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What actually makes addiction treatment work?In this episode, I sit down with Dr. Tiffany Towers, Clinical Director at Seasons in Malibu, to go behind the scenes of what it takes to create and maintain a truly high-quality treatment program. We talk about how Seasons builds an incredibly varied team of clinicians, why different perspectives matter, and how they decide which therapeutic modalities are worth bringing into the program.We also get into some of the questions people often have about treatment but don't always get to ask: What role should Twelve Step play in recovery? Can the beach actually be therapeutic? What happens when someone relapses while they're in treatment? And what are clinicians seeing as new substances and patterns of use emerge?Dr. Towers also shares what she's seeing with the growing number of people coming into treatment for kratom detox, and how increasing regulations in California are changing the treatment landscape.This conversation isn't just for people considering rehab. It's for anyone interested in addiction, recovery, therapy, or becoming a better-informed participant in their own personal growth. The more we understand about how treatment decisions are made, the better equipped we are to ask questions, advocate for ourselves, and choose the approaches that actually make sense for us.Today's episode is brought to you by Seasons in Malibu. For over 18 years, Seasons has been a sanctuary for individuals seeking to reclaim their lives from addiction and mental health challenges. Our story began with a simple but profound vision: To create a luxurious sanctuary for individuals struggling with addiction or mental health issues, where they can receive the finest, evidence-based treatment in the world.Built on Compassion, Driven by ExcellenceWhat started as a small number of compassionate professionals has grown into one of the nation's most respected luxury treatment centers. But growth has never meant losing sight of what matters most—the individual engaging with our therapists, one-on-one, taking the courageous first step toward healing.From the beginning, we understood that truly transformative treatment requires more than clinical protocols. It demands a personalized approach, led by the most qualified professionals, in an environment that nurtures the whole person. That's why we've assembled a team where every primary therapist holds a Doctorate in Psychology - a distinction virtually unmatched in our field. Check out Seasons Malibu online or call 1-866-314-5160 for more information.Learn more about Sunil KalwaniConnect with Seasons on Instagram DM me on InstagramMessage me on FacebookListen AD FREE & workout with me on Patreon Connect with me on TikTokEmail me chasingheroine@gmail.com
Episode 517: How a Bloody Trauma Case Cured My Lifelong Blood Phobia Hosts: Kevin Cornelius, LMFT Dr. David Burns Episode Summary Can your greatest fear become one of your greatest strengths? In this deeply personal episode, Dr. David Burns shares the remarkable true story of how a severe lifelong blood phobia nearly ended his medical career—and how one unforgettable day in the emergency room transformed that fear forever. David recounts his unconventional path to becoming a psychiatrist, including almost dropping out of medical school, taking years away from medicine, living without money while trying to create a life centered around helping others, and eventually finding his way back to psychiatry through a residency at Highland Hospital in Oakland. On his very first day in the emergency department, David was confronted with what seemed like his worst nightmare: a critically injured bombing victim covered in blood. Unable to avoid the situation, he was asked to help clean gunpowder from the patient's wounds. What began as overwhelming terror became an unexpected turning point that permanently erased his blood phobia—and ultimately shaped his career treating anxiety disorders. Along the way, David and Kevin explore why exposure is one of the most powerful treatments for anxiety, why motivation is essential for lasting change, and why courage doesn't require the absence of fear. This inspiring conversation is a reminder that the experiences we most want to avoid can sometimes become the doorway to profound growth. In This Episode Why David never intended to become a physician—and almost quit medical school. The childhood experiences that contributed to his lifelong blood phobia. How avoiding feared situations keeps anxiety alive. The extraordinary trauma case that unexpectedly became David's own exposure therapy. The surprising moment his fear disappeared completely. David's concept of the "200% cure"—when something you once feared becomes something you genuinely enjoy. Why therapists sometimes avoid using exposure therapy, even though it is one of the most effective anxiety treatments. Why motivation often determines whether people are able to face their fears. The role of acceptance and willingness during exposure. A moving reunion with Highland Hospital decades later through the surgeon who recently performed David's successful colon surgery. Key Takeaways Exposure works because avoidance keeps fear alive. The natural impulse is to escape what frightens us. Unfortunately, every act of avoidance teaches the brain that the feared situation is dangerous. When we stay in the feared situation long enough, anxiety eventually peaks and then naturally declines. The feared catastrophe rarely occurs, and our confidence grows. Courage means acting while you're afraid. Kevin highlights an important distinction: You don't have to eliminate fear before taking action. Real courage is moving forward even while your anxiety feels overwhelming. David's anxiety remained at a 100 out of 100 for nearly fifteen minutes before it suddenly dissolved. Anxiety cannot remain at its peak forever. One of the biggest misconceptions about anxiety is the belief that once it starts, it will continue indefinitely. In reality, anxiety naturally rises and falls. If we stop escaping and allow ourselves to experience it, it eventually loses its power. Motivation makes exposure possible. For years David simply avoided blood. Everything changed because he had something more important than avoiding fear: he wanted to become a psychiatrist. Having a compelling reason to face anxiety often makes difficult exposure exercises possible. Sometimes fear transforms into enthusiasm. David describes what he calls the "200% cure." A 100% cure means you're no longer afraid. A 200% cure means you actually enjoy doing the very thing you once feared. Many people who overcome fears discover new passions that once seemed impossible. Therapists can become afraid of their patients' anxiety. Kevin and David discuss an important obstacle in treatment: therapists themselves sometimes avoid exposure because they're afraid it will overwhelm the client. Ironically, protecting people from anxiety often prolongs suffering. Learning that anxiety is uncomfortable—but not dangerous—is one of the most healing discoveries patients can make. Exposure requires willingness, not comfort. The goal is never to feel relaxed before confronting a fear. The goal is to become willing to experience anxiety while pursuing what matters. Memorable Quotes "When you confront the thing you're afraid of, you discover that the monster has no teeth." "You don't have to be a hero. You just have to make the decision to do it." "The 100% cure is you're no longer afraid. The 200% cure is that you love doing the thing you were once afraid of." "The real harm is believing that anxiety itself is dangerous." Resources Mentioned Dr. David Burns' accompanying Psychology Today article, "How a Bloody Trauma Case Cured My Lifelong Blood Phobia." TEAM-CBT and exposure techniques for treating anxiety disorders. If You Enjoyed This Episode If this conversation resonated with you, please subscribe to The Feeling Good Podcast, leave a rating or review, and share this episode with someone who struggles with anxiety or avoidance. Your support helps more people discover practical, evidence-based tools for overcoming fear and building happier lives. Listener Survey We'd love to hear from you!Your feedback helps shape future episodes and allows us to create content that is as helpful and meaningful as possible. Please use this link to take the feedback survey and share your thoughts with us about this episode.Your voice matters—and as David points out in this episode, sometimes the most important conversations begin when we're willing to express what we're really thinking and feeling. Thank you for listening to The Feeling Good Podcast! Contact Information Kevin Cornelius, LMFT is a Level 5 Certified Master TEAM-CBT Therapist and Trainer and the Clinical Director of Feeling Good Institute--Silicon Valley. He specializes in the treatment of trauma, anxiety, depression, relationship problems and insomnia. You can reach Kevin at kevin@feelinggoodinstitute.com and visit his website at www.tools4change.me. You can reach Dr. Burns at david@feelinggood.com. Feeling down in these turbulent times? Take a ride on our Feeling Great app. Feeling Great feels wonderful! You owe it to yourself to feel GREAT! Give the Greatest Gifts of ALL--Love and Happiness!
Which red flags in dating have you missed? Katharina is an Attachment-Based Specialist and an Emotionally Focused Individual therapist with over 25 years of experience helping couples and individuals build stronger, more resilient relationships. A graduate of Columbia University, she is the Founder and Clinical Director of Love Frontier Therapy Group and has dedicated her career to helping people understand the patterns behind conflict, repair emotional disconnection, and create lasting intimacy.In this episode:The subtle red flags in dating many people missWarning signs couples ignore early onDeal breakers that might be an opportunity for repair in disguiseHow curiosity can save your relationshipConnect With KatharinaYoutube https://www.youtube.com/@LoveFrontierTherapyGroup IG https://www.instagram.com/lovefrontiertherapy/ Website https://lovefrontiertherapy.com/ ►Please subscribe/rate and review the podcast on Apple Podcasts http://bit.ly/lastfirstdateradio or Spotify https://tinyurl.com/lfdradio ►If you're feeling stuck in dating and relationships and would like to find your last first date, apply for a complimentary 30-minute breakthrough session with me https://lastfirstdate.com/application ►Free Facebook for women https://facebook.com/groups/yourlastfirstdate ►Get my books: Becoming a Woman of Value; How to Thrive in Life and Love https://bit.ly/womanofvaluebook , Choice Points in Dating https://amzn.to/3jTFQe9 and Love at Last https://amzn.to/4erpj7C ►Submit your dating dilemma to be answered on my podcast https://tinyurl.com/datingdilemma ►Group Coaching: https://lastfirstdate.com/the-woman-of-value-club/ ►Website https://lastfirstdate.com/ ► Instagram https://www.instagram.com/lastfirstdate1/ ► TikTok https://www.tiktok.com/@lastfirstdate1 ►Get Amazon Music Unlimited FREE for 30 days at https://getamazonmusic.com/lastfirstdate
The Man Who Was Fired Five Times How Letting Go of Blame Can Transform Your Life Hosts: Kevin Cornelius, LMFT Dr. David Burns What if the biggest obstacle to your happiness isn't your depression, your anxiety, or even the difficult people around you? What if it's the belief that everyone else needs to change first? In this powerful episode of the Feeling Good Podcast, Dr. David Burns and host Kevin Cornelius, LMFT, discuss one of David's favorite therapy stories from his recent Psychology Today article, "The Man Who Was Fired Five Times." What begins as the story of a brilliant computer programmer who can't keep a job becomes an unforgettable lesson in overcoming resistance, building meaningful relationships, and discovering the extraordinary power of humility. This episode is packed with practical TEAM-CBT techniques, fascinating therapy demonstrations, and one of the most inspiring recovery stories you'll ever hear. In This Episode A Brilliant Man Who Couldn't Keep a Job David introduces us to "Bhagwant" (a pseudonym), an exceptionally gifted computer programmer who sought treatment after being fired five times in just two years. Although he initially came to therapy complaining of low self-esteem, David quickly noticed something much deeper. Bhagwant believed: His coworkers were conspiring against him. His bosses failed to appreciate his intelligence. Other people were the source of nearly all his suffering. Despite his obvious brilliance, his habit of blaming others had become the greatest obstacle to both his career and his happiness. Why David Didn't Try to Help Him...At First Instead of immediately offering therapy techniques, David did something surprising. He told Bhagwant that perhaps they shouldn't work together. Why? Because therapy would require Bhagwant—not his coworkers—to do all of the changing. Rather than arguing with Bhagwant or trying to convince him he was wrong, David used one of the most powerful TEAM-CBT methods: Dangling the Carrot By joining Bhagwant's resistance instead of fighting it, David completely changed the emotional dynamic. Instead of saying: "You're the problem." He essentially said: "You're right—it seems terribly unfair that you'd have to do all the work when everyone else is causing the problem." That paradoxical response immediately dissolved Bhagwant's resistance. Moments later, he admitted something he had hidden from David: He hadn't merely been placed on probation. He had already been fired—for the fifth time. Why Specificity Matters One of the central themes of the episode is David's insistence on working with specific moments instead of vague labels. Rather than treating "low self-esteem" as the problem, David asks: What happened? Where were you? What time was it? What exactly were you thinking? This "fractal" approach allows therapy to target the real thoughts creating emotional suffering instead of treating abstract diagnostic labels. As David explains, problems can only be solved when they're connected to a real moment in time. Recovery Begins with Practice Once Bhagwant committed fully to treatment, he became an extraordinarily dedicated student of TEAM-CBT. He learned to: Identify cognitive distortions Challenge negative thoughts using Externalization of Voices Master the Five Secrets of Effective Communication Replace defensiveness with curiosity and empathy At one point, David actually had to limit Bhagwant's therapy homework because he was spending six to eight hours a day practicing. The Job Interview That Changed Everything Eventually Bhagwant received a job offer from a company in Florida. David gave him one final piece of surprising advice: Ask your new employer to agree to criticize you every single week. Specifically, David suggested requesting regular meetings where supervisors would openly point out mistakes so Bhagwant could practice using the Five Secrets and the Disarming Technique. The company agreed. The results were astonishing. Within weeks: He had developed excellent relationships with coworkers. He won Employee of the Month. He received multiple promotions. His salary doubled. Years later, David received a Christmas card that brought tears to his eyes. Bhagwant had become CEO of the very company that hired him. The Disarming Technique Much of the second half of the episode explores one of the most challenging—and most transformative—TEAM-CBT skills. What Is Disarming? Disarming means sincerely finding the truth in criticism, even when the criticism seems exaggerated or unfair. David explains what he calls the Law of Opposites: Defending yourself often convinces others the criticism is true. Agreeing sincerely with whatever truth exists often causes the criticism to lose its power. This simple paradox can dramatically transform difficult conversations. Live Role-Playing Kevin and David demonstrate the Disarming Technique through several live role plays. David criticizes Kevin as being: Fake Inexperienced Pretending to know more than he really does Kevin practices agreeing with the truth in the criticism instead of defending himself. David then coaches Kevin to go even deeper—not by problem-solving or trying to improve himself immediately, but by becoming genuinely curious about the other person's experience. Later, the roles reverse, and Kevin criticizes David for being: Cranky Impatient Insensitive David demonstrates how quickly criticism melts away when someone responds with humility, openness, and genuine curiosity. These demonstrations beautifully illustrate why the Disarming Technique is often one of the hardest TEAM-CBT skills to master—and one of the most powerful. Why Resistance Matters Throughout the episode, David explains that resistance is not an obstacle to therapy. It's the doorway into effective therapy. Rather than pushing people toward change, TEAM-CBT first helps people understand why changing feels difficult. Once resistance melts away, motivation naturally appears. Enlightenment and the "Death of the Self" The conversation concludes with a reflection on one of David's favorite philosophical themes. Drawing from Buddhist psychology, David discusses how learning to accept criticism requires what he calls "the death of the self"—letting go of pride, defensiveness, and the constant need to protect one's ego. Rather than seeing criticism as an attack, we can learn to experience it as an opportunity for connection, growth, and deeper understanding. Resource Mentioned Dr. David Burns' Psychology Today article: "The Man Who Was Fired Five Times" Memorable Takeaways The biggest obstacle to change is often our resistance—not our symptoms. Therapy becomes far more effective when it focuses on one specific moment instead of broad labels. Defending yourself usually strengthens criticism; finding the truth in it often dissolves conflict. Humility builds stronger relationships than winning arguments. Learning to respond differently to criticism can transform not only your mood, but your career, your relationships, and your entire life. Whether you're a therapist, a parent, a leader, or simply someone who wants healthier relationships, this episode offers practical tools and inspiring hope that lasting change is possible—even after years of frustration and failure. Listener Survey We'd love to hear from you! Your feedback helps shape future episodes and allows us to create content that is as helpful and meaningful as possible. Please use this link to take the feedback survey and share your thoughts with us about this episode. Your voice matters—and as David points out in this episode, sometimes the most important conversations begin when we're willing to express what we're really thinking and feeling. Thank you for listening to The Feeling Good Podcast! Contact Information Kevin Cornelius, LMFT is a Level 5 Certified Master TEAM-CBT Therapist and Trainer and the Clinical Director of Feeling Good Institute--Silicon Valley. He specializes in the treatment of trauma, anxiety, depression, relationship problems and insomnia. You can reach Kevin at kevin@feelinggoodinstitute.com and visit his website at www.tools4change.me. You can reach Dr. Burns at david@feelinggood.com. Feeling down in these turbulent times? Take a ride on our Feeling Great app. Feeling Great feels wonderful! You owe it to yourself to feel GREAT! Give the Greatest Gifts of ALL--Love and Happiness!
In this episode of Cool Jobs! Pema visits a veterinary surgery to find out how our pets are cared for when they are sick, and what it takes to be a vet. Featuring Dr Christian LeVan, Veterinary Surgeon & Clinical Director at Hello Vet.If you loved this episode, download the Yoto app to listen to the rest of the week's Yoto Daily episodes for free.If you want to share your artwork with Jake and Pema, or contribute your own joke for the Friyay jokes round up, check out yoto.space!Did you know you can tune into Yoto Daily for fun facts and trivia, jokes, and riddles each and every day? Access all episodes of Yoto Daily by downloading the Yoto App. You'll find a world of kids' radio, and you don't need a Yoto Player to use it.Follow us at @yotoplay on Instagram and Facebook! Hosted on Acast. See acast.com/privacy for more information.
Episode 515: Ask David Parenting Meltdowns, Real-Time TEAM-CBT, and When Negative Thoughts Won't Stop What do you do when your child has a public meltdown—and you feel your own frustration rising just as quickly? And what if your mind feels so overwhelmed with anxious or depressive thoughts that completing a Daily Mood Log seems impossible? In this Ask David episode, Dr. David Burns is joined by host Kevin Cornelius, LMFT, and Psychiatrist/TEAM-CBT therapist Dr. Matt May to answer two thoughtful listener questions that many parents and therapy enthusiasts will recognize. Together, they demonstrate TEAM-CBT techniques live, showing not only what to do, but how to think differently in the moment. Along the way, they explore why changing your relationship with your own thoughts is often more important than trying to control other people's behavior. In This Episode Question 1: How Do I Use TEAM-CBT in Real Time When My Child Has a Meltdown? A listener describes taking his two young sons to the driving range when one child suddenly wants to leave while the other wants to stay. As frustration mounts, so do the automatic thoughts: "He's being a brat." "He's too immature for this." "He's ungrateful and whines all the time." Although the listener can challenge these thoughts later using a Daily Mood Log, he wonders: How can I use TEAM-CBT in the middle of an emotionally charged parenting moment? David, Kevin, and Matt explore this question through several live demonstrations. Topics Include: Why self-compassion comes before effective parenting The danger of "should" statements directed at yourself How beating yourself up actually makes it harder to respond compassionately Why practice outside emotional moments prepares you for success inside emotional moments Accepting your own imperfections as a parent Matt demonstrates how to respond to his own inner critic using Externalization of Voices, replacing self-criticism with realistic self-acceptance instead of perfectionism. Challenging "Shoulds" About Other People The conversation then shifts to another common trap: Trying to make other people different than they are. Together they examine several automatic thoughts parents commonly experience: "He's being a brat." "He's too immature." "He's ungrateful." David helps Matt and Kevin identify the cognitive distortions hiding inside these thoughts, including: Labeling Hidden should statements Unrealistic expectations Blaming Rather than arguing intellectually, they demonstrate TEAM-CBT methods such as: Acceptance Paradox Self-Defense Counterattack Externalization of Voices The discussion highlights an important insight: Much of our emotional suffering comes not from other people's behavior—but from insisting they should be different than they are. Kevin shares a personal story about using the Feeling Great app's Paradoxical Magnification exercise to dissolve his own "should" statements about parenting through humor and acceptance. Question 2: What If My Mind Never Stops Producing Negative Thoughts? The second listener has struggled with depression and anxiety since adolescence. Although he believes in TEAM-CBT, he finds the Daily Mood Log overwhelming because his mind produces what feels like hundreds of negative thoughts every minute. His questions include: How long should I spend on a Daily Mood Log? Do I need to answer every negative thought? Why can't I create positive thoughts that actually feel believable? David's Advice Dr. Burns explains that: 10–20 minutes of Daily Mood Log work is usually enough. You do not need to answer every negative thought. Most automatic thoughts are simply variations of a handful of core beliefs. Consistent practice matters much more than perfection. Using his own recovery after recent surgery as an example, David reminds listeners that small, steady efforts often produce remarkable long-term change. Helpful TEAM-CBT Strategies Discussed Kevin describes how simply sitting down with the Daily Mood Log often quiets his racing mind and helps him focus on what truly matters. David recommends another powerful exercise: Negative Practice Instead of fighting racing thoughts: Schedule a few minutes. Record every negative thought without challenging them. Then listen back to the recording. Many people discover that simply hearing their thoughts aloud changes their relationship to them. Matt also emphasizes several uncovering techniques that help identify the deeper beliefs generating so many automatic thoughts, including: The What-If Technique Individual Downward Arrow Cost-Benefit Analysis Positive Reframing Rather than trying to "think positively," TEAM-CBT first helps eliminate the hidden resistance that makes positive thoughts difficult to believe. A Quick Speed Round Near the end of the episode, David introduces a new experiment: Rapid-fire Ask David answers. In just thirty seconds, he explains one of the central concepts from Feeling Great: The Four Deaths of the Self The death of the Special Self (depression) The death of the Fearful Self (anxiety) The death of the Angry, Blaming Self (relationship conflict) The death of the Entitled Pleasure-Seeking Self (habits and addictions) David explains that each "death" ultimately reveals something surprising: There was never anything essential to lose—only freedom to gain. Listener Feedback The team asks for your input: Would you rather hear: Longer, in-depth discussions of just a few questions? Faster "speed round" answers covering many listener questions? Let them know through this week's listener survey. Resources Mentioned Feeling Great by Dr. David Burns The Feeling Great App Episode 507: Mastering the Daily Mood Log: Small Details, Life-Changing Results Daily Mood Log Memorable Takeaways Self-compassion is often the first step toward becoming the parent you want to be. Your emotional suffering usually comes from your thoughts—not from other people's behavior. You don't need to defeat every negative thought to feel dramatically better. Practice emotional skills when you're calm so they're available when emotions run high. Small, consistent Daily Mood Log work can create profound change over time. As always, thank you for listening to the Feeling Good Podcast. If you enjoyed this episode, please subscribe, leave a review, and send us your questions—you just might hear them discussed on a future Ask David episode. Contact Information You can reach Matt May, MD @ https://www.matthewmaymd.com Kevin Cornelius, LMFT is a Level 5 Certified Master TEAM-CBT Therapist and Trainer and the Clinical Director of Feeling Good Institute--Silicon Valley. He specializes in the treatment of trauma, anxiety, depression, relationship problems and insomnia. You can reach Kevin at kevin@feelinggoodinstitute.com and visit his website at www.tools4change.me. You can reach Dr. Burns at david@feelinggood.com. Feeling down in these turbulent times? Take a ride on our Feeling Great app. Feeling Great feels wonderful! You owe it to yourself to feel GREAT! Give the Greatest Gifts of ALL--Love and Happiness!
Connect with us via text! Medical aesthetics has never been more technologically advanced, yet many practices are still struggling with disconnected systems, inefficient workflows, and technology that creates more complexity than clarity. In this episode Dr. Tiphany Hall, Chief Growth Officer of Aesthetic Record, Co-Founder and Clinical Director of Aesthetic Next, and a leading voice in medical aesthetics business strategy, breaks down the hidden costs of a fragmented tech stack and why the future of practice management may depend on bringing everything together. From the launch of AR ONE at Aesthetic Next 8.0 and the philosophy behind a “One Platform” approach to the evolving role of AI, operations, and practice growth, Dr. Hall shares what modern aesthetic practices need to rethink to build more efficient, scalable businesses.Follow DERMASCOPE:Instagram: @dermascopeFacebook: facebook.com/dermascopePinterest: @dermascopeTikTok: @dermascopeYoutube: @dermascopeFollow Aesthetic Record:Instagram: @aestheticrecordFacebook: facebook.com/aesthetic.rec Additional Links:Visit our website.Learn more about this podcast.Subscribe to the magazine.Read the August 2026 issue. Use code DERMMAG100 for $100 your Aesthetic Nezr 8.0 ticket!
Craig Coady, father of Paudie who has Friedreich's Ataxia spoke to our reporter Andrew Lowth. Professor Michael Barry, Clinical Director of the National Centre for Pharmacoeconomics joined us in studio to talk on why the HSE's Drugs Group decided not to recommend covering the cost of the drug.
From the second you open your eyes, your morning habits may be affecting the trajectory of your entire day. Whether it's waking up with a to-do list on your mind or giving yourself minimal time to get out the door, the habits we start the day with not only alter our mood but our brain's functionality.But, what are the realistic things we can do to improve your day?Joining Ciara to discuss this is Ollwyn Moran, M.Ed. and Clinical Director with CogniClinic.ie.
This was one of the most special podcast episodes I've recorded to date, especially since it was the first time it was recorded LIVE! We gathered for GALILEA's Gathering — an intimate evening that brought together clinicians, researchers, founders, and facilitators for a real conversation about the future of women's health. I had the privilege of recording a live interview with neuropharmacologist and GALILEA creator Stephanie Karzon right there in the room, surrounded by people who are genuinely building something new A core focus of our conversation was mapping out why hormones and life stages are important to factor into female care and why they're especially needed for the psychedelic experience, from a biochemical perspective and for the lived experience. A psychedelic-informed lens in women's care has now become non-negotiable; since clients will likely explore these medicines with or without capable practitioners willing to guide them. And let's face it, current pharmacotherapy isn't enough. Identity and spirituality matter in clinical practice. We need to bring hormone and cycle awareness into practice, as well as the relationship between estrogen, serotonin, glutamate, and psychedelic medicine. Stephanie Karzon Abrams is a clinical neuropharmacologist, founder of Beyond Consulting—powering the integrative and psychedelic medicine spaces by bridging emerging research with clinical practice, and designing clinics and healing centers from the ground up. She serves as Clinical Director at Mystic Health, is an associated prescriber of MDMA and psilocybin therapy under Canada's SAP, and is the Research Director at the Microdosing Collective non profit. Stephanie believes in the undercurrent of joy and authenticity woven into the fabric of our existence, and thus creates talks and workshops where the human experience is explored through the lenses of science, culture, and celebration. With experience in neurology, intensive care, and medical devices at Johnson & Johnson, she is a recognized leader in innovative healthcare. Her work bridges neuroscience, women's health, plant medicine, and the healing power of music. A musician, writer, and speaker, Stephanie also builds community through gatherings rooted in music and meaning through her label Public Secret. Connect with Stephanie via: Email: stephaniekarzon@gmail.com Website: Beyond Consulting, Stephanie Karzon Abrams, Galilea Health IG: @steph__k, @galileahealth Linked In: Beyond Consulting WhatsApp: galileahealth.community YouTube: Stephanie Karzon Abrams Gift: Womens Health Toolkit https://drive.google.com/drive/folders/1eiNj8zAaHlPK3CZPLdqh2QInmDrGbCQ2?usp=drive_link Visit https://marinabuksov.com for more holistic content. Music from https://www.purple-planet.com. Disclaimer: Statements herein have not been evaluated by the Food and Drug Administration. Products listed are not intended to diagnose, treat, cure, or prevent any diseases.
514: Ask David w/ Dr. Matt May Schizophrenia, Resistance, TEAM's Future, and What Makes a Great Therapist In this thought-provoking Ask David episode, Dr. David Burns is joined by Kevin Cornelius, LMFT, and special guest Dr. Matt May, psychiatrist, TEAM-CBT therapist, and longtime colleague of Dr. Burns. Together, they tackle challenging listener questions about schizophrenia, emotional suffering, resistance to change, therapist training, and the future of psychotherapy. Along the way, the conversation becomes deeply personal as David reflects on the qualities that shaped the development of TEAM-CBT, his hopes and concerns for the future of psychotherapy, and the lessons he's learned after decades of clinical work. Our Special Guest: Dr. Matt May Kevin welcomes Dr. Matt May back to the podcast. Matt is a psychiatrist trained at Stanford who has worked closely with David for more than twenty years. Although trained in psychiatry, Matt explains that his work today focuses almost entirely on TEAM-CBT rather than medication management. David praises Matt as one of the most gifted therapists he has ever known, highlighting his warmth, compassion, humility, and clinical expertise. Question #1: Can TEAM-CBT Help the Negative Symptoms of Schizophrenia? A listener asks whether TEAM-CBT can help with the so-called "three A's" of schizophrenia: Apathy Avolition (severe lack of motivation) Anhedonia (loss of pleasure) or whether medication is the primary treatment. David's Response David challenges the assumptions behind the question itself. Rather than viewing people through the lens of diagnostic labels and symptoms, he emphasizes that TEAM-CBT begins by asking: "What would you like help with?" He argues that therapists often fall into the trap of acting like experts who believe they already know what a patient needs based on a diagnosis. TEAM-CBT takes the opposite approach, focusing on the individual person's goals, struggles, and hopes. David shares an early experience treating a patient with schizophrenia. Initially, he tried to challenge the patient's delusional beliefs directly through cognitive techniques. When the patient simply reinterpreted the evidence to support the delusion, David realized he was pursuing his own agenda rather than the patient's. The lesson: TEAM-CBT focuses on helping people with the problems they want help with—not on treating diagnostic labels. Key Takeaways Diagnosis does not define the person. People with schizophrenia may still want help with relationships, mood, habits, goals, or self-esteem. Effective therapy begins with understanding what matters to the individual. Humility is often more helpful than expertise. Question #2: What About Trauma, Brain Circuits, and "Underlying Vulnerabilities"? A listener asks whether present-moment thoughts are only part of the picture and whether deeper emotional circuitry, stress physiology, or network-level brain changes also contribute to emotional suffering. The listener also wonders whether cognitive therapy truly processes emotions like grief, fear, shame, and anger—or merely suppresses them. Matt's Perspective Matt offers a practical example from his own life. One afternoon he found himself flooded with depressive thoughts and self-critical feelings. He suddenly felt hopeless, inadequate, and discouraged. Then he realized: He had skipped lunch and was extremely hungry. After eating, the negative thoughts disappeared. His point is that physical states matter. Sleep deprivation, poor nutrition, illness, intoxication, and other biological factors can influence how easily negative thoughts arise and how difficult they are to challenge. David's Perspective David distinguishes sharply between: Healthy negative emotions Distorted emotional suffering He revisits a story from his medical school years, describing the death of a beloved elderly patient whose family gathered around him during his final moments. Everyone cried. David cried too. But that sadness was not depression. The grief emerged naturally from loving thoughts and genuine loss. In contrast, depression is fueled by distorted thoughts such as: "I'm worthless." "I'm not good enough." "Things will never get better." TEAM-CBT seeks to eliminate distorted suffering while preserving healthy human emotions. Key Takeaways Healthy grief is not a disorder. TEAM-CBT does not suppress genuine emotions. Depression, anxiety, shame, and hopelessness often arise from distorted thoughts that can be transformed. Biological factors matter, but thoughts remain a powerful therapeutic target. Question #3: What's the Biggest Misunderstanding Therapists Have About TEAM-CBT? A listener asks: When teaching clinicians, what misunderstanding should be corrected first? The belief that resistance means the patient is difficult? Or the belief that techniques alone are enough? David's Answer David emphasizes that TEAM is a system: Testing → Empathy → Agenda Setting → Methods Many therapists focus immediately on techniques and interventions. But before methods can work: The therapist must develop genuine empathy. The therapist must uncover resistance to change. Without empathy, patients don't feel understood. Without addressing resistance, therapists often end up arguing with their patients. David explains that people usually have many good reasons not to change. TEAM-CBT helps bring those reasons into awareness and resolve them before attempting intervention. Matt's Answer Matt reflects on his own training with David. He recalls spending countless hours learning empathy and discovering how difficult it is not to jump in with advice, reassurance, or premature solutions. According to Matt: Most therapists are tempted to help too quickly. Many accidentally create resistance by pushing for change. Understanding resistance is often one of the most challenging skills to master. Kevin's Perspective Kevin notes that TEAM itself naturally provides the roadmap: First learn testing. Then learn empathy. Then learn agenda setting. Only afterward focus on methods. The sequence protects therapists from moving too quickly into problem-solving. Question #4: What Is the Future of TEAM-CBT? A listener named Vlad writes a heartfelt letter reflecting on the transition from Rhonda Barovsky's co-hosting role and asking: What is the future of TEAM-CBT? How might it evolve? What personal qualities allowed David to create such an influential therapeutic framework? David on the Future of TEAM David explains that much of his current work focuses on preserving and sharing TEAM-CBT for future generations. Examples include: Recorded therapy sessions Training materials His psychotherapy eBook Psychology Today articles The Feeling Good Podcast The Feeling Great app He hopes future therapists will continue refining, expanding, and improving the methods. At the same time, David expresses disappointment that many mental health professionals have shown limited interest in approaches that emphasize rapid, measurable change. He remains committed to the possibility that therapy can become far more effective than it is today. The Personal Qualities Behind TEAM-CBT Matt identifies several characteristics he believes contributed to David's success: Intense Curiosity David never accepted conventional wisdom simply because others believed it. He continually asked: "What actually works?" Intellectual Honesty David consistently measures outcomes and learns from failures rather than defending cherished theories. Humility Rather than seeing himself as the expert, David allows patients to become his teachers. Compassion According to Matt, David's genuine concern for human suffering gives life to the science. Grit and Persistence David spent decades refining techniques, collecting data, developing tools, and challenging accepted assumptions. Discussion of AI and the Future of Therapy The conversation also touches on the Feeling Great app and artificial intelligence. David explains that the app was designed to deliver many TEAM-CBT principles to people who might not otherwise have access to therapy. He remains hopeful that technology can help make effective treatment more widely available while preserving the human values at the heart of psychotherapy. Memorable Themes from This Episode People are more important than diagnoses. Healthy sadness is different from depression. Empathy comes before technique. Resistance is not a problem—it is information. Great therapists remain curious and humble. Real innovation begins with measuring outcomes. Compassion and science work best together. Resources Mentioned Feeling Great App Psychology Today articles by David Burns Episode 49 featuring Marilyn's transformational session Listener Survey We'd love to hear from you! Your feedback helps shape future episodes and allows us to create content that is as helpful and meaningful as possible. Please use this link to take the feedback survey and share your thoughts with us about this episode. Your voice matters—and as David points out in this episode, sometimes the most important conversations begin when we're willing to express what we're really thinking and feeling. Thank you for listening to The Feeling Good Podcast! Contact Information You can reach Matt May, MD @ https://www.matthewmaymd.com Kevin Cornelius, LMFT is a Level 5 Certified Master TEAM-CBT Therapist and Trainer and the Clinical Director of Feeling Good Institute--Silicon Valley. He specializes in the treatment of trauma, anxiety, depression, relationship problems and insomnia. You can reach Kevin at kevin@feelinggoodinstitute.com and visit his website at www.tools4change.me. You can reach Dr. Burns at david@feelinggood.com. Feeling down in these turbulent times? Take a ride on our Feeling Great app. Feeling Great feels wonderful! You owe it to yourself to feel GREAT! Give the Greatest Gifts of ALL--Love and Happiness!
Grandma's Snake Phobia The Real Cause of Her Anxiety Hosts: Kevin Cornelius, LMFT Dr. David Burns What if anxiety isn't the problem? What if anxiety is actually a message? In this fascinating episode, Dr. David Burns and Kevin Cornelius explore one of the most intriguing concepts in TEAM-CBT: the Hidden Emotion Technique. Using the memorable case of "Grandma's Snake Phobia," David explains why some forms of anxiety persist despite cognitive techniques, exposure exercises, and logical reassurance—and how uncovering an unrecognized emotional truth can sometimes lead to astonishingly rapid recovery. David shares the story of an elderly woman who suddenly developed a crippling fear of snakes despite spending her entire life comfortably around them. While most therapists might have focused on treating the phobia itself, David suspected that the anxiety was serving another purpose entirely. As the conversation unfolds, listeners learn how anxiety can function as a symbolic message from the subconscious mind, drawing attention to feelings, needs, conflicts, or desires that have been pushed out of awareness. David also shares the remarkable story of the patient whose panic attacks and nausea at work led him to first discover the Hidden Emotion Technique, as well as a deeply personal story involving his own struggle with anxiety and professional conflict. Along the way, David and Kevin discuss why highly anxious people are often some of the kindest and most compassionate individuals, how "niceness" can sometimes fuel anxiety, and why learning to honor our feelings may be one of the most important steps toward recovery. In This Episode Why traditional cognitive and behavioral approaches sometimes only partially relieve anxiety The origins of the Hidden Emotion Technique The surprising connection between anxiety and excessive "niceness" Why anxiety may be a symbolic message rather than a malfunction The case of Grandma's sudden snake phobia How unspoken fears about aging and dependence fueled anxiety Why simply becoming aware of a hidden emotion is not enough The critical action step that completes the Hidden Emotion Technique The story of the young woman whose job was literally making her sick How suppressed dreams and unexpressed desires can trigger anxiety symptoms David's personal experience discovering a hidden source of anxiety in his own life The role of conflict avoidance, people-pleasing, and "emotophobia" Why the hidden emotion is almost always happening in the present—not buried in childhood How anxious symptoms often function as symbolic clues to what's really wrong Practical ways to begin exploring hidden emotions in your own life Key Insights from David "Anxiety is our subconscious mind trying to get our attention and tell us something important that our conscious minds can't seem to see." "The ultimate fear in anxiety is often the fear of your own feelings." "Only nice people develop anxiety disorders." "The hidden emotion isn't the fear itself. The fear is conscious. The hidden emotion is the feeling you believe you're not supposed to have." "Anxiety never comes out of the blue. It comes from our lives and our hearts." The Hidden Emotion Technique: Two Essential Steps Step 1: Discover the Hidden Emotion Identify the feeling, desire, conflict, or unmet need that has been pushed out of conscious awareness. Common examples include: Anger that feels unacceptable Unexpressed disappointment A desire you feel guilty about wanting Conflict you're avoiding A dream you've abandoned A need you're afraid to ask for Step 2: Take Action Recovery occurs when you: Express the avoided feeling honestly Address the underlying problem directly Have the difficult conversation you've been avoiding Honor the need or dream you've been neglecting As David emphasizes, insight alone rarely eliminates anxiety. The transformation occurs when awareness is followed by action. Why "Nice" People Often Struggle with Anxiety David describes a pattern he has observed repeatedly throughout his career: Many anxious individuals: Want everyone to be happy Avoid conflict at all costs Feel responsible for others' feelings Believe they should never feel angry Fear disappointing people Suppress their own needs and desires When these feelings remain hidden, anxiety can emerge as a signal that something important needs attention. Questions for Reflection Is there something important you're not telling someone? Are you avoiding a conflict because you don't want to upset anyone? Have you been ignoring a dream, desire, or need that matters deeply to you? Do your anxiety symptoms seem symbolic in any way? Is there a feeling you've decided you're "not supposed" to have? Resources Mentioned Feeling Good: The New Mood Therapy by David Burns When Panic Attacks by David Burns David's recent Psychology Today article, "Grandma's Snake Phobia: The Real Cause of Her Anxiety" Listener Survey We'd love to hear from you! Your feedback helps shape future episodes and allows us to create content that is as helpful and meaningful as possible. Please use this link to take the feedback survey and share your thoughts with us about this episode. Your voice matters—and as David points out in this episode, sometimes the most important conversations begin when we're willing to express what we're really thinking and feeling. Thank you for listening to The Feeling Good Podcast! Contact Information Kevin Cornelius, LMFT is a Level 5 Certified Master TEAM-CBT Therapist and Trainer and the Clinical Director of Feeling Good Institute--Silicon Valley. He specializes in the treatment of trauma, anxiety, depression, relationship problems and insomnia. You can reach Kevin at kevin@feelinggoodinstitute.com and visit his website at www.tools4change.me. You can reach Dr. Burns at david@feelinggood.com. Feeling down in these turbulent times? Take a ride on our Feeling Great app. Feeling Great feels wonderful! You owe it to yourself to feel GREAT! Give the Greatest Gifts of ALL--Love and Happiness!
What if the things you've criticised yourself for your entire life... weren't flaws at all? What if struggling to make simple decisions, feeling overwhelmed by change, or caring so deeply about fairness weren't personality quirks, but signs your brain has been working differently all along? Today I'm joined by Dr Amber Sadiq, Consultant Clinical Psychologist and Clinical Director at Eleos Clinic. She has assessed hundreds of autistic adults and has helped countless people finally understand why they've always felt different. Chapters: 00:00 Trailer 01:54 Why Every Decision Feels So Overwhelming 06:24 Why Autistic People Need Predictability 09:04 Why Injustice Feels Physically Painful 19:19 When You Can't Start... But Can't Stop Either 23:17 The Secret to Switching Between Tasks 25:43 The Autism Trait Everyone Calls Laziness 27:33 The Shutdown Nobody Sees 32:57 Tiimo Advert 34:17 The Hidden Reason Some People Can Mask for Decades 36:08 Why So Many People Don't Realise They're Autistic 41:14 How Masking Slowly Erases Your Identity 43:13 The Most Emotional Part of an Autism Assessment 45:15 The Moment People Realise They've Been Masking Their Entire Life 50:56 The One Sentence That Makes Psychiatrists Think "Autism" 54:15 The Autism Assessment Reactions I'll Never Forget 57:22 Washing Machine of Woes (Audience Questions) 01:03:02 A Letter to My Younger Self Download Dr. Sadiq's free guide, Could This Be Me?, which explains why so many autistic adults were missed for decades, and what clarity could look like for you
Siyabonga Motha is joined by Dr Nhlamulo Hlungwane, a Family Doctor and Clinical Director of the Myclinic and Dr Mandy Mpatlanyane is a medical doctor to unpack the essential yearly screenings every woman needs, why they are so important, and how to make the most of your annual health check. Tags: 702, Aubrey Masango show, Aubrey Masngo, Bra Aubrey, Siyabonga Motha, Medical Matters, Dr Nhlamulo Hlungwane, Dr Mandy Mpatlanyane, Health screenings, Annual health check, Menopause, Pap smear, Mammogram The Aubrey Masango Show is presented by late night radio broadcaster Aubrey Masango. Aubrey hosts in-depth interviews on controversial political issues and chats to experts offering life advice and guidance in areas of psychology, personal finance and more. All Aubrey’s interviews are podcasted for you to catch-up and listen. Thank you for listening to this podcast from The Aubrey Masango Show. Listen live on weekdays between 20:00 and 24:00 (SA Time) to The Aubrey Masango Show broadcast on 702 https://buff.ly/gk3y0Kj and on CapeTalk between 20:00 and 21:00 (SA Time) https://buff.ly/NnFM3Nk Find out more about the show here https://buff.ly/lzyKCv0 and get all the catch-up podcasts https://buff.ly/rT6znsn Subscribe to the 702 and CapeTalk Daily and Weekly Newsletters https://buff.ly/v5mfet Follow us on social media: 702 on Facebook: https://www.facebook.com/TalkRadio702 702 on TikTok: https://www.tiktok.com/@talkradio702 702 on Instagram: https://www.instagram.com/talkradio702/ 702 on X: https://x.com/Radio702 702 on YouTube: https://www.youtube.com/@radio702 CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567See omnystudio.com/listener for privacy information.
4pm - GUEST - DR. JACQUALINE BOLES - CLINICAL DIRECTOR FOR REDEEMED WELLNESS CENTER // A Monday afternoon's press conference, Mayor Wilson stressed that the city would continue to work with their "community based partners" on the root causes of gun violence // One of those community based partners, Dr. Jaqueline Boles and Redeemed Wellness Center, was among the press and took the opportunity to let the Mayor know that she hasn't been paid by the city since April and is owed over $65k // DOCTOR Boles earns $38k per year trying to save the forgotten youth in Seattle // Seattle Storm owner ‘verbally berated and cursed’ at teen girls supporting Sophie Cunningham at game // Kentucky governor tells Mitch McConnell: Prove you can serve or ‘resign’ // Second photo of Sen. Mitch McConnell emerges; statement says he's not cleared for Senate
That Wellness Podcast with Natalie Deering: Internal Family Systems with a Twist
Is anxiety something to overcome—or could it be inviting us into a deeper relationship with ourselves? In this episode of The Intuitive Self Podcast, I sit down with trauma therapist John Clarke to explore anxiety through the lenses of Internal Family Systems (IFS), nervous system awareness, and trauma healing. Together, we discuss why anxiety is unique to each person, the burdens it often carries, and how approaching it with curiosity and compassion can lead to profound healing. We also explore perfectionism, shame, masking, supporting others with anxiety, and how to discern the difference between fear and intuition. In This Episode We Explore: Why anxiety is different for everyone The nervous system's role in anxiety Common burdens such as "I'm not enough" Perfectionism, shame, and masking Why anxiety isn't something to eliminate How to support someone experiencing anxiety The connection between anxiety, intuition, and Self-energy Practical steps for turning toward anxiety with compassion About John Clarke John Clarke is a trauma therapist, Clinical Director of Calm Again Counseling in San Francisco, host of the Going Inside podcast, and founder of Pathways to Self, a clinical consultation community for trauma therapists. With more than 13 years of experience and advanced training in Internal Family Systems (IFS), EMDR, and Somatic Experiencing, John is passionate about making trauma therapy more accessible while helping therapists build sustainable practices that support both their clients and themselves. Connect with John Website: https://www.johnclarketherapy.com/ Instagram: @johnclarketherapy YouTube: https://www.youtube.com/@John-Clarke-Therapy If this conversation resonates with you, share it with someone who may be struggling with anxiety or searching for a more compassionate way to understand it. As always, thank you for listening and for continuing the courageous journey of turning toward all parts of yourself with curiosity, compassion, and Self-leadership! _____________________________ Want to work with Natalie for Intuitive Parts/IFS Therapy or Spiritual/IFS Consultation? Contact her below Website: https://www.ndwellnessservices.com/ Contact: https://www.ndwellnessservices.com/contact Instagram: @nataliedeering _____________________________ Help Support the Podcast by Donating Here! You can also support the podcast by following, rating, and leaving a review!
The Myth of Slow Healing Why Rapid Recovery Is Possible Featuring Dr. David Burns and Kevin Cornelius, LMFT Many people believe emotional healing takes months—or even years. Therapists are often trained to expect gradual progress, and patients may assume lasting change requires prolonged struggle. But what if that assumption is wrong? In this episode, Dr. David Burns challenges one of the most deeply entrenched beliefs in mental health: the idea that meaningful psychological recovery must happen slowly. Drawing from his recent Psychology Today article, The Myth of Slow Healing, Dr. Burns explains why rapid emotional change is not only possible—it may actually reflect how the human brain naturally works. Through powerful clinical stories, personal reflections, and decades of research, Dr. Burns describes how depression, anxiety, panic, shame, and hopelessness can sometimes disappear in a matter of minutes when people discover and challenge the distorted thoughts driving their suffering. What Inspired This Article? Dr. Burns begins by sharing a formative experience from his psychiatric residency in Philadelphia. As a young psychiatrist, he noticed something troubling: psychotherapy often seemed to continue indefinitely, yet measurable recovery was rarely discussed. Therapists relied heavily on intuition, but almost no one was systematically measuring whether patients were actually improving. A walk through Fairmount Park sparked an insight that would transform his career. Thinking about professional basketball players improving through constant feedback—seeing whether the ball goes through the hoop—he wondered: How can therapists improve if they never measure whether their sessions are helping? This question led him to become one of the earliest advocates for routine outcome measurement in psychotherapy, eventually helping shape the development of TEAM-CBT's session-by-session assessment system. The Importance of Measurement Dr. Burns discusses his early use of the Beck Depression Inventory and the surprising lessons it taught him. Again and again, he discovered that his assumptions about how patients felt were often wrong: Some patients appeared severely depressed but reported relatively mild symptoms. Others seemed cheerful and functional while scoring in the severe range. These experiences reinforced an important lesson: Therapists need data, not guesses. By measuring depression, anxiety, empathy, and therapeutic effectiveness during every session, therapists can receive the feedback necessary to improve their work and help patients more effectively. The Caveman Effect: Why the Brain Can Change Instantly One of the episode's most memorable concepts is what Dr. Burns calls the "Caveman Effect." Borrowing an illustration from neuroscientist Mark Noble, he describes a prehistoric human hearing a twig snap behind him at dusk. The caveman immediately thinks: "A tiger is behind me!" Instantly, fear surges. Then he turns around and discovers the sound came from his wife stepping on a branch. In that moment, his fear vanishes. Not gradually. Not over six months. Instantly. Dr. Burns argues that this illustrates a fundamental principle: Thoughts create emotions. When a frightening thought is believed, anxiety emerges. When that thought is no longer believed, anxiety disappears. This process can happen in seconds. Three Levels of "Shortness" Dr. Burns describes three different ways emotional healing can occur rapidly. 1. Therapy Can Be Brief Many patients experience dramatic improvements within a single two-hour session. Rather than expecting treatment to continue indefinitely, Dr. Burns often approaches therapy with the goal of achieving complete symptom remission as quickly as possible. 2. Breakthroughs Often Happen in Minutes Even within a session, the most important change frequently occurs during a short window—sometimes only a few minutes long. Once therapists identify the specific distorted thoughts maintaining the problem and apply an effective intervention, major shifts can happen quickly. 3. The Moment of Enlightenment The most dramatic change often occurs in a matter of seconds. This is the moment when someone suddenly sees: Their negative belief isn't true. They've been deceiving themselves. A different perspective is possible. When this realization occurs, emotions can shift almost instantly. Dr. Burns compares this experience to the caveman discovering there was never a tiger at all. Why People Resist the Idea of Rapid Recovery If rapid healing is possible, why do so many people reject the concept? Dr. Burns identifies several reasons: For Patients Many people have spent years struggling with depression or anxiety. The idea that change could happen quickly may sound unrealistic or even fraudulent. After repeated disappointments, hope itself can feel dangerous. For Therapists Rapid recovery also challenges many traditional assumptions about psychotherapy. It raises uncomfortable questions: Why aren't outcomes being measured? Why do some treatments continue for years without substantial change? What happens to a therapist's business model when patients recover quickly? Dr. Burns and Kevin discuss how financial incentives can sometimes unintentionally reinforce longer treatments, even when faster recovery may be possible. The Story of Terry: Ten Years of Panic Gone in One Session One of the episode's most powerful moments is Dr. Burns' retelling of Terry's story. Terry suffered from: Severe depression Crippling panic attacks Nearly ten years of unsuccessful treatment Her symptoms were extreme, with depression and anxiety scores among the highest Dr. Burns had ever seen. The key breakthrough came when he identified the specific thought driving her panic: "I'm about to have a heart attack." Using an experimental technique, Dr. Burns intentionally helped Terry induce panic symptoms in session. Then he challenged her catastrophic belief through direct experience. If she were truly having a heart attack: Could she jog in place? Could she exercise vigorously? Could she do jumping jacks? As Terry performed increasingly strenuous activity, she suddenly realized the absurdity of her belief. Then came the breakthrough moment. She laughed. The fear disappeared. And a decade of panic ended. The episode emphasizes that it was not the jumping jacks themselves that created recovery. It was the moment she stopped believing the distorted thought. Why Thoughts Matter Dr. Burns revisits three core principles of cognitive therapy: Principle 1 Your emotions result from your thoughts—not directly from events. Principle 2 The thoughts creating depression and anxiety are typically distorted. Common distortions include: All-or-nothing thinking Fortune telling Emotional reasoning Mind reading Self-blame Principle 3 The moment you stop believing a distorted thought, your emotions will change. This principle remains central to TEAM-CBT and forms the foundation for many rapid recoveries. Beyond Cognition: The Role of Motivation Later in the discussion, Dr. Burns explains that distorted thoughts are only part of the story. Another critical factor is motivation. People often have powerful reasons for holding onto painful feelings. Depression, anxiety, anger, guilt, and shame frequently reflect important personal values. For example: Perfectionism may reflect high standards. Guilt may reflect a strong conscience. Anxiety may reflect caring deeply about others. Rather than arguing patients out of their symptoms, TEAM-CBT often begins by exploring what those symptoms reveal about the person's strengths and values. Benny's Story: The Power of Acceptance To illustrate this paradoxical approach, Dr. Burns shares the story of Benny. Benny was: Suicidal Violent Deeply depressed Involved in gangs, drugs, and crime Rather than confronting Benny's hopelessness, Dr. Burns did something unexpected. He explored all the advantages of believing: "I'm a hopeless case." Together they listed the benefits: Status Power Money Protection Identity For the first time, Benny felt understood rather than judged. Then his defenses collapsed. He revealed a lifetime of hidden pain, including witnessing his grandfather's suicide and struggling with illiteracy. The story illustrates a central paradox of TEAM-CBT: People often change only after they feel completely accepted exactly as they are. What Dr. Burns Has Learned About Human Nature After decades of witnessing rapid recovery, Dr. Burns says one conclusion feels increasingly clear: Thoughts create emotions. Yet he also emphasizes a deeper question: Why do some people generate so many painful thoughts in the first place? His answer increasingly involves: Core values Motivation Human meaning Personal strengths that become exaggerated Understanding both cognition and motivation has become essential to creating lasting change. Key Takeaways Emotional healing does not require months or years. The brain is capable of extraordinarily rapid change. Thoughts—not events themselves—create emotions. Distorted thoughts fuel depression and anxiety. When distorted thoughts lose their credibility, emotions often change immediately. Measurement and feedback are critical to effective therapy. Motivation and personal values play a major role in emotional suffering. Acceptance often creates more change than persuasion. Recovery can happen much faster than most people realize. Resources Mentioned Feeling Good by David D. Burns Intensive Therapy at Feeling Good Institute The Psychology Today article: The Myth of Slow Healing The video demonstration of Terry's panic attack treatment Coming Next Episode Dr. Burns and Kevin continue the conversation with a fascinating discussion of: "Grandma's Snake Phobia: The Real Cause of Her Anxiety" You'll learn about the Hidden Emotion Model and discover why the apparent cause of anxiety is sometimes very different from the true cause. We'd Love Your Feedback Your feedback helps shape future episodes. Please take a moment to complete the brief listener survey linked here. It takes less than two minutes and provides invaluable guidance for improving the podcast and helping more people learn these powerful tools for recovery. Contact Information Kevin Cornelius, LMFT is a Level 5 Certified Master TEAM-CBT Therapist and Trainer and the Clinical Director of Feeling Good Institute--Silicon Valley. He specializes in the treatment of trauma, anxiety, depression, relationship problems and insomnia. You can reach Kevin at kevin@feelinggoodinstitute.com and visit his website at www.tools4change.me. You can reach Dr. Burns at david@feelinggood.com. Feeling down in these turbulent times? Take a ride on our Feeling Great app. Feeling Great feels wonderful! You owe it to yourself to feel GREAT! Give the Greatest Gifts of ALL--Love and Happiness!
#271: Dr. Henry Cloud is an acclaimed leadership expert, clinical psychologist, New York Times bestselling author, and highly sought-after speaker. He has authored 46 books, including the iconic Boundaries, which have sold more than 20 million copies worldwide.Dr. Cloud has extensive experience working with CEOs, executives, and leadership teams, helping organizations improve leadership performance, culture, and overall effectiveness. He also founded and built a healthcare company that operated inpatient and outpatient treatment centers across 40 markets in the Western United States, serving as its Clinical Director and principal for 10 years.Dr. Cloud hosted a national radio show for 15 years, airing in more than 200 U.S. markets, and has been recognized by Success Magazine as one of the 25 most influential leaders in personal growth and developmentHis newest book YourDesired Future is a five-component framework combining psychology, physiology, and neuroscience principles to help readers achieve their desired future.Today, Dr. Cloud speaks and consults internationally, bringing together his expertise in leadership, psychology, human performance, and organizational culture to help leaders and teams achieve greater success.He is also very patient and gracious with me as we had to work through some technical difficulties on this episode. For more on Dr. Cloud and his new book Your Desired Future check out drcloud.com as well as social media and where all books are sold. Enjoy the show!
Welcome to another episode of LIFTS, where we explore the future of fitness, wellness and human performance. In this episode, hosts Matthew Januszek and Mohammed Iqbal are joined by Oliver Patrick, Co-Founder of Future Practice Ltd, Clinical Director of Pillar Wellbeing and one of the fitness industry's leading voices on longevity, preventative health and behavioural science. As longevity becomes one of the fastest-growing trends in health and wellness, gyms, wellness operators and consumers are investing heavily in everything from red light therapy and hyperbarics to peptides, wearables, blood testing and recovery technologies. But are we focusing on the right things? Oliver explains why the fundamentals of movement, nutrition, sleep and behaviour still outperform many of today's trending biohacking interventions, why genetics aren't the excuse many people believe they are, and how fitness operators have the greatest opportunity to become the front line of preventative healthcare. Together, they explore how the fitness industry can move beyond selling workouts to delivering long-term health outcomes, and why behaviour change not technology remains the most powerful intervention available. In this episode, we cover: Why everything you know about longevity may be wrong The difference between lifespan and healthspan What the latest genetics research really means Why lifestyle still has the biggest impact on long-term health Whether red light therapy, sauna, hyperbarics and peptides are worth the investment Why biohacking should never replace the fundamentals How gyms can become the future of preventative healthcare Practical advice for fitness and wellness operators investing in recovery and longevity
Send Vanessa a text or a voicemail!If you are enjoying this podcast and want to support Vanessa's work, you can do so here: Buy Me a Coffee – Intentionally WellMost of us don't think much about our eye health until something changes.Earlier this year, I experienced an unexpected change in my own vision that led me down a path of learning more about eye health, and it quickly became clear just how many people are navigating dry eye, screen fatigue, floaters, and other vision concerns without fully understanding what's happening.In this episode, I'm joined by optometrist and dry eye specialist Dr. Pam Theriot for a practical conversation about protecting your vision in today's digital world. We discuss why dry eye is becoming increasingly common, how screen use impacts the eyes, changes that can occur with age, and simple habits that can support long-term eye health.Whether you're experiencing symptoms or simply want to be more proactive, this episode is filled with practical, evidence-informed advice you can begin applying today.In This Episode:Why dry eye is becoming increasingly commonThe impact of screen time on eye health and digital eye strainHormones and their role in dry eye and vision changesUnderstanding floaters and the eye's gel-like vitreousCommon vision changes that can occur as we ageEye makeup, false lashes, and habits that may affect your eyesChoosing and using eye drops wiselyPractical strategies for protecting your long-term eye healthWhen it's time to see an eye care professionalAbout Dr. Pam Theriot:Dr. Pam Theriot serves as the Clinical Director of the Dry Eye Center at Lusk Eye Specialists in Shreveport, Louisiana. She earned her undergraduate degree from Rice University before receiving her Doctor of Optometry degree from the University of California, Berkeley School of Optometry. She completed a residency at the State University of New York College of Optometry and a fellowship with the American Academy of Optometry.Passionate about patient education, Dr. Theriot launched her educational blog and published Alleviate Dry Eye to help individuals better understand and manage dry eye disease. She serves on the Public Awareness Committee of the Tear Film & Ocular Surface Society (TFOS), is the Dry Eye Disease columnist for Optometric Management, and lectures internationally on ocular surface disease, aesthetics, presbyopia, and dry eye. In 2025, her TEDx talk on the importance of eye health in the digital age received an Editor's Pick Award.Connect with Dr. Pam:Website & ResourcesDr. Pam's WebsiteFree Dry Eye Guides & Patient ResourcesWatch Dr. Pam's TEDx TalkFollow Dr. PamInstagramFacebookYouTubeLinkedInX (Twitter)TikTokConnect with Vanessa and the podcast: Click here to explore the Intentionally Well Affiliate & Discount HubIWP Website: Intentionally Well PodcastSubstack: Intentionally Well ReflectionsPodcast on InstagramVanessa on InstagramPodcast on YouTubeVanessa on TikTokVanessa on XEmail: intentionallywellpodcast@gmail.comSupport the showThis episode is for informational purposes only. Please consult a trusted health practitioner for individual concerns.
Cameron is joined by Nina Traster, Founder, Clinical Director, and Aesthetic Injector at iConcierge MedSpa, and they discuss the importance of training, both for herself and her staff, and her role as a Galderma trainer. She discusses her approach to treatment planning, patient consultations, and the significance of building trust with patients. They also highlight the importance of hiring staff with medical backgrounds and the strategic growth of her practice, which includes triple booking and maximizing efficiency. Listen In!Thank you for listening to this episode of Medical Millionaire!Takeaways:Nina's journey from a small studio to a 16-treatment room facilityThe importance of slow, strategic growth and space planningBuilding a team: hiring, internship programs, and staff trainingThe significance of treatment planning and patient educationHow to leverage social media and reputation to attract global clientsThe benefits of becoming a Galderma trainer and a brand advocateWorkflow optimization with Boulevard software and scheduling strategiesManaging patient relationships, trust, and high-quality careBalancing work and family while maintaining high energy and passionFuture plans: creating a Patreon for injector education and expanding digital presenceMedical Millionaire: The Blueprint for Scaling a World-Class Medical Aesthetics PracticeWelcome to Medical Millionaire, the go-to podcast for forward-thinking Medspa owners, Medical Aesthetics leaders, Plastic Surgery & Dermatology practices, Concierge Wellness clinics, and Elective Healthcare entrepreneurs who are ready to scale with intention and operate like a true, high-performing business.If you're building, growing, optimizing, or preparing to exit your aesthetics or wellness practice, this show is your competitive advantage.Hosted by Cameron Hemphill Your Guide to Sustainable, Scalable Growth Your host, Cameron Hemphill, is one of the most trusted growth strategists in Medical Aesthetics and Elective Wellness.With over 10 years in the industry, Cameron has helped scale 1,000+ practices and more than 2,300 providers, working alongside the most recognized KOLs, national brands, EMRs, tech companies, and private equity groups, shaping the future of aesthetics. From marketing to operations, from finance to leadership, Cameron brings a real-world, data-driven perspective on what it takes to turn a practice into a powerful business engine.What This Podcast Is All About: Each episode takes you behind the scenes of the fastest-growing practices in the country, revealing the systems, strategies, and mindset required to win in today's Medical Aesthetics landscape.Expect tactical insights, step-by-step frameworks, and conversations with:Industry thought leadersTop injectors & medical directorsEMR & tech innovatorsOperations expertsMarketing strategistsPrivate equity & M&A advisorsWellness and longevity pioneersThis is where aesthetics, business, technology, and wellness converge. What You'll Learn on Medical Millionaire Every week, you'll access expert guidance to help you scale profitably and predictably, including:Marketing & Brand PositioningCRM + Lead Management SystemsPatient Acquisition & ConversionEMR Optimization & Tech Stack ArchitectureSales Psychology & Consultation MasteryFinance, KPIs, and Practice EconomicsOperational Workflows & AutomationIndustry Trends Backed by Real Benchmark DataPatient Retention & Lifetime Value ExpansionMindset, Leadership & Team DevelopmentWhether you're opening your first location or running a multi-million-dollar enterprise, you'll gain the clarity and direction to grow with confidence. A Show Designed for Every Stage of Practice Growth Medical Millionaire breaks down the journey into four essential stages, showing you exactly how to move from one to the next:Startup – Build the foundation and attract your first wave of patientsGrowth – Scale revenue, expand services, and strengthen operationsOptimize – Increase efficiency, margins, and customer experienceExit – Prepare your practice for maximum valuation and acquisitionIf You're Ready to Grow, This Is Where You Start. Tune in weekly for actionable insights, expert interviews, and the exact playbooks high-performing practices use to dominate their markets. This is the podcast for Medspa owners who want more than a job; they want a scalable, profitable, industry-leading business. Welcome to Medical Millionaire.Let's build your practice into the empire it deserves to be.
After eating, how do you manage your insulin dose for the best results? Listen in as Gary Scheiner MS, CDCES talks about all things that affect blood sugar and insulin resistance and some of the science behind it. Gary, Author of How To Think Like A Pancreas, and five other books about diabetes joins Pam for a discussion about Carb Counting Beyond The Basics and how to manage post-meal glucose spikes that can be so frustrating for so many. He also sheds light on The importance of Time-In-Range (TIR) and how blood sugars fluctuate with food The Glycemic Index Why children need healthy carbohydrates How to enjoy carbs And, he also shares some of his personal experiences Gary is also the Owner and Clinical Director of USA based, Integrated Diabetes Services. IDS offers client-friendly accessibility, cutting-edge technologies, and skilled experts with a true passion for their work. They provide blood sugar regulation and advanced self-management training services for children and adults. Pam also asks some of our burning questions like: Is the keto diet really good for people with diabetes? And: Cereal – is it good or bad? Pam avoids cereal, but makes her own Healthy Homemade Granola Recipe. Join the Diapoint mailing list for exclusive insights and offers: diapointme.com/join-the-diapointme-mailing-list/ Visit the D-Shop where we offer beautiful, practical diabetes supplies and lifestyle accessories: https://www.diapointshop.com/ Home study program for parents of school-aged children with Type 1 Diabetes: https://www.diapointlearning.com/courses/the-ultimate-type-1-diabetes-school-game-plan Are you a healthcare provider or coach who wishes to coach your clients or have more meaningful conversations with your diabetes patients? Check out How to Coach People With Diabetes at www.diapointlearning.com Diabetes resources: https://www.diapointme.com/diabetes-wellness-resources/ Diapoint is the place for people touched by diabetes. For more information and full details of our work, visit diapointme.com where you'll also find our social media links and any resources mentioned in the episode. Subscribe to the podcast so you get notifications for all our episodes, and please share it on social media or with anyone you think could benefit from this free content
Psychologists Off The Clock: A Psychology Podcast About The Science And Practice Of Living Well
We spend an exhausting amount of energy trying to outrun our own difficult thoughts and feelings.For this episode, Jill Stoddard brings back ACT therapist, trainer, and author of The Acceptance and Commitment Therapy Skills Workbook, Matt Boone for a refreshingly grounded look at Acceptance and Commitment Therapy. Matt shares how his own path through chronic pain led him to ACT, breaking down why trying to "fix" uncomfortable inner experiences usually backfires.You'll hear about why we procrastinate, how to unhook from spiral-inducing thoughts, and how to get unstuck when uncertainty feels overwhelming. Plus, Matt shares how ACT helps therapists dodge burnout. Join us for this practical guide to making peace with the noise in your head so you can finally move toward what actually matters.Listen to POTC ad-free for just $5 a month by becoming a Mega Supporter on Patreon! Or, support the podcast with a one-time donation at Buy Me A Coffee!Listen and Learn: How ACT moves away from trying to "fix" or eliminate difficult emotions, teaching people to live alongside their pain so they can focus energy on what truly matters Matt's personal journey from chronic pain patient to ACT therapist, exploring how real-life experiences shaped their approach to therapy and led to designing experiential ACT training courses How Acceptance and Commitment Therapy (ACT) shifts the focus from managing symptom scores to creating meaningful, real-world behavior changes through experiential, values-based action Why "we hurt where we care," how procrastination and avoidance function to give us short-term relief, and how reconnecting with your deeper "why" can help you step through discomfort toward a full life How to define values as actionable, ongoing ways of being rather than fixed feelings, and discover practical tools Aligning small everyday actions with your values to allow you to act with intention, kindness, and self-acceptance, even in hard moments Major clinical hurdles and creative, practical exercises to act in alignment with your values anyway How mindfulness allows you to step back and observe unhelpful thoughts without getting tangled up in them or taking them as "capital-T truth Why arguing with your mind often backfires, how to shift focus from thought content to thought impact, and why taking a "leap of faith" empowers you to take meaningful action aligned with your values Resources: The Acceptance and Commitment Therapy Skills Workbook https://www.matthewsboone.com/acceptance-commitment-therapy-skills-workbook Matt's Website https://www.matthewsboone.com/ Connect with Matt on Social Mediahttps://www.facebook.com/matthew.boone.794/about https://www.linkedin.com/in/matthewsboone https://www.praxiscet.com About Matt Boone: Matt Boone is a social worker, psychotherapist, and author who specializes in translating mental health concepts for the general public. His books include The Acceptance and Commitment Therapy Skills Workbook, co-authored with Jennifer Gregg, and Stop Avoiding Stuff: 25 Microskills to Face Your Fears and Do It Anyway, co-authored with Jennifer Gregg and Lisa Coyne.He is the Associate Director at the Student Wellness Program (SWP) of the University of Arkansas for Medical Sciences (UAMS) and Instructor in the Department of Psychiatry. As the Clinical Director of Mental Health Coaching at Lyra Health, he oversaw the clinical development of Lyra's mental health coaching program and offered workshops and webinars on mental health topics to workers in the tech industry. Lyra partners with eBay, Lyft, Uber, Servicenow and others to provide evidence-based care to their employees.At Cornell University, he oversaw the development of Let's Talk, an outreach program that has since been replicated at nearly 100 other colleges and universities. He lives and works in Little Rock, Arkansas with his wife, guitars, and cats, Giorgia (a sassy Tortie) and Finley (a gentle giant orange kitty with a superhuman -- or superkitten-- capacity for empathy).Related Episodes:77. Acceptance and Commitment Therapy with Jill Stoddard106. Therapy from “The Heart of ACT” with Robyn Walser116. Building a Meaningful, Values-based Life with Jenna LeJeune121. Be Mighty: An Episode for Stressed Out, Worried Women with Jill Stoddard128. ACT for Food Restriction and Anorexia with Rhonda Merwin190. ACT for Suicide Prevention with Sean Barnes195. ACT Daily with Diana Hill and Debbie Sorensen226. ACT for Perfectionism with Jennifer Kemp279. ACT for Healing Black Racial Trauma with Jennifer Shepard Payne301. Seven Daily ACT Practices for Living Fully with Diana Hill and Debbie Sorensen313. ACT-Informed Exposure for Anxiety with Brian Pilecki and Brian Thompson338. ACT for Burnout with Debbie!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
What does it really mean to belong at work? In this episode, we are joined by Jewel Ratcliff, Clinical Director and Central Region DEIB Co-Chair, and Madison Coward-Thibodeaux, National Onboarding Team member and Central Region DEIB Co-Chair to explore how belonging impacts employee engagement, workplace culture, leadership, and overall well-being. They also share practical ways leaders and employees can foster belonging through intentional communication, recognition, psychological safety, and accountability. Our guests emphasize the role of DEIB initiatives, employee feedback, and everyday interactions in creating environments where people feel seen, valued, and respected. To learn more about LifeStance's commitment to Diversity, Equity, Inclusion, and Belonging—and how you can be part of it, visit here.
Shame Attacking: A Surprising Cure for Social Anxiety Hosts: Kevin Cornelius, LMFT Dr. David Burns Episode Summary Many people believe social anxiety is caused by low self-esteem, poor social skills, or awkwardness. But what if the real culprit is shame? In this episode, Dr. David Burns and Kevin Cornelius explore one of the most powerful—and unconventional—tools for overcoming social anxiety: Shame Attacking Exercises. Drawing from Dr. Burns' recent Psychology Today article, Shame Attacking: Overcoming a Lifetime of Social Anxiety, they tell the remarkable story of Martin, a handsome young man whose intense shame about excessive sweating had left him isolated and unable to connect with others. Through a series of courageous shame-attacking exercises, Martin discovered something life-changing: the world was far kinder and less judgmental than he imagined. Along the way, David shares how he first learned shame-attacking exercises from followers of psychologist Albert Ellis and describes his own unforgettable experience of asking strangers in a crowded New York restaurant if he could sample their food. The episode highlights how bringing our perceived flaws into the open often causes shame to evaporate—much like a vampire exposed to sunlight. In This Episode The Origins of Shame Attacking Exercises David's introduction to Albert Ellis's famous technique Why therapists should never ask patients to do something they wouldn't do themselves The surprising results of David's first shame-attacking exercise in a crowded Chinese restaurant Martin's Story A young man whose fear of sweating kept him trapped in loneliness How shame—not sweating—was the real problem A therapy session unlike any other: jogging through Philadelphia, getting intentionally soaked, and publicly announcing his "flaw" What Happened When Martin Stopped Hiding Why strangers responded with warmth instead of ridicule How exposing his greatest fear challenged years of distorted beliefs The unexpected encounter that changed his social life forever Shame Is Like a Vampire David introduces a memorable metaphor: Shame survives in darkness and secrecy. When exposed to the light, it shrivels up and dies. The discussion explores how openly acknowledging our imperfections can dramatically reduce anxiety and self-consciousness. The Hidden Cost of Taking Ourselves Too Seriously David and Kevin discuss: Why humor can be a powerful antidote to social anxiety The value of becoming more playful and less self-focused How social anxiety often convinces us that everyone is watching and judging us when they're usually not Guidelines for Shame Attacking Exercises David emphasizes that shame-attacking exercises are powerful but should be used thoughtfully. Some important principles include: Be Respectful Exercises should never disrupt places where people deserve peace and privacy, such as hospitals, churches, or synagogues. Be Playful, Not Aggressive The goal is to laugh at yourself, not make others uncomfortable or upset. Don't Wait Until You're Ready The breakthrough often comes when you act despite feeling anxious. Therapists Must Lead by Example If therapists want patients to challenge shame, they should be willing to challenge their own shame as well. Memorable Takeaways The problem is rarely the flaw itself—it's the hiding. Most people are far less judgmental than we imagine. Courage grows through action, not waiting for fear to disappear. Humor and playfulness can dissolve shame. Vulnerability often creates connection rather than rejection. The world may be much friendlier than your anxiety predicts. Featured Article This episode is based on Dr. David Burns' Psychology Today article: "Shame Attacking: Overcoming a Lifetime of Social Anxiety" The article explores Martin's story in greater detail and illustrates how shame-attacking exercises can transform social anxiety by challenging both self-criticism and fears of rejection. We'd Love Your Feedback As with TEAM-CBT therapy, feedback helps us improve. Please take a few minutes to complete the episode feedback survey linked here. Your responses help us create better episodes and continue exploring the topics that matter most to you. Until next time, remember: the things you're most afraid to reveal about yourself may be the very things that set you free. Contact Information Kevin Cornelius, LMFT is a Level 5 Certified Master TEAM-CBT Therapist and Trainer and the Clinical Director of Feeling Good Institute--Silicon Valley. He specializes in the treatment of trauma, anxiety, depression, relationship problems and insomnia. You can reach Kevin at kevin@feelinggoodinstitute.com and visit his website at www.tools4change.me. You can reach Dr. Burns at david@feelinggood.com. Feeling down in these turbulent times? Take a ride on our Feeling Great app. Feeling Great feels wonderful! You owe it to yourself to feel GREAT! Give the Greatest Gifts of ALL--Love and Happiness!
Your patient brushes well, avoids sweets — and still keeps getting decay. What if the answer isn't in their mouth at all?What if two inexpensive finger-prick tests told you more about a patient's gum disease and implant prognosis than anything on the radiograph?And here's the uncomfortable one: if the science is this clear, is not checking starting to look like a medico-legal risk? Especially for imlpant surgery!This is a conversation with Dr Tif Qureshi— the dentist who changed how the profession thinks about the lifelong patient, the envelope of function, and Align, Bleach, Bond. He's gone down a new rabbit hole: metabolic health. In general practice he's now doing blood tests — HbA1c and vitamin D — and making the case that the mouth isn't connected to the body, it is the body. This isn't about becoming a “biological dentist” (as you'll hear, Tif is refreshingly blunt about the wilder end of that world). It's about respecting the biology, screening sensibly, and helping patients where we're genuinely placed to help. https://youtu.be/mt1MXLFCTp0 Watch PDP275 on YouTubeProtrusive Dental Pearl: Test Yourself FirstBefore you even think about introducing blood tests for your patients, ask whether you're checking your own biomarkers at a sensible interval. The deepest way to understand this topic is to learn it on yourself and your family first — run your own HbA1c, vitamin D, iron, and liver and kidney markers, and see what the data tells you.Start quarterly, like hygienist visits, then stretch to six-monthly or annual once things look good. Getting invested in your own numbers is what makes better food and lifestyle choices actually stick — and it's the honest starting point for ever offering this to a patient.What You'll Take From This EpisodeThe metabolic lens — why one disordered glucose-and-insulin system sits under so much chronic and dental disease, and why dentistry is well placed to act on it.Sugar, redefined — why patients who avoid sweets still get decay, and how frequency of starchy carbs drives the problem.The two biomarkers that matter most — what HbA1c and vitamin D each tell you about caries, perio and healing.How to run it in practice — finger-prick logistics, what to test, and how to raise it on the medical history form.The medico-legal case — why documenting these markers can protect you before implant, graft and perio work.Highlights of This Episode00:00 Why Dentists Should Care About Blood Tests06:00 Metabolic Disease: The Root Cause Dentists Miss13:00 Why Starchy Carbs Cause Decay, Not Just Sugar15:50 HbA1c and Caries: What the SHIP Study Shows21:00 Insulin Resistance: The Hidden Driver of Gum Disease26:00 How to Talk to Patients About Diet Without Scaring Them31:00 Why Vitamin D Deserves a Place in Dentistry34:00 Vitamin D, Implant Failure and Perio Risk37:00 Blood Tests as Medico-Legal Defence42:00 What Dentists Should Test: HbA1c and Vitamin D44:00 How In-Practice Blood Testing Actually Works50:00 The Mouth Is the Body: Screening, Not Diagnosing51:00 Is This Biological Dentistry? An Honest Answer57:00 How to Learn Blood Testing for Your PracticeFrom the GuestDr Tif Qureshi qualified from King's College London in 1992 and is a Past President of the British Academy of Cosmetic Dentistry. He is Founder and Clinical Director of IAS Academy, best known for pioneering Align, Bleach, Bond and Progressive Smile Design, and as a teacher of the Dahl concept. His current focus is metabolic health in general practice.
Your patient brushes well, avoids sweets — and still keeps getting decay. What if the answer isn't in their mouth at all? What if two inexpensive finger-prick tests told you more about a patient's gum disease and implant prognosis than anything on the radiograph? And here's the uncomfortable one: if the science is this clear, is not checking starting to look like a medico-legal risk? Especially for imlpant surgery! This is a conversation with Dr Tif Qureshi — the dentist who changed how the profession thinks about the lifelong patient, the envelope of function, and Align, Bleach, Bond. He's gone down a new rabbit hole: metabolic health. In general practice he's now doing blood tests — HbA1c and vitamin D — and making the case that the mouth isn't connected to the body, it is the body. This isn't about becoming a “biological dentist” (as you'll hear, Tif is refreshingly blunt about the wilder end of that world). It's about respecting the biology, screening sensibly, and helping patients where we're genuinely placed to help. https://youtu.be/mt1MXLFCTp0 Watch PDP275 on YouTube Protrusive Dental Pearl: Test Yourself First Before you even think about introducing blood tests for your patients, ask whether you're checking your own biomarkers at a sensible interval. The deepest way to understand this topic is to learn it on yourself and your family first — run your own HbA1c, vitamin D, iron, and liver and kidney markers, and see what the data tells you. Start quarterly, like hygienist visits, then stretch to six-monthly or annual once things look good. Getting invested in your own numbers is what makes better food and lifestyle choices actually stick — and it's the honest starting point for ever offering this to a patient. What You'll Take From This Episode The metabolic lens — why one disordered glucose-and-insulin system sits under so much chronic and dental disease, and why dentistry is well placed to act on it. Sugar, redefined — why patients who avoid sweets still get decay, and how frequency of starchy carbs drives the problem. The two biomarkers that matter most — what HbA1c and vitamin D each tell you about caries, perio and healing. How to run it in practice — finger-prick logistics, what to test, and how to raise it on the medical history form. The medico-legal case — why documenting these markers can protect you before implant, graft and perio work. Highlights of This Episode 00:00 Why Dentists Should Care About Blood Tests 06:00 Metabolic Disease: The Root Cause Dentists Miss 13:00 Why Starchy Carbs Cause Decay, Not Just Sugar 15:50 HbA1c and Caries: What the SHIP Study Shows 21:00 Insulin Resistance: The Hidden Driver of Gum Disease 26:00 How to Talk to Patients About Diet Without Scaring Them 31:00 Why Vitamin D Deserves a Place in Dentistry 34:00 Vitamin D, Implant Failure and Perio Risk 37:00 Blood Tests as Medico-Legal Defence 42:00 What Dentists Should Test: HbA1c and Vitamin D 44:00 How In-Practice Blood Testing Actually Works 50:00 The Mouth Is the Body: Screening, Not Diagnosing 51:00 Is This Biological Dentistry? An Honest Answer 57:00 How to Learn Blood Testing for Your Practice From the Guest Dr Tif Qureshi qualified from King's College London in 1992 and is a Past President of the British Academy of Cosmetic Dentistry. He is Founder and Clinical Director of IAS Academy, best known for pioneering Align, Bleach, Bond and Progressive Smile Design, and as a teacher of the Dahl concept. His current focus is metabolic health in general practice.
In this episode with Bill Taylor, we discuss his recent case study on a young male cyclist with urologic chronic pelvic pain syndrome. Bill takes us through: Key differential diagnoses around the pelvic regionKey subjective findings around the pelvic regionTreatment of a complex perineal caseSubjective and Objective ExaminationPelvic floor cueing tipsAdditional testing to have checked for symptoms such as incomplete bladder emptying, urinary frequency etc. This episode is closely tied to Bill's case study he did with us. With case studies, you can see how top clinicians manage real-world cases and apply their strategies to get better results with your patients.
Conquering Social Anxiety: The Courage to Reach Out Hosts: Kevin Cornelius, LMFT Dr. David Burns In this deeply moving episode, Dr. David Burns and Kevin Cornelius explore one of the most painful and misunderstood forms of anxiety: social anxiety. David shares a remarkable true story about a wealthy and highly successful businessman whose severe social anxiety left him feeling isolated, ashamed, and unable to connect even with his own family. Despite his power, wealth, and accomplishments, he secretly believed there was something deeply wrong with him because he felt anxious around people. Through an unforgettable exposure exercise involving radical self-disclosure on a public train, David illustrates how shame loses its power when it is brought into the open—and how genuine human connection can emerge when we stop hiding our perceived flaws. This episode explores: Why shame—not low self-esteem—is often at the core of social anxiety How secrecy fuels anxiety and emotional suffering The healing power of vulnerability and authenticity Why exposure exercises can create rapid breakthroughs How therapists can unintentionally reinforce hopelessness The difference between treating a diagnosis and treating a human being The surprising warmth and compassion people often receive when they stop pretending to be "special" David and Kevin also discuss: Why TEAM-CBT is never a "cookie-cutter" approach The importance of courage in overcoming fear "Reverse hypnosis" and how anxious thoughts persuade people they are incapable Why meaningful change often requires stepping directly into discomfort How human connection—not status or achievement—creates joy One especially memorable takeaway from the episode:"When I give up my need to be special, then life can be special." Key Themes Social Anxiety Shame and Vulnerability Exposure Therapy TEAM-CBT Self-Disclosure Human Connection Courage and Emotional Healing Memorable Moments David describing the businessman arriving at a modest hospital in a limousine with bodyguards The patient's emotional transformation after talking openly with strangers The realization that most people respond with kindness rather than judgment David's reflection that "magic is available to most of us most of the time" Kevin's observation that the patient "had everything—and yet nothing" About the Next Episode Next week, David and Kevin explore another powerful treatment for social anxiety inspired by Albert Ellis: Shame Attacking Exercises—a bold and often life-changing approach to overcoming fear of judgment. Resources Mentioned David Burns' articles on Psychology Today Let Us Know What You Think of This Episode Please use this link to take a very brief survey and share your opinion with us about this episode Contact Information Kevin Cornelius, LMFT is a Level 5 Certified Master TEAM-CBT Therapist and Trainer and the Clinical Director of Feeling Good Institute--Silicon Valley. He specializes in the treatment of trauma, anxiety, depression, relationship problems and insomnia. You can reach Kevin at kevin@feelinggoodinstitute.com and visit his website at www.tools4change.me. You can reach Dr. Burns at david@feelinggood.com. Feeling down in these turbulent times? Take a ride on our Feeling Great app. Feeling Great feels wonderful! You owe it to yourself to feel GREAT! Give the Greatest Gifts of ALL--Love and Happiness!
6/13/26, Megan Zinn -- Co-Host Nancy Gertner, U.S. Dst Ct Judge (ret) & Harvard Law Professor: what the recent Supreme Court's recent decisions mean for democracy, the future, & all of us. Daniel Mason, the superlative, award-winning novelist on a nationwide book tour -- tonight at the Odyssey Books in South Hadley-- on “Country People.” It's Mayors Monday w/ Holyoke Mayor Joshua Garcia: the ban/moratorium on data centers in his city & the $2million/yr in tax revenues one (!) could bring; then, summer in the City. “And Death Shall Have No Dominion”— the community's response this weekend. Kemper Carlsen, Clinical Director, Fisher Home Hospice in Amherst: hospice & end-of- life care—what it is; also, their 20th anniversary & a $100,000 endowment campaign.
6/13/26, Megan Zinn -- Co-Host Nancy Gertner, U.S. Dst Ct Judge (ret) & Harvard Law Professor: what the recent Supreme Court's recent decisions mean for democracy, the future, & all of us. Daniel Mason, the superlative, award-winning novelist on a nationwide book tour -- tonight at the Odyssey Books in South Hadley-- on “Country People.” It's Mayors Monday w/ Holyoke Mayor Joshua Garcia: the ban/moratorium on data centers in his city & the $2million/yr in tax revenues one (!) could bring; then, summer in the City. “And Death Shall Have No Dominion”— the community's response this weekend. Kemper Carlsen, Clinical Director, Fisher Home Hospice in Amherst: hospice & end-of- life care—what it is; also, their 20th anniversary & a $100,000 endowment campaign.
6/13/26, Megan Zinn -- Co-Host Nancy Gertner, U.S. Dst Ct Judge (ret) & Harvard Law Professor: what the recent Supreme Court's recent decisions mean for democracy, the future, & all of us. Daniel Mason, the superlative, award-winning novelist on a nationwide book tour -- tonight at the Odyssey Books in South Hadley-- on “Country People.” It's Mayors Monday w/ Holyoke Mayor Joshua Garcia: the ban/moratorium on data centers in his city & the $2million/yr in tax revenues one (!) could bring; then, summer in the City. “And Death Shall Have No Dominion”— the community's response this weekend. Kemper Carlsen, Clinical Director, Fisher Home Hospice in Amherst: hospice & end-of- life care—what it is; also, their 20th anniversary & a $100,000 endowment campaign.
6/13/26, Megan Zinn -- Co-Host Nancy Gertner, U.S. Dst Ct Judge (ret) & Harvard Law Professor: what the recent Supreme Court's recent decisions mean for democracy, the future, & all of us. Daniel Mason, the superlative, award-winning novelist on a nationwide book tour -- tonight at the Odyssey Books in South Hadley-- on “Country People.” It's Mayors Monday w/ Holyoke Mayor Joshua Garcia: the ban/moratorium on data centers in his city & the $2million/yr in tax revenues one (!) could bring; then, summer in the City. “And Death Shall Have No Dominion”— the community's response this weekend. Kemper Carlsen, Clinical Director, Fisher Home Hospice in Amherst: hospice & end-of- life care—what it is; also, their 20th anniversary & a $100,000 endowment campaign.
6/13/26, Megan Zinn -- Co-Host Nancy Gertner, U.S. Dst Ct Judge (ret) & Harvard Law Professor: what the recent Supreme Court's recent decisions mean for democracy, the future, & all of us. Daniel Mason, the superlative, award-winning novelist on a nationwide book tour -- tonight at the Odyssey Books in South Hadley-- on “Country People.” It's Mayors Monday w/ Holyoke Mayor Joshua Garcia: the ban/moratorium on data centers in his city & the $2million/yr in tax revenues one (!) could bring; then, summer in the City. “And Death Shall Have No Dominion”— the community's response this weekend. Kemper Carlsen, Clinical Director, Fisher Home Hospice in Amherst: hospice & end-of- life care—what it is; also, their 20th anniversary & a $100,000 endowment campaign.
This week, we analyze Dr. Frances Cress Welsing's 1983 performance evaluation and investigate how corporate tech layoffs, Pierce County leadership racism, and extreme heatwave rollbacks endanger Black employees. We break down the systematic strategy of public humiliation on the clock, update the Brandon Lucas Five Below homicide investigation, and dissect the recent Arlington workplace parking lot shooting. Weekly Agenda and Topics: 1. The Strategy of Public Humiliation: We examine the calculated deployment of public humiliation and open disrespect against Black employees on the clock, deconstructing how the system weaponizes public shame to degrade Black authority and break down psychological defense mechanisms. 2. Dr. Frances Cress Welsing's 1983 Performance Evaluation: We analyze a historical document detailing a Justification for Outstanding Performance for Dr. Welsing during her tenure as Clinical Director at the Paul Robeson School, decoding how an exceptional Black behavioral scientist navigated the administrative bureaucracy of the District of Columbia's Youth Services. 3. Extreme Heatwave Protections Rollback: We examine the severe challenges faced by construction workers navigating lethal summer heatwaves, deconstructing the systemic malice of states actively rolling back workplace heat protections to prioritize white corporate capital over human survival. 4. Mass Tech Layoffs: We scrutinize the global economic purge displacing over 164,000 technology employees, focusing heavily on Microsoft cutting 4,800 jobs to analyze how corporate restructuring systematically targets and eliminates non-white livelihood. 5. The Arlington Workplace Parking Lot Shooting: We dissect the horrific violence in Texas where an Arlington man is accused of shooting his coworker directly in the business parking lot, alongside an incident where a store employee faces murder and attempted murder charges. 6. The Five Below Homicide Two-Week Update: We provide a critical updates segment on the deadly Las Vegas shooting of Brandon Lucas at a Five Below store, evaluating his family's legal battle for corporate accountability and the systemic failure to prevent predictable workplace slaughter. 7. Pierce County Leadership Racism: We review a crucial News Tribune report by Becca Moss detailing how a fired director alleges widespread white privilege and systemic racism embedded deep within Washington's Pierce County executive leadership structure. Between coworker hostility, public humiliation tactics, corporate gaslighting, workplace parking lot executions, and record-breaking heat exhaustion, survival is your only metric of success. Your absolute priority on the clock is no longer corporate validation or career advancement. But rather, to survive your shift alive and in one piece, you must deploy aggressive defensive strategies, maintain absolute silence on personal matters, and keep your daily interaction footprint strictly limited to professional workplace matters. INVEST in The COWS: - PayPal: [http://paypal.me/TheCOWS](http://paypal.me/TheCOWS) - Cash App: [https://cash.app/$TheCOWS](https://cash.app/$TheCOWS) #SurviveYourShift #SafetyFirst #TheCOWS17Years #CounterRacism
When Trauma Still Hurts: Memory Rescripting Hosts: Kevin Cornelius, LMFT Dr. David Burns Content Note This episode includes discussion of trauma, including sexual abuse and violence, which may be distressing for some listeners. What Is Memory Rescripting? Memory rescripting is a therapeutic technique that helps people transform how they experience painful memories. Instead of simply revisiting trauma, clients: Re-enter the memory vividly (often with eyes closed) Experience the emotions fully Then actively change the outcome of the scene The key idea:Many trauma victims, see themselves, still, as the helpless little child, the victim, and every time they re-experience the trauma, they re-enforced those brain circuits. Memory Rescripting allows patients to establish new brain circuits and new ways of seeing themselves. Clients often: Step into the scene as a powerful adult self Protect their younger self Confront or stop the perpetrator Create a new, empowering ending A Powerful Case Example David shares a striking case of a young woman struggling with: Severe anxiety Agoraphobia (fear of leaving home, especially public transportation) What wasn't working: Cognitive therapy helped overall mood But she refused exposure to public transportation Breakthrough moment: She revealed a childhood trauma: A babysitter repeatedly sexually abused her The Memory Rescripting Process During a guided session: She vividly re-experienced the traumatic memory At peak emotional intensity, she: Entered the scene as a strong adult Physically stopped the perpetrator (in imagination) Enacted intense revenge fantasies She continued reshaping the scene until: She felt relief and empowerment Surprising Outcome After the session: She voluntarily booked a solo international flight Completed 21 hours of travel alone Reported: Zero anxiety Ability to neutralize fear using spontaneous rescripting She ended therapy shortly after—fully recovered from her presenting issue Key Insight Memory rescripting may work by: Shifting identity: From helpless victim → powerful protector Allowing expression of: Suppressed anger Emotional truth Rewriting emotional memory—not just recalling it Important Caveat This technique is not for everyone David notes: He has used it rarely in decades of practice Most patients improve with standard cognitive and exposure methods Relapse Prevention for Anxiety A crucial takeaway: Recovery is maintained through continued exposure—not avoidance. Key principles: Face your fears regularly Don't become complacent If fear returns: It does not mean failure It means it's time to re-engage the tools Normalizing Setbacks Negative thoughts and feelings will return at times This is part of being human—not a sign something is wrong You can reuse the same tools that worked before Core Takeaways 1. Thoughts create feelings Changing distorted thoughts can eliminate emotional suffering. 2. There is no one-size-fits-all method Different techniques work for different people. 3. Don't give in to hopelessness Even long-standing anxiety can be overcome. 4. Avoid rigid "schools" of therapy Flexibility and multiple tools are key. 5. Memory Rescripting is one powerful method that could help When the patient rewrites the script on a traumatic memory, new brain circuits are created and the patient is freed from the pain of the traumatic event. "100% vs 200% Cure" 100% Cure: Fear disappears completely 200% Cure: You come to enjoy what you once feared Resources Mentioned When Panic Attacks by Dr. David Burns Feeling Good by Dr. David Burns Feeling Great by Dr. David Burns Feeling Great App (free at www.feelinggreat.com) Free anxiety resources and classes available at www.feelinggood.com Let Us Know What You Think of This Episode Please use this link to take a very brief survey and share your opinion with us about this episode Contact Information Kevin Cornelius, LMFT is a Level 5 Certified Master TEAM-CBT Therapist and Trainer and the Clinical Director of Feeling Good Institute--Silicon Valley. He specializes in the treatment of trauma, anxiety, depression, relationship problems and insomnia. You can reach Kevin at kevin@feelinggoodinstitute.com and visit his website at www.tools4change.me. You can reach Dr. Burns at david@feelinggood.com. Feeling down in these turbulent times? Take a ride on our Feeling Great app. Feeling Great feels wonderful! You owe it to yourself to feel GREAT! Give the Greatest Gifts of ALL--Love and Happiness!
Cliona Murphy, HSE, discusses issues raised by Dr Peter Boylan, and women in labour.
In this episode of the Psychedelic Medicine Podcast, Dori Lewis, MA, MEd, LPC-S returns to discuss the differences between psilocybin and ketamine. Dori is the Clinical Director of Elemental Psychedelics and Owner/Operator of Reflective Healing in Fort Collins Colorado. As a clinician, she blends transpersonal psychology, depth work, and psychedelic-assisted therapy within a model that centers the therapeutic relationship. To date, she has stewarded over 100 ketamine therapy sessions, more than 200 mushroom sessions, and numerous group ceremonies. In this conversation, Dori explores how clinicians and facilitators can thoughtfully decide when ketamine or psilocybin may be the more appropriate therapeutic option, emphasizing that the two medicines are complementary rather than competing approaches. She explains how factors such as current medications, trauma history, substance use, prior experience with altered states, therapeutic readiness, and available social support all shape this decision. Throughout the discussion, Dori argues that ketamine often serves as an accessible and effective introduction to psychedelic-assisted therapy, while psilocybin may be especially valuable for addressing grief, attachment and religious trauma, and deeper existential questions when paired with sufficient preparation, integration, and a strong therapeutic relationship. In this episode, you'll hear: Why ketamine is often recommended before psilocybin for people new to psychedelic therapy How SSRIs and other medications influence the choice between ketamine and psilocybin What personal history, symptoms, and therapeutic readiness clinicians should evaluate before recommending either medicine Which conditions and life experiences may be particularly well-suited for psilocybin-assisted therapy, including grief, attachment trauma, and existential distress How cannabis use, substance use disorders, and suicidal ideation can affect treatment planning Why community support, integration resources, and a trusting relationship with a facilitator are critical for successful psychedelic experiences The importance of cultivating self-awareness before engaging in psychedelic-assisted therapy Quotes: "How do we help somebody who is on these [SSRI] medications, has been on them for a really long time and is actually doing well with them? The answer is not to get someone to stop taking their meds just to have a psilocybin experience. That's actually really reckless, in my opinion. What I would say is, why don't we start with ketamine and see how that affects you." [7:59] "There's another important piece here: What [does the patient] want? If this person says, 'Dori, I really don't want to do ketamine. I want to work with a plant medicine. That's what I'm feeling really called to.' I might say, 'okay, then let's explore that.' But if they're open [to either], I might say, 'why don't we start with [ketamine]?'" [15:50] "There are very few cases that I would say, 'don't start with ketamine' unless somebody says 'I've already done ketamine' … or they say 'I don't want to do ketamine' but in most cases I'm going to recommend just start with ketamine" [23:05] Links: Dori on LinkedIn Elemental Psychedelics website Elemental Psychedelics on LinkedIn Reflective Healing website Reflective Healing on LinkedIn Reflective Healing on Instagram Fireside Project website Previous episode: Common Psilocybin Myths & Misconceptions with Dori Lewis, LPC Previous episode: How Psychedelics & Pharmaceuticals Can Both Aid Healing with Erica Zelfand, ND Psychedelic Medicine Association Porangui
A New Model for Treating Trauma Do You Need to Revisit the Past to Heal Trauma? Episode Overview In this episode, David and Kevin explore a provocative idea: healing from trauma may not require revisiting the past at all. Drawing from decades of clinical experience and data-driven research, David challenges a core assumption in trauma therapy and explains why focusing on the present moment can lead to rapid and lasting change. Key Takeaways A Radical Shift in Trauma Treatment Traditional approaches often emphasize revisiting and "processing" past trauma. David argues that this may be unnecessary—and sometimes counterproductive. His clinical experience suggests trauma can often be resolved in a single session by focusing on current thoughts and feelings. The Power of the Present Moment Patients consistently want help with what's bothering them right now, not necessarily past events. Changing how someone feels in the present can dissolve the emotional impact of past trauma. "The past is embedded in the present"—shift the present, and the past loses its grip. The Cognitive Model at Work Emotional suffering is driven not by events, but by thoughts about those events. When distorted thoughts are identified and challenged, emotional distress can rapidly disappear. This applies to trauma, depression, anxiety, and more. Data-Driven Insights Statistical modeling of patient data revealed that past emotional history does not predict recovery. In fact, including past data made predictive models less effective. Present-moment variables fully explained improvement. Powerful Clinical Stories Anne's Story (Terminal Cancer Diagnosis) Faced with a devastating diagnosis, Anne experienced severe depression. In a single session, her distorted thoughts (self-blame, guilt) were challenged. Her depression dropped from severe to zero—and did not return over the next two years. Trauma Workshop Demonstrations Across dozens of live demonstrations, participants with severe trauma experienced complete symptom relief within hours. Most work focused on present concerns—not revisiting traumatic memories. Latvian Survivor's Story A woman who survived Nazi-era trauma attempted suicide decades later. Her distress was tied not to past trauma, but to a belief: "I am worthless." Challenging that thought led to rapid recovery. Key Concepts Healthy vs. Unhealthy Negative Emotions Healthy: sadness, grief, concern Unhealthy: shame, guilt, worthlessness Therapy aims to eliminate distorted, self-defeating emotions, not natural human feelings. Exposure Therapy—Used Selectively Exposure can be powerful, especially for anxiety. However, it's often not necessary for trauma recovery. David reports using it rarely in trauma cases. No One-Size-Fits-All Approach Effective therapy requires a toolbox of techniques, not rigid adherence to one method. TEAM-CBT emphasizes flexibility and rapid testing of what works. Practical Tools for Listeners Daily Mood Log: Identify and challenge negative thoughts in real time Cognitive Techniques: Learn to "crush" distorted thinking patterns Self-Help Resources: Feeling Good by Dr. David Burns When Panic Attacks Dr. David Burns Feeling Great Dr. David Burns Feeling Great App: Free tool to practice these methods interactively Memorable Quote "The moment you stop believing a distorted thought is the moment your negative feelings disappear." Final Thoughts This episode offers a hopeful and empowering message: You may not need to relive your past to heal from it. By changing how you think and feel today, meaningful recovery can happen faster than you might expect. What's Coming Next Next episode: A deeper dive into trauma treatment using memory rescripting, including when revisiting the past can be helpful. Thanks for listening—see you next time! Let Us Know What You Think of This Episode Please use this link to take a very brief survey and share your opinion with us about this episode Contact Information Kevin Cornelius, LMFT is a Level 5 Certified Master TEAM-CBT Therapist and Trainer and the Clinical Director of Feeling Good Institute--Silicon Valley. He specializes in the treatment of trauma, anxiety, depression, relationship problems and insomnia. You can reach Kevin at kevin@feelinggoodinstitute.com and visit his website at www.tools4change.me. You can reach Dr. Burns at david@feelinggood.com. Feeling down in these turbulent times? Take a ride on our Feeling Great app. Feeling Great feels wonderful! You owe it to yourself to feel GREAT! Give the Greatest Gifts of ALL--Love and Happiness!
Dori Lewis is the Founder of Reflective Healing, a regulated psilocybin therapy clinic based in Colorado, USA. She's also Co-Founder and Clinical Director at Elemental Psychedelics, a DORA-approved, women-led training program for psychedelic therapy facilitation licensure. We dive into the regulated psilocybin therapy landscape in Colorado as it stands today on this episode. Thank you to our partners at Full Canopy Genetics and Real Mushrooms Hosted on Acast. See acast.com/privacy for more information.
Ready to grow your practice without seeing more clients? Discover the hiring system behind a 55-therapist practice in my FREE Masterclass: The Hiring Method → https://mccancemethod.com/the-hiring-method-behind-a-55-therapist-practice/ Want to watch this episode on video? Check it out here on youtube: https://youtu.be/kaF6lPgpPCcIn this episode, I chat with Antoinette about how she grew from a solo private practice into a thriving group practice on track to hit $900K this year after her time in the Clinic Growth Map™. She shares how systems, coaching, Google Ads, SEO, and trusting her gut helped her build a team, create more freedom, and move closer to the $1M mark.Make sure to bring your paper and pen because this episode is full of actionable tips!Here are some key points in this episode:[01:40] Antoinette shares how her group practice journey began.[04:38] She breaks down her revenue growth.[07:47] Antoinette shares how systems and coaching helped her scale.[12:45] She reflects on gaining more family time and freedom.[16:47] Antoinette discusses what marketing is working in 2026.[21:36] She encourages therapists to trust their gut and take action.More about Antoinette:Dr. Antoinette Ibrahimi, Psy.D., is a licensed clinical psychologist, founder, and Clinical Director of Maple Leaf Counseling, a rapidly growing private-pay group practice serving Southern California through offices in Arcadia and Claremont, as well as Telehealth across California. Since opening her private practice in 2015, Dr. Ibrahimi has built Maple Leaf Counseling into a thriving multi-clinician practice grounded in high-quality, relationally focused care.Known for her warm, insight-oriented approach, Dr. Ibrahimi specializes in couples therapy, grief and loss, chronic illness, anxiety, life transitions, and prenatal and postpartum adjustments. Her clinical work is deeply influenced by differentiation, family systems, and family dynamics theories, helping clients strengthen their sense of self while building healthier, more meaningful relationships.Dr. Ibrahimi often describes therapy through the lens of the Japanese art of kintsugi, the practice of repairing broken pottery with gold, believing that people can transform life's hardships into sources of resilience, growth, and beauty. This philosophy became the foundation of Maple Leaf Counseling's mission: helping people reclaim hope, healing, and connection through therapy.In addition to her clinical work, Dr. Ibrahimi is passionate about ethical and sustainable practice growth. After completing Nicole McCance's Clinic Growth Map program in 2024, she implemented systems and strategies that helped significantly expand Maple Leaf Counseling's reach, team, and impact within the community while maintaining a strong focus on client care and therapist support.Dr. Ibrahimi has 18+ years of clinical experience and previously served at Ronald McDonald House Los Angeles for five years. She is also a former lecturer at both the University of Southern California and the California School of Professional Psychology and was a keynote speaker at the Depression and Bipolar Support Alliance 23rd Annual Conference.Outside of her professional life, Dr. Ibrahimi is a wife and proud mother of three. A former collegiate volleyball athlete on a full-ride scholarship at California State Polytechnic University, Pomona, she still carries the teamwork, discipline, and resilience of athletics into both motherhood and entrepreneurship. She also loves specialty coffee, travel, and Japanese cuisine.Want to Connect with Antoinette? Maple Leaf Counseling - www.mapleleafcounseling.orgInstagram: http://instagram.com/mapleleafcounselingFacebook: https://www.facebook.com/mapleleafcounseling/
Mastering the Daily Mood Log Small Details, Life-Changing Results Episode Summary The Daily Mood Log might seem simple—even boring—but its impact can be profound. In this episode, David and Kevin break down how to use this powerful CBT tool effectively, highlighting the most common mistakes people make and how to avoid them. They explain why focusing on a single specific moment is the key to emotional transformation, how to accurately identify feelings, and how to uncover the exact thoughts driving distress. This practical deep dive shows how small shifts in technique can lead to dramatic improvements in mood, confidence, and even what David calls "enlightenment." Step 1: Upsetting Event / Moment Identify one specific moment in time (not a general problem). Include details: Where were you? Who was there? What exactly happened? Common Mistakes: ❌ Being too vague: "My life is a mess" ❌ Writing thoughts instead of events: "I'm not good enough" ❌ Describing ongoing situations instead of a moment Example: ✔️ "At 3pm today, my boss criticized my report in a meeting." Step 2: Emotions Circle or list all emotions you felt Rate each from 0–100% intensity Examples: Sad / Down – 60% Anxious / Nervous – 70% Ashamed – 50% Common Mistakes: ❌ Skipping this step ❌ Not rating intensity ❌ Thinking feelings can't be measured Why It Matters: Helps track progress Improves emotional awareness Increases accuracy and empathy Step 3: Negative Thoughts Write short, specific thoughts (1 sentence each) Focus on what you were telling yourself Examples: "I'm a failure." "There's something wrong with me." "I'll never succeed." Common Mistakes: ❌ Writing long paragraphs ❌ Including events ("She rejected me") ❌ Including feelings ("I feel terrible") ❌ Writing questions ("Why am I like this?" → convert to statement) Tip: Work through emotions one at a time: "What thought caused my sadness?" "What thought caused my anxiety?" Step 4: Positive Thoughts Generate thoughts that: ✅ Are 100% true ✅ Reduce belief in the negative thought Examples: "I made a mistake in that meeting, but that doesn't define my entire ability." "One criticism doesn't mean I'm a failure." Common Mistakes: ❌ Cheerleading ("I'm awesome no matter what") ❌ Irrelevant truths ("At least I can cook") ❌ Statements you don't fully believe Key Insight: Truth alone isn't enough—it must directly challenge the negative belief. Step 5: Re-evaluate Belief in Negative Thought After generating positive thoughts, re-rate how much you believe the original thought Example: "I'm a failure" Before: 90% After: 0% Goal: Reduce belief as much as possible (ideally close to 0%) Why It Matters: Emotional change happens when belief in negative thoughts decreases The greater the reduction, the greater the relief Core Principle Change one moment → understand the pattern → apply it everywhere. Memorable Quotes "We're not fishing for small improvements—we're going after the big fish." "I can't help you with your whole life, but I can help you with one moment." "The truth—not positive thinking—is what sets you free." "Without measuring feelings, therapists are mostly guessing." Practical Exercise Try this today: (Download a blank Daily Mood Log at this link) Write down one upsetting moment Rate your feelings (0–100%) List 3–5 short negative thoughts Challenge one thought with a 100% true alternative Who This Episode Is For Therapists using CBT or TEAM-CBT Anyone struggling with anxiety, depression, or self-doubt Listeners who want practical, structured tools for change Connect & Learn More Read Dr. Burns' latest articles on Psychology Today Explore more tools and resources at FeelingGood.com Learn about TEAM-CBT training and techniques If you enjoyed this episode, please consider subscribing, sharing the podcast, or leaving a review. It helps more people discover tools for overcoming depression and anxiety. Let Us Know What You Think of This Episode Please use this link to take a very brief survey and share your opinion with us about this episode Contact Information Kevin Cornelius, LMFT is a Level 5 Certified Master TEAM-CBT Therapist and Trainer and the Clinical Director of Feeling Good Institute--Silicon Valley. He specializes in the treatment of trauma, anxiety, depression, relationship problems and insomnia. You can reach Kevin at kevin@feelinggoodinstitute.com and visit his website at www.tools4change.me. You can reach Dr. Burns at david@feelinggood.com. Feeling down in these turbulent times? Take a ride on our Feeling Great app. Feeling Great feels wonderful! You owe it to yourself to feel GREAT! Give the Greatest Gifts of ALL--Love and Happiness!
Send us Fan MailEpisode Summary: This episode explores the critical support systems for families of fallen first responders, highlighting the work of the 100 Club in Illinois. Caitlyn Brennan and Meg Krase share insights into immediate response, long-term support, and the importance of mental health and community engagement in the context of public safety tragedies.Caitlyn's BIO: Caitlyn Brennan serves as the Chief Executive Officer of the 100 Club of Illinois, where she has dedicated her career to championing public servants and fostering resilient communities. With more than two decades of experience in Critical Incident Management and Community Development, Caitlyn has spent the past 13 years deeply focused on the unique challenges facing Illinois' first responder community through her leadership at the 100 Club.In her role as CEO, Caitlyn acts as a primary liaison and triage point during critical incidents affecting first responders across the State of Illinois. She works in close collaboration with statewide agencies, unions, policymakers, and mental health professionals to ensure that timely and culturally competent support services are available to those on the front lines. A passionate advocate for first responder wellness, Caitlyn is especially committed to expanding access to high-quality, trauma-informed resources that support long-term mental health and organizational resiliency.Meg's BIO: Meg Krase is the Chief Program Officer for the 100 Club of Illinois and serves as the Clinical Director of the organization's Critical Incident Stress Management (CISM) Team. As a Licensed Clinical Social Worker, Meg has dedicated her career to supporting the first responder community through trauma-informed care, crisis intervention, and wellness programming.Her professional background includes clinical roles with the McHenry County State's Attorney's Office, the McHenry County Child Advocacy Center, and the Carpentersville Police Department. Meg holds certifications as a Certified Clinical Trauma Professional (CCTP), an EMDR-trained clinician, and a Comprehensive Critical Incident Stress Management (CCISM) practitioner. She is a passionate advocate for the mental health and well-being of those who serve and protect, as well as their families.100 Club of IllinoisSupport the showOur premiere sponsor, Social News Desk, has an exclusive offer for PIO Podcast listeners. Head over to socialnewsdesk.com/pio to get three months free when a qualifying agency signs up.
A leading New Zealand research institute believes it is on track to deliver a cutting edge immunotherapy for blood cancer patients in the public system next year. But only if it can get government funding. Researchers at the Malaghan Institute are well into clinical trials of CAR-T cell therapy with 60 patients. The institute's Clinical Director, Doctor Robert Weinkove spoke to Lisa Owen.
Live Work with Ruben: Part 1 of 2 Working with Performance Anxiety in Real Time Hosts: Kevin Cornelius, LMFT Dr. David Burns Guests: Dr. Jill Levitt Ruben Land In this live work from a recent Tuesday Group, we had the opportunity to work with Ruben, a highly capable and thoughtful clinician, who brought a struggle that many therapists quietly share: intense performance anxiety in evaluative situations, especially in the presence of authority figures or people he deeply admires. What made this work especially powerful is that Ruben was actively experiencing anxiety in the moment, allowing us to "get in the car with him" rather than talk about the problem abstractly. We began, as always in TEAM-CBT, with Testing. Ruben had completed a Brief Mood Survey, which showed relatively low baseline symptoms—just mild anxiety and minimal depression or anger. However, when we reviewed his Daily Mood Log, anchored to a specific situation (leading a group under supervision), we saw a very different picture: anxiety at 70%, feelings of inferiority and defectiveness at 80%, embarrassment at 70%. This contrast highlights a core principle: symptoms are often situational and state-dependent, and without anchoring in a specific moment, we risk missing the true intensity of the problem. From there, we moved into Empathy, where Jill did a beautiful job modeling the Five Secrets of Effective Communication. She captured Ruben's internal experience with precision: the pressure to perform, the fear of saying the wrong thing, the spiral of anxiety leading to cognitive blanking, and the secondary anxiety about appearing anxious. She also identified both the internal loop ("I'm anxious about being anxious") and the interpersonal fears ("they'll think I'm a fraud," "I'm wasting their time"). David complemented this with curiosity and gentle inquiry, helping to deepen the conceptualization without getting lost in theory. Importantly, we conducted an empathy check, asking Ruben to grade us on thought empathy, feeling empathy, and warmth. He gave A+ ratings across the board, with a slight adjustment on thought empathy when he introduced an additional element: a compulsive need to check and recheck, suggesting a subtle OCD-like process. This moment is critical—without the empathy check, we would have missed an important maintaining factor. Only after strong empathy did we move into Agenda Setting, which is often the most counterintuitive and transformative part of TEAM-CBT. David began with the Invitation, asking whether Ruben wanted help or more support. Ruben was ready to "roll up his sleeves," which is essential—no imposed agenda. Then we used the Miracle Question to clarify goals: Ruben wanted to feel less anxious, maintain fluency, and stay present in high-stakes situations. Next came the Magic Button, targeting outcome resistance. When asked if he would eliminate all his negative feelings, Ruben said no—he wanted to keep some anxiety. This is exactly what we hope for. It opens the door to Positive Reframing, where we honor the symptoms rather than pathologize them. Together, we identified numerous positive values and benefits of his anxiety and self-doubt: Anxiety motivates preparation and effort It enhances connection through vulnerability It reflects caring deeply about others and their time Feelings of inadequacy keep him humble and growth-oriented Fear of judgment protects him and signals high standards Even the thought "I might be a fraud" reflects a desire to be authentic and competent At one point, Ruben articulated that his anxiety shows he values others and wants to contribute meaningfully—this is a profound reframe. Jill and David reinforced these insights, helping him see that his "symptoms" are actually expressions of his values system in action. We also explored a key factor: his anxiety is amplified in performative, evaluative contexts, especially with authority figures, and is less intense in vulnerable, non-evaluative settings. This distinction is clinically crucial and guides both conceptualization and intervention. Another powerful moment came when Ruben acknowledged that self-disclosure reduces his anxiety, supporting the idea that "shame requires secrecy." When he hides his anxiety, it intensifies; when he shares it, it softens. This is both a therapeutic tool and a treatment target. After thoroughly addressing resistance, we moved into Goal Setting, asking Ruben not what he wants to eliminate, but what he wants to dial down. This is a hallmark of TEAM: Anxiety: 70 → 30 Shame: 30 → 20 Inadequacy: 80 → 30 Embarrassment: 70 → 20 We then transitioned into Methods, targeting the thought: "My speech is too slow, and I sound foolish, ignorant, and boring." Jill began with a classic but essential step: identify the distortions. Ruben quickly identified all-or-nothing thinking, overgeneralization, mental filter, discounting positives, mind reading, fortune telling, labeling, self-blame, and hidden "shoulds." This is an important teaching point: when a thought contains nearly all distortions, it's not a problem—it's a goldmine. From there, rather than staying intellectual, we offered multiple method pathways—Externalization of Voices, Feared Fantasy, Be Specific, and Double Standard—modeling flexibility and collaboration. Ruben chose Externalization of Voices, which became the central method. David stepped in as the Negative Ruben, delivering the attack clearly and forcefully. This is essential—the more vivid the critic, the more powerful the response. Ruben responded using a blend of acceptance ("it's true I sometimes pause"), self-defense, and realism (some people may not like it, and that's okay). He won "big," but not "huge," which is a key TEAM moment—we don't settle for partial wins. They then moved into role reversal, and this is where things deepened. When Ruben played the critic and David responded, David modeled a powerful combination of self-acceptance, counterattack, and refusal to buy into the critic's frame. He highlighted that the real problem wasn't slow speech—it was the constant inner criticism. Ruben immediately recognized this as a "huge" win. Ruben then practiced again, this time integrating acceptance, values ("my heart is in the right place"), and counterattack ("the bigger problem is your nagging voice"). This time it felt huge. Next, they targeted a different thought: "If I screw up, David will be disgusted and see I'm a worthless, selfish fraud." This brought up more anxiety, and Ruben got stuck. Jill did something very important here—she paused the method and returned to empathy, naming the pressure to "do it right" and the performance anxiety happening inside the exercise itself. After empathy, they resumed. Jill modeled a powerful response in role reversal that included radical acceptance of imperfection ("I expect to screw up"), a growth mindset ("that's why I collect feedback"), and a reframe of failure as essential to learning. She also gently challenged the distortion of David as a harsh authority figure and emphasized choosing supportive learning environments. Ruben then extended this insight even further, saying, "the more I fail, the better… the more vulnerable I am, the less I appear like a fraud." This was a genuine shift. They then moved into Feared Fantasy, with David playing "David from Hell," saying things like "you're incompetent," "you're worthless," and "you should find another profession." Ruben responded by using Be Specific, asking what exactly he had done wrong. When the answer became "you paused," the entire structure of the criticism collapsed. Ruben saw the absurdity and described the experience as a weight lifting. This is a classic TEAM moment—when global, harsh judgments are reduced to specific, manageable behaviors, they lose their power. They extended this further with the thought "I'm wasting people's time." Through additional role plays, Ruben practiced self-defense and purpose clarification, David used humor and counterattack, and Jill demonstrated Be Specific in a very precise way—asking exactly how long a pause should be, exposing the irrationality of the standard. The work then expanded to include the group. Participants used Externalization of Voices to challenge Ruben's thoughts, and Ruben responded with increasing strength and clarity, using self-acceptance and reversal of beliefs (for example, recognizing that vulnerability actually increases connection). David then introduced the Survey Technique, asking Ruben to directly check his assumptions with the group. The responses were striking—people reported never noticing pauses, experiencing him as thoughtful and engaging, and feeling more connected because of his style. This directly disconfirmed his mind reading and labeling. At the end, they returned to Testing. Anxiety went from 70 to 0, shame from 30 to 0, inadequacy from 80 to 10, embarrassment from 70 to 0, rejection from 40 to 0, and frustration from 30 to 0. Ruben reported that the change felt real and that his belief in the negative thoughts had dropped dramatically. When asked what created the breakthrough, Ruben identified two key moments. First, a deep emotional realization that the goal is actually to make mistakes—that failure is not something to avoid but something to embrace. Second, a shift in how he saw authority figures—recognizing that the perceived gap between himself and others was distorted. As that sense of separation dissolved, so did much of the anxiety. David highlighted that much of our suffering comes from that artificial separation—seeing others as powerful and ourselves as deficient. Jill added an important layer: when we assume others are harsh, judgmental, and critical, we are also distorting them, not just ourselves. Some key clinical takeaways: Externalization of Voices becomes especially powerful when it includes emotion, repetition, and role reversal. Feared Fantasy works best when the criticism becomes specific and even a bit absurd. The Survey Technique is extremely effective for dismantling mind-reading. And often, breakthrough comes when patients fully embrace failure and let go of perfectionism. Let Us Know What You Think of This Episode Please use this link to take a very brief survey and share your opinion with us about this episode Contact Information You can reach Jill Levitt, PhD Jill Levitt . Jill is cofounder and Director of Clinical Training at The Feeling Good Institute (www.feelinggoodinstitute.com) in Mountain View, California. Ruben Land is an Associate Social Worker at Feeling Good Institute. He provides psychotherapy, using TEAM-CBT, and is available to work with clients in California. You can reach Ruben at ruben@feelinggoodinstitute.com and visit him online at this link. Kevin Cornelius, LMFT is a Level 5 Certified Master TEAM-CBT Therapist and Trainer and the Clinical Director of Feeling Good Institute--Silicon Valley. He specializes in the treatment of trauma, anxiety, depression, relationship problems and insomnia. You can reach Kevin at kevin@feelinggoodinstitute.com and visit his website at www.tools4change.me. You can reach Dr. Burns at david@feelinggood.com. Feeling down in these turbulent times? Take a ride on our Feeling Great app. Feeling Great feels wonderful! You owe it to yourself to feel GREAT! Give the Greatest Gifts of ALL--Love and Happiness!
READ THE CHOICE ARTICLE by RENOWNED LICENSED PSYCHOLOGIST: Dr. Steven Phillipson: https://www.cognitivebehavioralcenter.com/choiceDr. Phillipson is a licensed clinical/school psychologist and the Clinical Director at the Center. He has functioned as a mental health provider since 1980. Dr. Phillipson is currently an adjunct clinical supervisor at Long Island University, Fordham University, Rutgers University, Yeshiva University, St. Johns University, and Fairleigh Dickinson University. He has achieved international attention for his innovative work and writing in the treatment of Obsessive-Compulsive Disorder. Dr. Phillipson specializes in the treatment of the full spectrum of anxiety disorders and has extensive experience working with relationships and depressive issues. He is a regular lecturer at the OC foundation annual conference. Dr. Phillipson has presented on a variety of topics related to OCD and how it commingles with personality disorders.This will help you stop Anxiety! Make sure you check out this awesome video on how to stop overthinking anxiety: https://youtu.be/P9H816r4LD8If you got value from this video you can show your support by buying me a coffee! Yeah, how cool is that! You would be helping out our channel immensely. I would greatly appreciate it and it all goes back into the channel so I can keep making awesome videos for you for FREE. Thank you! Buy us a Coffee for only $5. Right here: https://www.buymeacoffee.com/professornezMy story is this: I suffered from debilitating anxiety and depression as a young man and I was lost and confused and didn't see any relief in sight. I went to all the "right" and "wrong" doctors, I look all the medicine they had, NONE of it worked. I was desperate and lost. I finally made the decision. I am going to do everything in my power to discover my own methodologies to combat this and try to come up with a solution that makes practical sense. This is my truth. I hope and pray it helps. ▶Best Selling Book 'Conversation with Fear': https://www.amazon.com/Conversation-Fear-fireside-chat-timeless/dp/1535106824#anxiety #overthinking #anxietyhelpLEGAL DISCLAIMER: ALL OF THE INFORMATION SUGGESTED IN THIS VIDEO ARE MINE AND BASED ON MY OWN PERSONAL EXPERIENCE AND SHOULD NOT BE TAKEN AS A SUBSTITUTE FOR ANY PROFESSIONAL ADVICE. ACCORDINGLY, BEFORE TAKING ANY ACTIONS BASED ON SUCH INFORMATION, I ENCOURAGE YOU TO CONSULT WITH THE APPROPRIATE PROFESSIONALS. THE USE OR RELIANCE OF ANY INFORMATION CONTAINED IN THIS VIDEO IS SOLELY AT YOUR OWN RISK.©️All uploads are my intellectual property. You do not have permission to re-use any part of them without my written consent.
The Moment You're in Matters More Than the One You Remember You Can Recover from Trauma by Focusing on the Present Hosts:Kevin Cornelius, LMFT Dr. David Burns Episode Overview In this powerful episode, Dr. David Burns shares transformative insights from decades of clinical experience treating depression and trauma. Through compelling real-life stories, he challenges the traditional belief that healing requires deep exploration of the past. Instead, he reveals that you do not need to deal with the past to overcome the impact of trauma or recover from depression. Real change can happen rapidly by focusing on thoughts in the present moment. Key Takeaways You don't need to explore the past—even for trauma Dr. Burns challenges the idea that recovery requires revisiting painful memories. You do not need to deal with the past to overcome the impact of trauma. Instead, healing comes from addressing the thoughts and beliefs you're having right now. Thoughts—not events—create emotional suffering Depression and trauma-related distress are driven by distorted thinking. When those thoughts are exposed as untrue, emotional relief can be immediate. Rapid recovery is possible—even in severe cases Patients can experience dramatic improvement in just a few sessions—or even minutes. Trauma patients, often considered "hard to treat," can respond quickly using present-focused methods. "You do not need to deal with the past to overcome the impact of trauma or recover from depression. All of your suffering is contained in how you're thinking in this moment—and when you change those thoughts, you can change how you feel immediately." Resources Mentioned Feeling Great App – Free tool for improving mood and applying CBT techniques Dr. Burns' Website – Free resources, tools, and exercises Psychology Today Articles – Scroll the page for many articles by David Final Thought If you're struggling right now, there is hope—and possibly faster relief than you've been led to believe. You don't have to spend years digging into your past. By examining your thoughts in the present moment, you may already have everything you need to start feeling better today. https://traffic.libsyn.com/feelinggood/Episode_504_-_Feeling_Good_Podcast.mp3 Listener Invitation Have a question you'd like Dr. Burns to answer in a future episode?Submit it through the Feeling Great app or the Feeling Good Podcast website. Let Us Know What You Think of This Episode Please use this link to take a very brief survey and share your opinion with us about this episode Contact Information Kevin Cornelius, LMFT is a Level 5 Certified Master TEAM-CBT Therapist and Trainer and the Clinical Director of Feeling Good Institute--Silicon Valley. He specializes in the treatment of trauma, anxiety, depression, relationship problems and insomnia. You can reach Kevin at kevin@feelinggoodinstitute.com and visit his website at www.tools4change.me. You can reach Dr. Burns at david@feelinggood.com. Feeling down in these turbulent times? Take a ride on our Feeling Great app Feeling Great feels wonderful! You owe it to yourself to feel GREAT! Give the Greatest Gifts of ALL--Love and Happiness!
Is it Time for a New Approach to Emotional Suffering? Advantages and Disadvantages of DSM Diagnoses Hosts: Kevin Cornelius, LMFT Dr. David Burns Episode Summary In this thought-provoking episode, Dr. David Burns and host Kevin Cornelius, LMFT explore a topic that shapes nearly every corner of modern mental health care: psychiatric diagnosis. For decades, the Diagnostic and Statistical Manual of Mental Disorders (DSM) has defined how clinicians diagnose, treat, and research emotional suffering. But what if many of these diagnostic categories don't represent distinct medical diseases? What if they are simply normal human emotions—like sadness, anxiety, or shame—occurring on a spectrum? Dr. Burns draws on decades of clinical experience, research, and insights from TEAM-CBT to question the assumptions behind psychiatric labeling. While diagnoses can sometimes reduce stigma or help people access care, they can also unintentionally shape identity, medicalize everyday emotional struggles, and distract from the real drivers of emotional pain. This episode offers a nuanced conversation about labels, measurement, therapy, and what actually helps people recover from depression and anxiety. In This Episode You'll Learn What the DSM is—and why it became so influential How the DSM functions as the "diagnostic bible" of psychiatry Why the system was originally designed for research standardization, not necessarily for everyday clinical treatment The difference between true mental disorders and normal emotional experiences Examples of genuine brain disorders such as schizophrenia and bipolar I disorder Why many DSM diagnoses describe normal emotions taken to an extreme How everyday struggles became medical diagnoses Shyness becoming "social anxiety disorder" Chronic worry becoming "generalized anxiety disorder" Why time-based thresholds (like "14 days of depression") can be arbitrary The unintended consequences of diagnostic labels How labels can reinforce feelings of shame or defectiveness Why diagnoses can sometimes lead to over-medicalization and medication-focused care Why measurement matters more than diagnosis in therapy Dr. Burns explains how simple mood scales can quickly assess a patient's emotional state Research showing that DSM diagnoses often add little predictive value for treatment outcomes A surprising research finding After lengthy diagnostic interviews, clinicians were only 3–5% accurate at estimating patients' feelings in the moment What this reveals about the limits of traditional diagnostic approaches Why focusing on thoughts may be the key According to cognitive research, negative thoughts drive emotional suffering Effective therapy focuses on identifying and transforming these thoughts Hope for people who feel defined by a diagnosis Why diagnoses do not determine your ability to recover How targeted cognitive techniques can sometimes produce rapid improvements—even within a single session Benefits of Diagnosis (According to Dr. Burns) While the episode critiques diagnostic labeling, the conversation also highlights situations where diagnoses can help: Access to insurance coverage Eligibility for disability or academic accommodations Temporary relief from self-blame Clear communication in research studies Key Takeaway Mental health diagnoses can sometimes be useful administrative tools—but they should never define who you are. Real healing often comes from understanding the specific thoughts, moments, and experiences that drive emotional pain, and learning practical methods to change them. Mentioned in This Episode Dr. Burns' article: "Is It Time for a New Approach to Emotional Suffering?" (Psychology Today) TEAM-CBT approach to psychotherapy Brief Mood Survey and other measurement tools used in therapy Memorable Quote "We treat humans, not disorders." Connect & Learn More Read Dr. Burns' latest articles on Psychology Today Explore more tools and resources at FeelingGood.com Learn about TEAM-CBT training and techniques If you enjoyed this episode, please consider subscribing, sharing the podcast, or leaving a review. It helps more people discover tools for overcoming depression and anxiety. Let Us Know What You Think of This Episode Please use this link to take a very brief survey and share your opinion with us about this episode Contact Information Kevin Cornelius, LMFT is a Level 5 Certified Master TEAM-CBT Therapist and Trainer and the Clinical Director of Feeling Good Institute--Silicon Valley. He specializes in the treatment of trauma, anxiety, depression, relationship problems and insomnia. You can reach Kevin at kevin@feelinggoodinstitute.com and visit his website at www.tools4change.me. You can reach Dr. Burns at david@feelinggood.com. Feeling down in these turbulent times? Take a ride on our Feeling Great app. Feeling Great feels wonderful! You owe it to yourself to feel GREAT! Give the Greatest Gifts of ALL--Love and Happiness!
Ask David: Is High Speed Change a Quick Fix? Trauma, Anxiety, and What Really Works Hosts: Kevin Cornelius, LMFT Dr. David Burns Guest: Dr. Rhonda Barovsky Episode Summary In this powerful Ask David episode, Dr. David Burns, Kevin Cornelius, and Dr. Rhonda Barovsky tackle two deeply important listener questions: Is rapid emotional recovery just a "quick fix," especially for people with severe trauma? How can someone manage intense anxiety and "what if" thoughts in the moment—when they keep coming back? Through vivid clinical stories, real examples from the Feeling Great app, and live demonstrations of TEAM-CBT techniques, the panel explores why working in the present moment can lead to profound and lasting emotional change—even for people with severe trauma histories. Question 1: Is Fast Change Just a "Quick Fix"? Dr. Burns responds to a question inspired by the story of Elise, a Holocaust survivor who recovered from severe depression after challenging a single, devastating belief: "I've never accomplished anything meaningful in my life." When that belief was overturned, Elise's depression disappeared—immediately. Listeners often wonder: Was something deeper left unresolved? Doesn't trauma require long-term exploration of the past? Dr. Burns shares: 50 years of clinical experience producing rapid, measurable symptom elimination Research from the Feeling Great app showing that current thoughts—not past suffering—predict change Why working in the present moment automatically transforms the past Why many therapy schools rely on belief systems rather than data He also discusses new findings (recently published in Psychology Today) showing that prior depression over the last two years adds zero predictive value once current mood and thoughts are addressed. "The moment you're in is vastly more important than the one you remember." Question 2: What If My Anxious Thoughts Keep Coming Back? The second question comes from Dina, a college student overwhelmed by social anxiety and catastrophic "what if" thoughts about meeting with her professor. Despite successfully completing a Daily Mood Log and reducing her anxiety to near zero, Dina finds that the thoughts keep returning in real-life situations. The team explains why this happens—and what to do next. Key strategies discussed: Why cognitive work alone isn't enough for anxiety The importance of exposure and testing fears in real situations Using self-disclosure to dissolve shame Turning anxiety into connection rather than avoidance Role-playing feared scenarios ("Professor from Hell") Externalization of voices Feared fantasy and "what-if" techniques Shame-attacking exercises Asking for real feedback instead of guessing what others think Identifying hidden emotions (such as unexpressed anger) Understanding interpersonal roles and rules that fuel anxiety Multiple techniques are demonstrated live, showing how anxiety collapses when fears are brought into the open with warmth, humor, and honesty. Key Takeaways Rapid emotional change is not a gimmick—it can be measured, replicated, and sustained Trauma is embedded in the present moment, not trapped in the past Anxiety persists when we hide, not when we feel Exposure + self-disclosure = freedom You don't need to eliminate negative thoughts—just stop believing them The Feeling Great app offers free, evidence-based tools anyone can use Tools & Resources Mentioned Feeling Great App (free): https://feelinggreat.com Daily Mood Log TEAM-CBT tools: Motivational Methods Cognitive Techniques Exposure Hidden Emotion Work Five Secrets of Effective Communication Psychology Today article: "The Moment You're In Is Vastly More Important Than the One You Remember" Memorable Quotes "When we change the present, we change the past." — Dr. David Burns "Shame is like a vampire—it can't survive the light of day." "Stop doing one thing and expecting it to work for everyone." "You don't need to be perfect to feel better." Listener Invitation Have a question you'd like Dr. Burns to answer on a future episode? Submit it through the Feeling Great app or the Feeling Good Podcast website. Kevin, Rhonda, and I thank you for listening today! Let Us Know What You Think of This Episode Please use this link to take a very brief survey and share your opinion with us about this episode Contact Information Kevin Cornelius, LMFT is a Level 5 Certified Master TEAM-CBT Therapist and Trainer and the Clinical Director of Feeling Good Institute--Silicon Valley. He specializes in the treatment of trauma, anxiety, depression, relationship problems and insomnia. You can reach Kevin at kevin@feelinggoodinstitute.com and visit his website at www.tools4change.me. Dr. Rhonda Barovsky is a Level 5 Certified TEAM-CBT Master Therapist and Trainer and specializes in the treatment of trauma, anxiety, depression, and relationship problems. Check out her website: www.feelinggreattherapycenter.com. You can reach Dr. Burns at david@feelinggood.com. Feeling down in these turbulent times? Take a ride on our Feeling Great app. Feeling Great feels wonderful! You owe it to yourself to feel GREAT! Give the Greatest Gifts of ALL--Love and Happiness!
Ask David: Help! Relentless Anger! Nothing Works! Is Freedom of Speech a "Need?" Hosts: Kevin Cornelius, LMFT Dr. David Burns Guest: Dr. Rhonda Barovsky Today I am thrilled to be working with our new host for the Feeling Good Podcast, Mr. Kevin Cornelius, a dear friend and brilliant therapist who works as a licensed Marriage and Family Therapist at the Feeling Good Institute in Mt. View, California. Today, Keven starts a multi-podcast trial as our new host to find out how he likes the new position, and how you, are audience feel. It will be hard for anyone to fill Rhonda's shoes, of course, but Kevin brings his own combination of warmth, charm, and brilliance to the show. I hope you like the new show! Let us know what you think! Today, we address three questions: Question #1: How do you deal with a "relentlessly angry" patient who does not respond to the five secrets of effective communication? Question #2: How can I deal with a patient who may have been triggered by my phone call when I had to change l a scheduled session? Question #3: Zach asks if freedom of speech is a "want" or a "need." Hi David and Kevin: I have cleared my schedule so I can be there to support Kevin in his first podcast,. I have two questions for the Ask David podcast: 1.) How do you handle a "relentlessly angry" patient? By that I mean, one of your patient's is upset with you, you respond with a skillful 5-secrets response and yet they continue being angry with you, even screaming at you for 30 minutes. David's comment: The discussion of this excellent question got a little heated, as David pointed out that in his experience, when people say "I tried the Five Secrets and it didn't work," 100% of the time they did not actually do a skillful job with the Five Secrets. David asked for the familiar format: What is ONE thing the (angry) patient said, and what, EXACTLY, did you say next? Put this on a Relationship Journal and you will be able to spot your errors right away. David reports that this format does tend to anger people who don't want to have to examine their own role in a relationship problem. The idea that they may have botched the Five Secrets appears to be deeply disturbing, hence the heated discussion today. 2.) How do you handle what is happening "in the here and now" immediate moment, the here and now, with your patient? For example, I had to change an appointment with a patient, she became really angry, and then cancelled her next appointment. One of my colleagues suggested that my patient might have felt triggered when I cancelled the appointment. My colleague suggested I talk to her about what happened when I asked her to change the appointment because if she felt abandoned by me she might have the same experience with other people. How would I bring up what is happening in our relationship with my patient, that they may also experience in other relationships? I could probably think of a few more, Rhonda 3) Dear Dr. Burns, Hello. I hope this message finds you well. I'm writing to ask you a question that has been on my mind. You have mentioned before that freedom of speech is an important part of your value system. I'm curious about how you would frame it psychologically: do you see freedom of speech more as a want, or as a need? Relatedly, for people living in non-democratic countries, do you think it is still possible to achieve a high level of happiness without freedom of speech? I would greatly appreciate your thoughts when you have the time. Thank you very much for your work and for sharing your perspectives. Warm regards, Zack David's Comment: This led to a lively discussion and a consensus on our panel today. We decided that freedom of speech is a great thing, and a strong want, but not a "need." David added: "I am certain that you can find happiness by focusing on the things most important to you, but no one can be happy all the time. We desperately WANT, but definitely do not NEED, freedom of speech. Of course, you can say, "we need it to have a fully functioning democracy," and that is true, but it true by definition. Kevin, Rhonda, and David thank you for listening today. Again, let us know what you think! Let Us Know What You Think of This Episode Please use this link to take a very brief survey and share your opinion with us about this episode Contact Information Kevin Cornelius, LMFT is a Level 5 Certified Master TEAM-CBT Therapist and Trainer and the Clinical Director of Feeling Good Institute--Silicon Valley. He specializes in the treatment of trauma, anxiety, depression, relationship problems and insomnia. You can reach Kevin at kevin@feelinggoodinstitute.com and visit his website at www.tools4change.me. Dr. Rhonda Barovsky is a Level 5 Certified TEAM-CBT Master Therapist and Trainer and specializes in the treatment of trauma, anxiety, depression, and relationship problems. Check out her website: www.feelinggreattherapycenter.com. You can reach Dr. Burns at david@feelinggood.com. Feeling down in these turbulent times? Take a ride on our Feeling Great app. Feeling Great feels wonderful! You owe it to yourself to feel GREAT! Give the Greatest Gifts of ALL--Love and Happiness!
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