Podcasts about DBT

In episode 527 I chat with Ethan Tuccienza. Ethan is a licensed clinical social worker (LCSW) and clinical director of Behavioural Psych Studio's LA office. We discuss his therapy story, dialectical behaviour therapy (DBT), exposure and response prevention therapy (ERP), exposure to emotions, DBT-PTSD as an intervention, trauma, shame, tolerating emotions, he shares a couple DBT skills including willing hands and mindfulness of our emotions. We also discuss guilt, shutting down during exposures and what to do, and much more. Hope it helps. Show notes: https://theocdstories.com/episode/ethan-527 The podcast is made possible by NOCD. NOCD offers effective, convenient therapy available in the US and outside the US. To find out more about NOCD, their therapy plans and if they currently take your insurance head over to https://go.treatmyocd.com/theocdstories Join many other listeners getting our weekly emails. Never miss a podcast episode or update: https://theocdstories.com/newsletter 

The Outer Realm welcomes back Marilynn Hughes Date: February 26th, 2026 EP: 686 TOPIC: Marilynn will be discussing her book “ THE ALIENS OF THE REDEMPTION: The Mysterious Role of Extraterrestrials in Salvation History and Ancient Sacred Texts “ - The book Contact for the show - theouterrealmcontact@gmail.com https://linktr.ee/michelledesrochers_ Please support us by Liking, Subscribing, Sharing and Commenting. Thank you all !!! About Marilynn: "Marilynn Hughes founded The Out-of-Body Travel Foundation in 2003 (Mission: Reduce Spiritual Hunger Worldwide). Marilynn has experienced, researched, written, and taught about Out of Body Travel and Mysticism since 1987 and has spoken on dozens of radio and television programs to discuss her thousands of out of body experiences. She has studied the Ancient Sacred Texts of all Major and Minor World Religions, as well as Catholic Mystical, Ascetical, Biblical, Doctrinal, Dogmatic, Systematic, Liturgical, Catechetical and Moral Theology. She has also studied Individual Schools of Theology, to include Franciscan, Carmelite, Ignatian, Dominican, and Benedictine. Marilynn has also trained as a Remote Viewer in Transdimensional, Controlled and Associative Remote Viewing and is a Hypnotherapist. She received certifications in various psychological and therapeutic modalities including NLP, REBT, CBT, ACT, DBT, MBCT, EFT, TFT, SFBT and NBA Therapies. Marilynn Hughes has authored 138 books, 40 magazines and 18 CD's on Out of Body Travel and Comparative Religious Mysticism including her seminal classic The Mysteries of the Redemption: A Treatise on Out-of-Body Travel and Mysticism, which was in development to become a feature film/tv series. She was featured in the documentary film, The Road to Armageddon: A Spiritual Documentary, and in Documentary Film Productions: The Grand Phases of the Soul, The Stairway from Earth to Heaven, How to Have an Out-of-Body Experience, The Tao of Mysticism, The Initiations into the Mysteries, The Rites of Passage, The Prayer of the Twelfth Hour and At the Feet of the Masters. She is the author of an English Language Encyclopedia of Ancient Sacred Texts, The Voice of the Prophets: Wisdom of the Ages (In Twelve Volumes). Her out of body travel work has been featured in The Encyclopedia of the Unseen World, by Constance Victoria Briggs and in Extra-Planetary Experiences: Alien Human Contact and the Expansion of Consciousness, (along with Dr. Edgar Mitchell and Ingo Swann) by Dr. Thomas Streicher. KC Armstrong, (Former Producer of the Howard Stern Show), in his book named Marilynn as one of thirteen Simply Amazing Women. Marilynn Hughes has been the subject of several Research Studies including The Out-of-Body Experiment by Alex Tsakiris of Skeptiko. Marilynn Hughes and Dr. Rudy Schild (Professor Emeritus Astrophysics Harvard) co-authored a chapter entitled The Science for Moral Law. She has been featured to speak about Out-of-Body Travel on Coast to Coast AM with George Noory, Midnight in the Desert with Art Bell, the Joan Rivers Show among others. Marilynn Hughes was on the the original board of The Dr. Edgar Mitchell Foundation for Research into Extraordinary Experiences and is a continuing contributor. She came across her vocation unexpectedly. When she was nine years old, she had her first profound out of body experience wherein she saw the heavens open and a beautiful marble staircase surrounded by angels which led to the throne of God. In this experience, she was told many things, among them that He would return to her later in her life and give her a mission to fulfill in relation to out of body travel. When she was 22 years old, she had her first out-of-body experience in adulthood which began a process of journaling which would unleash thousands of out of body travel and mystical experiences over the next decades." Marilynn Hughes The Out-of-Body Travel Foundation https://outofbodytravel.org MarilynnHughes@outofbodytravel.org

A lot of therapies address the context in which nonsuicidal self-injury (NSSI) and self-harm may occur, but only a few treatments have been designed to address NSSI specifically. In this episode, we dive into one of these treatments: Emotion Regulation Group Therapy (ERGT). Drs. Kim Gratz and Matthew Tull from the University of Toledo in Ohio walk us through in significant detail each of the 90-minute 14 sessions of ERGT. You can purchase their book "Acceptance-based emotion regulation therapy: A clinician's guide to treating emotion dysregulation and self-destructive behaviors using an evidence-based therapy drawn from ACT and DBT" on Amazon here or at New Harbinger Publications here.  Connect with Dr. Gratz on LinkedIn here and Dr. Tull here. Below are links to their research on ERGT referenced in this episode: Gratz, K. L., & Gunderson, J. G. (2006). Preliminary data on an acceptance-based emotion regulation group intervention for deliberate self-harm among women with Borderline Personality Disorder. Behavior Therapy, 37(1), 25-35. Gratz, K. L., & Tull, M. T. (2011). Extending research on the utility of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality pathology. Personality Disorders: Theory, Research, and Treatment, 2(4), 316–326. Gratz, K. L., Tull, M. T., & Levy, R. (2014). Randomized controlled trial and uncontrolled 9-month follow-up of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality disorder. Psychological Medicine, 44, 2099–2112. Gratz, K. L., Bardeen, J. R., Levy, R., Dixon-Gordon, K., L., & Tull, M. T. (2015). Mechanisms of change in an emotion regulation group therapy for deliberate self-harm among women with borderline personality disorder. Behaviour Research and Therapy, 65, 29-35. Sahlin, H., Bjureberg, J., Gratz, K. L., Tull, M. T., Hedman, E., Bjarehed, J., Jokinen, J., Lundh, L., Ljotsson, B., & Hellner, C. (2017). Emotion regulation group therapy for deliberate self-harm: A multi-site evaluation in routine care using an uncontrolled open trial design. BMJ Open, 7(10), e016220. Follow Dr. Westers on Instagram and Twitter (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter (@ITripleS). The Psychology of Self-Injury podcast has been rated #5 by Feedspot in their "Best 20 Clinical Psychology Podcasts" and by Welp Magazine in their "20 Best Injury Podcasts."

The Outer Realm welcomes back Marilynn Hughes Date: February 26th, 2026 EP: 686 TOPIC: Marilynn will be discussing her book “ THE ALIENS OF THE REDEMPTION: The Mysterious Role of Extraterrestrials in Salvation History and Ancient Sacred Texts “ - The book Contact for the show - theouterrealmcontact@gmail.com https://linktr.ee/michelledesrochers_ Please support us by Liking, Subscribing, Sharing and Commenting. Thank you all !!! About Marilynn: "Marilynn Hughes founded The Out-of-Body Travel Foundation in 2003 (Mission: Reduce Spiritual Hunger Worldwide). Marilynn has experienced, researched, written, and taught about Out of Body Travel and Mysticism since 1987 and has spoken on dozens of radio and television programs to discuss her thousands of out of body experiences. She has studied the Ancient Sacred Texts of all Major and Minor World Religions, as well as Catholic Mystical, Ascetical, Biblical, Doctrinal, Dogmatic, Systematic, Liturgical, Catechetical and Moral Theology. She has also studied Individual Schools of Theology, to include Franciscan, Carmelite, Ignatian, Dominican, and Benedictine. Marilynn has also trained as a Remote Viewer in Transdimensional, Controlled and Associative Remote Viewing and is a Hypnotherapist. She received certifications in various psychological and therapeutic modalities including NLP, REBT, CBT, ACT, DBT, MBCT, EFT, TFT, SFBT and NBA Therapies. Marilynn Hughes has authored 138 books, 40 magazines and 18 CD's on Out of Body Travel and Comparative Religious Mysticism including her seminal classic The Mysteries of the Redemption: A Treatise on Out-of-Body Travel and Mysticism, which was in development to become a feature film/tv series. She was featured in the documentary film, The Road to Armageddon: A Spiritual Documentary, and in Documentary Film Productions: The Grand Phases of the Soul, The Stairway from Earth to Heaven, How to Have an Out-of-Body Experience, The Tao of Mysticism, The Initiations into the Mysteries, The Rites of Passage, The Prayer of the Twelfth Hour and At the Feet of the Masters. She is the author of an English Language Encyclopedia of Ancient Sacred Texts, The Voice of the Prophets: Wisdom of the Ages (In Twelve Volumes). Her out of body travel work has been featured in The Encyclopedia of the Unseen World, by Constance Victoria Briggs and in Extra-Planetary Experiences: Alien Human Contact and the Expansion of Consciousness, (along with Dr. Edgar Mitchell and Ingo Swann) by Dr. Thomas Streicher. KC Armstrong, (Former Producer of the Howard Stern Show), in his book named Marilynn as one of thirteen Simply Amazing Women. Marilynn Hughes has been the subject of several Research Studies including The Out-of-Body Experiment by Alex Tsakiris of Skeptiko. Marilynn Hughes and Dr. Rudy Schild (Professor Emeritus Astrophysics Harvard) co-authored a chapter entitled The Science for Moral Law. She has been featured to speak about Out-of-Body Travel on Coast to Coast AM with George Noory, Midnight in the Desert with Art Bell, the Joan Rivers Show among others. Marilynn Hughes was on the the original board of The Dr. Edgar Mitchell Foundation for Research into Extraordinary Experiences and is a continuing contributor. She came across her vocation unexpectedly. When she was nine years old, she had her first profound out of body experience wherein she saw the heavens open and a beautiful marble staircase surrounded by angels which led to the throne of God. In this experience, she was told many things, among them that He would return to her later in her life and give her a mission to fulfill in relation to out of body travel. When she was 22 years old, she had her first out-of-body experience in adulthood which began a process of journaling which would unleash thousands of out of body travel and mystical experiences over the next decades."

It's time for a re-do! When Kate and Michelle first recorded this episode, it was during COVID which resulted in poor sound quality as they adjusted to recording virtually. In this special re-recorded episode, they explain Check the Facts skill all over again, providing new personal examples to help explain the skill along with some updated strategies to make using it easier. Interested in checking out the two Guilford press titles we mentioned in this episode? Here are the links (remember to use DBTME at checkout!):The Emotion Regulation Skills System for Clients with Cognitive Challenges (Second Edition): A DBT-Informed Approach - https://www.guilford.com/books/The-Emotion-Regulation-Skills-System-Clients-Cognitive-Challenges/Julie-Brown/9781462559381Treating Eating Disorders with DBT: The MED-DBT Protocol - https://www.guilford.com/books/Treating-Eating-Disorders-with-DBT/Federici-Wisniewski/9781462558483Support the showWant to get 15% off of ALL Guilford Press titles? Use this link (code is DBTME at checkout): https://www.guilford.com/dbtmeIf you want to sign up for Kate's free DBT peer support group, you can sign up here: https://www.eventbrite.com/e/dbt-discussion-group-tickets-518237601617Check out our Etsy shop for DBT-inspired items and our journaling workbook (only $7.50!): https://www.etsy.com/shop/dbtandmeOur book, "DBT for Everyone" is available! Order your copy on Amazon here: https://www.amazon.com/Dbt-Everyone-Pitfalls-Possibilities-Better/dp/1839975881/Consider providing ongoing support to the podcast by becoming a patron at https://www.patreon.com/dbtandmeYou can join our facebook community here: https://www.facebook.com/groups/dbtandmepodcastCheck out our other podcast, The Couch and The Chair, on Apple Podcasts (https://podcasts.apple.com/gb/podcast/the-couch-and-the-chair/id1554159244) or on Spotify (https://open.spotify.com/show/3MZ8aZPoRKxGmLtFcR4S4O)If you need support/have questions, email us at dbtandmepodcast@gmail.com

In this episode, Alicia discusses her work with Dialectical Behavior Therapy and Radically Open DBT. She explains that she was first exposed to DBT in her predoctoral internship at Marin General Hospital, where part of the rotation was to run a DBT group and fell in love with its practicality and giving people real tools they could take away. She explained that it was great to see clients using the tools and finding success, so she got went and got trained with Marsha Linehan, Ph.D. and Behavioral Tech and made DBT her focus. She explained that DBT is especially helpful for clients who describe themselves as emotionally sensitive or struggle to “ride the wave” of emotions that feel overwhelming. Alicia discusses the five modules of DBT that she works from, including mindfulness, distress tolerance, affect regulation, interpersonal skills, and “walking the middle path,” (which is related to validation and reinforcement in family emotional dynamics). Alicia goes on to explain the use of the modules in working towards emotional awareness, getting through emotional crises, and radical acceptance of emotions. We also discuss coping skills and exposure therapy and how there are tools to expand one's window of tolerance as well as self-soothing skills utilized to sit with one's emotions. We speak on what dialectics in DBT refer to: holding two truths at a time, as opposed to relying on rigid, black-and-white thinking, which can exacerbate feelings of distress and overwhelm. Alicia discusses Radical DBT, or Radically Open DBT, and how it is different from regular DBT as it expands radical openness, self-inquiry, and accepting imperfection in oneself in treating emotional OC (overcontrol) disorders such as Anorexia Nervosa, OCPD, and chronic depression. We discuss how RO DBT benefits clients who experience rigidity in their overcontrol as well as shame, anxiety, and hypervigilance in their daily life. Alicia discusses her website, Therahive, which provides DBT skills online for clients as well as training for therapists to make DBT accessible throughout the world. We discuss how important having a supportive community is for clinicians who are providing DBT and how DBT's model includes a therapist consultation group. Lastly, we discuss phone coaching with clients and how it is utilized with clients who are struggling with self-harm and other behaviors and how therapists navigate personal boundaries around time with family and time off, while also being available for clients in need. Alicia Smart, PsyD is a licensed clinical psychologist in California with over 20 years of clinical experience providing evidence-based mental health care to children, adolescents, adults, and families. She began seeing clients during graduate training and has worked across community mental health, medical, and private practice settings throughout her career. Alicia earned her B.A. in Psychology and Chemistry from New York University and her Doctorate in Clinical Psychology (PsyD) from the California Institute of Integral Studies. She is a DBT-Linehan Certified Clinician and has extensive experience treating mood and personality disorders, trauma, anxiety, grief, ADHD, autism-spectrum presentations, and chronic emotion dysregulation. Her work frequently integrates DBT into suicide risk management, neurodivergent-affirming care, and complex relational systems. She is the Founder and Clinical Director of Guidepost DBT in Corte Madera, California, where she oversees a team of therapists providing comprehensive Dialectical Behavior Therapy (DBT) and evidence-based care. In addition to clinical leadership, Alicia provides training, supervision, and consultation to clinicians seeking advanced education in DBT and related approaches. Alicia is also a co-founder of TheraHive, an innovative online DBT skills and learning platform designed to make high-quality DBT education more accessible to individuals and clinicians worldwide.

In this powerful and practical conversation, Shaley sits down with therapist and author Diana Partington to unpack what Dialectical Behaviour Therapy (DBT) actually is—and why it can be a game-changer for people living with bipolar disorder. Diana shares her deeply personal story of living with suicidality for decades before discovering DBT, the therapy that finally gave her the “toolbox” she had been searching for. Together, Shaley and Diana explore how DBT differs from traditional CBT, why mindfulness doesn't mean “emptying your mind,” and how skills like Wise Mind, emotional regulation, and the PLEASE skill can help stabilize mood, increase awareness, and create buffer zones before episodes escalate. This episode is a relatable, stigma-breaking look at learning skills after years of thinking you already should know them—and how small, practical tools can make a life-saving difference. Whether you're newly diagnosed, supporting someone with bipolar disorder, or looking for concrete strategies that actually work in real life, this conversation brings hope, validation, and actionable insight. ⏱️ Key Moments (00:10:32) Why DBT felt different from every therapy Diana had tried before (00:13:48) The “toolbox” metaphor—and why skills matter more than insight alone (00:18:21) How DBT was originally developed to treat suicidality, not just diagnoses (00:22:05) The problem with CBT for highly sensitive or suicidal individuals (00:26:40) The DBT philosophy: therapists are not the experts—you are (00:30:12) Understanding Emotion Mind, Reasonable Mind, and Wise Mind (00:34:55) Can you access Wise Mind during bipolar symptoms? Practical realities (00:39:18) Catching hypomania early: recognizing patterns “at the beginning of the curve” (00:44:02) The PLEASE skill explained—why sleep, medication, and routine are foundational (00:49:27) Mindfulness redefined: it's not meditation, it's learning to observe your mind Thank you from the bottom of my heart for listening. If this episode or podcast means something to you, I would be forever grateful if you could give a five star review so it can reach people that need it.  You can also share this conversation with someone who could use a few more tools in their toolbox—and remember: skills can be learned at any stage of the journey. We have a peer support group on instagram  and you are invited to connect on IG: @this.is.bipolar Want to connect or work with Shaley? email thisisbipolarpodcast@gmail.com   Buy "DBT for Life" by Diana Partington here   Register for Online Workshops    More about Diana:  Diana Partington is a licensed professional counselor and author of DBT for Life: Skills to transform the way you live. She offers online DBT skills classes, workshops, and training for clients and clinicians across North America. She wrote her master's thesis at Vanderbilt on effectively teaching DBT skills for different learning styles. Passionate about making DBT skills accessible to everyone, Diana also speaks at major conferences and provides bespoke training for mental health professionals. Her website, DBTforLife.com (https://dbtforlife.com/talking-and-training/www.DBTforLife.com), is a hub of information about Dialectical Behavior Therapy, her educational offerings,  her book, and her podcast "Suffering Optional: DBT and the Dharma" You can also connect with Diana on IG @sufferingoptional.

Vincent Heuschling reçoit Hayssam Saleh, créateur de **Starlake**, une plateforme data open source française née de la factorisation de projets clients depuis 2017-2018. L'épisode intervient dans un contexte de consolidation du marché (rachat de DBT et de SQLMesh par Fivetran), qui invite à challenger les solutions établies.Starlake se distingue par une approche **entièrement déclarative** (YAML + SQL natif, sans Jinja) couvrant toute la chaîne data engineering : ingestion, transformation, orchestration et qualité des données. L'outil s'appuie sur les moteurs sous-jacents des plateformes cibles (Snowflake, BigQuery, Spark) et génère automatiquement les DAGs pour les orchestrateurs du marché (Airflow, Dagster, Snowflake Tasks).Parmi les fonctionnalités marquantes : le **data branching** (branches de données à la manière de Git), l'inférence automatique de schémas YAML à partir de fichiers sources, un **transpiler SQL** multi-plateformes, et l'extraction du lineage depuis du SQL brut sans annotation. L'intégration récente de **DuckLake** ouvre la voie à des architectures on-premise souveraines à coût maîtrisé (sous 300 €/mois sur OVH, Scaleway, Clever Cloud).Le modèle économique repose sur le support, la formation, et le consulting : Starlake s'installe dans le cloud du client, avec mise à jour automatique gérée par l'équipe, sans accès aux données.**Chapitres****00:00:27** – Introduction : consolidation du marché data (rachat de DBT et SQLMesh par Fivetran) et présentation de l'épisode**00:03:13** – Hayssam et la genèse de Starlake : parcours Spark/Scala, POC à 4 000 formats de fichiers (2017-2018)**00:09:51** – Architecture et philosophie : load, transform, orchestration unifiés en déclaratif (YAML + SQL natif, pas de Jinja)**00:00:18:18** – Starlake vs DBT : différences philosophiques, composabilité, fonctionnalités 100 % open source**00:00:22:20** – Data branching, Starlake Labs (pipe syntax, transpiler SQL, lineage) et expérience développeur (DuckDB local, UI point-and-click)**00:36:35** – Modèle open source et économique : licence Apache, support, formation, marketplace cloud souveraine**00:43:42** – DuckLake : alternative on-premise/cloud souverain (OVH, Scaleway, Clever Cloud) et comment contribuer / démarrer**Le BigdataHebdo**Le BigdataHebdo est le podcast Francophone de la Data et de l'IA.Retrouvez plus de 200 épisodes https://bigdatahebdo.comRejoignez la communauté sur le Slack https://join.slack.com/t/bigdatahebdo/shared_invite/zt-a931fdhj-8ICbl9dbsZZbTcze61rr~Q

Send a textWhere do couples' tend to get stuck and bogged down in their daily communication with each other? How do we fall into the trap of criticizing and nagging when we actually just want to create positive change and grow together? Risa Williams talks to DBT expert, Dr. Marcus Rodriguez, on validation and communication skills people can use when they're in long term relationships.They discuss:-How to use positive reinforcement to influence positive changes in behavior-Where we tend to get stuck in our requests and demands with others-Tools to try when direct communication isn't working and accepting things "as is" isn't working either-How validation is one of the most important tools for developing understanding and awareness of each other**Congratulations to Jess Fiedler winner of our Double Book Giveaway! Jess will be receiving Dr. Scott Waltman's book, The Stoicism Workbook, and Risa's new planner, The Tiny Wins Journal - thanks to everyone who participated on instagram!****Check out Risa's new online self-guided digital class: The Tiny Wins Workshop! It's on patreon now at a discounted price and there are 9 slots available at the early bird price: patreon.com/c/risawilliams. You can also take the class on Skool and at risawilliams.com***Host: Risa Williams, risawilliams.com, @risawilliamstherapyGuest: Dr. Marcus Rodriguez, youthandfamilyinstitute.com, @drmarcusrodriguezSupport the showFor info on books, workshops, guests, and future episodes, please visit: risawilliams.com.*All tools discussed on the show are meant for educational purposes only and not as a replacement for therapy or medical advice.

What if your data platform could power both critical business decisions and real-time product features at scale? In this episode, host Benjamin sits down with Magnus Dahlbäck, Senior Director of Data and Platform at Voi, to explore how a metrics-first approach and semantic layers transform data accessibility, why traditional ML and LLMs require different strategies for different problems, and how to balance FinOps costs while processing billions of IoT events daily. Whether you're building data infrastructure for a high-growth company or rethinking how your organization consumes data, this conversation is packed with practical strategies for unlocking data value and preparing your platform for AI. Tune in to discover how Voi ditched traditional BI tools and revolutionized their approach to enterprise analytics.

Emotional eating after bariatric surgery can feel overwhelming, confusing, and deeply personal. In this powerful support group session, we explore DBT skills for emotional eating and how Dialectical Behavior Therapy can help you build a healthier relationship with food without shame, guilt, or restriction. If you struggle with food cravings, stress eating, binge tendencies, or feeling out of control around food, this discussion provides practical tools you can begin using immediately. In this episode we cover: • What is DBT (Dialectical Behavior Therapy) and how it applies to weight loss surgery patients • Mindfulness techniques to identify physical hunger vs emotional triggers • Emotional regulation skills to manage stress, anxiety, sadness, and boredom without using food • Distress tolerance tools and "urge surfing" strategies for intense cravings • How to respond to emotional triggers without restriction or self-sabotage • Building awareness to support long-term bariatric success Whether you are pre-op, post-op VSG, gastric bypass, revision surgery, or on a GLP-1 medication, these DBT skills are essential for sustainable weight management and mental health support. This session is led by: Anisa Grantham, LPC, MAC Georgia-licensed psychotherapist, Master Addictions Counselor, Bariatric Life Coach, and long-term weight loss surgery patient with over 30 years of experience in emotional wellness, food addiction recovery, and behavioral change. Brenda Hoehn MSN, BSN, RN, CHTP Bariatric nurse, certified life coach, Healing Touch practitioner, and VSG patient (2013). Brenda works with ProCare Health providing bariatric support groups, education, and nutritional guidance for patients nationwide. We also share information about ProCare Health bariatric vitamins, patient resources, and how to access ongoing support groups and free samples. If you are looking for: ✔ Emotional eating help ✔ Bariatric therapy tools ✔ DBT skills explained simply ✔ Support group guidance for weight loss surgery ✔ Practical coping strategies for cravings ✔ Long-term bariatric success tips This video is for you.   Shop Vitamins and Supplements: https://procarenow.com/   Check out our Event Hub for listings of Bari Connected LIVE Events and Support Groups!   Find Upcoming Support Groups: https://procarenow.com/pages/support-group-hub   Handouts and Resources From Support Groups: https://procarenow.com/pages/support-group-handouts   Subscribe to our YouTube Channel for Bari Connected Replays!   YouTube: https://www.youtube.com/channel/UCh-56bPUphp4gQSM_3ZXKxQ    Join our Bari Connected Group: https://www.facebook.com/groups/857060146125284     Want more ProCare Health Vitamins and Supplements? Follow us on these channels!   Facebook: https://www.facebook.com/procarenow   Instagram: https://www.instagram.com/procarenow/   TikTok: https://www.tiktok.com/@procarenow     How to Find Anisa Grantham: Website: https://anisagrantham.com/ LinkedIn: https://www.linkedin.com/in/anisa-grantham-344ba984/ Facebook: https://www.facebook.com/profile.php?id=100063815957370   Join Anisa's DBT Skills Coaching Group for Emotional Eating – 12 weeks: https://anisagrantham.com/product/dbt-skills-coaching-group-for-emotional-eating/   Anisa is an Affiliate of ProCare Health products- to save 10% on orders: CODE: ANISAGRANTHAM Link: https://procarenow.com/?ref=IDvE9SXlo-lp1&utm_source=affiliate

In this very special episode of Friendless, we're continuing the DBT micro-season diving into the how skills of mindfulness: non-judgmentally, one-mindfully, and effectively. If those sound like made-up DBT words, you're not wrong—but what they actually mean is surprisingly straightforward.Last episode covered the what skills (observe, describe, participate). This week is about how to practice them without turning mindfulness into another thing you're failing at. Because here's the thing: you can know all the skills, understand them intellectually, explain them to other people, and still completely fuck them up by making mindfulness a source of shame.The how skills are the guardrails that prevent exactly that.What You'll Learn: Nonjudgmentally: How to separate facts from interpretations—the difference between "I'm feeling tired" and "I'm lazy for feeling tired" One-mindfully: Why doing five things at once means doing five things poorly, and how to actually focus (spoiler: your mind will wander, that's fine) Effectively: Letting go of the "right way" and just doing what works—meeting yourself where you are, not where you wish you wereSign up for the Friendless Substack HERE!Follow Friendless on TikTokand on InstagramSupport the show, Buy Me A Coffee!!Create your podcast today! #madeonzencastr

In this episode, Deborah Adele describes the razor's edge between Self-Expression and Self-Indulgence, using the yoga principle of Satya (Truthfulness). She makes the distinctions for us. Then using modern science, drawing from Interpersonal Neurobiology (IPNB), Internal Family Systems (IFS), and behavioral techniques from Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT), I show how to use many of the interventions and ideas to actually put self-expression into practice. Additionally, discover why "dumping" your emotions is not the same as telling the truth, and learn practical skills like the DBT's DEAR MAN framework and the Gottmans' Soft Start-Up formula to communicate effectively without causing harm. Learn how to pause, regulate your nervous system, and speak from your core "Self" energy rather than a reactive "Part."If this episode resonates with your journey toward authentic, kind communication, please like and share to help others find what might also benefit them.

Comments or feedback? Send us a text! Parenting is often described as the most important job in the world — but it may also be the most emotionally demanding.In this episode of Thoughts on Record, we sit down with clinical psychologist Dr. Alissa Jerud to explore her new book, Emotion-Savvy Parenting: A Shame-Free Guide to Navigating Emotional Storms and Deepening Connection. Drawing from CBT, DBT, and decades of research on emotion regulation, Dr. Jerud introduces the ART framework — Accept, Regulate, Tolerate — a practical and deeply compassionate roadmap for transforming family life.What makes this conversation so powerful is the central shift Dr. Jerud invites: the key to more harmonious parenting isn't changing our children's behavior — it's learning to manage our own emotions first.We discuss:Why parenting is uniquely emotionally activatingThe difference between emotion regulation and emotional suppressionHow distress tolerance skills apply in everyday family conflictRecognizing and grounding our own “emotional storms”Setting firm boundaries without abandoning emotional acceptanceThe role of repair, imperfection, and self-compassion in healthy familiesHow this framework can prevent burnout — for both parents and cliniciansThis is not a perfection-based approach to parenting. It's a psychologically sophisticated, shame-free model that meets parents where they are — and offers tools for building resilience, flexibility, and genuine connection.Whether you're a parent, a clinician, or someone reflecting on your own upbringing, this episode offers a grounded, research-informed lens on what it means to raise — and regulate — human beings.About Dr. Alissa JerudDr. Alissa Jerud is a licensed clinical psychologist and Clinical Assistant Professor at the University of Pennsylvania. She specializes in evidence-based treatments for anxiety, trauma, and emotion-regulation difficulties. Her book, Emotion-Savvy Parenting, introduces the ART model — Accept, Regulate, Tolerate — to help parents navigate emotional storms and deepen connection with their children.Instagram: @emotionsavvydocWebsite: www.alissajerud.com

Kate and Michelle answer listener questions about making amends, manic symptoms that worsen with exercise, coping with panic attacks and the difference between feelings and emotions. Support the showWant to get 15% off of ALL Guilford Press titles? Use this link (code is DBTME at checkout): https://www.guilford.com/dbtmeIf you want to sign up for Kate's free DBT peer support group, you can sign up here: https://www.eventbrite.com/e/dbt-discussion-group-tickets-518237601617Check out our Etsy shop for DBT-inspired items and our journaling workbook (only $7.50!): https://www.etsy.com/shop/dbtandmeOur book, "DBT for Everyone" is available! Order your copy on Amazon here: https://www.amazon.com/Dbt-Everyone-Pitfalls-Possibilities-Better/dp/1839975881/Consider providing ongoing support to the podcast by becoming a patron at https://www.patreon.com/dbtandmeYou can join our facebook community here: https://www.facebook.com/groups/dbtandmepodcastCheck out our other podcast, The Couch and The Chair, on Apple Podcasts (https://podcasts.apple.com/gb/podcast/the-couch-and-the-chair/id1554159244) or on Spotify (https://open.spotify.com/show/3MZ8aZPoRKxGmLtFcR4S4O)If you need support/have questions, email us at dbtandmepodcast@gmail.com

Kiki Fehling has always felt emotions deeply — a strength that shaped both her struggles and her calling as a licensed psychologist. Living with depression and anxiety, her life took a dramatic turn when she suffered a heart attack at just 29 years old, forcing her to confront not only physical recovery but intense waves of grief, fear, shame, and anger. In this powerful conversation, Fehling shares how dialectical behavior therapy (DBT) became both her professional foundation and personal lifeline, inspiring her book Self-Directed DBT Skills and upcoming LGBTQ+ mental health workbook. She opens up about the connection between physical and emotional healing, the lack of mental health support for heart disease survivors, and why DBT skills can help anyone navigate life's hardest moments with resilience and self-compassion.

Bist du unsicher, wo gesunde Nähe aufhört und ungesunde Abhängigkeit anfängt?In dieser Folge schauen wir uns an, was Selbstregulation, Co-Regulation und Co-Abhängigkeit wirklich bedeuten – nicht als Theorie, sondern anhand von Alltagsmomenten, in denen du dich vielleicht wiedererkennst. Du erfährst, warum Co-Regulation kein Zeichen von Schwäche ist, sondern ein biologisches Grundbedürfnis. Woran du erkennst, dass aus Fürsorge Co-Abhängigkeit geworden ist. Und welche ersten Schritte dir helfen, alte Muster zu lösen und gesunde Grenzen zu setzen.⭐Wenn dir diese Folge geholfen hat, freue ich mich sehr über eine Bewertung des Podcasts.

On this episode of the AMSSM Sports Medcast, host Dr. Devin McFadden, MD, is joined by Dr. Jesse Cook, PhD, to discuss Building a Sleep Health Plan for Athletes. In this conversation, which was recorded during the 2025 AMSSM Annual Meeting, Dr. Cook shares more information on his main stage lecture of the same name, which focused on best practices and essential principles. Dr. Cook is a postdoctoral fellow with a doctoral degree in Clinical Psychology from the University of Wisconsin-Madison. His research focuses on the intersection of sleep and mental health, with his primary program of research purposed to advance the classification, assessment, and treatment of unexplained hypersomnolence. He has additional research interests related to the strengths, limitations, and overall utility of wearable sleep tracking technology for research and clinical purposes, as well as the roles of sleep and circadian health in the performance and well-being of athletes. Clinically, he embraces an integrative orientation, drawing principally from CBT and third-wave therapy approaches (i.e., ACT and DBT). Registration is now open for the 2026 AMSSM Annual Meeting. Visit the conference website to learn more: annualmeeting.amssm.org/

On this episode of the AMSSM Sports Medcast, host Dr. Devin McFadden, MD, is joined by Dr. Jesse Cook, PhD, to discuss Building a Sleep Health Plan for Athletes. In this conversation, which was recorded during the 2025 AMSSM Annual Meeting, Dr. Cook shares more information on his main stage lecture of the same name, which focused on best practices and essential principles. Dr. Cook is a postdoctoral fellow with a doctoral degree in Clinical Psychology from the University of Wisconsin-Madison. His research focuses on the intersection of sleep and mental health, with his primary program of research purposed to advance the classification, assessment, and treatment of unexplained hypersomnolence. He has additional research interests related to the strengths, limitations, and overall utility of wearable sleep tracking technology for research and clinical purposes, as well as the roles of sleep and circadian health in the performance and well-being of athletes. Clinically, he embraces an integrative orientation, drawing principally from CBT and third-wave therapy approaches (i.e., ACT and DBT).   Registration is now open for the 2026 AMSSM Annual Meeting! Visit the conference website to learn more: annualmeeting.amssm.org/

This episode describes what complex Post Traumatic Stress disorder (cPTSD) is, how it's diagnosed, and how it's different to similar disorders like PTSD and borderline personality disorder. This episode was inspired by the angry comments on Dr. Kibby's latest reel on spotting emotion dysregulation in borderline personality disorder. When someone has a history of childhood trauma and they struggle with intense emotions, self-esteem issues, and relationship problems- what disorder do they have? In this episode, Dr. Kibby delves into the criteria for complex PTSD, which is still not an official disorder in the DSM-V. Yet, so many people struggle with symptoms from long, painful histories of trauma that has shaped their entire lives and personalities.Dr. Kibby also discusses the nuanced differences between Complex PTSD and Borderline Personality Disorder, revealing how trauma shapes self-esteem, relationships, and emotional regulation in surprising ways. If you've ever wondered why these disorders often overlap—and how understanding their distinctions can transform healing—you'll want to hear this.Dr. Kibby shares her own experiences with online criticism around trauma representation, sparking a deeper conversation about stigma and bias in mental health. She dives into the hidden intricacies of CPTSD, explaining why it's often overlooked in the DSM-5 but recognized worldwide, and how prolonged trauma affects the brain's ability to process memories, dissociate, and regulate emotions.She also talks about how how trauma, whether overt or subtle, can lead to complex self-protection mechanisms that impact every aspect of life. Then she finishes with listing the best evidence-based treatments, from prolonged exposure to cognitive processing therapy and DBT, tailored for each disorder's unique challenges. She emphasizes the power of compassion and personalized treatment over stigma, advocating for a mental health field that treats all disorders with empathy and respect. Why diagnosis isn't about labels- it's a pathway to personalized healing and recovery.Resources:Sarr, R., Quinton, A., Spain, D., & Rumball, F. (2024). A Systematic Review of the Assessment of ICD‐11 Complex Post‐Traumatic Stress Disorder (CPTSD) in Young People and Adults. Clinical psychology & psychotherapy, 31(3), e3012.Simon, J. J., Spiegler, K., Coulibaly, K., Stopyra, M. A., Friederich, H. C., Gruber, O., & Nikendei, C. (2025). Beyond diagnosis: symptom patterns across complex PTSD and borderline personality disorder. Frontiers in Psychiatry, 16, 1668821.

When your teen is engaging in self-destructive behaviors, what you usually see is the tip of the iceberg. You see the cutting, the substance use, the school refusal, the shutdowns or blowups, and it's scary, confusing, and exhausting. But what's happening underneath those behaviors is often invisible. Big emotions. Overwhelm. Shame. Anxiety. A nervous system that's trying to survive. And when all you can see is the behavior, misunderstanding and frustration are almost inevitable.In this episode, I'm joined by therapist, author, and DBT clinician Katie May to help parents slow down and start understanding self-destructive behaviors in their teen or young adult kid through a very different lens. One rooted in the idea that all behavior makes sense, especially when you understand what it's doing for them.We talk about the iceberg analogy and why focusing only on the “tip” keeps parents stuck in fear, power struggles, and reactivity. Katie helps decode behaviors like self-harm, suicidal ideation, substance use, and school avoidance as attempts to regulate overwhelming emotions, not attention-seeking or manipulation.Let's have a look at how to respond to destructive behaviors in ways that reduce shame, build trust, and create the conditions for real change.In this episode on understanding self-destructive behaviors, we discuss:The iceberg analogy: why behavior is only the tip of what's really happening;What “all behavior makes sense” actually means for parents;How emotional dysregulation fuels self-harm, substance use, and school refusal in teens and young adults;Why parents often get stuck reacting to behavior instead of responding to their child's needs;How your own regulation as a parent can de-escalate intense situations;Validating your teen's emotions without excusing harmful behavior;How boundaries, connection, and repair work together;And more!More about Katie MayKatie K. May is a licensed therapist, author, speaker, and group practice owner. She founded Creative Healing, a multi-location teen support center in the Philadelphia area, and wrote the #1 Amazon best-seller You're On Fire, It's Fine. With lived experience as a teen who turned to self-harm, Katie is one of only 11 Linehan Board Certified DBT Clinicians in Pennsylvania, the gold standard treatment for self-harm and suicidal behaviors. She equips parents and clinicians with practical, trauma-informed tools to decode behavior as survival and create lasting change. Learn more about Katie on her website: https://youreonfireitsfine.com/ or connect with her on Facebook or Instagram.Looking for support?

André, The Impulsive Thinker®, sits down with neuro-affirming psychotherapist Rachel Feldman to dig into the reality of living and thriving with AuDHD—where autism and ADHD overlap. This episode is all about ditching black-and-white thinking and understanding how ADHD and autism show up uniquely and together in Entrepreneurs. We talk fidgeting, stimming, masking, and why it matters to tailor strategies to your actual brain, not just a label. If you want to boost your self-awareness, communicate better, and stop measuring your worth by your production, this conversation is for you. Listen in for practical takeaways to support your growth mindset.  

Regression is a psychological response in which a person temporarily returns to earlier patterns of thinking, feeling, or behaving, often in reaction to stress, trauma, illness, or emotional overwhelm. So I read this article about regression and why I often regression to child-like behavior around my family. This might not resonate with you - all good. But if it does I hope you learn about about your behavior and practice NOT shaming yourself for it. Send us a text message to be anonymously read and responded to! Support the showYou can find Sara on Instagram @borderlinefromhell. You can also find the podcast on IG @boldbeautifulborderline Corey Evans is the artist for the music featured. He can be found HERE Talon Abbott created the cover art. He. can be found HERE Leave us a voicemail about your thoughts or questions on the show at boldbeautifulborderline.comIf you like the show we would love if you could rate, subscribe and support us on Patreon. Patreon info here: https://www.patreon.com/boldbeautifulborderline?fan_landing=true Purchase Sara's Exploring Your Borderline Strengths Journal at https://www.amazon.com/Exploring-Your-Borderline-Strengths-Amundson/dp/B0C522Y7QT/ref=sr_1_1?crid=IGQBWJRE3CFX&keywords=exploring+your+borderline+strengths&qid=1685383771&sprefix=exploring+your+bor%2Caps%2C164&sr=8-1 For mental health supports: National Suicide Pr...

JESSICA BAUM, is a licensed mental health counselor, relationship expert, and the founder of the Relationship Institute of Palm Beach. Jessica is the author of the new book SAFE: Coming Home to Yourself and Others–An Attachment-Informed Guide to Building Secure Relationships. This book is a timely and grounded new book built on decades of research and therapeutic practice about how to heal the invisible wounds that shape our relational lives. Jessica is a certified addiction specialist and Imago couples therapist with advanced training in EMDR, experiential therapy, CBT, and DBT. Her bestselling book, Anxiously Attached: Becoming More Secure in Life and Love, established her as a trusted authority on healing attachment wounds and building secure, fulfilling relationships. Learn more about your ad choices. Visit megaphone.fm/adchoices

What happens when your child's mental health crisis becomes your entire world and you quietly lose yourself in the process? In this debut episode of Return to Her, a new monthly series on Pleasure in the Pause, host Gabriella Espinosa sits down with lifestyle host and midlife influencer Lizzie Bermudez for an honest conversation about walking through over three years of her daughter's mental health struggles while putting her own life completely on hold.Lizzie shares what it felt like to be her daughter's primary caretaker in survival mode, how she navigated the isolation and stigma surrounding mental health, and the turning point when she finally realized the best thing she could do for her daughter was take care of herself. This is a powerful story about caregiving, crisis, and the slow, messy, beautiful journey of coming home to yourself again.Lizzie is a lifestyle host, podcaster and midlife influencer. She helps women embrace the "middle ages" by sharing tips, tricks, and interviews about looking and feeling your best when it comes to midlife, menopause and empty nesting. Lizzie B's audience knows she doesn't take herself too seriously, and viewers love following her entertaining behind-the-scenes stories on Instagram and TikTok.  Lizzie also spent 20-plus years as an Emmy award-winning broadcast journalist and host. During that time, she interviewed everyone from celebrities to CEOs to presidents and developed the skills of storytelling and engaging viewers.  If you ask Lizzie her favorite thing about switching from traditional media to digital, she'll proudly tell you she can say just about whatever the eff she wants and no longer needs a full face of makeup to go on camera.Highlights from our discussion include:When your child struggles with mental health, the isolation is overwhelming. People don't know what to say, so they say nothing.DBT (dialectical behavioral therapy) gave her family tools and a shared language to navigate emotional regulation and crisis.Learning that two things can be true at once expanded her capacity to hold conflicting emotions without judgment.Coming home to herself feels like lightness. Waking up smiling again, cortisol releasing, opening to friendships after years of isolation.Laughter was medicine. Even in the darkest days, finding one thing to laugh about each day became a survival tool.If you're in the thick of caregiving and losing yourself, if you're slowly coming back, or if you're still figuring it out—this conversation reminds you that returning to yourself is always possible. Listen now and discover that even after the most intense seasons, lightness and joy can return.CONNECT WITH LIZZIE BERMUDEZ:TikTokInstagramCONNECT WITH GABRIELLA ESPINOSA:InstagramLinkedInWork with Gabriella!  Celebrate Valentine's Week with the Oooh Palm Massager giveaway from OBO, created for midlife bodies. Leave a review for Pleasure in the Pause, screenshot it, and DM @gabriellaespinosa on Instagram to enter. Full episodes on YouTube. The information shared on Pleasure in the Pause is for educational and informational purposes only and is not intended as medical advice. Always consult your healthcare provider before making any decisions about your health or treatment. The views expressed by guests are their own and do not necessarily reflect the views of the host or Pleasure in the Pause.

In a special role-reversal episode, host Chris Schembra steps into the hot seat as the interviewee, with award-winning strategist and Culture Changers host Allison Hare leading the conversation. Reflecting on a decade of building human connection, Chris explores why we are entering a new cultural chapter—shifting from the Knowledge Era to the Wisdom Era.The conversation explores the internal shifts required to lead in a world being reshaped by AI. Chris discusses the transition from maternal energy—focused on empathy and nurturing—to a paternal energy that emphasizes resilience, agility, and the strength to face uncertainty. This episode is a deep dive into the friction of human connection, revealing why presence and intimacy are the most valuable currencies we have in an automated world.Chris also shares his personal journey with Dialectical Behavioral Therapy (DBT), offering a raw look at how behavioral skills can help us “go first” into vulnerability. It is a powerful reminder that while technology can provide answers, only human wisdom can provide meaning.Explore more: This conversation builds on three prior Culture Changers episodes where Allison Hare interviewed Chris Schembra on Gratitude, Intimacy & Trust (BDSM and the Boardroom), and Therapeutic Healing (Ketamine Therapy).10 Key TakeawaysThe Shift to the Wisdom EraAs AI takes over the Knowledge Economy, human value will be defined by wisdom—the ability to make sense of lived experiences and apply them to future outcomes.Earned ConnectionReal connection isn't a given; it is earned through the three pillars of Presence, Coherence, and Intimacy.The Power of “Going First”Presence is inconvenient and often creates friction. Leadership requires the willingness to be the first to step into vulnerability.Maternal vs. Paternal EnergyWhile maternal energy provides comfort, paternal energy provides the resilience and backbone needed to navigate high-stakes uncertainty.DBT as a Leadership ToolDialectical Behavioral Therapy isn't just for crisis; its skills in distress tolerance and interpersonal effectiveness are essential for modern leadership.The Friction of IntimacyWe often avoid deep connection because it is inconvenient. Overcoming this internal resistance is the key to psychological safety.Moving Beyond the Cult of TraumaConstant focus on past injustice can weaken our willpower muscle. Growth requires agility and forward motion.Coherence in ContradictionSuccess in the new era demands a both/and mindset—the ability to hold opposing truths at once.Social Health as a PriorityIn an era of isolation, prioritizing human connection is a necessary act of cultural and organizational healing.The Value of InconvenienceThe most human acts—showing up, listening deeply, being present—don't scale, and that's exactly why they matter.10 Key Quotes“The knowledge economy is dying… what human beings need next is the Wisdom Era.”“Wisdom is the ability to make sense of things and apply experience to future outcomes.”“Presence is inconvenient. It is the friction of the human experience.”“We've focused so much on empathy that we've lost our agility.”“Intimacy is the opposite of isolation, but it requires courage.”“DBT taught me how to make things go right, not just analyze what went wrong.”“Your answer matters less than your presence.”“You can't automate wisdom.”“Social health is the great healing opportunity of our time.”“Tomorrow can be better than yesterday if you do it the right way.”

Today Leslie and I talk about a really interesting concept after I had a tarot card reading that suggested I'm quite fused with my trauma and it's time to un-attach. I hope you'll like this episode. Tarot card reader, Brianne: sacredtransitionshealingllc on IGSend us a text message to be anonymously read and responded to! Support the showYou can find Sara on Instagram @borderlinefromhell. You can also find the podcast on IG @boldbeautifulborderline Corey Evans is the artist for the music featured. He can be found HERE Talon Abbott created the cover art. He. can be found HERE Leave us a voicemail about your thoughts or questions on the show at boldbeautifulborderline.comIf you like the show we would love if you could rate, subscribe and support us on Patreon. Patreon info here: https://www.patreon.com/boldbeautifulborderline?fan_landing=true Purchase Sara's Exploring Your Borderline Strengths Journal at https://www.amazon.com/Exploring-Your-Borderline-Strengths-Amundson/dp/B0C522Y7QT/ref=sr_1_1?crid=IGQBWJRE3CFX&keywords=exploring+your+borderline+strengths&qid=1685383771&sprefix=exploring+your+bor%2Caps%2C164&sr=8-1 For mental health supports: National Suicide Pr...

Prof (Dr.) Sanjay Kumar | Group Vice Chancellor, Rayat Bahra University39 years of experience in academia, research, Defence, VC in universities, Mentor of startups and contributing to cutting-edge technology development. Currently serving as the Group Vice Chancellor of RB University, Former VC of Amity,SymbiosisAcademic & Research Excellence:-Double PhDs (Engineering - IIT Delhi, Management)M.Tech & PhD (Engineering) - IIT Delhi | MBA & Multiple PG Diplomas in ManagementB.Tech - Electronics & Communications, Aeronautical Engineering, Satellite CommunicationsMS in Counselling & Psychotherapy | Distinction Holder & Batch TopperAn author of 7 books, widely-referenced 2 popular titles Concepts and Applications of Microwave Engineering and Wave Propagation and Antenna Engineering, my book extensively used in IITs, NITs, and competitive exams across India. Additionally, Contributed numerous research papers to national and international journals.Military  & Strategic Leardership:-A proud veteran of the Indian Air Force (IAF), I have served in prestigious roles, including:Commanding Officer | Station Commander | Air Officer Commanding as Air Commodore Led multi-crore projects at DRDO, Amity, ISRO, NIC, Space Applications Centre, DEAL & DARE, Spearheaded satellite communication, radar technology, and electronic warfare innovationsProjects handled by the World Bank, DST, ICSSR,DBT, ICAR, and Indo-German Science & Technology Centre, JSPS, etcAwards & Recognitions:- Vishisht Seva Medal - Awarded by Former President Shri Pranab Mukherjee on Republic Day 2016Commendation Medal by the Chief of the Air StaffCommendation Medal by Air Officer Commanding in ChiefBihar Gaurav Samman - Awarded by Shri Ram Nath Kovind (Former President Governorof Bihar)Bharat Vidya Shiromani Award | Lifetime Achievement AwardNo.1 Ranking - Swachh Bharat Abhiyan 2018 (Received from Shri Prakash Javadekar)Recognized for drone technology innovation by Former CM Dr. Raman Singh and Youth Icon Virender Sehwag

Michelle is joined by Samuel Eshleman Latimer to discuss how DBT skills can help us feel more confident with navigating conflict. Samuel talks about what conflict actually is, how emotions impact conflict, what his go-to DBT skills are during active conflict and how to get through conflict with difficult people.If you want to learn more about Samuel, check out his website (https://www.fosteringgrowthandcooperation.com/) and follow him on Instagram (https://www.instagram.com/growthandcooperation/)Support the showWant to get 15% off of ALL Guilford Press titles? Use this link (code is DBTME at checkout): https://www.guilford.com/dbtmeIf you want to sign up for Kate's free DBT peer support group, you can sign up here: https://www.eventbrite.com/e/dbt-discussion-group-tickets-518237601617Check out our Etsy shop for DBT-inspired items and our journaling workbook (only $7.50!): https://www.etsy.com/shop/dbtandmeOur book, "DBT for Everyone" is available! Order your copy on Amazon here: https://www.amazon.com/Dbt-Everyone-Pitfalls-Possibilities-Better/dp/1839975881/Consider providing ongoing support to the podcast by becoming a patron at https://www.patreon.com/dbtandmeYou can join our facebook community here: https://www.facebook.com/groups/dbtandmepodcastCheck out our other podcast, The Couch and The Chair, on Apple Podcasts (https://podcasts.apple.com/gb/podcast/the-couch-and-the-chair/id1554159244) or on Spotify (https://open.spotify.com/show/3MZ8aZPoRKxGmLtFcR4S4O)If you need support/have questions, email us at dbtandmepodcast@gmail.com

Living with a chronic eating disorder often means wanting recovery and fearing it at the same time. Many people feel torn between change and safety, hope and grief, relief and loss. This solo episode explores why that ambivalence is not a failure, but a meaningful part of chronic eating disorder recovery. In this episode, Dr. Marianne Miller explains how dialectical thinking from DBT supports people with long-term eating disorders by allowing two truths to exist at once. Rather than forcing either-or recovery narratives, dialectics centers the AND. It helps people work with fear, attachment, and survival strategies without shame. This episode focuses on the internal experience of recovery, not just behavior change. It is not a safety systems episode or a harm reduction overview. It is about how people live inside ambivalence and how radical acceptance creates space for movement without forcing certainty. Dialectical Thinking and the AND in Eating Disorder Recovery Dialectical thinking recognizes that two things can be true at the same time. In eating disorder recovery, this might look like wanting relief while still relying on eating disorder behaviors to feel regulated. These experiences are not contradictions to fix. They reflect adaptation, nervous system learning, and lived reality. Rigid recovery binaries often increase shame and disengagement, especially for people with chronic or long-standing eating disorders. Living in the AND supports flexibility, honesty, and continued engagement in care. Why Ambivalence Is Not Resistance Ambivalence is often misinterpreted as resistance in eating disorder treatment. This episode challenges that belief directly. Ambivalence is information from a nervous system that learned how to survive. For many people who are fat, disabled, neurodivergent, BIPOC, LGBTQIA+, chronically ill, or medically harmed, recovery fear is shaped by real systems. Weight stigma, medical trauma, racism, ableism, and lack of access to affirming care all matter. Fear does not mean failure. Radical Acceptance Without Giving Up Radical acceptance does not mean liking what is happening or giving up on recovery. It means naming reality so shame stops driving the process. When people stop fighting themselves for being ambivalent, curiosity, flexibility, and choice become more possible. This episode reframes radical acceptance as a tool for supporting sustainable change in chronic eating disorder recovery. Redefining Success in Chronic Eating Disorders Recovery does not have to mean certainty or symptom elimination. It can mean increased tolerance for uncertainty, moments of choice, and the ability to say, “I am struggling and still worthy of care.” Dialectical thinking offers a compassionate, realistic framework for long-term eating disorder recovery. Related Episodes Chronic Eating Disorders in 2026: What Hope Can Actually Look Like on Apple and Spotify. Why Some Eating Disorders Don't Resolve: Understanding Chronic Patterns & What Actually Supports Change on Apple and Spotify. When an Eating Disorder Becomes Chronic: Recovery Tools for Persistent Anorexia & Bulimia on Apple and Spotify. Support and Resources Dr. Marianne Miller offers a self-paced, virtual ARFID and Selective Eating course grounded in neurodivergent-affirming, trauma-informed care. The course focuses on safety, flexibility, and realistic change over time for people with restrictive, avoidant, or long-standing eating struggles. Links and details are available in the show notes. Work with Dr. Marianne in therapy if you live in California, Texas, or Washington D.C. Go to drmariannemiller.com to schedule a free, 15-minute consultation call. You do not have to choose one truth. You can want recovery and fear letting go. You can live in the AND.

Do you have a teen whose emotions feel huge and explosive—and nothing you say seems to calm things down?Do you find yourself reacting out of fear, walking on eggshells, or second-guessing whether you're doing any of this “right”? In this episode, Colleen O'Grady talks with therapist and author Katie K. May about what's really happening when teens have big, intense emotions—and why common parent responses (like “You're fine” or “Relax”) often backfire. Katie introduces the concept of “fire feelers,” teens who experience emotions as all-consuming, and explains how self-destructive behaviors can become a desperate attempt to shut down emotional pain. You'll learn why validation is the fastest way to lower emotional intensity, how “radical acceptance” helps parents stop fighting reality and start rebuilding connection, and why parents need a plan to regulate their own nervous system so they can respond instead of react—especially when safety is a concern. Guest Bio: Katie K. May Katie K. May is a licensed therapist, author, speaker, and group practice owner. She founded Creative Healing, a multi-location teen support center in the Philadelphia area, and is the author of You're On Fire, It's Fine: Effective Strategies for Parenting Teens with Self-Destructive Behaviors. With lived experience as a teen who turned to self-harm, Katie is one of a select few board-certified DBT clinicians in Pennsylvania. She equips parents and clinicians with practical, trauma-informed tools to decode behavior as survival and create lasting change. Three Takeaways Validation lowers the emotional “fire.” Before problem-solving, teens need to feel seen and understood—validation helps calm the nervous system and opens the door to change. Radical acceptance reduces parental suffering. Accepting “this is where we are” doesn't mean approving—it means stopping the fight with reality so you can respond more effectively. Parents need their own regulation plan. A “stress meter” and a proactive calming strategy help moms manage fear, avoid catastrophic thinking, and stay steady when emotions run high. Learn More at: https://katiekmay.com/ Follow at https://www.instagram.com/katiekmay/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this in-depth episode of Breaking the Rules, we unpack two commonly confused but fundamentally different clinical presentations: moral scrupulosity (OCD) and Obsessive Compulsive Personality Disorder (OCPD). While they may look similar on the surface—perfectionism, rigid values, intense guilt—the treatment implications couldn't be more different.The conversation explores how moral scrupulosity shows up across children, teens, and adults, often hiding beneath “good behaviour,” people-pleasing, over-apologising, and chronic self-monitoring. We also dive into why some clients become stuck in ERP when the underlying issue isn't OCD at all, but rigidity, control, and ego-syntonic perfectionism associated with OCPD.This episode is especially valuable for clinicians navigating stuckness, treatment resistance, or confusing presentations—and for anyone who has ever felt trapped by the need to be a “good person.”

Validation is the act of recognizing, acknowledging, and accepting another person's thoughts, feelings, or experiences as real and understandable—without judgment, dismissal, or the need to fix them. Why does it matter? When you have Borderline Personality Disorder you've likely experienced a profound amount of invalidation. In this episode we go into detail about why it matters to be validated by others and yourself. Send us a text message to be anonymously read and responded to! Support the showYou can find Sara on Instagram @borderlinefromhell. You can also find the podcast on IG @boldbeautifulborderline Corey Evans is the artist for the music featured. He can be found HERE Talon Abbott created the cover art. He. can be found HERE Leave us a voicemail about your thoughts or questions on the show at boldbeautifulborderline.comIf you like the show we would love if you could rate, subscribe and support us on Patreon. Patreon info here: https://www.patreon.com/boldbeautifulborderline?fan_landing=true Purchase Sara's Exploring Your Borderline Strengths Journal at https://www.amazon.com/Exploring-Your-Borderline-Strengths-Amundson/dp/B0C522Y7QT/ref=sr_1_1?crid=IGQBWJRE3CFX&keywords=exploring+your+borderline+strengths&qid=1685383771&sprefix=exploring+your+bor%2Caps%2C164&sr=8-1 For mental health supports: National Suicide Pr...

In this episode of It's All Your Fault, host Megan Hunter interviews Amanda Smith, LCSW, about her groundbreaking new book on self-compassion and Dialectical Behavior Therapy (DBT) skills for people who have borderline personality disorder traits. The discussion explores how incorporating self-compassion into treatment can enhance recovery and improve outcomes.Understanding Self-Compassion in BPD TreatmentThe conversation delves into how self-compassion serves as a vital but often overlooked component in treating borderline personality disorder traits. Amanda Smith draws on 19 years of clinical experience to explain why traditional confrontational approaches often backfire, while self-compassion can help reduce self-destructive behaviors and improve emotional regulation.Research shows that increased self-compassion correlates with better mental health outcomes, healthier relationships, and reduced anxiety and depression. This episode examines how these findings specifically apply to people working to manage borderline personality disorder traits.Questions We Answer in This EpisodeHow has treatment for borderline personality disorder evolved over the past 20 years?What role does self-compassion play in DBT skills training?How can family members support loved ones who cannot access immediate treatment?When should boundaries and limits be introduced in treatment?How does self-compassion affect recovery outcomes?Key TakeawaysSelf-compassion can serve as a replacement skill for self-destructive behaviorsDBT skills can be learned and practiced by family members to support loved onesTreatment approaches work best when starting with validation before introducing structureRecovery is possible with appropriate evidence-based treatmentEarly intervention, even before age 18, can be beneficial when approached appropriatelyThe episode provides hope and practical guidance for anyone impacted by borderline personality disorder traits, while highlighting the importance of combining clinical skill development with self-compassion practices. Listeners will gain insights into both professional and personal approaches to supporting recovery.Additional ResourcesWatch this episode on YouTube!Expert Publications by Amanda L. SmithThe Self-Compassion Workbook for BPDThe Dialectical Behavior Therapy Wellness Planner: 365 Days of Healthy Living for Your Body, Mind, and SpiritThe Borderline Personality Disorder Wellness Planner for Families: 52 Weeks of Hope, Inspiration, and Mindful Ideas for Greater Peace and HappinessExpert PublicationsSLIC Solutions for Conflict: Setting Limits & Imposing Consequences in 2 1/2 StepsProfessional & Personal DevelopmentAmanda Smith's Family DBT courseHCI's courses:Conflict Influencer® - for co-parents (new classes starting January 2026)Conflict Influencer® - for famlies (new classes starting January 2026)High-Conflict Law Certification - for legal professionalsConnect With UsVisit High Conflict Institute: highconflictinstitute.comSubmit questions for Bill and MeganBrowse our complete collection of books and resources in our online store—available in print and e-book formatsFind these show notes and all past episode notes on our websiteImportant NoticeOur discussions focus on behavioral patterns rather than diagnoses. For specific legal or therapeutic guidance, please consult qualified professionals in your area. (00:00) - Welcome to It's All Your Fault (00:46) - Meet Amanda Smith (03:34) - Creating a Life Worth Living (06:03) - Progression Over Time (09:45) - Other Terms (11:54) - Lack of Awareness (13:30) - Addressing with DBT (14:50) - Exceptions and Causes (16:11) - Giving Hope (17:55) - Age Groups (19:51) - When They Can't Get Into Treatment (24:37) - Boundaries and Limits (28:32) - Amanda's New Book (31:57) - Compassion for Self (37:11) - Trying the Opposite (41:59) - The Book (43:32) - Wrap Up

In this episode of "From Borderline to Beautiful," host Rose Skeeters shares a compelling story illustrating the importance of practice and preparation in managing stress and emotions. Rose encourages listeners to reflect on their own approaches to therapy and recovery. She stresses the importance of daily practice, routine, and self-care in building resilience against emotional challenges. By committing to small, consistent actions, individuals can better prepare themselves for moments of stress and emotional upheaval. The episode concludes with a call to action for listeners to engage in their recovery work daily, fostering a deeper understanding of their emotions and enhancing their ability to cope with life's challenges.Keywordsemotional regulation, therapy, DBT, CBT, self-care, recovery, practice skills, mental health, resilience, personal growthNeed individual support? Schedule a session with Rose here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.thriveonlinecounseling.com/product/individual-sessions/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠To schedule with Jay, click here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.thriveonlinecounseling.com/product/22608/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Gift cards now available for purchase here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.thriveonlinecounseling.com/product/gift-card/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠**This episode is colloquial not clinical, using personal anecdotes to support conveying information in an informal, relatable way**

Episode Notes This week on Live Like the World is Dying, we have another re-run episode. Margaret and Smokey talk about ways to go about mental first aid, how to alter responses to trauma for you self and as a community, different paths to resiliency, and why friendship and community are truly the best medicine. Host Info Margaret can be found on twitter @magpiekilljoy or instagram at @margaretkilljoy. Publisher Info This show is published by Strangers in A Tangled Wilderness. We can be found at www.tangledwilderness.org, or on Twitter @TangledWild and Instagram @Tangled_Wilderness. You can support the show on Patreon at www.patreon.com/strangersinatangledwilderness. Transcript LLWD:Smokey on Mental First Aid Margaret 00:15 Hello and welcome to Live Like the World is Dying, your podcast are what feels like the end times. I'm your host, Margaret killjoy. And, this week or month...or let's just go with 'episode'. This episode is going to be all about mental health and mental health first aid and ways to take care of your mental health and ways to help your community and your friends take care of their mental health, and I think you'll like it. But first, this podcast is a proud member of the Channel Zero network of anarchists podcasts. And here's a jingle from another show on the network. Margaret 01:52 Okay, with me today is Smokey. Smokey, could you introduce yourself with your your name, your pronouns, and I guess a little bit about your background about mental health stuff? Smokey 02:04 Sure, I'm Smokey. I live and work in New York City. My pronouns are 'he' and 'him.' For 23 years, I've been working with people managing serious mental illness in an intentional community, I have a degree in psychology, I have taught psychology at the University level, I have been doing social work for a long time, but I've been an anarchist longer. Margaret 02:43 So so the reason I want to have you on is I want to talk about mental health first aid, or I don't know if that's the way it normally gets expressed, but that's the way I see it in my head. Like how are...I guess it's a big question, but I'm interested in exploring ways that we can, as bad things happen that we experience, like some of the best practices we can do in order to not have that cause lasting mental harm to us. Which is a big question. But maybe that's my first question anyway. Smokey 03:12 I mean, the, the truth is bad things will happen to us. It's part of living in the world, and if you are a person that is heavily engaged in the world, meaning, you know, you're involved in politics, or activism, or even just curious about the world, you will probably be exposed on a more regular basis to things that are bad, that can traumatize us. But even if you're not involved in any of those things, you're going to go through life and have really difficult things happen to you. Now, the good news is, that's always been the case for people. We've always done this. And the good news is, we actually know a lot about what goes into resilience. So, how do you bounce back quickly and hopefully thrive after these experiences? I think that is an area that's only now being really examined in depth. But, we have lots of stories and some research to show that actually when bad things happen to us, there is an approach that actually can help catalyst really impressive strength and move...change our life in a really positive direction. We also know that for most people, they have enough reserve of resiliency that....and they can draw upon other resiliency that they're not chronically affected by it, however, and I would argue how our society is kind of structured, we're seeing more and more people that are suffering from very serious chronic effects of, what you said, bad things happening, or what is often traumatic things but it's not just traumatic things that cause chronic problems for us. But, that is the most kind of common understanding so, so while most people with most events will not have a chronic problem, and you can actually really use those problems, those I'm sorry, those events, let's call them traumatic events, those traumatic events they'll really actually improve your thriving, improve your life and your relationship to others in the world. The fact is, currently, it's an ever growing number of people that are having chronic problems. And that's because of the system. Margaret 06:19 Yeah, there's this like, there was an essay a while ago about it, I don't remember it very well, but it's called "We Are Also Very Anxious," and it it was claiming that anxiety is one of the general affects of society today, because of kind of what you're talking about, about systems that set us up to be anxious all the time and handle things in... Smokey 06:42 I think what most people don't understand is, it is consciously, in the sense that it's not that necessarily it's the desire to have the end goal of people being anxious, and people being traumatized, but it is conscious in that we know this will be the collateral outcome of how we set up the systems. That I think is fairly unique and and really kind of pernicious. Margaret 07:17 What are some of the systems that are setting us up to be anxious or traumatized? Smokey 07:23 Well, I'm gonna reverse it a little bit, Margaret. I'm going to talk about what are the things we need to bounce back or have what has been called 'resilience,' and then you and I can explore how our different systems actually make us being able to access that much more difficult. Margaret 07:47 Okay. Oh, that makes sense. Smokey 07:49 The hallmark of resiliency, ironically, is that it's not individual. Margaret 07:57 Okay. Smokey 07:57 In fact, if you look at the research, there are very few, there's going to be a couple, there's gonna be three of them, but very few qualities of an individual psychology or makeup that is a high predictor of resiliency. Margaret 08:20 Okay. Smokey 08:21 And these three are kind of, kind of vague in the sense they're not, they're not terribly dramatic, in a sense. One is, people that tend to score higher on appreciation of humor, tends to be a moderate predictor of resiliency. Margaret 08:46 I like that one. Smokey 08:47 You don't have to be funny yourself. But you can appreciate humor. Seems to be a....and this is tends to be a cross cultural thing. It's pretty low. There are plenty of people that that score very low on that, that also have resiliency. That's the other thing, I'll say that these three personality traits are actually low predictors of resiliency. Margaret 09:13 Compared to the immunity ones that you're gonna talk about? Smokey 09:16 So one is appreciation of humor seems to be one. So, these are intrinsic things that, you know, maybe we got from our family, but but we hold them in ourselves, right? The second one is usually kind of put down as 'education.' And there tends to be a reverse bell curve. If you've had very, very low education, you tend to be more resilient. If you've had extreme professionalization, you know, being a doctor, being a lawyer, well, not even being a lawyer, because that's the only...but many, many years of schooling, PhD things like that, it's not what you study. There's something about... Smokey 10:10 Yeah, or that you didn't. They're almost equal predictors of who gets traumatized. And then the the last one is kind of a 'sense of self' in that it's not an ego strength as we kind of understand it, but it is an understanding of yourself. The people that take the surveys, that they score fairly high....So I give you a survey and say, "What do you think about Smokey on these different attributes?" You give me a survey and say, "Smokey, how would you rate yourself on these different attributes?" Margaret 10:11 It's that you studied. Margaret 10:32 Okay. Smokey 10:59 So, it's suggesting that I have some self-reflexivity about what my strengths and weaknesses are. I can only know that because they're married by these also. Margaret 11:11 Okay. So it's, it's not about you rating yourself high that makes you resilient, it's you rating yourself accurately tohow other people see you. Smokey 11:18 And again, I want to stress that these are fairly low predictors. Now, you'll read a million books, kind of pop like, or the, these other ones. But when you actually look at the research, it's not, you know, it's not that great. So those..however, the ones that are big are things like 'robustness of the social network.' So how many relations and then even more, if you go into depth, 'what are those relationships' and quantity does actually create a certain level of quality, interestingly, especially around things called 'micro-social interactions,' which are these interactions that we don't even think of as relationships, maybe with storepersons, how many of these we have, and then certain in depth, having that combined with a ring of kind of meaningful relationships. And meaningful meaning not necessarily who is most important to me, but how I share and, and share my emotions and my thoughts and things like that. So, there's a lot on that. That is probably the strongest predictor of resilience. Another big predictor of resilience is access to diversity in our social networks. So, having diverse individuals tend to give us more resiliency, and having 'time,' processing time, also gives us more...are high predictors of resiliency, the largest is a 'sense of belonging.' Margaret 13:14 Okay. Smokey 13:15 So that trauma...events that affect our sense of belonging, and this is why children who have very limited opportunities to feel a sense of belonging, which are almost always completely limited, especially for very young children to the family, if that is cut off due to the trauma, or it's already dysfunctional and has nothing to do with the trauma, that sense of belonging, that lack of sense of belonging makes it very difficult to maintain resilience. So. So those are the things that, in a nutshell, we're going to be talking about later about 'How do we improve these?' and 'How do we maximize?' And 'How do we leverage these for Mental Health First Aid?' We can see how things like the internet, social media, capitalism, you know, kind of nation state building, especially as we understand it today, all these kinds of things errode a lot of those things that we would want to see in building resilient people. Margaret 14:28 Right. Smokey 14:28 And, you know, making it more difficult to access those things that we would need. Margaret 14:34 No, that's...this...Okay, yeah, that makes it obvious that the answer to my question of "What are the systems that deny us resiliency?" are just all of this. Yeah, because we're like....most people don't have...there's that really depressing statistic or the series of statistics about the number of friends that adults have in our society, and how it keeps going down every couple of decades. Like, adults just have fewer and fewer friends. And that... Smokey 15:00 The number, the number is the same for children, though too. Margaret 15:05 Is also going down, is what you're saying? Smokey 15:07 Yes. They have more than adults. But compared to earlier times, they have less. So, the trend is not as steep as a trendline. But, but it is still going down. And more importantly, there was a big change with children at one point, and I'm not sure when it historically happened. But, the number of people they interacted with, was much more diverse around age. Margaret 15:39 Oh, interesting. Smokey 15:40 So they had access to more diversity. Margaret 15:43 Yeah, yeah. When you talk about access to diversity, I assume that's diversity in like a lot of different axis, right? I assume that's diversity around like people's like cultural backgrounds, ethnic backgrounds, age. Like, but even like... Smokey 15:56 Modes of thought. Margaret 15:58 Yeah, well, that's is my guess, is that if you're around more people, you have more of an understanding that like, reality is complicated, and like different people see things in different ways. And so therefore, you have a maybe a less rigid idea of what should happen. So, then if something happens outside of that, you're more able to cope, or is this...does... like, because I look at each of these things and I can say why I assume they affect resiliency, but obviously, that's not what you're presenting, you're not presenting how they affect resiliency, merely that they seem to? Smokey 16:34 Yeah, and I don't know, if we know exactly how they affect, and we don't know how they...the effect of them together, you know, social sciences, still pretty primitive. So they, they need to look at single variables, often. But you know, we know with chemistry and biology and ecology, which I think are a little more sophisticated...and physics, which is more sophisticated. The real interesting stuff is in the combinations. Margaret 17:09 Yeah. Okay. Smokey 17:10 So what happens when you have, you know, diversity, but also this diverse and robust social network? Is that really an addition? Or is that a multiplication moment? For resiliency. Margaret 17:23 Right. And then how does that affect like, if that comes at the expense of...well, it probably wouldn't, but if it came at the expense of processing time or something. Smokey 17:33 Exactly. Margaret 17:35 Or, like, you know, okay, I could see how it would balance with education in that, like, I think for a lot of people the access to diversity that they encounter first is like going off to college, right, like meeting people from like, different parts of the world, or whatever. Smokey 17:49 I forgot to mention one other one, but it is, 'meaning.' Meaning is very important. People that score high, or report, meaning deep, kind of core meaning also tend to have higher resiliency. That being said, they...and don't, don't ever confuse resiliency with like, happiness or contentment. It just means that the dysfunction or how far you're knocked off track due to trauma, and we're, we're using trauma in the larger sense of the word, you know, how long it takes you to get back on track, or whether you can even get back on track to where you were prior to the event is what we're talking about. So it's not, this is not a guide to happiness or living a fulfilled life. It's just a guide to avoid the damage. Margaret 19:01 But if we made one that was a specifically a 'How to have a happy life,' I feel like we could sell it and then have a lot of money.Have you considered that? [lauging] Smokey 19:11 Well one could argue whether that's even desirable to have a happy life. That's a whole philosophical thing. That's well beyond my paygrade Margaret 19:22 Yeah, every now and then I have this moment, where I realized I'm in this very melancholy mood, and I'm getting kind of kind of happy about it. And I'm like, "Oh, I'm pretty comfortable with this. This is a nice spot for me." I mean, I also like happiness, too, but you know. Okay, so, this certainly implies that the, the way forward for anyone who's attempting to build resiliency, the sort of holistic solution is building community. Like in terms of as bad stuff happens. Is that... Smokey 19:58 Community that's...and community not being just groups. Okay, so you can, I think, you know, the Internet has become an expert at creating groups. There lots of groups. But community, or communitas or the sense of belonging is more than just a shared interest and a shared knowledge that there's other like-minded people. You'll hear the internet was great for like minded people to get together. But, the early internet was really about people that were sharing and creating meaning together. And I think that was very powerful. That, you know, that seems harder to access on today's Internet, and certainly the large social media platforms are consciously designed to achieve certain modes of experience, which do not lend themselves to that. Margaret 21:06 Right, because it's like the...I don't know the word for this. Smokey 21:10 It's Capitalism. Like, yeah, we're hiding the ball. The ball is Capitalism. Margaret 21:14 Yeah. Smokey 21:14 And how they decided to go with an advertising model as opposed to any other model, and that requires attention. Margaret 21:21 Yeah. Because it seems like when you talk about a robust social network, I mean, you know, theoretically, social network, like social networks, you know, Twitter calls itself a social network, right? And is there anything in the micro social interactions that one has online? Is there value in that? Or do you think that the overall...I mean, okay, because even like looking at... Smokey 21:46 I think there has to be value, I think, yeah, they did. I was reading just today, actually, about research, it was in England, with...this one hospital decided to send postcards to people who had been hospitalized for suicidal attempts. Margaret 22:09 Okay. Smokey 22:10 Most of them ended up in the mental health thing, some of them didn't, because they they left beyond, you know, against medical advice, or whatever. But, anyone that came in presenting with that a month, and then three months later, they sent another postcard just saying, "You know, we're all thinking about you, we're hoping you're all you're doing, alright. We have faith in you," that kind of thing like that, right. Nice postcard, purposely chosen to have a nice scene, sent it out. And they followed up, and they found a significant reduction in further attempts, rehospitalizations of these people, so that's a very, you know, there's no, it's a one way communication, it's not person-to-person, and it had some impact on I would guess one could argue the resiliency of those people from giving into suicidal ideation. Right. Margaret 23:13 Yeah. Smokey 23:14 So I think this is to say that, you know, we'd be...unplugging the internet, you know, that kind of Luddite approach doesn't make sense. There is a value to answer your question to the the internet's micro social interactions. It's just we...it's complicated, because you can't just have micro-social interactions unfortunately, but you need them. Margaret 23:44 Yeah. No, that that's really interesting to me, because yeah, so there's, there is a lot of value that is coming from these things, but then the overall effect is this like, like, for example, even like access to diversity, right? In a lot of ways, theoretically, the Internet gives you access to like everything. But then, instead, it's really designed to create echo chambers in the way that the algorithms and stuff feed people information. And echo chambers of thought is the opposite of diversity, even if the echo chamber of thought is like about diversity. Smokey 24:16 Yeah, I mean, it's set up again, almost as if it were to kind of naturally organically grow, we would probably have just as chaotic and and people would still just be as angry at the Internet, but it probably would develop more resilience in people. Because it wouldn't be stunted by this need to attract attention. The easiest way to do that is through outrage. Easiest way to do that is quickly and fast, so it takes care of your processing time. And relative anonymity is the coin of these kinds of things, you know, that's why bots and things like that, you know, they're not even humans, right? You know, they're just...so all these kinds of things stunt and deform, what could potentially be useful, not a silver bullet, and certainly not necessary to develop resiliency, strong resiliency. You don't need the internet to do that. And there are certain...using the internet, you know, there's going to be certain serious limitations because of the design, how it's designed. Margaret 25:42 Okay, well, so hear me out. If the internet really started coming in latter half of the 20th century, that kind of lines up to when cloaks went out of style.... Smokey 25:54 Absolutely, that's our big problem. And they haven't done any research on cloak and resiliency. Margaret 26:00 I feel that everyone who wears a cloak either has a sense of belonging, or a distinct lack of a sense of belonging. Probably start off with a lack of sense of belonging, but you end up with a sense of belonging So, okay, okay. Smokey 26:15 So I want to say that there's two things that people confuse and a very important. One, is how to prevent chronic effects from traumatic experiences. And then one is how to take care of, if you already have or you you develop a chronic effect of traumatic experiences. Nothing in the psychology literature, sociology literature, anthropology literature, obviously, keeps you from having traumatic experiences. Margaret 26:52 Right. Smokey 26:54 So one is how to prevent it from becoming chronic, and one is how to deal with chronic and they're not the same, they're quite, quite different. So you know, if you already have a chronic traumatic response of some sort, post traumatic stress syndrome, or any of the other related phenomena, you will approach that quite differently than building resilience, which doesn't protect you from having trauma, a traumatic experience. It just allows you to frame it, understand it, maybe if you're lucky, thrive and grow from it. But at worst, get you back on track in not having any chronic problems. Margaret 27:48 Okay, so it seems like there's three things, there's the holistic, building a stronger base of having a community, being more resilient in general. And then there's the like direct first aid to crisis and trauma, and then there's the long term care for the impacts of trauma. Okay, so if so, we've talked a bit about the holistic part of it, you want to talk about the the crisis, the thing to do in the immediate sense as it's happening or whatever? Smokey 28:15 For yourself or for somebody else? Margaret 28:18 Let's start with self. Smokey 28:20 So, self is go out and connect to your social network as much as you can, which is the opposite of what your mind and body is telling you. And that's why I think so much of the quote unquote, "self-care" movement is so wrong. You kind of retreat from your social network, things are too intense, I'm going to retreat from your social network. The research suggests that's the opposite of what you should be doing, you should connect. Now, if you find yourself in an unenviable situation where you don't have a social network, then you need to connect to professionals, because they, they can kind of fill in for that social Network. Therapists, social workers, peer groups, support groups, things like that they can kind of fill in for that. The problem is you don't have that sense of belonging. Well, with support groups, you might. You see this often in AA groups or other support groups. You don't really get that in therapy or or group therapy so much. But that is the first thing and so connect to your group. Obviously on the other side, if you're trying to help your community, your group, you need to actively engage that person who has been traumatized. Margaret 29:33 Yeah, okay. Smokey 29:35 And it's going to be hard. And you need to keep engaging them and engaging them in what? Not distractions: Let's go to a movie, get some ice cream, let's have a good time. And not going into the details of the traumatic experience so much as reconnecting them to the belonging, our friendship, if that. Our political movement, if that. Our religious movement, if that. Whatever that...whatever brought you two together. And that could be you being the community in this person, or could be you as Margaret in this person connecting on that, doubling down on that, and often I see people do things like, "Okay, let's do some self care, or let's, let's do the opposite of whatever the traumatic experience was," if it came from, say oppression, either vicarious or direct through political involvement let's, let's really connect on a non-political kind of way. Margaret 31:19 Ah I see! Smokey 31:21 And I'm saying, "No, you should double down on the politics," reminding them of right what you're doing. Not the trauma necessarily not like, "Oh, remember when you got beaten up, or your, your significant other got arrested or got killed by the police," but it's connecting to meaning, and bringing the community together. Showing the resiliency of the community will vicariously and contagiously affect the individual. And again, doesn't have to be political could be anything. Margaret 32:01 Yeah. Is that? How does that that feels a little bit like the sort of 'get right back on the horse kind of thing.' But then like, in terms of like, socially, rather than, because we 'get back on the horse,' might mean might imply, "Oh, you got beat up at a riot. So go out to the next riot." And that's what you're saying instead is so "Involve you in the fundraising drive for the people who are dealing with this including you," or like... Smokey 32:28 And allowing an expectation that the individual who's been traumatized, might be having a crisis of meaning. And allowing that conversation, to flow and helping that person reconnect to what they found meaningful to start with. So getting right back on the horse again, it's reminding them why they love horses. Margaret 33:02 Yeah. Okay, that makes sense. Okay, I have another question about the the crisis first aid thing, because there's something that, you know, something that you talked to me about a long time ago, when I was working on a lot of like reframing. I was working on coping with trauma. And so maybe this actually relates instead to long term care for trauma. And I, I thought of this as a crisis first aid kind of thing, is I'll use a like, low key example. When I was building my cabin, I'm slightly afraid of heights, not terribly, but slightly. And so I'm on a ladder in the middle of nowhere with no one around and I'm like climbing up the ladder, and I'm nailing in boards. And I found myself saying, "Oh, well, I only have three more boards. And then I'm done. I can get off the ladder. "And then I was like, "No, what I need to do is say, it's actually fine, I am fine. And I can do this," rather than like counting down until I can get off the ladder. And so this is like a way that I've been working on trying to build resiliency, you can apply this to lots of things like if I'm on an airplane, and I'm afraid of flying or something I can, instead of being like, "Five more hours and then we're there. Four more hours and then we're there," instead of being like, "It's actually totally chill that I'm on an airplane. This is fine." And basically like telling myself that to reframe that. Is this....Am I off base with this? Is this tie into this, there's just a different framework? Smokey 34:27 That is what the individual should be trying to do is connect the three different things, keeping it simple. One, is to the community which gives them nourishment. On a plane or on your roof, that's not going to happen. Margaret 34:44 Yeah. Smokey 34:45 Though, actually, to be honest. If you're nervous and you have...go back to your roof example, which I think is a pretty good one. Let's say that you had more than three boards. Let's say it was gonna take you a couple hours to do that. But it's something you're nervous about, connecting to somebody in your social network, whether you, you have your earphones on, and you're just talking to them before or during...after doesn't help. That does one way. Or the other is connecting to what you were doing, which is connecting to kind of reframing or your own internal resilience. I've done something similar like this before. This is not something that is going to need to throw me, it is what's called pocketing the anxiety. Margaret 35:45 Okay. Smokey 35:45 Where you're other-izing it, being like, it's coming from you too, right? being like, "Hey, you could fall. This plane could go down," right? That that's still you, you're generating that. You're not hearing that over to, and you're saying, "Okay, but I'm going to try, you know, give primacy to this other voice in my head. That is saying, "You've got this, it's all right, you've done things like this before."" So that's the second thing. And that's what you were doing. So you could connect to your community, you could connect to kind of a reserve of resiliency. And to do that is allow that one to be pocketed. But be like, "Hey, I want to hear from what this core thing has to say. I want to hear from what the positive person on the front row has to say." You're not arguing with that one. You're just listening. You're changing your, your, what you're attuned to. And then the third one is, if you can, you connect to the meaning. What is the meaning of building the house for you? Where are you going on your flight? And why is it important? Margaret 37:03 Yeah. Okay, Smokey 37:05 And that anxiety and the fact that you're doing it, you want to give again, the primacy to the importance, that "Yeah, I'm really nervous, I'm really freaked out about this, but this thing is so important, or so good for me, or so healthy for me to do this. This must mean it's going to be really important. And I'm connecting to why it's important and focusing on that. So those are the three things that the individual can do. The helping person or community is engagement. The second one is the same, reconnecting to the meaning. Why did you love horses in the first place? Okay, don't have to get back on the horse. But let's not forget horses are awesome. Margaret 37:58 Yeah. Smokey 37:58 And Horseback riding is awesome. Margaret 38:01 Yeah. Smokey 38:01 And you were really good at it before you got thrown. But you know, you don't have to do it now, but let's, let's just let's just share our love of horses for a moment and see how that makes you feel. And then the third one is that kind of drawing upon, instead of drawing upon the individual resilience, which you were doing, like, "Hey, I got this," or the plane, you know, you were, you're hearing from other people, you're drawing upon their individual resilience. "Smokey, tell me about the time you did this thing that was hard." And I tell ya, you're like, "Well, Smokey can fucking do that I can do it. You don't even think...it doesn't even work necessarily consciously. Margaret 38:50 Right. Smokey 38:51 So you could see that what you're doing individually, the helper or the community is doing complementary. Margaret 38:59 Yeah. Smokey 39:00 And now you can see why a lot of self care narrative, a lot of taking a break a lot of burnout narrative, all these things, at best aren't going to help you and at worst, in my opinion, are kind of counterproductive. Margaret 39:17 Well, and that's the, to go to the, you know, working on my roof thing I think about...because I've had some success with this. I've had some success where I....there's certain fears that I have, like, suppressed or something like I've stopped being as afraid of...the fear is no longer a deciding factor in my decision making, because of this kind of reframing this kind of like, yeah, pocketing like...And it's probably always useful to have the like, I don't want to reframe so completely that I just walk around on a roof all the time, without paying attention to what I'm doing, right?Because people do that and then they fall and the reason that there's a reason that roofing is one of the most dangerous jobs in America. So a, I don't know I yeah, I, I appreciate that, that you can do that. And then if it's a thing you're going to keep doing anyway, it becomes easier if you start handling it like, carefully, you know? Smokey 40:17 Well, you don't want to give it too much. So why do we? Why is it natural for us to take anxiety or fear and focus on it? It's somewhat evolutionary, right? It's a threat, right? It's supposed to draw your attention, right? It's supposed to draw your attention. And if you're not careful, it will draw your attention away from other things that are quieter that like that resiliency in the front row you need to call on, because they're not as flashy, right? So I don't think you have to worry about threat....You're right. You don't want to get to the point where you and that's why I say 'pocket it,' as opposed to 'deny it, suppress it, argue with it. demolish it.' I think it's good to have that little, "Beep, beep, beep there's a threat," and then being like, "Okay, but I want to continue to do this. Let's hear from resiliency in the front row. What? What do you have to tell me too?" You have to not...what happens is we go into the weeds of the threat. Oh, so what? "Oh, I fall off and I compound fracture, and I'm way out here in the woods, and no one's going to get me. My phone isn't charged." That's not what the original beep was. Original beep like, "You're high up on a ladder, seems unstable. This seems sketchy," right? Okay. Got that. And then resilience is, "Yeah, you've done lots of sketchy stuff. You've written in the back of a pickup truck. That's sketchy, so seatbelt there, nothing, you know, let me remind you that that you can overcome." And, but by going into the anxiety, going into the fear, you're forcing yourself to justify the thing. And then it becomes more and more elaborate, and it gets crazier and crazier very quickly. You know, all of sudden, you're bleeding out and you're cutting your leg off with a pen knife. It's like, "Wow, how did all this happen?" Margaret 42:38 Yeah, well, and that's actually something that comes up a lot in terms of people interacting with the show and about like preparedness in general. Because in my mind, the point of paying attention to how to deal with forest fire while I live in the woods, is not to then spend all of my time fantasizing and worrying about forest fire. But instead, to compare it to this ladder, if I get this "Beep, beep, the ladder is unstable." I climb down, I stabilize the ladder as best as I can. And then I climb back up and I do the thing. And then when I think about like, with fire, I'm like, "Okay, I have done the work to minimize the risk of fire. And so now I can stop thinking about it." Like, I can listen to the little beep, beep noise and do the thing. And now I can ignore the beep beep because just like literally, when you're backing up a truck and it goes beep, beep, you're like, yeah, no, I know, I'm backing up. Thanks. You know, like, Smokey 43:35 Yeah, it's good to know, it's good to know, you're not going forward. Margaret 43:39 Yeah, no. No, okay. That's interesting. And then the other thing that's really interesting about this, the thing that you're presenting, is it means that in some ways, work that we present as very individual in our society, even in radical society, is actually community based on this idea, like so conquering phobias is something that we help one another do, it seems like, Smokey 44:02 Absolutely. I mean, the best stuff on all this stuff is that people reverse engineering it to make people do dangerous, bad things. The military. Margaret 44:18 Yeah, they're probably pretty good at getting people to conquer phobias. Yep. Smokey 44:21 They have a great sense of belonging. They have a great sense of pulling in internal resilient, group resilient, connecting to meaning even when it's absolutely meaningless what you're doing. It's all the dark side of what we're talking about, but it's quite effective and it literally wins wars. Margaret 44:47 Yeah, that makes sense. Because you have this whole... Smokey 44:50 Literally it changes history. And so, the good news is, we can kind of reclaim that for what I think it was originally purposed to do, which is to protect us from the traumas that we had to go through in our evolutionary existence. So we couldn't afford to have a whole bunch of us chronically disabled. Meaning unable to function, you know, they've just taken it and, and bent it a little bit, and learned very deeply about it, how to how to use it for the things that really cause, you know, physical death and injury. And, and, you know, obviously, they're not perfect, you have a lot of trauma, but not, not as much as you would expect for what they do. And every year they get better and better. Margaret 45:51 Hooray. Smokey 45:53 We have to get on top of our game. Margaret 45:56 Yeah. Smokey 45:57 And get people not to do what they do. I'm not suggesting reading...well maybe reading military, but not...you can't use those tools to make people truly free and resilient. Margaret 46:17 Yeah. Smokey 46:18 In the healthy kind of way. Yeah. Margaret 46:22 Okay, so in our three things, there's the holistic, prepared resiliency thing, then there's the immediate, the bad thing is happening first aid. Should we talk about what to do when the thing has, when you have the like, the injury, the mental injury of the trauma? Smokey 46:42 Like with most injuries, it's rehab, right? Margaret 46:45 Yeah. No, no, you just keep doing the thing, and then hope it fixes itself. [laughs] Smokey 46:53 My approach to most medical oddities that happen as I get older, it's like, "It'll fix itself, this tooth will grow back, right? The pain will go away, right?" Yeah, just like physical rehab, it does require two important aspects for all physical, what we think of when someone says I have to go to rehab, physical rehab, not not alcohol rehab, or psych rehab, is that there's two things that are happening. One, is a understanding, a deep understanding of the injury, often not by the person, but by the physical therapist. Right? That if they know, okay, this is torn meniscus, or this is this and I, okay, so I understand the anatomy, I understand the surgery that happened. Okay. And then the second is, short term, not lifelong therapy, not lifelong this or that. Short term techniques to usually strengthen muscles and other joints and things around the injury. Okay. And that's what, what I would call good recovery after you already have the injury. It's not after you've had the traumatic experience, because traumatic experience doesn't necessarily cause a chronic injury, and we're trying to reduce the number of chronic injuries, but chronic injuries are going to happen. chronic injuries already exist today. A lot of the people we know are walking around with chronic injuries that are impacting their ability to do what they want to do and what in my opinion, we need them to do, because there's so much change that needs to happen. We need everybody as much as possible to be working at their ability. So wherever we can fix injury, we should. So so one is where do I get an understanding of how this injury impacts my life? And I think different cognitive psychology, I think CBT, DBT, these things are very, very good in general. Margaret 49:22 I know what those are, but can you explain. Smokey 49:22 Cognitive Behavioral Therapy, Dialectical Behavioral Therapy. These all come out of cognitive psychology from the 50s. Our techniques, but most therapists use versions of this anyway. So just going to therapy, what it is doing initially, is trying to, like the physical therapist, tell you, "This is the injury you have. This is why it's causing you to limp, or why you have weakness in your arm and wrist. And what we're going to do is we're going to give you some techniques to build up, usually the muscles, or whatever else needs to be built up around it so that you will be able to get more use out of your hand." And that is what we need to do with people that have this chronic injury. So, one, is you need to find out how the injury is impacting. So, I'm drinking more, I'm getting angry more, or I'm having trouble making relationships, or I'm having, and there's a series of, you know, 50 year old techniques to really kind of get down and see, okay, this injury is causing these things, that's how it's impacting me, and I don't want to drink more, or I want to be able to sleep better, or I want to be able to focus, or I want to be able to have meaningful relationship with my partner or my children or whatever, whatever that is, right? And then there are techniques, and they're developing new techniques, all the time, there's like EMDR, which is an eye thing that I don't fully understand. There DBT, dialectical behavioral therapy, has a lot of techniques that you kind of practice in groups. As you know, we have mutual aid cell therapy, MAST, which is also a group where you're sharing techniques to build up these different things and resilience. So, community, and meaning, and all those...reframing all those kinds of things. So, but they shouldn't, despite the length of the injury, how long you've been injured, how long you've been limping, and how much it's affected other parts of your psychic body in a way. These are things that still should be able to be remediated relatively quickly. Smokey 49:31 That's exciting. Yeah. Smokey 50:10 But this is not a lifelong thing. Now, that doesn't mean, if you're traumatized as a child for example, it's sort of like if you've completely shattered your wrist bone, and they've put in pins and things like that, that wrist, may never have the flexibility, it did, the actual wrist bone, you know, the bones in the wrist. But by building muscles, and other things around it, you could then theoretically have full flexibility that you had before, right? But it's not the actual wrist bone, but that that injury is still there. You've built up...Sometimes it's called strength-based approach or model where you're building up other strengths, you have to relieve the impact that that injury, so like, a common thing with with trauma is trust. My trust is very damaged. My ability to trust others, or trust certain environments, or maybe trust myself, right, is completely damaged. So if, if my...and that may never fully heal, that's like my shattered wrist bone. So then, by building up, let's say, I don't trust myself, I did something, really fucked up myself, you know, psychologically, traumatically, but by building up trust in others, and then in the environment, or other things, that can mediate that damage or vice versa. Margaret 53:53 You mean vice versa, like if you? Smokey 53:59 Like, if my problem is a trust of others, or trust with strangers, or trust with friends, you know, I've been betrayed in a really traumatic way by my mother, or my father or uncle or something like that then, you know, building up my friendships to a really strong degree will reduce and eventually eliminate, hopefully erase the impact of that injury on the rest of my life. I'm not doomed to have dysfunctional relationships, lack of sleep, alcoholism or whatever are the symptoms of that traumatic event, that chronic traumatic event. Margaret 54:54 Okay, so my next question is, and it's sort of a leading question, you mentioned MAST earlier and I kind of want to ask, like, do we need specialists for all of this? Do we have people who both generalize and specialize in this kind of thing? Are there ways that, you know, we as a community can, like, get better at most of this stuff while then some of it like, you know, obviously people specialize in and this remains useful? Like... Smokey 55:22 You need. I wouldn't say...You need, you do need specialists, not for their knowledge, per se so much as they're there for people that the injury has gone on so long that the resiliency, all those other things, they don't have a social network, they haven't had time, because the damage happened so early to build up those reserves, that that person in the front row, the front row, the seats are empty. That is, it's really great we live...Now, in other cultures, the specialists were probably shamans, religious people, mentors, things like that, that said, "Okay, my role is to," all therapy is self therapy. That was Carl Rogers, he was quite correct about that. The specialist you're talking about are the kind of stand in for people who don't have people to do that. I would argue all real therapy is probably community therapy. It's relational. So if you have friends, if you have community, if you have a place, or places you find belonging, then theoretically, no, I don't think you need....I think those groups, and I think most specialists would agree to actually, those groups, if they're doing this can actually do a much better job for that individual. They know that individual and there's a natural affinity. And there there are other non specifically therapeutic benefits for engaging in re engaging in these things that have nothing to do with the injury that are just healthy, and good to you. So sort of like taking Ensure, Ensure will keep you alive when you're you've had some surgery, you've had some really bad injury, or if you need saline solution, right? But we're not suggesting people walk around with saline bags. There are better ways to get that, more natural ways to get that. I'm not talking alternative, psychiatric or, you know, take herbs instead of psychiatric medication. But there are better ways to do that. And I think, but I'm glad we have saline. Margaret 58:08 Yeah, Smokey 58:08 I think it saves a lot of people's lives. But, we would never give up the other ways to get nutrients because of other benefits to it. You know, sharing a meal with people is also a really good thing. Margaret 58:21 And then even like from a, you know, the advantages of community, etc. I'm guessing it's not something that's like magically imbued in community. It's like can be something that communities need to actually learn these skills and develop like, I mean, there's a reason that well, you know, I guess I'm reasonably open about this. I used to have like fairly paralyzing panic attacks, and then it started generalizing. And then, you know, a very good cognitive behavioral therapist gave me the tools with which to start addressing that. And that wasn't something I was getting from....I didn't get it from my community in the end, but I got it from a specific person in the community, rather than like, everyone already knows this or something. Smokey 59:03 Well, I think what we're doing right here is, is....I mean, people don't know. So they read....People were trying to help you from your community. Undoubtedly, with the right. intentions, and the right motives, but without the information on what actually works. Margaret 59:27 Yep. Smokey 59:28 And that's all that was happening there. Margaret 59:30 Yeah, totally. Smokey 59:31 So, it's really, you know, as cliche as it sound. It's really about just giving people some basic tools that we already had at one time. Margaret 59:44 Yeah. Smokey 59:45 Forgot, became specialized. So you know, I'm throwing around CBT, DBT, EMDR. None of that people can keep in their head. They will....The audience listening today are not going to remember all those things. And nor do they have to. But they have to know that, you know, reconnecting to the horse, but not telling people to get back on the horse, that kind of tough love kind of thing isn't going to work, but neither is the self care, take a bubble bath... Margaret 1:00:19 Never see a horse again, run from a horse. Smokey 1:00:21 Never see a horse, again, we're not even going to talk about horses, let's go do something else, isn't going to work either. And I think once we...you know, it's not brain science...Though it is. [laughs] It is pretty, you know, these are, and you look at how religions do this, you know, you look at how the military does this, you look at how like, fascists do this, you know, all sorts of groups, communities can do this fairly effectively. And it doesn't cost money. It's not expensive. You don't have to be highly educated or read all the science to be able to do that. And people naturally try, but I think a lot of the self help kind of gets in the way. And some people think they know. "Okay, well, this is what needs to happen, because I saw on Oprah." That kind of thing. " Margaret 1:01:26 Yeah, Well, I mean, actually, that's one of the main takeaways that's coming from me is I've been, I've been thinking a lot about my own mental health first aid on a fairly individual basis, right? You know, even though it was community, that helped me find the means by which to pull myself out of a very bad mental space in that I was in for a lot of years. But I still, in the end was kind of viewing it as, like, "Ah, someone else gave me the tools. And now it's on me." It's like this individual responsibility to take care of myself. And, and so that's like, one of the things that I'm taking as a takeaway from this is learning to be inter-reliant. Smokey 1:02:06 There isn't enough research on it, again, because of our individualistic nature, and probably because of variables. But there's certainly tons of anecdotal evidence, and having done this for a long time talking to people and how the place I work is particularly set up, helping others is a really great way to help yourself. Margaret 1:02:30 Yeah. Smokey 1:02:31 it really works. It's very, I mean, obviously, in the Greeks, you know, you have the 'wounded healer,' kind of concept. Many indigenous traditions have said this much better than the Western. And I believe they have...and they needed to, but they had a much better kind of understanding of these things that we're we're talking about. You know, it. So, where people can...and I've heard this podcast, your podcast too, talking about this ability to be, you know, have self efficacy. But it's more than self efficacy. It's really helping others. Margaret 1:03:22 Yeah. Smokey 1:03:23 And that, that is really powerful. And there's not enough research on that. And I think that's why support groups, I think that's why, you know, AA, despite all its problems, has spread all over the world and has been around for, you know, 75 years, and is not going to go away anytime soon. Despite some obvious problems, is there's that there's that... they hit upon that they they re discovered something that we always kind of knew. Margaret 1:03:59 Yeah. Okay, well, we're coming out of time. We're running out of time. Are there any last thoughts, things that I should have asked you? I mean, there's a ton we can talk about this, and I'll probably try and have you on to talk about more specifics in the near future. But, is there anything anything I'm missing? Smokey 1:04:15 No, I think I think just re emphasizing the end piece that you know, for people that have resources, communities, meaning, social network, you know, that is worth investing your time and your energy into because that's going to build your...if you want to get psychologically strong, that is the easiest and the best investment, Put down the self help book. Call your friend. You know, don't search Google for the symptoms of this, that, or the other thing. Connect to what's important to you. And then lastly, try to help others or help the world in some way. And those are going to be profound and effective ways to build long lasting resilience as an individual. As a community, we should design our communities around that. Margaret 1:05:35 Yeah. All right. Well, that seems like a good thing to end on. Do you have anything that you want to plug like, I don't know books about mutual aid self therapy or anything like that? Smokey 1:05:46 I want to plug community. That's all I want to plug. Margaret 1:05:50 Cool. All right. Well, it's nice talking to you, and I'll talk to you soon. Smokey 1:05:54 Yep. Margaret 1:06:00 Thank you so much for listening. If you enjoyed this podcast, please tell people about it. Actually, I mean, honestly, if you enjoyed this episode, in particular, like think about it, and think about reaching out to people, and who needs to be reached out to and who you need to reach out to, and how to build stronger communities. But if you want to support this podcast, you can tell people about it. And you can tell the internet about it. And you can tell the algorithms about it. But, you can also tell people about it in person. And you can also support it by supporting the, by supporting Strangers In A Tangled Wilderness, which is the people who produce this podcast. It's an anarchist publishing collective that I'm part of, and you can support it on Patreon at patreon.com/strangersinatangledwilderness. And if you support at pretty much any level, you get access to some stuff, and if you support a $10 you'll get a zine in the mail. And if you support at $20, you'll get your name read at the end of episodes. Like for example, Hoss the dog, and Micahiah, and Chris, and Sam, and Kirk, Eleanor, Jennifer, Staro, Cat J, Chelsea, Dana, David, Nicole, Mikki, Paige, SJ, Shawn, Hunter, Theo, Boise Mutual Aid, Milica, and paparouna. And that's all, and we will talk to you soon, and I don't know, I hope you all are doing as well as you can. This podcast is powered by Pinecast. Try Pinecast for free, forever, no credit card required. If you decide to upgrade, use coupon code r-69f62d for 40% off for 4 months, and support Live Like the World is Dying.

In this week's episode of The ADHD Women's Wellbeing Podcast, Kate is joined by Dr Judith Mohring, an internationally respected consultant organisational psychiatrist, coach, therapist and trainer with over 25 years' experience working across clinical, leadership and organisational settings.Judith brings a deeply compassionate and clinically grounded perspective to understanding ADHD in women, particularly through the lens of hormones, emotional regulation, stress and life stages.Drawing on her work training clinicians, leaders and organisations, and her passion for psychoeducation, this conversation gently challenges the idea that ADHD is static or one-size-fits-all.My new book, The ADHD Women's Wellbeing Toolkit, is now available, grab your copy here!Key Takeaways:What it really means for neurodivergence to be diverseThe role hormonal changes (including perimenopause, PMDD and postmenopause depression) play in emotional overwhelm for womenThe impact of falling progesterone during perimenopause on ADHD symptoms, anxiety and emotional regulationWhy emotional regulation can feel more difficult during periods of stress, ageing or major life transitionsThe value of ADHD psychoeducation and neurodiversity education in helping women understand their brains and advocate for mental health supportHow greater understanding of neurobiology can reshape the way we approach self-careThe practical role of DBT for ADHD, including mindfulness and emotion regulation tools, in everyday lifeHow building an ecosystem of ADHD lifestyle tools (including mindfulness, sleep, movement and community) can support long-term wellbeingWhy raising ADHD awareness and education is essential for compassionate, effective careThis is a validating and empowering episode that invites you to see your ADHD not as something to fix, but as something to understand — with flexibility, curiosity, and kindness.Timestamps: 10:33: Empowering Women with ADHD: Advocacy and Support14:40: Understanding ADHD and Emotional Regulation23:08: The Ecosystem of Neurodiversity28:03: Transitioning from Medication to Holistic Wellbeing35:44: The Power of Journaling and Externalising ThoughtsJoin the More Yourself Community - the doors are now open!More Yourself is a compassionate space for late-diagnosed ADHD women...

You Recovered From Your Eating Disorder, So Why Are You Still Anxious?This is a solo episode that hits different.I'm addressing something I'm hearing from clients constantly: "I've stopped restricting. I'm eating freely. I haven't binged or purged in months. I'm doing all the work, Victoria, but I'm still having panic attacks. I'm still depressed. Sometimes I'm more anxious now than when I had the eating disorder. Have I done something wrong?"The answer is no. You've actually uncovered what was there all along.This episode is for you if:• You're recovered (or nearly recovered) but still struggling with anxiety, depression, panic, or shutdown• You feel like recovery was supposed to fix everything, but you're still a mess• You're wondering if you failed at recovery or if something's wrong with you• The eating disorder was actually numbing what's underneath• You're grieving the loss of your coping mechanism• You want to know what the fuck to do about itIn this episode, we cover:✨ Why recovery can actually make anxiety and depression feel worse✨ The eating disorder as a coping mechanism — what it was really managing✨ The window of tolerance and nervous system dysregulation explained✨ Why your nervous system is swinging between panic and shutdown✨ Hyper arousal vs hypo arousal — and which bank you're hitting✨ How trauma and childhood overwhelm shaped your window of tolerance✨ Why the eating disorder communicated what you couldn't say✨ You are NOT a victim to your nervous system — you can manage it✨ Up-regulation tools for when you're flat, numb, and depressed✨ Down-regulation tools for when you're panicking, anxious, and overwhelmed✨ The STOP skill from DBT — interrupt the automatic response✨ Natural reframes to stop the shame spiral✨ How to widen your window of tolerance intentionally and slowly✨ It's not about avoiding the banks — it's about your relationship to them✨ Practicing at your edge consistently until it expands✨ Using fear foods as nervous system expansion work✨ Why this is the real recovery work nobody talks aboutPowerful quotes from the episode:

Endorsed by the world's most respected experts in psychology, spirituality, wellness, and dating, Kailen Rosenberg is redefining what it means to create and sustain, love in the modern world. Since 1994, Kailen has been helping individuals and couples heal from the inside out. A certified Master Life, Love, and Relationship Coach with specialized training in trauma, love addiction, DBT, and spiritual psychology, she's guided thousands toward emotional health, authentic connection, and purpose-driven lives. Kailen is the author of Real Love, Right Now (Simon & Schuster), and the founder of The Love Architects®, the world's first holistic love design and love life management firm for elite and successful singles.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Marsha Linehan finds the core principles of DBT in a Buddhist monastery, challenges the psychoanalytic establishment, and returns to the hospital where her journey started.CME: Take the CME Post-Test for this EpisodePublished On: 01/12/2026Duration: 16 minutes, 50 secondsChris Aiken, MD and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

What does a Wyoming girl do every time she visits the family farm?Beth Hlabse joins us for this edition of Storytellers and a glimpse of the grandeur, quiet, and beauty of her childhood home.Send us a text. We can't respond directly, but we're excited to hear what's on your mind!Click here to register for the DBT group from Jan. 20 - March 24, 2026 (MN & WI residents only)Support the showThank you for listening, and a very special thank you to our community of supporters! Visit us online at thiswholelifepodcast.com, and send us an email with your thoughts, questions, or ideas.Follow us on Instagram & FacebookInterested in more faith-filled mental health resources? Check out the Martin Center for IntegrationMusic: "You're Not Alone" by Marie Miller. Used with permission.

Kate and Michelle answer listener questions about how to regulate emotions instead of suppressing them, managing anxiety about work, what to do when a provider violates your trust, and the impact chronic pain can have on relationships.Support the showWant to get 15% off of ALL Guilford Press titles? Use this link (code is DBTME at checkout): https://www.guilford.com/dbtmeIf you want to sign up for Kate's free DBT peer support group, you can sign up here: https://www.eventbrite.com/e/dbt-discussion-group-tickets-518237601617Check out our Etsy shop for DBT-inspired items and our journaling workbook (only $7.50!): https://www.etsy.com/shop/dbtandmeOur book, "DBT for Everyone" is available! Order your copy on Amazon here: https://www.amazon.com/Dbt-Everyone-Pitfalls-Possibilities-Better/dp/1839975881/Consider providing ongoing support to the podcast by becoming a patron at https://www.patreon.com/dbtandmeYou can join our facebook community here: https://www.facebook.com/groups/dbtandmepodcastCheck out our other podcast, The Couch and The Chair, on Apple Podcasts (https://podcasts.apple.com/gb/podcast/the-couch-and-the-chair/id1554159244) or on Spotify (https://open.spotify.com/show/3MZ8aZPoRKxGmLtFcR4S4O)If you need support/have questions, email us at dbtandmepodcast@gmail.com

In this clinically grounded episode of The Birth Trauma Mama Podcast, Kayleigh is joined by Kina Wolfenstein, LCSW, therapist, educator, and certified trainer in Coherence Therapy, for a deep dive into a lesser-known but incredibly powerful trauma modality.Together, they explore what coherence therapy is, how it differs from more familiar approaches like EMDR, CBT, and IFS, and why it can be especially effective for birth trauma, medical trauma, and complex attachment wounds.Kina explains how coherence therapy views symptoms not as pathology, but as coherent responses rooted in emotional learnings and how true healing happens through memory reconsolidation, an innate brain process that allows those learnings to be updated at the root.This episode speaks directly to survivors who say, “I understand why I feel this way, but nothing changes,” and to clinicians looking for more precise, bottom-up tools for trauma healing.In this episode, we discuss:✨ What coherence therapy is and why so few people have heard of it

Comments or feedback? Send us a text! In this episode, we are joined by Dr. Jesse Finkelstein to discuss Real Skills for Real Life, co-authored with Dr. Shireen Rizvi. The book offers a practical, accessible introduction to Dialectical Behavior Therapy (DBT), translating a well-established clinical framework into skills that can be applied in everyday life.Rather than focusing on diagnoses, Real Skills for Real Life centers on universal human experiences—stress, emotional overwhelm, relationship challenges, and loss—and presents DBT as a compassionate, skills-based approach to navigating them. The conversation broadly explores how DBT balances acceptance and change, why a skills-focused lens can reduce shame, and how evidence-based psychological tools can be used outside the therapy room.This episode is relevant for clinicians, students, and general listeners interested in grounded, practical approaches to emotion regulation, relationships, and resilience in an increasingly complex world.Jesse Finkelstein, PsyDDr. Jesse Finkelstein is a licensed clinical psychologist and DBT trainer based in New York City. He earned his PsyD from Rutgers University, where he received extensive training in DBT under the mentorship of Dr. Rizvi. He has since built a clinical practice specializing in emotion regulation, anxiety, and interpersonal effectiveness.Dr. Finkelstein is known for his engaging teaching style and his ability to translate complex psychological concepts into clear, practical guidance for both clinicians and the general public. In addition to his clinical work, he provides DBT training and consultation and is committed to making evidence-based skills approachable, flexible, and relevant to everyday life.Shireen L. Rizvi, PhD, ABPPDr. Shireen Rizvi is a licensed clinical psychologist, Professor of Clinical Psychology at Rutgers University, and an internationally recognized expert in Dialectical Behavior Therapy. She trained under Dr. Marsha Linehan at the University of Washington and later founded the Rutgers DBT Clinic, where she has played a central role in training clinicians and advancing the dissemination of evidence-based care.Dr. Rizvi's research and clinical work focus on emotion regulation, trauma, and the application of DBT across diverse clinical and real-world contexts. She is board certified in Behavioral and Cognitive Psychology and is the author of numerous peer-reviewed publications and books, including Chain Analysis in Dialectical Behavior Therapy. She is widely respected for bridging rigorous clinical science with compassionate, accessible teaching.Website: https://www.shireenrizvi.comRutgers University Profile / Rutgers DBT Clinic: https://psych.rutgers.edu/academics/clinical-psychology/clinical-faculty/shireen-l-rizviTwitter (X): https://twitter.com/ShireenRizviLinkedIn: https://www.linkedin.com/in/shireen-rizvi-phd/Jesse Finkelstein, PsyDWebsite: https://www.drfinkelstein.comInstagram: https://www.instagram.com/drjessefinkelstein/LinkedIn: https://www.linkedin.com/in/jessefinkelstein/

"But a Samaritan traveler who came upon him was moved with compassion at the sight."~ Luke 10:33How can I better support my loved one who suffers with mental illness?What is the Church's place in caring for those with mental illnesses?Is it possible to choose my responses instead of just reacting?In episode 90, Kenna & Pat welcome Beth Hlabse, program director of the Fiat Program on Faith and Mental Health at the University of Notre Dame, for an honest conversation about loving and supporting people with mental illness. Drawing on personal stories, professional expertise, and Catholic teaching, the episode explores the complexities of mental health through the lens of accompaniment, compassion, and community. Beth shares practical wisdom for churches and families, highlighting the importance of seeing the gifts and goodness of every person beyond their diagnosis, setting healthy boundaries, and moving from reactive to responsive support. Listeners are invited to reflect on their own biases and discomfort, discovering pathways to deeper empathy, hope, and belonging—especially in faith communities. Whether you're walking this journey yourself or supporting someone you love, this episode offers encouragement and tangible steps toward stronger, more healing connections.Beth Hlabse is the program director for the Fiat Program on Faith and Mental Health at the McGrath Institute for Church Life at the University of Notre Dame. As a mental health counselor, Beth has provided therapeutic care for adolescents and adults with histories of trauma and adverse child experiences. Beth graduated from the University of Notre Dame in 2011 and she obtained her masters in clinical mental health counseling from Divine Mercy University. Beth and her husband Pete live in South Bend, Indiana.Episode 90 Show NotesReflection QuestionsChapters:0:00: Introduction and Highs & Hards18:40: Acknowledging my past to inform my future29:00: Loving others in the midst of mental illness42:07: Isolation: a cause and effect of mental illness54:03: Healthy boundaries in relationship with others with mental illness59:01: Challenge By ChoiceSend us a text. We can't respond directly, but we're excited to hear what's on your mind!Click here to register for the DBT group from Jan. 20 - March 24, 2026 (MN & WI residents only)Support the showThank you for listening, and a very special thank you to our community of supporters! Visit us online at thiswholelifepodcast.com, and send us an email with your thoughts, questions, or ideas.Follow us on Instagram & FacebookInterested in more faith-filled mental health resources? Check out the Martin Center for IntegrationMusic: "You're Not Alone" by Marie Miller. Used with permission.

What is eldest daughter syndrome? While it's not a clinical term it can be defined as an informal, non-clinical term used to describe a common pattern of emotional and behavioral experiences often reported by oldest daughters in families. It is not a medical or DSM diagnosis, but a social and psychological concept. It typically refers to the experience of taking on excessive responsibility, caregiving, or emotional labor at a young age, sometimes at the expense of one's own needs. Kayleigh is here to talk about her experience having 6 siblings and often being the caretaker to the oldest three that she grew up with. Thank you Kayleigh for joining us on the pod! Send us a text message to be anonymously read and responded to! Support the showYou can find Sara on Instagram @borderlinefromhell. You can also find the podcast on IG @boldbeautifulborderline Corey Evans is the artist for the music featured. He can be found HERE Talon Abbott created the cover art. He. can be found HERE Leave us a voicemail about your thoughts or questions on the show at boldbeautifulborderline.comIf you like the show we would love if you could rate, subscribe and support us on Patreon. Patreon info here: https://www.patreon.com/boldbeautifulborderline?fan_landing=true Purchase Sara's Exploring Your Borderline Strengths Journal at https://www.amazon.com/Exploring-Your-Borderline-Strengths-Amundson/dp/B0C522Y7QT/ref=sr_1_1?crid=IGQBWJRE3CFX&keywords=exploring+your+borderline+strengths&qid=1685383771&sprefix=exploring+your+bor%2Caps%2C164&sr=8-1 For mental health supports: National Suicide Pr...

Read the full transcript here. How can we distinguish “real CBT” from supportive talk - does it include homework, clear goals, or a manualized plan? When therapy “doesn't work,” is it the modality, the match, or weak training? Are common factors enough once symptoms disrupt daily life? Why does fragmented care push patients to choose meds or therapy by luck of first contact? When are meds a useful boost versus a detour from solving life problems? What's distinct about DBT—skills, validation, and balancing change with acceptance? How does radical acceptance cut suffering without excusing harm? Which skills travel across diagnoses? How do we prevent therapist burnout and drift from the model? If we want durable gains, should we favor therapies that teach skills we keep after treatment ends? Shireen Rizvi is a licensed clinical psychologist, board certified in Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT). She obtained her BA from Wesleyan University and her MS and PhD from the University of Washington. Links: Shireen's Videos Shireen's Books Staff Spencer Greenberg — Host + Director Ryan Kessler — Producer + Technical Lead WeAmplify — Transcriptionists Igor Scaldini — Marketing Consultant Music Broke for Free Josh Woodward Lee Rosevere Quiet Music for Tiny Robots wowamusic zapsplat.com Affiliates Clearer Thinking GuidedTrack Mind Ease Positly UpLift [Read more]

When do you know that you're meant to marry someone? How much do you ever really know?? Mike & Alicia Hernon of the Messy Family Project share the story of their friendship, dating, and discernment with loads of wisdom for anyone at any stage of their vocation journey.Send us a text. We can't respond directly, but we're excited to hear what's on your mind!Click here to register for the DBT group from Jan. 20 - March 24, 2026 (MN & WI residents only)Support the showThank you for listening, and a very special thank you to our community of supporters! Visit us online at thiswholelifepodcast.com, and send us an email with your thoughts, questions, or ideas.Follow us on Instagram & FacebookInterested in more faith-filled mental health resources? Check out the Martin Center for IntegrationMusic: "You're Not Alone" by Marie Miller. Used with permission.

Join Dr. David Puder and renowned psychodynamic expert Dr. Frank Yeomans in this Q&A episode on countertransference, transference, and projective identification in psychotherapy. Drawing from object relations theory and Transference-Focused Psychotherapy (TFP), Dr. Yeomans illustrates these concepts with real clinical examples. Explore how therapists can harness countertransference to deepen empathy, how this differs from DBT, the challenges of training, and the limitations of AI in therapy.  By listening to this episode, you can earn 1.75 Psychiatry CME Credits. Link to blog Link to YouTube video

Forrest is joined by psychiatrist Dr. Blaise Aguirre to discuss Borderline Personality Disorder (BPD) and Dialectical Behavioral Therapy (DBT). They explore how extreme emotional sensitivity can lead to despair, self-hatred, suicidality, and an intense fear of abandonment, and how DBT can teach the skills needed to regulate those feelings. They discuss the nature of self-hatred, how to change the stories you've told about yourself, and how their insight and empathy can make people with BPD some of his favorite clients to work with. About our Guest: Dr. Blaise Aguirre is the medical director of 3East at McLean Hospital, a residential DBT program for adolescents and young adults, and is an assistant professor of psychiatry at Harvard Medical School. He's also the co-author of a number of books including DBT for Dummies, and the author of I Hate Myself: Overcome Self-Loathing and Realize Why You're Wrong About You. Key Topics:  0:00: Introduction 4:05: Common features of BPD 15:16: Skill-building versus narrative work in therapy 22:10: What DBT looks like in practice 27:02: DBT skills: mindfulness, dialectic thinking, and opposite action 33:43: How to shift self-hatred 49:22: Stigmatization of BPD 53:25: BPD versus CPTSD 58:52: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Listen to Turning Points: Navigating Mental Health wherever you get your podcasts. Follow the show so you never miss an episode.  Level up your bedding with Quince. Go to Quince.com/BEINGWELL for free shipping on your order and three hundred and sixty-five -day returns. If you are exploring whether you might be neurodivergent, check out Hyperfocus with Rae Jacobson.  Skylight is offering our listeners $20 off their 10 inch Skylight Frame by going to myskylight.com/BEINGWELL. Go to Zocdoc.com/BEING to find and instantly book a top-rated doctor today. Sign up for a one-dollar-per-month trial period at shopify.com/beingwell.  Learn more about your ad choices. Visit megaphone.fm/adchoices