
The Hardcore Self-Help Podcast with Duff the Psych
451 episodes — Page 2 of 10

396: Her Doctor Failed Her - Privacy for Youth in Psychiatry, Suicidality Assessment, and Advocating for Your Past Self
EHello, friends! In today's episode, we tackle a profound listener question that may resonate with many of you. A listener who survived a suicide attempt at 13 is considering reaching out to the pediatric psychiatrist who assessed them during their hospitalization. They feel that the presence of medical students during their assessment was inappropriate and impacted their honesty. They're seeking guidance on how to provide feedback and advocate for their younger self. As always, you can send me questions to [email protected] and find the full show notes for this episode at http://duffthepsych.com/episode396 Links: https://www.nami.org/advocacy/ https://www.patientadvocate.org/ --- Ready to release your stressors and find a safe space to talk? Try BetterHelp, an entirely online therapy platform that fits your schedule. Fill out a brief questionnaire to get matched with a licensed therapist, and switch therapists anytime for no extra charge. Get 10% off your first month at http://betterhelp.com/duff

395: Overcoming Agoraphobia, Common Exposure Mistakes, Amygdala Reactivity, and More
Hello, friends! In today's episode, we tackle a profound listener question that may resonate with many of you. A listener struggling with agoraphobia seeks guidance on overcoming their anxiety and finding motivation to pursue exposure exercises. They've been working with a therapist and taking anxiety medication but feel stuck. We explore the complexities of agoraphobia, the importance of prolonged exposure, and strategies for building motivation and support. As always, you can send me questions to [email protected] and find the full show notes for this episode at http://duffthepsych.com/episode395 --- Nourish Your Skin with OneSkin: Combat dry, aging skin with OneSkin's peptide-powered products, including their moisturizing body lotion and the innovative OS-01 SHIELD SPF. Address skin issues at their root with a 15% discount using code DUFF at oneskin.co.

Episode 394: Finding Focus with ADHD & The Surprising Upside of Missing Medication
EHello, friends! In today's episode, we tackle two thought-provoking listener questions that may resonate with many of you: Cymbalta Conundrum: A listener shares their experience with Cymbalta, a medication prescribed for panic disorder. They noticed feeling amazing on days they forgot to take the medication, leading them to wonder if they truly needed it. We explore the concept of conditioned compensatory response, the effects of medication on the body, and the importance of gradual tapering. ADHD Focus Struggles: Another listener struggles with focus and motivation despite trying various medications and strategies. We discuss the complexities of ADHD, the importance of environmental adjustments, and techniques like mindfulness, Pomodoro intervals, and accountability to improve focus and productivity. As always, you can send me questions to [email protected] and find the full show notes for this episode at http://duffthepsych.com/episode394 --- Take care of your social battery with BetterHelp! Their online therapy platform offers flexible scheduling and matching with licensed therapists. Get 10% off your first month with the code "duff" at http://betterhelp.com/duff

Episode 393: When to Say I Love You & Numbness in Face After TBI
Hello friends! In today's episode, we explore the deep and complex emotions involved in expressing love within romantic relationships and the challenging path to recovery following a severe traumatic brain injury. We kick off with a question about the appropriate timing for saying "I love you" in a romantic context, especially considering cultural differences and personal challenges such as being on the autism spectrum. Our listener's journey brings forward the importance of understanding personal feelings and the unique dynamics of each relationship. We then shift to an inspiring yet poignant story of miraculous recovery and the persistence of hope. Another listener shares the journey of their mother's recovery from a severe traumatic brain injury resulting from a car accident. While her recovery has been astonishing, they grapple with the lingering issue of facial numbness. This story highlights the incredible resilience of the human body and spirit, the complexities of the brain's healing process, and the necessity of advocating for comprehensive care that addresses all facets of recovery. As we navigate these profound topics, remember, whether it's about expressing love or facing the aftermath of a traumatic event, the journey is deeply personal and filled with opportunities for growth and understanding. As always, you can send your questions to [email protected] and find the full show notes for this episode at http://duffthepsych.com/episode393 --- Are you trying to find the perfect balance between social activity and recharging your batteries? Therapy can help! Try it out with BetterHelp at http://betterhelp.com/duff for 10% off your first month.

Episode 392: Helping a Friend with OCD & Being Controlling After Moving In
EHello friends! In today's thoughtful episode, we tackle two profound listener questions that may resonate with many of you: Contemplating Harm OCD and Supporting a Friend: A listener shares their concerns about how to best support a friend struggling with harm OCD. They've noticed their attempts to help by offering reassurance or checking things for their friend might actually be counterproductive. We dive into the nature of OCD, the impact of well-meaning actions, and how to genuinely support someone without reinforcing their compulsive behavior. Finding Balance Amidst Life's Transitions: Another listener talks about the challenges of transitioning to a full-time job and living with their partner after college. They've found themselves clinging to rigid routines that have begun to control their life, seeking advice on how to break free from these patterns without losing their sense of stability. We explore the importance of flexibility, communication, and self-awareness in navigating these significant life changes. As always, you can send me questions to [email protected] and find the full show notes for this episode at http://duffthepsych.com/episode392 ---- Are you trying to find the perfect balance between social activity and recharging your batteries? Therapy can help! Try it out with BetterHelp at http://betterhelp.com/duff for 10% off your first month.

Episode 391: Panic Disorder & Caregiving for a TBI
Hello friends! In today's episode, we tackle two interesting questions that delve into the heart of mental and emotional challenges many of us face. First, we explore the complex world of panic disorder through the eyes of a 24-year-old graduate student grappling with severe panic attacks. Their story illuminates the physical and psychological intensity of panic disorder, revealing how it transcends mere stress or anxiety to significantly disrupt daily life. We dissect the cycle of fear and avoidance intrinsic to panic disorder and discuss the critical importance of specialized care and therapy in navigating this condition. Next, we turn our attention to the challenges faced by caregivers of individuals with dementia resulting from traumatic brain injuries (TBI). One listener shares the struggle of balancing caregiving with personal self-care, seeking resources and support to manage this demanding role. We offer guidance on finding online and in-person resources, emphasize the importance of self-care for caregivers, and encourage seeking professional help to ensure both the caregiver's and the loved one's needs are met. As always, you can send your questions to [email protected] and find the full show notes for this episode at http://duffthepsych.com/episode391. --- Exploring what truly matters to you can be transformative, and therapy can help. BetterHelp provides convenient, online therapy to fit your life. Start with a questionnaire, match with a licensed therapist, and switch anytime. Focus on what makes you happy with BetterHelp. Get 10% off your first month at betterhelp.com/duff.

Episode 390: Gender Identity in Therapy & Standing Up to Mom
EHello friends! In today's episode, we tackle two profound listener questions that may resonate with many of you: Dealing with Hurtful Family Comments: A listener is troubled by their mother's deeply hurtful comment, suggesting they have been a source of stress since birth. We explore the emotional impact of such comments, consider the role of health issues in behavior, and discuss strategies for coping and moving forward. Navigating Identity and Therapy: Another listener, a closeted trans man, shares their experience of coming out to their therapist and the mixed responses received. We delve into the importance of understanding and navigating gender identity within therapy, especially in conservative environments, and ponder whether seeking a gender specialist, in addition to their current therapist, might be beneficial. As always, you can send me questions to [email protected] and find the full show notes for this episode at http://duffthepsych.com/episode390 ---- This episode is sponsored by Babbel, the language learning app that's as close as you can get to immersion from your own home. Designed for real-life conversations, Babbel is backed by science and makes learning new languages practical and enjoyable. I've even used my Spanish skills from Babbel in a real client meeting! Get started with Babbel and enjoy 55% off your subscription by visiting babble.com/duff. Conditions apply. Exploring what truly matters to you can be transformative, and therapy can help. BetterHelp provides convenient, online therapy to fit your life. Start with a questionnaire, match with a licensed therapist, and switch anytime. Focus on what makes you happy with BetterHelp. Get 10% off your first month at betterhelp.com/duff.

Episode 389: Am I Bugging My Therapist? & Abusive Ex Using Kids Against Me!
EHello, friends! In today's episode of the podcast, we dive deep into two incredibly relatable listener questions that touch on emotional and psychological challenges many of us might face. Our first discussion revolves around the complex emotions of worrying about one's therapist. One listener shares their concern about being a burden by repeatedly discussing the same issues, particularly body dysmorphia, fearing it might negatively impact their therapist. We unravel this common fear, emphasizing the nature of therapy and the professional capacity of therapists to manage their own feelings and support their clients effectively. In our second exploration, we address the heart-wrenching situation of a listener navigating the aftermath of an abusive marriage, particularly the impact on their children. This listener's struggle with their ex-partner's manipulation and its effect on their relationship with their children brings to light the challenges of co-parenting and protecting one's mental and emotional well-being during such turbulent times. We offer insights into seeking support, understanding the dynamics at play, and strategies for maintaining a healthy relationship with one's children amidst external pressures. As always, your thoughts and questions are invaluable to us. Reach out via [email protected] or explore more resources at http://duffthepsych.com/episode389. Your journey is important, and we're here to support you every step of the way. --- Breathe Easy with Air Doctor: Spending most of our time indoors means we're often exposed to more pollutants than outside. Air Doctor's air purifier, featuring an UltraHEPA filter, captures over 99% of airborne particles, even those as small as .003 microns, ensuring your indoor air is cleaner and healthier. Try it risk-free for 30 days and get up to 40% off at airdoctorpro.com with promo code DUFF. Nourish Your Skin with OneSkin: Combat dry, aging skin with OneSkin's peptide-powered products, including their moisturizing body lotion and the innovative OS-01 SHIELD SPF. Address skin issues at their root with a 15% discount using code DUFF at oneskin.co.

Episode 388: Building Emotional Intelligence & Partner is Afraid of Pictures
Hello friends! In today's episode, we dive into two listener queries that shine a light on the complexities of emotional experiences and relationships. First, we explore the journey of someone grappling with childhood emotional neglect, unpacking the long-term effects of growing up in an environment where emotions were disregarded and undervalued. Our listener shares their struggle with feeling emotionally disconnected and their quest for a path toward healing and emotional awareness. Then, we shift gears to discuss the challenges faced by a couple when one partner feels uncomfortable with being photographed. This scenario opens up a dialogue on insecurities, the significance of memories captured in photos, and the importance of understanding and respecting each other's boundaries. As always, you can send me your questions at [email protected] and find the full show notes for this episode at http://duffthepsych.com/episode388. --- Feeling overwhelmed by the never-ending to-do list? Discover how to prioritize what truly matters with BetterHelp. Their convenient, flexible online therapy helps you allocate time for what's important, letting you focus on happiness. Start today at betterhelp.com/duff and get 10% off your first month. Prioritize your well-being with BetterHelp.

Episode 387: Should I Still Talk to My Ex?
Hello friends! In this episode, we delve into a deeply personal and complex question that touches on the lasting impact of past relationships, the nuances of friendship, and the boundaries within a current, happy marriage. A listener shares their experience of not being able to stop thinking about an ex, despite being happily married and having no desire to rekindle a romantic relationship. They discuss the significance of this past relationship during a pivotal time in their life and ponder whether they should attempt to cultivate a friendship or strive to move on completely. We explore the importance of acknowledging the role this person played in their life, while also considering the potential implications for their current relationship. The conversation includes practical advice on navigating these feelings, communicating with both the spouse and the ex, and setting healthy boundaries. We also discuss the potential for "relationship drift" and the importance of being honest with oneself about the true motivations and possible outcomes of re-establishing contact. As always, you can send me questions to [email protected] and find the full show notes for this episode at http://duffthepsych.com/episode387. ---- Discover healthier snacking with Chomps' tasty meat sticks, packed with protein and free of unhealthy additives. Enjoy 20% off your first order with free shipping at chomps.com/duff, and make better snack choices with their humane, responsibly sourced meat in nine delicious flavors.

Episode 386: Starting Dating in 30s & Navigating BPD in the UK
Hello friends! In today's episode, we delve into two deeply personal and impactful listener questions, uncovering layers of self-discovery, acceptance, and the ongoing journey towards healing and love: Embarking on a Journey of Self-Discovery and Love: A 32-year-old male shares his transformative journey from battling addiction and isolation to embracing therapy, wellness, and the realization of his deep desire for love and intimacy. Facing fears of rejection, exploring his sexuality, and stepping into the dating scene, he seeks guidance and affirmation that it's never too late to find love and form meaningful connections. Navigating Mental Health Challenges in the UK: A listener from the UK expresses frustration with the mental health support system, revealing a recent diagnosis of BPD after years of being treated for depression. Despite facing suicidality and feeling abandoned by the healthcare system, they search for hope and strategies to cope with the intense highs and lows of BPD, highlighting the urgent need for compassionate and effective mental health care. As always, you can send me questions to [email protected] and find the full show notes for this episode at http://duffthepsych.com/episode386. --- BetterHelp: Navigate the complexities of relationships and dating with BetterHelp. It's not just about couples therapy; individual therapy can significantly enhance your dating journey, improving communication and self-awareness. Start your journey with BetterHelp online, tailored to your schedule, and get 10% off your first month at betterhelp.com/duff. Dive into therapy designed for you, because understanding yourself is the first step to connecting with others. Babbel: Kickstart your language learning journey in 2024 with Babbel! Whether refining conversational skills or mastering pronunciation, Babbel's 10-minute, expert-crafted lessons pave the way to fluency in just 3 weeks. Embrace a new language with tools rooted in real-life situations, and get 50% off a lifetime subscription at babble.com/duff. Let's learn together and make language barriers a thing of the past.

Episode 385: Obsessing Over New Relationships & Recovering from Sexual Assault
EHello, friends! In today's episode, we tackle two profound listener questions that may resonate with many of you: Navigating Romantic Relationships and Self-Esteem: A listener seeks advice on managing the anxiety and self-doubt that accompany new romantic relationships. We discuss the concept of "correct rejections" and explore strategies for nurturing a healthy sense of self-esteem, such as focusing on personal growth and savoring moments of joy. Overcoming Trauma and Self-Doubt: Another listener shares their struggle with self-doubt stemming from a traumatic experience. We emphasize the importance of self-compassion and challenge the stigma associated with seeking help. We discuss the benefits of therapy and self-help resources, as well as the empowering nature of setting challenges and connecting with others. As always, you can send me questions to [email protected] and find the full show notes for this episode at http://duffthepsych.com/episode385 ---- OneSkin: OneSkin's skincare products, developed by Ph.D. level scientists, simplify your routine and reduce skin's biological age with their proprietary peptide OS-1. Use code "DUFF" at oneskin.co for 15% off. AirDoctor: AirDoctor's air purifier removes 100% of particles as small as .003 microns, circulating air in 600 square foot rooms four times per hour. Use promo code "DUFF" at airdoctorpro.com for up to 40% off.

Episode 384: All About Depression
Hello friends! In today's in-depth episode, we embark on a comprehensive exploration of depression, a condition that's far more complex than the occasional sadness or the transient moods we all experience. Our journey aims to shed light on the multifaceted nature of depression, affecting individuals across the globe in myriad ways. We delve into the clinical aspects, the personal stories, and the common misconceptions surrounding this pervasive mental health condition. We start by breaking down the very concept of depression, moving beyond the simple definition to uncover its roots and how it impacts the human experience. Through the lens of the DSM-5, we explore the criteria for diagnosing Major Depressive Disorder, highlighting the diversity of symptoms and the profound effect they have on individuals' lives. Our discussion takes a personal turn as we examine the experiences of James and Ellie, two hypothetical cases that illustrate the varied manifestations of depression. James, with his outward success masking an internal struggle, and Ellie, facing overt challenges in her transition to college life, offer insights into the silent battles many face. Addressing common misconceptions, we challenge the stigmas associated with depression, emphasizing its complexity and the fact that it's not a sign of weakness, nor is it something one can simply "snap out of." We also touch upon the idea that depression can affect anyone, regardless of how "good" their life may seem. As we move towards solutions, we discuss the treatability of depression, underscoring the effectiveness of medication, therapy, and lifestyle changes. We emphasize that for those facing this condition, there is hope, and a multitude of resources available to support their journey towards recovery. In closing, we reaffirm the importance of understanding, empathy, and support in the battle against depression. We encourage our listeners to reach out for help, to engage in conversations about mental health, and to seek the resources necessary to navigate this challenging yet treatable condition. As always, you can send me questions to [email protected] and find the full show notes for this episode, including links to resources and further reading, at http://duffthepsych.com/episode384. ---- Sponsored by BetterHelp: In my journey to enhance my relationships, I've found therapy invaluable for navigating the complexities of connections with others. BetterHelp offers online therapy that's tailored to your needs, allowing you to work through relationship challenges with a licensed therapist from the comfort of your home. Start your journey towards healthier relationships and get 10% off your first month at betterhelp.com/duff. Sponsored by Chomps: If you're like me and snacking is your Achilles' heel, Chomps is the game-changer you need. Their meat sticks are not only a healthier snacking alternative but are also packed with protein and come in delicious flavors like taco, made from high-quality, sustainably sourced meat. Take advantage of 20% off your first order plus free shipping by visiting chomps.com/duff.

Episode 383: Alternatives to Adderall & My Therapist Talks Too Much!
EHello friends! In today's episode, we delve into two compelling listener questions that I'm sure many of you will find relatable and insightful. Navigating Therapy with a Talkative Therapist: One listener shares their experience with a therapist who often overshadows the session with personal stories, leaving them feeling unheard. This is particularly challenging as the listener is dealing with a controlling spouse with dementia. We explore the importance of feeling heard in therapy, the role of therapist's self-disclosure, and the value of assertiveness in therapeutic relationships. We also discuss the concept of transference and how it can impact therapy sessions. Considering Alternatives to Adderall: Another listener seeks advice about a close relative looking to taper off Adderall, which they've been dependent on for managing ADHD. We discuss the complexities of ADHD diagnosis and treatment, delve into the pharmacology of Adderall, and explore its side effects and potential for psychological dependence. Additionally, we examine Provigil (Modafinil) as an alternative, highlighting the differences in abuse potential and side effects. We also touch upon other medication options like Strattera, Intunive, Clonidine, and Wellbutrin, and emphasize the role of therapy and coaching in managing ADHD. As always, your questions and stories bring a depth of understanding to our discussions. If there's something on your mind, don't hesitate to reach out at [email protected]. For full show notes, please visit http://duffthepsych.com/episode375. --- This episode is brought to you by Babbel, the science-backed language-learning app with quick, 10-minute lessons tailored to your level. Get 55% off your subscription at babbel.com/duff and start speaking a new language in as little as three weeks. Rules and restrictions may apply. This episode is also sponsored by BetterHelp, the convenient online therapy service. Reflect on your strengths and build on them with a licensed therapist, tailored to your needs and schedule. Visit betterhelp.com/duff to get 10% off your first month and start celebrating your progress.

Episode 382: Changing Name at Work & Dealing with Emotional Numbness
EHello friends! In today's episode, we delve into two compelling listener questions that touch on deeply personal experiences and emotional challenges: Exploring Identity Through Name Change: Our first question comes from a listener who has recently undergone the significant process of legally changing their name, a journey often intertwined with gender identity and personal transformation. We discuss the complexities of introducing this change in a professional setting, especially in environments where such changes might not be widely accepted. We explore strategies for communicating the change, dealing with potential challenges, and staying true to one's identity. Confronting Emotional Numbness: The second question addresses a concerning experience of emotional numbness, where even significant life events fail to elicit expected emotional reactions. We delve into the concept of anhedonia, its connection to depression, and the possible causes of this emotional disconnection. Practical advice is offered on how to reconnect with emotions, including mindfulness techniques, behavioral activation, and the importance of considering physical health factors and professional help. As always, your questions and experiences enrich our discussions and bring valuable insights to our community. If there's a question or topic on your mind, don't hesitate to reach out at [email protected]. For full show notes and more resources, head to http://duffthepsych.com/episode382. ---- Discover healthier snacking with Chomps' tasty meat sticks, packed with protein and free of unhealthy additives. Enjoy 20% off your first order with free shipping at chomps.com/duff, and make better snack choices with their humane, responsibly sourced meat in nine delicious flavors. Breathe easier with AirDoctor's air purifiers, independently tested to remove 99.99% of airborne allergens and pollutants. Get up to 40% off at airdoctorpro.com using promo code DUFF, and transform your indoor air quality with their efficient, high-capacity filtration.

Episode 381: Is it Impossible to Thrive as a Therapist & Long-Distance Driving Anxiety
EHello friends! In today's episode, we delve into two compelling listener questions that many of you might find relatable: Confronting Career Anxiety in Private Practice: A newly licensed listener, transitioning from a non-profit agency to private practice, shares their struggles with the unpredictability of work and income, leading to increased anxiety. They contemplate returning to a full-time job, questioning the future of their career in mental health. We discuss the common challenges faced in different work settings, strategies for managing career uncertainty, and ways to find a fulfilling path in the mental health profession. Navigating Highway Anxiety with a Unique Twist: Another listener, who enjoys driving but experiences anxiety on long highway trips, seeks advice for their unusual situation. Despite a well-managed health condition and ruling out vision problems, this anxiety poses a significant obstacle, especially for family commitments requiring long travel. We explore potential triggers, the importance of understanding anxiety's impact, and practical tips for gradually overcoming this specific driving anxiety. As always, your questions are the heartbeat of our show. Feel free to send your thoughts or inquiries to [email protected]. For full show notes and more insights, visit http://duffthepsych.com/episode381. ------ If you are looking for a product that not only helps to hydrate your skin but can actually reverse signs of skin aging, check out http://oneskin.co and use the code DUFF for 15% off.

Episode 380: Dopamine Misconceptions
EHello friends! In today's enlightening episode, we delve deep into the intricacies of neurotransmitters, specifically dopamine, and their impact on our behavior and mental health. We also touch on trichotillomania and the role of medications like Wellbutrin in treating such conditions. Demystifying Dopamine and Serotonin: We kick off by addressing a common oversimplification in the world of mental health. Dopamine and serotonin are often reduced to mere 'happiness' and 'reward' chemicals in popular culture. We explore how these neurotransmitters are far more complex and play a variety of roles in our body, from movement and mood regulation to learning and memory. Understanding Neurotransmitters: What exactly are neurotransmitters like dopamine? We explain their crucial role in brain communication and their diverse functions. We also discuss other key neurotransmitters such as serotonin, acetylcholine, epinephrine, norepinephrine, GABA, and glutamate. Dopamine's Role Beyond Pleasure: Moving beyond the 'feel-good molecule' tag, we delve into dopamine's involvement in anticipation of rewards, motivation to pursue goals, and its critical role in learning and habit formation. Impact of Modern Habits: How do activities like scrolling on social media, playing video games, or watching TV series influence our dopamine levels? We discuss how these activities engage our brain's reward system and the concept of negative reinforcement in avoiding stress or emotional discomfort. Trichotillomania and Dopamine: Addressing a listener's specific concern, we explore trichotillomania, a complex mental health condition involving recurrent hair pulling. We examine the potential roles of dopamine, serotonin, glutamate, genetic factors, and environmental influences in this disorder. Wellbutrin - A Closer Look: What about medications like Wellbutrin? We clarify how Wellbutrin, or bupropion, an NDRI, differs from other antidepressants and its effectiveness in treating depression, aiding smoking cessation, and its potential implications in treating trichotillomania. Final Thoughts and Recommendations: We wrap up by emphasizing the importance of seeking professional advice for personalized treatment plans, especially for conditions like trichotillomania, and encourage listeners to keep sending their thoughtful questions and topics. As always, you can send me your questions to [email protected] and find the full show notes for this episode at http://duffthepsych.com/episode380 ---- The new year isn't all about change. Keep and build upon your progress with the help of a licensed therapist through BetterHelp. You can get 10% off your first month at http://betterhelp.com/duff

Episode 379: My Word for 2024 Is...
EHello, friends! In this episode, I will be wrapping the year up by reflecting back on 2023 and my word for the year, which was "Identity." I talk about what I learned and explored this year and then I tell you what I have chosen as my word for 2024. It should be a fun one! Take care of yourselves, and I will see you in 2024! --- If you are looking for a product that not only helps to hydrate your skin but can actually reverse signs of skin aging, check out http://oneskin.co and use the code DUFF for 15% off.

Episode 378: Emotional Immaturity & Making Friends After Bullying
EHello friends! In today's insightful episode, we delve into two very relatable and poignant listener questions that highlight the complexities of personal relationships and social anxiety. Navigating Emotional Maturity in Relationships: Our first discussion revolves around a listener's five-year relationship with her boyfriend. She's passionate about personal growth but finds her boyfriend, though professionally driven, lacks emotional maturity in their relationship. We explore the challenges of addressing emotional immaturity in a partner, the balance between accepting inherent personality traits and fostering growth, and the importance of direct communication and understanding in nurturing a healthy, supportive relationship. Coping with Social Anxiety and Jealousy in Adolescence: The second question comes from a 13-year-old listener in the UK, grappling with feelings of jealousy and social anxiety. They talk about the challenges of making friends, the impact of bullying, and the complexities of navigating friendships with older peers. We discuss strategies to manage social anxiety, the significance of self-reflection, and the importance of recognizing one's value in friendships. As always, you can send me questions to [email protected] and find the full show notes for this episode at http://duffthepsych.com/episode378. ---- Air Doctor is an at-home air purifier that filters out nearly 100% of particals as small as .003 microns. It is whisper quiet and super easy to use. If you suffer from horrendous allergies like me, check out airdoctorpro.com and use the promo code DUFF for up to $300 off! If you are looking for a product that not only helps to hydrate your skin but can actually reverse signs of skin aging, check out http://oneskin.co and use the code DUFF for 15% off.

Episode 377: Preparing for Couples Therapy & Managing Depersonalization and Derealization
Hello friends! In Episode 377, we tackle two profound listener questions that shed light on unique mental health and relationship challenges. Our first discussion revolves around a listener gearing up for couples therapy. They share their apprehension about conveying years of experiences within the confines of therapy sessions. We explore strategies for effective communication, the importance of preparation, and utilizing therapy as a starting point rather than a complete solution. The conversation also touches on the usefulness of additional resources like therapy workbooks and individual therapy in enhancing the couples therapy experience. The second question comes from a 23-year-old male experiencing derealization, depersonalization, and occasional panic attacks. These symptoms make him feel detached from his environment and himself, as if living in an unreal world. We dive into understanding these phenomena, identifying possible triggers, and discussing various coping methods. These include sensory grounding techniques, mindfulness practices, and the potential roles of therapy and medication in managing these dissociative experiences. Your questions continue to add depth and insight to our discussions on mental health. If you have any questions or topics you'd like to share, please send them to [email protected]. For full show notes and additional resources, visit http://duffthepsych.com/episode377. --- The holiday season can be rough. If you need extra support to get through it, consider trying online therapy with BetterHelp. You can get 10% off your first month at http://betterhelp.com/duff If you are looking for a brain reset and the normal avenues of therapy and medication aren't doing it for you, consider doing at-home ketamine therapy with Mindbloom. Head over to http://mindbloom.com/duff and use to code duff for $100 off!

Episode 376: Absent Father Issues & Being a Young Manager
EHello friends! In today's insightful episode, we delve into two intriguing listener questions that touch upon deeply personal and relatable topics. First, we explore the lasting impact of growing up without a father. One of our listeners shares their lifelong struggle with the absence of a paternal figure, revealing how it shapes their relationships and fears about parenting. We discuss the complex emotions tied to this experience, including the search for paternal qualities in partners and the challenges it brings. The journey of understanding and healing from such a deep-rooted issue is unpacked, offering perspectives on self-reflection, therapy, and personal growth. Our second question shifts focus to the challenges of young leadership. A listener in their early 20s, already in a management role, grapples with being taken advantage of due to their age. They seek advice on asserting themselves and managing a team with more life experience. We dive into the nuances of assertive communication, the balance between firmness and collaboration in leadership, and the importance of self-confidence, irrespective of age. As always, you can send me questions to [email protected] and find the full show notes for this episode at http://duffthepsych.com/episode376. --- If you are looking for a product that not only helps to hydrate your skin but can actually reverse signs of skin aging, check out http://oneskin.co and use the code DUFF for 15% off.

Episode 375: Anxiety About Nose Job & Privacy In Telehealth Therapy
EHello friends! In today's insightful episode, we tackle two profound listener questions that delve into personal struggles and the complexities of therapy in the modern world. Our first discussion revolves around a listener's internal conflict about undergoing a nose job. They share their long-standing desire for this procedure, influenced by cultural norms and compounded by severe anxiety. We explore the importance of understanding the underlying reasons for wanting cosmetic surgery, the impact of cultural pressures, and strategies for managing anxiety related to such a significant decision. The second question opens a window into the world of telehealth therapy and the challenges of maintaining privacy in less traditional settings. A listener shares their experience of feeling uneasy about the lack of privacy during their online therapy sessions. This concern leads us to discuss the crucial aspects of privacy in therapy, the legal and clinical implications, and the importance of addressing and resolving such concerns with your therapist. As always, you can send me questions at [email protected] and find the full show notes for this episode at http://duffthepsych.com/episode375. --- If you are looking for a product that not only helps to hydrate your skin but can actually reverse signs of skin aging, check out http://oneskin.co and use the code DUFF for 15% off. The holiday season can be rough. If you need extra support to get through it, consider trying online therapy with BetterHelp. You can get 10% off your first month at http://betterhelp.com/duff

Episode 374: Persisting in a Broken World & Recognizing Narcissism in Yourself
EHello, friends! I hope you're all managing to keep your spirits up. In today's thoughtful episode, we tackle two profound listener questions that may resonate with many of you: Contemplating Narcissism and Self-Improvement: A listener is troubled by the possibility of being a narcissist, an idea suggested by their ex-partner. They're engaging in therapy and self-help but wrestle with the question: Are they truly non-empathetic or just struggling with poor coping mechanisms? We explore the characteristics of Narcissistic Personality Disorder, the journey of self-awareness, and the importance of recognizing and addressing negative behaviors. Seeking Purpose Amidst Global Turmoil: Another listener shares their struggle to find the motivation for personal improvement in a world filled with conflict and despair. How can one persist in therapy and self-care when the future seems so uncertain? We discuss the significance of hope, the resilience of humanity, and finding personal value in the face of global challenges. Your stories and questions are what make this podcast a rich community. If something's on your mind, drop me an email at [email protected]. For full show notes, visit http://duffthepsych.com/episode374. Remember, while the podcast can offer guidance, it's not a replacement for professional help. Stay tuned for more, and take care of yourselves. --- If you are feeling DRY like me these days, check out OneSkin. Their revolutionary peptide moisturizer helps to not only hydrate your skin, but also eliminate the senecent cells that contribute to aging. Get 15% off at http://oneskin.co and use the code DUFF at checkout. I have been LOVING CoPilot. They are an amazing fitness app that pairs you with a personal trainer to create customized workouts to meet your goals whether you work out at home or in the gym. Get a 15-day free trial with an actual personal trainer at http://go.mycopilot.com/duff

Episode 373: Overcoming Overthinking
EHey everyone! Hope you're finding moments of peace amidst the chaos. Today's episode peels back the layers of anxiety that can really twist our brains into knots. We're responding to a heartfelt question from a listener who's finding themselves in a tangle of overthinking, especially when it comes to new relationships. Unraveling the Anxiety Knot: We've all been there, so let's talk about overthinking, anxiety, and how they team up to throw us for a loop. I'm rolling out some practical tips that come from both personal battles and professional strategies to help ease that mental gridlock. Mindfulness: More Than Just Zen: We're distinguishing between kicking back for relaxation and the active practice of mindfulness. It's all about focusing your thoughts, not just deep breathing. I'll guide you on how to navigate through your brain's maze and dodge those cognitive booby traps. Self-Compassion: Your Secret Weapon: It's super important to remember to be gentle with yourself. Struggling with overthinking is common, and it's okay not to have all the answers. Keeping busy can be a good distraction from ruminating thoughts, and sometimes, a little distraction is exactly what we need. Don't shy away from asking for an outsider's perspective. Friends, family, or a therapist can provide that valuable reality check. Big Picture Perspective: Keep in mind, this too shall pass. The worries that seem mountainous today are often just pebbles on the path of life. Life's a wild ride, and it's not meant to be spent in a constant state of worry. You're capable, and you've got a whole community here rooting for you. Got a question you're itching to ask? Drop me a line at [email protected]. And for a deeper dive into today's topic, check out the detailed show notes over at http://duffthepsych.com/episode373. Stay safe, and see you in the next episode! --- If you need an amazing gift that will make everyone ask where you got it, check out the wide variety of unique products over at http://uncommongoods.com/duff

Episode 372: Finding Balance in College & Spending Addiction
EHello, friends! Hope you're all doing splendidly. Today's episode dives into the nuances of financial anxieties and the challenges of managing impulsive shopping habits. Two heartfelt listener questions guide our discussion, shedding light on personal struggles and the broader societal context: Tackling Shopping Habits & ADHD: A loyal follower from Vermont expresses concerns over her shopping habits, leading to financial difficulties, accentuated by her newly diagnosed adult ADHD. We delve into the difference between compulsive shopping and anxiety-driven financial behaviors, offering clarity and understanding. The profound influence of ADHD on financial decisions: a look into impulsivity and executive dysfunction. Addressing societal pressures, the modern capitalist world, and their impacts on our financial stresses. Strategies for Financial Well-being: Exploring actionable steps to regain financial control and establish a balanced relationship with money. Emphasizing the importance of budgeting and planning to avoid impulsive bill payments and purchases. Techniques to curb immediate spending impulses and create a waiting period before making purchases. The value of community support, accountability, and journaling for self-awareness and reflection. The potential for therapy to understand and address deep-seated beliefs and behaviors about money. Remember, seeking balance and understanding in our relationship with money is a journey, not a destination. Taking proactive steps, seeking support, and focusing on self-awareness can pave the way for healthier financial habits. As always, feel free to send your questions to [email protected]. You can find the detailed show notes for this episode at http://duffthepsych.com/episode372 ---- If you are looking for a brain reset and the normal avenues of therapy and medication aren't doing it for you, consider doing at-home ketamine therapy with Mindbloom. Head over to http://mindbloom.com/duff and use to code duff for $100 off! The holiday season is rapidly approaching and if you are looking for a unique gift for someone that is difficult to shop for, look no further than Uncommon Goods. Head over to http://uncommongoods.com/duff for 15% off!

Episode 371: Is This Cheating?, Annoyed at Phones, & Meds Before Therapy
EHello, friends! I hope everyone is well. In today's insightful episode, we dive deep into two thought-provoking listener questions that touch on feelings of regret after a relationship and the challenges of adapting to a technology-driven society: The Complexities of Relationships & BPD A 27-year-old male grapples with feelings of regret after rekindling a relationship with an ex-partner diagnosed with BPD. We discuss the intricate nature of relationships with individuals diagnosed with BPD, emphasizing understanding, compassion, and communication. Highlighting the importance of self-awareness and personal boundaries when navigating the potential of re-entering a relationship. Shedding light on the challenges of revisiting past connections and the role of personal growth and change. Navigating a Technology-Driven World A listener shares their post-pandemic struggles with adapting to a world where mobile phones dominate social interactions. We explore the societal shift towards digital interactions and the challenges of feeling disconnected in an ever-connected world. Addressing feelings of annoyance with public cell phone usage and ways to reframe our perspective for better adaptability. Questioning medical advice and advocating for the importance of therapy as an initial treatment approach. As always, you can send me questions to [email protected], and find the show notes for this episode at http://duffthepsych.com/episode371. --- If you are in the market for a product that actually heals your skin at the molecular level to reverse signs of aging, check out OneSkin. Use the code DUFF at http://oneskin.co for 15% off! And if you would like some assistance in helping your brain act more like a friend and less like a cat that's annoyed at you, try professional therapy entirely online with BetterHelp. Visit http://betterhelp.com/duff for 10% off!

Episode 370: Unusual Response to ADHD Meds & Safer BDSM Practices
EHello, friends! I hope everyone is well. In today's enlightening episode, we delve into two insightful listener questions that touch on ADHD medications and the world of BDSM: The Nuances of ADHD Medications A concerned friend notices that their peers, after starting ADHD medication, exhibit what seems to be exacerbated symptoms. We delve into the complexities of ADHD medication, understanding its effects, and the importance of individualized treatment. Exploring the balance of neurotransmitters, the potential for overstimulation, and the common trial-and-error phase of medication adjustment. The importance of observation, empathy, and open communication when approaching friends or loved ones about potential medication side effects. Journeying through BDSM Interests from Childhood to Adulthood A listener shares their deep-seated interest in BDSM activities from an age as young as six, raising concerns about their adult relationships and personal safety. We explore the broad scope of BDSM, its misconceptions, and the importance of self-awareness and education in safely navigating the BDSM community. Touching upon the potential overlaps between Pathological Demand Avoidance (PDA) Autism and BDSM tendencies, and the significance of therapy in understanding oneself better. As always, you can send me questions to [email protected] and find the show notes for this episode at http://duffthepsych.com/episode370 ---- If you are looking for expert training, accountability, and a real person to help you achieve your fitness goals, check out CoPilot at go.mycopilot.com/duff for a 14 day free trial and a real personal trainer to get your started. The holiday season is rapidly approaching. If you are in the market for unique gifts that are handmade or sold by small businesses, check out Uncommon Goods. They are an awesome marketplace with everything from bar equipment to crafts, to mugs, to jewelry. Head over to http://uncommongoods.com/duff for 15% off your next gift.

Episode 369: Avoiding Depression Relapse & Questioning Parenthood
EEpisode 369: Navigating Personal Struggles & Motherhood Hello, friends! I hope everyone is doing well. In today's episode, we delve into two deeply personal and powerful listener questions: 1. A 26-year-old woman shares her journey from the depths of a severe depression to her current stable and fulfilling life. Despite her progress, she grapples with anxiety about possibly regressing into her past depressive state. We explore the resilience of overcoming challenges, the changes that occur within us as we grow, and the power of reflection and gratitude in maintaining mental health. 2. A single mother of two confronts the painful reality of potentially repeating the patterns of her own tumultuous childhood. With raw honesty, she reveals her struggles with emotional, mental, and occasional physical abuse towards her children. In response, we discuss the profound challenges of motherhood, the potential for growth and change, and the importance of seeking resources and support. Resources Mentioned: Child Welfare Information Gateway A comprehensive resource hub offering assistance on various topics, from adoption to strengthening families. National Parent Helpline A platform that provides support to parents and caregivers. They offer a directory of parent resources by state. For more detailed information and links, please visit the show notes for this episode at http://duffthepsych.com/episode369. As always, if you have questions or topics you'd like discussed on the show, please send them to [email protected]. --- This episode is sponsored by BetterHelp. If you find yourself stuck in a rut, consider enlisting the help of a licensed therapist online. Head to http://betterhelp.com/duff for 10% off your first month!

Episode 368: How to Overcome Anxiety About Flying
EHello, friends! I hope everyone is doing well. In today's episode, we take a deep dive into a pressing concern from a listener who's experiencing heightened flight anxiety, especially after a recent panic attack. Having flown multiple times without issues, the sudden resurgence of this anxiety, coupled with the responsibility of traveling with her two kids, has intensified her worries. We discuss the nature of panic attacks, the paradox of fearing anxiety itself, and the importance of anchor thoughts. By understanding the physiological similarities between anxiety and excitement, one can redirect their focus to positive anticipations. We also emphasize the pitfalls of safety behaviors and the significance of relying on support systems, even those onboard. Lastly, we highlight the importance of self-compassion, preparation, and recognizing one's resilience in facing such challenges. Additionally, we touched upon the value of grounding techniques like box breathing, the potential of distractions, and the concept of transforming anxiety into excitement using anchor thoughts. We also explore the idea of viewing each phase of the flight as milestones rather than triggers. As always, if you have questions or topics you'd like discussed on the show, please send them to [email protected]. Be sure to check out the show notes for this episode at http://duffthepsych.com/episode368. Links mentioned: Pilot walks you through the sounds of a plane Mel Robbins discusses her strategies for overcoming plane anxiety

Episode 367: Preventing Age Discrimination and Promoting Longevity
EHello, listeners! I hope you're taking care of yourselves and finding moments of joy. In today's episode, we deep dive into a comprehensive question from one of our loyal listeners. This listener shares their journey, from discovering our podcast through a Men's Health article on mental health to now being engrossed in Dr. Becca Levy's book "Breaking the Aging Code." The core of their question revolves around the challenges the aging population faces, particularly concerning mental health. They highlight the troubling fact that the majority of mental health providers do not accept older patients on Medicare and express concerns about receiving appropriate care as they age, especially without having a family advocate by their side. Our discussion touches upon the age bias prevalent in the medical community and the importance of proactive health measures, both mentally and physically. We delve into the effects of cardiovascular health on cognitive abilities, the significance of continuous learning and social interactions, and the role of stress in aging. Furthermore, we emphasize the importance of advocating for oneself, understanding the intricacies of Medicare, and the potential benefits of seeking younger medical practitioners who may have a fresh perspective on care. Thank you for consistently sharing your thoughtful questions. They add depth and perspective to our conversations. If you have questions or topics you'd like us to address, please reach out to [email protected]. Don't forget to check out the detailed show notes for this episode at http://duffthepsych.com/episode367. ---- This episode is brought to you by BetterHelp. If you would like an outlet for your relentless thoughts, try out talking to a licensed psychotherapist entirely online. Head to http://betterhelp.com/duff for 10% off!

Episode 366: Explaining My Polyamorous Relationship & Supporting a Partner in Grief Over a Pet
EHello, everyone! I appreciate your attention and hope you are doing well. In our first segment, we dive into a topic that's close to my heart - the evolution of my own marriage into a non-monogamous, polyamorous relationship. I unravel the intricacies of non-monogamy, elucidate the various terminology surrounding it, and give an insight into my personal journey of 'opening up'. If you're curious about polyamory, its various facets, or simply want to understand what it means to navigate such a relationship, this segment offers a comprehensive overview. The next question touches upon a sensitive yet universal theme: grief. A listener reaches out, concerned about her partner's impending loss of his beloved cat, Jimmy, who has been a steadfast companion through some of life's most challenging moments. We discuss the profound impact pets have on our lives, the unique grief associated with their loss, and strategies to navigate this emotional terrain, especially when mental health challenges are at play. As always, your stories and questions provide invaluable insights, making every episode a journey of discovery. If there's a topic or question you'd like addressed in future episodes, please send them to [email protected]. For a detailed breakdown of today's episode, check out the show notes at http://duffthepsych.com/episode366. ---- If you are looking for a quick and simple skin care routine that targets aged cells to promote longetivity that is backed by science, check out http://oneskin.co and use the coupon code DUFF for 15% off. For many people, therapy and traditional medications are not enough to truly help their depression and anxiety. Luckily there are other options, such as Mindbloom, the leader in at-home ketamine treatment. Get $100 off your first series at http://mindbloom.com/duff and use the code DUFF at checkout.

Episode 365: Getting Autism Diagnosis as an Adult & Living with Partner's PTSD
Hello, all! I hope that you are staying healthy and safe. In this episode, I cover two very interesting questions. In the first, someone has been through almost every treatment for depression and anxiety under the sun, yet they still struggle. Their therapist suggested that they may be on the autism spectrum and the person is wondering whether it would be useful to get an evaluation. We discuss the potential benefits as well as how to go about finding (and affording) an evaluation. Next, someone has PTSD from their partner's PTSD reactions. Their partner is a war veteran with multiple brain injuries and the question-asker is wondering how they can stay afloat mentally when their partner does not get help. We talk about ways to avoid codependence, how to establish boundaries, and when to call it quits. As always, you can send me questions to [email protected] and find the show notes for this episode at http://duffthepsych.com/episode365 ----- This episode is sponsored by BetterHelp. Rather than letting your thoughts stay swirling around in your mind, get them out by talking to a licensed therapist. Try BetterHelp today and get 10% off your first month at http://betterhelp.com/duff Also, don't forget to check out my new shop. I'm putting out new designs all the time including this awesome mug:

Episode 364: PTSD with Psychosis & Body Dysmorphia Cured by Loss
Hello, friends! I hope you're treating yourselves well. In this episode, I dive into two compelling listener questions that touch on complex emotional states and mental health diagnoses. First up, we discuss what it means to be diagnosed with PTSD with "schizophrenic episodes." If you've ever been confused by mental health jargon or diagnoses, this segment will provide some clarity. We'll break down the DSM criteria for PTSD and explore the possibility of psychotic symptoms within the framework of trauma. Our second question is a deeply emotional one. It's about the sudden disappearance of body dysmorphia and low self-esteem following the death of an abusive parent. Can such a significant life event dramatically shift one's self-image? We'll delve into the complexities of grief, closure, and self-perception in this intriguing discussion. As always, your engagement keeps this show going. Send your questions to [email protected] for a chance to be featured in future episodes. For full show notes, head to duffthepsych.com/episode364.

Episode 363: Treating a Phobia of Wasps & Adjusting to Moving in With a Partner
EHello, friends! I hope you are treating yourselves well. In this episode, we dive deep into two thought-provoking listener questions. Our first discussion revolves around a listener who's grappling with a profound fear of wasps, known as spheksophobia. This phobia has had a significant impact on their quality of life, especially during the summer. We delve into the nature of specific phobias, their prevalence, and debunk some common misconceptions about wasps. Moreover, we explore potential strategies for addressing and managing such fears, emphasizing the role of exposure therapy and the significance of understanding one's fear hierarchy. The second question opens a window into the world of a couple navigating the challenges of moving in together. One partner has relocated from a cherished home, and both are experiencing the typical growing pains of cohabitation for the first time. We discuss the importance of communication, curiosity, and compromise in this new chapter of their relationship. By establishing routines, rituals, and shared spaces, they can create an environment that feels like home to both, while also setting aside time for individual activities to foster a deeper bond. Your questions always bring valuable insights to our conversations. If there's a question or topic on your mind, feel free to send it over to [email protected]. For full show notes, head to http://duffthepsych.com/episode363. ---- If you are looking for an air purifier that is powerful enough to circulate the air in your room four times per hour and can eliminate airborne particles as small as 0.005 microns, be sure to check out Air Doctor. Right now, you can get 40% off by using the code "duff" at http://airdoctorpro.com Life doesn't come with a road map. Whether it is navigating changes in your relationship or figuring out how to use exposure to conquer your anxiety, BetterHelp may be just what you are looking for. Get professional help conveniently and quickly plus 10% off at http://betterhelp.com/duff

Episode 362: PMDD Treatment & Dealing with Scary Ex
EHello, everyone! I hope you are doing super well. As always, I really appreciate your attention. A special thank you to everyone that has left feedback for me about the show. Very helpful. In this weeks episode, I tackle the following questions: Could my symptoms be PMDD and if so, how do I get help? What can I do about my ex that is spreading harmful lies about me? As always, you can send me questions to [email protected] and find the show notes for this episode at http://duffthepsych.com/episode362 ---- This episode is sponsored by BetterHelp. If you could use the support of a therapist to help you navigate life's challenge. Check out BetterHelp and get connected to a licensed therapist quickly, entirely online. Visit http://betterhelp.com/duff for 10% off your first month. This episode is also sponsored by OneSkin. If you're like me and would like a simple skincare routine that is backed by clinical research, then OneSkin is for you. Visit http://oneskin.co and use the code "duff" for 15% off.

Episode 361: Health Anxiety Rabbit Holes & The Psychology of Weight Loss Drugs
EHello, all! In this episode, I answer the following awesome listener questions. I have successfully been treated for cancer, but I can't stop looking at research and personal accounts online for fear that it may come back. How can I stop? How do weight loss medications like Ozempic help reduce the psychological addiction to food? Please give me feedback on the show at this link: https://forms.gle/TGx4puKucMJKjSNz7 As always, you can send me questions to [email protected] and find the show notes for this episode at http://duffthepsych.com/episode361 --- Today's episode is sponsored by Mindbloom. Get $100 off your first at-home ketamine treatment for depression and anxiety at http://mindbloom.com/duff with the promo code duff.

Episode 360: How to Survive Starting Fresh & Resources for an Overloaded Parent
EHello, friends! I hope you're staying safe from the heat and generally taking good care of yourselves. Today, I have two awesome listener questions. The first comes from someone that left her job as a teacher because she was burned out. However, now she finds herself in a difficult situation without insurance or a longterm steady income. I provide advice regarding resources for inexpensive and free therapy. I also talk about different resources available to someone in a situation like this and explain how Maslow's heirarchy of needs explains why the person should focus on basic needs before trying to answer big questions about their life and sexuality. The second question is from a mother with two autistic children and a mother with dementia. She is looking for advice about how to take care of herself without abandoning her family. I provide a variety of ideas for resources that would allow her to have more help and freedom. As always, you can send me questions to [email protected] and find the show notes for this episode at http://duffthepsych.com/episode360

Episode 359: Wife Obsessed with Phone & Does Ketamine Rewire Your Brain?
EHello, friends! I hope life is treating you well. In today's episode, we're going to dive into two more insightful listener questions: Our first question comes from a listener who's struggling with their spouse's constant engagement with their phone. The impact is such that it seems to supersede any conversation or interaction they might have. They even go so far as to joke that they might be better off texting their spouse, despite being in the same room. We'll delve into this challenge, discussing potential strategies for addressing screen-time issues within relationships, communication tactics, and steps to reclaim mutual attention and presence. Our second question is from a listener navigating the complexities of depression and anxiety treatment. They've been considering ketamine therapy and have concerns about its application, specifically the difference between IV and oral administration, potential lasting effects, and the overall experience. They're particularly interested in hearing about personal experiences with ketamine therapy, including potential side effects and long-term benefits. We'll unravel the science behind ketamine treatment for depression and anxiety, exploring the potential pros and cons, the lasting effects, and the considerations one should have in mind when deciding on this treatment approach. As always, I appreciate your questions and engagement with the show. You can send your questions to [email protected] and find the show notes for this episode at http://duffthepsych.com/episode359. ---- Sponsor: This epsiode is sponsored by BetterHelp. Life doesn't come with a guidebook, but you don't have to go it alone. Enlist the help of a licensed therapist entirely online at http://betterhelp.com/duff

Episode 358: Binge Eating and Goal Setting
EHello, friends! I hope you're all doing fantastic. In today's episode, we delve into the following awesome listener questions: Our first question comes from a listener who has been dealing with a challenging relationship with food. They described waking up each day caught in a cycle of remorse over their previous night's eating and anxiety about what the new day will bring. They also mentioned the negative impact this issue has on their relationships and social life. Although they've begun therapy, their current therapist has admitted this specific problem is outside of their expertise. Together, we'll explore this struggle, discussing possible steps toward understanding and addressing problematic eating habits and how to find the right professional help to navigate this journey. Our second question is from a loyal listener who's been with us for three years. They're struggling with setting long-term goals due to anxiety. They aspire to move overseas with their partner in the next 5-10 years but are being held back by worries such as the stability of their relationship and financial concerns. We'll unpack the complexities of setting long-term goals while dealing with anxiety, offering strategies to establish realistic objectives without feeling overwhelmed, and ways to manage the uncertainties that naturally come with future planning. As always, I appreciate your questions and engagement with the show. You can send your questions to [email protected] and find the show notes for this episode at http://duffthepsych.com/episode358. --- This episode is brought to you by BetterHelp. If you are looking for some assistance in finding your direction in life, consider enlisting the help of a licensed remote therapist at http://betterhelp.com/duffthepsych

Episode 357: Getting Off Antidepressants & Feeling Sexy With Partner Again
EHello, friends! I hope you're all doing great. In today's episode, we dive into the following awesome listener questions: Our first question comes from a listener who's considering whether to continue their journey with antidepressant medication. They've been told by their doctor that most people stay on these medications for life, but they're not sure if this path is right for them. They're grappling with how to gauge if the medication is still necessary or if their mental health has improved enough to consider discontinuing it. We will delve into this complex issue, discussing ways to assess the effectiveness of antidepressants, the potential risks and benefits of long-term use, and how to make informed decisions about your mental health treatment plan. Our second question is from a long-time listener who has been struggling with feeling comfortable during intimate moments with their partner. Despite feeling sexy when alone, the listener finds it challenging to relax and enjoy intimacy with their partner, possibly due to a decade-long journey with infertility and miscarriages. Now surgically sterile, the listener is looking for ways to reclaim their sex life and feel comfortable in their own skin during intimate encounters. We will explore ways to navigate this emotional terrain, discussing how past experiences can impact present relationships and strategies for fostering healthy and satisfying intimacy. As always, feel free to send your questions to [email protected]. You can find the show notes for this episode at http://duffthepsych.com/episode357. --- This episode is sponsored by ONE SKIN. If you are looking to reverse the impact of aging on your skin, check out this simple skincare product developed by several PhD-level scientists. Get 15% off your order at http://oneskin.co with the offer code DUFF!

Episode 356: Schizophrenia Without Medication and Building Self-Confidence
Hello, friends! I hope you're all doing great. In today's episode, we dive into the following awesome listener questions: Our first question comes from a concerned parent whose son was diagnosed with schizophrenia eight years ago. At the time, they didn't agree with the diagnosis due to a variety of circumstantial factors, but now they recognize that their son does indeed have schizophrenia. They are seeking guidance on how to help him understand his condition and learn to manage it without relying on medication. They also ask for recommendations on therapists who specialize in non-medication treatment options. We will navigate this sensitive topic, discussing ways to approach the conversation and exploring non-medication treatment strategies for schizophrenia. Our second question is from a listener who's been struggling with assertiveness and self-respect, often prioritizing others' needs over their own to avoid conflict. This listener also has ADHD which exacerbates the issue, making it challenging for them to communicate effectively during moments of conflict due to executive functioning overload. They seek advice on accepting their shortcomings, cultivating self-love, and prioritizing their own needs without fear of pushing others away. We will discuss the importance of setting boundaries, effective communication strategies, and ways to build self-respect while managing ADHD. As always, feel free to send your questions to [email protected]. You can find the show notes for this episode at http://duffthepsych.com/episode356. ----- This episode is brought to you by Mindbloom, the leader in at-home ketamine therapy. Get $100 off your first treatment at http://mindbloom.com/duff with the code duff at checkout. This episode is also brought to you by Betterhelp. Take control of your mental health with the help of a licensed therapist, completely online at http://betterhelp.com/duff.

Episode 355: ADHD vs Bipolar II & The Spiritual Consequences of Suicide
EHello, friends! I hope everyone is doing well. In today's episode, we dive into the following awesome listener questions: Our first question comes from a listener whose partner was diagnosed with ADHD in childhood. They're now wondering if they might also have Bipolar II, as they experience random bouts of depression and "good days" that may potentially be hypomanic episodes. The listener questions if these mood swings could be catalyzed by situational factors or if they are indeed random. We'll unpack the complexities of distinguishing between ADHD and Bipolar II, discussing the different symptoms, overlaps, and possible courses of action to consider. Our second question comes from a listener who's been grappling with deep existential thoughts about the concept of the "soul," particularly relating to individuals who die by suicide. They wonder about possible repercussions in potential afterlife scenarios, despite not being particularly religious. They ponder on possibilities like reincarnation, memory erasure, or even punishment. In response to this question, we'll delve into the intersections of spirituality, mental health, and coping with such existential concerns, while emphasizing the importance of empathy and compassion in our understanding of such tragic events. As always, if you have questions or topics you'd like discussed on the show, please send them to [email protected]. Be sure to check out the show notes for this episode at http://duffthepsych.com/episode355.

Episode 354: Disclosing BPD in Relationships & Boyfriend Too Close to His Mother
EHello, friends! In this episode, I tackle two great listener questions about relationships. The first one comes from someone with borderline personality disorder who would like to figure out if and when they should reveal this to potential partners. The second question comes all the way from Columbia and features someone who is concerned about how enmeshed her boyfriend is with his mother. As always, you can send me questions to [email protected] and find the show notes for this episode at http://duffthepsych.com/episode354 ---- This episode is brought to you by BetterHelp. If you are looking for support and perspective, fill out a quick questionnaire at http://betterhelp.com/duff to get quickly matched with a licensed therapist and receive 10% off your first month!

Episode 353: Childhood Concussion & Boundaries with Friends
EHello, friends! I hope you are all doing well. Our first question comes from a listener who reached out to express their appreciation for the show, my course, and books. They share a childhood experience of being in a dodge car accident where they were hit from behind, resulting in a significant lump on their head and feelings of sickness and disorientation. They recently heard me speak about frontal lobe damage and its potential effects, which resonated with them. They also suspect they may be undiagnosed autistic. They are concerned about the possibility of having sustained a brain injury and whether an MRI at their current age (31) would reveal any long-term effects. This uncertainty has brought up feelings of betrayal and neglect. I provide insight into the likelihood of detecting an old brain injury on an MRI and offer guidance on the next steps to gain clarity and peace of mind. Moving on to our second question, a listener in their late twenties shares their struggle with assessing whether to judge people based on how they treat others or solely on how they treat them. They describe ending relationships with men who exhibited disrespectful behavior towards other women, as well as navigating concerns about a close platonic female friend who has made questionable moral choices. They ponder whether to judge people based on their life choices or patterns, and if it's necessary to align values with others or accept them as they are. I delve into the complexities of these situations, emphasizing the importance of personal boundaries, unconditional positive regard, and self-reflection in determining how to approach relationships. As always, I appreciate your support and engagement with the show. You can send your questions to [email protected], and find the show notes for this episode at http://duffthepsych.com/episode353. -- This episode is sponsored by Mindbloom, the leader in at-home ketamine treatment. If you are struggling with depression and anxiety, try ketamine treatment from the safety and comfort of your own home and get $100 off at http://mindbloom.com/duff with the code duff at checkout.

Episode 352: How to Stay Focused - 20 Tips
EHello, friends! It's been an interesting week for me, which I address at the start of the episode. From there, I share with you a previous episode of the show that I wanted to make sure that you've heard! This is all about staying focused. It's a great episode for anyone that might struggle with ADHD or simply has trouble concentrating from time to time. Here are the tips I cover: Limit distractions Adjust your space - physical and digital Do NOT multitask Practice mindfulness meditation frequently Journal/Plan every day Check your planner at least 3x per day Set yourself up with an outline before leaving a task Keep a notebook nearby for impulsive thoughts that can wait Force yourself to prioritize If you take it out, put it back Don't procrastinate - if it takes less than a minute do it (unless you're in the middle of something else) Keep a place for your small things Make a mise en place for your workplaces Use neutral inputs to satisfy your attention hunger (white noise etc) Take breaks for movement Abort when you're in to deep Work in shifts Don't use your partner as a coach Use the solution that works, whether it's perfect or not Study yourself This episode is brought to you by BetterHelp. Don't forget to take care of yourself, so that you can keep being a great support for others. Try online therapy and get 10% off your first month at http://betterhelp.com/duff As always, you can send me questions to [email protected] and find the show notes for this episode at http://duffthepsych.com/episode352

Episode 351: Preemptive Grief & Triggered by Anger
EHello, friends! This is a short and sweet episode. No ads today, but I have two awesome listener questions. First, I tackle a question from someone that feels the end of their relationship is inevitable due to moving to another state and they are already struggling with feelings of grief. The second question is from someone with a background of trauma that wants advice about how to deal with their friend's angry outbursts. I hope you enjoy! As always, you can send me questions to [email protected] and find the show notes for this episode at http://duffthepsych.com/episode351

Episode 350: Daddy Issues & Severe Social Anxiety
EHello, friends! I hope you are all doing well. Special shout out to the moms out there this week! In this episode, I two awesome listener questions. Our first question comes from a listener who has been enjoying the podcast and requests an episode focused on "daddy issues." They express curiosity about the causes and potential solutions surrounding this concept. In response to this inquiry, we will delve into the complexities of "daddy issues," examining various contributing factors and discussing potential strategies for healing and personal development. Moving on to our second question, a long-time listener writes in for the first time, sharing their ongoing struggle with severe social anxiety. They describe how their anxiety often leads to dissociation during conversations, causing them to make impulsive decisions to end interactions prematurely. Despite trying conventional treatments such as CBT, exposure therapy, medication, and group therapy, the listener feels disheartened by the lack of progress and wonders if there are other options available. We'll explore alternative approaches and offer insights on how to navigate social anxiety in a more empowering way. As always, you can send me questions to [email protected] and find the show notes for this episode at http://duffthepsych.com/episode350 ----- Today's episode is brought to you by Mindbloom, the leader in at-home ketamine therapy for depression and anxiety. You can get $100 off your first treatment at http://mindbloom.com/duff with the code "duff".

Episode 349: Compulsive Lying and Protecting My Sister From Our Mom
EHello, friends! In this episode, I answer two listener questions. The first question is from a listener who has been with her boyfriend for over 10 years, but suspects he is a narcissist and compulsive liar. She believes that a car accident at 17, which resulted in physical injuries as well as a TBI, may have stunted his development. The listener is struggling with her boyfriend's lying behavior and wonders if he's lying about their relationship too. She asks how to deal with the lying and gaslighting, and how to tell if her boyfriend's love for her is genuine. In the second question, a listener shares her concerns about her younger sister's emotional development, given their mother's unpredictable and intense reactions to normal child behavior. The listener worries about her sister's mental health and emotional growth, and wants her mother to be more gentle and understanding towards her. However, the listener is struggling with confronting her mother due to past fear of her reactions. She asks for advice on how to approach the situation. As always, you can send your questions to [email protected], and find the show notes for this episode at http://duffthepsych.com/episode349. ----- This episode is sponsored by BetterHelp. Don't lose yourself in the shuffle. Get linked up with a licensed therapist completely online and get 10% off your first month at http://betterhelp.com/duff

Episode 348: ChatGPT for Mental Health and Productivity - My Best Tips
ELike most of the world, I have been obsessed with AI tools such as ChatGPT. However, I think they are more than a gimmick. I have been using them every single day to help improve my work and personal life. In this episode, I walk you through the ways that I use ChatGPT and other AI models and I also provide you with some ideas about how you can use them to improve your own life and mental health. As always, you can send me questions to [email protected] and find the show notes for this episode at http://duffthepsych.com/episode348 This episode is sponsored by BetterHelp - if you are in a position where you put yourself last and other first, you may be at risk of burnout. Get the help and perspective that you need from a licensed professional at betterhelp.com/duff for 10% off.

Episode 347: Contamination OCD vs COVID Safety & Violated Consent in a Relationship
Hello, friends! This one is a bit of a doozy. Please be aware that the subject matter is somewhat more intense than other episodes recently. In this one, I tackle the following listener questions: Should I get treatment for my excessive concerns about germs and contamination? How can I re-engage socially with the continuing concerns about COVID-19? My partner violated my consent and sexual boundaries repeatedly, but they seem sorry and I still love them. What can I do? As always, you can send me questions to [email protected] and find the show notes for this episode at http://duffthepsych.com/episode347 --- Sponsors: This episode is brought to you by Mindbloom - try at-home Ketamine therapy on your terms and get $100 off your first treatment at mindbloom.com/duff with the promo code duff. This episode is also brought to you by Air Doctor. If you are in the market for an amazing air purifier, check out airdoctorpro.com and use the promo code duff for a whopping 40% off!