childhood PTSD really is, how it differs from complex PTSD, and what doctors often get wrong about trauma. Anna also shares her personal story of growing up in a chaotic commune, the lasting effects of emotional neglect and abandonment, and the practical steps she used to reclaim her life and happiness. Whether you're personally affected by trauma or seeking to support someone who is, Anna's wisdom, tools, and personal insights provide valuable takeaways for anyone on a healing journey. Links: Order Anna's book Re-Regulated here: https://bit.ly/44Eo1ma Get Instant Access to Anna's free online course, The Daily Practice here:http://bit.ly/Cf CF_DailyPractice YouTube Channel: https://www.youtube.com/c/CrappyChildhoodFairy Website: https://crappychildhoodfairy.com CCF Instagram: https://www.instagram.com/crappychildhoodfairy/ Timestamps: 0:00 – Introduction Introduction to Anna Runkle, aka the Crappy Childhood Fairy, and her mission to help people heal from childhood PTSD. Overview of the topics to be covered: childhood trauma, PTSD, healing methods, and Anna's personal story. 2:30 – Anna's Early Life and Growing Up in a Commune Anna describes her chaotic upbringing in a Berkeley commune, surrounded by addiction, neglect, and violence. The impact of family addiction and how it shaped her view of the world. 7:15 – Understanding Childhood PTSD vs. Complex PTSD Anna explains the difference between childhood PTSD and complex PTSD, and why she uses a more accessible term for the general public. How childhood trauma can stay latent and resurface in adulthood after new traumatic events. 12:45 – Coping Mechanisms and the Breaking Point Anna shares how being the "good girl" helped her survive but eventually led to deep depression. Her experience of hitting rock bottom and the overwhelming effects of what she calls a "trauma storm." 16:30 – The Effects of Gaslighting and Emotional Neglect Anna discusses the emotional invalidation she faced growing up and the gaslighting that made her doubt her own reality. The lasting impact of growing up in an environment of denial. 21:00 – The Role of Attachment Wounds and Limerence How unresolved emotional neglect led to dysfunctional relationships in Anna's life, especially through a phenomenon called "limerence"—an obsessive, addictive form of love. The cycle of seeking validation in unhealthy ways due to an insecure attachment style. 27:30 – Trauma Healing and Nervous System Regulation Anna explains the concept of nervous system dysregulation and how trauma impacts not only emotions but also physical health. Her personal health struggles with autoimmune diseases and chronic fatigue, and how regulating her nervous system led to profound healing. 33:00 – The Power of Simple Healing Techniques Anna shares the simple yet powerful technique of writing down fears and resentments daily, a method she learned from a friend in AA. How this practice gave her the emotional relief she had been seeking for years. 38:45 – Generational Trauma and Breaking the Cycle Anna reflects on the generational trauma in her family and the importance of breaking the cycle of emotional neglect and dysfunction. How her own healing journey has allowed her to parent with more stability and emotional availability. 43:00 – The Myth of ‘What Doesn't Kill You Makes You Stronger' Anna challenges the common belief that trauma automatically leads to growth, explaining that for many people, trauma can be devastating without proper support. The dangers of spiritual bypassing and toxic positivity. 48:15 – Finding True Healing and Becoming Your Full Self Anna talks about the ultimate goal of trauma healing: becoming your full, real self and creating space to hear your own inner guidance. The importance of personal freedom, acceptance, and helping others on their healing journey. 53:00 – Practical Takeaways and Final Thoughts Anna offers actionable advice for anyone struggling with childhood trauma, focusing on simple daily practices that help re-regulate the nervous system and foster healing. How to connect with Anna and learn more about her work with the Crappy Childhood Fairy. Key Takeaways: Childhood PTSD often goes unrecognized or is misunderstood, even within the medical community. Emotional neglect and trauma can deeply impact adult relationships, leading to patterns of insecurity and attachment wounds. Healing from trauma involves re-regulating the nervous system, a process that can lead to profound physical, emotional, and mental recovery. Simple daily practices, like writing down fears and resentments, can provide powerful emotional relief and open the door to deeper healing. Breaking the cycle of generational trauma is possible, and it begins with self-awareness, acceptance, and practical steps toward recovery.   Support the Podcast: If you enjoyed this episode, please subscribe, rate, and leave a review! Your support helps others find the show. Follow me on Instagram: @duffthepsych Website: duffthepsych.com Join the Hardcore Self Help Facebook Community: Join Here

In this laid-back check-in episode of the Hardcore Self Help Podcast, I take you through a series of updates and random musings. I discuss the current state of the podcast, why I decided to fire my ad agency, and the recent revival of interviews. I also share some personal projects, from working on my bipolar disorder book to collaborating with my kids on a creative game inspired by Minecraft. Throughout, I reflect on AI innovations, the challenges of balancing podcasting with life, and ways I've been keeping active, like my new rucking routine. This episode is perfect for catching up on everything happening in my world, from professional changes to hobbies and everything in between. Links: Email me with your questions or feedback. Visit my website for more contact options. Check out the Insight Neuropsychology blog for more brain-focused content. NotebookLM Pokémon Insurgence Chapters: 00:00 Introduction 01:00 Podcast Updates 02:00 Fired Ad Agency 05:00 Interview Segment Revival 08:00 Changes in Podcast Style 09:00 Decline in Podcast Numbers and Stepping Away from Ads 11:00 Writing Update - Bipolar Book 13:00 AI Adventures - ChatGPT Voice Mode Demo 18:00 AI Applications - Notebook LM 21:00 Personal Favorites - POV Cooking Channels 22:00 Nostalgia Gaming - Pokémon Insurgence 23:00 Podcast Recommendation - Tim Ferriss Interview with Elizabeth Gilbert 24:00 Work and Mentorship Updates 26:00 Fitness Journey - Rucking 27:00 Creative Projects with Kids 28:00 Reflections on Current Events and Mental Health 29:00 Wrap-up

In today's episode, I had the absolute honor of sitting down with Dr. David Burns, a true legend in the field of mental health. Dr. Burns is not only a pioneer of Cognitive Behavioral Therapy (CBT), but he's also the best-selling author of Feeling Good and Feeling Great, which have collectively sold millions of copies worldwide. Spending so much time with him was a real treat, as he shared his incredible insights into mental health, his innovative T.E.A.M. Therapy method, and his groundbreaking Feeling Great App. We talked about how his methods are helping people achieve rapid and lasting recovery from depression, anxiety, and other difficult emotions, sometimes in just one session. Dr. Burns also gave us a behind-the-scenes look at how his AI-driven app is transforming mental health treatment, making it accessible and effective for people everywhere. This conversation was truly fascinating, and I'm sure you'll find a ton of value in it. Whether you're familiar with Dr. Burns' work or hearing about him for the first time, you'll come away with practical advice and a deeper understanding of how to break free from the emotional patterns holding you back. In this episode, we cover: Dr. Burns' early work with CBT and how it evolved into T.E.A.M. Therapy. The creation and impact of the Feeling Great App, and how it leverages AI to deliver therapy. Why measuring progress in therapy is essential and how data-driven methods are changing the field. The common cause behind many negative emotions, and how to tackle it. Dr. Burns' unique approach to therapy—including why he hasn't charged for sessions in over 30 years. Links: https://feelinggood.com/  https://www.feelinggreat.com/ https://www.youtube.com/@UCEgz2rq7N1xCHMCcjdyU5zg https://feelinggood.com/books/   Reach out! http://duffthepsych.com/contact duffthepsych@gmail.com

Breaking Boundaries: Dr. Paul Rivera on Redefining Success and Masculinity In this episode, Dr. Paul Rivera, a first-generation Latino American, shares his inspiring journey navigating cultural expectations and his pursuit of a fulfilling life. From his early challenges growing up in a Latino neighborhood in Los Angeles to his prestigious roles as a professor and diplomat, Dr. Rivera discusses the importance of discovering one's unique superpower, embracing vulnerability as a strength, and redefining traditional notions of masculinity. Together with his wife, Dr. Rivera co-founded BE ACT Change, an organization focused on aligning individuals and organizations with their purpose. He also discusses their book, 'Creating Your Limitless Life,' which provides insights into achieving authentic success beyond material trappings. Tune in for valuable lessons on mental health, family dynamics, and sustainable change. https://www.instagram.com/be.act.change https://www.amazon.com/CREATING-YOUR-LIMITLESS-LIFE-Terms/dp/B0CHL3RW4L Sponsored by 23andMe, promoting proactive steps for health through genetic screening and personalized plans. http://23andme.com/duff  00:00 Introduction: Dreams and Expectations  00:25 Meet Dr. Paul Rivera: A Journey of Defying Expectations 01:28 Navigating Cultural Expectations and Personal Aspirations 02:22 Interview with Dr. Paul Rivera: Early Life and Influences 03:12 Growing Up Latino in Los Angeles 06:33 Balancing Work, Culture, and Personal Identity 18:30 Family Dynamics and Personal Growth 23:56 Challenging Machismo and Embracing Vulnerability 29:50 The Power of Vulnerability 30:38 Creating Safe Spaces at Home 32:11 Community Outreach and Education 33:47 Recognizing and Nurturing Potential 35:07 Discovering Your Superpower 37:03 Empowering Women in Leadership 39:04 Building Trust and Overcoming Barriers 40:21 The Journey to Self-Discovery 42:36 From Diplomacy to Entrepreneurship 43:32 The Mission of BeActChange 51:21 Advice for Feeling Stuck 56:30 Final Thoughts and Resources

Managing ADHD and Long COVID: Strategies for Cognitive Challenges In this episode of the Hardcore Self Help Podcast, Dr. Robert Duff addresses a listener's question about the impact of COVID-19 on ADHD symptoms. The listener shares their struggles with ADHD and how contracting long COVID has exacerbated their cognitive difficulties, impacting their academic performance and daily life. Dr. Duff delves into the comorbidity of ADHD with other mental health issues, discusses research on post-COVID syndrome, and offers practical advice for seeking accommodations and support. He emphasizes the importance of self-compassion and provides steps for managing ADHD symptoms effectively. Tune in for compassionate guidance and actionable strategies to navigate ADHD in the context of long COVID. 00:00 Introduction: ADHD and COVID-19 Impact 00:33 Listener's Question: Struggles with ADHD and Long COVID 02:14 Host's Response: Acknowledging the Struggles 03:04 Understanding ADHD and Comorbidities 04:39 COVID-19's Cognitive Impact 08:16 Executive Functioning Explained 10:20 Practical Advice and Encouragement 13:21 Seeking Help and Accommodations 17:30 Final Thoughts and Encouragement

Revolutionizing Therapy: Colleen Marshall on Two Chairs' Matching Process  In this episode of the Hardcore Self Help Podcast, Dr. Robert Duff interviews Colleen Marshall, Chief Clinical Officer at Two Chairs, a company dedicated to improving the therapy experience through innovative matching processes and measurement-based care. They discuss the current challenges in finding a suitable therapist, the importance of therapeutic alliance, and how Two Chairs' approach significantly improves client retention rates. Colleen also shares insights into her background, the systematic changes needed in therapy cultures, and the importance of culturally responsive training. Listeners will gain a better understanding of how Two Chairs is transforming mental health care by ensuring clients find the right therapist for their specific needs and continually measure treatment progress.    00:00 The Broken Process of Finding a Therapist 01:04 Introducing Two Chairs: Revolutionizing Therapy Matching 01:52 Meet Colleen Marshall: Chief Clinical Officer at Two Chairs 02:44 Colleen's Journey in Mental Health and Innovation 06:22 The Importance of Therapeutic Alliance and Matching 10:17 How Two Chairs Ensures Effective Therapy 16:53 Challenges and Successes in Implementing Measurement-Based Care 28:56 Balancing Wellness and Specialty Training 29:23 Efficient Care and Graduation Goals 31:03 Insurance and Access to Therapy 32:04 Therapist's Role in Client Progress 33:52 Matching Clients with the Right Therapist 36:07 Navigating Therapy Models and Approaches 47:13 Two Chairs: Availability and Process 51:11 Future of Therapy and Cultural Responsiveness 53:36 Conclusion and Final Thoughts

In this episode of the Hardcore Self Help Podcast, I address two intense and relatable listener questions. The first question comes from a listener who feels abandoned by their spouse after a traumatic car accident left them with PTSD and potential brain injury. I provide insights on the possible brain injuries they might have sustained, while also discussing the complexities of their strained relationship and offering practical advice for moving forward. In the second question, a listener struggles with constant phone checking and tech addiction. I offer actionable tips for managing phone usage, including identifying and challenging assumptions, creating a conscious phone use plan, and finding accountability. This episode aims to provide support, clarity, and practical guidance for listeners dealing with trauma, relationship challenges, and tech overdependence. This episode is brought to you by NoCD. Overthinking can be more than just a habit—it might be a symptom of Obsessive Compulsive Disorder (OCD). NoCD provides virtual therapy sessions with licensed therapists specialized in Exposure and Response Prevention (ERP) therapy, the gold standard treatment for OCD. To learn more, visit http://nocd.com and schedule a free 15-minute call. 00:00 Introduction and Episode Overview  01:16 Listener's Question: Dealing with Trauma and Relationship Issues 02:33 Understanding Brain Injuries from Car Accidents 08:05 Addressing Relationship Concerns and Seeking Separation 08:11 Sponsor Break: NoCD 15:14 Listener's Question: Overcoming Phone Addiction 17:07 Tips for Reducing Phone Usage 25:17 Conclusion and Final Thoughts Please send questions to duffthepsych@gmail.com 

Breaking Cycles: How Attachment Shapes Our Lives with Dr. Judy Ho In this episode of the Hardcore Self Help Podcast, host Dr. Duff interviews neuropsychologist Dr. Judy Ho, a tenured professor at Pepperdine University and author of 'The New Rules of Attachment.' They discuss why people often find themselves stuck in repetitive cycles despite different strategies and self-care routines. Dr. Ho explains the significance of revisiting one's past to break patterns, diving deep into attachment theory. They explore how early attachments form who we are, why it's essential to recognize childhood traumas, and the role of self-talk in attachment styles. Dr. Ho also shares her personal parenting insights and the importance of forming a secure attachment with oneself. Additionally, they delve into actionable exercises from Dr. Ho's book that help uncover unmet needs of our inner child and promote lasting change. Tune in for an in-depth conversation about the transformative power of understanding and healing our attachments.   This episode is brought to you by NOCD, a powerful new network of providers specializing in exposure and response prevention. Get treatment for OCD that actually works at http://nocd.com This episode is also sponsored by BetterHelp – get 10% off your first month of online therapy at http://betterhelp.com/duff   Links! https://www.amazon.com/New-Rules-Attachment-Relationships-Reparent/dp/1538741423 https://www.instagram.com/drjudyho https://drjudyho.com/   00:00 Introduction: Breaking the Cycle 00:40 Meet Dr. Judy Ho 01:14 The Importance of Early Attachments 02:46 Personal Stories and Apologies 05:47 Journey into Psychology 18:10 Understanding Attachment Styles 30:11 Understanding Attachment Styles and Self-Talk 31:27 The Challenge of Changing Self-Talk 32:26 The Importance of Patience in Forming New Habits 33:14 Recognizing Overthinking and OCD 35:07 The Mind-Body Connection in Attachment 37:25 Inner Child Work and Self-Attachment 40:22 Practical Steps for Inner Child Healing 44:45 A Real-Life Transformation Story 53:22 Balancing Career and Personal Life 57:04 Parenting and Attachment 01:00:08 Looking Ahead: Future Plans and Reflections

In this episode of the Hardcore Self Help Podcast, Dr. Robert Duff chats with Tony Weaver Jr., an award-winning author and educator dedicated to mental health advocacy and better representation in media. Tony shares his personal journey from feeling like an outcast in his teenage years, including a suicide attempt, to becoming a force for positivity and change. He discusses how his upbringing in Atlanta and breakthroughs like hearing Fall Out Boy's music shaped his path to self-acceptance and creative expression. Tony also delves into the importance of representation in media, recounting his experiences creating the webcomic 'The Uncommons' and his upcoming autobiographical graphic novel 'Weirdo.' Furthermore, he offers practical advice for children and parents navigating the challenges of embracing individuality in a conformist world. Tune in to hear his inspiring story, candid reflections on the role of conflict in growth, and his passionate stand on bettering cultural narratives through inclusive storytelling.   Links! Weirdo: https://rep.club/products/weirdo The Uncommons: https://www.webtoons.com/en/action/the-uncommons/list?title_no=4520 Tony on Instagram: https://www.instagram.com/tonyweaverjr/   Chapters:   00:00 Introduction: Feeling Like the Odd One Out 00:24 Meet Tony Weaver Jr.: From Darkness to Advocacy 01:13 Tony's Creative Journey and Representation 01:38 Interview with Tony Weaver Jr. 02:52 Tony's Upbringing and Early Influences 04:45 The Struggles of Embracing Otherness 09:05 The Creation of 'Weirdo' 13:05 Mental Health and Personal Growth 26:36 Inner Child Work and Reparenting 27:13 Parents' Reactions to the Book 27:33 A Life-Changing Car Accident 28:40 Reflecting on Childhood and Authority 30:17 The Importance of Conflict and Support 35:21 Representation in Media 37:01 The Impact of Representation on Society 43:40 Challenges in Hollywood and Progress 49:40 Promoting the Book 'Weirdo' 52:35 Final Thoughts and Where to Follow

In this episode, Dr. Duff shares personal experiences and discusses the concept of being afraid of breathing. He highlights how anxiety and overthinking can lead to the sensation of not breathing properly. Dr. Duff explains how exposure therapy can be applied using breathing exercises to help alleviate these fears. He provides detailed instructions on different challenging breathing exercises like alternate nostril breathing, resonance breathing, and techniques inspired by the Wim Hof method and the Cradle series. The episode aims to help listeners gain comfort with discomfort and regain confidence in their breathing. 00:00 Introduction: Are You Afraid of Breathing? 00:02 A Personal Story of Breathing Anxiety 00:57 The Cycle of Anxiety and Breathing 01:50 Common Experiences and Avoidance 03:37 Using Breathing Exercises for Exposure 04:12 Understanding Exposure Therapy 07:38 Challenging Breathing Exercises 07:59 Alternate Nostril Breathing 10:40 Resonance Breathing 13:38 The Heaven and Earth Purification Wheel 15:16 Practicing in a Safe Space 16:22 Conclusion and Call to Action http://betterhelp.com/duff http://duffthepsych.com/contact  

In episode 408 of the Hardcore Self Help Podcast, I'm joined by grief educator and author Christina Rasmussen. We delve deep into the concept of invisible loss, a unique form of grief that stems from unacknowledged experiences. Christina opens up about her personal grief journey, introduces the Life Reentry Process, and shares insights from her book, 'Invisible Loss.' We also explore how early childhood experiences shape adult decision-making, the transformative power of authenticity, and Christina's venture into using art for healing. Christina discusses her creation of a digital library of invisible losses and reflects on the significance of Andrew Wyeth's painting 'Christina's World.' Join us for actionable tips and profound reflections on navigating and reclaiming life after hidden struggles. Links: Books - https://www.amazon.com/stores/Christina-Rasmussen/author/B0057K44UU https://lifereentry.com/ https://www.invisiblelosses.com/ https://springshow.academyart.edu/schools/fine-art/students/christina-rasmussen/  Chapters: 00:00 Introduction to Invisible Loss  00:45 Meet Christina Rasmussen 01:17 Christina's Personal Journey with Grief 03:30 Early Life and Education 08:13 Navigating Life After Loss 11:08 The Birth of Life Reentry Process 32:12 Invisible Loss Defined 43:39 Starting the Program and Writing Invisible Loss 44:01 Challenges of Writing About Invisible Loss 44:24 The Concept of Invisible Loss 46:48 Men and Invisible Loss 47:59 The Importance of Self-Expression 49:01 The Role of Therapy and Support Groups 52:38 Time Dilation and Seeking Help 53:32 Ambitious Work and Personal Transformation 56:33 Balancing Art and Professional Life 01:03:00 The Journey of Writing and Sharing Vulnerable Moments 01:13:34 The Impact of Panic Attacks and Authenticity 01:19:46 Conclusion and Final Thoughts

Navigating Intense Anxiety and Career Changes Hello, friends! In today's episode, we tackle two profound listener questions that may resonate with many of you: Managing Severe Anxiety: A listener is struggling with intense daily anxiety and dissociation, impacting their ability to function in daily tasks like going to work or shopping. We discuss immediate tips, potential medical checks, and therapy approaches to manage anxiety effectively. Considering a Career Shift: Another listener is contemplating a career change from music education to educational psychology. They seek advice on the feasibility, job prospects, and resources to pursue this new career path. As always, you can send me questions to duffthepsych@gmail.com and find the full show notes for this episode at http://duffthepsych.com/episode407 00:00 Introduction to Anxiety 00:17 Episode Overview and Listener Questions 00:56 Engaging with the Community 01:45 Addressing Severe Anxiety 05:15 Exploring Medical and Therapeutic Options 11:24 Understanding Anxiety and Fear 20:43 Career Change Considerations 28:10 Conclusion and Farewell This episode is brought to you by BetterHelp. Head over to http://betterhelp.com/duff for 10% off your first month. Links mentioned: http://duffthepsych.com/episode195 http://duffthepsych.com/episode395 http://duffthepsych.com/findatherapist http://kickanxietycourse.com http://facebook.com/groups/hardcoreselfhelp https://www.amazon.com/Hardcore-Self-Help-Robert-Ph-D/dp/1514866005

In this episode, I sit down with Dr. Patrick McGrath, Chief Clinical Officer at NOCD and a leading expert in OCD treatment. We dive deep into understanding OCD, debunking common misconceptions, and exploring the most effective treatment approaches. Dr. McGrath shares practical advice for managing OCD and introduces an amazing new tool that's helping people across the country manage OCD from the comfort of their own homes. Whether you're personally affected by OCD, know someone who is, or just want to learn more about mental health, this episode is packed with valuable insights and actionable tips. Key Takeaways: Misconceptions About OCD: Discover what OCD really is and debunk common myths. Understand the difference between media portrayals and reality. Effective Treatment Approaches: Learn about Exposure and Response Prevention (ERP) therapy. Find out what works and what doesn't in OCD treatment. Explore Dr. McGrath's innovative approach to virtual ERP therapy. Practical Advice for Managing OCD: Get strategies for handling intrusive thoughts and compulsions. Tips for avoiding reassurance-seeking, distraction, and substance use. Introducing NOCD: Learn about NOCD, an online platform offering accessible OCD therapy. Understand how NOCD works and its benefits for people across the country. Find out how NOCD is making treatment more affordable and effective. Personal Insights: Hear Dr. McGrath's personal journey with anxiety and how it shaped his career. Gain inspiration from his transformation from a bullied child to a leading mental health expert. Be sure to check out NOCD at http://treatmyocd.com and send me a question or topic for a future episode of the show at http://duffthepsych.com/contact 

Does Joe Biden Have Dementia? A Neuropsychologist's Perspective   In this episode, I discuss the current political climate in the United States and my concerns as a neuropsychologist regarding the cognitive abilities of President Joe Biden. I explain the difference between normal aging, mild cognitive impairment, and dementia, and provide analysis of Biden's speech abilities from various clips over the years. While I emphasize that it's challenging to diagnose cognitive decline without comprehensive testing, I provide insights into what a professional evaluation would entail and discuss why it's critical to consider cognitive health for a role as demanding as the presidency.   This episode is brought to you by BetterHelp. Visit http://betterhelp.com/duff for 10% off your first month of online therapy.   As always, you can send me questions or topic suggestions to duffthepsych@gmail.com and find the full show notes at http://duffthepsych.com 

Evaluating Joe Biden's Cognitive Health: A Neuropsychologist's Perspective   In this episode, I discuss the current political climate in the United States and my concerns as a neuropsychologist regarding the cognitive abilities of President Joe Biden. I explain the difference between normal aging, mild cognitive impairment, and dementia, and provide analysis of Biden's speech abilities from various clips over the years. While I emphasize that it's challenging to diagnose cognitive decline without comprehensive testing, I provide insights into what a professional evaluation would entail and discuss why it's critical to consider cognitive health for a role as demanding as the presidency.   This episode is brought to you by BetterHelp. Visit http://betterhelp.com/duff for 10% off your first month of online therapy.

Hello, friends! In today's episode, we delve into the transformative potential of ketamine therapy for mental health with Dr. Chantalle Thomas, a leading expert in ketamine-assisted psychotherapy. Dr. Thomas discusses the complexities of ketamine as a treatment, its various administration routes, and the profound changes it can facilitate when integrated with therapy. We also explore the importance of therapeutic integration in maximizing the benefits of ketamine, the ethical considerations in psychedelic medicine, and navigating the current regulatory landscape. Additionally, Dr. Thomas shares her personal journey into mental health and psychedelics, and the importance of authenticity and attachment theory in therapy. As always, you can send me questions to duffthepsych@gmail.com and find the full show notes for this episode at http://duffthepsych.com/episode404 Links: https://windroserecovery.com/podcast/therapy-unblinded-inside-mdma-research/ https://www.fluencetraining.com/ https://maps.org/  

Hello, friends! In today's episode, we tackle two profound listener questions that may resonate with many of you: How Do You Feel About Antidepressants and Anti-Anxiety Medications? A listener asks about the use of antidepressants and anti-anxiety medications, expressing concerns about addiction and the potential difficulty of getting off these meds. Dr. Duff shares his positive personal experience with Lexapro, explaining the various classes of medications, including SSRIs, SNRIs, and benzodiazepines. He emphasizes the importance of evaluating both the benefits and potential side effects of these medications, as well as considering the cost of not using them. Dr. Duff also addresses misconceptions about feeling disconnected from reality due to medication and discusses the concept of psychological and physiological dependence. Dealing with a Hurtful Partner: Another listener seeks advice on how to help their partner understand the impact of their hurtful behavior, which includes yelling and mocking. Dr. Duff offers empathetic support, acknowledging the listener's heartbreak. He outlines the importance of healthy conflict resolution, setting personal boundaries, and recognizing signs of potential abuse. Dr. Duff encourages open communication and suggests resources for improving relationship dynamics, while also addressing the need for safety and support when dealing with ongoing hurtful behavior. As always, you can send me questions to duffthepsych@gmail.com and find the full show notes for this episode at http://duffthepsych.com/episode403

Guest: Jenn Harris, Award-Winning Director, Writer, Actor, and Producer Host: Dr. Robert Duff Episode Description: In this episode, Dr. Robert Duff welcomes the incredibly talented Jenn Harris to the show. Jenn Harris is an award-winning director, writer, actor, and producer known for her diverse and impactful work in film and theater. Jenn discusses her latest short film, "She's Clean," which delves into the nuances of intimacy and sexual autonomy in middle age. The conversation explores Jenn's creative journey, the inspiration behind her work, and her thoughts on intimacy, confidence, and aging. Key Topics Discussed: Introduction to Jenn Harris: An overview of Jenn's career and achievements, including her work in the Oscar-winning film "American Fiction" and her latest short film "She's Clean." Jenn's Creative Journey: How Jenn transitioned from wanting to be a doctor to finding her passion in the entertainment industry, and her experiences in theater and film. The Concept of "She's Clean": Jenn explains the inspiration behind her short film and its unique setting in a bathroom, exploring themes of intimacy and sexual freedom. Intimacy and Confidence: A deep dive into how Jenn views intimacy in various relationships, the role of confidence in her work and personal life, and how she has aged into confidence over the years. Filmmaking Challenges: Jenn shares the visual and technical challenges she faced while making "She's Clean" and how she approached these creatively. The Role of Intimacy Coordinators: Jenn discusses the importance of having intimacy coordinators on set and how they help create a safe and comfortable environment for actors. Personal Insights: Jenn reflects on her own experiences with intimacy, relationships, and personal growth, sharing anecdotes and lessons learned along the way. Episode Highlights: Jenn's perspective on the comedic and serious elements of intimacy in filmmaking. The significance of choosing a bathroom as the primary setting for "She's Clean." Insights into Jenn's collaborative process with her team, including the role of her editor and intimacy coordinator. The impact of societal expectations on personal choices and relationships, particularly in the context of non-monogamy and traditional norms. Jenn's advice on navigating creative projects and maintaining authenticity in one's work. Quotes: "Intimacy is something that's always been comfortable for me, and I think it's a huge part of human behavior that we should observe and understand." "There isn't room for doubt. It will not serve the day. It will not serve the script. It will not serve the scene." "It's really nice when people don't take advantage of my openness in a way." Resources Mentioned: Film: "She's Clean" - Available for streaming on Vimeo. Social Media: Follow Jenn Harris on Instagram @RealJenHarris and @ShesCleanTheFilm. Sponsor: Today's episode is brought to you by BetterHelp. Reflect on your progress and set achievable goals with the help of a licensed therapist. Visit betterhelp.com/duff for 10% off your first month. Connect with Dr. Duff: Website: www.duffthepsych.com Instagram: @duffthepsych

In this episdoe, I sit down with Jennie Ketcham-Crooks, a licensed therapist, anxiety specialist, and author of the upcoming book "Look Up: The 30-Day Path to Digital Minimalism and Real Life Maximalism." Jennie shares her compelling journey from an adult film performer to a transformative therapist, opening up about the pivotal moments that shaped her path. They delve deep into the challenges of reducing digital overconsumption, discussing practical, evidence-based strategies from Jennie's book that can help you realign your life with your values and build meaningful real-world connections. Discover how to take on a 30-day challenge designed to shift your smartphone use from unintentional to intentional, making every minute count towards your personal fulfillment. Robert and Jennie also explore the importance of maintaining human connections in the digital age, the potential impacts of overusing smartphones, and how to cultivate a balanced, intentional relationship with technology. Don't miss Jennie's unique insights on parenting, mental health, and the value of vulnerability and intimacy. Tune in for an episode packed with valuable advice, heartfelt stories, and actionable tips to help you navigate the digital world mindfully. Whether you're looking to cut down on screen time, connect more deeply with those around you, or simply hear an inspiring story of transformation, this interview has something for you. Be sure to check out Jennie on intagram and at her website to stay tuned for updates on her new book! This episode is brought to you by OneSkin for wonderfully light mineral sunscreen oil that also works to heal your skin at the cellular level. Get 15% off your first purchase over at http://oneskin.co with the code "DUFF".  

Hello, everyone! Thank you SO much for joining me for episode 400. I can't believe it's been 400 episodes already. Blows my mind. In this episode, I have a (creepy) mystery question that I share, and I also go through some rapid fire questions from the Hardcore Self Help Facebook group. A special shout out to everyone who has been with me from the start. Here is to the next 100 episodes!  As always, you can send me questions to duffthepsych@gmail.com and find the full transcript at http://duffthepsych.com/episode400 ---   Feeling proud of yourself for 2024 so far? Take time to celebrate your wins and make adjustments. Therapy is a great tool for setting goals, and BetterHelp offers convenient, online sessions to fit your schedule. Just fill out a brief questionnaire to get matched with a licensed therapist and switch anytime at no extra cost. Visit betterhelp.com/duff for 10% off your first month.

Hello, friends! In today's episode, we tackle two profound listener questions that may resonate with many of you: Navigating Dating with a Stutter: A 38-year-old listener shares their struggles with stuttering, particularly how it impacts their dating life. They often need months to work up the courage to ask someone out and lose confidence if they stutter while doing so. We explore the nature of stuttering, its psychological impacts, and offer practical advice on managing anxiety, building self-confidence, and embracing one's uniqueness in social contexts.  Overcoming Self-Harm Scars and Building Confidence: Another listener, who self-harmed from ages 12 to 15, describes the ongoing shame they feel about their visible scars, which has affected their dating life and social activities. They seek advice on how to overcome this fear and become more open about their past. We discuss strategies for self-acceptance, the importance of vulnerability, and ways to reframe scars as symbols of resilience and survival. As always, you can send me questions to duffthepsych@gmail.com and find the full show notes for this episode at http://duffthepsych.com/episode399 ---- I've been pretty open with you guys about my health journey and my goal to reduce blood pressure. That's why I'm excited about Magic Mind, a mental performance shot that includes L-theanine to help you stay energized all day without the crash from caffeine. You can get 48% off your first subscription or 20% off a one-time purchase with the code DUFF at magicmind.com/duff.  

Hello, friends! In today's episode, we tackle three insightful listener questions that many of you might relate to: Choosing Not to Have Biological Children Due to Mental Illness: A listener shares their decision to not have biological children to avoid passing on their mental health struggles. They feel confident in this choice but encounter surprise and judgment from others. We discuss the validity of their decision, the heritability of mental health conditions, and the importance of respecting personal choices. Navigating Barriers to Inpatient Mental Health Treatment: Another listener is considering inpatient treatment but faces significant logistical and financial barriers. We explore the challenges of dealing with insurance, paperwork, and managing life responsibilities during treatment. Suggestions for alternative treatment options like intensive outpatient programs (IOP) and partial-hospitalization programs (PHP) are also discussed. Addressing Mismatched Sex Drives in a Relationship: A listener in a relationship with differing sex drives seeks advice on how to encourage their partner to address potential low testosterone or other medical issues affecting their libido. We delve into the complexities of communication about sexual needs, potential underlying relationship issues, and strategies for fostering open dialogue and seeking professional help. As always, you can send me questions to duffthepsych@gmail.com and find the full show notes for this episode at http://duffthepsych.com/episode398. ---- OneSkin This episode is brought to you by OneSkin. Their products, formulated with the OS1 peptide, target skin aging at the cellular level, helping to strengthen the skin barrier and reduce signs of aging. Get 15% off with code DUFF at oneskin.co. BetterHelp This episode is brought to you by BetterHelp. Therapy can help you manage stress and improve mental health. Get started with BetterHelp, an online platform suited to your schedule. Visit betterhelp.com/duff for 10% off your first month.

Hello, friends! In today's episode, we dive deep into a listener's question about finding the right therapy for a variety of complex mental health issues. This 29-year-old woman is struggling with childhood trauma, mental health challenges such as anxiety and depression, and relationship issues. She is also seeking guidance on possible autism/ADHD symptoms and needs help navigating the overwhelming array of therapy options available. We explore the IPA framework (Immediacy, Problem, Approach) to help her and others identify the most suitable types of therapy. Additionally, we discuss the different types of therapists and their qualifications, the importance of cultural competency, and practical tips for finding a good therapist using various resources. This episode is a comprehensive guide for anyone looking to start their therapy journey. As always, you can send me questions to duffthepsych@gmail.com and find the full show notes for this episode at http://duffthepsych.com/episode397 Support for today's episode comes from OneSkin. I'm really excited to share OneSkin's products with you because I've seen great results myself. Their topical supplements are scientifically proven and free from over 1,500 chemicals and preservatives that can cause irritation, making them perfect for sensitive skin. Just cleanse, pat your skin dry, and apply their OS-1 Face, Eye, Body, or Shield products twice daily. They fit easily into your current skincare routine. Founded by an all-woman team of scientists, OneSkin's products target cellular senescence, a key hallmark of aging. Their OS-01 peptide has been shown to reverse skin's biological age by reducing senescent cells by up to 50%. For a limited time, you can try OneSkin for 15% off using the code DUFF at oneskin.co. 

Hello, friends!   In today's episode, we tackle a profound listener question that may resonate with many of you. A listener who survived a suicide attempt at 13 is considering reaching out to the pediatric psychiatrist who assessed them during their hospitalization. They feel that the presence of medical students during their assessment was inappropriate and impacted their honesty. They're seeking guidance on how to provide feedback and advocate for their younger self.   As always, you can send me questions to duffthepsych@gmail.com and find the full show notes for this episode at http://duffthepsych.com/episode396   Links:   https://www.nami.org/advocacy/   https://www.patientadvocate.org/   ---   Ready to release your stressors and find a safe space to talk? Try BetterHelp, an entirely online therapy platform that fits your schedule. Fill out a brief questionnaire to get matched with a licensed therapist, and switch therapists anytime for no extra charge. Get 10% off your first month at http://betterhelp.com/duff  

Hello, friends!   In today's episode, we tackle a profound listener question that may resonate with many of you.   A listener struggling with agoraphobia seeks guidance on overcoming their anxiety and finding motivation to pursue exposure exercises. They've been working with a therapist and taking anxiety medication but feel stuck. We explore the complexities of agoraphobia, the importance of prolonged exposure, and strategies for building motivation and support.   As always, you can send me questions to duffthepsych@gmail.com and find the full show notes for this episode at http://duffthepsych.com/episode395 ---   Nourish Your Skin with OneSkin: Combat dry, aging skin with OneSkin's peptide-powered products, including their moisturizing body lotion and the innovative OS-01 SHIELD SPF. Address skin issues at their root with a 15% discount using code DUFF at oneskin.co.    

Hello, friends!   In today's episode, we tackle two thought-provoking listener questions that may resonate with many of you:   Cymbalta Conundrum: A listener shares their experience with Cymbalta, a medication prescribed for panic disorder. They noticed feeling amazing on days they forgot to take the medication, leading them to wonder if they truly needed it. We explore the concept of conditioned compensatory response, the effects of medication on the body, and the importance of gradual tapering.   ADHD Focus Struggles: Another listener struggles with focus and motivation despite trying various medications and strategies. We discuss the complexities of ADHD, the importance of environmental adjustments, and techniques like mindfulness, Pomodoro intervals, and accountability to improve focus and productivity.   As always, you can send me questions to duffthepsych@gmail.com and find the full show notes for this episode at http://duffthepsych.com/episode394   ---   Take care of your social battery with BetterHelp! Their online therapy platform offers flexible scheduling and matching with licensed therapists. Get 10% off your first month with the code "duff" at http://betterhelp.com/duff  

Hello friends! In today's episode, we explore the deep and complex emotions involved in expressing love within romantic relationships and the challenging path to recovery following a severe traumatic brain injury. We kick off with a question about the appropriate timing for saying “I love you” in a romantic context, especially considering cultural differences and personal challenges such as being on the autism spectrum. Our listener's journey brings forward the importance of understanding personal feelings and the unique dynamics of each relationship. We then shift to an inspiring yet poignant story of miraculous recovery and the persistence of hope. Another listener shares the journey of their mother's recovery from a severe traumatic brain injury resulting from a car accident. While her recovery has been astonishing, they grapple with the lingering issue of facial numbness. This story highlights the incredible resilience of the human body and spirit, the complexities of the brain's healing process, and the necessity of advocating for comprehensive care that addresses all facets of recovery. As we navigate these profound topics, remember, whether it's about expressing love or facing the aftermath of a traumatic event, the journey is deeply personal and filled with opportunities for growth and understanding. As always, you can send your questions to duffthepsych@gmail.com and find the full show notes for this episode at http://duffthepsych.com/episode393 --- Are you trying to find the perfect balance between social activity and recharging your batteries? Therapy can help! Try it out with BetterHelp at http://betterhelp.com/duff for 10% off your first month.

Hello friends! In today's thoughtful episode, we tackle two profound listener questions that may resonate with many of you: Contemplating Harm OCD and Supporting a Friend: A listener shares their concerns about how to best support a friend struggling with harm OCD. They've noticed their attempts to help by offering reassurance or checking things for their friend might actually be counterproductive. We dive into the nature of OCD, the impact of well-meaning actions, and how to genuinely support someone without reinforcing their compulsive behavior. Finding Balance Amidst Life's Transitions: Another listener talks about the challenges of transitioning to a full-time job and living with their partner after college. They've found themselves clinging to rigid routines that have begun to control their life, seeking advice on how to break free from these patterns without losing their sense of stability. We explore the importance of flexibility, communication, and self-awareness in navigating these significant life changes. As always, you can send me questions to duffthepsych@gmail.com and find the full show notes for this episode at http://duffthepsych.com/episode392 ---- Are you trying to find the perfect balance between social activity and recharging your batteries? Therapy can help! Try it out with BetterHelp at http://betterhelp.com/duff for 10% off your first month.

Hello friends! In today's episode, we tackle two interesting questions that delve into the heart of mental and emotional challenges many of us face. First, we explore the complex world of panic disorder through the eyes of a 24-year-old graduate student grappling with severe panic attacks. Their story illuminates the physical and psychological intensity of panic disorder, revealing how it transcends mere stress or anxiety to significantly disrupt daily life. We dissect the cycle of fear and avoidance intrinsic to panic disorder and discuss the critical importance of specialized care and therapy in navigating this condition. Next, we turn our attention to the challenges faced by caregivers of individuals with dementia resulting from traumatic brain injuries (TBI). One listener shares the struggle of balancing caregiving with personal self-care, seeking resources and support to manage this demanding role. We offer guidance on finding online and in-person resources, emphasize the importance of self-care for caregivers, and encourage seeking professional help to ensure both the caregiver's and the loved one's needs are met. As always, you can send your questions to duffthepsych@gmail.com and find the full show notes for this episode at http://duffthepsych.com/episode391. --- Exploring what truly matters to you can be transformative, and therapy can help. BetterHelp provides convenient, online therapy to fit your life. Start with a questionnaire, match with a licensed therapist, and switch anytime. Focus on what makes you happy with BetterHelp. Get 10% off your first month at betterhelp.com/duff.

Hello friends! In today's episode, we tackle two profound listener questions that may resonate with many of you: Dealing with Hurtful Family Comments: A listener is troubled by their mother's deeply hurtful comment, suggesting they have been a source of stress since birth. We explore the emotional impact of such comments, consider the role of health issues in behavior, and discuss strategies for coping and moving forward. Navigating Identity and Therapy: Another listener, a closeted trans man, shares their experience of coming out to their therapist and the mixed responses received. We delve into the importance of understanding and navigating gender identity within therapy, especially in conservative environments, and ponder whether seeking a gender specialist, in addition to their current therapist, might be beneficial. As always, you can send me questions to duffthepsych@gmail.com and find the full show notes for this episode at http://duffthepsych.com/episode390 ---- This episode is sponsored by Babbel, the language learning app that's as close as you can get to immersion from your own home. Designed for real-life conversations, Babbel is backed by science and makes learning new languages practical and enjoyable. I've even used my Spanish skills from Babbel in a real client meeting! Get started with Babbel and enjoy 55% off your subscription by visiting babble.com/duff. Conditions apply. Exploring what truly matters to you can be transformative, and therapy can help. BetterHelp provides convenient, online therapy to fit your life. Start with a questionnaire, match with a licensed therapist, and switch anytime. Focus on what makes you happy with BetterHelp. Get 10% off your first month at betterhelp.com/duff.