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What Fresh Hell: Laughing in the Face of Motherhood | Parenting Tips From Funny Moms
Margaret talks with clinical psychologist Dr. Meredith Elkins, author of the new book PARENTING ANXIETY, about how anxiety really works—and how parents can stop unintentionally reinforcing it in themselves and their kids. Dr. Elkins, a faculty member at Harvard Medical School and director of the McLean Anxiety Mastery Program, shares insights from her new book Parenting Anxiety: Breaking the Cycle of Worry and Raising Resilient Kids. Together, they unpack why anxiety isn't something to eliminate, how avoidance makes fear stronger, and why modern “intensive parenting” may be increasing anxiety for both parents and children. You'll learn the three key markers that distinguish normal anxiety from an anxiety disorder (interference, distress, and duration), why psychological flexibility is one of the most important skills we can teach kids, and how cognitive behavioral therapy—especially exposure—helps people face fear instead of shrinking from it. This conversation offers practical, compassionate tools for parents who want to support anxious kids without over-accommodating, and for anyone who wants to change their relationship with anxiety itself. Here's where you can find Dr. Elkins: https://www.meredithelkinsphd.com/ @drmeredithelkins on IG and FB LinkedIn Buy PARENTING ANXIETY: https://bookshop.org/a/12099/9780593798812 What Fresh Hell is co-hosted by Amy Wilson and Margaret Ables. We love the sponsors that make this show possible! You can always find all the special deals and codes for all our current sponsors on our website: https://www.whatfreshhellpodcast.com/p/promo-codes/ What Fresh Hell podcast, mom friends, funny moms, parenting advice, parenting experts, parenting tips, mothers, families, parenting skills, parenting strategies, parenting styles, busy moms, self-help for moms, manage kid's behavior, teenager, tween, child development, family activities, family fun, parent child relationship, decluttering, kid-friendly, invisible workload, default parent, parenting anxiety, child anxiety, anxiety in children, anxiety disorders, psychological flexibility, cognitive behavioral therapy, CBT for anxiety, exposure therapy, intensive parenting, mental health for parents, anxiety coping skills, raising resilient kids, parenting mental health, postpartum anxiety, intrusive thoughts, anxiety management, Harvard psychologist, Meredith Elkins, anxiety treatment, family mental health Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this episode, Drew and Josh discuss the world of anxiety cures and the "miracle" solutions often marketed to those struggling with panic, OCD, and health anxiety. They share personal stories of the various methods they tried during their own recoveries and explain why many popular trends fail to provide long-term relief.The Magnetism of the Miracle Cure: Why we are drawn to supplements like magnesium or specialized "breathing devices" when we are desperate to feel better.Control vs. Acceptance: How many anxiety cures are actually just hidden control strategies that prevent true psychological flexibility.The Reality of "Natural" Supplements: A look at the laxative effects of magnesium and the empty promises of "science-based" miracle powders.The "Secret" Rituals: Why techniques like EFT tapping or specialized humming might feel helpful in the moment but often reinforce the idea that anxiety is a danger to be managed.The Risks of "Gurus" and Online Cults: How to identify predatory marketing and why a "lived experience" qualification does not replace professional, evidence-based training.The guys break down why the search for an external fix often leads to more discouragement. They discuss how true recovery is found in learning to tolerate and be with difficult internal experiences rather than trying to engineer them away with bracelets, essential oils, or "secret" techniques.If a solution is marketed as a "miracle" or "what nobody tells you," be cautious.Recovery is an internal process of building distress tolerance, not an external process of finding the right product.Support people are there to cheer you on through the fear, not to keep you "safe" from a feeling.About Disordered: Drew Linsalata and Joshua Fletcher are therapists and authors who have both recovered from severe anxiety disorders. They use evidence-based principles from ACT, CBT, and mindfulness to help you navigate your recovery journey without the empty promises of "magic" cures.---The Disordered Guide to Health Anxiety is now available. If you're struggling with health anxiety, this book is for you.---Want a way to ask questions about this episode or interact with other Disordered listeners? The Disordered app is nearing release! Visit our home page and get on our mailing list for more information..---Struggling with worry and rumination that you feel you can't stop or control? Check out Worry and Rumination Explained, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolvable problems.
We tend to label events and situations as ‘Good' or ‘Bad.' But what does that really mean?When we get caught up in labels, it can affect our feelings, which can result in catastrophic thinking.How can you use CBT tools to reframe life events and situations in a more balanced way?Join me, Dr Julie, as we talk about existential dread, catastrophic thinking, and finding perspective.Click to listen now! Visit us on Instagram at MyCBTPodcast Or on Facebook at Dr Julie Osborn Subscribe to the podcast at Apple Podcasts Email us at mycbtpodcast@gmail.com Find some fun CBT tools at https://www.mycbt.store/ Thanks for listening to My CBT Podcast!
Support the podcast through Buy Me a Coffee! https://buymeacoffee.com/drlizbonet There are so many unknowns and confusing information about Fibromyalgia. Just getting the diagnosis is difficult. But once you have it, then what do you do? Tami Stackelhouse joins us to discuss how to navigate it and build a better life with a specialized health coach. Tami was diagnosed with Fibromyalgia in 2007. She's spent the last 16 years helping people reduce their fibromyalgia symptoms and, in many cases, reach remission. She is the author of "Take Back your Life" and "The Fibromyalgia Coach." She is a certified Fibromyalgia Health Coach and hosts the Fibromyalgia Podcast. In addition, she is the executive producer of INVISIBLE, a documentary about Fibromyalgia. See more about her at https://tamistackelhouse.com/ -------------- Support the Podcast & Help yourself with Hypnosis Downloads by Dr. Liz! http://bit.ly/HypnosisMP3Downloads Do you have Chronic Insomnia? Find out more about Dr. Liz's Better Sleep Program at https://bit.ly/sleepbetterfeelbetter Search episodes at the Podcast Page http://bit.ly/HM-podcast --------- About Dr. Liz Interested in hypnosis with Dr. Liz? Schedule your free consultation at https://www.drlizhypnosis.com Winner of numerous awards including Top 100 Moms in Business, Dr. Liz provides psychotherapy, hypnotherapy, and hypnosis to people wanting a fast, easy way to transform all around the world. She has a PhD in Clinical Psychology, is a Licensed Mental Health Counselor (LMHC) and has special certification in Hypnosis and Hypnotherapy. Specialty areas include Anxiety, Insomnia, and Deeper Emotional Healing. A problem shared is a problem halved. In person and online hypnosis and CBT for healing and transformation. Listened to in over 140 countries, Hypnotize Me is the podcast about hypnosis, transformation, and healing. Certified hypnotherapist and Licensed Mental Health Counselor, Dr. Liz Bonet, discusses hypnosis and interviews professionals doing transformational work. Thank you for tuning in!
Fall asleep with this guided sleep meditation for safety and soothed nerves, designed to help you find a deep sense of belonging within. If you struggle with anxiety or feeling like an outsider, tonight's journey on Michelle's Sanctuary will help you regulate your nervous system and find your "inner home." It's time to dream away. Original Script, Narration, Sleep Music, Sound Design, and Production by Michelle Hotaling Dreamaway Visions LLC 2026 All Rights Reserved✨ Find inner peace & healing with guided meditations. ✨Subscribe for NEW meditations regularly: ► https://www.youtube.com/channel/UCKp9S0rMUS1hrKTCV68Lk2wMichelle's Meditation Sanctuary offers FREE, calming guided meditations led by a soothing female voice.What to expect:
This week, Vee and Elle chat with Mistress Chi, a tantric dominatrix and erotic facilitator who blends sacred sexuality with BDSM and ritual. They explore discovering your inner switch, blending tantra and kink, and how power exchange can become a portal for emotional and erotic transformation. From impact play to pussy-led creativity, this episode is full of insights for anyone curious about kink, tantra, and embodiment.Discover your inner switch: how Mistress Chi tapped in to both sides of herself. (00:00)What is tantra? (06:30)Why is the word sacred so overused? Just say COCK and PUSSY! (07:23)Blending tantra and kink: how do they intersect? (12:32)Transformational Scene: "being a dominatrix is an empathic career." (15:46)Madame O's Showroom: Erika Lust porn is realistic and hot. (20:49)Timid Boys: why Mistress Chi likes them, and why involuntary responses are hot. (25:23)Mistress Chi's First Dominatrix Scene: pushing our own edges, and exploring CBT (cock and ball torture) for the first time. (29:02)Pussy Impact Play: escalating from soft sensation play to using a riding crop on the clit. (34:13)Nipple Impact Play: how nipple sensitivity changes throughout pregnancy and menstrual cycles. (38:42)Write From the Pussy: using your pussy for creative energy. (42:56)Impact Play for Getting Out of Your Head Into Your Body: flogging and spanking. (47:08)Fisting: what the inside of an asshole actually feels like. (49:35)____________________________
Dr. Riz Ahmad could have been diagnosed with social anxiety, autism spectrum, and depression as a teenager. Instead, he became one of the most talented psychologists I've ever worked with.In this episode, Riz shares his journey from fear-driven perfectionist—completely fused with his mind and disconnected from his body—to an eight-week stay at a Zen Buddhist monastery that changed everything. What happened when his mind finally went quiet? And what does his story reveal about the dangers of how we label and treat human suffering today?A radically genuine conversation about ego, consciousness, and what mainstream psychology is missing. Visit Center for Integrated Behavioral HealthDr. Roger McFillin / Radically Genuine WebsiteYouTube @RadicallyGenuineDr. Roger McFillin (@DrMcFillin) / XSubstack | Radically Genuine | Dr. Roger McFillinInstagram @radicallygenuineContact Radically GenuineConscious Clinician CollectivePLEASE SUPPORT OUR PARTNERS15% Off Pure Spectrum CBD (Code: RadicallyGenuine)10% off Lovetuner click here
In this episode, Dr. Julian Barling and Dr. Simon Rego speak with host Jen Knox Shanahan about how cognitive behavioral therapy (CBT) can support effective leadership by helping leaders manage stress, reframe unhelpful thinking patterns, and improve decision-making. The conversation highlights the role of leadership mindset, mental health, and values-based leadership in sustaining performance and […]
From Borderline to Beautiful: Hope & Help for BPD with Rose Skeeters, MA, LPC, PN2
In this episode of "From Borderline to Beautiful," host Rose Skeeters shares a compelling story illustrating the importance of practice and preparation in managing stress and emotions. Rose encourages listeners to reflect on their own approaches to therapy and recovery. She stresses the importance of daily practice, routine, and self-care in building resilience against emotional challenges. By committing to small, consistent actions, individuals can better prepare themselves for moments of stress and emotional upheaval. The episode concludes with a call to action for listeners to engage in their recovery work daily, fostering a deeper understanding of their emotions and enhancing their ability to cope with life's challenges.Keywordsemotional regulation, therapy, DBT, CBT, self-care, recovery, practice skills, mental health, resilience, personal growthNeed individual support? Schedule a session with Rose here: https://www.thriveonlinecounseling.com/product/individual-sessions/To schedule with Jay, click here: https://www.thriveonlinecounseling.com/product/22608/Gift cards now available for purchase here: https://www.thriveonlinecounseling.com/product/gift-card/**This episode is colloquial not clinical, using personal anecdotes to support conveying information in an informal, relatable way**
[Rerun] Dr. Kirk and Paulette talk about hair pulling disorder. December 21, 2015This episode is sponsored by BetterHelp. Give online therapy a try at betterhelp.com/KIRK to get 10% off your first month.00:00 Intro01:45 Trichotillomania & BFRB16:08 What causes BFRB18:01 Forms of treatment21:18 Medications & side effects23:53 Taking in those we love26:01 CBT in a nutshell Become a member: https://www.youtube.com/channel/UCOUZWV1DRtHtpP2H48S7iiw/joinBecome a patron: https://www.patreon.com/PsychologyInSeattleEmail: https://www.psychologyinseattle.com/contactWebsite: https://www.psychologyinseattle.comMerch: https://psychologyinseattle-shop.fourthwall.com/Instagram: https://www.instagram.com/psychologyinseattle/Facebook Official Page: https://www.facebook.com/PsychologyInSeattle/TikTok: https://www.tiktok.com/@kirk.hondaThe Psychology In Seattle Podcast ®Trigger Warning: This episode may include topics such as assault, trauma, and discrimination. If necessary, listeners are encouraged to refrain from listening and care for their safety and well-being.Disclaimer: The content provided is for educational, informational, and entertainment purposes only. Nothing here constitutes personal or professional consultation, therapy, diagnosis, or creates a counselor-client relationship. Topics discussed may generate differing points of view. If you participate (by being a guest, submitting a question, or commenting) you must do so with the knowledge that we cannot control reactions or responses from others, which may not agree with you or feel unfair. Your participation on this site is at your own risk, accepting full responsibility for any liability or harm that may result. Anything you write here may be used for discussion or endorsement of the podcast. Opinions and views expressed by the host and guest hosts are personal views. Although, we take precautions and fact check, they should not be considered facts and the opinions may change. Opinions posted by participants (such as comments) are not those of the hosts. Readers should not rely on any information found here and should perform due diligence before taking any action. For a more extensive description of factors for you to consider, please see www.psychologyinseattle.com(By The Daily Telegraph. Copyright holders of the image of Madeleine at three are Kate and Gerry McCann. The age-progressed image was commissioned by Scotland Yard from forensic artist Teri Blythe for release to the public. Both images have been widely disseminated by the copyright holders, and have been the subject of significant commentary., Fair use, https://en.wikipedia.org/w/index.php?curid=39861556)
In today's episode, Trisha and I answer three powerful listener questions that so many women quietly struggle with. We talk about family estrangement — what's really happening when an adult child cuts off communication, the deep hurt and confusion it causes on all sides, and whether these breakdowns can be prevented or gently repaired. We also dive into long-term social anxiety. One listener shares her experience of living with anxiety since her teens, how bullying shaped her fear of speaking up, and the toll it's taking on a job she genuinely loves. We explore why “just pushing yourself” often makes things worse, what's happening in the nervous system, and what can actually help when anxiety feels overwhelming and ingrained. Finally, we look at people-pleasing and over-performing in conversations — the urge to say the right thing, be liked, keep the peace, and carry the emotional load — and why these patterns are so hard to break, even when you're aware of them. As always, Trisha McHale brings a compassionate, practical psychotherapist lens to each question, helping you understand what's really going on beneath the surface — and where real change starts. If you've ever felt stuck in patterns that feel exhausting, confusing, or out of your control, click play and let's dive in. To apply for membership to Jessica's Thrive Academy go to www.jessicacooke.ie/apply To contact Trisha for more information on Therapy and Counselling services: galway@mindandbodyworks.com 091 725 750 About Trisha MacHale: Trisha is a Psychotherapist and Director of Mind & Body Works Counselling and Psychotherapy Centre, based in Galway, with centres in Galway and Dublin. Their team of over 50 Psychotherapists and Psychologists work with adults, couples, adolescents, and children, offering therapies including CBT, EMDR, and Art Therapy. They also run a low-cost counselling service. Click play and let's dive in.
Helping a Loved One with Schizophrenia Treating OCD! My Hands Might Be Contaminated! How To Mend an Angry, Broken Heart The answers to today's questions are brief and were written prior to the show. Listen to the podcast for a more in-depth discussion of each question. Here are the questions for today's podcast. Joel asks: How can we use TEAM CBT to help a patient or loved one struggling with schizophrenia? Jean asks: Since CBT won't work with OCD, should we use exposure or the Hidden Emotion Technique instead? Jim asks: When someone has objectively hurt you, like your partner has had an affair, how do you get over that pain? And here are the answers. Question #1 Dear Dr Burns, I learned from you that the foundational principle of CBT is that our emotions, and ultimately our behaviors, are rooted in thoughts or beliefs. Are there emotional and/or behavioral disorders (perhaps like schizophrenia) that are rooted in abnormal neurobiological brain pathologies, rather than in distorted cognitions or self-defeating beliefs? And if so, is TEAM CBT relevant to helping those suffering from these "psychoses"? With much gratitude, respect, and affection, Joel Question #2 Dear Dr. Burns: I'm curious if you have thoughts about the problem of talking back to the obsessive thoughts in OCD. Thank you, Jean Question #3 Dear Dr. Burns: When someone has objectively hurt you, like your partner has had an affair, how do you get over that pain? I am not having thoughts that I did anything wrong, or there is something the matter with me, I feel sad, hurt and confused and angry. Jim Thanks for listening today! Matt, Rhonda, and David
Ever open your Bible and think, "Where do I even start?" You're not alone — and you don't have to stay stuck. In this week's podcast episode, Barb talks with Ellen Krause, Ashley Armijo, and Taylor Krause, co-authors of The Easy Bible Study Method, about how to approach Scripture with a simple 4-step framework that helps you actually understand what you're reading — and delight in it. If you've been craving a deeper walk with God but feel overwhelmed by Bible study, this conversation is for you. RESOURCES FROM THIS EPISODE Connect with the ladies of Coffee and Bible Time on Instagram Connect with the ladies of Coffee and Bible Time on Facebook The Easy Bible Study Method: A Guide to Understanding, Applying, and Delighting in God's Word Visit the Coffee and Bible Time Website ABOUT OUR SPECIAL GUEST ELLEN KRAUSE, aka Mentor Mama, is cofounder of Coffee and Bible Time with daughters Ashley and Taylor. She hosts the CBT Podcast, which equips people to delight in God's Word and thrive in Christian Living! Ellen has been involved in women's ministry for over 20 years and mentors women worldwide through CBT. Her MA in marketing and her years in corporate America help CBT flourish. In her free time, she enjoys working out, doing mixed media art, sewing, gardening, and cooking. ASHLEY ARMIJO is cofounder of Coffee and Bible Time, a ministry that helps women learn how to delight in God's Word and thrive in Christian living. She is an alumna of the Moody Bible Institute with a Bachelor of Science in Integrated Ministry Studies. It is Ashley's passion to teach women how to study and delight in God's Word whether that is online through Coffee and Bible Time or opening up her home to young women in the community. When Ashley doesn't have her nose in the Bible, she is spending time with her family, painting, and homemaking. TAYLOR KRAUSE holds a bachelor's degree in pre-counseling and has devoted herself to extensive academic and personal study of the Bible. She is passionate about helping women apply biblical principles to their everyday lives, guiding them to grow closer to God through His Word. With a deep commitment to integrating spiritual and mental health, Taylor encourages women to embrace their true selves and feel fully loved. In her free time, she enjoys writing music, playing games with family, and taking time to relax.
Check out Part 2 as we offer some tips and solutions to changing thought patterns. Step into these new behaviors and step out of the cycle! Below is the STOPP method we have shared in a past pod. It's worth resharing and we discuss this again in this session. To support our work:https://www.patreon.com/u33636... To purchase our book: Fueling on Purposehttps://a.co/d/idGo0pp STOPP ! Just pause for a moment TAKE A BREATH Notice your breathing as you breath in and out - use 7/11 breathing technique OBSERVE - What thoughts are going through your mind right now? - Where is your focus of attention? - What are you reacting to? - What sensations do you notice in your body? PULL BACK - PUT IN SOME PERSPECTIVE - What's the bigger picture? - Take the helicopter view. - What is another way of looking at this situation? - What advice would I give a friend? - What would a trusted friend say to me right now? - Is this thought a fact or opinion? - What is a more reasonable explanation? - How important is this? How important will it be in 6 months time? - It will pass. PRACTICE WHAT WORKS - PROCEED - What is the best thing to do right now? - Best for me, for others, for the situation? - What can I do that fits with my values? - Do what will be effective and appropriate. HOW TO USE STOPP - Practice the first two steps often for a few days - many times every day at any time. - Read through the steps often. - Carry written reminders with you (use the printable resources below). - Practice STOPP by running through all the steps several times a day, every day...when you don't need it. - Start to use it for little upsets. - Gradually, you will find that you can use it for more distressing situations. Like any new habit or skill, it will become automatic over time. THE STEPS EXPLAINED STOP! Say it to yourself, in your head, as soon as you notice your mind and/or your body is reacting to a trigger. Stop! helps to put in the space between the stimulus (the trigger, whatever we are reacting to) and our response. The earlier you use STOPP, the easier and more effective it will be. TAKE A BREATH Breathing a little deeper and slower will calm down and reduce the physical reaction of emotion/adrenaline. Focusing on our breathing means we are not so focused on the thoughts and feelings of the distress, so that our minds can start to clear and we can think more logically and rationally. OBSERVE We can notice the thoughts going through our mind, we can notice what we feel in our body, and we can notice the urge to react in an impulsive way. We can notice the vicious cycle of anxiety, sadness or anger. Noticing helps us to defuse from those thoughts and feelings and therefore reduce their power and control. PULL BACK / PUT IN SOME PERSPECTIVE The thought challenging of CBT. Thinking differently. When we step back emotionally from a situation, and start to see the bigger picture, it reduces those distressing beliefs. We can do this by asking ourselves questions. PRACTICE WHAT WORKS / PROCEED This is the behavioral change of CBT. Doing things differently. Rather than reacting impulsively with unhelpful consequences, we can CHOOSE our more helpful and positive response. REFERENCE: Full credit to this technique is owed to Carol Vivyan of http://www.getselfhelp.co.uk/
Episode Notes This week on Live Like the World is Dying, we have another re-run episode. Margaret and Smokey talk about ways to go about mental first aid, how to alter responses to trauma for you self and as a community, different paths to resiliency, and why friendship and community are truly the best medicine. Host Info Margaret can be found on twitter @magpiekilljoy or instagram at @margaretkilljoy. Publisher Info This show is published by Strangers in A Tangled Wilderness. We can be found at www.tangledwilderness.org, or on Twitter @TangledWild and Instagram @Tangled_Wilderness. You can support the show on Patreon at www.patreon.com/strangersinatangledwilderness. Transcript LLWD:Smokey on Mental First Aid Margaret 00:15 Hello and welcome to Live Like the World is Dying, your podcast are what feels like the end times. I'm your host, Margaret killjoy. And, this week or month...or let's just go with 'episode'. This episode is going to be all about mental health and mental health first aid and ways to take care of your mental health and ways to help your community and your friends take care of their mental health, and I think you'll like it. But first, this podcast is a proud member of the Channel Zero network of anarchists podcasts. And here's a jingle from another show on the network. Margaret 01:52 Okay, with me today is Smokey. Smokey, could you introduce yourself with your your name, your pronouns, and I guess a little bit about your background about mental health stuff? Smokey 02:04 Sure, I'm Smokey. I live and work in New York City. My pronouns are 'he' and 'him.' For 23 years, I've been working with people managing serious mental illness in an intentional community, I have a degree in psychology, I have taught psychology at the University level, I have been doing social work for a long time, but I've been an anarchist longer. Margaret 02:43 So so the reason I want to have you on is I want to talk about mental health first aid, or I don't know if that's the way it normally gets expressed, but that's the way I see it in my head. Like how are...I guess it's a big question, but I'm interested in exploring ways that we can, as bad things happen that we experience, like some of the best practices we can do in order to not have that cause lasting mental harm to us. Which is a big question. But maybe that's my first question anyway. Smokey 03:12 I mean, the, the truth is bad things will happen to us. It's part of living in the world, and if you are a person that is heavily engaged in the world, meaning, you know, you're involved in politics, or activism, or even just curious about the world, you will probably be exposed on a more regular basis to things that are bad, that can traumatize us. But even if you're not involved in any of those things, you're going to go through life and have really difficult things happen to you. Now, the good news is, that's always been the case for people. We've always done this. And the good news is, we actually know a lot about what goes into resilience. So, how do you bounce back quickly and hopefully thrive after these experiences? I think that is an area that's only now being really examined in depth. But, we have lots of stories and some research to show that actually when bad things happen to us, there is an approach that actually can help catalyst really impressive strength and move...change our life in a really positive direction. We also know that for most people, they have enough reserve of resiliency that....and they can draw upon other resiliency that they're not chronically affected by it, however, and I would argue how our society is kind of structured, we're seeing more and more people that are suffering from very serious chronic effects of, what you said, bad things happening, or what is often traumatic things but it's not just traumatic things that cause chronic problems for us. But, that is the most kind of common understanding so, so while most people with most events will not have a chronic problem, and you can actually really use those problems, those I'm sorry, those events, let's call them traumatic events, those traumatic events they'll really actually improve your thriving, improve your life and your relationship to others in the world. The fact is, currently, it's an ever growing number of people that are having chronic problems. And that's because of the system. Margaret 06:19 Yeah, there's this like, there was an essay a while ago about it, I don't remember it very well, but it's called "We Are Also Very Anxious," and it it was claiming that anxiety is one of the general affects of society today, because of kind of what you're talking about, about systems that set us up to be anxious all the time and handle things in... Smokey 06:42 I think what most people don't understand is, it is consciously, in the sense that it's not that necessarily it's the desire to have the end goal of people being anxious, and people being traumatized, but it is conscious in that we know this will be the collateral outcome of how we set up the systems. That I think is fairly unique and and really kind of pernicious. Margaret 07:17 What are some of the systems that are setting us up to be anxious or traumatized? Smokey 07:23 Well, I'm gonna reverse it a little bit, Margaret. I'm going to talk about what are the things we need to bounce back or have what has been called 'resilience,' and then you and I can explore how our different systems actually make us being able to access that much more difficult. Margaret 07:47 Okay. Oh, that makes sense. Smokey 07:49 The hallmark of resiliency, ironically, is that it's not individual. Margaret 07:57 Okay. Smokey 07:57 In fact, if you look at the research, there are very few, there's going to be a couple, there's gonna be three of them, but very few qualities of an individual psychology or makeup that is a high predictor of resiliency. Margaret 08:20 Okay. Smokey 08:21 And these three are kind of, kind of vague in the sense they're not, they're not terribly dramatic, in a sense. One is, people that tend to score higher on appreciation of humor, tends to be a moderate predictor of resiliency. Margaret 08:46 I like that one. Smokey 08:47 You don't have to be funny yourself. But you can appreciate humor. Seems to be a....and this is tends to be a cross cultural thing. It's pretty low. There are plenty of people that that score very low on that, that also have resiliency. That's the other thing, I'll say that these three personality traits are actually low predictors of resiliency. Margaret 09:13 Compared to the immunity ones that you're gonna talk about? Smokey 09:16 So one is appreciation of humor seems to be one. So, these are intrinsic things that, you know, maybe we got from our family, but but we hold them in ourselves, right? The second one is usually kind of put down as 'education.' And there tends to be a reverse bell curve. If you've had very, very low education, you tend to be more resilient. If you've had extreme professionalization, you know, being a doctor, being a lawyer, well, not even being a lawyer, because that's the only...but many, many years of schooling, PhD things like that, it's not what you study. There's something about... Smokey 10:10 Yeah, or that you didn't. They're almost equal predictors of who gets traumatized. And then the the last one is kind of a 'sense of self' in that it's not an ego strength as we kind of understand it, but it is an understanding of yourself. The people that take the surveys, that they score fairly high....So I give you a survey and say, "What do you think about Smokey on these different attributes?" You give me a survey and say, "Smokey, how would you rate yourself on these different attributes?" Margaret 10:11 It's that you studied. Margaret 10:32 Okay. Smokey 10:59 So, it's suggesting that I have some self-reflexivity about what my strengths and weaknesses are. I can only know that because they're married by these also. Margaret 11:11 Okay. So it's, it's not about you rating yourself high that makes you resilient, it's you rating yourself accurately tohow other people see you. Smokey 11:18 And again, I want to stress that these are fairly low predictors. Now, you'll read a million books, kind of pop like, or the, these other ones. But when you actually look at the research, it's not, you know, it's not that great. So those..however, the ones that are big are things like 'robustness of the social network.' So how many relations and then even more, if you go into depth, 'what are those relationships' and quantity does actually create a certain level of quality, interestingly, especially around things called 'micro-social interactions,' which are these interactions that we don't even think of as relationships, maybe with storepersons, how many of these we have, and then certain in depth, having that combined with a ring of kind of meaningful relationships. And meaningful meaning not necessarily who is most important to me, but how I share and, and share my emotions and my thoughts and things like that. So, there's a lot on that. That is probably the strongest predictor of resilience. Another big predictor of resilience is access to diversity in our social networks. So, having diverse individuals tend to give us more resiliency, and having 'time,' processing time, also gives us more...are high predictors of resiliency, the largest is a 'sense of belonging.' Margaret 13:14 Okay. Smokey 13:15 So that trauma...events that affect our sense of belonging, and this is why children who have very limited opportunities to feel a sense of belonging, which are almost always completely limited, especially for very young children to the family, if that is cut off due to the trauma, or it's already dysfunctional and has nothing to do with the trauma, that sense of belonging, that lack of sense of belonging makes it very difficult to maintain resilience. So. So those are the things that, in a nutshell, we're going to be talking about later about 'How do we improve these?' and 'How do we maximize?' And 'How do we leverage these for Mental Health First Aid?' We can see how things like the internet, social media, capitalism, you know, kind of nation state building, especially as we understand it today, all these kinds of things errode a lot of those things that we would want to see in building resilient people. Margaret 14:28 Right. Smokey 14:28 And, you know, making it more difficult to access those things that we would need. Margaret 14:34 No, that's...this...Okay, yeah, that makes it obvious that the answer to my question of "What are the systems that deny us resiliency?" are just all of this. Yeah, because we're like....most people don't have...there's that really depressing statistic or the series of statistics about the number of friends that adults have in our society, and how it keeps going down every couple of decades. Like, adults just have fewer and fewer friends. And that... Smokey 15:00 The number, the number is the same for children, though too. Margaret 15:05 Is also going down, is what you're saying? Smokey 15:07 Yes. They have more than adults. But compared to earlier times, they have less. So, the trend is not as steep as a trendline. But, but it is still going down. And more importantly, there was a big change with children at one point, and I'm not sure when it historically happened. But, the number of people they interacted with, was much more diverse around age. Margaret 15:39 Oh, interesting. Smokey 15:40 So they had access to more diversity. Margaret 15:43 Yeah, yeah. When you talk about access to diversity, I assume that's diversity in like a lot of different axis, right? I assume that's diversity around like people's like cultural backgrounds, ethnic backgrounds, age. Like, but even like... Smokey 15:56 Modes of thought. Margaret 15:58 Yeah, well, that's is my guess, is that if you're around more people, you have more of an understanding that like, reality is complicated, and like different people see things in different ways. And so therefore, you have a maybe a less rigid idea of what should happen. So, then if something happens outside of that, you're more able to cope, or is this...does... like, because I look at each of these things and I can say why I assume they affect resiliency, but obviously, that's not what you're presenting, you're not presenting how they affect resiliency, merely that they seem to? Smokey 16:34 Yeah, and I don't know, if we know exactly how they affect, and we don't know how they...the effect of them together, you know, social sciences, still pretty primitive. So they, they need to look at single variables, often. But you know, we know with chemistry and biology and ecology, which I think are a little more sophisticated...and physics, which is more sophisticated. The real interesting stuff is in the combinations. Margaret 17:09 Yeah. Okay. Smokey 17:10 So what happens when you have, you know, diversity, but also this diverse and robust social network? Is that really an addition? Or is that a multiplication moment? For resiliency. Margaret 17:23 Right. And then how does that affect like, if that comes at the expense of...well, it probably wouldn't, but if it came at the expense of processing time or something. Smokey 17:33 Exactly. Margaret 17:35 Or, like, you know, okay, I could see how it would balance with education in that, like, I think for a lot of people the access to diversity that they encounter first is like going off to college, right, like meeting people from like, different parts of the world, or whatever. Smokey 17:49 I forgot to mention one other one, but it is, 'meaning.' Meaning is very important. People that score high, or report, meaning deep, kind of core meaning also tend to have higher resiliency. That being said, they...and don't, don't ever confuse resiliency with like, happiness or contentment. It just means that the dysfunction or how far you're knocked off track due to trauma, and we're, we're using trauma in the larger sense of the word, you know, how long it takes you to get back on track, or whether you can even get back on track to where you were prior to the event is what we're talking about. So it's not, this is not a guide to happiness or living a fulfilled life. It's just a guide to avoid the damage. Margaret 19:01 But if we made one that was a specifically a 'How to have a happy life,' I feel like we could sell it and then have a lot of money.Have you considered that? [lauging] Smokey 19:11 Well one could argue whether that's even desirable to have a happy life. That's a whole philosophical thing. That's well beyond my paygrade Margaret 19:22 Yeah, every now and then I have this moment, where I realized I'm in this very melancholy mood, and I'm getting kind of kind of happy about it. And I'm like, "Oh, I'm pretty comfortable with this. This is a nice spot for me." I mean, I also like happiness, too, but you know. Okay, so, this certainly implies that the, the way forward for anyone who's attempting to build resiliency, the sort of holistic solution is building community. Like in terms of as bad stuff happens. Is that... Smokey 19:58 Community that's...and community not being just groups. Okay, so you can, I think, you know, the Internet has become an expert at creating groups. There lots of groups. But community, or communitas or the sense of belonging is more than just a shared interest and a shared knowledge that there's other like-minded people. You'll hear the internet was great for like minded people to get together. But, the early internet was really about people that were sharing and creating meaning together. And I think that was very powerful. That, you know, that seems harder to access on today's Internet, and certainly the large social media platforms are consciously designed to achieve certain modes of experience, which do not lend themselves to that. Margaret 21:06 Right, because it's like the...I don't know the word for this. Smokey 21:10 It's Capitalism. Like, yeah, we're hiding the ball. The ball is Capitalism. Margaret 21:14 Yeah. Smokey 21:14 And how they decided to go with an advertising model as opposed to any other model, and that requires attention. Margaret 21:21 Yeah. Because it seems like when you talk about a robust social network, I mean, you know, theoretically, social network, like social networks, you know, Twitter calls itself a social network, right? And is there anything in the micro social interactions that one has online? Is there value in that? Or do you think that the overall...I mean, okay, because even like looking at... Smokey 21:46 I think there has to be value, I think, yeah, they did. I was reading just today, actually, about research, it was in England, with...this one hospital decided to send postcards to people who had been hospitalized for suicidal attempts. Margaret 22:09 Okay. Smokey 22:10 Most of them ended up in the mental health thing, some of them didn't, because they they left beyond, you know, against medical advice, or whatever. But, anyone that came in presenting with that a month, and then three months later, they sent another postcard just saying, "You know, we're all thinking about you, we're hoping you're all you're doing, alright. We have faith in you," that kind of thing like that, right. Nice postcard, purposely chosen to have a nice scene, sent it out. And they followed up, and they found a significant reduction in further attempts, rehospitalizations of these people, so that's a very, you know, there's no, it's a one way communication, it's not person-to-person, and it had some impact on I would guess one could argue the resiliency of those people from giving into suicidal ideation. Right. Margaret 23:13 Yeah. Smokey 23:14 So I think this is to say that, you know, we'd be...unplugging the internet, you know, that kind of Luddite approach doesn't make sense. There is a value to answer your question to the the internet's micro social interactions. It's just we...it's complicated, because you can't just have micro-social interactions unfortunately, but you need them. Margaret 23:44 Yeah. No, that that's really interesting to me, because yeah, so there's, there is a lot of value that is coming from these things, but then the overall effect is this like, like, for example, even like access to diversity, right? In a lot of ways, theoretically, the Internet gives you access to like everything. But then, instead, it's really designed to create echo chambers in the way that the algorithms and stuff feed people information. And echo chambers of thought is the opposite of diversity, even if the echo chamber of thought is like about diversity. Smokey 24:16 Yeah, I mean, it's set up again, almost as if it were to kind of naturally organically grow, we would probably have just as chaotic and and people would still just be as angry at the Internet, but it probably would develop more resilience in people. Because it wouldn't be stunted by this need to attract attention. The easiest way to do that is through outrage. Easiest way to do that is quickly and fast, so it takes care of your processing time. And relative anonymity is the coin of these kinds of things, you know, that's why bots and things like that, you know, they're not even humans, right? You know, they're just...so all these kinds of things stunt and deform, what could potentially be useful, not a silver bullet, and certainly not necessary to develop resiliency, strong resiliency. You don't need the internet to do that. And there are certain...using the internet, you know, there's going to be certain serious limitations because of the design, how it's designed. Margaret 25:42 Okay, well, so hear me out. If the internet really started coming in latter half of the 20th century, that kind of lines up to when cloaks went out of style.... Smokey 25:54 Absolutely, that's our big problem. And they haven't done any research on cloak and resiliency. Margaret 26:00 I feel that everyone who wears a cloak either has a sense of belonging, or a distinct lack of a sense of belonging. Probably start off with a lack of sense of belonging, but you end up with a sense of belonging So, okay, okay. Smokey 26:15 So I want to say that there's two things that people confuse and a very important. One, is how to prevent chronic effects from traumatic experiences. And then one is how to take care of, if you already have or you you develop a chronic effect of traumatic experiences. Nothing in the psychology literature, sociology literature, anthropology literature, obviously, keeps you from having traumatic experiences. Margaret 26:52 Right. Smokey 26:54 So one is how to prevent it from becoming chronic, and one is how to deal with chronic and they're not the same, they're quite, quite different. So you know, if you already have a chronic traumatic response of some sort, post traumatic stress syndrome, or any of the other related phenomena, you will approach that quite differently than building resilience, which doesn't protect you from having trauma, a traumatic experience. It just allows you to frame it, understand it, maybe if you're lucky, thrive and grow from it. But at worst, get you back on track in not having any chronic problems. Margaret 27:48 Okay, so it seems like there's three things, there's the holistic, building a stronger base of having a community, being more resilient in general. And then there's the like direct first aid to crisis and trauma, and then there's the long term care for the impacts of trauma. Okay, so if so, we've talked a bit about the holistic part of it, you want to talk about the the crisis, the thing to do in the immediate sense as it's happening or whatever? Smokey 28:15 For yourself or for somebody else? Margaret 28:18 Let's start with self. Smokey 28:20 So, self is go out and connect to your social network as much as you can, which is the opposite of what your mind and body is telling you. And that's why I think so much of the quote unquote, "self-care" movement is so wrong. You kind of retreat from your social network, things are too intense, I'm going to retreat from your social network. The research suggests that's the opposite of what you should be doing, you should connect. Now, if you find yourself in an unenviable situation where you don't have a social network, then you need to connect to professionals, because they, they can kind of fill in for that social Network. Therapists, social workers, peer groups, support groups, things like that they can kind of fill in for that. The problem is you don't have that sense of belonging. Well, with support groups, you might. You see this often in AA groups or other support groups. You don't really get that in therapy or or group therapy so much. But that is the first thing and so connect to your group. Obviously on the other side, if you're trying to help your community, your group, you need to actively engage that person who has been traumatized. Margaret 29:33 Yeah, okay. Smokey 29:35 And it's going to be hard. And you need to keep engaging them and engaging them in what? Not distractions: Let's go to a movie, get some ice cream, let's have a good time. And not going into the details of the traumatic experience so much as reconnecting them to the belonging, our friendship, if that. Our political movement, if that. Our religious movement, if that. Whatever that...whatever brought you two together. And that could be you being the community in this person, or could be you as Margaret in this person connecting on that, doubling down on that, and often I see people do things like, "Okay, let's do some self care, or let's, let's do the opposite of whatever the traumatic experience was," if it came from, say oppression, either vicarious or direct through political involvement let's, let's really connect on a non-political kind of way. Margaret 31:19 Ah I see! Smokey 31:21 And I'm saying, "No, you should double down on the politics," reminding them of right what you're doing. Not the trauma necessarily not like, "Oh, remember when you got beaten up, or your, your significant other got arrested or got killed by the police," but it's connecting to meaning, and bringing the community together. Showing the resiliency of the community will vicariously and contagiously affect the individual. And again, doesn't have to be political could be anything. Margaret 32:01 Yeah. Is that? How does that that feels a little bit like the sort of 'get right back on the horse kind of thing.' But then like, in terms of like, socially, rather than, because we 'get back on the horse,' might mean might imply, "Oh, you got beat up at a riot. So go out to the next riot." And that's what you're saying instead is so "Involve you in the fundraising drive for the people who are dealing with this including you," or like... Smokey 32:28 And allowing an expectation that the individual who's been traumatized, might be having a crisis of meaning. And allowing that conversation, to flow and helping that person reconnect to what they found meaningful to start with. So getting right back on the horse again, it's reminding them why they love horses. Margaret 33:02 Yeah. Okay, that makes sense. Okay, I have another question about the the crisis first aid thing, because there's something that, you know, something that you talked to me about a long time ago, when I was working on a lot of like reframing. I was working on coping with trauma. And so maybe this actually relates instead to long term care for trauma. And I, I thought of this as a crisis first aid kind of thing, is I'll use a like, low key example. When I was building my cabin, I'm slightly afraid of heights, not terribly, but slightly. And so I'm on a ladder in the middle of nowhere with no one around and I'm like climbing up the ladder, and I'm nailing in boards. And I found myself saying, "Oh, well, I only have three more boards. And then I'm done. I can get off the ladder. "And then I was like, "No, what I need to do is say, it's actually fine, I am fine. And I can do this," rather than like counting down until I can get off the ladder. And so this is like a way that I've been working on trying to build resiliency, you can apply this to lots of things like if I'm on an airplane, and I'm afraid of flying or something I can, instead of being like, "Five more hours and then we're there. Four more hours and then we're there," instead of being like, "It's actually totally chill that I'm on an airplane. This is fine." And basically like telling myself that to reframe that. Is this....Am I off base with this? Is this tie into this, there's just a different framework? Smokey 34:27 That is what the individual should be trying to do is connect the three different things, keeping it simple. One, is to the community which gives them nourishment. On a plane or on your roof, that's not going to happen. Margaret 34:44 Yeah. Smokey 34:45 Though, actually, to be honest. If you're nervous and you have...go back to your roof example, which I think is a pretty good one. Let's say that you had more than three boards. Let's say it was gonna take you a couple hours to do that. But it's something you're nervous about, connecting to somebody in your social network, whether you, you have your earphones on, and you're just talking to them before or during...after doesn't help. That does one way. Or the other is connecting to what you were doing, which is connecting to kind of reframing or your own internal resilience. I've done something similar like this before. This is not something that is going to need to throw me, it is what's called pocketing the anxiety. Margaret 35:45 Okay. Smokey 35:45 Where you're other-izing it, being like, it's coming from you too, right? being like, "Hey, you could fall. This plane could go down," right? That that's still you, you're generating that. You're not hearing that over to, and you're saying, "Okay, but I'm going to try, you know, give primacy to this other voice in my head. That is saying, "You've got this, it's all right, you've done things like this before."" So that's the second thing. And that's what you were doing. So you could connect to your community, you could connect to kind of a reserve of resiliency. And to do that is allow that one to be pocketed. But be like, "Hey, I want to hear from what this core thing has to say. I want to hear from what the positive person on the front row has to say." You're not arguing with that one. You're just listening. You're changing your, your, what you're attuned to. And then the third one is, if you can, you connect to the meaning. What is the meaning of building the house for you? Where are you going on your flight? And why is it important? Margaret 37:03 Yeah. Okay, Smokey 37:05 And that anxiety and the fact that you're doing it, you want to give again, the primacy to the importance, that "Yeah, I'm really nervous, I'm really freaked out about this, but this thing is so important, or so good for me, or so healthy for me to do this. This must mean it's going to be really important. And I'm connecting to why it's important and focusing on that. So those are the three things that the individual can do. The helping person or community is engagement. The second one is the same, reconnecting to the meaning. Why did you love horses in the first place? Okay, don't have to get back on the horse. But let's not forget horses are awesome. Margaret 37:58 Yeah. Smokey 37:58 And Horseback riding is awesome. Margaret 38:01 Yeah. Smokey 38:01 And you were really good at it before you got thrown. But you know, you don't have to do it now, but let's, let's just let's just share our love of horses for a moment and see how that makes you feel. And then the third one is that kind of drawing upon, instead of drawing upon the individual resilience, which you were doing, like, "Hey, I got this," or the plane, you know, you were, you're hearing from other people, you're drawing upon their individual resilience. "Smokey, tell me about the time you did this thing that was hard." And I tell ya, you're like, "Well, Smokey can fucking do that I can do it. You don't even think...it doesn't even work necessarily consciously. Margaret 38:50 Right. Smokey 38:51 So you could see that what you're doing individually, the helper or the community is doing complementary. Margaret 38:59 Yeah. Smokey 39:00 And now you can see why a lot of self care narrative, a lot of taking a break a lot of burnout narrative, all these things, at best aren't going to help you and at worst, in my opinion, are kind of counterproductive. Margaret 39:17 Well, and that's the, to go to the, you know, working on my roof thing I think about...because I've had some success with this. I've had some success where I....there's certain fears that I have, like, suppressed or something like I've stopped being as afraid of...the fear is no longer a deciding factor in my decision making, because of this kind of reframing this kind of like, yeah, pocketing like...And it's probably always useful to have the like, I don't want to reframe so completely that I just walk around on a roof all the time, without paying attention to what I'm doing, right?Because people do that and then they fall and the reason that there's a reason that roofing is one of the most dangerous jobs in America. So a, I don't know I yeah, I, I appreciate that, that you can do that. And then if it's a thing you're going to keep doing anyway, it becomes easier if you start handling it like, carefully, you know? Smokey 40:17 Well, you don't want to give it too much. So why do we? Why is it natural for us to take anxiety or fear and focus on it? It's somewhat evolutionary, right? It's a threat, right? It's supposed to draw your attention, right? It's supposed to draw your attention. And if you're not careful, it will draw your attention away from other things that are quieter that like that resiliency in the front row you need to call on, because they're not as flashy, right? So I don't think you have to worry about threat....You're right. You don't want to get to the point where you and that's why I say 'pocket it,' as opposed to 'deny it, suppress it, argue with it. demolish it.' I think it's good to have that little, "Beep, beep, beep there's a threat," and then being like, "Okay, but I want to continue to do this. Let's hear from resiliency in the front row. What? What do you have to tell me too?" You have to not...what happens is we go into the weeds of the threat. Oh, so what? "Oh, I fall off and I compound fracture, and I'm way out here in the woods, and no one's going to get me. My phone isn't charged." That's not what the original beep was. Original beep like, "You're high up on a ladder, seems unstable. This seems sketchy," right? Okay. Got that. And then resilience is, "Yeah, you've done lots of sketchy stuff. You've written in the back of a pickup truck. That's sketchy, so seatbelt there, nothing, you know, let me remind you that that you can overcome." And, but by going into the anxiety, going into the fear, you're forcing yourself to justify the thing. And then it becomes more and more elaborate, and it gets crazier and crazier very quickly. You know, all of sudden, you're bleeding out and you're cutting your leg off with a pen knife. It's like, "Wow, how did all this happen?" Margaret 42:38 Yeah, well, and that's actually something that comes up a lot in terms of people interacting with the show and about like preparedness in general. Because in my mind, the point of paying attention to how to deal with forest fire while I live in the woods, is not to then spend all of my time fantasizing and worrying about forest fire. But instead, to compare it to this ladder, if I get this "Beep, beep, the ladder is unstable." I climb down, I stabilize the ladder as best as I can. And then I climb back up and I do the thing. And then when I think about like, with fire, I'm like, "Okay, I have done the work to minimize the risk of fire. And so now I can stop thinking about it." Like, I can listen to the little beep, beep noise and do the thing. And now I can ignore the beep beep because just like literally, when you're backing up a truck and it goes beep, beep, you're like, yeah, no, I know, I'm backing up. Thanks. You know, like, Smokey 43:35 Yeah, it's good to know, it's good to know, you're not going forward. Margaret 43:39 Yeah, no. No, okay. That's interesting. And then the other thing that's really interesting about this, the thing that you're presenting, is it means that in some ways, work that we present as very individual in our society, even in radical society, is actually community based on this idea, like so conquering phobias is something that we help one another do, it seems like, Smokey 44:02 Absolutely. I mean, the best stuff on all this stuff is that people reverse engineering it to make people do dangerous, bad things. The military. Margaret 44:18 Yeah, they're probably pretty good at getting people to conquer phobias. Yep. Smokey 44:21 They have a great sense of belonging. They have a great sense of pulling in internal resilient, group resilient, connecting to meaning even when it's absolutely meaningless what you're doing. It's all the dark side of what we're talking about, but it's quite effective and it literally wins wars. Margaret 44:47 Yeah, that makes sense. Because you have this whole... Smokey 44:50 Literally it changes history. And so, the good news is, we can kind of reclaim that for what I think it was originally purposed to do, which is to protect us from the traumas that we had to go through in our evolutionary existence. So we couldn't afford to have a whole bunch of us chronically disabled. Meaning unable to function, you know, they've just taken it and, and bent it a little bit, and learned very deeply about it, how to how to use it for the things that really cause, you know, physical death and injury. And, and, you know, obviously, they're not perfect, you have a lot of trauma, but not, not as much as you would expect for what they do. And every year they get better and better. Margaret 45:51 Hooray. Smokey 45:53 We have to get on top of our game. Margaret 45:56 Yeah. Smokey 45:57 And get people not to do what they do. I'm not suggesting reading...well maybe reading military, but not...you can't use those tools to make people truly free and resilient. Margaret 46:17 Yeah. Smokey 46:18 In the healthy kind of way. Yeah. Margaret 46:22 Okay, so in our three things, there's the holistic, prepared resiliency thing, then there's the immediate, the bad thing is happening first aid. Should we talk about what to do when the thing has, when you have the like, the injury, the mental injury of the trauma? Smokey 46:42 Like with most injuries, it's rehab, right? Margaret 46:45 Yeah. No, no, you just keep doing the thing, and then hope it fixes itself. [laughs] Smokey 46:53 My approach to most medical oddities that happen as I get older, it's like, "It'll fix itself, this tooth will grow back, right? The pain will go away, right?" Yeah, just like physical rehab, it does require two important aspects for all physical, what we think of when someone says I have to go to rehab, physical rehab, not not alcohol rehab, or psych rehab, is that there's two things that are happening. One, is a understanding, a deep understanding of the injury, often not by the person, but by the physical therapist. Right? That if they know, okay, this is torn meniscus, or this is this and I, okay, so I understand the anatomy, I understand the surgery that happened. Okay. And then the second is, short term, not lifelong therapy, not lifelong this or that. Short term techniques to usually strengthen muscles and other joints and things around the injury. Okay. And that's what, what I would call good recovery after you already have the injury. It's not after you've had the traumatic experience, because traumatic experience doesn't necessarily cause a chronic injury, and we're trying to reduce the number of chronic injuries, but chronic injuries are going to happen. chronic injuries already exist today. A lot of the people we know are walking around with chronic injuries that are impacting their ability to do what they want to do and what in my opinion, we need them to do, because there's so much change that needs to happen. We need everybody as much as possible to be working at their ability. So wherever we can fix injury, we should. So so one is where do I get an understanding of how this injury impacts my life? And I think different cognitive psychology, I think CBT, DBT, these things are very, very good in general. Margaret 49:22 I know what those are, but can you explain. Smokey 49:22 Cognitive Behavioral Therapy, Dialectical Behavioral Therapy. These all come out of cognitive psychology from the 50s. Our techniques, but most therapists use versions of this anyway. So just going to therapy, what it is doing initially, is trying to, like the physical therapist, tell you, "This is the injury you have. This is why it's causing you to limp, or why you have weakness in your arm and wrist. And what we're going to do is we're going to give you some techniques to build up, usually the muscles, or whatever else needs to be built up around it so that you will be able to get more use out of your hand." And that is what we need to do with people that have this chronic injury. So, one, is you need to find out how the injury is impacting. So, I'm drinking more, I'm getting angry more, or I'm having trouble making relationships, or I'm having, and there's a series of, you know, 50 year old techniques to really kind of get down and see, okay, this injury is causing these things, that's how it's impacting me, and I don't want to drink more, or I want to be able to sleep better, or I want to be able to focus, or I want to be able to have meaningful relationship with my partner or my children or whatever, whatever that is, right? And then there are techniques, and they're developing new techniques, all the time, there's like EMDR, which is an eye thing that I don't fully understand. There DBT, dialectical behavioral therapy, has a lot of techniques that you kind of practice in groups. As you know, we have mutual aid cell therapy, MAST, which is also a group where you're sharing techniques to build up these different things and resilience. So, community, and meaning, and all those...reframing all those kinds of things. So, but they shouldn't, despite the length of the injury, how long you've been injured, how long you've been limping, and how much it's affected other parts of your psychic body in a way. These are things that still should be able to be remediated relatively quickly. Smokey 49:31 That's exciting. Yeah. Smokey 50:10 But this is not a lifelong thing. Now, that doesn't mean, if you're traumatized as a child for example, it's sort of like if you've completely shattered your wrist bone, and they've put in pins and things like that, that wrist, may never have the flexibility, it did, the actual wrist bone, you know, the bones in the wrist. But by building muscles, and other things around it, you could then theoretically have full flexibility that you had before, right? But it's not the actual wrist bone, but that that injury is still there. You've built up...Sometimes it's called strength-based approach or model where you're building up other strengths, you have to relieve the impact that that injury, so like, a common thing with with trauma is trust. My trust is very damaged. My ability to trust others, or trust certain environments, or maybe trust myself, right, is completely damaged. So if, if my...and that may never fully heal, that's like my shattered wrist bone. So then, by building up, let's say, I don't trust myself, I did something, really fucked up myself, you know, psychologically, traumatically, but by building up trust in others, and then in the environment, or other things, that can mediate that damage or vice versa. Margaret 53:53 You mean vice versa, like if you? Smokey 53:59 Like, if my problem is a trust of others, or trust with strangers, or trust with friends, you know, I've been betrayed in a really traumatic way by my mother, or my father or uncle or something like that then, you know, building up my friendships to a really strong degree will reduce and eventually eliminate, hopefully erase the impact of that injury on the rest of my life. I'm not doomed to have dysfunctional relationships, lack of sleep, alcoholism or whatever are the symptoms of that traumatic event, that chronic traumatic event. Margaret 54:54 Okay, so my next question is, and it's sort of a leading question, you mentioned MAST earlier and I kind of want to ask, like, do we need specialists for all of this? Do we have people who both generalize and specialize in this kind of thing? Are there ways that, you know, we as a community can, like, get better at most of this stuff while then some of it like, you know, obviously people specialize in and this remains useful? Like... Smokey 55:22 You need. I wouldn't say...You need, you do need specialists, not for their knowledge, per se so much as they're there for people that the injury has gone on so long that the resiliency, all those other things, they don't have a social network, they haven't had time, because the damage happened so early to build up those reserves, that that person in the front row, the front row, the seats are empty. That is, it's really great we live...Now, in other cultures, the specialists were probably shamans, religious people, mentors, things like that, that said, "Okay, my role is to," all therapy is self therapy. That was Carl Rogers, he was quite correct about that. The specialist you're talking about are the kind of stand in for people who don't have people to do that. I would argue all real therapy is probably community therapy. It's relational. So if you have friends, if you have community, if you have a place, or places you find belonging, then theoretically, no, I don't think you need....I think those groups, and I think most specialists would agree to actually, those groups, if they're doing this can actually do a much better job for that individual. They know that individual and there's a natural affinity. And there there are other non specifically therapeutic benefits for engaging in re engaging in these things that have nothing to do with the injury that are just healthy, and good to you. So sort of like taking Ensure, Ensure will keep you alive when you're you've had some surgery, you've had some really bad injury, or if you need saline solution, right? But we're not suggesting people walk around with saline bags. There are better ways to get that, more natural ways to get that. I'm not talking alternative, psychiatric or, you know, take herbs instead of psychiatric medication. But there are better ways to do that. And I think, but I'm glad we have saline. Margaret 58:08 Yeah, Smokey 58:08 I think it saves a lot of people's lives. But, we would never give up the other ways to get nutrients because of other benefits to it. You know, sharing a meal with people is also a really good thing. Margaret 58:21 And then even like from a, you know, the advantages of community, etc. I'm guessing it's not something that's like magically imbued in community. It's like can be something that communities need to actually learn these skills and develop like, I mean, there's a reason that well, you know, I guess I'm reasonably open about this. I used to have like fairly paralyzing panic attacks, and then it started generalizing. And then, you know, a very good cognitive behavioral therapist gave me the tools with which to start addressing that. And that wasn't something I was getting from....I didn't get it from my community in the end, but I got it from a specific person in the community, rather than like, everyone already knows this or something. Smokey 59:03 Well, I think what we're doing right here is, is....I mean, people don't know. So they read....People were trying to help you from your community. Undoubtedly, with the right. intentions, and the right motives, but without the information on what actually works. Margaret 59:27 Yep. Smokey 59:28 And that's all that was happening there. Margaret 59:30 Yeah, totally. Smokey 59:31 So, it's really, you know, as cliche as it sound. It's really about just giving people some basic tools that we already had at one time. Margaret 59:44 Yeah. Smokey 59:45 Forgot, became specialized. So you know, I'm throwing around CBT, DBT, EMDR. None of that people can keep in their head. They will....The audience listening today are not going to remember all those things. And nor do they have to. But they have to know that, you know, reconnecting to the horse, but not telling people to get back on the horse, that kind of tough love kind of thing isn't going to work, but neither is the self care, take a bubble bath... Margaret 1:00:19 Never see a horse again, run from a horse. Smokey 1:00:21 Never see a horse, again, we're not even going to talk about horses, let's go do something else, isn't going to work either. And I think once we...you know, it's not brain science...Though it is. [laughs] It is pretty, you know, these are, and you look at how religions do this, you know, you look at how the military does this, you look at how like, fascists do this, you know, all sorts of groups, communities can do this fairly effectively. And it doesn't cost money. It's not expensive. You don't have to be highly educated or read all the science to be able to do that. And people naturally try, but I think a lot of the self help kind of gets in the way. And some people think they know. "Okay, well, this is what needs to happen, because I saw on Oprah." That kind of thing. " Margaret 1:01:26 Yeah, Well, I mean, actually, that's one of the main takeaways that's coming from me is I've been, I've been thinking a lot about my own mental health first aid on a fairly individual basis, right? You know, even though it was community, that helped me find the means by which to pull myself out of a very bad mental space in that I was in for a lot of years. But I still, in the end was kind of viewing it as, like, "Ah, someone else gave me the tools. And now it's on me." It's like this individual responsibility to take care of myself. And, and so that's like, one of the things that I'm taking as a takeaway from this is learning to be inter-reliant. Smokey 1:02:06 There isn't enough research on it, again, because of our individualistic nature, and probably because of variables. But there's certainly tons of anecdotal evidence, and having done this for a long time talking to people and how the place I work is particularly set up, helping others is a really great way to help yourself. Margaret 1:02:30 Yeah. Smokey 1:02:31 it really works. It's very, I mean, obviously, in the Greeks, you know, you have the 'wounded healer,' kind of concept. Many indigenous traditions have said this much better than the Western. And I believe they have...and they needed to, but they had a much better kind of understanding of these things that we're we're talking about. You know, it. So, where people can...and I've heard this podcast, your podcast too, talking about this ability to be, you know, have self efficacy. But it's more than self efficacy. It's really helping others. Margaret 1:03:22 Yeah. Smokey 1:03:23 And that, that is really powerful. And there's not enough research on that. And I think that's why support groups, I think that's why, you know, AA, despite all its problems, has spread all over the world and has been around for, you know, 75 years, and is not going to go away anytime soon. Despite some obvious problems, is there's that there's that... they hit upon that they they re discovered something that we always kind of knew. Margaret 1:03:59 Yeah. Okay, well, we're coming out of time. We're running out of time. Are there any last thoughts, things that I should have asked you? I mean, there's a ton we can talk about this, and I'll probably try and have you on to talk about more specifics in the near future. But, is there anything anything I'm missing? Smokey 1:04:15 No, I think I think just re emphasizing the end piece that you know, for people that have resources, communities, meaning, social network, you know, that is worth investing your time and your energy into because that's going to build your...if you want to get psychologically strong, that is the easiest and the best investment, Put down the self help book. Call your friend. You know, don't search Google for the symptoms of this, that, or the other thing. Connect to what's important to you. And then lastly, try to help others or help the world in some way. And those are going to be profound and effective ways to build long lasting resilience as an individual. As a community, we should design our communities around that. Margaret 1:05:35 Yeah. All right. Well, that seems like a good thing to end on. Do you have anything that you want to plug like, I don't know books about mutual aid self therapy or anything like that? Smokey 1:05:46 I want to plug community. That's all I want to plug. Margaret 1:05:50 Cool. All right. Well, it's nice talking to you, and I'll talk to you soon. Smokey 1:05:54 Yep. Margaret 1:06:00 Thank you so much for listening. If you enjoyed this podcast, please tell people about it. Actually, I mean, honestly, if you enjoyed this episode, in particular, like think about it, and think about reaching out to people, and who needs to be reached out to and who you need to reach out to, and how to build stronger communities. But if you want to support this podcast, you can tell people about it. And you can tell the internet about it. And you can tell the algorithms about it. But, you can also tell people about it in person. And you can also support it by supporting the, by supporting Strangers In A Tangled Wilderness, which is the people who produce this podcast. It's an anarchist publishing collective that I'm part of, and you can support it on Patreon at patreon.com/strangersinatangledwilderness. And if you support at pretty much any level, you get access to some stuff, and if you support a $10 you'll get a zine in the mail. And if you support at $20, you'll get your name read at the end of episodes. Like for example, Hoss the dog, and Micahiah, and Chris, and Sam, and Kirk, Eleanor, Jennifer, Staro, Cat J, Chelsea, Dana, David, Nicole, Mikki, Paige, SJ, Shawn, Hunter, Theo, Boise Mutual Aid, Milica, and paparouna. And that's all, and we will talk to you soon, and I don't know, I hope you all are doing as well as you can. This podcast is powered by Pinecast. Try Pinecast for free, forever, no credit card required. If you decide to upgrade, use coupon code r-69f62d for 40% off for 4 months, and support Live Like the World is Dying.
Dr. Ben answers real tinnitus questions from patients in episode two of the Ask Treble Health Show. He explains what triggers tinnitus spikes, how sound therapy and CBT can calm the mind, and why ear care matters. Learn practical strategies to manage tinnitus, reduce stress, and find lasting relief.Get started with Treble Health:Schedule a complimentary telehealth consultation: treble.health/free-telehealth-consultation Take the tinnitus quiz: https://treble.health/tinnitus-quiz-1Download the Ultimate Tinnitus Guide: 2024 Edition: https://treble.health/tinnitus-guide-2025
Welcome to the very first episode of the TELL ME IT WILL BE OK podcast, which used to be the Child Anxiety FAQ Podcast. In this episode, we explain the shift in focus from a Q&A format to a more flexible, topic-driven approach to address specific aspects of child anxiety. We delve into the cognitive distortion of catastrophizing and its impact on anxiety, discussing how to recognize these negative thought patterns and practical strategies to manage them. The episode also highlights the role of cognitive behavioral therapy (CBT) in addressing these issues and the importance of aligning actions with personal values. Tune in to learn how to navigate the complexities of anxiety and support your anxious child in an ever-demanding world.00:00 Welcome to the New Podcast Format00:15 Why the Change?00:45 Introducing the New Focus02:11 The Role of Cognitive Behavioral Therapy06:08 Understanding Catastrophizing07:22 Real-Life Examples and Coping Strategies14:13 Parental Catastrophizing and Child Anxiety18:37 Planning for Catastrophes25:03 Final Thoughts and Future Topics
Send us a textStrength without silence. That's the thread running through our conversation with Jeff Dill, a former battalion chief turned licensed counselor and the founder of the Firefighter Behavioral Health Alliance. Jeff has spent years validating firefighter and EMS suicide data, building workshops from real-world stories, and leading behavioral health efforts for Las Vegas Fire and Rescue. He brings hard-won clarity on what actually helps: simple language, daily habits, and policies that protect people when the job wears them thin.We break down the internal size up, a practical check-in that asks, “Why am I acting this way? Why am I feeling this way?” It helps catch irritability, isolation, and sleep loss before they morph into bigger risks. Jeff draws a vital line between PTSD and moral injury—showing how betrayal, guilt, and shame often sit beneath the surface while treatment chases fear and trauma. Forgiveness becomes a survival skill, not a pass for bad behavior, and we talk about how to practice it without forgetting or restoring unsafe trust.From there, we get tactical. Sleep debt, high call volumes, and 24-hour shifts push good people into impulsive decisions. Cultural brainwashing tells responders to be brave, strong, and self-reliant—until that story keeps them from getting help. We dig into the data, including surprising patterns among women in fire and EMS, and outline what a proactive program looks like: family education, annual mental health checkups, vetted clinicians outside insurance for privacy, real-time aftercare after tough calls, and telehealth to reach rural members. Leaders will hear budget-smart ways to protect training from the chopping block, and crews will gain language for checking on a partner without making it awkward.You can reach Jeff at the following websites:For the Firefighter Behavioral Alliance (FFBA), please go to: https://www.ffbha.org For the moral injury white paper, download it by clicking: https://www.ffbha.org/wp-content/uploads/2023/02/Moral-Injury-White-Paper-2-9-23.pdf For the Firefighter Behavioral Alliance (FFBA) Facebook page, please go to https://www.facebook.com/FirefighterBehavioralHealthAllianceIf you're a firefighter, EMT, dispatcher, or cop—or you love someone who is—you'll walk away with tools you can use today and a clearer picture of how to build a healthier culture tomorrow. Subscribe, share this with your crew, and leave a review so others can find it. You're not alone.Support the showYouTube Channel For The Podcast
Applying Implementation Science to the New Paradigm of Autoimmune Diabetes: Preserving Beta Cells Through Early ScreeningThe Brain-Gut Connection: Exploring Pediatric Gastrointestinal PsychologyIn this episode of The Pediatric Lounge, the hosts introduce Dr. Ali Navidi, a clinical psychologist and founder of GI Psychology. Dr. Vedi specializes in the brain-gut connection and works with children and families to manage chronic gastrointestinal and stress-related conditions. The conversation covers topics such as the significance of the brain-gut connection, the role of cognitive-behavioral therapy (CBT) and hypnosis in treating disorders like IBS, and the impact of diet, sleep, and exercise on mental health. Dr. Vedi discusses the importance of understanding and treating hypervigilance, catastrophic thinking, and visceral hypersensitivity in patients. The episode also explores hypnosis as a therapeutic tool, its applications in various conditions, and its integration with CBT. Additionally, the challenges of persuading parents to accept psychological explanations for their children's symptoms are highlighted, along with the complex interplay of trauma and gastrointestinal issues.00:00 Introduction to The Pediatric Lounge00:28 Upcoming Event Announcement01:03 Guest Introduction: Dr. Ali Navidi03:01 Understanding the Brain-Gut Connection04:53 Impact of Lifestyle on Mental Health06:20 Managing IBS with CBT12:02 Challenges in Diagnosing Pediatric Conditions20:31 Exploring Hypnosis in Clinical Practice28:01 Entering the Flow State in Sports and Surgery30:35 Hypnosis for IBS and Abdominal Pain33:02 Hypnosis and Trauma Therapy37:59 The Role of GI Psychology39:32 Challenges with Medicaid and Insurance52:45 Managing Chronic Pain with Mindfulness and Hypnosis55:47 Concluding Thoughts and FarewellSupport the show
Brain Mechanisms of Change in Addiction Treatment: Models, Methods, and Emerging FindingsIn this episode, Dr. Jud explores groundbreaking insights into the brain mechanisms underlying addiction treatment. Drawing on models, methods, and findings presented at the 2015 Science of Change meeting, this research bridges neuroscience and psychotherapy to identify brain processes driving behavior change. Topics include the role of neuroimaging in understanding addiction treatments like CBT, mindfulness, and motivational interviewing, as well as how these insights pave the way for personalized, neuroscience-informed interventions.Reference: Chung, T., Noronha, A., Carroll, K. M., Potenza, M. N., Hutchison, K., Calhoun, V. D., ... & Brewer, J. A. (2016). Brain Mechanisms of Change in Addiction Treatment: Models, Methods, and Emerging Findings. Current Addiction Reports, 3(4), 332-342. DOI: 10.1007/s40429-016-0113-zLet's connect on Instagram
The symptoms of Bipolar I/1 Disorder are typically better known and more commonly diagnosed than Bipolar II/2 Disorder.What are the symptoms of Bipolar 2?How is it typically diagnosed?How can CBT tools support someone struggling with Bipolar 2 Disorder?Join me, Dr Julie, as we talk about the lesser-known Bipolar II/2 Disorder.Click to listen now! Visit us on Instagram at MyCBTPodcast Or on Facebook at Dr Julie Osborn Subscribe to the podcast at Apple Podcasts Email us at mycbtpodcast@gmail.com Find some fun CBT tools at https://www.mycbt.store/ Thanks for listening to My CBT Podcast!
As parents, we often expect ourselves to be completely calm – and even perfect – no matter what comes our way. Yet, in real life, it's all too easy to get stressed and reactive when parenting gets challenging. Internal and external demands can become overwhelming and knock us off center--and this can raise big feelings such as disappointment, anger, and self-doubt. So what are the secrets to creating the inner peace that lets us (more often than not) respond to parenting and other life demands with wisdom, calm, and grace? Today, I'm joined by parenting expert and MamaZen co-founder, Irin Rubin, who will help us explore this deeply important topic. Topics discussed include maternal depression, post-partum depression, perinatal depression, co-regulation, mindset, flooding, motherhood, parenting, support, hypnotherapy, CBT, cognitive behavioral therapy, mom rage, self-care, self-awareness, mindfulness, baby showers, community, well-being, and mental health.Please note that this episode may contain sensitive material; listener discretion is advised.Emergency Assistance Note: If you or someone you know needs immediate support, please call your emergency services. In the US, 24/7 help is available by calling “911” or “988” (Suicide and Crisis Hotline). Support/informational links are in the show notes.IMPORTANT DISCLAIMER: No expert in this (or any episode) is offering medical or psychological direction; the content is purely informational in nature. Please consult your physician or healthcare provider before undertaking any new regimen or procedure.https://www.nami.org/support-education/nami-helpline/Connect with Dr. Carla Manly:Website: https://www.drcarlamanly.comInstagram: https://www.instagram.com/drcarlamanly/Twitter: https://www.twitter.com/drcarlamanly/Facebook: https://www.facebook.com/drcarlamanlyLinkedIn: https://www.linkedin.com/in/carla-marie-manly-8682362b/YouTube: https://www.youtube.com/@dr.carlamariemanly8543TikTok: https://www.tiktok.com/@dr_carla_manlyBooks by Dr. Carla Manly:Joy From Fear: Create the Life of Your Dreams by Making Fear Your Friend Date Smart: Transform Your Relationships and Love FearlesslyAging Joyfully: A Woman's Guide to Optimal Health, Relationships, and Fulfillment for Her 50s and BeyondThe Joy of Imperfect Love: The Art of Creating Healthy, Securely Attached RelationshipsImperfect Love Relationship & Oracle Card Deck by Dr. Carla Manly:EtsyAmazonConnect with Irin Rubin:Website: www.mamazen.comInstagram: https://www.instagram.com/mamazenapp/Facebook: https://www.facebook.com/mamazenappLove the show? Subscribe, rate, review, and share! https://drcarlamanly.com/
Adult ADHD is often misunderstood as a motivation problem or a lack of effort. In this episode, psychologist and researcher Dr. Laura Knouse joins Psyched to Practice to explain why that framing misses the mark—and how cognitive behavioral therapy can actually work for adults with ADHD when it's done right.We explore how ADHD shows up as a self-regulation challenge, why behavior change often has to come before thought work, and how everyday environments quietly sabotage or support follow-through. Laura breaks down why traditional CBT models often fall short, how medication and skills can work together, and what clinicians need to know about perfectionism, avoidance, and “overly positive” thinking in this population.This conversation is packed with practical, clinician-ready insights for working with adults and emerging adults with ADHD, including how to structure treatment, build momentum through small wins, and help clients stop blaming themselves for systems that were never designed for their brains.Brightminds AdPAR Ad To hear more and stay up to date with Paul Wagner, MS, LPC and Ray Christner, Psy.D., NCSP, ABPP visit our website at: http://www.psychedtopractice.com Please follow the link below to access all of our hosting sites. https://www.buzzsprout.com/2007098/share “Be well, and stay psyched" #mentalhealth #podcast #psychology #psychedtopractice #counseling #socialwork #MentalHealthAwareness #ClinicalPractice #mentalhealth #podcast
A Parenting Resource for Children’s Behavior and Mental Health
If you're exhausted and wondering Why Your Child Still Struggles despite trying everything, this episode explains what's really going on. Dr. Roseann Capanna-Hodge, founder of Regulation First Parenting™, reveals how nervous system dysregulation—not parenting failure—blocks real change.If you're exhausted from trying therapy, medication, behavior charts, or every tip the internet throws at you, you're not alone. So many parents reach out after years of effort, still confused about their child's behavior and why change never seems to stick.Today, I'm breaking down what's actually happening inside a dysregulated brain—because this isn't about willpower, effort, or “trying harder.” It's about calming the nervous system first so kids can learn, grow, and handle difficult emotions in healthier ways.Why does my child still struggle even after therapy, meds, and behavior charts?If you feel like you've done “all the things” and nothing sticks, you're not alone.Most parents are given strategies that target symptoms instead of calming the nervous system first. And when a child's brain is stuck in survival mode, problem solving skills, self regulation, cooperation, frustration tolerance, and even basic listening become neurologically impossible.Megan's story says it all. After years of OT, speech, CBT, and multiple meds, her son Jack still couldn't transition, follow directions, manage anxiety, or regulate emotions. She felt defeated — but the real problem wasn't effort… it was sequence.Key Takeaways:Behavior is communication, not defiance.A dysregulated nervous system pulls the prefrontal cortex offline.You can't teach children skills during dysregulation.It's not bad parenting — it's a dysregulated brain.Many kids struggle not because they're unmotivated, but because their brain is overwhelmed.At school, with friends, or during transitions, your child may be struggling to manage frustration, think clearly, or solve problems—so lectures and consequences often bounce right off.
In this clinically grounded episode of The Birth Trauma Mama Podcast, Kayleigh is joined by Kina Wolfenstein, LCSW, therapist, educator, and certified trainer in Coherence Therapy, for a deep dive into a lesser-known but incredibly powerful trauma modality.Together, they explore what coherence therapy is, how it differs from more familiar approaches like EMDR, CBT, and IFS, and why it can be especially effective for birth trauma, medical trauma, and complex attachment wounds.Kina explains how coherence therapy views symptoms not as pathology, but as coherent responses rooted in emotional learnings and how true healing happens through memory reconsolidation, an innate brain process that allows those learnings to be updated at the root.This episode speaks directly to survivors who say, “I understand why I feel this way, but nothing changes,” and to clinicians looking for more precise, bottom-up tools for trauma healing.In this episode, we discuss:✨ What coherence therapy is and why so few people have heard of it
Dr. Ben Thompson speaks with tinnitus specialist Dr. Allen Rohe about evidence-based tools, including CBT, guided breathing, sound therapy, and habit change, to calm the nervous system and support habituation. Learn practical steps to manage anxiety, improve sleep, and rebuild confidence while you work toward lasting improvement.Get started with Treble Health:Schedule a complimentary telehealth consultation: treble.health/free-telehealth-consultation Take the tinnitus quiz: https://treble.health/tinnitus-quiz-1Download the Ultimate Tinnitus Guide: 2024 Edition: https://treble.health/tinnitus-guide-2025
Season 2 of On the Balcony continues by looking sideways — exploring frameworks that stretch Adaptive Leadership into new terrain.In this episode, Michael Koehler sits down with Judit Teichert, Managing Director and Partner at KONU Germany. Judit's work is shaped by her background as a licensed psychotherapist trained in cognitive behavioral therapy (CBT), and more than a decade of coaching and facilitation around adaptive leadership and adult development with teams and organizations across Europe, the Middle East, Asia, and the U.S.The conversation explores a question that sits quietly underneath so much leadership work: If we already understand the challenge, why is change still so hard?Judit's answer: insight alone isn't enough. We need practice — repeated iterations that build new pathways, not just in our thinking, but in our emotions, behaviors, and relationships. Change requires more than understanding. It requires reps.This episode also spends time with loss — not as something to fix or rush past, but as something that needs to be named, held, and lived through if change is going to last.Stay With What You're LearningEach episode, we send a short reflection and one resource to go deeper — things we don't include in the show.Sign up for the On the Balcony newsletter: konu.org/balconyWhat You'll Explore in This EpisodeThe triangle of change: thinking, feeling, actingHow cognitive behavioral therapy offers multiple entry points into change — and why limiting ourselves to "thinking our way" into new behavior often falls short.Why insight isn't enoughThe gap between understanding a pattern and actually changing it. Why we underestimate how many iterations — how many "reps" — real change requires.Practice as pathway-buildingThe metaphor of building a road through a jungle: the first time you take a new route, everything is unfamiliar and threatening. Only through repetition does a path become a highway.Managing loss in organizationsWhy naming loss is both diagnosis and intervention. How holding space — without rushing to solutions — allows groups to grieve and then reorient on their own terms.The role of ritual and structure in griefWhat we can learn from cultural and religious traditions about allocating time and space for mourning — and why organizations often skip this step.Reframing loss as sacrificeHow, after grief has been processed, framing loss as "in service of something bigger" can restore meaning and commitment.A live example from client workHow one organization combined adaptive leadership diagnosis with CBT-informed skills practice — role-playing difficult conversations repeatedly to build new muscles for candor.Quotes from This Episode"I think sometimes we underestimate how much practice, how many flight hours or reps it takes to actually change." — Judit Teichert"When you take a new route the first time, you're in a deep jungle. You don't know what the next step looks like. That's why it feels so tense and sometimes threatening to do something you've never learned to do before." — Judit Teichert"Paradoxically, one of the strategies to manage loss is not to manage — but to hold." — Judit Teichert"Grief and sadness — their function is to support us to reorient. If we don't take that time, we're clinging to something and we cannot wholeheartedly commit to something new." — Judit Teichert"There's a deep hole in the sidewalk. I walk around it. And there's like the absence of any drama in that sentence. That's one of the biggest changes." — Judit...
Change the script, change the result. We dive into a grounded, grace-filled approach to midlife weight loss that rejects crash diets and embraces sustainable transformation through faith, neuroscience, and simple daily habits. With Dr. Lorette, a cognitive behavioral therapist and minister, we explore how thoughts shape beliefs, beliefs drive feelings, and feelings steer actions—so if you want new outcomes, start where your self-talk begins.You'll learn the Five Dailies—pray and plan, water, move, journal, sleep—and why starting with just one habit today beats chasing the perfect plan tomorrow. We walk through a quick craving reset that blends bilateral stimulation with a spoken boundary scripture to quiet the urge in seconds and rewire desire over time. Instead of muscling through temptation, you'll feel the power shift as your words anchor a healthier identity and your brain follows suit.We also unpack the role of self-love as a structural pillar for health, offering practical ways to replace harsh inner narratives with truth you can speak and embody. You'll hear simple meditation strategies that reduce stress and cortisol in minutes, plus a hands-on method for “casting down” toxic thoughts to accelerate neuroplastic change. For movement, Dr. Lorette introduces PraiseMoves—a Christ-centered alternative to yoga—where scripture and strength training meet to build flexibility, balance, and resilience without strain.If you're navigating midlife hormones, stress, and the pull of old habits, this conversation offers tools you can use today and a hopeful framework that lasts. Subscribe, share with a friend who needs encouragement, and leave a review with the one habit you'll start now—we're cheering you on.BioDr. Laurette Willis, CBT, is a cognitive-behavioral therapist, international speaker, and founder of PraiseMoves®, the Christian Alternative to Yoga, along with several global faith-based ministries.She helps Christian women experience whole-person transformation—spirit, soul, and body—by renewing the mind and retraining the brain using neuroscience principles grounded in Scripture. Her work empowers women to break free from emotional eating, stress, anxiety, and self-sabotage and live Healthy, Fit, and Free from the inside out.A survivor of emotional eating and past addiction, Dr. Laurette now equips women worldwide with practical, faith-centered tools for lasting change. We hope you enjoyed this episode of the V.I.B.E. Living Podcast.If it resonated with you, please like, comment, subscribe, and share it with a woman ready for her next chapter. At V.I.B.E., we believe V.I.B.E. is who you're meant to be — Vibrant, Intuitive, Beautiful, and Empowered — and awakening is how you get there.That awakening unfolds through awareness, community, and intentional self-care. To explore what's happening in the V.I.B.E. Living world and connect with Lynnis, visit:
Cognitive Behavioral Therapy (CBT) is often seen as a modern invention—but its core ideas were explored over 1,100 years ago by the 9th-century scholar Abu Zayd al-Balkhi.In this video, we explore al-Balkhi's groundbreaking writings on mental health, anxiety, depression, emotional regulation, and the connection between thoughts and behavior—ideas that closely resemble modern psychology and CBT.Find me and my music here:https://linktr.ee/filipholmSupport Let's Talk Religion on Patreon: https://www.patreon.com/letstalkreligion Or through a one-time donation: https://paypal.me/talkreligiondonate Hosted on Acast. See acast.com/privacy for more information.
Seal in those goals with this free meditation from Dr. Liz. If you have trouble achieving goals due to ADHD, trauma, or poor motivation, feel free to reach out to Dr. Liz, a master goal attainer, for a free consultation! Schedule a free consultation at https://drlizbonet.as.me/free-phone-consult Send in your ideas for a few free hypnosis topics to air on the podcast! Email her at drliz@drlizhypnosis.com -------------- Support the podcast through Buy Me a Coffee! https://buymeacoffee.com/drlizbonet Support yourself with Hypnosis Downloads by Dr. Liz! http://bit.ly/HypnosisMP3Downloads Do you have Chronic Insomnia? Find out more about Dr. Liz's Better Sleep Program at https://bit.ly/sleepbetterfeelbetter Search episodes at the Podcast Page http://bit.ly/HM-podcast --------- About Dr. Liz Interested in hypnosis with Dr. Liz? Schedule your free consultation at https://www.drlizhypnosis.com Winner of numerous awards including Top 100 Moms in Business, Dr. Liz provides psychotherapy, hypnotherapy, and hypnosis to people wanting a fast, easy way to transform all around the world. She has a PhD in Clinical Psychology, is a Licensed Mental Health Counselor (LMHC) and has special certification in Hypnosis and Hypnotherapy. Specialty areas include Anxiety, Insomnia, and Deeper Emotional Healing. A problem shared is a problem halved. In person and online hypnosis and CBT for healing and transformation. Listened to in over 140 countries, Hypnotize Me is the podcast about hypnosis, transformation, and healing. Certified hypnotherapist and Licensed Mental Health Counselor, Dr. Liz Bonet, discusses hypnosis and interviews professionals doing transformational work. Thank you for tuning in!
Growing up, every report card comment and parent conference involved my teachers expressing some version of the following: "Angela is smart, but not working to her potential." "Angela needs to focus and apply herself." "Angela is a capable student but does not put forth effort." "Angela could do the work if she wanted to but she appears lazy and unmotivated." I shared a little of this story a few years back, and how I was labeled as gifted at first, and then diagnosed with a learning disability in math: EP163: I was a disengaged student who nearly failed high school For years, I believed something was fundamentally wrong with the wiring in my brain. Despite everything I'd accomplished, I felt inconsistent, unfocused, and unable to just ... do the thing like everyone else seemed to. Normal adulting tasks felt like they required herculean effort. It took decades to understand: I'm not lazy. I'm neurodivergent. And that changes everything. In this episode, I'm sharing my journey of understanding my brain, from my bipolar diagnosis in my early 20s to discovering CBT and mindset work, to finally creating the resource I wish I'd had all along. I'll tell you about Motivation Lab, a new coaching app I've built that translates the neuroscience principles from my Finding Flow curriculum into a format for teens, young adults, and anyone who's ever felt like traditional productivity systems just don't work for their brain. This is the story of why I created Motivation Lab, who it's really for (hint: maybe not you, but possibly someone you care about), and why I'm asking for your help in getting it to the people who need it most. If you've ever wondered why consistency is so hard, why motivation feels unpredictable, or why no single productivity system works for everyone, I think you'll relate to what I'm sharing. Check out Motivation Lab here: studio.com/motivationlab/ Read or share the blog post. The first official podcast ep of 2026 will be out on January 11th. Thank you for listening to this interlude / announcement!
In this wisdom episode of The ADHD Women's Wellbeing Podcast, we're revisiting one of our top episodes of 2025 with clinical psychologist, Dr Russell Ramsay.Together, we explore the powerful link between ADHD and anxiety, and why so many women experience both. This conversation offers a validating look at how ADHD's constant uncertainty can fuel anxious thoughts, self-doubt and overthinking, and why there is nothing “wrong” with you for feeling this way.We unpack how anxiety can act as an alarm system, what it might be trying to signal based on past experiences, and how tools like CBT, emotional labelling and distanced self-talk can help you move through anxious moments with more clarity and self-compassion.My new book, The ADHD Women's Wellbeing Toolkit, is now available, grab your copy here!Key Takeaways:Why anxiety and ADHD are so often intertwined stemming from a fear of uncertainty An explanation of why stimulants (for some people) can lower anxiety by improving focus and reducing mental chaosUnderstanding what your anxiety is trying to protect you from and how to build self-confidence Where RSD and social anxiety come from and why it they can feel more intense for ADHD womenSeeing anxiety as an alarm system rather than a personal failing to support more confident choices How tolerating discomfort can help you get started with anxiety-provoking tasksSimple tools like emotional labelling and distance self-talk to calm your inner chatter and reduce catastrophic thinkingTimestamps:00:06 - Reflecting on Previous Episodes01:55 - Understanding the Connection Between ADHD and Anxiety08:48 - Understanding Anxiety and Emotions12:06 - Managing Anxiety and Emotional Awareness14:38 - Understanding Distanced Self TalkThe More Yourself Community doors are now open!More Yourself is a compassionate space for late-diagnosed ADHD women to connect, reflect, and come home to who they really are. Sign up here!Inside the More Yourself Membership, you'll be able to:Connect with like-minded women who understand you Learn from guest experts and practical toolsReceive compassionate prompts & gentle remindersEnjoy voice-note encouragement from KateJoin flexible meet-ups and mentoring sessionsAccess on-demand workshops and quarterly guest expert sessionsTo join for £26 a month, click here. To join for £286 for a year (a whole month free!), click here.We'll also be walking through The ADHD Women's Wellbeing Toolkit together, exploring nervous system regulation, burnout recovery, RSD, joy, hormones, and self-trust, so the book comes alive in a supportive community...
Dr Lou Cozolino - a clinical psychologist, author and professor based in Beverly Hills, California. He received his Ph.D. in Clinical Psychology from UCLA and an M.T.S. from Harvard University. He has been a Professor at Pepperdine since 1986 and lectures around the world on psychotherapy, neuroscience, trauma, and attachment. The work that I do for The Weekend University means I get to explore a wide range of topics, teachers, and practitioners who are at the forefront of the field of psychology. Every so often, I feel like I've “struck gold” after discovering someone and I would certainly put Dr Cozolino's work into this category. In this interview, you'll learn: — Lou's experience of being taught by Carl Rogers and what he learned from him — The 4 common factors that underlie all effective forms of psychotherapy — The importance of focusing on principles rather than techniques when educating yourself as a therapist — Why human beings need psychotherapy — The vital ‘half second' and how this impacts every aspect of our experience — The impact of early experiences on our development — Core shame and why we experience it — Neuroplasticity and why therapists should think of themselves as applied neuroscientists — 3 books that Lou recommends every therapist should read And more. You can learn more about Dr Cozolino's work at www.drloucozolino.com --- Dr. Lou Cozolino practices psychotherapy and consulting psychology in Beverly Hills, California. He received his Ph.D. in Clinical Psychology from UCLA and an M.T.S. from Harvard University. He has been a professor at Pepperdine since 1986 and lectures around the world on psychotherapy, neuroscience, trauma, and attachment. With more than 30 years of experience as a psychotherapist and coach, Lou works with adults, adolescents and families as they face a wide variety of life's challenges. Lou's primary method as a therapist is one of connection, attunement, and interaction. Working primarily from a psychodynamic model of treatment, he also employs strategies and techniques from the other forms of therapy he has studied including CBT, family systems, and humanistic/existential. --- Interview Links: — Why Therapy Works: https://amzn.to/3wt90El — The Neuroscience of Psychotherapy: https://amzn.to/3MBxcKw — The Making of a Therapist: https://amzn.to/3lnbuha — The Development of a Therapist: https://amzn.to/3wtNOhF — Dr Cozolino's website: www.drloucozolino.com --- 3 Books Lou Recommends Every Therapist Should Read: — Character Analysis - Wilhelm Reich (1st 120 pages): https://amzn.to/3wDWjoV — Becoming a Person - Carl Rogers: https://amzn.to/3wzrxOg — Thou Shalt Not Be Aware - Alice Miller: https://amzn.to/3sJVUQC --- — Get our latest psychology lectures emailed to your inbox: http://bit.ly/new-talks5 — Check out our next event: http://theweekenduniversity.com/events/
Dr. Julia Linke (University of Mainz, Germany) joins AJP Audio to discuss the use of neural efficiency, a measure of brain activity, as a potential biomarker in the treatment of children with anxiety disorder. Afterwards, AJP Editor-in-Chief Dr. Ned Kalin joins the podcast to put the rest of the issue into context. 00:31 Linke interview 02:15 State or a trait? 04:15 Neural efficiency and CBT 05:22 Potential as a biomarker 07:08 Patient-rated and parent-rated measures of anxiety 08:16 Immediate clinical implications 09:50 Limitations 10:43 Future directions of research 11:44 Kalin interview 11:50 Linke et al. 15:16 Mallard et al. 18:11 Naples et al. 21:44 Mac Giollabhui et al. Transcript Be sure to let your colleagues know about the podcast, and please rate and review it on Apple Podcasts, Google Podcasts, Spotify, or wherever you listen to it. Subscribe to the podcast here. Listen to other podcasts produced by the American Psychiatric Association. Browse articles online. How authors may submit their work. Follow the journals of APA Publishing on Twitter. E-mail us at ajp@psych.org
Read the full transcript here. How can we distinguish “real CBT” from supportive talk - does it include homework, clear goals, or a manualized plan? When therapy “doesn't work,” is it the modality, the match, or weak training? Are common factors enough once symptoms disrupt daily life? Why does fragmented care push patients to choose meds or therapy by luck of first contact? When are meds a useful boost versus a detour from solving life problems? What's distinct about DBT—skills, validation, and balancing change with acceptance? How does radical acceptance cut suffering without excusing harm? Which skills travel across diagnoses? How do we prevent therapist burnout and drift from the model? If we want durable gains, should we favor therapies that teach skills we keep after treatment ends? Shireen Rizvi is a licensed clinical psychologist, board certified in Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT). She obtained her BA from Wesleyan University and her MS and PhD from the University of Washington. Links: Shireen's Videos Shireen's Books Staff Spencer Greenberg — Host + Director Ryan Kessler — Producer + Technical Lead WeAmplify — Transcriptionists Igor Scaldini — Marketing Consultant Music Broke for Free Josh Woodward Lee Rosevere Quiet Music for Tiny Robots wowamusic zapsplat.com Affiliates Clearer Thinking GuidedTrack Mind Ease Positly UpLift [Read more]
If you've ever tried to start something simple—doing the dishes, sending the email, getting out the door—and still somehow couldn't make it happen, this episode is for you.Russ Jones is back with Isabelle and David to go deeper into what actually works when ADHD makes even the smallest task feel impossible. You can go back and listen to part one of their conversation here. Russ, ADHD wellness coach and creator of ADHD Big Brother, gets candid about his own patterns and tools—and how even with all his knowledge and experience, he still gets stuck sometimes. But instead of spiraling into shame or "just try harder" mode, this episode is about finding your way back to momentum without beating yourself up.Here's what's coming your way:How to use behavioral momentum to get moving again—by starting small and stacking tiny winsWhy body doubling isn't just helpful—it's a core support strategy (especially on the hard days)The exact self-check-in Russ uses to stay consistent without self-blame—and how you can try it tooDavid also unpacks why these tools work from a neuroscience perspective, Isabelle shares her own struggles with task initiation, and the group unpacks how perfectionism can sneak in and sabotage even our best intentions!Want to try Russ's method? He shares a free downloadable guide called Ready, Set, Go! to help you start with the smallest possible step. You can get it by signing up for his newsletter at adhdbigbrother.com. You can also check out the ADHD Big Brother Podcast wherever you get your podcasts.--------Wait—What's That? Here are some of the terms mentioned in this episode you might want a quick refresher on:CBT (Cognitive Behavioral Therapy): A structured approach that helps identify and reframe unhelpful thoughts and behaviors. Russ talks about using CBT to take shame out of the equation and break tasks down into achievable steps.ACT (Acceptance and Commitment Therapy): A therapy modality that encourages accepting uncomfortable thoughts without judgment and taking action based on values. David and Isabelle briefly reference it while discussing internal self-talk.Behavioral Momentum: A strategy where doing one small task can help you build enough mental energy to do the next one. Key concept discussed by Russ when he shares how to stack tiny wins.Body Doubling: A method where simply doing a task alongside someone else (virtually or in person) helps increase focus and follow-through. Russ talks about this as a game-changing tool for him and his community.Compassionate Check-Ins: A self-inquiry tool Russ uses regularly—quick moments to assess what's working and what's not, without self-judgment.Russell Barkley: A prominent clinical psychologist known for his research on ADHD, mentioned by Isabelle while discussing the neurological underpinnings of executive dysfunction.Coaching vs. Therapy: Russ clarifies that he's a coach, not a therapist—he works from lived experience and ADHD-specific tools to help people build structure and momentum.--------
Is SEO still worth your time as a therapist in a world dominated by AI and constant algorithm changes? In this replay of one of our most downloaded episodes of the year, I sit down with SEO expert Chris Morin from Moonraker to break down what actually moves the needle when it comes to getting your private practice website to rank on Google. We talk honestly about whether Google is still relevant, how AI fits into modern SEO (without turning your website into generic fluff), and why content creation is still one of the most powerful and accessible marketing strategies for therapists today. In this conversation, Chris shares a refreshingly practical approach to SEO that feels doable even if you're juggling a full caseload. We dive into how people are really searching for therapy, the biggest mistakes therapists make with service pages, and how to structure your site so Google actually understands what you do, who you help, and where you're located. If SEO has ever felt overwhelming, confusing, or like a total black hole of effort, this episode will help you see a clear path forward and remind you that you don't need to do everything to see results. Topics Covered in This Episode: 3:58 - Why Google rankings are far from "dead" (even with ChatGPT in the mix) 7:14 - The single SEO strategy that delivers the biggest ROI for therapists 9:32 - How clients actually search for therapy (and why "individual therapy" might be hurting you) 12:48 - The surprising power of modality-based pages like EMDR, CBT, and IFS 15:41 - How to use AI strategically without publishing generic, low-value content 21:44 - The hidden SEO mistake almost everyone makes inside their blog posts 24:03 - What backlinks really do and how many you actually need 29:10 - The trust signal Google cares about most (and how to build it ethically) If you're ready to stop guessing and start building a marketing strategy that actually supports your practice growth, this episode is a must-listen. Tune in, take notes, and then choose one thing you can implement this month. And if this conversation clicks for you, join us in the Practice Accelerator and get started for $100 off using our special promo code for podcast listeners, ALLIN! Resources Mentioned: Needing more private pay clients in the New Year and wanting to dive in deeper on SEO? Join the Practice Accelerator here to get started with our podcast listeners getting $100 off using the code ALLIN! https://www.theentrepreneurialtherapist.com/practice-accelerator-sales-page Find out more about Alma here: helloalma.com/danielle Take 50% off your first 4 months of Simple Practice + a 7 day free trial using the link: simplepractice.com/danielle
Does your teen wake up in the middle of the night overwhelmed with worries they can't shut off? Have you noticed that everything feels so much bigger for teens at 2:00 AM than it does in the light of day? There's been a surge in what experts are calling the “2 AM Spiral”—a late-night loop of overthinking fueled by screen time, academic pressure, social stress, and the natural sleep-cycle shift that happens during adolescence. In this episode, Colleen talks with therapist Kevin Logie about what's really happening in teens' brains during these late-night spirals, why sleep deprivation intensifies anxiety, depression, and irritability, and how parents can respond with more curiosity and less control. You'll learn why this isn't “teen drama,” how phones and lack of downtime play a major role, and practical, compassionate strategies to help teens regulate, reset, and sleep better—without turning bedtime into a nightly battle. Kevin Logie is an associate therapist who brings creativity, warmth, and flexibility to his work with children, tweens, teens, and families. With a background in the arts and improv, Kevin blends narrative and person-centered therapy with evidence-based tools such as CBT, EMDR, ABA, and mindfulness practices. He specializes in helping clients rewrite unhealthy narratives, build emotional awareness, and develop resilience. Kevin is also a dad to a 12-year-old son, bringing both professional insight and lived experience into his work.
In this episode of Ask Kati Anything, licensed marriage and family therapist Kati Morton explores a wide range of mental health topics, from the nuances of cognitive distortions to the complexities of healing from long-term trauma. Kati discusses why getting better can feel scary, the realities of psychiatric hospitalizations, and why certain popular therapy modalities like CBT might not be the best fit for everyone. Support the show! Check out our sponsors and exclusive deals: • Remi: Get professional quality custom night guards for 80% less than the dentist. Go to https://www.shopremi.com/KATI and use code KATI at checkout for 50% off. • Aura Frames: Give the gift of memories with unlimited photos and videos. Exclusive $35 off Carver Mat at https://www.on.auraframes.com/KATI. Promo Code KATI • Fabletics: Premium activewear for a fraction of the price. Sign up as a new VIP at https://www.fabletics.com/kati to get 80% off everything. Questions: Q 1: Futurizing vs. Catastrophizing Kati defines futurizing as an unrealistically negative view focused solely on the future , while catastrophizing is taking any small issue and making it a big deal in the moment. Q 2: Why Breakthroughs Can Feel Empty or Scary A discussion on why making progress in therapy for complex trauma can lead to an "identity crisis" Q 3: Navigating Higher Levels of Care & Hospitalization Kati explains the difference between voluntary vs. involuntary (5150) holds , what to actually expect inside a psychiatric ward (from "gripper socks" to shared rooms). Q 4: Healing from Therapist Attachment & Goodbyes How to handle the "heartbreak" of a therapeutic relationship ending. Q 5: Dealing with Intense Pre-Therapy Anxiety, Kati explores why some people feel terrified before sessions and offers tips like ritualizing your preparation to calm the nervous system. Q 6: Can You Heal in the Place That Made You Sick? A "tough love" look at why true healing is difficult in an active abusive environment. Q 7: Emotional Numbness and "Logic Brain" on Meds Addressing emotional numbness on psychiatric medication. Q 8: Do You Really Need a Specialist for Eating Disorders? Q 9: Why CBT Often Falls Short for Complex PTSD An explanation of why traditional Cognitive Behavioral Therapy (CBT) can feel minimizing or invalidating for trauma survivors. ONLINE THERAPY (enjoy 10% off your first month) While I do not currently offer online therapy, BetterHelp can connect you with a licensed, online therapist: https://betterhelp.com/kati MY BOOKS Why Do I Keep Doing This? (NEW BOOK) https://geni.us/XoyLSQ Traumatized https://geni.us/Bfak0j Are u ok? https://geni.us/sva4iUY PARTNERSHIPS Nick Freeman | nick@biglittlemedia.co Disclaimer: The information provided in this video is for educational and informational purposes only and is not intended as medical or mental health advice. It should not be used to diagnose or treat any health problem or disease. Always consult with a qualified healthcare professional for diagnosis and treatment. Viewing this content does not establish a therapist-client relationship. Learn more about your ad choices. Visit megaphone.fm/adchoices
Sometimes it's good to get back to the basics. Many of the issues and challenges we face with people could be lessened or improved by applying simple principles for dealing with others.So today, join me, Dr Julie, as we talk about ten suggestions for getting along better with people.Click to listen now! Visit us on Instagram at MyCBTPodcast Or on Facebook at Dr Julie Osborn Subscribe to the podcast at Apple Podcasts Email us at mycbtpodcast@gmail.com Find some fun CBT tools at https://www.mycbt.store/ Thanks for listening to My CBT Podcast!
This episode breaks down the major misconceptions about ADHD treatment and clarifies what decades of research, major clinical guidelines, and leading experts actually recommend. Ryan and Mike explain why weekly talk therapy is not an evidence-based treatment for ADHD, why parent training and environmental structure are consistently shown to improve outcomes, and how parents can make informed decisions without getting pulled into common myths.Find Mike @ www.grownowadhd.com & on IGFind Ryan @ www.adhddude.com & on Youtube{{chapters}}[00:00:00] Start[00:02:21] What clinical guidelines actually recommend[00:05:27] Dr. Barkley's research on effective ADHD treatments[00:09:11] Evidence on CBT, DBT, and play therapy[00:19:21] Why office-based therapy doesn't translate to real-world behavior[00:22:29] Rumination and how talk-heavy approaches can backfire[00:31:19] Treatments with the strongest evidence (medication, parent training)Citations:1. AAP Guideline (Parent Training + Medication as First-Line)Wolraich, M. L., et al. (2019). Clinical practice guideline for ADHD in children and adolescents. Pediatrics, 144(4), e20192528.2. AACAP Treatment Parameter (Medication + Behavioral)Pliszka, S. R., & AACAP Work Group. (2007). Practice parameter for ADHD. JAACAP, 46(7), 894–921.3. Barkley: ADHD as Performance DisorderBarkley, R. A. (2012). Executive functions. Guilford Press.Barkley, R. A. (2015). ADHD: Handbook for diagnosis and treatment (4th ed.). Guilford Press.4. CBT Evidence (Adolescents/Adults, Not Young Children)Safren, S. A., et al. (2010). CBT vs relaxation for adults with ADHD. JAMA, 304(8), 875–880.Solanto, M. V. (2011). CBT for adult ADHD. Guilford Press.Langberg, J. M., et al. (2008). Organization skills intervention for adolescents. JCCP, 76(6), 967–982.5. DBT-Informed (Pilot Trials, Emotion Dysregulation)Murray, D. W., et al. (2022). DBT skills group for adolescents with ADHD. J Attention Disorders, 26(11), 1421–1430.6. Play Therapy (Insufficient Evidence)Hassan, R. A., & Shaker, N. S. (2014). CBPT for ADHD symptoms. Int J Psychology & Behavioral Sciences, 4(6), 221–229.7. EF Skills: Experience-Based, Not Language-BasedBarkley, R. A. (2012). Executive functions. Guilford Press.8. Rumination and ADHDOstojic, D., et al. (2021). Mind wandering and rumination in youth with ADHD. J Abnormal Child Psychology, 49, 1203–1216.Seymour, K. E., et al. (2014). Emotion regulation mediates ADHD-depression relationship. J Abnormal Child Psychology, 42, 611–621.9. Time Blindness/Temporal ProcessingToplak, M. E., & Tannock, R. (2005). Time perception deficits in ADHD. J Abnormal Child Psychology, 33(5), 639–654.Barkley, R. A., et al. (2008). ADHD in adults: What the science says. Guilford Press.10. Parent Behavior Training (Evidence-Based)Chronis, A. M., et al. (2006). Evidence-based treatments for children with ADHD. Clinical Psychology Review, 26(4), 486–502.Evans, S. W., et al. (2014). Evidence-based treatments for ADHD. JCCAP, 43(4), 527–551.11. Medication as First-LineFaraone, S. V., et al. (2021). Stimulant effectiveness and safety. World Psychiatry, 20(3), 314–329.Swanson, J. M., et al. (2017). MTA study long-term outcomes. JAACAP, 56(3), 228–240.
Send us a textPeaches flies solo and unfiltered, taking you on a no-holds-barred ride through shady OSI tactics, the SIG M18 controversy, and why the Air Force might just toss a junior enlisted under the bus to protect billion-dollar contracts. He drags lazy PT culture through the mud, skewers the “extra 800 meters will kill us all” crowd, and asks the real question—are new policies actually helping prevent suicides, or is it just more PowerPoint theater? From dark humor to brutal honesty, this is Peaches in full “crusty retired PJ” mode—raw, opinionated, and asking you for answers.
Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks… Sophie: Hi Stephen, I really appreciate all that you do and I was hoping you would be able to give me some much needed guidance. I was diagnosed with ventricular tachycardia last year and the only explanation the consultant could provide was it was due to a tiny scar on my heart. I had a ultrasound & an MRI and the results were fine, and my heart was structurally sound. I have taken the big 5 and nothing was out of the ordinary apart from high cortisol at night and candida. I consequently completed the CBO last year. I am currently on beta blockers to control the fast/erratic heartbeats. These do not work all the time. The consultant said my only other option is for them to preform an AF abrasion. What are your thoughts on this procedure, as I really want to get off the beta Blockers and find a natural alternative to fixing my heart. I have heard you talk about how Enzymes are good for the heart, is there one in particular that would help or anything else I can try? I really do not want to have the abrasion or carry on with the BB and am desperate to find a natural solution to fixing my symptoms. I am taking omega 3, magnesium-complex, VD + K2, vitamin c, b-complex, hawthorn, zinc, coq10 & taurine, is there anything else I should be taking to help. When my symptoms are at there worst, I get a big rush to the head and black out for a few seconds, whilst shaking. I have a clean diet, and do not smoke and have cut out alcohol, coffee & sugar, as I find any stimulant does not help, including over exercising. Please help, any advise would be greatly appreciated. Anonymous: Hi Dr. Cabral! Over the last year my cycle has gone from 28 days to 23–24 days, and my PMS symptoms have gotten extreme—like night sweats, heavy emotions, breast tenderness, and migraines right before my period. I'm only 34, so perimenopause feels early. Could this be stress-related, estrogen dominance, or something deeper? Thank you for all you do! Sarah: Hello dr C! Curious if you're familiar with the eating disorder Avoidant Restrictive Food Intake Disorder (ARFID)? I suffered with it from the age of 2 until 20 - eating nothing other than 2 "safe" foods which were very processed. I'm now 29 and can happily say I no longer suffer with this ED after years of work and eat ALL the foods (all healthy, organic, wholefoods). I'm worried if having this ED for this length of time and during my developing years has permanently impacted my health, specifically my digestion and my gut microbiome. I've drastically changed my life around, have done a bunch of your testing and protocols but still dealing with some issues and curious if my past means i'll never be able to reach optimal health? How resilient is the body? David: Hello Dr. Cabral, appreciate your work and dedication. I've been experiencing persistent muscle twitches throughout my body for about six months. My doctor says magnesium levels look "normal," but I know that doesn't always tell the full story. Could this be related to electrolytes, stress, or a nervous system imbalance? Any suggestions on testing or protocols to help calm the twitches would be appreciated. Tommy: Hi Dr. C, I'm so frustrated. I had a gut issue for a long time and only the healthy belly product kept it at bay. Stool test showed citrabacter Freudi which I ran before I had the digestive issues. I did 2 para protocols, then the CBO, and dealt with frequent urination all the way through. By week 8, my bowells were much better and things had improved, however, I had to stop the protocol there as I couldn't handle the supplements at a lower dose. 2 weeks later I picked up a stomach bug, and since then I'm back to square one. I'm working on CBT because I have a lot of trauma and I believe that's why I've been so succeptible to stomach issues. I'm considering another stool test but the only issue is, what can I do about the result if I can't handle so many herbs and supplements I feel stuc Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3607 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? 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Send us a textI am Aylin Webb, psychologist, CBT & EMDR therapist, and resilience coach. If the podcast conversations resonate with you, check out my book Perfectly Imperfect here: https://amzn.to/46sLwysIn this episode, “Fearless Finance for Perfectionists: Letting Go of Money Anxiety”, I'm joined by Lori Atwood, founder and CEO of Fearless Finance and a CFP® professional. Lori created Fearless Finance to offer expert, fiduciary, hourly financial planning with no sales, no minimums, and no judgement, after more than 25 years in investment banking, asset management, and private equity.We talk about how perfectionism and anxiety show up as financial anxiety, avoidance, and all-or-nothing thinking around saving and investing. Lori explains how to think more calmly about risk, stock market ups and downs, and emergency savings, and why you don't need a lot of money or a perfect plan to start investing.We also explore why unhappiness is very expensive, how emotional distress leads to overspending, and why it's never too late to take small, imperfect steps toward financial freedom and a healthier relationship with money.Find out more about Lori: https://www.linkedin.com/in/loriatwoodWatch it on YouTube: https://youtu.be/LMzp-WrddHkDon't forget to "Like and Subscribe", so we can reach more people to help.Visit www.mindandmood.co.uk, email info@mindandmood.co.ukor call us on +44 (0)207 183 6364 to find out more.#FearlessFinance #Perfectionism #MoneyAnxiety #FinancialFreedom #FinancialPlanning #FiduciaryAdvisor #HourlyAdvice #InvestingForBeginners #MentalHealthAndMoney #AnxietyReliefSupport the show
Send us a textCrises rarely look like TV. Most calls aren't bank robberies; they're frantic welfare checks, neighbor standoffs over fences, a parent terrified for a missing teen, or someone hearing voices at 2 a.m. We sit down with Dr. Sarah Abbott, a pioneer of the police–clinician co-response model, to unpack how pairing a trained clinician with officers at the point of contact reshapes outcomes: fewer arrests, fewer injuries, and far more dignity for the person in distress.Sarah shares the origin story from Massachusetts, where “jail diversion” began as a humane alternative for low-level offenses tangled with mental illness and grew into a comprehensive crisis response approach now spreading nationally and internationally. We get honest about the early skepticism and what changed minds: consistent data, strong command support, and the day-to-day reality that most police work involves behavioral health, not crime. We also go inside Section 12—involuntary transport in Massachusetts—and why sending officers with little background information is risky for everyone. The fix is coordination and clarity: share what you legally can, add a clinician to the response, and approach the door with a plan rooted in safety and rapport.Training is the force multiplier. Sarah breaks down how academy curricula evolved to center practical de-escalation and communication, then explains why the biggest gains come later with advanced, scenario-driven refreshers once officers have real street context. We talk tactics for engaging someone in psychosis without lying or escalating, why 988 is essential but not a complete substitute, and how blending 988, CIT, and co-response builds a smarter, safer safety net. We close with Sarah's work at William James College and the new Center for Crisis Response and Behavioral Health, designed to scale what works across departments and borders.If you care about first responder mental health, public safety, and better outcomes for people in crisis, this conversation offers a clear roadmap. Listen, share it with your team, and leave a review so more agencies can find these tools and put them to work in their communities.To reach Sarah, please visit her website at: https://www.abbottsolutionsforjustice.comSarah can also befound on LinkedIn at: https://www.linkedin.com/company/abbott-solutions-for-justice-llc/?viewAsMember=trueFreed.ai: We'll Do Your SOAP Notes!Freed AI converts conversations into SOAP note.Use code Steve50 for $50 off the 1st month!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the showYouTube Channel For The Podcast