Podcasts about Generalized anxiety disorder

Send Me a Message! Awake up at 4 AM and recording from my car, I'm sharing some thoughts during a tough winter period where both physical illness and mental health challenges have been colliding. Winter has always been difficult for me, and getting sick complicates many of my energy-dependent coping strategies for managing my mental ill health. Burnout is a tough foe to battle, along with the various disorders that I'm up against. But the fight for peace of mind rages on! —Follow my journey through the chaos of mental illness and the hard-fought lessons learned along the way.Lived experience is at the heart of this podcast — every episode told through my own lens, with raw honesty and zero filter.This is a genuine and vulnerable account of how multiple psychological disorders have shaped my past and continue to influence my future.Support the showTo support the show, CLICK HEREYou can follow me on Instagram: @elliot.t.waters

Send Me a Message! Follow my journey through the chaos of mental illness and the hard-fought lessons learned along the way.Lived experience is at the heart of this podcast — every episode told through my own lens, with raw honesty and zero filter.This is a genuine and vulnerable account of how multiple psychological disorders have shaped my past and continue to influence my future.Support the showTo support the show, CLICK HEREYou can follow me on Instagram: @elliot.t.waters

Cybin Inc. CEO Doug Drysdale joined Steve Daring from Proactive to announce that the United States Patent and Trademark Office has granted U.S. patent 12,318,477, bolstering the company's intellectual property portfolio around its CYB004 program. CYB004 is a deuterated DMT compound being developed for the treatment of generalized anxiety disorder. The patent, which offers protection until 2040, includes claims covering novel formulations of DMT and deuterated isotopologues for intramuscular (IM) injection. Drysdale explained that IM administration offers a more patient-friendly dosing option, with the potential to deliver rapid-acting, short-duration relief for anxiety disorders. Drysdale emphasized the significance of intellectual property protection in the biotech sector, noting that Cybin now holds more than 80 granted patents and approximately 220 pending applications. He said this growing portfolio supports the company's position as a leader in the psychedelic medicine space and helps safeguard its investment in drug development. In addition to the CYB004 program, Cybin is progressing into Phase 3 trials for its lead depression treatment candidate, which has received Breakthrough Therapy Designation from the FDA. The first Phase 3 study is already underway, with a second expected to begin around mid-year. The company is also conducting a separate Phase 2 trial targeting anxiety, with results anticipated in the same timeframe. Drysdale concluded by noting that these milestones mark an important inflection point for the company as it moves closer to bringing new mental health treatments to market. #proactiveinvestors #cybininc #nyseamerican #ctbn #MentalHealth #PsychedelicTherapy #DepressionTreatment #BiotechNews #DougDrysdale #FDAapproval #ClinicalTrials #AnxietyTreatment #ProactiveInvestors

On this episode, we evaluate current guidelines and evidence-based treatment strategies for managing GAD. We define generalized anxiety disorder (GAD) and describe its clinical presentations, diagnostic criteria, and underlying pathophysiology. We also compare and contrast the efficacy, safety profiles, and appropriate use of anxiolytic medications, cognitive behavioral therapy, and lifestyle modifications in treating GAD. Dr. David Osser's Website: https://psychopharm.mobi/algo_live/ Cole and I are happy to share that our listeners can claim ACPE-accredited continuing education for listening to this podcast episode! We have continued to partner with freeCE.com to provide listeners with the opportunity to claim 1-hour of continuing education credit for select episodes. For existing Unlimited (Gold) freeCE members, this CE option is included in your membership benefits at no additional cost! A password, which will be given at some point during this episode, is required to access the post-activity test. To earn credit for this episode, visit the following link below to go to freeCE's website: https://www.freece.com/ If you're not currently a freeCE member, we definitely suggest you explore all the benefits of their Unlimited Membership on their website and earn CE for listening to this podcast. Thanks for listening! If you want to support the podcast, check out our Patreon account. Subscribers will have access to all previous and new pharmacotherapy lectures as well as downloadable PowerPoint slides for each lecture. If you purchase an annual membership, you'll also get a free digital copy of High-Powered Medicine 3rd edition by Dr. Alex Poppen, PharmD. HPM is a book/website database of summaries for over 150 landmark clinical trials.You can visit our Patreon page at the website below:  www.patreon.com/corconsultrx We want to give a big thanks to Dr. Alex Poppen, PharmD and High-Powered Medicine for sponsoring the podcast..  You can get a copy of HPM at the links below:  Purchase a subscription or PDF copy - https://highpoweredmedicine.com/ Purchase the paperback and hardcover - Barnes and Noble website We want to say thank you to our sponsor, Pyrls. Try out their drug information app today. Visit the website below for a free trial: www.pyrls.com/corconsultrx We also want to thank our sponsor Freed AI. Freed is an AI scribe that listens, prepares your SOAP notes, and writes patient instructions. Charting is done before your patient walks out of the room. You can try 10 notes for free and after that it only costs $99/month. Visit the website below for more information: https://www.getfreed.ai/  If you have any questions for Cole or me, reach out to us via e-mail: Mike - mcorvino@corconsultrx.com Cole - cswanson@corconsultrx.com

Imani came to the show to talk about America's favorite symptom: anxiety. In the last few months, the anxiety that Imani has suffered since middle school has increased significantly, and she has no idea why. The question is particularly tricky because Imani has much less content than our usual guest. Renée is up for the challenge, though! She investigates, combing through Imani's childhood and adolescence, ultimately separating her functional anxiety from her dysfunctional anxiety, her trauma from her stress, and her physiological symptoms from her psychological symptoms. By the end, Imani has a comprehensive plan for resolving her layers of distress. If you need a refresher course on anxiety, this is the episode for you. Plus, Renée delivers a new chapter of The Rodent Chronicles in the intro!Support the show

Send Me a Message! When silence falls on The Dysregulated Podcast, it usually means something's amiss. Today, I'm breaking that silence with a raw, unfiltered check-in from the front seat of my car at Nobbys Beach during an East Coast Low storm system. Despite feeling spaced-out and fatigued, I needed to let you know: I'm still here, still fighting.The past week has been unlike anything I've experienced before – mood swings cycling every 5-10 seconds, bouncing between slightly depressed and deeply depressed states all day long. It's left me completely drained. Yet here I am, forcing myself awake when I'd normally be sleeping for days, seeking mindfulness in the midst of a coastal storm. There's something about standing in driving rain and howling wind that grounds me completely in the present moment – perhaps my own unique form of meditation.My journey to taper off psychiatric medications remains stalled, with NSW Health not providing the responses I'd hoped for. I'm exploring Plan B, C, and D options, though doing this without proper support feels daunting. The contrast couldn't be starker when it comes to therapy – I've experienced major breakthroughs with Internal Family Systems therapy that I can't wait to share once I can properly articulate them. Watch for upcoming therapy reflection episodes where I'll dive deep into these transformative sessions. For those who've been worried about my silence, thank you for your concern. This path isn't linear, but I'm still trucking along. Have you found unexpected sources of mindfulness in your own journey? Share your experiences in the comments or reach out directly.--Follow my journey living with mental illness and the hard-fought lessons learned along the way. Lived experience is the driving force of this podcast, and through this lens, my stories are told. This is a raw, honest, and authentic account of how multiple psychological disorders have shaped my past and continue to influence my future.Support the showTo support the show, CLICK HEREYou can follow me on Instagram: @elliot.t.waters

Send Me a Message! Follow my journey living with mental illness and the hard-fought lessons learned along the way. Lived experience is the driving force of this podcast, and through this lens, my stories are told. This is a raw, honest, and authentic account of how multiple psychological disorders have shaped my past and continue to influence my future.Support the showTo support the show, CLICK HEREYou can follow me on Instagram: @elliot.t.waters

Send Me a Message! The next instalment of the "My Journal" series sees me having a look at a very recent entry. So recent in fact it was written just yesterday. Unfortunately the tone of the writing is bleak. I explain how across all facets of my life there is pressure building. Pressure for change, the need to perform, and how anxiety derails every effort that I make. No podcast goes this deep into what it is like living with mental ill health. -- Follow my journey living with mental illness and the hard-fought lessons learned along the way. Lived experience is the driving force of this podcast, and through this lens, my stories are told. This is a raw, honest, and authentic account of how multiple psychological disorders have shaped my past and continue to influence my future.Support the showTo support the show, CLICK HEREYou can follow me on Instagram: @elliot.t.waters

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

In this episode, we review the high-yield topic of⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠Generalized Anxiety Disorder⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠from the Psychiatry section.Follow⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets

Send Me a Message! This week, anxiety hit me in a way that genuinely scared me. Not just the usual panic or dread—but the fear of anxiety itself. When it spirals beyond my control, when I'm bedridden for days, sweating, hiding from the world, and feeling powerless to stop it… that's when the real bad thoughts creep in. I felt like anxiety could take me down at any moment, and I wouldn't be able to get back up.But somehow, I crawled out of my anxious den. I went for a run, got a haircut (despite the social anxiety!), and even found some joy watching the mighty Newcastle Knights claim victory. It was a brutal week, but I made it through. In this episode, I break down what it's like when anxiety becomes overwhelming, how I fought back, and what helped me regain control.--Follow my journey living with mental illness and the hard-fought lessons learned along the way. Lived experience is the driving force of this podcast, and through this lens, my stories are told. This is a raw, honest, and authentic account of how multiple psychological disorders have shaped my past and continue to influence my future.Support the showTo support the show, CLICK HEREYou can follow me on Instagram: @elliot.t.waters

Struggling with Generalized Anxiety Disorder (GAD)? Learn how to identify GAD, manage symptoms, and break the cycle with proven, science-backed strategies

Send Me a Message! Follow my journey living with mental illness and the hard-fought lessons learned along the way. Lived experience is the driving force of this podcast, and through this lens, my stories are told. This is a raw, honest, and authentic account of how multiple psychological disorders have shaped my past and continue to influence my future.Support the showTo support the show, CLICK HEREYou can follow me on Instagram: @elliot.t.waters

Text at 617-750-9411

Send Me a Message! In this follow-up to My Therapy Reflections #8 (Part A), I take a clearer look at why my workaholic identity is feeling under threat—and why that makes me so damn anxious. Like so many of my parts, the workaholic exists to protect me, keeping me constantly busy so life doesn't have the chance to bring me down. Always on guard, always working, always driven by pure anxiety. But maybe—just maybe—building my entire identity around being the hardest worker in the room isn't the healthiest way forward. Maybe there's a better way. Or maybe I'm just a confused kid with autism and BPD, struggling with identity and anxieties that never seem to let up. Watch this space though, because I'm determined to figure out what on earth I should be aiming at!--Follow my journey living with mental illness and the hard-fought lessons learned along the way. Lived experience is the driving force of this podcast, and through this lens, my stories are told. This is a raw, honest, and authentic account of how multiple psychological disorders have shaped my past and continue to influence my future.Support the showTo support the show, CLICK HEREYou can follow me on Instagram: @elliot.t.waters

Send Me a Message! In this episode of The Dysregulated Podcast, I reflect on an unusually difficult therapy session—one that left me feeling worse instead of better. My anxiety has been at an all-time high, and the very foundation of my workaholic sub-part is being challenged, leaving me feeling unsettled and unsure. It's been a massive day, even before therapy, and I break down the emotions, thoughts, and struggles that came with it. I'm a wounded warrior in this one.--Follow my journey living with mental illness and the hard-fought lessons learned along the way. Lived experience is the driving force of this podcast, and through this lens, my stories are told. This is a raw, honest, and authentic account of how multiple psychological disorders have shaped my past and continue to influence my future.Support the showTo support the show, CLICK HEREYou can follow me on Instagram: @elliot.t.waters

Send Me a Message! Following my last therapy session, my anxiety was still super high—so I decided to run with it! In this episode of The Dysregulated Podcast, I share how I went for a run (big deal) to help soothe my anxious mind. Did it fix everything? No. But did it help? Absolutely. Despite feeling so mentally drained, today turned out to be surprisingly productive—therapy sesh, two podcast episodes, and a run even! Sometimes, you just gotta show up and face anxiety head-on. Support the showTo support the show, CLICK HEREYou can follow me on Instagram: @elliot.t.waters

Ever feel like you're juggling a million responsibilities but can't shake the stress? That feeling that at any time it could all drop away? You're not alone. In this powerful episode, Coach and Psychologist, Lily Sais, opens up about her personal battle with anxiety and orthorexia, sharing how she transformed her life from constant panic to inner peace. Here's what you'll hear:

Send Me a Message! Follow my journey living with mental illness and the hard-fought lessons learned along the way. Lived experience is the driving force of this podcast, and through this lens, my stories are told. This is a raw, honest, and authentic account of how multiple psychological disorders have shaped my past and continue to influence my future.Support the showTo support the show, CLICK HEREYou can follow me on Instagram: @elliot.t.waters

The Inner Circle Program: Ready for a 16-week transformative journey? Learn how to uncover and heal the subconscious blocks keeping you in anxiety. Visit the Inner Circle Page Today. If you're tired of being consumed by overthinking and anxious mental chatter, this episode is for you. Dennis shares relatable insights and strategies that you can start applying today to transform how you relate to your thoughts. But don't stop here—this episode dives deeper than ever into these techniques, so be sure to tune in for the full experience! Resources Mentioned: The Anxiety Guy Programs Surrender Session Meditations on YouTube Health Anxiety University (Support Group) Don't forget to Subscribe on Apple Podcasts and leave a review if this anxiety guy podcast episode resonated with you!

When Esther stopped taking a medication for generalized anxiety disorder, sleep became a struggle. New medication helped with her anxiety symptoms but a phobia of insomnia remained, no matter what she tried to do to get her sleep back on track. When we started working together, Esther began to make some changes to deal with her insomnia phobia in a different way. Instead of trying to control sleep, Esther refocused on controlling her actions. She explored and committed to new habits such as going to bed later at night, doing something more pleasant whenever she found herself struggling at night, doing things that mattered independently of sleep, and acknowledging her thoughts and feelings rather than battling with them. This new approach gave Esther more options. Options that helped her reduce the pressure she was putting on herself to make sleep happen and break free of the vicious cycle of more trying to sleep and more difficulty with sleep. As a result, insomnia lost the power and influence it once had over her. Watch/listen to this episode

In this episode, we review the high-yield topic of ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Generalized Anxiety Disorder⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠from the Psychiatry section at ⁠⁠⁠⁠⁠⁠Medbullets.com⁠⁠⁠⁠⁠⁠ Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets

Send Me a Message! In the latest instalment of The Dysregulated Podcast's "My Therapy Reflections" series, I continue using EMDR and Internal Family Systems Therapy to help uncover the source of my constant anxiety. This session led to the discovery of a new sub-personality: the Cognitive Overthinker—a part of me that's always on high alert, overanalysing every situation and is driven by anxiety all in an attempt to keep me safe.In this episode, I get to know this part of myself, reflecting on the overthinker's role in my life, how it's been looking out for me, and what it might take to rebuild trust between this part and my true self. Along the way, trains feature heavily (a classic autistic interest!), beautifully representing the anxiety and overthinking I experience in a way that I understand.Big session this one, uncovering more layers to my psyche, lots of self-discovery, examples of how anxiety has thwarted some of my best efforts over the years, and the complexities of what it's like being me. Tune in to hear how my continued embracing of my internal parts is leading to a greater understanding and opportunities for growth.-Follow my journey living with mental illness and the hard-fought lessons learned along the way. Lived experience is the driving force of this podcast, and through this lens, my stories are told. This is a raw, honest, and authentic account of how multiple psychological disorders have shaped my past and continue to influence my future.

Send Me a Message! Follow my journey living with mental illness and the hard-fought lessons learned along the way. Lived experience is the driving force of this podcast, and through this lens, my stories are told. This is a raw, honest, and authentic account of how multiple psychological disorders have shaped my past and continue to influence my future.

This episode of the Speak the Truth podcast, with special guest, Beth Claes, focuses on understanding Generalized Anxiety Disorder (GAD) through a biblical framework. They discuss the prevalence of anxiety in modern culture and how GAD is often a catch-all diagnosis for persistent anxiety not tied to specific situations. The hosts emphasize the importance of engaging with people who have these psychological labels and how to think about anxiety from a Christian perspective. Beth introduces the symptoms of GAD and explains how the Bible provides a complex and compassionate view of fearing emotions like anxiety, more than just physiological or experiential explanations. The conversation highlights the need to not merely rely on psychological descriptors but to incorporate biblical truths in addressing mental health issues. Listeners are encouraged to confront and understand their anxiety through reliance on God, fostering a more holistic approach to counseling in the church.00:00 Introduction to the Podcast00:25 Recap and Introduction to Anxiety02:32 Understanding Generalized Anxiety Disorder03:37 Symptoms and Personal Experiences08:02 Biblical Perspective on Anxiety11:26 Complexities and Biblical Framework14:34 Conclusion and Listener Engagement

Did you know, there is a physical transfer of energy when sunlight hits our bodies? Without light, there is no life! On this episode of Vitality Radio, Jared welcomes back Suzanne Bates, one of our own at Vitality Nutrition. Previously she told her story about how she reversed her own heart failure, diabetes, severe depression and more using natural means. Here Suzanne shares her experience challenging herself to 100 Days of Light and what role that played in her healing journey. She and Jared discuss the incredible benefits of sunlight on mental and physical health. You'll also learn how to incorporate stillness, gratitude, and grounding into a sunlight practice and how to challenge yourself the way Suzanne did and see big changes in your own life!Challenge:*Every day in October, go outside at sunrise for 15-30 minutes! *Look up towards the brighter part of the sky for 10 seconds (Never look directly at the sun!)*Attempt to be still for 5-10 minutes*Incorporate the practice of gratitudeShare your experiences and gain support by becoming part of the Facebook community:Get Up! Get Out! Get Happy! Additional Information:#442: Against the Odds - A Story of Hope and Healing with Suzanne Bates#378: Emotional Vitality: Using Curiosity to Take Back Control of Your Subconscious MindGet Up! Get Out! Get Happy! - Facebook groupVisit the podcast website here: VitalityRadio.comYou can follow @vitalityradio and @vitalitynutritionbountiful on Instagram, or Vitality Radio and Vitality Nutrition on Facebook. Join us also in the Vitality Radio Podcast Listener Community on Facebook. Shop the products that Jared mentions at vitalitynutrition.com. Let us know your thoughts about this episode using the hashtag #vitalityradio and please rate and review us on Apple Podcasts. Thank you!Please also join us on the Dearly Discarded Podcast with Jared St. Clair.Just a reminder that this podcast is for educational purposes only. The FDA has not evaluated the podcast. The information is not intended to diagnose, treat, cure, or prevent any disease. The advice given is not intended to replace the advice of your medical professional.

Generalized Anxiety Disorder (GAD) is often described as a persistent and excessive worry about various aspects of life, including health, finances, relationships, and social interactions. While anxiety is a natural response to stress, those with GAD experience it in a way that can be debilitating. As a Life Coach specializing in adult child trauma issues, I have seen firsthand how the seeds of anxiety can be sown in childhood, particularly when a child experiences neglect or emotional unavailability from their caregivers. In this episode, Lisa A. Romano Breakthrough Life Coach and Award-Winning Author, tackles generalized anxiety disorder with wisdom, compassion and understanding. Lisa helps those who are struggling with generalized anxiety recognize that they are not broken. GAD is a valid response to unhealthy, persistent dynamics a child was powerless to control.  To learn more about Lisa and her healing and transformational work, visit https://www.lisaaromano.com  Embark on the path to conscious awakening, emotional healing, and transformation with Lisa's Conscious Healing Academy, which includes a 3 tier coaching system that assists with one's awakening, emotional intelligence, and mental and emotional mastery.  12 Week Breakthrough Program (Level One - The Awakening) 8 Week Master Your Reality (Level 2 -- Deliberate Creating) Soul School - (Level Three -- Ascending Ego) To learn more, contact Lisa and her team members here; Contact Website Spotify Award Winning Books  Facebook Support Group

If you've ever found yourself in the middle of a health struggle, whether real or imagined, you're not alone. I've been there too. It's that unsettling feeling when something feels off in your body, and your mind starts spinning stories of uncertainty and fear about what it could mean. It's okay; I get it, because I've experienced it myself.As someone who manages Generalized Anxiety Disorder, I know firsthand how overwhelming health-related worries can be. Every little ache or discomfort can trigger a flood of anxious thoughts. In moments like these, the techniques shared in this meditation have been my steady companions.Join me in this calming meditation, created to bring relief and peace during times of health-related anxiety. Together, we'll explore mindfulness and relaxation techniques that can help soothe both your mind and body. You're not alone on this journey, and I hope this meditation provides exactly what you need.Background track by: Amber Glow

Sometimes parenting is so hard and exhausting, it doesn't feel worth it. In today's session, Pedro and Claudia explain how much energy and effort they have spent trying to raise their 16 yr old teenage son Liam who has been diagnosed with Autism, ADHD and Generalized Anxiety Disorder.  While supportive, Pedro and Claudia are met with resistance at every turn, and have yet to see results from their parenting. Is that an assumption or is that really true?  In this episode, Leslie checks the facts, unpacks the fear and frustration, and addresses these issues with an upbeat and hopeful shift in perspective as well as practical strategies to try. Time Stamps4:35 What is your definition of being a good parent - getting the results from your child5:09 Growing up with the culture of the “village” when raising a child and the support that comes with that7:15 Feeling isolated when friends have neurotypical kids and you have a neurodivergent kid8:45 Myths or limiting beliefs: We don't want to burden other people with our problems14:05 It's more challenging dealing with a teen with diagnoses than with a toddler with diagnoses16:00 Remember to see your child's strengths in order to get a whole picture16:55 Wanting your child to achieve their potential can be a great deal of pressure for both parents and teens 21:00 Raising your child with Values creates a solid foundation21:30 The frustration and fear of raising the teenager when you are getting the results you expect28:58  Fear impacts your parenting mindset and perspective.  Where would you be without the expectations? Fear feeds frustration which feeds feeling like a failure29:50 What behaviors are due to his diagnoses vs what's developmental and age appropriate (see show notes for a handout)31:00 Toddlers and teenagers have a lot in common.  Learning to individuate and differentiate from their parents.  This is when they practice saying NO to use their voice32:25 The value of empathy that is expressed even after the situation 33:08 Give your child the problem and let them solve it rather than telling your child what to do. Teach your child to find a synthesis when problem solving38:30 The quality of being strong-willed and the behavior of getting the last word - relates to the child who has a single track mind40:00 Save your Breath and listen twice as much as you talk41:50 Turn the volume down on your passion for raising your son42:55 Your parenting effort IS working. Have faith in the process. It takes patience44:45 Finding your “Passion” or living to your “potential” are dirty words because they put pressure on you and your childResources:  Handout on Parenting Dilemmas from DBTPoem On Children by Kahlil GibranLeslie-ism: Save your breath when parenting, listen twice as much as you talkFor a full transcript of this episode and more information about the host visit https://lesliecohenrubury.com/podcasts/ . You can also follow Leslie's work on Facebook and Instagram. Join the conversation with your own questions and parenting experiences.Credits: Is My Child a Monster? is produced by Alletta Cooper, AJ Moultrié, 

Special Announcement #1 Attend the Legendary Summer Intensive Featuring Drs. David Burns and Jill Levitt August 8 - 11. 2024 Learn Advanced TEAM-CBT skills Heal yourself, heal your patients First Intensive in 5 years! It will knock your socks off! Limited Seating--Act Fast Click for registration / more information! Sadly, this workshop is a training program which will be limited to therapists and mental health professionals and graduate students in a mental health field  Apologies, but therapists have complained when non-therapists have attended our continuing education training programs. This is partly because of the intimate nature of the small group exercises and the personal work the therapists may do during the workshop. Certified coaches and counselors are welcome to attend. Special Announcement #2 Here's some GREAT news! The Feeling Great App is now available in both app stores (IOS and Android) and is for therapists and the general public, and you can take a ride for free! Check it Today's Podcast Practical Philosophy Month Part 1, The Free Will Problem Welcome to Practical Philosophy month. For the next five weeks, we will discuss some of the most popular and challenging problems in philosophy, such as these: Do human beings have free will? Or is free will just an illusion? Do human beings have a “self?” Or is the “self” just another illusion? Is it possible to be more or less “worthwhile?” Are some humans “better” or “worse” than others? Does God exist? Is the universe “real” or “one”? What's the meaning of life? What is “self-esteem”? How does it differ from self-confidence? What's the difference between conditional and unconditional self-esteem? What's the difference between self-esteem and self-acceptance? What do you have to do to experience joy and feelings of worthwhileness? We will try to complete the list in five weeks, so some weeks we may include more than one topic, since many of these topics are related to one another. Rhonda and David will be joined by our beloved Dr. Matt May, a regular on our Ask David episodes, and for the first and second sessions we will be joined by our beloved Dr. Fabrice Nye, who created and hosted the Feeling Good Podcasts several years ago. Each week, you will also hear about the linkage between these philosophical dilemmas, and emotional problems, like depression, anxiety, and relationship conflicts. For example, nearly all depressed individuals believe that they aren't sufficiently “worthwhile.” I see my goal as a psychiatrist not as helping people feel “more worthwhile,” but rather showing people, if interested, how to give up this notion entirely and become free of certain kinds of damaging judgments of the “self” and others. You will also learn how these types of philosophical problems continue to play a large role in psychiatry and psychology, including the DSM5 diagnostic system. For example, is the diagnosis of “Generalized Anxiety Disorder” a true “mental disorder” that you could “have” or “not have?” And might some or most of the so-called “mental disorders” listed in the DSM be based on faulty philosophical / logical thinking? And if many or most of the “mental disorders” are based on goofy, faulty thinking, is there a more productive and effective way to think about most emotional problems? And how did we get into this mess in the first place? Worrying certainly exists, and we all worry at times. But how much or how often do you have to worry before you develop or have a “mental disorder” called “Generalized Anxiety Disorder” that can be diagnosed like any medical illness and treated with drugs? Or is “Generalized Anxiety Disorder” (and hundreds of other “mental disorders in the DSM” based on a certain kind of nonsensical thinking? And if so, why? What is the goofy, faulty thinking in the DSM? And are there some “mental disorders” that are valid and real? We HAVE touched on all of these themes in previous podcasts, but I thought it would be nice to put them all in one place and bring in a variety of “solutions,” controversies, and experts. I David, will often represent (hopefully, and to the best of my ability) the thinking of Ludwig Wittgenstein, as expressed in his famous book, Philosophical Investigation, published in 1950 following his death. That book consists of a series of numbered brief essays (a few paragraphs each) that were based on notes found in a metal box under his dormitory room at Cambridge University. He'd written these in preparation for his weekly seminars in his dormitory room. Wittgenstein, although now widely regarded as one of the greatest philosophers of all time, did not think he knew enough to teach in a classroom. In fact, because of his feelings of depression and self-doubt, he sadly never tried to publish anything when he was alive. Wittgenstein's philosophy also played an indirect but significant role in the evolution of several modern psychotherapies. His philosophy created new ways of thinking that gave rise to the work of Dr. Albert Ellis, the famous New York psychologist who created Rational Emotive Therapy during the 1950s. Ellis emphasized that the “Should Statements” that trigger so much guilt, shame, depression, anxiety, and rage are based on illogical thinking. He might often say, “Where is it written that people or the world “should” be the way you want them to be?” Of course, this idea actually traces back to the Greek Stoic philosophers like Epictetus and Marcus Aurelius. Wittgenstein's thinking also seems to have played a role in the thinking of Dr. Aaron Beck, who adapted the work of Ellis and called his version of the “Cognitive Therapy.” Beck emphasized many thinking errors, like All-or-Nothing Thinking, and Overgeneralization, that trigger depression, anxiety, and more. Sadly, Wittgenstein struggled with severe depression and loneliness throughout his life, and three of his four brothers tragically died by suicide. Wittgenstein also had prolonged periods of time when he considered suicide. It is also sad that he did not know how to apply his brilliant philosophical breakthroughs to his own negative thinking, but that application of his work did not develop at the time he was still alive. Part of Wittgenstein's depression was related, I believe, to the fact that very few people, including the most famous philosophers of Europe, could understand his thinking when he was alive. From time to time, I think he glimpsed the enormous importance of his work; but I believe that he also had prolonged moments of self-doubt when he thought his work was of little value at best. To be as correct as possible, Wittgenstein did write a manuscript called Tractatus Logico Philosophicus as a young man, although he never tried to publish it. He wrote it when he was a prisoner of war. He thought this book solved all the problems of philosophy, which had plagued him since he was a child, and he felt great relief. He sent a copy of his manuscript to Bertrand Russell, who was a famous British philosopher. Bertrand Russell was incredibly impressed with the Tractatus and distributed it to many European philosophers. Bertrand Russell thought it might be the greatest book in the history of philosophy, and a number of the 20th century philosophical movements including Logical Positivism, were inspired by that book. However, Wittgenstein left the field of philosophy, thinking that his work was done, and that he'd found the solutions he was looking for. He tried teaching grammar school for a while, but was fired because he became frustrated and violent toward some of his students. He also tried to survive as a fisher in a Norwegian fishing town, but was not successful at that, either, because he didn't know much about fishing, much less supporting yourself through fishing. One day, he learned that a brilliant Swedish economics student had found a flaw in his Tractatus, and his inner turmoil about the puzzling problems of philosophy flared up again. He decided to return to the study of philosophy. He applied to be an advanced undergraduate at Cambridge University, but when someone in the admissions office spotted his application, they recognized his name and showed his application to Bertrand Russell, who had been wondering what had become of the young man who once sent him such a brilliant manuscript. Russell, who was the chair of the department of philosophy, said to being Wittgenstein to his office immediately for an interview. Russell explained that he would have to reject Wittgenstein's application to be an undergraduate at Cambridge University. Deeply disappointed, Wittgenstein asked why. Russell told him it was because he was already recognized as the greatest philosopher of the 20th century. Bertrand proposed that if Wittgenstein would agree to skip college and graduate school, they would immediately award him a PhD for the manuscript he'd sent to Russell years earlier. Russell also offered him a full professor ship in the department of philosophy. Wittgenstein protested and said he needed to study philosophy again, because of the error in Tractatus, and that he didn't know anything, and definitely could not teach in a classroom. Bertrand Russell insisted, and they finally struck a deal where Wittgenstein would agree to be a professor of philosophy but all he would have to do was to have a conversation session with anybody who wanted to talk to him at his dormitory room once a week. Wittgenstein accepted and met for years with students and famous philosophers who came from around Europe to crowd into his dormitory room for his weekly seminars, and he began to shape a radically different philosophical approach from the one he'd described earlier in his Tractatus. He was determined to find a new way to solve all the problems of philosophy. And, to my way of thinking, along with those few who really understand him, he was successful. But he was often frustrated because, so few understood him. This was unfortunate, because what he was saying was incredibly simple and basic, and it was pretty similar to, if not identical to, the thinking of the Buddha 2500 years earlier. The Buddha apparently had the same problem—almost nobody could understand what he was trying to say when he was still alive. They couldn't “get it” when he was talking about the so-called “Great Death” of the “self,” or talking about the path to enlightenment. The Buddha's frustration resulted from the exact same problem Wittgenstein encountered 2500 years later. The Buddha was saying something that was extremely simple, obvious, and basic—and yet, it was rumored that of his more than 100,000 followers when he was alive, only three actually “got it” and experienced enlightenment. When I read Philosophical Investigations my senior year in college, it was rumored that only seven people in the world understood what Wittgenstein was trying to say. Wittgenstein's dream was that philosophy students would “get” his thinking and give up philosophy when they realized that most if not all philosophical problems are sheer nonsense. He wanted them to do something practical and real in the world instead of studying philosophy. He was verry disappointed when his favorite student, Norman Malcolm (one of the seven who “got it,”) pursued an illustrious career teaching philosophy in America at Cornell University. I always wished I could have known Wittgenstein when he was alive, so I could have told him this: I loved you, too, and I got it after several months of confusion, trying to understand your Philosophical Investigations, but eventually understood it with the help of your student, Norman Malcolm. His book about you was very inspiring. And that's why I left philosophy for something more practical in the world. I decided at the last minute to go to medical school to become a psychiatrist instead of philosophy graduate school. Hopefully, I am doing something that you might be proud of! But oddly enough, your thinking has also influenced my approach to people who feel depressed and worthless. They are also under a kind of destructive “enchantment,” thinking that there is some such “thing” as a more or less worthwhile human being! And this is a major cause of depression and anxiety and feelings of worthlessness and hopelessness. I wonder if you, Wittgenstein, ever felt that you weren't “good enough” when you were feeling down. hopeless and suicidal? I sure wish I could have helped you with that! If you want to understand Wittgenstein's work, the best book in my opinion is Norman Malcolm's moving and affectionate tribute to his beloved teacher, entitled “Ludwig Wittgenstein: A Memoir.” It's a short moving tribute to his beloved teacher, and tears go down my cheeks every time I read it, or even think about it. If you ever visit my office here at home, you'll find that memoir proudly sitting on my bookshelf, with a handsome photo of Wittgenstein on the cover. Toward the end of his life, Wittgenstein appears to have become more or less homeless, and he died from prostate cancer. His doctor said he could live in his home, where he was befriended by the doctor's wife in his final days. His dying words were, “Tell them that I had a wonderful life.” He died on April 29, 1951, just a few hours before my wife was born in Palo Alto, California. Surprisingly, she is the only person I've ever met who understood Wittgenstein's thinking entirely the first time I explained it to her. She “already knew” what Wittgenstein, the greatest philosophical genius of the 20th century, spent a lifetime figuring out! Reincarnation is pretty “out there,” and fairly silly, to my way of thinking, but sometimes it can be fun to think about it! Here is my understanding of how the thinking of the “later Wittgenstein” actually developed. His first book, which is nearly impossible to understand, was called the Tractatus Logico Philosophicus. It is a series of numbered propositions, which he compared to climbing up a ladder, rung by rung, as you read the book until you got to the roof at the top of the ladder. Then you could throw your ladder away and give up philosophical thinking, since he thought his book contained the solution to all the problems of philosophy that had tormented him since childhood, as mentioned previously. The philosophy of language in the Tractatus is based on the thinking of Aristotle and Plato, who thought that the function of language was to name things that exist in the real world. Plato's idea was that our real world consists of imperfect examples of a “Platonic Reality” which consisted of “perfect” representations of everything. So, for example, Plato believed there could be a perfect “table,” a perfect “lamp,” and so forth. In other words, he thought there was an ideal essence to the concept of a “table.” And, I suppose, there might also be a “perfect” version of you! The early Wittgenstein also thought that the logic inherent in our sentences reflected the logic inherent in an external reality. If that doesn't make much sense to you, join the club! But that's kind of what Plato and Aristotle were promoting, at least in my (David's) understanding. When Wittgenstein's Tractatus was debunked, he was devastated, and desperately wanted to find another way to solve the problems of philosophy, since they started tormenting him again. It was much like a relapse of OCD or some other emotional problem. In fact, he thought of philosophy as a kind of mental illness that needed treatment. Here's an example of the types of philosophical problems that tormented him. Do human beings have free will? Do we have a “self?” Is the universal “real?” Of course, we THINK we have free will, and it SEEMS like we make “free decisions” all day long, but is this just an illusion? For example, some people would argue that we cannot have “free will” because we “have to” follow the laws of science that govern everything, including how the brain works. So, since we “have to” do what we are doing at every moment of every day, we must not have free will! Here is an argument that we do NOT have “free will.” When a powerful storm or hurricane destroys a portion of a city, and people die, we see this as a tragedy, but we don't get angry at the hurricane because it does have “free will.” It is just obeying the laws of physics that govern the forces of wind, air pressure, heat and cooling, and so forth. A storm cannot behave in any other way. So, the argument goes, we are also following the laws that govern the functioning of our bodies and brains, and so we cannot do other than what we do, so we, too, have no “free will.” We THINK we are acting freely but it is an illusion, so our brains are obeying the laws of the universe at every moment! For hundreds of years philosophers have struggled with this puzzle, and many people still wrestle with this problem today. It was one of the problems that drew me to philosophy. Impractical for sure, but still tantalizing. Another way to express the free will puzzle is via religious thinking. I was taught when I was growing up that God is omnipotent (all powerful), omnipresent (present everywhere) and omniscient (all knowing.) So, God knows the past, present, and future. And if God knows the future, then God knows what we will do at every moment of every day, and we are helpless to do otherwise. Therefore, we have no “free will,” even though we “think” we do! This free will problem can definitely be unsettling, with troubling moral consequences. If we do not “free will,” then are serial killers really responsible for, or guilty, or accountable for their actions? If we do not have free will, then wouldn't that give us license to do whatever we want whenever we want? Clever arguments for sure! We may “feel” like we have the freedom to do whatever we want at almost any moment of any day, but are we fooling ourselves and living in some gigantic hoax, or illusion? Are we total slaves with the delusion that we are actually acting “freely?” How do we resolve this problem? Well, one day Wittgenstein was walking past a soccer game at the park, and the soccer ball hit him on the head. He wasn't hurt, but had the thought, “What if the function of language is NOT to name things (like trees, or lamps, etc.) that exist in some “external reality,” like Plato and Aristotle thought? What if language actually functions as a series of “language games,” with rules, just like the game of soccer? Then the meaning of any words would simply be the many ways the word is used in different real world situations. In fact, that's what you find in the dictionary when you look up the meaning of a word. The dictionary doesn't ever give you some “correct” or ”pure” meaning, since most words have many meanings. This would be the opposite of the philosophy of Aristotle and Plato who argued that there were “true” meanings for every word, noun, or concept. What if, instead, words had NO true or essential meanings, and their meanings were simply embedded in the context in which they are used in ordinary, everyday language? If so, this might mean that philosophical problems emerge when we try to pull words out of their ordinary meanings, which are always obvious, and put them into some metaphysical realm where philosophers argue about “ultimate truth.” Let's say we wanted to find out if humans have “free will.” Well, not being sure if there is such a “thing” as “free will,” we could look up “free” and “will” in the dictionary. (I know this sounds incredibly obvious and almost ridiculous.) What does “free” mean? Well, we could talk about the many ways we use “free.” Political freedom means that in some countries you cannot contradict the leader (the dictator) without the danger of being thrown in prison or even murdered. But in other countries, you are, In fact, free to express your own ideas and opinions, without fear of punishment. Free also means getting something without having to pay for it, like a seventh bottle of soda is free at the local grocery store if you purchase a six pack. Free can also mean “available.” I am starting up my Sunday hikes again, and I might say, “If you are free this Sunday morning, meet at my front door at 9 and we'll go for a hike and have a dim sum feast afterwards at a Chinese restaurant on Castro Street in Mountain View, California, Now notice that when you talk about “free will” you have taken this word, “free,” out of the familiar contexts in which we find it, and given it some type of metaphysical “meaning.” But in this metaphysical, philosophical arena, it has no meaning. So, instead of trying to “solve” the so-called “free will” problem, we can dismiss it as nonsensical, and ignore it as having no practical meaning, and move on with our lives. We can say, “I just don't understand that problem! I don't know what you're talking about when you ask the general question of whether we have something called ‘free will.'” That either works for you, or it doesn't work for you! Your choice. It does work for me, but it took me months of thinking until I suddenly “got it.” My way of describing this philosophical error is “nounism.” You think that nouns always refer to things that could “exist” or “not-exist,” just like Plato and Aristotle thought. So, you ponder and try to figure out if this notion of “free will” exists or does not exist. But it's arguably a meaningless question. That's why I say, and Wittgenstein might say, I have no idea what you're talking about. Today we'll discuss the free will problem and how it might relate to our field of psychotherapy. Next week, we'll deal with another thorny problem: Do we have a “self?” Or is that also just some kind of illusion? I (David) wrote these show notes before the show, and we have had fairly extensive email exchanges, with a variety of points of view on whether or not we have something we can call “free will.” First, I'll put a great email by Matt, followed by a comment by Fabrice. Here's Matt's email first: Subject: Re: question Yes, that's getting very close to what I'm trying to communicate. I don't believe you are 'slow' or 'super lame', either. In fact, quite the opposite. I suspect I'm failing to do an adequate job of disarming your claims that 'free will' and 'self' are words taken out-of-context and, therefore, can't be shown to exist or not-exist. I apologize, as I am pretty excited about the potential to help people, suffering with self-blame and other-blame, by realizing that we and others don't have a 'self' or 'free will'. I believe we have a brain that makes decisions and creates experiences, including the experience of having a 'self' and 'free will'. I believe that the experience of 'making' a decision is an illusion, as is the idea of a static, unchanging 'self' that controls decision-making. I asked you to pick a movie and you said, 'Green Mile'. You acknowledged that this movie title simply 'popped into my head'. That's correct. Your 'self' didn't control what you selected, using 'free will'. Your brain just came up with that movie title. There was no 'self' that made a decision to choose that word. I agree that we have a brain which is incredibly powerful. I'm claiming that we don't have an auxiliary 'self', with extra super powers, controlling our brain. We can make decisions, but we don't have 'free will', meaning, the ability to control those decisions. I do think you have some resistance to seeing through the illusions of 'self' and 'free will', all of which say awesome things about you, e.g. morality and justice. I'm not trying to convince you, one way or another, and I don't expect to. I'm more interested in the listening audience, as many people are significantly relieved when they realize that we are more the victims of our biology and circumstance rather than defective 'selves' lacking 'willpower'. To put a slightly finer point on the subject, when people say they have 'free will', they don't mean that 'decisions are made'. Obviously, decisions are made. You decided to keep reading this email, for example. Or you didn't. I'm not sure. Either way, a decision was made. When people say they have 'free will', they are saying that they (really, their 'self') are/is free to decide whether to continue reading this email, and that this power goes above and beyond what their brain is doing, according to the laws of physics. I am claiming that this is a ridiculous and dangerous thought, for which there is no evidence. You're saying these terms haven't been defined. I'm pointing out that they already have been, intuitively, by anyone who thinks, 'I shouldn't have done that', or 'they shouldn't have done that'. These thoughts require a belief that they 'could have' done something different, that they had free will. Aside from rage and guilt, let's examine the narcissism and excessive sense of confidence a patient might have, if they believe that they can simply 'decide', through sheer 'willpower', not to beat up on themselves anymore. Or a patient who believes they can simply 'decide' to always use the 5-Secrets, rather than criticize and blame. Can they? I've never seen that happen. That's why I assign homework. I know that the goal is to rewire the brain so they can feel and perform better, later. We can't simply decide to feel good all the time. We all drift in-and-out of enlightenment. If we want to increase the likelihood that we will be able to set aside self-criticism or communicate more effectively, we have to practice new thoughts and behaviors. If we do, we will develop greater skills at defeating negative thoughts and communicating effectively. Otherwise, our brains will do, in the future, what they are programmed to do, now. It's because we lack 'free will', that we must do homework. Similarly, you couldn't simply 'decide' to be the world's best ping-pong player. You realized you would have to work hard to re-wire your brain, if you wanted to have a chance at that. Let's use the murderer/cat example: A cat tortures and kills mice for the same reasons that a murderer does: their brains are programmed to do so. Murderers don't have a defective 'self' that is failing to express 'free will' adequately, when they murder. They're doing precisely what the atomic structure of their brain caused them to do, according to the laws of physics, in that moment, when presented with those precise stimuli. We don't have to judge or punish the cat or the murderer's 'self' and insist they should have used their 'free will'. We can accept that neither creature had the ability to decide differently from what their brain decided, in that moment. That is where the therapeutic element of this realization comes into play. I think it's important on a lot of levels, to stop blaming cats for being cats and murderers for being murderers. Similarly, if a patient doesn't want to do homework, will it do any good to blame them and think they're bad and should decide differently? No, it helps to accept them where they are, and to accept ourselves where we are, with open hands. Realizing nobody has a 'self' operating their brain and making decisions that are better than their brains' decisions doesn't mean we have to let all the murderers go or trust our cat with a new mouse companion. We can still be aware that their brains are programmed to murder. We would still be motivated to do whatever is necessary to protect society and mice. The difference is the attitude towards the murderer. We aren't trying to 'punish' or 'get vengeance' but to protect and, instead of 'labeling' them as having a 'bad self' or even being a 'murderer', but someone who has murdered and, left to their own devices, likely to do so again.  Instead of judging and demanding vengeance, we would see a murderer as the victim of their biology and environment. Instead of condemning them as permanently evil and bad, we could recognize that their brain is currently wired to do bad things and they might still learn new ways to interact with others. Perhaps they're not hopeless cases, after all. From the other side, if I ever committed murder, and sentenced to death, I wouldn't want to be feeling defective, thinking what a bad self I have and guilty/ashamed for not flexing my 'free will' in the heat of the moment. Instead, I might feel a sense of relief, purpose and meaning, that I was protecting others by being put to death. Alright, enough out of me! Thanks, Matt And now, the response from Fabrice: Matt's thinking is exactly in line with mine. I don't know if the topic came up in your discussion, but some people argue that actually someone could have done something differently than they did, because there is some randomness in Nature. But that argument doesn't hold water because even if the decision “made” by their brain is different, it has nothing to do with their will but only with the Heisenberg principle. Cheers! Fabrice Nye fabrice@life.net David's wrap up comment. Matt and Fabrice have quite a different view of “free will” and the “self.” They are arguing, very thoughtfully and persuasive, that we do not “have” a “self” or “free will.” People have been involved in this debate, as I've mentioned, for hundreds of years, taking one side or another. My own thinking is different, and reflects my understanding of Wittgenstein's thinking. They have take these words out of the contexts in which they exist in everyday language, (which is a huge temptation) and involved in a debate about abstract concepts which have no meaning. Very few people, it seems, were able to grasp this idea when Wittgenstein was alive, or even today. So, if what I'm saying makes no sense to you, be comforted, since it seems likely that 99% of the people reading this, or listening to the show, will agree with you! And that's still a puzzle to me. It is not clear to me why so many people still cannot “see” or “get” this idea that words do not have any pure or essential “meaning” outside of the context of everyday use of language. The best psychotherapy example I can use is the fact that nearly all depressed individuals are trying to figure out, on some abstract or philosophical level, whether they are “worthwhile” or “good enough,” or whatever. This seems to be a “real” problem, and so they believe that they are not sufficiently worthwhile. This belief can be so convincing that many people commit suicide, out of a sense of hopelessness and self-hatred. But there is not such thing as a human being who is more or less “worthwhile.” Of course, your actions can be more or less worthwhile at any moment, and we can evaluate or judge our specific behaviors. Yesterday, we had our first recording session in a video studio we have set up for our Feeling Great App. We had a lot of fun and recorded some (hopefully) interesting stories we'll publish on our two new YouTube channels. I really appreciated the colleagues who made this possible. It was a relief for me because I tend to have performance anxiety, which impairs my ability to speak naturally and with emotion. But this time, there was no anxiety at all, so it was fun. Did this make me or my colleagues more worthwhile human beings? No! But it did show that we'd become a bit more effective and communicating messages that will trigger healing and understanding in our fans, and hope that includes you! When you “see” this, perhaps for the first time, it can be incredibly liberating, since you no longer have the need to have a “self” that's “special” or worthwhile. And, as some of you know, my beloved teacher and cat, Obie, taught me that when you no longer need to be “special,” life becomes special. When your “self” dies, you inherit the world! There's no funeral, only a celebration! Feel free to contact us with your thoughts, ideas and questions! Thank you for listening today! Rhonda, Matt, Fabrice, and David

ADHD always comes with a side dish. Mine is depression. Dr. Sandra's is anxiety, and she and I had a wonderful conversation about anxiety, some strategies that can work for it, and we even got to learn about Cognitive Behavioral Therapy and Acceptance and Commitment Therapy. Great conversation! Dr. Sandra is a licensed psychologist, anxiety specialist, and mental health advocate. She is on a mission to make evidence-based anxiety support as accessible as possible through Embrace Now - her community membership platform. She received her doctorate in clinical psychology from La Salle University and was trained extensively in Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Dialectical Behavior Therapy (DBT) skills. She also has personal experience with both Generalized Anxiety Disorder and ADHD. To learn more about her community, check out https://www.embrace-now.org. She is currently offering a FREE trial for the "founding" members of her community called "Early Embracers"*********************** Check out the 8 Essential ADHD Big Brother Episodes, curated and ordered specifically to get you primed and ready to successfully manage your ADHD life! Find out the power of leveraging community-driven, gamified accountability. Try it with my 7-day money back no risk thingy-ma-bob!Click here to learn more about the ADHD Big Brother Community New Webinar dates added! "How ADHDers Can Do Sh*tty Things" - 30 minutes of how it's done, and 30 minutes of fun Q&A! Bring your juicy ADHD struggles and we can discuss it! Click here to registerGoal Digger: The Long Term Goal Game Now Avaliable. Click here to get moving on your long-term goals!Interested in working with me One-One? I've opened two spots! Learn more here

This is A Fan Favorite Rerun EpisodeIn this episode, I welcome Dr. Sharon Saline, a clinical psychologist with over 30 years of experience and a top expert on ADHD, anxiety, learning differences, and mental health challenges. Dr. Saline shares her personal experience with ADHD and anxiety and provides insights into the relationship between these two conditions. She also offers strategies for managing anxiety and ADHD, emphasizing the importance of understanding triggers and developing proactive strategies.Episode Highlights:[0:43] Introduction of Dr. Sharon Saline[3:11] Dr. Sharon Saline's story of an ADHD Diagnosis[8:37] Research on Generalized Anxiety Disorder in kids and teens[8:55] Connecting ADHD and Generalized Anxiety Disorder[13:03] Triggers of anxiety and ADHD[15:02] Signs of anxiety[17:57] How ADHD impacts people dealing with their anxiety[20:28] Making a list of choices for when triggered[22:19] Thinking about what could go right instead of focusing on negativity[24:02] The importance of distraction[25:59] Why we need connection[28:05] Blending cognitive behavioral therapy, insight-oriented psychotherapy, and mindfulness positive psychology[30:30] Number one pro tipResources Mentioned:Dr. Saline's website: https://drsharonsaline.com/ Dr. Saline's Facebook: https://www.facebook.com/DrSharonSaline/ Dr. Saline's Instagram: https://www.instagram.com/drsharonsaline/ Dr. Saline's LinkedIn: https://www.linkedin.com/in/sharon-saline-psy-d-b2a18770/ Dr. Sharon Saline's book: What Your ADHD Child Wishes You Knew: Working Together to Empower Kids for Success in School and LifeThank you for tuning into "SuccessFULL with ADHD." If this episode has impacted you, remember to rate, follow, share, and review our podcast. Your support helps us reach and help more individuals navigating their journeys with ADHD.

Special guest Marshall E. Cates, PharmD, BCPP, FASHP, FCCP, FALSHP, Professor of Pharmacy Practice from the McWhorter School of Pharmacy at Samford University joins us to talk about pharmacotherapy for anxiety and depression.Listen in as we discuss pharmacotherapy for managing generalized anxiety disorder and major depression, with a focus on tailoring first- or second-line options to individual patient needs.You'll also hear practical advice from Craig D. Williams, PharmD, FNLA, BCPS, a member of TRC's Editorial Advisory Board and Clinical Professor of Pharmacy Practice at the Oregon Health and Science University.For the purposes of disclosure, Dr. Cates reports relevant financial relationships [psychiatry] with Biogen, Sage Therapeutics (honorarium); Otsuka (speakers bureau).The other speakers have nothing to disclose.  All relevant financial relationships have been mitigated.TRC Healthcare offers CE credit for this podcast. Log in to your Pharmacist's Letter or Prescriber Insights account and look for the title of this podcast in the list of available CE courses.The clinical resources mentioned during the podcast are part of a subscription to Pharmacist's Letter and Prescriber Insights: Chart: Pharmacotherapy of Anxiety Disorders in AdultsChart: Choosing and Switching AntidepressantsChart: Combining and Augmenting AntidepressantsIf you're not yet a Pharmacist's Letter or Prescriber Insights subscriber, find out more about our product offerings at trchealthcare.com. Follow or subscribe, rate, and review this show in your favorite podcast app. Find the show on YouTube by searching for ‘TRC Healthcare' or clicking here. You can also reach out to provide feedback or make suggestions by emailing us at ContactUs@trchealthcare.com.

What do you do when you find yourself on 14 prescription medications and your health is only declining? On this episode of Vitality Radio, Jared interviews Suzanne Bates, one of our own at Vitality Nutrition. She shares her story of taking her health into her own hands when western medicine failed her. Suzanne was an ICU nurse and believed wholeheartedly in the ways of western medicine, until she realized it wasn't helping her at all. You'll hear how she went from almost bedridden with multiple diagnoses and drugs for all of them, to vibrant and healthy, no longer burdened with those illnesses, and down to one prescription which is on its way out. She shares the incredible story of how she was led to Vitality Nutrition and the one supplement that started her on a journey to natural healing and a life full of hope and joy.Products:N.O. Cardio BoostSunChlorella ChlorophyllBerberineAlpha Lipoic AcidSuntheanineTri-IodineRhodiolaAdditional Information:#264: Emotional Vitality: Jen's Story Part 1 - From Addiction and Mental Illness to VitalityVisit the podcast website here: VitalityRadio.comYou can follow @vitalityradio and @vitalitynutritionbountiful on Instagram, or Vitality Radio and Vitality Nutrition on Facebook. Join us also in the Vitality Radio Podcast Listener Community on Facebook. Shop the products that Jared mentions at vitalitynutrition.com. Let us know your thoughts about this episode using the hashtag #vitalityradio and please rate and review us on Apple Podcasts. Thank you!Please also join us on the Dearly Discarded Podcast with Jared St. Clair.Just a reminder that this podcast is for educational purposes only. The FDA has not evaluated the podcast. The information is not intended to diagnose, treat, cure, or prevent any disease. The advice given is not intended to replace the advice of your medical professional.

Today, we're diving into a topic that affects many kids, teens, and adults: social anxiety. Social anxiety is more than just the usual nervousness or shyness; it can significantly impact daily life, making even the simplest social interactions panic-inducing. We're going to break down what social anxiety is, how it differs from normal social worries, and most importantly, how to spot it in children and teens. Our guest today is Sarah Olivo, Ph.D., a licensed clinical psychologist with over 20 years of experience. Sarah specializes in evidence-based treatments, particularly CBT, and is dedicated to helping children, teens, and young adults overcome anxiety and achieve meaningful change in their lives. As the Head of Lumate Academy, Sarah is passionate about spreading the benefits of CBT to those with limited access to these life-changing therapies. In this episode, we'll explore the various types of treatment options available, with a particular focus on Cognitive Behavioral Therapy (CBT). We'll also discuss practical ways parents and educators can support kids and teens struggling with social anxiety. Understanding the difference between typical developmental anxiety and social anxiety is crucial. While it's normal for kids to experience some level of anxiety as they grow, social anxiety is characterized by an intense fear of being judged or embarrassed in social situations, often leading to panic. With Sarah's guidance, by the end of this episode, you'll better understand social anxiety, its impact, and the powerful ways we can help our kids and teens manage and overcome it.    Show Notes: [2:18] - Many kids and teens experience anxiety and a lot of times they are a normal part of growing up. [3:29] - Some of the questions asked are, “How frequently is anxiety happening?” and “Is it causing a lot of distress for the child or the family?” [4:57] - There are types of anxiety that are developmentally appropriate to experience at different stages of development. [6:00] - The core of social anxiety is the fear of being judged by others and embarrassed in some way. [7:01] - For many kids and teens with social anxiety, social situations are panic-inducing. [8:38] - There is also Generalized Anxiety Disorder which does differ from social anxiety. [11:28] - As parents, we can read our child's mind. There are times when we won't be able to tell the thoughts that lead to anxiety. [13:33] - For those with social anxiety, it's not that they don't know how to act in certain situations. [15:27] - There are ways to get help. One of the most effective treatments for social anxiety is Cognitive Behavioral Therapy (CBT) [18:04] - Social situations activate the threat center for those with social anxiety. [21:19] - For treating social anxiety, goals will be different for each individual. [23:25] - Social anxiety is far different from simply being an introvert. [26:23] - Individual programs are fine, but group programs are excellent for helping overcome social anxiety struggles and meet goals. [29:04] - Privacy is a concern for some group programs, but it is not something to worry about. [32:18] - Social anxiety that goes unmanaged can lead to chronic anxiety. [35:15] - If someone as a child or a teenager struggles with social anxiety, it is likely that a parent also does. [38:07] - At school, teachers tend to cater to a child or teen's social anxiety. [39:56] - Oftentimes we only notice the negatives. We need to notice when a child is working on their struggles and practicing the things they're learning.   About Our Guest: Sarah Olivo, Ph.D., is a licensed clinical psychologist who believes that empathy, collaboration, and a sense of humor are the bases for any good therapy. Sarah is a staunch believer in evidenced-based psychology and has worked diligently to become fluent in many forms of cognitive behavior therapy (CBT). In short, Sarah's approach has rigorous research at its core, and she continually seeks out training opportunities so that she can be on the front lines of the most modern and effective treatments. Sarah brings over 20 years of clinical experience when helping her clients get the changes they want out of their lives, as quickly as possible. Her goal as the Head of Lumate Academy is to help spread CBT far and wide so that children, teens, and young adults with less access can start making these changes as well.   Connect with Sarah: Lumate Health Website   Links and Related Resources: Episode 131: Cognitive Behavior Therapy for Kids and Teens with Dr. Shadab Jannati How Social Anxiety Differs From Shyness and How to Help Your Child Episode 171: Is It Shyness or Social Anxiety? with Dr. Fran Walfish Episode 170: Understanding Selective Mutism with Dr. Danielle Cornacchio   Connect with Us: Get on our Email List Book a Consultation Get Support and Connect with a ChildNEXUS Provider Register for Our Self-Paced Mini Courses with LIVE AMA Sessions   The Diverse Thinking Different Learning podcast is intended for informational purposes only and is not a substitute for medical or legal advice, diagnosis, or treatment. Additionally, the views and opinions expressed by the host and guests are not considered treatment and do not necessarily reflect those of ChildNEXUS, Inc or the host, Dr. Karen Wilson.  

Chelsea Brown is an LPC Supervisor in Oklahoma and owns Restoration Behavioral Health in Muskogee, OK. She is a nationally certified Trauma-Focused Cognitive Behavioral Therapist, having trained at the University of Oklahoma's Center for Child Abuse and Neglect and is also a provider of Cognitive Processing Therapy, an evidenced-based treatment approach to Post-Traumatic Stress in Adults.Chelsea grew up in Muskogee, OK, and has raised a family there since 2005. She obtained her Bachelor of Arts in General Psychology and her Masters of Science in Counseling Psychology from Northeastern State University. She has worked in this field for over 10 years, assisting individuals and their families.Chelsea focuses on trauma-work for her community and specializes in treating first responders, but also serves the kids that come through her advocacy center who have been victims of abuse and neglect. She specializes in working with individuals and children with diagnoses of PTSD, Depression, Generalized Anxiety Disorder, Acute Stress Disorder, and Reactive Attachment Disorder.She is a Boeing Scholar through the Strong Star Initiative in Houston, TX in their training initiative for CPT. Chelsea is dedicated to ever-growing her knowledge of trauma treatment and recovery through hundreds of clock hours of continuing education and training, including training in Trust-Based Relational Intervention (TBRI), Advanced TFCBT coursework, and Components for Enhancing Clinician Experience and Reducing Trauma Model (CE-CERT). "This dedication to training ensures that we, at Restoration, have all the tools and skills we need to treat the challenges our clients are facing."In This EpisodeChelsea's WebsiteContact Chelsea: chelsea.brown@restorationbh.com---If you'd like to support The Trauma Therapist Podcast and the work I do you can do that here with a monthly donation of $5, $7, or $10: Donate to The Trauma Therapist Podcast.Click here to join my email list and receive podcast updates and other news.Become a supporter of this podcast: https://www.spreaker.com/podcast/the-trauma-therapist--5739761/support.

Rapha, Ênio e Guilherme Kenzzo conversam sobre Transtorno de Ansiedade Generalizada (TAG): - Quais são os diagnósticos diferenciais? - Como diagnosticar e acompanhar TAG? - Como tratar TAG? Tudo isso nesse episódio! Referências: 1. Szuhany KL, Simon NM. Anxiety Disorders: A Review. JAMA. 2022 Dec 27;328(24):2431-2445. doi: 10.1001/jama.2022.22744. PMID: 36573969. 2. Penninx BW, Pine DS, Holmes EA, Reif A. Anxiety disorders. Lancet. 2021 Mar 6;397(10277):914-927. doi: 10.1016/S0140-6736(21)00359-7. Epub 2021 Feb 11. Erratum in: Lancet. 2021 Mar 6;397(10277):880. PMID: 33581801; PMCID: PMC9248771. 3. Stein MB, Sareen J. CLINICAL PRACTICE. Generalized Anxiety Disorder. N Engl J Med. 2015 Nov 19;373(21):2059-68. doi: 10.1056/NEJMcp1502514. PMID: 26580998. 4. Stahl, S. M. (2021). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (5th ed.). Cambridge University Press. - Jeremy DeMartini, Gayatri Patel, Tonya L Fancher. Generalized Anxiety Disorder. Ann Intern Med. 2019 Apr 2;170(7):ITC49-ITC64. doi: 10.7326/AITC201904020. 5. American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.) 6. Slee, April et al. “Pharmacological treatments for generalised anxiety disorder: a systematic review and network meta-analysis.” Lancet (London, England) vol. 393,10173 (2019): 768-777. doi:10.1016/S0140-6736(18)31793-8 7. Brawman-Mintzer, Olga et al. “Sertraline treatment for generalized anxiety disorder: a randomized, double-blind, placebo-controlled study.” The Journal of clinical psychiatry vol. 67,6 (2006): 874-81. doi:10.4088/jcp.v67n0603 8. Guaiana, Giuseppe et al. “Hydroxyzine for generalised anxiety disorder.” The Cochrane database of systematic reviews ,12 CD006815. 8 Dec. 2010, doi:10.1002/14651858.CD006815.pub2

We're back! Let's Talk about CBT has been on hiatus for a little while but now it is back with a brand-new host Helen Macdonald, the Senior Clinical Advisor for the BABCP. Each episode Helen will be talking to experts in the different fields of CBT and also to those who have experienced CBT, what it was like for them and how it helped. This episode Helen is talking to one of the BABCP's Experts by Experience, Paul Edwards. Paul experienced PTSD after working for many years in the police. He talks to Helen about the first time he went for CBT and what you can expect when you first see a CBT therapist. The conversation covers various topics, including anxiety, depression, phobias, living with a long-term health condition, and the role of measures and outcomes in therapy. In this conversation, Helen MacDonald and Paul discuss the importance of seeking help for mental health struggles and the role of CBT in managing anxiety and other conditions. They also talk about the importance of finding an accredited and registered therapy and how you can find one. If you liked this episode and want to hear more, please do subscribe wherever you get your podcasts. You can follow us at @BABCPpodcasts on X or email us at podcasts@babcp.com. Useful links: For more on CBT the BABCP website is www.babcp.com Accredited therapists can be found at www.cbtregisteruk.com Credits: Music is Autmn Coffee by Bosnow from Uppbeat Music from #Uppbeat (free for Creators!): https://uppbeat.io/t/bosnow/autumn-coffee License code: 3F32NRBYH67P5MIF   Transcript: Helen: Hello, and welcome to Let's Talk About CBT, the podcast where we talk about cognitive and behavioural psychotherapies, what they are, what they can do, and what they can't. I'm Helen Macdonald, your host. I'm the senior clinical advisor for the British Association for Behavioural and Cognitive Psychotherapies. I'm really delighted today to be joined by Paul Edwards, who is going to talk to us about his experience of CBT. And Paul, I would like to start by asking you to introduce yourself and tell us a bit about you. Paul: Helen, thank you. I guess the first thing it probably is important to tell the listeners is how we met and why I'm talking to you now. So, we originally met about four years ago when you were at the other side of a desk at a university doing an assessment on accreditation of a CBT course, and I was sitting there as somebody who uses his own lived experience, to talk to the students, about what it's like from this side of the fence or this side of the desk or this side of the couch, I suppose, And then from that I was asked if I'd like to apply for a role that was being advertised by the BABCP, as advising as a lived experience person. And I guess my background is, is a little bit that I actually was diagnosed with PTSD back in 2009 now, as a result of work that I undertook as a police officer and unfortunately, still suffered until 2016 when I had to retire and had to reach out. to another, another psychologist because I'd already had dealings with psychologists, but, they were no longer available to me. And I actually found what was called at the time, the IAPT service, which was the Improving Access to Psychological Therapies. And after about 18 months treatment, I said, can I give something back and can I volunteer? And my life just changed. So, we met. Yeah, four years ago, probably now. Helen: thank you so much, Paul. And we're really grateful to you for sharing those experiences. And you said about having PTSD, Post Traumatic Stress Disorder, and how it ultimately led to you having to retire. And then you found someone who could help. Would you like to just tell us a bit about what someone might not know about being on the receiving end of CBT? Paul: I feel that actual CBT is like a physiotherapy for the brain. And it's about if you go to the doctors and they diagnose you with a calf strain, they'll send you to the physio and they'll give you a series of exercises to do in between your sessions with your physio to hopefully make your calf better. And CBT is very much, for me, like that, in as much that you have your sessions with your therapist, but it's your hard work in between those sessions to utilize the tools and exercises that you've been given, to make you better. And then when you go back to your next session, you discuss that and you see, over time that you're honing those tools to actually sometimes realising that you're not using those tools at all, but you are, you're using them on a daily basis, but they become so ingrained in changing the way you think positively and also taking out the negativity about how you can improve. And, and yeah, it works sometimes, and it doesn't work sometimes and it's bloody hard work and it is shattering, but it works for me. Helen: Thank you, Paul. And I think it's really important when you say it's hard work, the way you described it there sounds like the therapist was like the coach telling you how to or working with you to. look at how you were thinking and what you were doing and agreeing things that you could change and practice that were going to lead to a better quality of life. At the same time though, you're thinking about things that are really difficult. Paul: Yeah. Helen: And when you say it was shattering and it was really difficult, was it worth it? Paul: Oh God. Yeah, absolutely. I remember way back in about 2018, it would be, that there was, there was a fantastic person who helped me when I was coming up for retirement. And we talked about what I was going to do when I, when I left the police and I was, you know, I said, you know, well, I don't know, but maybe I've always fancied being a TV extra and, That was it. And I saw her about 18 months later, and she said, God, Paul, you look so much better. You're not grey anymore. You know, what have you done about this? And it was like, she said I was a different person. Do I still struggle? Yes. Have I got a different outlook on life? Yes. Do I still have to take care of myself? Yes. But, I've got a great life now. I'm living the dream is my, is my phrase. It is such a better place to be where I am now. Helen: I'm really pleased to hear that, Paul. So, the hard work that you put into changing things for the better has really paid off and that doesn't mean that everything's perfect or that you're just doing positive thinking in the face of difficulty, you've got a different approach to handling those difficulties and you've got a better quality of life. Paul: Yeah, absolutely. And don't get me wrong, I had some great psychologists before 2016, but I concentrated on other things and we dealt with other traumas and dealt with it in other ways and using other, other ways of working. I became subjected to probably re traumatising myself because of the horrendous things I'd seen and heard. So, it was about just changing my thought processes and, and my psychologist said, Well, you know, we don't want to re traumatise you, let's look at something different. Let's look at a different part and see if we can change that. And, and that was, very difficult, but it meant that I had to look into myself again and be honest with myself and start thinking about my honesty and what I was going to tell my psychologist because I wanted to protect that psychologist because I didn't want them to hear and talk about the things that I'd had to witness because I didn't think it was fair, but I then understood that I needed to and that my psychologist would be taken care of. Which was, which was lovely. So, I became able to be honest with myself, which therefore I can be honest with my therapist. Helen: Thank you, Paul. And what I'm hearing there is that one of your instincts, if you like, in that situation was to protect the therapist from hearing difficult stuff. And actually the therapist themselves have their own opportunity to talk about what's difficult for them. So, the person who's coming for therapy can speak freely, although I'm saying that it's quite difficult to do. And certainly Post Traumatic Stress Disorder isn't the only thing that people go for CBT about, there are a number of different anxiety difficulties, depression, and also a wider range of things, including how to live well with a long term health condition and your experience could perhaps really help in terms of somebody going for their first session, not knowing what to expect. As a CBT therapist, I have never had somebody lie down on a couch. So, tell us a little bit about what you think people should know if they are thinking of going for CBT or if they think that somebody they care about might benefit from CBT. What's it like going for that first appointment? Paul: Bloody difficult. It's very difficult because by the very nature of the illnesses that we have that we want to go and speak to a psychologist, often we're either losing confidence or we're, we're anxious about going. So I have a phrase now and it's called smiley eyes and it, and it was developed because the very first time that I walked up to the, the place that I had my CBT in 2016, the receptionist opened the door and had these most amazing engaging smiley eyes and it, it drew me in. And I thought, wow. And then when I walked through the door and saw the psychologist again, it was like having a chat. It was, I feel that for me, I know now, I know now. And I've spoken to a number of psychologists who say it's not just having a chat. It is to me. And that is the gift of a very good psychologist, that they are giving you all these wonderful things. But it's got to be a collaboration. It's got to be like having a chat. We don't want to be lectured, often. I didn't want to have homework because I hated homework at school. So, it was a matter of going in and, and talking with my psychologist about how it worked for me as an individual, and that was the one thing that with the three psychologists that I saw, they all treated me as an individual, which I think is very, very important, because what works for one person doesn't work for another. Helen: So it's really important that you trust the person and you make a connection. A good therapist will make you feel at ease, make you feel as safe as you can to talk about difficult stuff. And it's important that you do get on with each other because you're working closely together. You use the word collaboration and it's definitely got to be about working together. Although you said earlier, you're not sure about the word expert, you're the expert on what's happening to you, even though the therapist will have some expertise in what might help, the kind of things to do and so there was something very important about that initial warmth and greeting from the service as well as the therapist. Paul: Oh, absolutely. And you know, as I said earlier, I'm honoured to speak at some universities to students who are learning how to be therapists. And the one thing I always say to them is think about if somebody tells you their innermost thoughts, they might never have told anybody and they might have only just realised it and accepted it themselves. So think about if you were sitting, thinking about, should I put in this thesis to my lecturer? I'm not sure about it. And how nervous you feel. Think about that person on the other side of the, you know, your therapy room or your zoom call or your telephone call, thinking about that. What they're going to be feeling. So to get through the door, we've probably been through where we've got to admit it to ourselves. We then got to admit it to somebody else. Sometimes we've then got to book the appointment. We then got to get in the car to get the appointment or turn on the computer. And then we've got to actually physically get there and walk through. And then when we're asked the question, we're going to tell you. We've been through a lot of steps every single time that we go for therapy. It's not just the first time, it's every time because things develop. So, you know, it's, it's fantastic to have the ability to want to tell someone that. So when I say it's fantastic to have the ability, I mean, in the therapist, having the ability to, to make it that you want to tell them that because you trust them. Helen: So that first appointment, it might take quite a bit of determination to turn up in spite of probably feeling nervous and not completely knowing what to expect, but a good therapist will really make the effort to connect with you and then gently try to find out what the main things are that you have come for help with and give you space to work out how you want to say what you want to say so that you both got , a shared understanding of what's going on.So your therapist really does know, or has a good sense of what might help. So, when you think about that very first session and what your expectations were and what you know now about having CBT, what would you say are the main things that are different? Paul: Oh, well, I don't actually remember my first session because I was so poorly. I found out afterwards there was three of us in the room because the psychologist had a student in there, but I was, I, I didn't know, but I still remember those smiley eyes and I remember the smiley eyes of the receptionist. And I remember the smiley eyes of my therapist. And I knew I was in the right place. I felt that this person cared for me and was interested and, you know, please don't think that the, the psychologist before I didn't feel that, you know, they were fantastic, but I was in a different place. I didn't accept it myself. I had different boundaries. I wanted to stay in the police. I, you know, I thought, well, if I, you know, if I admit this, I'm not going to have my, my job and I can't do my job. So a hundred percent of me was giving to my job. And unfortunately, that meant that the rest of my life couldn't cope, but my job and my professionalism never waned because I made sure of that, but it meant that I hadn't got the room in my head and the space in my head for family and friends. And it was at the point that I realized that. It wasn't going to be helpful for the rest of my life that I had to say, you know what, I'm going to have to, something's going to have to give now. And unfortunately, that was, you know, my career, but up until that point, I'm proud to say that I worked at the highest level and I gave a hundred percent. Now I realised that I have to have a life work balance rather than a work life balance, because I put life first. And I say that to everybody have a life work balance. It doesn't mean you can't have a good work ethic. It doesn't mean you can't work hard. It's just what's important in that. So what's the difference between the first session then and the first session now? Well, I didn't remember the first session. Now, I know that that psychologist was there to help me and there to test me and to look at my weaknesses. Look at my issues, but also look at my strengths and make me realize I'd got some because I didn't realise I had. Helen: That's really important, Paul, and thank you for sharing what that was like. I really appreciate that you've been so open and up front with me about those experiences. Paul: So let's turn this round to you then Helen as a therapist And you talked about lots of conditions, and things that people could have help with seeing a CBT therapist because obviously I have PTSD and I have the associated anxiety and depression and I still deal with that. What are the other things that people can have help with that they, some that they do have heard, have heard of, but other things that they might not know can be helped by CBT? Helen: Well, that's a really good question. And I would say that CBT is particularly good at helping people with anxiety and depression. So different kinds of anxiety, many people will have heard, for example, of Obsessive-Compulsive Disorder, OCD, or Generalized Anxiety Disorder where people worry a lot, and it's very ordinary to worry, but when it gets out of hand, other things like phobias, for example, where the anxiety is much more than you'd expect for the amount of danger people sometimes worry too much about getting ill or being ill, so they might have an illness anxiety. Those are very common anxiety difficulties that people have. CBT, I mean, you've already mentioned this, but CBT is also very good for depression. Whether that's a relatively short term episode of really low mood, or whether it's more severe and ongoing, then perhaps the less well known things that CBT is good for. For example, helping people live well if they have a psychotic disorder, maybe hearing voices, for example, or having beliefs that are quite extreme and unusual, and want to have help with that. It's also very good for living with a long term health condition where there isn't anything medical that can cure the condition, but for example, living well with something like diabetes or long term pain. Paul: interestingly, you spoke about phobias then, Is the work that a good therapist doing just in the, the consulting room or just over, the, this telephone or, or do you do other things? I'm thinking of somebody I knew who had a phobia of, particular escalators and heights, and they were told to go out and do that. You know, try and go on an escalator and, they managed to get up to the top floor of Selfridges in Birmingham because that's where the shoes were and that helped. But would you just, you know, would you just talk about these things, or do you go out and about or do you encourage people to, to do these with you and without? Helen: Again, that's, that's a really good point, Paul, and the psychotherapy answer is it depends. So let's think about some examples. So sometimes you will be mostly in the therapist's office or, and as you've mentioned, sometimes on the phone or it can be on a video call. but sometimes it's really, really useful to go out and do something together. And when you said about somebody who's afraid of being on an escalator, sometimes it really helps to find a way of doing that step by step and doing it together. So, whether that's together with someone else that you trust or with the therapist, you might start off by finding what's the easiest escalator that we've got locally that we can use and let's do that together. And let me walk up the stairs and wait for you and you do it on your own, but I'll be there waiting. Then you do it on your own and come back down and meet me. Then go and do it with a friend and then do it on your own. So, there's a process of doing this step by step. So you are facing the fear, you are challenging how difficult it is to do this when you're anxious. But you find a place where you can take the anxiety with you successfully, so we don't drop you in the deep end. We don't suddenly say, right, you're going all the way to the fifth floor now. We start one step at a time, but we do know that you want to get to the shoes or whatever your own personal goal and motivation is there's got to be a good reason to do it gives you something to aim towards, but also when you've done it, there's a real sense of achievement. And if I'm honest as a therapist, it's delightful for me as well as for the person I'm working with when we do achieve that. Sometimes it isn't necessarily that we're facing a phobia, but it might be that we're testing out something. Maybe, I believe that it's really harmful for me to leave something untidy or only check something once. We might do an experiment and test out what it's like to change what we're doing at the moment and see what happens. And again, it's about agreeing it together. It's not my job to tell somebody what to go and do. It's my job to work with somebody to make sure that they've got the tools they need to take their anxiety with them. And sometimes that anxiety will get less, it'll get more manageable. Sometimes it goes away altogether, but that's not something I would promise. What I would do is work my very hardest to make the anxiety so that the person can manage it successfully and live their life to the full, even if they do still have some. Paul: And, and for me, I think one of the things that I remember is that my, you know, my mental health manifested itself in physical symptoms as well. So it was like when I was thinking about things, I was feeling sick, I was feeling tearful. and that's, that's to be expected at times, isn't it? And, and even when you're facing your fears or you're talking through what you're experiencing. It's, it's, it's a normal thing. And, and even when I had pure CBT, it can be exhausting. And I said to my therapist, please. Tell people that, you know, your therapy doesn't end in the session. And it's okay to say to people, well, go and have a little walk around, make sure you can get somebody to pick you up or make sure you can get home or make sure you've got a bit of a safe space for half an hour afterwards and you haven't got to, you know, maybe pick the kids up or whatever, because that that's important time for you as well. Helen: That's a really important message. Yes, I agree with you there, Paul, is making sure that you're okay, give yourself a bit of space and processing time and trying to make it so that you don't have to dash straight off to pick up the kids or go back to work immediately, trying to arrange it so that you've got a little bit of breathing space to just make sure you're okay, maybe make a note of important things that you want to think about later, but not immediately dashing off to do something that requires all your concentration. And I agree with you, it is tiring. You said at the beginning it's just having a chat and now you've talked about all the things that you actually do in a session. It's a tiring chat and tiring to talk about how it feels, tiring to think about different ways of doing things, tiring to challenge some of the assumptions that we make about things. Yes it is having a chat, but really can be quite tiring. Paul: And I think that the one thing that you said in there as well, you know, you talk about what would you recommend. Take a pen and paper. Because often you cannot remember. everything you put it in there. So, make notes if you need to. Your therapist will be making notes, so why can't you? And also, you know, I think about some of the tasks I was given in between my sessions, rather than calling it my homework, my tasks I was given in between sessions to, I suffered particularly with, staying awake at night thinking about conversations I was going to have with the person I was going to see the next day and it manifested itself I would actually make up the conversations with every single possible answer that I could have- and guess what- 99 times out of 100 I never even saw the person let alone had the conversation. So it was about even if I'm thinking in the middle of the night, you know, what I'm going to do, just write it down, get rid of it, you know, and I guess that's, you know, coming back again, Helen to put in the, the ball in your court and saying, well, what, what techniques are there for people? Helen: Well, one of the things that you're saying there about keeping a note and writing things down can be very useful, partly to make sure that we don't forget things, but also so that it isn't going round and round in your head. The, and because it's very individual, there may be a combination of things like step by step facing something that makes you anxious, step by step changing what you're doing to improve your mood. So perhaps testing out what it's like to do something that you perhaps think you're not going to enjoy, but to see whether it actually gives you some sense of satisfaction or gives you some positive feedback, testing out whether a different way of doing something works better. So there's a combination of understanding what's going on, testing out different ways of doing things, making plans to balance what things you're doing. Sometimes there may be things about resting better. So you said about getting a better night's sleep and a lot of people will feel that they could manage everything a bit better if they slept better. So that can be important. Testing out different ways of approaching things, asking is that reasonable to say that to myself? Sometimes people are thinking quite harsh things about themselves or thinking that they can't change things. But with that approach of, well, let's see, if we test something out different and see if that works. So there's a combination of different things that the therapist might do but it should always be very much the, you're a team, you're working together, your therapist is right there alongside you. Even when you've agreed you're going to do something between sessions, it's that the therapist has agreed this with you. You've thought about what might happen if you do this and how you're going to handle it. And as you've said, sometimes it's a surprise that it goes much better than we thought it was going to. So, so we're testing our predictions and sometimes it's a surprise. It's almost like being a scientist. You're doing experiments, you're testing things out, you're seeing what happens if you do this. And the therapist will have some ideas about the kind of things that will work. but you're the one doing, doing the actual doing of it. Paul: And little things like, you know, I, I remember, I was taught a lovely technique and it's called the 5, 4, 3, 2, 1, technique about when you're anxious. And it's about, I guess it's about grounding yourself in the here and now and not, trying to worry about what you're anxious about so you try and get back into what is there now. Can you just explain that? I mean, I know I know I'm really fortunate. I practice it so much. I probably call it the 2-1 So could you just explain how what that is in a more eloquent way than myself? Helen: I think you explained that really well, Paul, but what we're talking about is doing things that help you manage anxiety when it's starting to get in the way and bringing yourself back to in the here and now. And for example, it might be, can I describe things that I can see around me? Can I see five things that are green? Can I feel my feet on the floor? Tell whether it's windy and all of those things will help to make me aware of being in the here and now and that the anxiety is a feeling, but I don't have to be carried away by it. Paul: And there's another lovely one that, I, you know, when people are worrying about things and, it's basically about putting something in a box and only giving yourself a certain time during the day to worry about those things when you open the box and often when you've got that time to yourself. So give yourself a specific time where you, you know, are not worrying about the kids or in going to sport or doing whatever. So you've got yourself half an hour and that's your worry time in essence. And, you know, I use it on my phone and it's like, well, what am I worrying about? I'll put that in my worry box and then I'll only allow myself to look at that between seven and half past tonight. And by the time I've got there, I'll be done. I'm not worrying about the five things. I might be worrying slightly about one of them, but that's more manageable. And then I can deal with that. So what's the thought behind? I guess I've explained it, but what, what's the psychological thought behind that? And, and who would have devised that? I mean, who are these people who have devised CBT in the past? Because we haven't even explored that yet. Helen: Well, so firstly, the, the worry box idea, Paul, is it's a really clever psychological technique is that we can tell ourselves that we're going to worry about this properly later. Right now, we're busy doing something else, but we've made an appointment with ourselves where we can worry properly about it. And like you've said, if we reassure ourselves that actually, we are, we're going to deal with what's going on through our mind. It reassures our mind and allows it not to run away with us. And then when we do come to it, we can check, well, how much of a problem is this really? And if it's not really much of a problem, it's easier to let it go. And if it really is a problem, we've made space to actually think about, well, what can I do about it then? so that technique and so many of the other techniques that are part of Cognitive and Behavioural psychotherapies have been developed in two directions, I suppose. In one direction, it's about working with real people and seeing what happens to them, and checking what works, and then looking at lots of other people and seeing whether those sorts of things work. So, we would call that practice based evidence. So, it's from doing the actual work of working with people. From the other direction, then, there is more laboratory kind of science about understanding as much as we can about how people behave and why we do what we do, and then if that is the case, then this particular technique ought to work. Let's ask people if they're willing to test it out and see whether it works, and if it works, we can include that in our toolkit. Either way, CBT is developed from trying to work out what it is that works and doing that. So, so that's why we think that evidence is important, why it's important to be scientific about it as far as we can, even though it's also really, really important that we're working with human beings here. We're working with people and never losing sight of. That connection and collaboration and working together. So although we don't often use the word art and science, it is very much that combination Paul: And I guess that's where the measures and outcomes, you know, come into the science part and the evidence base. So, so for me, it's about just a question of if I wanted to read up on the history of CBT, which actually I have done a little. Who are the people who have probably started it and made the most influence in the last 50 years, because BABCP is 50 years old now, so I guess we're going back before that to the start of CBT maybe, but who's been influential in that last 50 years as well? Helen: Well, there are so many really incredible researchers and therapists, it's very hard to name just a few. One of the most influential though would be Professor Aaron T. Beck, who was one of the first people to really look into the way that people think has a big impact on how they feel. And so challenging, testing out whether those thoughts make sense and experimenting with doing things differently, very much influenced by his work and, and he's very, very well known in our field, from, The Behavioural side, there've been some laboratory experiments with animals a hundred years ago. And I must admit nowadays, I'm not sure that we would regard it as very ethical. Understanding from people-there was somebody called BF Skinner, who very much helped us to understand that we do things because we get a reward from them and we stop doing things because we don't or because they feel, they make us feel worse. But that's a long time ago now. And more recently in the field, we have many researchers all over the world, a combination of people in the States, in the UK, but also in the wider global network. There's some incredible work being done in Japan, in India, you name it. There's some incredible work going on in CBT and it all adds to how can we help people better with their mental health? Paul: and I think that for me as the patient and, and being part of the BABCP family, as I like to, to think I'm part of now, I've been very honoured to meet some very learned people who are members of the BABCP. And it, it astounds me that, you know, when I talk to them, although it shouldn't, they're just the most amazing people and I'm very lucky that I've got a couple of signed books as well from people that I take around, when I do my TV extra work. And one of them is a fascinating book by Helen Macdonald, believe it or not on long term conditions that, that I thoroughly recommend people, read, and another one and another area that I don't think we've touched on that. I was honoured to speak with is, a guy called, Professor Glenn Waller, who writes about eating disorders. So eating disorders. It's one of those things that people maybe don't think about when they think of CBT, but certainly Glenn Waller has been very informative in that. And how, how do you feel about the work in that area? And, and how important that may be. I know we'll probably go on in a bit about how people can access, CBT and, you know, and NHS and private, but I think for me is the certain things that maybe we need to bring into the CBT family in NHS services and eating disorders for me would be one is, you know, what are your thoughts about those areas and other areas that you'd like to see brought into more primary care? Helen: Again, thank you for bringing that up, Paul. And very much so eating disorders are important. and CBT has a really good evidence base there and eating disorders is a really good example of where somebody working in CBT in combination with a team of other professionals, can be particularly helpful. So perhaps working with occupational therapists, social workers, doctors, for example. And you mentioned our book about persistent pain, which is another example of working together with a team. So we wrote that book together with a doctor and with a physiotherapist. Paul: Yeah, yeah. Helen: And so sometimes depending on what the difficulties are, working together as a team of professionals is the best way forward. There are other areas which I haven't mentioned for example people with personality issues which again can be seen as quite severe but there is help available and at the moment there is more training available for people to be able to become therapists to help with those issues. And whether it's in primary care in the NHS or in secondary care or in hospital services, there are CBT therapists more available than they used to be and this is developing all the time. And I did notice just then, Paul, that you said about, whether you access CBT on the NHS and, and you received CBT through the NHS, but there are other ways of accessing CBT. Paul: That was going to be my very next question is how do we as patients feel, happy that the therapist we are seeing is professionally trained, has got a, a good background and for want of a phrase that I'm going to pinch off, do what it says on the tin. But do what it says on the tin because I, I am aware that CBT therapists aren't protected by title. So unfortunately, there are people who, could advertise as CBT therapist when they haven't had specific training or they don't have continual development. So, The NHS, if you're accessing through the NHS, through NHS Talking Therapies or anything, they will be accredited. So, you know, you can do that online, you can do it via your GP. More so for the protection of the public and the making sure that the public are happy. What have the BABCP done to ensure that the psychotherapists that they have within them do what they say it does on the tin. Helen: yes, that's a number of very important points you're making there, Paul. And first point, do check that your therapist is qualified. You mentioned accredited. So a CBT psychotherapist will, or should be, Accredited which means that they can be on the CBT Register UK and Ireland. That's a register which is recognised by the Professional Standards Authority, which is the nearest you can get to being on a register like doctors and nurses. But at the moment, anyone can actually call themselves a psychotherapist. So it's important to check our register at BABCP. We have CBT therapists, but we have other people who use Cognitive and Behavioural therapies. Some of those people are called Wellbeing Practitioners that are probably most well known in England. We also have people who are called Evidence Based Parent Trainers who work with the parents of children and on that register, everybody has met the qualifications, the professional development, they're having supervision, and they have to show that they work in a professional and ethical way and that covers the whole of Ireland, Scotland, Wales and England. So do check that your therapist is on that Register and feel free to ask your therapist any other questions about specialist areas. For example, if they have qualifications to work particularly with children, particularly with eating disorders, or particularly from, with people from different backgrounds. Do feel free to ask and a good therapist will always be happy to answer those questions and provide you with any evidence that you need to feel comfortable you're working with the right person. Paul: that's the key, isn't it? Because if it's your hard-earned money, you want to make sure that you've got the right person. And for me, I would say if they're not prepared to answer the question, look on that register and find somebody who will, because there's many fantastic therapists out there. Helen: And what we'll do is make sure that all of those links, any information about us that we've spoken in this episode will be linked to on our show page. Paul, we're just about out of time. So, what would you say are the absolute key messages that you want our listeners to take away from this episode? What the most important messages, Paul: If you're struggling, don't wait. If you're struggling, please don't wait. Don't wait until you think that you're at the end of your tether for want of a better phrase, you know, nip it in the bud if you can at the start, but even if you are further down the line, please just reach out. And like you say, Helen, there's, there's various ways you can reach out. You can reach out via the NHS. You can reach out privately. I think we could probably talk for another hour or two about a CBT from my perspective and, and how much it's, it has meant to me. But also what I will say is I wish I'd have known now what, or should I say I wish I knew then what I knew now about being able to, to, to open myself up, more than, you know, telling someone and protecting them as well, because there was stuff that I had to re-enter therapy in 2021. And it took me till then to tell my therapist something because I was like disgusted with myself for having seen and heard it so much. But actually, it was really important in my continual development, but yeah, don't wait, just, just, you know, reach out and understand that you will have to work hard yourself, but it is worth it at the end. If you want to run a marathon. You're not going to run a marathon by just doing the training sessions when you see your PT once a week. And you are going to get cramp, and you are going to get muscle sores, and you are going to get hard work in between. But when you complete that marathon, or even a half marathon, or even 5k, or even 100 meters, it's really worth it. Helen: Paul, thank you so much for joining us today. We're really grateful for you speaking with me and it's wonderful to hear all your experiences and for you to share that, to encourage people to seek help if they need it and what might work. Thank you. Paul: Pleasure. Thanks Helen.

 Transformed Podcast Episode 71 | May 09, 2024  Generalized Anxiety Disorder affects millions, but is there a biblical solution? Listen as Dr. Greg Gifford breaks down G.A.D. and provides a biblical understanding that challenges conventional views. https://media-wretched.org/Radio/Transformed_Podcast/TR2024-0516.mp3   ___ Download Now (right click and save) Subscribe to Transformed to receive every new episode directly to your device by selecting your device type or by copying the RSS feed link and pasting it into your podcast application. Apple Podcasts | Android | RSS Feed ___ Thanks for listening! Transformed would not be possible without the financial support of our Gospel Partners. If you would like to support Transformed we would be extremely grateful. CLICK HERE TO GET STARTED. If you are already a Gospel Partner we couldn't be more thankful for you if we tried!

TAKEAWAYSAlternative wellness and the use of psychedelic medicine for mental health treatmentPersonal journey and founding of Nushama, a legal psychedelic therapy clinic in New York CityProcess and benefits of ketamine treatment for conditions such as depression and PTSDHistory and potential of psychedelic medicine in the context of mental health and wellnessReasons behind the historical suppression of psychedelic medicineTherapeutic process at Nushama and the importance of mindset and settingResults of a study demonstrating the reduction in PTSD symptoms among participants who underwent ketamine treatmentImpact of psychedelic therapy on addressing the mental health crisis and the need for alternative solutions to traditional psychiatric medicationsFuture plans for Nushama and its growth, including the potential use of psilocybin, MDMA, and LSD in treating various psychiatric indicationsInvitation to visit Nushama in New York for treatment and where to learn more about the clinic and psychedelic medicineTIMESTAMPSIntroduction (00:00:00) Introduction to the Vibe Science podcast, focusing on holistic wellness and alternative wellness approaches.Discussion on Alternative Wellness (00:01:17) The hosts talk about the importance of holistic wellness and the shift from alternative to mainstream wellness practices.Jay Godfrey's Journey (00:03:28) Jay Godfrey shares his personal journey, including his career shift from fashion to psychedelic therapy, and his experience with talk therapy.Psychedelic Medicine's Potential (00:02:43) The potential of psychedelic medicine in mental health treatment is discussed, including its history and future prospects.Psychedelic Medicine's History (00:10:43) The historical and political reasons behind the restriction of psychedelic medicines are explained, including the impact of the drug war and government policies.Psychedelic Medicine's Benefits (00:15:45) The process and benefits of ketamine treatment at Nushama are described, including the medical intake, treatment protocol, and therapeutic experiences.Results of Ketamine Treatment (00:22:13) The positive outcomes of ketamine treatment for PTSD are highlighted, including the reduction and elimination of diagnoses.Importance of Mental Health Treatment (00:23:32) The importance of making mental health treatment, including psychedelic therapy, a standard of care and accessible to those in need is emphasized.Ketamine Therapy (00:25:39) Discussion on the impact and personal experiences of ketamine therapy for mental health treatment.Mental Health Statistics (00:28:55) Exploration of the alarming mental health statistics in the United States, including the prevalence of depression and its impact on physical health.Psychedelic Medicine Future (00:32:19) Jay Godfrey discusses the future plans and ambitions of Nushama, envisioning a multi-site psychedelic wellness center with various treatment modalities.Nushama Information (00:34:09) Information about Nushama and psychedelics can be found on their website, Instagram, and YouTube, as well as the exciting future of alternative mental health treatment. Follow us on Instagram: @Vibe.Science Subscribe to our YouTube Page: www.youtube.com/@Vibe.Science

Yoga can help heal your Generalized Anxiety Disorder and allow you to live your best life... just ask Ashton! She joins us from Tucson, Arizona to share her story, what led her to mental health, all things yoga, and everything in between. Enjoy the show! Welcome back to A Mental Health Break! If you enjoy the show, please subscribe for weekly episodes and rate the show 5 stars to help others join our conversations!More on our guest: Ashton August founded the leading wellness website YouAligned.com and YA Classes, the mission-based, 5-star-rated yoga, meditation, and fitness app that has planted over 300,000 trees. Ashton has been teaching yoga and meditation for 12+ years, is a renowned yoga and meditation teacher trainer, and has produced over 1,000 online classes. She is also a wellness industry consultant for teachers and entrepreneurs. She is the author of two motivational books (Learn Grow Shift and A Year of Self Motivation for Women, with her third book on the way) and is a passionate animal advocate and volunteer for the ASPCA. Have a question for a guest or host? Want to become a guest or show partner? Let's chat! Send an email to podcastsbylanci@gmail.com.Stay connected with us on social media! You can find us at @ThatEntrepreneurShow on all platforms. For more information about our show and our guests, visit www.vincentalanci.com. We look forward to engaging with you!Episode Music Credits: Adventure by MusicbyAden | https://soundcloud.com/musicbyadenLooking to become a show partner? Email Danica at PodcastsByLanci@gmail.com to learn more.

Rachel breaks down Generalized Anxiety Disorder (GAD). She gives examples of how the disorder shows up in real life and provides tips for those who are in relationships with people with people with GAD.  I'm looking for 10 busy-ass women who are anxious, and want to go to counseling but don't have the time or resources. If this is you.. I have something for you that will change your life in 21 days. Click here to be the first to hear about it: I am a busy-ass woman with anxiety. How anxious are you (for real)? Find out in 5 super-quick questions. 

Have you ever felt a knot in your stomach from worry?  Racing thoughts? A heart that won't slow down?  Kimberly Beam Holmes knows exactly how anxiety feels.  She shares her deeply personal journey with anxiety, starting from childhood experiences that laid the foundation for her struggles.  If you or someone you love grapples with adult anxiety, this video is for you!Kimberly discusses specific anxiety disorders like generalized anxiety disorder, separation anxiety, phobias, and hypochondria, explaining how they manifest and impact our lives. Discover how anxiety affects the body, potential causes, and why it's more common in women.  In this episode, she delves into managing anxiety through uncertainty and the broader topic of stress management.Don't let anxiety control you! Kimberly reveals actionable strategies to manage your anxiety, including:- The Power of Self-Care: Practical tips to nurture your mind and body.- Mind Over Matter: How cognitive-behavioral techniques can rewire your thinking.- Move Your Body, Calm Your Mind: The science behind exercise as an anxiety-buster.- Breathe Deeply: Simple breathwork techniques for anxiety relief.- The Gratitude Effect: How focusing on the good can transform your outlook.- Journaling for Anxiety: Discover the power of writing to ease anxious thoughts.Remember, you are not alone. Kimberly's story is one of hope and resilience – proof that you can learn to thrive despite anxiety.LINK TO RESEARCH: https://bit.ly/3vj9j72

Enjoy this round table discussion on the journal article: “Effect of Osteopathic Manipulative Therapy on Generalized Anxiety Disorder” If you have any questions comments or would like to be on the podcast, please email the onmmpodcast@gmail.com --- Send in a voice message: https://podcasters.spotify.com/pod/show/benjamin--greene/message

Struggle with the spotlight or just shy? We'll help you unpack that knotty question and more, offering a roadmap to understanding the twists and turns of social anxiety disorder. With a dash of humor to lighten the load, we share candid tales from our own lives, including my epic battle with the fear of dentists, revealing how these personal vignettes illuminate the broader psychological concepts. Welcoming a special guest, cultural expert To Keio, we delve into how societal norms can exacerbate or mask symptoms, and we dissect the critical six-month marker that separates fleeting worry from a diagnosable condition.Our conversation doesn't stop at social fears; it expands to the entire spectrum of anxiety and autism disorders. As we explore the landscape of these conditions, we highlight the signature worries of generalized anxiety disorder and the unique social and behavioral patterns seen in autism, painting a picture of how these challenges arise from within rather than external pressures. With our expert guest, we break down the expected age of onset for these disorders and offer insights that not only prime you for acing exams but also deepen your compassion for those living with these often invisible struggles. Tune in for an episode that's as informative as it is heartfelt, guiding you through the complexities of mental health with knowledge and empathy.If you need to study for your national licensing exam, try the free samplers at: LicensureExamsThis podcast is not associated with the NBCC, AMFTRB, ASW, ANCC, NASP, NAADAC, CCMC, NCPG, CRCC, or any state or governmental agency responsible for licensure.

In the insightful podcast episode featuring Joanna Hardis, author of "Just Do Nothing: A Paradoxical Guide to Getting Out of Your Way," listeners are treated to a deep dive into the concept of distress tolerance and its pivotal role in mental health and personal growth. Joanna Hardis, with her extensive background in treating anxiety disorders such as panic disorder, OCD, and Generalized Anxiety Disorder, shares her professional and personal journey toward understanding and teaching the art of effectively managing internal discomfort without resorting to avoidance or escape tactics. The discussion begins with an exploration of the title of Joanna's book, "Just Do Nothing," which encapsulates the essence of her therapeutic approach: the intentional practice of stepping back and allowing thoughts, feelings, and sensations to exist without interference. This practice, though seemingly simple, challenges the common impulse to engage with and control our internal experiences, which often exacerbates suffering. A significant portion of the conversation is dedicated to "distress intolerance," a term that describes the perceived inability to endure negative emotional states. This perception leads individuals to avoid or escape these feelings, thereby increasing vulnerability to a range of mental health issues including anxiety, depression, and substance abuse. Joanna emphasizes the importance of recognizing and altering the self-limiting beliefs and thoughts that fuel distress intolerance. Practical strategies for enhancing distress tolerance are discussed, starting with simple exercises like resisting the urge to scratch an itch and gradually progressing to more challenging scenarios. This gradual approach helps individuals build confidence in their ability to manage discomfort and makes the concept of distress tolerance applicable to various aspects of life, from parenting to personal goals. Mindfulness is highlighted as a crucial component of distress tolerance, fostering an awareness of our reactions to discomfort and enabling us to respond with intention rather than impulsivity. The podcast delves into the importance of connecting with our values and reasons for enduring discomfort, which can provide the motivation needed to face challenging situations. Joanna and Kimberley also touch on the common traps of negative self-talk and judgment that can arise during distressing moments, advocating for a more compassionate and accepting stance towards oneself. The idea of "choice points" from Acceptance and Commitment Therapy (ACT) is introduced, encouraging listeners to make decisions that align with their values and move them forward, even in the face of discomfort. The episode concludes with a message of hope and empowerment: everyone has the capacity to work on expanding their distress tolerance. By starting with small, manageable steps and gradually confronting more significant challenges, individuals can cultivate a robust ability to navigate life's inevitable discomforts with grace and resilience. EPISODE HIGHLIGHTS:  The Concept of "Just Do Nothing": This core idea revolves around the practice of intentionally not engaging with every thought, feeling, or sensation, especially when they're distressing. It's about learning to observe without action, which can reduce the amplification of discomfort and suffering. Understanding Distress Intolerance: Distress intolerance refers to the belief or perception that one cannot handle negative internal states, leading to avoidance or escape behaviors. This concept highlights the importance of recognizing and challenging these beliefs to improve our ability to cope with discomfort. Building Distress Tolerance: The podcast discusses practical strategies to enhance distress tolerance, starting with simple exercises like resisting the urge to scratch an itch. The idea is to gradually expose oneself to discomfort in a controlled manner, thereby building resilience and confidence in handling distressing situations. Mindfulness and Awareness: Mindfulness plays a crucial role in distress tolerance by fostering an awareness of our reactions to discomfort. This awareness allows us to respond intentionally rather than react impulsively. The practice of mindfulness helps in recognizing when we're "gripping" distressing thoughts or sensations and learning to gently release that grip. Aligning Actions with Values: The podcast emphasizes the significance of connecting actions with personal values, even in the face of discomfort. This alignment can motivate us to face challenges and make choices that lead to personal growth and fulfillment, rather than making decisions based on the urge to avoid discomfort. These concepts together form a comprehensive approach to managing distress and enhancing personal well-being, as discussed by Joanna Hardis in the podcast episode. TRANSCRIPTION:  Kimberley: Welcome, everybody, today. We have Joanna Hardis. Joanna wrote an amazing book called Just Do Nothing: A Paradoxical Guide to Getting Out of Your Way. It was a solid gold read. Welcome, Joanna. Joanna: Thank you. Thank you for having me. Thank you for reading it, too. I appreciate it. Kimberley: It was a wonderful read and so on point, like science-backed. It was so good, so you should be so proud. Joanna: Thank you. Kimberley: Why did you choose the title Just Do Nothing? Joanna: I mean, it's super catchy, but more importantly than that, it is really what my work involves on a personal level and on a professional level—learning how to get out of my own way or our own way by leaving our thoughts alone, learning how to leave uncomfortable feelings alone, uncomfortable sensations alone, uncomfortable thoughts alone. Because that's what creates the suffering—when we get so engaged in them. Kimberley: Yeah. It's such a hard lesson. I talk about this with patients all the time. But as I mentioned to you, even my therapist is constantly saying, “You're going to have to just feel this one.” And my instinct is to go, “Nope. No thanks. There has to be another way.” Joanna: A hundred percent. Yes. I mean, it really is something on a daily basis. I have to remind myself and work really hard to do. Kimberley: It is. But it is such powerful work when you do it.  Joanna: Mm-hmm.  Kimberley: Early in the book, you talk about this term or this concept called ‘distress intolerance.' Can you tell us what both of those are and give us some ideas on why this is an important topic? Joanna: Sure, and this is what got me interested in the book and everything. Distress tolerance is a perception that you can handle negative internal states. And those internal states can be that you feel anxious, that you feel worried, you feel bored, vulnerable, ashamed, angry, sad, mad, off. There's an A to Z alphabet of those unpleasant and uncomfortable emotional states. And when we have that perception that we can handle it, our behavior aligns, so we tend to do things.  When we are distress-intolerant, we have a perception—often incorrect—that we cannot handle negative internal states. So then we will either avoid them or escape them or try to figure them out or neutralize them or try to get rid of them, make them stop—all the things that we see in our work every day.  Before I had my practice in anxiety disorders, I worked over a decade in an eating disorder treatment center, and we know that when someone has really low distress tolerance, they are more vulnerable to developing eating disorders, anxiety disorders, depressive disorders, substance use disorders. So, it's a really important concept. Kimberley: It's such an important concept. And you talk about how the thoughts we have which can determine that. Do you want to share a little bit about that? Because there was a whole chapter in the book about the thoughts you have about your ability to tolerate distress. Joanna: Sure, and I didn't answer the second part of your question., I just realized, which will tie into that, which is how it sounds. How it sounds is, “I can't bear to feel this way, so I'm going to avoid that party,” or “I'm having too good of a day, so I can't do my homework,” or “I can't bear if my kids see me anxious, so we're not going to go to the playground.” And so, what drives someone's perception are their thoughts and these thoughts and these self-limiting stories that we all have, and that oftentimes we just buy into as either true, or perhaps at one point, they may have been true, but we've outlived them. Kimberley: Yeah. We're talking about distress tolerance, and I'm always on the hunt to widen my distress tolerance to be able to tolerate higher levels of distress. And I think what's interesting is, first, this is more of a question that I don't know the science behind it, but do you think some people have higher levels of distress which makes them more intolerant, or do you think the intolerance which is what makes the distress feel so painful? Joanna: I don't know the research well enough to answer it. Because I think it's rare that you see -- I mean, this is just one construct. So it's very hard to isolate it from something like emotional sensitivity or anxiety sensitivity or intolerance for uncertainty, or something else that may be contributing to it. Kimberley: Yeah. No, I know. It's just a question I often think about, particularly when I'm with patients. And this is something that I think doesn't really matter at the end of the day. What matters is—and maybe this will be a question for you—if our goal is to increase our distress tolerance, how might somebody even begin to navigate that? Joanna: Sure. I love that question. I mean, in the book, I take it down to such a micro level, which is learning how—and I think you've talked about it on podcasts—itch serve. So, one of the exercises in the book is learning how you set your timer for five minutes and you get itchy, which of course is going to happen. And it's learning how to ride out that urge to scratch the itch. So, paying attention to. If you zoom in on the itch, what happens?  What happens when you zoom out? What else can you pay attention to?  And so when someone learns that process, that is on such a micro level. I often tell patients it's like a one-pound weight. Kimberley: Yes. Joanna: And then what are some two-pound weights that people can use? So then, for many people, it's their phone. So, it's perhaps not checking notifications that come in right away. They begin to practice in low-distress situations because I want people to get confident that they know how to zoom in, they know how to zoom out. They know if they're feeling a sensation, the more that they pay attention to it, the worse it's going to feel. And so, where else can they put their awareness? What else can they be doing?  And once they get the hang of it, we introduce more and more distress. So then, it might be their phone, then it might be them intentionally calling up a thought. And we work up that way with adding in, very gradually, more distress or more discomfort. Exercise is a great way, especially if it's not married to anxiety, to get people interacting with it differently. Kimberley: Yeah. We use this all the time with anxiety disorders. It's a different language because we talk about an ERP hierarchy, or your exposure menu, and so forth. But I love that in the book, it's not just specific to that. It could be like you talked about. It's for those who have depression. It's those who have grief. It's those who have eating disorders. It's those who have anger. I will even say the concept of distress tolerance to me is so interesting because there's so many areas of my life where I can practice it. Like my urgency to nag my kids another time to get out the door in time, and I have to catch like, “You don't need to say it the third time.” Can you tolerate your own discomfort about the time it's taking them to get out the door? And I think that when we have that attitudinal shift, it's so helpful. Joanna: Yes. I find parenting as one of the hardest places for me, but it was also a reminder like the more I keep my mouth shut, the better. Kimberley: Yeah. And I think that's really where I was talking before. I found parenting to be quite a triggering process as my kids have gotten older, but so many opportunities for my own personal growth using this exact scenario. Like your fear might come up, and instead of engaging in that fear, I'm actually just going to let it be there and feel it and parent according to my values or act according to my values. And I've truly found this to be such a valuable tool. Joanna: Yes. And I have found what's been really interesting, when my kids were at home, that was where my distress was. Now that the two of the three are out of the house, my distress is when we're all together and everyone have a good time. And so, it morphs, because what I tell myself and my perception and the urgency, it changes. It's still so difficult with them, but it changes based on what's happening. Kimberley: Yeah. And I think this is an opportunity for everyone, too. How much do you feel that awareness piece is important in being aware that you are triggered? For the folks listening, of course, you're on the Your Anxiety Toolkit podcast. Most are listening because they have anxiety. Do you encourage them to be aware of other areas? They can be practicing this.  Joanna: Yes. Kimberley: Can you talk to me about that? Joanna: 100%, because I feel like -- what is that metaphor about the onion? It's like the layers of an onion. So, people will come, and they'll think it's about their anxiety. But this is really about any uncomfortable feeling or uncomfortable sensation. And so. It may be that they're bored or vulnerable or embarrassed or something else. So, once someone learns how to allow those feelings and do what is important to them or what they need to do while they feel it, then yes, I want them to go and notice where else in their life this is showing up. Kimberley: Talk to me specifically about how in real-time, because I know that's what listeners are going to ask.  Joanna: Of course. Kimberley: I have this scary thing I want to be able to do, but I don't want to do it because I'm scared, and I don't want to feel scared. How might someone practice tolerating their distress in real-time? Joanna: I'm going to answer two ways. One, I would say that might be something to scale. Sometimes people want to do the thing because doing the thing is like the goal or the sexy thing, but if it's outside of their window of tolerance, they may not be able to do it. So, it depends on what they want to do. So, I might say, as just a preface, this might be something that people should consider scaling.  Kimberley: Gradual, you mean? Joanna: Yes. So, for instance, they want to go to the gym, but they're scared of fainting on the treadmill or something. Pretty common for what we see. It would be like, scale it back. So it might be going to the parking lot. It might be taking a tour. It might be going and standing on the treadmill. It might be walking on the treadmill. But we have to put it in smaller pieces.  In the moment that we're doing something that is difficult, first, we have to notice if we're starting to grip. I use this “if we're starting to grip” something. If we're starting to zoom in on what we don't like, if we're starting to zoom in on a sensation we don't like, a thought we don't like, a feeling we don't like, I want people to notice that and you get better at noticing it faster.  The first thing is you got to notice it, that it's happening, because that's going to make it worse. So, you want to be able to notice it. You want to be able to loosen your grip on it. So, that might be finding out what else is going on in my surroundings. So, I'm on the treadmill, I'm walking maybe at a faster pace, and I'm noticing that my heart rate is going up, and I'm starting to zoom into that. What else am I noticing, or what else am I hearing? What else do I see? What else is going on around me? Can we make something else a louder voice? And so, every time that my brain wants to go back to heart focus, it's like, no, no. It's taking it back to something else that's going on. And it helps to connect with why is this important to do? So, as I'm continuing to say, “I'm okay. I am safe. I'm listening. I'm focusing on my music, and I'm looking out the window," This is really important to do because my health is important. My recovery is important. It becomes that you're connecting to something that's important, and the focus is not on what we don't like because that's going to make it bigger and stronger. Kimberley: Right. As you're doing that, as we've already mentioned, someone might be having those can't thoughts, like I can't handle it, even if it's within their window of tolerance, right? It's reasonable, and it's an appropriate exposure. How might they manage this ongoing “You can't do this, this is too hard, it's too much, you can't handle it” kind of thinking? Joanna: I like “This may suck, and I can do it.” Kimberley: It's funny. I will tell you, it's hilarious. In the very beginning of the book, you make some comments about the catchphrases and how you hate them, and so forth. I always laugh because we have a catchphrase over here, but it's so similar to that in that we always talk about, like it's a beautiful day to do hard things. And that seems to be so hopeful for people, but I do think sometimes we do get fed, like over positive ways. You have a negative thought, so we respond very positively, right? And so, I like “This is going to suck, and I'm going to do it anyway.” Joanna: Yes. So you're acknowledging this may suck, especially if you're deconditioned, especially if you're scared. It may suck AND—I always tell people not the BUT—AND I can do it. Even in 30-second increments. So, if someone is like, “I can't, I cant,” I'll say, “You can do anything for 30 seconds.” So then we pile on 30 seconds. Kimberley: Yeah. And that's such an important piece of it too, which is just taking a temporary mindset of we can just do this for a little tiny bit and then a little tiny bit and then a little tiny bit.  Joanna: Yes, I love that. I love that. Kimberley: Why do we do this? What's the draw? Sell me on why someone wants to do this work. Joanna: To do...? Kimberley: Distress tolerance. We talk about this all the time. Why do we want to widen our distress tolerance? Joanna: Oh my goodness. Oh my gosh. I think once you realize all the little areas that may be impacting one's life, it just blows your mind. But in a practical sense, people can stay stuck. When people are stuck. This is often a piece. It's absolutely not the whole reason people are stuck, but this is such a piece of why people get stuck. And so I think for anyone that might feel stuck, perhaps they want a different job or they want to show up differently as a parent or they feel like they are people-pleasers, or they're having trouble dating because they get super controlling. It can show up in any area of one's life. Kimberley: Yeah. For me, the selling point on why I want to do it is because it's like a muscle—if I don't continue to grow this muscle, everything feels more and more scary. Joanna: Oh, sure. Yeah, hundred percent. Kimberley: The more I go into this mindset of “You can't handle it and it's too much, it's too scary” things start to feel more scary. The world starts to feel more unsafe, whereas that attitude shift, there's a self-trust that comes with it for me. I trust that I can handle things. Whereas if I'm in the mindset of “I can't,” I have no self-trust. I don't trust that I can handle scary things, and then I'm constantly hypervigilant, thinking when the next scary thing's going to happen. Joanna: Right. Another reason to also practice doing it, if you never challenge it, you don't get the learning that you can do it. Kimberley: Yeah. There's such empowerment with this work. Joanna: Yes. And you don't have to do big, scary things. You don't have to jump out of an airplane to do it or pose naked, because I see that on Instagram now, people who are conquering their fears by doing these. Very Instagram-worthy tasks, which could be very scary. We can do it, just like you say, with not nagging our kids, by choosing what I want to make for dinner versus making so many dinners because I am so scared that I can't handle it if my kids are upset with me. Kimberley: Right. And for those who have anxiety, I think from the work I do with my patients is this idea of being uncertain feels intolerable. That feeling. You're talking about these real-life examples. And for those who are listening with anxiety, I get it. That feeling of uncertainty feels intolerable, but again, that idea of widening your tolerance or increasing your ability to tolerate it in 10-second increments can stop you from engaging in compulsions that can make your disorder worse or avoiding which can make your disorder worse. Do you have any thoughts on that? Joanna: I 100% agree with you. I always say, let's demote intolerable to uncomfortable. Because I feel sometimes like I have to know I can't stand it, I'm crawling out of my skin. But if I'm then able to get some distance from it, that's the urgency of anxiety. Kimberley: Yeah. It's such beautiful work. Joanna: Yes, and especially the more people do, they're able to say, “You know what? I can do things.” It may feel intolerable. That diffusion, it may feel intolerable. It's probably uncomfortable. So, what is the smallest next step I can take in this situation to do what I need to do and not make it worse? That's a big thing of mine—not making a situation worse. Kimberley: Yes. And that's where the do-nothing comes in. Joanna: Yes. That's the paradoxical part.  Kimberley: Yeah. Is there any area of this that you feel like we haven't covered that's important to you, that would be an important piece of this work that someone may consider as they're doing this work on their own? Joanna: I think and I know that you are a big proponent of this too. I think it's very hard to do this work without some mindful awareness practice. And I talk about it in the book. It's just such an enhancer. It enhances treatment, but it also enhances our daily life. So, I can't say strongly enough that it is so important for us to be able to notice this pattern when we are saying, “Oh my gosh, I can't take this,” or “I can't do this.” And then the behavior and to think about what's the function of me avoiding. But if we're going so fast and our gas pedal is always to the floor, we don't have the opportunity to notice. Kimberley: Yeah, the mindfulness piece is so huge. And even, like you're saying, the mindfulness piece of the awareness but also the non-judgment in mindfulness. As you're doing the hard thing, as you're tolerating distress, you're not sitting there going, “This sucks and I hate it.” I mean, you're saying like it will suck, and that's, I think, validating. It validates you, but not staying in “This is the worst, and I hate it, and I shouldn't be here.” That's when that suffering does really show up.  Joanna: Yes. The situation may suck. It doesn't mean I suck. That was a hard lesson to learn. The situation may, but I don't have to pour gas on it by saying, “How long is it going to last? Oh my gosh, this feeling's never going to end. Do I still feel it? Oh my gosh, do I still feel it as much?” All the things that I'm prone to do or my clients are prone to do that extend the suffering. Kimberley: Make it worse. Joanna: Yeah, exactly. Kimberley: It's a great question, actually. And I often will talk with my patients about it, in the moment, when they're in distress. Sometimes writing it down, like what can we do that would make this worse? What can we do that will make this better? And sometimes that is doing nothing at all. And you do talk about that in the book. Joanna: Yeah. Kimberley: The forward and the backward.  Joanna: The choice points. Yes. Kimberley: Can you share just a little bit about that? Joanna: It's a concept from ACT (Acceptance and Commitment Therapy) that says, when we have a behavior, a behavior can either move us toward or forward what's meaningful in our values or can move us away from it. And so, as we're thinking about doing whatever the hard thing maybe or it may not even be a hard thing; it just may be something you don't want to do. Thinking about what your why is, what's the forward move? Why is it meaningful to you? What do you stand to get? What's on the other side? Because most of us are well versed, and if we give in, that's an away move. And we have to be able to do this non-judgmentally because some days it's just not in us, and that's totally fine. But I want people to be honest with themselves and non-judgmental about whatever decisions they make. But it does help to have a reason that moves us forward. Kimberley: Absolutely. I think that's such an important piece of the work. Again, that's the selling point of why we would want to be uncomfortable. There's a goal or a why that gets us there. Joanna: Yeah. And it's amazing how much pain we will put up with. I mean, think about all the things people like—waxing and some of these exercise classes. It's amazing because it's important to someone. Kimberley: Exactly. And I think that's a great point too, which is we do tolerate distress every day when we really are clear on what we want. And I think sometimes we have these things like I can't handle it, but you might even ask like, what are some harder things that I've actually tolerated in my lifetime? Joanna: Yes, exactly because there's a lot of things you're so right that we do that are uncomfortable, but it's worth it because, for whatever reason, it's worth it. Kimberley: Yeah, I love this. I have loved chatting with you. I know I've asked you this already, but is there any final words you want to share before we learn more about you and where people can get in touch with you? Joanna: I just want people to know that anybody can do this. It may be that it's just creating the right scale—a small enough step forward—but anybody can work on this. There are so many areas and ways in which we can strengthen this muscle. And so there is hope. No one is broken. It may be that people just don't know the next best move. Kimberley: I love that. Thank you. Where can people hear more about you and get in touch with you? Joanna: My website is JoannaHardis.com and my Instagram is the same thing, @JoannaHardis. And excitingly, the book just came out in audio yesterday.  Kimberley: Congratulations.  Joanna: Thank you. Thank you.  Kimberley: That's wonderful. And we can get the book wherever books are sold.  Joanna: Wherever books are sold, yes. Kimberley: I really do encourage people to buy it. I think it's a book you could pick up and read once a year, and I think that there's messages. You know what I'm saying? There are some books where you could just revisit and take something from, so I would really encourage people to buy the book and just dabble in the many concepts that you share. Joanna: Wonderful. Thank you. Kimberley: Yeah. Thank you so much for being on the show. This is such a concept and a topic that I'm really passionate about, and for myself too. I think it's something I'll be working on until I'm 99, I think. Joanna: Me too. I'm with you right there. Kimberley: There's always an opportunity where I'm like, “Oh okay. There's another opportunity for me to grow. All right, let's get on board. Let's go back to the school.” So, I think it's really wonderful. Thank you so much for being here. Joanna: Thank you so much for having me.

If you've ever found yourself in the midst of a real or perceived health struggle, you're not alone. I've been there too. It's a situation where something feels off with your body, and your mind starts weaving tales of uncertainty and fear about what it could mean. It's okay; I understand because I've been through it.As someone who deals with Generalized Anxiety Disorder, I know that health-related worries can be overwhelming. Every little ache or pain can trigger a bunch of anxious thoughts. In these moments, the techniques shared in this meditation have been my reliable companions.Join me in this soothing meditation designed to offer relief and calmness during times of health-related anxiety. Together, we'll explore mindfulness and relaxation techniques that can help ease your mind and body. Remember, you're not alone in this journey, and I hope this meditation provides you with what you need. Background track by Amber GlowSupport the showWant to book your own guided meditation session with desi? Head over to desiehall.com/desimeditates and get a session today. Use the code "MEDesi2023" for a 30% discount!

This week we're discussing GAD - Generalized Anxiety Disorder. GAD generates the most confusion in the community around Disordered, so we took some time to address a few important issues: What is GAD and what isn't it? Does being anxious all day mean you have GAD? What are some of the underlying processes that drive GAD? What about worry and rumination? In the end, much of GAD is driven by excessive worry and rumination that creates an anxious state when it is directed at problems that can't be solved or don't need to be solved. GAD will demand that you ask questions that don't need to be asked, or engage in overplanning, worrying, and ruminating that you might think you shouldn't or can't walk away from. Overcoming GAD is about recognizing some of these thinking and behavioral habits, then taking "risks" by leaving worries unanswered, questions unasked, things unfinished or open-ended, and problems unsolved. Sound hard? It is! But hard and impossible are not the same things. Special thanks to Batman and Bane for pitching in on our opening, and to our friend Elizabeth Lyons for making a cameo appearance as the "Someone call the Ruminator!" woman. Top-notch acting right there. ---- If you love Disordered and think you might benefit from spending 30 full days in an everyday intensive small group recovery support group led by Josh and Drew,⁠⁠⁠⁠⁠⁠ check out Disordered Boost at https://disordered.fm/boost⁠⁠⁠⁠⁠⁠ ----- Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast? Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠ Disclaimer: Disordered is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your own well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

There are some decisions you make in your life that will help you get better and get over [anxiety] quicker. - Lee Cockerell Several years ago Jody and I talked about my struggle with anxiety and depression. It became one of our most listened to episodes. I still get messages about it today. We thought it would be important to revisit this conversation, especially with the prevalence of anxiety in our society. It is important to know about the importance of support systems. After years of being the person everybody turned to in times of crisis, I realized I was waking up crushed under the weight of anxiety. You would never catch me without a cool, collected demeanor, even in the face of disasters. Little did they know, underneath the calm exterior, a volcano of stress and anxiety was brewing. It hit me hard and left me questioning everything I thought I knew about myself. Looking back, I realize that I had been bottling up stress, not allowing myself to feel, process, or release it. The pile-up of these emotions was a ticking time bomb that had finally exploded. The realization that I was not invincible was humbling. Despite the setback, I found solace in the support of my family, friends, and professionals. They all patiently guided me through the process of understanding what got me there and work my way back to brighter days. There are so many others dealing with mental health issues. Our conversation is meant to remind you that you are not alone. The support from my family, friends, and professionals became my lifeline. A journey through anxiety is far from easy. Listening to this conversation will remind you of the importance of self-care and seeking help. Please don't try to get through alone. There are always people ready and willing to help. Make sure to ask for help, even if you don't even know where the anxiety came from. If you feel like a trip will help your anxiety, make sure you reach out to Magical Vacation Planners. They are available to help plan your next vacation. You can reach them at 407-442-2694. Resources The Cockerell Academy About Lee Cockerell Mainstreet Leader Episode Highlights 00:01:45 - Importance of Addressing Anxiety 00:06:01 - Coping Strategies 00:08:22 - Challenges and Attitude 00:10:54 - Triggers and Personal Background 00:15:32 - Effects of Anxiety on Confidence 00:16:00 - Generalized Anxiety Disorder vs. Depression 00:21:40 - Preventing Anxiety in the Workplace 00:27:28 - Talking About Anxiety 00:32:18 - The Power of Talking