Podcasts about self injury

In this episode, we explore why mystery isn't something to eliminate from life — it may be the very thing that keeps us moving, connecting, hoping, and growing. Beginning with a two-year mystery involving peanut shells appearing outside a house, the conversation expands into relationships, neuroscience, detective stories, fear, curiosity, and the courage to enter the unknown.Topics include:Why humans are drawn to mysteries, whodunits, crosswords, and haunted housesThe psychology of curiosity and how uncertainty activates the brainWhy new relationships feel electric and emotionally aliveThe difference between healthy mystery and painful uncertaintyHow “let's find out” can become a philosophy for livingWhy certainty can sometimes lead to boredom, paralysis, or emotional deadnessReflections on rejection, risk-taking, creativity, science, and wonderThe idea that hope only exists when the future remains unwrittenMysteries(Listen) Mistletoe Murders: https://shorturl.at/qftcN(Read) Fresh Water For Flowers: https://shorturl.at/mcjtL(Watch) Chestnut Man: https://shorturl.at/R5qxKThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

In this episode, Brittany details her experience of engaging in nonsuicidal self-injury (NSSI), how it started, and how she makes sense of self-injury and her faith in God. She explains two starkly different responses she received from church leaders and shares insights about how youth pastors in particular can provide supportive responses to students who engage in self-injury and self-harm. Purchase Brittany's new book Stories Our Scars Tell: Hope, Healing, and Honesty about the Wounds We Carry here. Follow her on Instagram at @brittanytinsleywrites and read her blog at https://brittanytinsley.com/. Follow Dr. Westers on Instagram @DocWesters. To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter/X (@ITripleS). The Psychology of Self-Injury podcast has been rated #1 by Feedspot in their list of "10 Best Self Harm Podcasts" and #5 in their "20 Best Clinical Psychology Podcasts." It has also been featured in Audible's "Best Mental Health Podcasts to Defy Stigma and Begin to Heal."

How do we cope with the mental, emotional and physical pain? Survivors of lightning strikes and electrical shocks have lessons for us.Key coping mechanisms: salt packetssaunamassagegroup therapymindset shiftThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.Gambling Addiction: 1-800-GAMBLER

What if feeling trapped isn't about having a bad life—but about having a life that leaves no room for you? Using Odysseus and The Odyssey, I explore the idea that sometimes we can have love, security, success, and comfort while still feeling profoundly disconnected from ourselves.Why Odysseus rejects Calypso's version of paradiseHow your greatest strengths can become sources of sufferingThe difference between wanting your life to end and wanting your current life to changeWhy boredom, burnout, and entrapment can be signs of lost agencyHow asking “Where do I get to be myself?” can become a first step toward finding a way forwardThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.Gambling Addiction: 1-800-GAMBLER

When a boss's email, meeting request, or tone of feedback feels disproportionately intense, it may not be about the present moment alone. For many people, workplace dynamics can quietly reactivate older emotional patterns tied to childhood experiences of criticism, invisibility, powerlessness, or conditional approval. This episode explores how that happens—and how to recognize when the nervous system is responding to the past, not just the job.In this episode:Why authority figures at work can unconsciously resemble early caregiversHow simple workplace feedback can trigger shame, fear, or collapseThe role of childhood experiences in shaping adult stress responsesWhy “professionalism” can sometimes override emotional self-protectionHow to tell the difference between present-day feedback and old emotional memoryWhat it means to stay grounded when the body reacts before the mind can interpretThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

When intrusive thoughts feel like a war zone, the goal isn't to defeat every thought—it's to establish a ceasefire. Just as peace agreements are more likely to hold when neutral third parties monitor them, our mental peace is more sustainable when therapists, friends, journals, or mindfulness practices help us observe thoughts without escalating them.Key Takeaways: Intrusive thoughts can feel like repeated violations of an internal ceasefire.A neutral third party helps monitor, interpret, and de-escalate mental conflict.Therapists, trusted friends, journaling, and meditation can serve as peacekeepers.The goal is not to eliminate thoughts, but to prevent them from triggering emotional retaliation.Healing comes from creating distance between the thought and the response.Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

Meta's own Advertising Standards state that ads "must not encourage suicide." Yet Canada's largest assisted-dying advocacy organization spent more than $1 million on advertising in 2025—$1,013,241, according to its audited financial statements. During that same period, Meta approved 6,782 of its ads and generated $720,193 in advertising revenue from them.The documents are all public.In this episode, I put them side by side and ask the question many fact-checkers never addressed: How is any of this allowed?The answer comes down to one word—and one legal distinction. MAiD is not classified as suicide under Canadian law. It is not recorded as suicide by Health Canada, nor is it listed that way on death certificates. That distinction changes how the practice is categorized and helps explain why these advertisements are treated differently under existing policies.Also in this episode, we examine the real story behind the viral "All Is Beauty" video. The film is authentic and was produced by Canadian retailer La Maison Simons—not the government or an advocacy organization. We also revisit the story of Jennyfer Hatch, who told CTV News before her death that she felt unsupported by British Columbia's healthcare system.Finally, we follow the money. Dying With Dignity Canada's audited financial statements show the organization spent $1,013,241 on advertising in 2025—approximately 34 cents of every donated dollar—while reporting $8.76 million in reserves.Chapters00:00 Jennyfer01:45 The Ad Is Real — And Who Actually Made It03:30 Meta's Own Rulebook05:00 A Million Dollars a Year — And Meta's Cut08:00 One Word10:00 Sponsor11:15 Back to Jennyfer13:30 Who Profits?15:30 My Verdict17:30 Three Tabs — Check It YourselfSourcesMeta Advertising Standards – Suicide, Self-Injury and Eating Disordershttps://transparency.meta.com/policies/ad-standards/objectionable-content/suicide-selfinjury-eating-disorders/Meta Advertising Standardshttps://transparency.meta.com/policies/ad-standards/Meta Safety Center – Suicide Preventionhttps://www.meta.com/safety/topics/wellbeing/suicide-prevention/Meta Ad Library – Ad Spend Reportshttps://www.facebook.com/ads/library/report/Dying With Dignity Canada – Audited Financial Statements (2025)https://www.dyingwithdignity.ca/wp-content/uploads/2026/04/20251231-DWDC-Financial-Statements.pdfThe Canadian Press – Fact File on the Simons Videohttps://ca.finance.yahoo.com/news/fact-file-video-maid-patient-181510834.htmlAFP Fact Checkhttps://www.yahoo.com/news/articles/video-published-canadian-retailer-not-162914705.htmlCTV News – Jennyfer Hatch Interview(Producer: Add original CTV News article URL.)Charity Intelligence Canada – Dying With Dignity Canadahttps://www.charityintelligence.ca/charity-details/458-dying-with-dignity-canadaThe Walrus – "The Lobby Group That Owns the Conversation around Assisted Deaths"https://thewalrus.ca/dying-with-dignity-lobby/Dying With Dignity Canadahttps://www.dyingwithdignity.ca/My Full Financial Breakdownhttps://kelsisheren.substack.com/p/they-spent-a-million-dollars-advertising

What is the relationship between nonsuicidal self-injury (NSSI) and pain? Are individuals who self-injure less sensitive to pain than those who don't self-injure? What are the ethics involved in conducting research on pain? In this episode, Dr. Julian Koenig describes the research on the experience of pain among those who self-harm. Learn more about Dr. Koenig and his research lab at www.koeniglab.de. Below are links to some of the research referenced in this episode: Koenig, J., Thayer, J. F., & Kaess, M. (2016). A meta-analysis on pain sensitivity in self-injury. Psychological Medicine, 46(8), 1597-1612. Koenig, J., Klier, J., Parzer, P., Santangelo, P., Resch, F., Ebner-Priemer, U., & Kaess, M. (2021). High-frequency ecological momentary assessment of emotional and interpersonal states preceding and following self-injury in female adolescents. European Child & Adolescent Psychiatry, 30(8), 1299-1308. Kaess, M., Hooley, J. M., Klimes-Dougan, B., Koenig, J., Plener, P. L., Reichl, C., Robinson, K., Schmahl, C., Sicorello, M., Schreiner, M. W., & Cullen, K. R. (2021). Advancing a temporal framework for understanding the biology of nonsuicidal self-injury: An expert review. Neuroscience and Biobehavioral Reviews, 130, 228-239. Störkel, L. M., Karabatsiakis, A., Hepp, J., Kolassa, I.-T., Schmahl, C., & Niedtfeld, I. (2021). Salivary beta-endorphin in nonsuicidal self-injury: an ambulatory assessment study. Neuropsychopharmacology, 46(7), 1357-1363. Sigrist, C., Kaess, M., & Koenig, J. (2023). Autonomic nervous system function in nonsuicidal self-injury—A Research Domain Criteria perspective on the arousal/regulatory systems. In E. E. Lloyd-Richardson, I. Baetens, & J. Whitlock (Eds.), The Oxford handbook of nonsuicidal self-injury (pp. C18S1–C18S23). Oxford University Press. Naoum, J., Reitz, S., Krause-Utz, A., Kleindienst, N., Willis, F., Kuniss, S., Baumgärtner, U., Mancke, F., Treede, R.-D., & Schmahl, C. (2016). The role of seeing blood in non-suicidal self-injury in female patients with borderline personality disorder. Psychiatry Research, 246, 676-682. Follow Dr. Westers on Instagram @DocWesters. To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter/X (@ITripleS). The Psychology of Self-Injury podcast has been rated #1 by Feedspot  in their list of "10 Best Self Harm Podcasts" and #5 in their "20 Best Clinical Psychology Podcasts." It has also been featured in Audible's "Best Mental Health Podcasts to Defy Stigma and Begin to Heal."

Most people think Tourette's is just swearing, but that's one of the biggest myths. In this episode, Dr Marianne Trent and clinical psychologist Dr Jason Codner explore what Tourette's syndrome is really like, how it affects everyday life, common misconceptions, diagnosis, treatment, and the support available. #tourettesyndrome #MentalHealth #psychology #tourettesHighlights 00:00 Introduction 00:50 What Is Tourette's Syndrome? 02:01 Why Tourette's Is Now Called a Neurodevelopmental Condition 02:44 How Tourette's Affects Everyday Life 05:01 The BBC Awards Incident & Common Misunderstandings 08:43 Media Portrayals & Public Perception 11:35 Can Tourette's Be Funny? 13:34 Living, Working & Thriving with Tourette's 16:11 Inclusion in Psychology & Healthcare 17:40 Can Tourette's Be Treated? 22:51 Who Is More Likely to Develop Tourette's? 24:36 How Is Tourette's Diagnosed? 27:49 Relationships, Parenthood & Tourette's 30:13 Conditions That Can Look Like Tourette's 31:39 Managing Severe Tics & Self-Injury 34:05 New Treatments & Wearable Technology 36:35 The Biggest Myths About Tourette's 38:20 Final Thoughts & Resources Links:

Hope is often mistaken for a feeling of optimism, but for many people it looks much quieter: the decision to stay alive and keep going even when nothing feels certain. In this episode, we explore how hope is less about feeling inspired and more about choosing, day after day, to remain open to the possibility that life can change. Sometimes the most meaningful act is not thriving—it's surviving.Key TakeawaysHope is not a mood; it is a decision.You do not need certainty to keep going.Survival is a meaningful achievement.Choosing “one more day” is an act of courage.Staying alive preserves the possibility of connection, healing, and purpose.Quiet hope often sounds like: “I'm not done yet.”Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

Why do some men spend an afternoon talking about sports, parenting, and work, only to drive home listening to The National or James Blake and cry a little? In this episode, we explore the hidden loneliness of “good” conversations and why being around people isn't always the same as feeling seen.In this episode, we discuss:Why men can feel lonely even after spending time with friendsThe difference between proximity and true emotional intimacyWhy tears often show up in the privacy of the carHow masculine social norms keep conversations safe but shallowThe grief of almost feeling connectedSmall ways to make friendships 10% more honest and meaningfulWhy authentic connection is one of the strongest protective factors against suicide Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

What happens after you finish the thing that gave your life structure and meaning? Whether it's writing a book, raising kids, winning a championship, or completing a major goal, the end of one chapter often leaves us feeling empty. In this episode, I explore why that emptiness isn't a sign that something is wrong, but a signal that you're ready to be challenged by life in a new way.In this episode, I discuss:Why achievement often leads to a surprising sense of emptinessThe difference between rest, recovery, and restlessnessThe psychology of the “arrival fallacy”Why the brain thrives on pursuit more than possessionHow purpose gives shape to our discomfortWhy misery is trying to recreate the pastHow to become “unhappy in a whole new way”Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

How can a song change its meaning without changing its words?In the next installment of The Songs That Made Us, Gunter Swoboda explores Hurt through the radically different lives and recordings of Trent Reznor and Johnny Cash.Written by a young man confronting addiction, numbness, and self-destruction, Hurt became something profoundly different eight years later when Cash recorded it near the end of his life. The same words that once expressed an attempt to feel became an inventory of mortality, regret, love, and acceptance.Drawing on psychology, cultural history, Erikson's theory of integrity versus despair, and the emotional function of music, Gunter asks a deeper question: What changes when the life poured into a song changes?This isn't about deciding which version is better. It's about understanding how music can hold different psychological truths—and why some songs seem capable of growing older with us.Key TopicsHow the same song can carry different psychological meaningsTrent Reznor, addiction, numbness, and emotional regulationJohnny Cash, mortality, aging, and life reviewSelf-injury and the psychological experience of numbnessErikson's integrity versus despairMortality salience and the stripping away of symbolic defensesMusic as recognition, regulation, remembrance, and reconciliationThe cultural relationship between confessional country and alternative rockWhy Hurt continues to endureHow listeners re-inhabit songs throughout their own livesHow can a song change its meaning without changing its words?In the next installment of The Songs That Made Us, Gunter Swoboda explores Hurt through the radically different lives and recordings of Trent Reznor and Johnny Cash.Written by a young man confronting addiction, numbness, and self-destruction, Hurt became something profoundly different eight years later when Cash recorded it near the end of his life. The same words that once expressed an attempt to feel became an inventory of mortality, regret, love, and acceptance.Drawing on psychology, cultural history, Erikson's theory of integrity versus despair, and the emotional function of music, Gunter asks a deeper question: What changes when the life poured into a song changes?This isn't about deciding which version is better. It's about understanding how music can hold different psychological truths—and why some songs seem capable of growing older with us.KeywordsHurt, Johnny Cash, Trent Reznor, Nine Inch Nails, Songs That Made Us, psychology of music, regret, mortality, addiction, shame, self-injury, emotional numbness, integrity versus despair, Erik Erikson, aging, dignity, music and memory, cultural psychology, Gunter Swoboda, Inspire ChangeKey TopicsHow the same song can carry different psychological meaningsTrent Reznor, addiction, numbness, and emotional regulationJohnny Cash, mortality, aging, and life reviewSelf-injury and the psychological experience of numbnessErikson's integrity versus despairMortality salience and the stripping away of symbolic defensesMusic as recognition, regulation, remembrance, and reconciliationThe cultural relationship between confessional country and alternative rockWhy Hurt continues to endureHow listeners re-inhabit songs throughout their own livesTakeawaysA song's psychological meaning can change when a different life inhabits it.Reznor's Hurt gives language to numbness, addiction, and damaged connection.Cash's recording transforms the same words into an accounting of mortality, regret, and acceptance.Music can perform different psychological work: recognition, regulation, remembrance, and reconciliation.The songs that endure are often specific enough to feel deeply personal yet open enough for others to find themselves inside them.Sometimes the song doesn't change. We do.Sound Bites“Same words. Same melody. They are not really the same song.”“How does a song change its meaning without changing a single word?”“The song was written by a young man trying to survive his own addiction and finished years later by an old man trying to make peace with his death.”“Sometimes the song doesn't change. We do.”TakeawaysA song's psychological meaning can change when a different life inhabits it.Reznor's Hurt gives language to numbness, addiction, and damaged connection.Cash's recording transforms the same words into an accounting of mortality, regret, and acceptance.Music can perform different psychological work: recognition, regulation, remembrance, and reconciliation.The songs that endure are often specific enough to feel deeply personal yet open enough for others to find themselves inside them.Sometimes the song doesn't change. We do.Reflection QuestionsWhat piece of music has meant something different to you at two distinct points in your life?What changed in you—not the song?If you took an honest inventory of your life today, what would it say?And how might that accounting look twenty years from now?This Week's ReflectionWrite one page addressed to your future self at seventy. Describe what you hope an honest accounting of your life will say.Don't aim for comfort. Aim for accuracy.GratitudeWe want to extend a huge thank you to our listeners in Onaway (on-uh-way) for not only bringing Michigan all the way to #1 on the Top 10 USA listeners list, but your city alone contributed to over 4,000 of our downloads! Thank you for your incredible support!  And to our Global Listeners, we extend our gratitude to our listeners in Guatemala City for bringing Guatamala to #19 on our Global listeners list for the first time ever!   CONGRATULATIONS!! you made the Top Listeners List.Become a supporter of this podcast: https://www.spreaker.com/podcast/inspire-change-with-gunter--3633478/support.PatreonIf this episode resonates with you and you'd like to go deeper into practical exercises and guided reflection, Gunter offers extended self-development resources and exercises through our Patreon community: www.patreon.com/inspirechangeSponsorDistil UnionThis episode of Inspire Change with Gunter is brought to you by Distil Union, creators of beautifully designed, functional everyday carry accessories that help bring organization, simplicity, and intention into your daily life.Distil Union blends craftsmanship with thoughtful design to help you carry what matters most — without the clutter.

In this episode, I explore a simple but powerful idea: most of us aren't actually chasing happiness — we're trying to feel less miserable. When happiness becomes the goal, we overthink, compare, and pressure ourselves to feel a certain way. But when we shift the focus to reducing unnecessary suffering, life becomes more manageable, grounded, and sustainable.Instead of asking “How do I feel amazing?” we ask, “What's making life heavier than it needs to be?”Key takeaways:Why pursuing happiness can increase rumination and pressureHow high emotional expectations make normal days feel like failuresThe difference between happiness (a spike) and contentment (a baseline)How reducing cognitive load lowers day-to-day miseryTurning rumination into small, actionable movementFocusing on 1–3 priorities instead of overwhelming to-do listsChoosing meaningful connection over constant self-optimizationLowering the goal from “feel great” to “feel manageable”This episode isn't about forced positivity. It's about relief, proportion, and creating a life that feels lighter — not perfect.Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

In this episode, I reflect on James Baldwin's powerful insight that “a human being can only be saved by another human being,” and why 4 a.m. can be one of the most dangerous times to be alone with our thoughts. I explore how love, connection, and even the quiet presence of others can help us recognize that our lives are deeply intertwined—and that simply staying alive may be the greatest gift we give to the people around us.Why emotional pain often feels most overwhelming in the middle of the nightWhat Baldwin meant by “the miracle of love”Why drugs, alcohol, work, and distraction can soothe us but cannot truly save usHow Martin Short's grandchildren gave him a reason to keep goingThe ripple effect of our lives on partners, family, friends, and strangersHow we influence one another through our habits, consistency, and simple presencePractical questions to ask yourself when you're struggling at 4 a.m.Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

What goes on at the neurobiological level that makes someone more vulnerable to self-injure or self-harm? What biological risk factors are at play? What roles do the vagus nerve, cortisol levels, and hypothalamic-pituitary-adrenal (HPA) axis have? We hope to discuss the psychology of self-injury pain in a future episode, but in this episode, Dr. Michael Kaess from the University of Bern in Switzerland explains the neurobiology of self-injury in simple terms, or what we hope can be considered simple layman's terms.  Learn more about Dr. Kaess and his research team at the Universitäre Psychiatrische Dienste (UPD) in Bern here. To participate in Dr. Kaess' research study of an online intervention for self-injury (in German), visit the STAR (Self-injury Treatment Assessment Recovery) Project at https://star-projekt.de/. Below are links to some of the research referenced in this episode: Kaess, M., Hooley, J. M., Klimes-Dougan, B., Koenig, J., Plener, P. L., Reichl, C., Robinson, K., Schmahl, C., Sicorello, M., Schreiner, M. W., & Cullen, K. R. (2021). Advancing a temporal framework for understanding the biology of nonsuicidal self-injury: An expert review. Neuroscience and Biobehavioral Reviews, 130, 228-239. Reichl, C., Heyer, A., Brunner, R., Parzer, P., Völker, J. M., Resch, R., & Kaess, M. (2016). Hypothalamic-pituitary-adrenal axis, childhood adversity and adolescent nonsuicidal self-injury. Psychoneuroendocrinology, 74, 203-211. Plener, P. L., Bubalo, N., Fladung, A. K., Ludolph, A. G., & Lulé, D. (2012). Prone to excitement: Adolescent females with non-suicidal self-injury (NSSI) show altered cortical pattern to emotional and NSS-related material. Psychiatry Research, 203(2-3), 146-152. Follow Dr. Westers on Instagram @DocWesters. To join ISSS, visit itriples.org and follow ISSS on Facebook and X/Twitter (@ITripleS). The Psychology of Self-Injury podcast has been rated #5 by Feedspot in their "Best 20 Clinical Psychology Podcasts" and by Welp Magazine in their "20 Best Injury Podcasts."

In this episode, I explore why failure is not something to hide, but something to study, share, and even celebrate. Drawing inspiration from the “Flops” exhibition at the Musée des Arts et Métiers, I look at how psychology, religion, science, and art all reveal the same truth: my mistakes are often the very things that shape my character, deepen my relationships, and point me toward a more meaningful life.Why failed products like BIC for Her and New Coke can teach us about resilienceThe psychology of growth mindset, self-compassion, and learning from mistakesHow traditions like Kintsugi and teshuvah honor repair over perfectionStories of famous failures from Thomas Edison to J.K. RowlingBooks, movies, songs, and poems that remind us to “fail better”Reflection questions to help me turn every flop into wisdom and purposeThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

When a hard drive crashes, people will spend thousands—or even hundreds of thousands—of dollars to recover what they thought was lost. In this episode, I explore what data recovery can teach us about resilience, meaning, and suicide prevention.In this episode, I discuss:Why we often don't realize the value of something until it's goneHow our bodies, relationships, and memories are more fragile than we thinkThe surprising parallels between data recovery specialists and suicide hotline counselorsHow a single grain of dust—or a single thought—can cause outsized damageWhy emotional crises are often about imbalance rather than total failureThe idea that the story we create from loss may be more valuable than what we lostArticle referenced: https://www.newyorker.com/magazine/2026/04/27/when-your-digital-life-vanishesThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

Typically, when we vent, it causes more harm than good. How do we vent our emotions in a healthy way?Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

"Eat the apple. Plant the seeds." How does this quote pertain to suicide prevention?Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

As parents, we are called to be diligent about monitoring the attitudes, beliefs, behaviors, and health of our children and teens. One recent study published by the Journal of the American Medical Association reports on one type of behavior that we to be aware of, and which requires our intervention. The behavior is self-injury. Non-suicidal self-injury is the act of harming your own body on purpose, such as cutting or burning yourself as a way to cope with stress, sadness, emotional pain, and anger. The study reports that self-injury has been on the rise among children and adolescents, at about a three-point-five percent rate since two thousand. It is more prevalent among our girls, and self-injury has been reported in ten percent of our youth. Parents, if you discover that your child is engaged in self-injury, seek the help of a qualified and experienced Christian counselor. We want our kids to learn to run to Jesus Christ, the Great Physician, when life becomes overwhelming.

How are scars from nonsuicidal self-injury (NSSI) different than physical scars that are unintentional or result from non-self-inflicted wounds ? What psychological effects can result from daily reminders of one's own decision to self-harm? Is there an association between NSSI scars and suicidal thoughts and behaviors? In this episode, Dr. Burke discusses the mixed relationship that many people who self-injure have with the scars they bear from NSSI and how some may feel the need to hide their scars even from themselves.  Learn more about Dr. Burke and her work by clicking here or visiting the Mood & Behavior Lab (MABL) at www.moodandbehaviorlab.org. Follow her on Twitter @TaylorABurkePhD.  Below are some of her publications and papers referenced in this episode: Burke, T. A., Ammerman, B. A., Hamilton, J. L., Stange, J. P., & Piccirillo, M. (2020). Nonsuicidal self-injury scar concealment from the self and others. Journal of Psychiatric Research, 130, 313-320. Burke, T. A., Olino, T. M., & Alloy, L. B. (2017). Initial psychometric validation of the nonsuicidal self-injury scar cognition scale. Journal of Psychopathology and Behavioral Assessment, 39, 546–562. Burke, T. A., Hamilton, J. L., Cohen, J. N., Stange, J. P., & Alloy, L. B. (2016). Identifying a physical indicator of suicide risk: non-suicidal self-injury scars predict suicidal ideation and suicide attempts. Comprehensive Psychiatry, 65, 79–87. Bachtelle, S. E., & Pepper, C. M. (2015). The physical results of nonsuicidal self-injury: The meaning behind the scars. The Journal of Nervous and Mental Disease, 203(12), 927-933. Follow Dr. Westers on Instagram @DocWesters. To join ISSS, visit itriples.org and follow ISSS on Facebook and X/Twitter (@ITripleS). The Psychology of Self-Injury podcast has been rated #5 by Feedspot in their "Best 20 Clinical Psychology Podcasts" and by Welp Magazine in their "20 Best Injury Podcasts."

What do you do when your mind feels like the Drake Passage—violent, unpredictable, and overwhelming? In this episode, we break down what it actually takes to survive extreme conditions, both at sea and in your mental health.This isn't about powering through. It's about learning how to stay on the ship.What We Cover:Why the Drake Passage is so brutal—and why no one is surprised by itThe myth of “toughing it out” vs. adjusting to real conditionsHow tools like meclizine and scopolamine parallel mental health supportThe “stay low and hold on” strategy for emotional survivalBreaking overwhelming time into manageable momentsWhy asking for help isn't weakness—it's survivalThe core mindset shift: you don't have to control the waves, just don't go overboardThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

Understanding self-harm through a nervous system lens changes everything — and in this episode, Amanda breaks down what's actually happening in the brain and body when this behavior shows up, why it works as a short-term regulation strategy even when it comes at a high cost, and what genuinely helps address the root of the pattern rather than just the behavior itself.3 Takeaways:Self-harm is a nervous system regulation attempt. Understanding this is not permission to continue it — it's the foundation for approaching it without shame.The nervous system underneath self-harm is physiologically dysregulated, not just psychologically. Healing has to target the nervous system itself, not just thoughts or behaviors in isolation.Effective alternatives work when they do the same jobs as self-harm — building discharge pathways and widening the window of tolerance. That takes time and often professional support, and healing is genuinely possible.CLICK HERE for the full show notes, resources, and 3 tangible takeaways!—Resources:988 Suicide and Crisis Lifeline: call or text 988Crisis Text Line: text HOME to 741741—Research referenced in this episode:Cornell Research Program on Self-Injury and Recovery — The Neurobiology of NSSIPMC/NIH — Self-harm and emotional regulation researchMedlinePlus — Self-harm overviewNature Mental Health (2025) — Electrodermal activity and self-harm—Disclaimer: This podcast is for informational and educational purposes only and is not a substitute for professional medical or mental health advice, diagnosis, or treatment.Website: https://www.regulatedliving.com/podcastEmail: amanda@regulatedliving.comInstagram: @amandaontheriseTikTok: https://www.tiktok.com/@amandaontherise

What do you do when depression and burnout disconnect you from the very things that once made you feel alive? In this episode, I explore why progress alone isn't enough—we need rest, play, and purpose to reconnect with ourselves and remember what makes life worth living.Key Takeaways:Depression often shows up as anhedonia—the inability to feel pleasure from things you still care about.Like my dog Mila, we can keep “walking” through life but still need play to avoid becoming restless and emotionally depleted.Action often comes before motivation; reconnecting starts with small acts of contact.A sustainable life requires a balance of rest, play, and purpose.Hope can sound as simple as: “I want to be here long enough to find out.”Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

We give, give, and give some more. How do we give back to ourselves?Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

In this episode, I use The Devil Wears Prada and its sequel to explore the mental health costs of ambition, the hidden support systems that help us succeed, and how to pursue excellence without sacrificing our relationships, identity, and sense of self.Visionary vs. vendorAmbition and burnoutWants vs. needsThe cost of successHidden mentors (“Nigels”)Mixed motives and self-honestyPrint vs. digital attentionSuccess without losing yourselfThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

There's something seductive about starting over. Blowing our lives up seems like a great way to do it. How do we resist that urge?Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

Today we talk to Madeline Vosch, author of "Undead: A Memoir of My Suicide." We discuss: complicated truths of surviving a suiciderethinking concept of suicide preventionhow access to basic needs keeps people aliveThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

The term "self-harm" is an umbrella term, encompassing a broad range of behaviors, under which is included substance abuse and misuse, suicide, nonsuicidal self-injury (NSSI), and even eating disorders. In this episode, Dr. Katie Gordon, a Licensed Clinical Psychologist in Fargo, North Dakota, discusses the prevalence of self-injury among individuals with eating disorders and the prevalence of eating disorders among those who self-injure. She explains the relationship between the two behaviors, including common risk factors.  You can purchase Dr. Gordon's book The Suicidal Thoughts Workbook: CBT Skills to Reduce Emotional Pain, Increase Hope, and Prevent Suicide on Amazon here.  Below are links to some of Dr. Gordon's research as well as resources referenced in this episode: Kiekens, G., & Claes, L. (2020). Non-suicidal self-injury and eating disordered behaviors: An update on what we do and do not know. Current Psychiatry Reports, 22(68). Fox, K. R., Wang, S. B., Boccagno, C., Haynos, A. F., Kleiman, E., & Hooley, J. M. (2019). Comparing self-harming intentions underlying eating disordered behaviors and NSSI: Evidence that distinctions are less clear than assumed. International Journal of Eating Disorders, 52(5), 564-575. Smith, A. R., et al. (2013). Exercise caution: Over-exercise is associated with suicidality among individuals with disordered eating. Psychiatry Research, 206(2-3), 246-255. Gordon, K. H., Perez, M., & Joiner, T. E. (2002). The impact of racial stereotypes on eating disorder recognition. International Journal of Eating Disorders, 32(2), 219-224. Follow Dr. Westers on Instagram and Twitter (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter (@ITripleS). The Psychology of Self-Injury podcast has been rated #5 by Feedspot in their "Best 20 Clinical Psychology Podcasts" and by Welp Magazine in their "20 Best Injury Podcasts."

A real-time look at what it feels like when everyday costs jump overnight—and how I keep my footing when the math stops working.Key Points:Prices rising faster than paychecks creates emotional, not just financial, strainThe difference between failing and being squeezed by the systemShifting from convenience to control (small, practical swaps)Stabilizing mindset: survive first, optimize laterSeparating self-worth from financial pressureFinding leverage: negotiate, share, and speak upThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

This episode explores the difference between interrupting thoughts and suppressing emotions—and how trying to control what we feel can quietly keep us stuck. I share how I've learned to stop feeding the mental loop while still allowing emotions to move, instead of shutting them down.Why interrupting thoughts can accidentally suppress emotionsThe hidden ways we avoid feeling (and why they backfire)How to let emotions exist without making them biggerA simple, real-time process for breaking ruminationThe shift from controlling feelings → allowing them to moveThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

In this episode, I break down the difference between comparing and studying — and why one leads to despair while the other leads to growth. We're going to talk about how comparison quietly attacks your identity, and how to shift into a mindset that builds strategy instead of shame.In this episode:Why “comparison leads to despair” is psychologically trueThe difference between ranking yourself and studying patternsHow comparison turns into identity damageWhy studying others builds skill without shrinking your self-worthA simple mindset shift you can use immediatelyStop asking, “Where do I rank?” Start asking, “What can I learn?”Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

In this episode, I reflect on my time leading a cottage at a group home and how stepping into a leadership role challenged my identity, anxiety, and desire to just be the “fun guy.” I unpack the psychological shift from being liked to being responsible, and how consistent structure reduced chaos, stress, and mental overload — ultimately allowing me to lead with both authority and warmth.Why I initially hated being in charge despite caring deeply about the kids and staffThe internal conflict between being the fun, relational leader vs. enforcing rules and boundariesHow anxiety, rumination, and self-doubt intensify in leadership rolesThe realization that structure (being “the law”) creates the conditions for fun and connectionHow consistency and staff alignment helped the environment run itself over timeWhy silence, avoidance, and unclear expectations increase stress for everyoneA key reframe: you may not hate leadership — you may hate unstructured chaosPractical takeaway: clarity, consistency, and support reduce mental load and make leadership sustainableThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

Emotion Regulation Individual Therapy for Adolescents (ERITA) and its internet-delivered version (IERITA) is just one of a couple of treatments developed specifically to address nonsuicidal self-injury (NSSI) among adolescents. In this episode, Dr. Johan Bjureberg from the Karolinska Institute in Stockholm, Sweden walks us through in detail each of the 11 sessions of IERITA and IERITA's 6 parallel sessions for parents. Learn more about Dr. Bjureberg's work here, and follow his research lab and their projects and publications at Emotion regulation, Self-injury, Suicide, and Intervention (ESSI) here. Below are links to his research on ERITA/IERITA referenced in this episode: Bjureberg, J., Ojala, O., Hesser, H., Häbel, H., Sahlin, H., Gratz, K. L., Tull, M. T., Knutsson, E. C., Hedman-Lagerlöf, E., Ljótsson, B., & Hellner, C. (2023). Effect of internet-delivered Emotion Regulation Individual Therapy for Adolescents with Nonsuicidal Self-Injury Disorder: A randomized clinical trial. JAMA Network Open, 6(7), e2322069. Bjureberg, J., Sahlin, H., Hedman-Lagerlof, E., Gratz, K. L., Tull, M. T., Jokinen, J., Hellner, C., & Ljotsson, B. (2018). Extending research on emotion regulation individual therapy for adolescents (ERITA) with nonsuicidal self-injury disorder: Open pilot trial and mediation analysis of a novel online version. BMC Psychiatry, 18, 326. Bjureberg, J., Sahlin, H., Hellner, C., Hedman-Lagerlof, E., Gratz, K. L., Bjarehed, J., Jokinen, J., Tull, M. T., & Ljotsson, B. (2017). Emotion regulation individual therapy for adolescents with nonsuicidal self-injury disorder: A feasibility study. BMC Psychiatry, 17, 411. Follow Dr. Westers on Instagram and Twitter (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter (@ITripleS). The Psychology of Self-Injury podcast has been rated #5 by Feedspot in their "Best 20 Clinical Psychology Podcasts" and by Welp Magazine in their "20 Best Injury Podcasts."

In this episode, I talk about what it really means to be touch starved — not in a dramatic way, but in a nervous-system way. I break down why safe, consensual touch matters for our mental health and how we can get more of it in simple, intentional ways.What “touch starved” actually meansWhy lack of touch increases stress and anxietyHow we used to experience touch vs. nowSmall, practical ways to get healthy touchThe surprising ways people try to replace itAre you stressed… or do you just need a hug?Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

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

I'm taking a short hiatus from the podcast to rest and reset. In the meantime, I encourage you to stay connected to at least one person, keep a small daily routine, and revisit the few episodes that truly helped you instead of consuming everything at once.Build a simple support list, do one meaningful thing each week, and please reach out to professional or crisis support if you're struggling — this podcast is support, not a substitute for care.I'll be back soon. And more importantly, I want you to be here when I return.Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

When someone says, “Everyone would be better off without me,” it sounds selfless — but what if it's a distortion built on the wrong currency of worth? In this episode, we unpack the hidden assumptions behind that belief, from perceived burdensomeness to shame, control, and the quiet fear of being irredeemable.Why “better” is often measured by productivity, not meaningHow depression turns imagination into certaintyThe difference between removal and redemptionThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

What does it mean to feel like the outsider in your own family — the one who gets blamed, ignored, or quietly cast as “the problem”? In this episode, we explore the psychology of scapegoating, why families assign roles, and how to stop seeking validation from a system that may never give it. It's about moving from exile to self-acceptance — and building belonging on your own terms.In This Episode:What family scapegoating actually is (and why it happens)The emotional cost of being “the identified problem”How family systems protect themselves — not necessarily the truthThe difference between alienation and individuationGrieving the family you hoped forFinding acceptance without needing unanimous approvalThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

Is the real crisis today economic — or architectural? In this episode, we challenge the idea that loneliness and despair come from a broken ladder of upward mobility. What if the problem isn't that we can't climb… but that we were taught to measure our worth by climbing in the first place? Drawing from Middlemarch, modern work culture, and personal experience, this conversation explores why craftsmanship, authorship, and daily building may be the antidote to vertical despair.In this episode:Why the “career ladder” mindset fuels anxiety and comparisonThe difference between climbing and buildingHow craftsmanship creates internal pride (and hunger)What Lydgate's crisis in Middlemarch teaches us about collapsed ambitionWhy being seen — not promoted — can save a lifeThe power of asking: “Am I actually in danger right now?”Moving from passive consumption to generative actionHow to build meaning even when the system feels unstable

How can schools appropriately respond to students who engage in nonsuicidal self-injury (NSSI), whether the behavior occurs at home, on school grounds, or elsewhere? What protocols exist to support schools to better respond to students who self-injure? What role does liability play? In this episode, Dr. Nancy Heath of McGill University in Montreal, Canada explains how schools can support students who engage in self-injury and self-harm.Learn more about Dr. Heath's work here, and learn more about her work with the Development and Intrapersonal Resilience (DAIR) Research Team here. Learn more about the International Consortium on Self-Injury in Educational Settings (ICSES) at http://icsesgroup.org/.Self-injury Outreach & Support (SiOS) offers resources for schools here and a list of do's and don'ts here. Visit SiOS at http://sioutreach.org and follow them on Facebook (www.facebook.com/sioutreach) and Twitter (https://twitter.com/sioutreach).Below are links to some of Dr. Heath's research as well as resources referenced in this episode:Hasking, P. A., Bloom, E., Lewis, S. P., & Baetens, I. (2020). Developing a policy, and professional development for school staff, to address and respond to nonsuicidal self-injury in schools. International Perspectives in Psychology: Research, Practice, Consultation, 9(3), 176.Berger, E., Hasking, P., & Reupert, A. (2015). Developing a policy to address nonsuicidal self-injury in schools. Journal of School Health, 85(9), 629-647.Lloyd-Richardson, E. E., Hasking, P., Lewis, S.P., Hamza, C., McAllister, M., Baetens, I., & Muehlenkamp, J. (2020). Addressing self-injury in schools, part 1: understanding nonsuicidal self-injury and the importance of respectful curiosity in supporting youth who engage in self-injury. NASN School Nurse, 35(2), 92-98.Lloyd-Richardson, E. E., Hasking, P., Lewis, S.P., Hamza, C., McAllister, M., Baetens, I., & Muehlenkamp, J. (2020). Addressing self-injury in schools, part 2: how school nurses can help with supporting assessment, ongoing care, and referral for treatment. NASN School Nurse, 35(2), 99-103.Lewis, S. P., Heath, N. L., Hasking, P. A., Hamza, C. A., Bloom, E. L., Lloyd-Richardson, E. E., & Whitlock, J. (2019). Advocacy for improved response to self-injury in schools: A call to action for school psychologists. Psychological Services, 17(S1), 86–92.De Riggi, M. E., Moumne, S., Heath, N. L., & Lewis, S. P. (2017). Non-suicidal self-injury in our schools: a review and research-informed guidelines for school mental health professionals. Canadian Journal of School Psychology, 32(2), 122-143.Whitlock, J. L., Baetens, I., Lloyd-Richardson, E., Hasking, P., Hamza, C., Lewis, S., Franz, P., & Robinson, K. (2018). Helping schools support caregivers of youth who self-injure: Considerations and recommendations. School Psychology International, 39(3), 312-328.Hasking, P. A., Heath, N. L., Kaess, M., Lewis, S. P., Plener, P. L., Walsh, B. W., .Whitlock, J., & Wilson, M. S. (2016). Position paper for guiding response to non-suicidal self-injury in schools. School Psychology International, 37(6), 644-663. Open access here.Book: Self-Injury in Youth: The Essential Guide to Assessment and Intervention (2008) by Drs. Mary Nixon & Nancy HeathFollow Dr. Westers on Instagram and Twitter/X (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter/X (@ITripleS).The Psychology of Self-Injury podcast has been rated as one of the "10 Best Self Harm Podcasts" and "20 Best Clinical Psychology Podcasts" by Feedspot  and one of the Top 100 Psychology Podcasts by Goodpods. It has also been featured in Audible's "Best Mental Health Podcasts to Defy Stigma and Begin to Heal."

In this episode, we explore how poverty affects mental health and increases suicide risk, particularly through relative deprivation, structural barriers, and unclaimed government aid. We look at why poverty is more than a lack of money—it's instability, stress, and social exclusion—and what coping strategies can help.Topics covered include:How relative income deprivation can heighten feelings of hopelessnessWhy being poor in America is often more expensive due to fines, fees, and penaltiesThe $140 billion in unused government aid and barriers to accessing itCoping strategies that protect dignity, stability, and mental healthThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

In this episode, we use the metaphor of turbulence to explore why intense moments in life can feel dangerous without actually being dangerous—and how the nervous system responds when stability feels lost. Through a grounding practice designed for “arrival,” we offer listeners a simple way to reorient their bodies after emotional, relational, or existential turbulence, without needing to fix or explain anything.In this episode, we cover:The four types of turbulence as metaphors for everyday life stress and emotional instabilityWhy the nervous system confuses intensity with danger—and how that fuels distressHow grounding is about orientation and arrival, not forced calmA single, practical grounding exercise listeners can use at the end of a long day or difficult periodThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

Have you ever been told to “just relax” when your body felt like it was on high alert? In this episode, we unpack why that advice fails—and how suicide prevention requires understanding stress physiology, not willpower, by meeting the nervous system with safety before insight.What we cover:Why “relax more” is a behavioral demand, not a biological solutionThe difference between calming thoughts and regulating a stressed nervous systemFour sequencing shifts that actually help:Rhythmic movement instead of stillnessConnection before introspectionPredictability before positivityRegulation before reflectionThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

We explore why emotional highs are often followed by sudden lows, especially after moments of achievement, transition, or loss. We look at how identity, nervous system biology, and meaning collide — and why the crash doesn't mean something is wrong. Most importantly, we talk about how to build guardrails for the comedown.Key Points:Highs stress the nervous systemIdentity amplifies the swingEndings create emotional voidsGrief intensifies contrastThe drop is often biologicalGuardrails matter more than mindsetThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

Explore the power of purpose through the story of Velasco in The Samurai and research-backed insights:Velasco chose meaning over comfort, even at the cost of his life.Purpose drives resilience, stress tolerance, and mental well-being.Without purpose, life can feel stagnant and numbing.Discover why knowing your “why” is essential to truly being alive.Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

In this episode, Dr. Christian Schmahl from Heidelberg University and Mannheim, Germany, answers a listener's question and talks about his experimental research assessing how seeing blood affects heart rate and arousal among both those who engage in nonsuicidal self-injury (NSSI) and those who don't. He also shares insights into the role of self and blood in ritual and nonritual self-injury, including examples from different cultures about how they may interpret blood differently in the context of self-harm and even trance-like states.To learn more about Dr. Schmahl and his work, visit here. To stay up-to-date on next year's ISSS conference in Stockholm, Sweden (Wed-Fri June 24-26, 2026), visit https://www.itriples.org/conferences. Below are a few papers referenced in today's episode:Glenn, C. R., & Klonsky, E. D. (2010). The role of seeing blood in non-suicidal self-injury. Journal of Clinical Psychology, 66(4), 466-473.Naoum, J., Reitz, S., Krause-Utz, A., Kleindienst, N., Willis, F., Kuniss, S., Baumgartner, Ulf, Mancke, F., Treede, R.-D., & Schmahl, C. (2016). The role of seeing blood in non-suicidal self-injury in female patients with borderline personality disorder. Psychiatry Research, 246, 676-682.Stacy, S. E., Pepper, C. M., Clapp, J. D., & Reyna, A. H. (2022). The effects of blood in self-injurious cutting: Positive and negative affect regulation. Journal of Clinical Psychology, 78(5), 926-937.Hornbacher, A., Sax, W., Naoum, J., & Schmahl, C. (2023). The role of self and blood in ritual and nonritual self-injury. In E.E. Lloyd-Richardson, I. Baetens, & J. Whitlock (Eds.), The Oxford handbook of nonsuicidal self-injury (pp. 468-480). Oxford University Press.Follow Dr. Westers on Instagram and Twitter/X (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter/X (@ITripleS).The Psychology of Self-Injury podcast has been rated as one of the "10 Best Self Harm Podcasts" and "20 Best Clinical Psychology Podcasts" by Feedspot  and one of the Top 100 Psychology Podcasts by Goodpods. It has also been featured in Audible's "Best Mental Health Podcasts to Defy Stigma and Begin to Heal."