Your Anxiety Toolkit - Practical Skills for Anxiety, Panic & Depression

In this episode, we dive into practical, compassionate strategies to navigate panic attacks, offering tools to help you regain control and find calm amidst the storm.

In this episode, Kimberley Quinlan and Sue Chuddy dive into practical strategies for managing OCD and anxiety-related sleep disturbances, offering actionable tools to help you reclaim restful nights.

In this insightful episode of Your Anxiety Toolkit, Kimberley Quinlan chats with Andrew and Danielle Cohen about navigating the challenges of Relationship OCD (ROCD) through lived experience, clinical expertise, and actionable strategies for thriving in relationships.

In this episode, Kimberley Quinlan shares the six powerful rules that guided her eating disorder recovery and continue to help her clients find freedom and healing.

In this episode, Kimberley Quinlan shares practical strategies for navigating holiday-related depression, from setting boundaries to finding small moments of joy, so you can create a season that prioritizes your mental health.

In this episode, Kimberly Quinlan shares the transformative anxiety recovery skill of embracing all emotions and offers practical strategies to help you reduce fear and build emotional resilience.

Ever wonder, 'Why do I keep pulling my hair out?' In this episode, we break down the reasons behind Trichotillomania, including stress, boredom, genetics, and more. We also cover strategies like Cognitive-Behavioral Therapy (CBT) and Habit Reversal Training (HRT) to help you manage hair-pulling urges and stop the cycle.

In this podcast episode, Kimberley Quinlan dives into how to manage OCD urges effectively, breaking down why they feel so real and sharing actionable strategies to resist compulsions and regain control.

In this episode, Kimberley Quinlan shares practical tools and mindset shifts to help you stop worrying about being judged and embrace authenticity.

In this episode, holistic nutritionist Heather Lilico shares practical insights on how food choices can help manage anxiety, support mental well-being, and create a balanced approach to nutrition.

In this episode of Your Anxiety Toolkit, Kimberley Quinlan guides listeners through practical strategies for managing the fear of medical procedures, such as needle and blood phobias. Drawing from both professional expertise and personal experience, she shares actionable tips to help listeners confront their fears with compassion and resilience. Learn how to turn anxiety into a manageable experience and feel empowered through the process.

Finding Your Perfect Rest-to-Productivity Ratio The Burnout Dilemma Ever felt like you're constantly running on empty, juggling a never-ending to-do list, and battling that nagging voice that tells you you're not doing enough? You're not alone. In a world that glorifies hustle and productivity, finding the right balance between rest and work can feel impossible. But what if I told you that striking this balance is not only achievable but essential for your well-being? Today, let's dive into the concept of the rest-to-productivity ratio—a game-changing approach to ensure you're resting enough to fuel your productivity and thrive without burning out.

In today's discussion, we're delving into the seven mistakes some OCD therapists are making in 2024. While the title might seem provocative, the goal is to highlight concerning trends in OCD treatment and provide insights that could enhance therapeutic approaches. Remember, this is my opinion based on what I've observed in various forums. I don't claim to have all the answers, but I hope to spark a constructive conversation. Mistake #1: Insufficient Initial Education Importance of Education at the Start of Treatment Many clients report feeling thrown into exposure and response prevention (ERP) without adequate preparation. Therapists must take the time to educate clients about OCD, their obsessions, and compulsions, and what to expect from treatment. This foundational knowledge empowers clients, giving them a sense of control and a clearer understanding of their journey. Mistake #2: Failing to Instill Hope and Confidence The Power of Hope in Treatment Therapists must remind clients that they have the potential to succeed. Treatment for OCD can be highly effective, and it's crucial to communicate this. While maintaining a realistic perspective, therapists should focus on the positive aspects of available treatments and instill a sense of hope and confidence in clients. Mistake #3: Neglecting Evidence-Based Modalities Therapists should prioritize evidence-based treatments, particularly ERP. While it's important to integrate supplementary approaches like ACT, mindfulness, and self-compassion, the core of OCD treatment should be grounded in proven methodologies. Clinicians need to stay informed and ensure their clients understand the rationale behind chosen treatments. Mistake #4: Misconceptions About ERP Being Traumatic ERP: Not Abusive When Properly Delivered Concerns about ERP being traumatic often stem from poor delivery rather than the method itself. Proper education and a strong therapist-client rapport can mitigate these fears. It's vital to ensure clients understand why they're facing their fears and to provide a supportive environment throughout the process. Mistake #5: Rigid ERP Plans Flexibility in Treatment While structured plans are important, rigid adherence can be detrimental. Treatment should be flexible and tailored to the client's evolving needs. Engaging clients in the planning process and adapting as necessary ensures that the therapy remains client-centered and effective. Mistake #6: Overlooking Barriers to Progress Exploring Underlying Issues When clients struggle with certain exposures, therapists should explore the underlying barriers. Understanding the client's fears, trust issues, or other relational dynamics can provide insights that help adjust the treatment plan accordingly. This approach prevents avoidance behaviors from taking hold. Mistake #7: Not Assigning Homework The Role of Homework in OCD Treatment Homework is a critical component of OCD treatment. Without it, progress can be significantly hindered. Therapists should find creative ways to ensure clients complete their assignments, offering support and accountability measures. This empowers clients to practice skills outside sessions, enhancing overall treatment efficacy. Conclusion These seven mistakes highlight areas where OCD treatment can improve. It's essential for therapists to remain flexible, informed, and supportive, tailoring their approaches to each client's unique needs. Open communication and a collaborative mindset can help address these common pitfalls, ultimately leading to more effective and compassionate care. Remember, this discussion aims to foster growth and improvement. If you're a client, don't hesitate to discuss these points with your therapist. Together, we can create a more effective and empathetic therapeutic environment. Transcript Today we're talking about the seven mistakes some OCD therapists are making in 2024. Now, I know the title sounds spicy, but in no way am I trying to be spicy. What my goal is today is to talk to you about some of the things I've heard, whether that be on social media, on podcasts, on blogs, or at conferences, when people are talking about the treatment of OCD that deeply concern me. Now, let me first say, in no way do I consider myself the moral police on OCD treatment. In no way do I believe that I am the knower of all things. In no way do I think that I know more than other people, my way or the highway. That is absolutely not what I'm saying here today. However, I am going to give you my opinion on some of the things that I hear that deeply concern me. I'm just here to share what I think is helpful. I hope, if anything, it's here to really reassure clinicians that they're on the right track because there are some amazing, amazing OCD specialists out there. If not, if this is something that you may find is calling you out a little, please, I'm here to hopefully bring some goodness into the world. Let's talk about the seven mistakes some OCD therapists are making in 2

9 Ways to Stop Picking Your Skin This Summer As summer approaches and the weather gets hotter, many of us are eager to wear shorter sleeves and enjoy the sun. However, this often leads to increased skin exposure and, unfortunately, a greater temptation to pick at our skin. In today's article, we'll explore nine strategies to help you stop picking your skin this summer. These tips have been helpful to many of my clients, and I hope they will be just as beneficial for you. Understanding Skin Picking Before we dive into the strategies, it's important to understand what skin picking is. Clinically known as dermatillomania, skin picking is a type of body-focused repetitive behavior (BFRB). People with this condition may pick at their skin, arms, lips, scalp, nails, and even more sensitive areas like the pubic region. It's similar to trichotillomania, which involves hair pulling. It's crucial to note that skin picking and hair pulling are not forms of self-harm. People who pick their skin are not trying to hurt themselves or seek attention. They often do it because they are either understimulated (bored) or overstimulated (anxious or overwhelmed). Understanding this can provide insight into the strategies we'll discuss. Strategy #1: Awareness Logs Awareness logs are a powerful tool in any stage of recovery. By logging every time you have the urge to pick, noting how much you picked, where, and for how long, you gain a better understanding of how this condition impacts your life. Many people find that having to document their behavior reduces the frequency of picking. Awareness logs are a key component of habit reversal training, a cognitive-behavioral therapy technique specifically designed for BFRBs. For more information about BFRB School, our online course for skin picking and hair pulling, CLICK HERE Strategy #2: Keep Your Hands Busy Engaging in a competing response can help divert your urge to pick. Competing responses might include using fidget toys, holding a stone, or playing with soothing textures. You can find many affordable fidgets online or at dollar stores. Create a basket of tactile items that you can use to keep your hands busy. Place these items around your house, in your car, and at work to ensure they are easily accessible when you need them. Strategy #3: Create a Skincare Routine A good skincare routine can help prevent irritation and dryness that might tempt you to pick. However, it's important not to overdo it, as too much attention to your skin can also trigger picking. Consult with your doctor to develop a routine that keeps your skin healthy without exacerbating your condition. Strategy #4: Use Physical Barriers Using physical barriers (called habit blockers) like gloves, band-aids, or long sleeves can prevent you from touching and picking at your skin. Some people find that keeping their nails short or wearing fake nails can reduce the tactile satisfaction of picking. Identify what works best for you and use these barriers consistently. Strategy #5: Self-Compassion Practicing self-compassion is vital. Beating yourself up for picking only increases negative emotions like shame and guilt, which can lead to more picking. Instead, practice radical acceptance and reduce self-criticism. This approach can help you feel more motivated and improve your overall well-being. Strategy #6: Manage Stress and Anxiety Managing stress and anxiety is crucial, as many people pick their skin to cope with these feelings. Cognitive-behavioral skills can help address faulty cognitions and behaviors that exacerbate stress. Consider taking an online course, like Overcoming Anxiety and Panic, to learn effective stress management techniques. Strategy #7: Establish a Support System Having a support system can make a significant difference. Whether it's family, friends, or online support groups like those at BFRB.org, having people to check in with can help you feel less alone and more accountable. Some people find it helpful to text or call a support person when they feel the urge to pick. Strategy #8: Stay Hydrated and Healthy Good nutrition and hydration can impact your skin's health. Speak with your doctor about how to maintain healthy skin through diet and hydration. Additionally, consider looking into over-the-counter medications like N-acetylcysteine, which has been shown to help with skin picking. Always consult with your doctor before starting any new supplement. Strategy #9: Set Realistic Goals and Track Progress Set achievable goals and track your progress. Instead of aiming to completely stop picking, focus on gradually reducing the behavior by a small percentage each week. Tracking your progress helps you see improvement and identify what strategies are working. Remember, small steps lead to significant changes. Conclusion These nine strategies can help you stop picking your skin this summer. Whether you use awareness logs, keep your hands busy with fidgets, or establish a support system, each step you ta

Today, we're diving into a topic on how to become more self-confident, especially if you struggle with anxiety. Self-confidence is a quality we all desire, but for those of us with anxiety, it can seem particularly elusive. Let's explore how to cultivate self-confidence, even when anxiety is a persistent part of your life. Understanding Self-Confidence First, let's clarify what self-confidence actually is. Many people mistake it for arrogance or an inflated sense of self. True self-confidence, however, is a deep trust in your own abilities, strengths, and judgment, even when faced with adversity. Anxiety can often undermine this trust, making us feel uncertain and vulnerable. But self-confidence is not something you're born with—it's something you develop over time. Debunking Myths About Self-Confidence Myth 1: Self-confidence is Innate One common misconception is that self-confidence is an inherent trait. This couldn't be further from the truth. Self-confidence is a skill that can be nurtured and grown with practice and perseverance. Myth 2: Success Equals Confidence Another myth is that self-confidence only comes after achieving certain milestones or successes. While accomplishments can boost confidence, they are not the sole source. True confidence is built through the process, not just the outcomes. Myth 3: Confident People Don't Have Anxiety It's a widespread belief that confident people are free from anxiety. In reality, confident individuals often face anxiety just like anyone else. The difference lies in their willingness to face their fears and grow through the experience. Building Self-Confidence: Practical Steps Embrace Challenges Self-confidence grows from facing and overcoming difficult situations. Initially, the thought of tackling a tough challenge can be overwhelming, but each experience strengthens your trust in your ability to handle adversity. Practice Feeling Your Emotions Confidence isn't about the absence of fear but rather the ability to feel and manage your emotions effectively. By practicing feeling emotions like fear, inadequacy, or shame, you become more comfortable and resilient in facing them. Identify Specific Scenarios Pinpoint the situations where you feel least confident. Reflect on what emotions these scenarios evoke and work on becoming more comfortable with those feelings. For example, if public speaking makes you anxious, practice feeling that anxiety in smaller, controlled settings until it becomes more manageable. Cognitive and Behavioral Strategies Cognitive Restructuring Changing your thoughts can significantly impact your confidence. Instead of telling yourself, "I'm going to fail," try affirmations like, "I'm prepared and capable." This shift in mindset can reduce anxiety and boost your self-assurance. Behavioral Exposure Facing your fears head-on through repeated exposure can be incredibly effective. For example, if public speaking terrifies you, join a group like Toastmasters, or practice in front of friends and family. Repetition helps desensitize you to the fear and builds confidence in your abilities. Reflect and Learn After facing a fear, take time to reflect on the experience. Ask yourself, "What did I learn?" This reflection helps you identify areas for improvement and reinforces your ability to handle challenging situations. Embrace Failure as a Learning Tool Failure is an inevitable part of growth. Instead of viewing failure as a negative outcome, see it as an opportunity to learn and improve. The more you fail and learn from those failures, the more confident you become in your abilities. Conclusion Self-confidence is a journey, not a destination. It involves embracing challenges, feeling your emotions, and learning from both successes and failures. Remember, today is a beautiful day to do the hard thing. Face your fears, practice self-compassion, and celebrate your progress along the way. Have a great day, everyone, and keep building that self-confidence! TRANSCRIPTION: Hello and welcome back. I'm so happy you're here. Today we are talking about how to become more self-confident, especially if you're someone who has anxiety. Self-confidence is something that a lot of people talk about. It's something we all want more of. But if you are someone who has anxiety, you might actually find that being self-confident is really, really hard. So I'm here today to talk with you about how you can become more self-confident even if anxiety is here. Let's do it. First of all, what is this thing called self-confidence? Some people think that it's like thinking really highly of yourself and that you think you're the coolest—sort of arrogance—but that is not the definition of self-confidence. Self-confidence is a deep trust in your own abilities, your own strengths, your own capabilities, and your own judgment in the face of adversity. I get it. When we have anxiety, it's very hard to feel that sense of trust. In fact, I think anxiety can sometimes make us feel like we

Health anxiety is a common yet often misunderstood condition that can significantly impact one's quality of life. Whether it's worrying excessively about potential illnesses or constantly seeking reassurance about your health, the effects can be overwhelming. Understanding the nature of health anxiety and learning effective strategies to manage it can make a world of difference. In this article, we explore five essential things you need to know about health anxiety and offer practical tips for recovery, with expert insights from Michael Steer. 1. UNDERSTANDING HEALTH ANXIETY: WHAT IT IS AND WHAT IT ISN'T Health anxiety is a term often misunderstood by many. It's not just about being overly concerned with your health or frequently looking up symptoms on Google. Health anxiety can be categorized into two main disorders: Illness Anxiety Disorder and Somatic Symptom Disorder. Illness Anxiety Disorder involves a preoccupation with health despite not having significant physical symptoms. On the other hand, Somatic Symptom Disorder includes severe and persistent physical symptoms that cause substantial distress. It's essential to understand these distinctions to recognize that health anxiety isn't simply a matter of being overly cautious or paranoid about one's health. Moreover, health anxiety can often intertwine with Obsessive-Compulsive Disorder (OCD), involving obsessive thoughts and compulsive behaviors centered around health concerns. 2. NAVIGATING THE MEDICAL SYSTEM WITH HEALTH ANXIETY Dealing with health anxiety within the medical system can be particularly challenging. One of the critical aspects to remember is the importance of finding a healthcare provider who listens and validates your concerns. If you feel dismissed or unheard, it is perfectly acceptable to seek a second opinion or switch providers. Additionally, distinguishing between different types of symptoms can help manage health anxiety more effectively. Medical symptoms require immediate attention, such as severe chest pain or sudden numbness. Physical symptoms, like a sore back from yard work, are often benign and manageable with self-care. Psychological symptoms stem from anxiety and can include manifestations like tightness in the chest or dizziness. Understanding these differences can help reduce unnecessary panic and improve communication with healthcare providers. 3. TRUSTING THE RELIABILITY OF YOUR THOUGHTS A common challenge with health anxiety is differentiating between real medical issues and anxiety-driven thoughts. Think of your anxious thoughts as spam emails—they're real, but their content isn't always reliable. Health anxiety often triggers false alarms that feel urgent and terrifying. Learning to question these thoughts and not take them at face value is crucial. Techniques like cognitive diffusion can help change your relationship with these thoughts. For instance, if you've convinced yourself numerous times that you're having a stroke and it hasn't happened, the likelihood that your current fear is another false alarm is high. Questioning the reliability of these thoughts can help manage the overwhelming fear they generate. 4. THE ROLE OF COMPULSIONS AND SAFETY BEHAVIORS Health Anxiety Compulsions and safety behaviors, such as constantly checking symptoms or seeking reassurance, often exacerbate health anxiety. One significant trap is becoming inwardly focused, constantly monitoring your body for signs of illness. This behavior leads to a vicious cycle where anxiety increases symptoms, which in turn heightens anxiety. Shifting your focus outward and engaging in meaningful activities can help break this cycle. It's essential to become more outwardly focused, enjoying life and participating in activities that bring you joy and fulfillment. This shift can reduce the power of health anxiety over your life. 5. EMBRACING LIFE DESPITE HEALTH ANXIETY Health anxiety often steals the very things we're afraid to lose—time, relationships, and enjoyment of life. The constant preoccupation with health can make us miss out on living fully. Therefore, the goal isn't just to reduce anxiety but to reclaim your life. Engage in activities you love and focus on adding value to your life. This shift in focus is incredibly powerful and can help you live a more fulfilling life despite health anxiety. It's not just about feeling less anxious; it's about living more fully and enjoying the moments that matter most. CONCLUSION Health anxiety can be overwhelming, but with the right strategies, it's possible to regain control and live a fulfilling life. Michael Steer's book, "The Complete Guide to Overcoming Health Anxiety," is a fantastic resource for those seeking further support and information. Additionally, his website, overcominghealthanxiety.com, offers a wealth of resources, including a free virtual support group. Remember, while health anxiety can take a toll on your life, effective strategies and a focus on meaningful activities can help you rec

Today, we're going to go through the six reasons you procrastinate so that you can make a plan and hopefully end that procrastination so you can get back to doing the things you want to do. Recognizing the reasons why you procrastinate is so important. I want to make sure I cover one key point before we get into the six reasons, and that is: you're not lazy, and you're not faulty. It's not a bad personality trait that you procrastinate. I want to dispel that myth right out of the gate so that we can beat the self-criticism, the self-judgment, and the self-punishment that you may be doing or have done in the past. The fact that you procrastinate does not mean that there's anything wrong with you. You're not broken. We engage in these patterns and safety behaviors to manage distress in our bodies. Procrastination is an avoidant behavior to avoid having to be uncomfortable and to work through the deep stuff that's going on in our brain, mind, and body. First, I wanted to review that this is not your fault. You're not bad because you do this. I'm even going to reframe a couple of those things here. A PERSPECTIVE SHIFT ON PROCRASTINATION As we talk about why you procrastinate, I want to tell you a story that changed my thoughts about procrastination. As an intern, I had a supervisor when I first became a therapist who supervised us and all our cases. A lot of the interns were talking about how we were so behind on all of our research and our study. We had all these tests, we had all these assignments, and we had to see clients. She questioned us by saying, "Procrastination isn't necessarily a problem. First, you've got to look at the function of procrastination." She said that if procrastination is working for you and it means you get the work done, you complete it in time, and you're happy with the product you've created, procrastination isn't a problem. In our society, we tell ourselves that we should be organized and calm when handing in the assignment instead of pressing the button right at the very last minute or sliding into work right as we should start. Now, she said, if it's working for you, go ahead and keep doing it. But so many of you, particularly those with anxiety, say, "No, Kimberley, that's not the case. It is not working for me." If that's the case for you, let's first look at the effects of procrastination. Suppose you are somebody who has an extreme amount of anxiety when you procrastinate, and it's coming from a place of anxiety. In that case, it increases your panic and stress at the last minute, and you melt down. Then, this is why we want to explore the causes and why you procrastinate so that we can come up with a solution and a strategy that does help you. The Six Reasons We Procrastinate Fear of Failure This is true for many people because we fear making mistakes. Our society has become allergic to making mistakes and failures. So we create such a story in our heads about how it's going to be so bad if we fail, and it's going to be so bad if it doesn't go right, and how we are going to look stupid and how we are going to feel terrible. But much of that comes from this entrenched belief that we are not supposed to fail. I took a whole year and practiced failing for an entire year. I tried to fail a hundred times, which completely changed my thinking about failure in everything I do. I got good at things because I failed repeatedly and changed how I looked at failure. Now, I understand that we are expected to perform at such a high level in today's society. But what I want to have you do is act from the place of a B-. What I mean by that is, instead of going for an A+ all the time, try a B-. You will find that if you just drop the bar and let it be imperfect, you'll have so much less anxiety. It is much easier to practice being gentle and kind to yourself when you mess up or fail. I've had so many patients and students tell me, "Failing is not the problem; it's the beat-up I give myself when I fail that I do not want to do and do not want to experience. That's why I avoid it. I don't want to beat myself up if I fail." We want to make sure we change the way we look at failure. Not Wanting to Be Uncomfortable This could cover all of these categories because all of the reasons we procrastinate are ultimately just trying to avoid discomfort. So often, I procrastinate while recording this episode of Your Anxiety Toolkit, or I avoid and procrastinate while working out. It's not because I don't want to do those things. I love making these videos and exercising, but what I do is avoid the uncomfortable feeling that I have. Ultimately, I'm avoiding the hard work stage of any product or anything we do. So many positive things in our lives that fulfill us require hard work. Nobody likes hard work. It's not that fun. It's uncomfortable. As a human species, or any species, we love to avoid discomfort. We do what we can to cut corners, and procrastination is one of those things. Often, we're scrolling

I have a new best friend just for you. I know that might sound a little strange, so hang with me here because this was mind-blowing to me, and I hope it is for you as well. Let's talk about best friends. What does a good best friend look like? It will be different for everybody, but generally, the way I see a best friend is that they're fun to be with. They're interested in fun things or things that you're interested in. They are there for you. They show up for you. They celebrate your birthday. They want to know how you're doing. They have a genuine interest in you. They're willing to pour into you. But in addition to that, they are also there for you when things get crappy. It's so important because sometimes we feel vulnerable when sharing with people. But when we do share and are vulnerable, we can be held, and some space is created. There's this beautiful relationship where you share how you're doing, and they hold space for that. They encourage you. They ask how they can support you. Maybe they can give you some helpful advice. They're there for you when things are really hard. When you start to be hard on yourself, they pull you up. THE BENEFITS OF BEST FRIENDS Best friends can also be brutally honest but in the most beautiful way. I have two best friends. One is my husband, and one is a friend who lives quite a distance away. It's all via technology—voice chat, FaceTime, phone calls, and so forth. My best friends, not only do they support me, not only are they kind and lovely, but they also do call me out on my crap. They often say, "I don't think you've thought about this one well enough," or "Kimberley, I think you're going a little too urgent here. I think that your anxiety might be getting in the way." Or "Kimberley, have you taken care of yourself today? I'm noticing you mentioned you haven't been getting a lot of sleep. Could that be why this is hard for you?" Best friends aren't just all flowers and roses. They are honest and real. They're there for you when things aren't going well, but they champion you too. They believe in you like nobody else. When you're at your lowest, best friends will be like, "You could do totally that." Or if you're beating yourself up for not being good enough, they're like, "Oh my god, are you kidding me? Look at all the things that you've done." They're so ready to celebrate you, and they see you for way more than you can see yourself. That is what I want for you so I will introduce you to your new best friend, and it's you. Your new best friend is you. I want you to think about this because you haven't developed a relationship with YOU enough to be your own best friend. It's something you're going to have to invest in. Your new best friend is YOU, whom I'd like you to meet. Hello friend. This new bestie that you're creating is going to be the person who is there for you no matter what. AN INNER BESTIE VS. THE KIND COACH Let me tell you why I've been thinking about it this way. I wrote a book called The Self-Compassion Workbook for OCD, and I talked about the Kind Coach concept. The kind coach is this warm voice inside you that coaches you through hard things. If you were to think about the mean coach you probably had in high school, he's like, "Get down and give me 20," or "Get going, you loser. Run faster." He or she motivates you through criticism and harsh comments and uses a very aggressive voice. We don't want that because we know,, based on the research,, that it decreases motivation, increases procrastination, increases punishment, and wreaks havoc on the nervous system and the immune system. We don't want that. Instead, we use this Kind Coach. The Kind Coach encourages us. They know our strengths, and they encourage us based on our strengths. They know our weaknesses, and they don't use our weaknesses to get you moving forward. The kind coach is constantly there, encouraging you to keep going. I love this concept. But as I recently went through a difficult time, I was using this tool,, and I kept thinking, 'Something isn't landing here. This feels a little too professional.' I didn't want it at that time. While the kind coach has helped me through so many things, I didn't want a coach around when things fell apart for me. What I needed was a bestie, a best friend. I needed somebody who was more like a pal, someone who could be in my pocket. Someone who I felt a little sassier with, someone who I could use my humor with because I needed humor to get through this hard thing. THE INNER BESTIE: THE UNCONDITIONAL FRIEND I was thinking, 'What is it that I need?' This is the golden self-compassion question that you should be asking yourself all the time. What do I need? When I checked in, I was like, "I do. I really need my best friends around." But sometimes my best friends weren't around. My husband would be at work, and my best friend lives far away in a different time zone. They weren't even awake at the time that I needed them. Who do I go to when my best

Imagine being able to walk into a crowded room without feeling your heart pound out of your chest. Envision yourself confidently striking up conversations with strangers or going about your day without being overwhelmed with the fear of being judged by others. If social anxiety has been holding you back from enjoying life, it's time to take on an exposure challenge and learn how to feel more confident in your skin when you are in public. In this episode of Your Anxiety Toolkit, we will explore one of the most well-known, science-based, and effective strategies for overcoming social anxiety. From gradual exposure to uncomfortable social situations to building a support network, you'll discover practical steps to overcome the grip of social anxiety. Recently, I overheard a therapist (of all people) say that letting our clients experience distress is harmful. When I heard this, I gasped. This idea and this narrative concerned me so much. We have become so fixated on never feeling distressed that we fuel our anxiety and emotions. Now, I get it. I am not in the business of being a therapist to make people feel terrible. Quite the opposite. However, one of the most powerful messages I give my clients is that we can learn to compassionately and effectively navigate distress because distress is a natural part of being a human. If we have anxiety and we are committed to not feeling it, it will control every aspect of our lives. If you have social anxiety and you are committed to never being uncomfortable, social anxiety will take everything you love from you, including your future. Today, we are focusing on pushing yourself outside of your comfort zone and facing your fears. What you will learn is that you'll gradually build your confidence and become more at ease in social settings. With each small success, you'll grow more robust and more resilient, expanding your social circle and embracing new opportunities. My hope is that you don't let social anxiety hold you back any longer. Today, I am going to give you a 30-day Social Anxiety Challenge. I have seen this work for my clients repeatedly, and I am confident it will change your life, too. Before we get started, let's first make sure you have a good understanding of social anxiety. UNDERSTANDING SOCIAL ANXIETY Social anxiety, also known as social phobia, is a common mental health condition characterized by an intense fear and anxiety in social situations. It goes beyond mere shyness and can significantly impact an individual's daily life. People with social anxiety often experience excessive worry about being judged, embarrassed, or humiliated in social settings. This fear can be so overwhelming that it leads to avoidance of social situations altogether. One thing I always share with my students and clients is that while Social anxiety is considered an anxiety disorder, I agree with Christopher Germer, a well-known psychologist who has been on the show (episode 199), that social anxiety is as much a shame disorder as it is an anxiety disorder. From my experience, people with Social anxiety struggle immensely with shame, and this powerfully painful emotion can disrupt so much of someone's life. It can increase the incidence of depression and even suicidal ideation. Having social anxiety can leave you feeling like a fool, awkward, and alone. Commonly, people with social anxiety withdraw and isolate, only making themselves feel more alone, defective, and often more depressed. Social anxiety can have a profound impact on various aspects of a person's life. It can hinder their ability to form and maintain relationships, limit their career prospects, and diminish their overall quality of life. Simple tasks such as making a phone call, attending social gatherings, or speaking in public can elicit intense anxiety, leading to avoidance behaviors and missed opportunities. The constant fear of being evaluated negatively by others can create a cycle of self-doubt and isolation. But today, we will put our entire attention to turning this around for you. Today, I am going to give you a 30-day Social Anxiety Exposure challenge where you face your fears and take your life back from social anxiety. The 30-day Social Anxiety Exposure Challenge: What is it and how does it work The exposure challenge is a science-based therapeutic technique widely used in the treatment of social anxiety. It involves deliberately facing feared social situations in a gradual and controlled manner. The goal is to help you habituate to your anxiety-provoking situations and develop a sense of mastery and confidence. Exposure can be done in real-life situations or through imaginal exposure, where you vividly imagine yourself in anxiety-inducing scenarios. Today, we are going to focus on real-life situations because I wholeheartedly believe that is where the money is. I have seen it work with hundreds of my clients. Exposure works by activating the fear response and allowing you to experience the anxiety y

Behind every smile, there can be hidden struggles and pain. You might even be one of those people struggling so much but puts on a smiling face even though you feel like you are sinking. Smiling depression, a somewhat new term to describe people who are struggling with high-functioning depression, is a lonely battle that many individuals face. In today's episode, we dive into the topic of smiling depression, exploring what it is and how it affects those who suffer from it. IS SMILING DEPRESSION A DIAGNOSIS? First of all, let me be clear. Smiling Depression is not a specific mental health diagnosis. Instead, it is a presentation of depression. Unlike well-known symptoms of depression, those with smiling depression put on a facade of happiness. They may appear perfectly fine on the surface, leaving their inner turmoil hidden from the outside world. Unfortunately, this masks the severity of their emotional struggles, making it difficult for others to offer support or understanding. It is important to acknowledge the hidden struggles of smiling depression and offer compassion and support to those who are silently battling this condition. They are not lying or faking it to deceive you. Instead, they feel completely trapped. They often see no way but to keep going and keep pretending. They just keep smiling, even though they see an end in sight. They put a smile on their face, and they push through. Even just saying that makes me want to cry, as I have been in this situation too many times. I completely understand the pressure (often self-induced pressure) just to keep going and "not complain," "look at the bright side," or "be grateful for what I have," even though I was being crushed with hopelessness, helpfulness and worthlessness. My hope is by addressing this topic, we can create an environment where you feel safe to express your true emotions and seek help. You are not broken. You are not wrong for feeling this way. And asking for help does not make you weak or bad. You deserve to have support, love, compassion, and time to recover. SIGNS AND SYMPTOMS OF SMILING DEPRESSION Smiling depression can be difficult to identify, as those who experience it often mask their true emotions behind a smile. However, there are certain signs and symptoms that can help us recognize this hidden condition. One common characteristic of smiling depression is the apparent contradiction between a person's outward demeanor and their inner emotional state. While they may appear cheerful, happy, and successful, they may be struggling with feelings of hopelessness, helpfulness, worthlessness, emptiness, sadness, or even thoughts of self-harm or suicide. Another smiling depression symptom is the tendency to keep their struggles hidden from others. Individuals with smiling depression often feel the need to maintain a facade of happiness, fearing that opening up about their inner turmoil will burden or disappoint those around them. This can lead to a sense of isolation and loneliness, further exacerbating their emotional struggles. Furthermore, individuals with smiling depression often experience a lack of motivation and interest in activities they once enjoyed. They may withdraw socially, have difficulty concentrating, and experience changes in appetite and sleep patterns. These symptoms, when combined with the constant pressure to maintain a happy facade, can take a toll on their overall well-being. What I think is very interested is the overlap of Smiling depression and perfectly hidden depression. We previously did an episode with Margaret Rutherford about perfectly hidden depression which is a form of depression where people become hyper fixated on being perfect to mask their experience of depression. You can listen that episode on the show notes to learn more. THE HIDDEN STRUGGLES OF SMILING DEPRESSION Smiling depression is not simply a case of "putting on a brave face." It is a complex mental health condition that can have severe consequences if left untreated. While individuals with smiling depression may appear perfectly fine on the surface, they often battle with intense emotional pain behind closed doors. One of the hidden struggles of smiling depression is the constant pressure to maintain a happy facade. Society often expects individuals to be cheerful and optimistic, making it difficult for those with smiling depression to express their true feelings. This can lead to shame, guilt, and a sense of being misunderstood. Additionally, the internal conflict between the outward appearance of happiness and the inner turmoil can be mentally and emotionally exhausting. Individuals with smiling depression often feel like they are living a double life, constantly hiding their pain while wearing a smile. This internal struggle can affect their self-esteem and overall mental well-being. Furthermore, the lack of understanding and awareness surrounding smiling depression can make it difficult for individuals to seek help. Since they appe

In today's fast-paced and demanding world, it's easy to forget to show ourselves the same compassion and empathy we extend to others. But what if I told you that embracing self-compassion could lead to a happier, more fulfilling life? It's true, and in this article, we will explore the power of self-compassion and how it can positively impact your overall well-being. Self-compassion is about treating ourselves with the same kindness, care, and understanding that we would show to a loved one. It involves acknowledging our imperfections and mistakes without judgment, and embracing our humanity. When we practice self-compassion, we cultivate a positive relationship with ourselves. We learn to be more understanding and forgiving, and that inner critic inside us gradually softens. We become more resilient in the face of challenges, and our self-esteem and self-worth improve. So how can we embrace self-compassion in our daily lives? We will delve into practical strategies and techniques that can help us cultivate self-compassion and create a more loving and compassionate relationship with ourselves. Join us on this journey of self-discovery and learn how to harness the power of self-compassion for a happier and more fulfilling life. Understanding Self-Compassion Self-compassion is about treating ourselves with the same kindness, care, and understanding that we would show to a loved one. It involves acknowledging our imperfections and mistakes without judgment, and embracing our humanity. When we practice self-compassion, we cultivate a positive relationship with ourselves. We learn to be more understanding and forgiving, and that inner critic inside us gradually softens. We become more resilient in the face of challenges, and our self-esteem and self-worth improve. Self-compassion is not about self-pity or self-indulgence. It is about recognizing our common humanity and understanding that we all make mistakes and face challenges. It is about being kind and supportive to ourselves, especially during difficult times. By embracing self-compassion, we can free ourselves from the constant pressure to be perfect and allow ourselves to be authentic and vulnerable. The Benefits of Practicing Self-Compassion The benefits of practicing self-compassion are numerous and far-reaching. Research has shown that individuals who regularly practice self-compassion experience higher levels of well-being and life satisfaction. They are more likely to engage in healthy behaviors, have better mental health, and experience lower levels of stress and anxiety. One of the key benefits of self-compassion is its role in fostering resilience. When we are kind and understanding towards ourselves, we are better able to bounce back from setbacks and failures. Instead of beating ourselves up over mistakes, we can learn from them and grow stronger. Self-compassion also plays a crucial role in our relationships with others. When we are compassionate towards ourselves, we are more likely to show compassion towards others. We become better listeners, more empathetic, and more understanding. This, in turn, leads to healthier and more fulfilling relationships. Self-Compassion vs. Self-Esteem While self-compassion and self-esteem are related, they are not the same thing. Self-esteem is about evaluating ourselves positively and feeling good about our worth and abilities. It is often based on external factors such as achievements, appearance, or social status. On the other hand, self-compassion is about being kind and understanding towards ourselves, regardless of our achievements or external circumstances. It is about accepting ourselves as flawed human beings and embracing our imperfections. Self-compassion is not contingent on success or meeting certain standards; it is a constant source of support and care. Research suggests that self-compassion may be a more stable and nurturing source of self-worth compared to self-esteem. While self-esteem can fluctuate depending on external factors, self-compassion provides a consistent and unconditional sense of acceptance and love. The Science Behind Self-Compassion The benefits of self-compassion have been extensively studied and documented in the field of psychology. Researchers have found that practicing self-compassion activates areas of the brain associated with positive emotions and well-being. It also reduces activity in the areas of the brain associated with self-criticism and negative emotions. Furthermore, studies have shown that self-compassion is linked to lower levels of stress hormones, such as cortisol. It has also been found to enhance the functioning of the immune system, improve cardiovascular health, and promote overall physical well-being. The scientific evidence supports the idea that self-compassion is not just a fluffy concept; it has real, tangible benefits for our physical and mental health. How to Cultivate Self-Compassion Cultivating self-compassion is a journey that requires practice

If you need an anxiety routine to help you get through the day, you're in the right place. My name is Kimberley Quinlan. I am an anxiety specialist. I'm an OCD therapist. I specialize in cognitive behavioral therapy, and I'm here to help you create an anxiety routine that keeps you functioning, keeps your day effective, and improves the quality of your life. Because if you're someone who has anxiety, you know it can take those things away. Now, it's so important to understand that generalized anxiety disorder impacts 6.8 million American adults every single day. That's about 3.1% of the population. And if that is you, you're probably going to agree that anxiety can hijack your day. It can take away the things that you love to do, it can impact your ability to get things done. And so, one of the tools we use—I mean myself as a clinician—is what we call activity scheduling. This is where we create a routine or a schedule or a set of sequences that can help you get the most out of your day and make it so that anxiety doesn't take over. So if you're interested, let's go do that. Again, if you have anxiety, you know that anxiety has a way of messing up your day. You had a plan. You had goals. You had things you wanted to achieve. And then along comes anxiety, and it can sometimes decimate that plan. AN ANXIETY SCHEDULE And so the first thing I want you to be thinking about as we go through putting together this schedule is to plan for anxiety to show up. Those of you who show up in the morning and think, "How can I not have anxiety impact my day?" Those are the folks who usually have it impact them the most. So we want to start by reframing how we look at our lives instead of planning, like, "Oh gosh, I hope it's not here. I hope it doesn't come." Instead, we want to focus on planning for anxiety to show up because it will. And our goal is to have a great plan of attack when it does. MORNING ROUTINE FOR ANXIETY First of all, what we want to look at is our morning routine for anxiety. We want to have an anxiety routine specifically for the morning. There will be folks who have more anxiety in the morning. There will be folks who have more anxiety in the evening. You can apply these skills to whatever is the most difficult for you. But for the morning routine, the first thing we need to do is the minute we wake up, we want to be prepared for negative thoughts. Thoughts like, "I can't handle this. I don't want to do this. The day will go bad." We want to be prepared for those and have a strategic plan of attack. COGNITIVE RESTRUCTURING Now, what we want to do instead of going down the rabbit hole of negative thinking is use what we call cognitive restructuring or reframing. During the day, at a time where you've scheduled, I would encourage my patients to sit down and create a planned response for how we're going to respond to these thoughts. So if your brain says, "You can't handle the day," your response will be, "I'll take one step at a time." If your brain says, "Bad things are going to happen," you have already planned to say, "Maybe, maybe not, but I'm not tending to that right now." Let's say your brain is going to tell you that this is going to be so painful and, "What's the point? Don't do it," absolutely not. I'm going to show up however I can in my lifetime. I'm not going to let those thoughts dictate how I show up. I'm going to dictate how I show up. So we want to be prepared and have a plan of attack for that negative thinking. MINDFULNESS PRACTICE The second thing we want to do is have a solid mindfulness for anxiety practice. Again, you're going to start today, and you'll start to see the benefits of this over the weeks and months, but a mindfulness practice will be where you are able to have a healthier relationship with the thoughts, the feelings, the sensations, the urges, the images that come along with anxiety. A big piece of mindfulness is learning how to stay present. As you are brushing your teeth in the morning, you're noticing the taste of the toothpaste, the feeling of it on your gums, the smell of the fluoride, and the toothpaste that you have. A solid mindfulness practice will help you move through each part of the day's routine that we're creating in a way that reduces the judgment, reduces the suffering, reduces the self-punishment, reduces the reactions that you would typically have. Now, one of the most helpful mindfulness skills I use and I tell my patients to use—we actually have a whole episode on this. It's Episode 3. It's really early on, but it's talking about being aware of the five senses. Again, as you're brushing your teeth, what do you smell? What do you see? What do you taste? What do you hear? What does it feel like? And you're going through systematically these different senses so that you can be as present as you can. And this will help you with panic attacks, anxiety attacks, or just general anxiety that you're feeling. If you're wanting to deep dive into mindfulness

Helping children navigate the complexities of Obsessive-Compulsive Disorder (OCD) requires a delicate balance of understanding, patience, and empowerment. Natasha Daniels, a renowned expert in this field, shares invaluable insights into how parents can support their children in overcoming OCD with positivity and resilience. Normalizing OCD: One of the first steps in supporting children with OCD is normalizing the condition. Both parents and children need to understand that they are not alone in this journey. Natasha emphasizes the importance of taking things one step at a time and not allowing the overwhelming nature of OCD to overshadow the progress being made. Education is Key: Understanding OCD is crucial for effective support. Natasha urges parents to educate themselves about the condition, its symptoms, and the most effective treatment approaches. By arming themselves with knowledge, parents can better support their children through the challenges of OCD. The Concept of "Crushing" OCD: Natasha introduces the empowering concept of "crushing" OCD." Instead of viewing OCD as an insurmountable obstacle, children are encouraged to see it as something conquerable. This shift in perspective can be transformative, instilling a sense of empowerment and resilience. Making Treatment Fun: To engage children in treatment, Natasha suggests incorporating fun activities. By turning exposures into games or playful challenges, children are more likely to participate actively in their own recovery journey. This approach not only makes treatment more enjoyable but also fosters a positive attitude towards facing fears. Bravery Points: Natasha introduces the idea of "bravery points" as a motivational tool for children. By rewarding bravery in facing OCD-related fears, children are incentivized to confront their anxieties and engage in exposure exercises. This gamified approach can be highly effective in encouraging progress. Adapting for Teens and Adults: While bravery points may resonate well with children, Natasha also offers insights into adapting these strategies for teenagers and adults. Creative incentives tailored to different age groups can help individuals of all ages stay motivated and committed to their treatment goals. Creative Exposures: Incorporating creative exposures into treatment can make confronting fears more engaging and less daunting for children. By turning exposures into interactive experiences, such as games or role-playing exercises, children can develop essential coping skills in a supportive environment. Collaborative Approach: Natasha emphasizes the importance of collaboration between parents and children in the treatment process. By working together to develop coping strategies and respond to OCD-related behaviors, families can create a supportive and empowering environment for children with OCD. Addressing Parenting Challenges: Managing the emotional challenges of parenting a child with OCD can be overwhelming. Natasha offers insights into coping with feelings of anger, frustration, and helplessness, providing strategies for maintaining patience and support during difficult moments. Long-Term Perspective: Supporting children with OCD requires a long-term perspective. Building resilience and fostering a family culture that promotes bravery and resilience are essential for long-term success. By focusing on progress rather than perfection, families can navigate the challenges of OCD with hope and determination. Conclusion: Natasha Daniels' insights offer a beacon of hope for families navigating the complexities of OCD. By normalizing the condition, educating themselves, and adopting creative and empowering approaches to treatment, parents can support their children in overcoming OCD with positivity and resilience. TRANSCRIPTION: Kimberley: Welcome everybody. Today we have Natasha Daniels. She's the go to person for the kiddos who are struggling with anxiety and OCD. And I'm so grateful to have her here. We are going to talk about helping your kid crush OCD and how we can make it fun and how we can get them across the finish line. So welcome Natasha. Natasha: Thanks for having me. I appreciate it. Kimberley okay. We've had you on before and I think so much so highly of you. I'm so honored to have you on here again talking. We were talking about kids as well last time but first of all let's just talk about the kiddo, right? The kiddo who has OCD. They're starting this process. Let's sort of even say like they're ready for help, like they want to get better, but at the same [00:01:00] time getting better feels like a huge mountain that they have to climb. What might you say to the kiddo and the parents at that beginning stage of treatment? Natasha: A lot of times I think kids don't even realize that they're not alone. They think they have like these really bizarre thoughts and that they'll never be able to stop those bizarre thoughts. So I the first step is really normalizing it for both the parent

Navigating the intricate landscape of mental health can often feel like deciphering a complex puzzle, especially when differentiating between conditions ADHD vs.anxiety. This challenge is further compounded by the similarities in symptoms and the potential for misdiagnosis. However, understanding the nuances and interconnections between these conditions can empower individuals to seek appropriate treatment and improve their quality of life. ADHD, or Attention Deficit Hyperactivity Disorder, is a neurodevelopmental condition characterized by symptoms of inattention, hyperactivity, and impulsivity. While commonly diagnosed in childhood, ADHD persists into adulthood for many individuals, affecting various aspects of their daily lives, from academic performance to personal relationships. On the other hand, anxiety disorders encompass a range of conditions marked by excessive fear, worry, and physical symptoms such as heart palpitations and dizziness. The intersection of ADHD and anxiety is a topic of significant interest within the mental health community. Individuals with ADHD often experience anxiety, partly due to the challenges and frustrations stemming from ADHD symptoms. Similarly, the constant struggle with focus and organization can exacerbate feelings of anxiety, creating a cyclical relationship between the two conditions. A critical aspect of differentiating ADHD from anxiety involves examining the onset and progression of symptoms. ADHD is present from an early age, with symptoms often becoming noticeable during childhood. In contrast, anxiety can develop at any point in life, triggered by stressors or traumatic events. Therefore, a thorough evaluation of an individual's history is vital in distinguishing between the two. Moreover, the manifestation of symptoms can offer clues. For example, while both ADHD and anxiety can lead to concentration difficulties, the underlying reasons differ. In ADHD, the inability to focus is often due to intrinsic attention regulation issues. In anxiety, however, the concentration problems may arise from excessive worry or fear that consumes cognitive resources. Understanding the unique and overlapping aspects of ADHD and anxiety is crucial for effective treatment. For ADHD, interventions typically include medication, such as stimulants, alongside behavioral strategies to enhance executive functioning skills. Anxiety disorders, meanwhile, may be treated with a combination of psychotherapy, such as cognitive-behavioral therapy (CBT), and, in some cases, medication to manage symptoms. The integration of treatment modalities is paramount, particularly for individuals experiencing both ADHD and anxiety. Addressing the ADHD symptoms can often alleviate anxiety by improving self-esteem and coping mechanisms. Similarly, managing anxiety can reduce the overall stress load, making ADHD symptoms more manageable. In conclusion, ADHD and anxiety represent two distinct yet interrelated conditions within the spectrum of mental health. The complexity of their relationship underscores the importance of personalized, comprehensive treatment plans. By fostering a deeper understanding of these conditions, individuals can navigate the path to wellness with greater clarity and confidence. This journey, though challenging, is a testament to the resilience and strength inherent in the human spirit, as we seek to understand and overcome the obstacles that lie within our minds. TRANSCRIPT Kimberley: Welcome, everybody. We are talking about ADHD vs anxiety, how to tell the difference, kind of get you in the know of what is what. Today, we have Dr. Ryan Sultan. He is an Assistant Professor of Clinical Psychiatry at Columbia University. He knows all the things about ADHD and cannabis use, does a lot of research in this area, and I want to get the tea on all things ADHD and anxiety so that we can work it out. So many of you listening have either been misdiagnosed or totally feel like they don't really understand the difference. And so, let's talk about it. Welcome, Dr. Sultan. ADHD vs. ANXIETY Ryan: Thank you. I really like doing these things. I think it's fun. I think psychiatrists, which is what I am, I think one of the ways that we really fail, and medical doctors in general don't do well at this, which is like, let's spend some time educating the public. And before my current position, I did epidemiology and public health. And so, I learned a lot about that, and I was like, "You know how you can help people? We have a crisis here. Let's just teach people things about how to find resources and what they can do on their own." And so, I really enjoy these opportunities. WHAT IS ADHD vs. WHAT IS ANXIETY? I was thinking about your question, and I was thinking how we might want to talk about this idea of ADHD versus anxiety, which is a common thing. People come in, and they see me very commonly wanting an evaluation, and they think they have ADHD. And I understand why they think they have ADHD, but t

Exploring the relationship between faith and recovery, especially when it comes to managing Obsessive-Compulsive Disorder (OCD), reveals a complex but fascinating landscape. It's like looking at two sides of the same coin, where faith can either be a source of immense support or a challenging factor in one's healing journey. On one hand, faith can act like a sturdy anchor or a comforting presence, offering hope and a sense of purpose that's invaluable for many people working through OCD. This aspect of faith is not just about religious practices; it's deeply personal, providing a framework that can help individuals make sense of their struggles and find a pathway towards recovery. The sense of community and belonging that often comes with faith can also play a crucial role in supporting someone through their healing process. However, it's not always straightforward. Faith can get tangled up with the symptoms of OCD, leading to situations where religious beliefs and practices become intertwined with the compulsions and obsessions that characterize the disorder. This is where faith can start to feel like a double-edged sword, especially in cases of scrupulosity, where religious or moral obligations become sources of intense anxiety and compulsion. The conversation around integrating faith into recovery is a delicate one. It emphasizes the need for a personalized approach, recognizing the unique ways in which faith intersects with an individual's experience of OCD. This might involve collaborating with religious leaders, incorporating spiritual practices into therapy, or navigating the complex ways in which faith influences both the symptoms of OCD and the recovery process. Moreover, this discussion sheds light on a broader conversation about the intersection of psychology and spirituality. It acknowledges the historical tensions between these areas, while also pointing towards a growing interest in understanding how they can complement each other in the context of mental health treatment. In essence, the relationship between faith and recovery from OCD highlights the importance of a compassionate and holistic approach. It's about finding ways to respect and integrate an individual's spiritual beliefs into their treatment, ensuring that the journey towards healing is as supportive and effective as possible. This balance is key to harnessing the positive aspects of faith, while also navigating its challenges with care and understanding. Justin K. Hughes, MA, LPC, owner of Dallas Counseling, PLLC, is a clinician and writer, passionate about helping those impacted by OCD and Anxiety Disorders. He serves on the IOCDF's OCD & Faith Task Force and is the Dallas Ambassador for OCD Texas. Working with a diversity of clients, he also is dual-trained in psychology and theology, regularly helping anyone to understand the interaction between faith and mental health. A sought-after writer and speaker, he is currently mid-way through writing his first workbook on evidence-based care of OCD for Christians. He is seeking a collaborative agent who will help secure the best publishing house to help those most in need. Check out www.justinkhughes.com to stay in the loop and get free guides & handouts! Kimberley: Welcome, everybody. Today, we're talking about faith and its place in recovery. Does faith help your recovery? Does it hinder your recovery? And all the things in between. Today, we have Justin Hughes. Justin is the owner of Dallas Counseling and is a clinician and writer. He's passionate about helping those who are impacted by OCD. He is the Dallas ambassador for OCD Texas and serves on the IOCDF's OCD and Faith Task Force, working with a diversity of clients. He's also dual-trained in psychology and theology, regularly helping anyone to understand the interaction between faith and OCD, most commonly Christians. But today, we're here to talk about faith in general. Welcome, Justin. Justin: Kimberley Jayne Quinlan, howdy. Kimberley: You said howdy just perfectly from your Texas state. Justin: Absolutely. Kimberley: Okay. This is a huge topic. And just for those who are listening, we tried to record this once before, we were just saying, but we had tech issues. And I'm so glad we did because I have thought about this so much since, and I feel like evolved a little since then too. So, we're here to talk about how to use faith in recovery and/or is it helpful for some people, and talk about the way that it is helpful and for some not. Can you share a little bit about your background on why this is an important topic for you? Justin: Absolutely. So, first of all, as a man of faith, I'm a Christian. I went to a Christian college, got my degree in Psychology, and very much desired to interweave studies between psychology and theology. So, I went to a seminary. A lot of people hear that, and they're like, "Did you become a priest?" No, it was a counseling program at a seminary, Dallas Theological Seminary. I came here and then

Exploring the relationship between faith and recovery, especially when it comes to managing Obsessive-Compulsive Disorder (OCD), reveals a complex but fascinating landscape. It's like looking at two sides of the same coin, where faith can either be a source of immense support or a challenging factor in one's healing journey. On one hand, faith can act like a sturdy anchor or a comforting presence, offering hope and a sense of purpose that's invaluable for many people working through OCD. This aspect of faith is not just about religious practices; it's deeply personal, providing a framework that can help individuals make sense of their struggles and find a pathway towards recovery. The sense of community and belonging that often comes with faith can also play a crucial role in supporting someone through their healing process. However, it's not always straightforward. Faith can get tangled up with the symptoms of OCD, leading to situations where religious beliefs and practices become intertwined with the compulsions and obsessions that characterize the disorder. This is where faith can start to feel like a double-edged sword, especially in cases of scrupulosity, where religious or moral obligations become sources of intense anxiety and compulsion. The conversation around integrating faith into recovery is a delicate one. It emphasizes the need for a personalized approach, recognizing the unique ways in which faith intersects with an individual's experience of OCD. This might involve collaborating with religious leaders, incorporating spiritual practices into therapy, or navigating the complex ways in which faith influences both the symptoms of OCD and the recovery process. Moreover, this discussion sheds light on a broader conversation about the intersection of psychology and spirituality. It acknowledges the historical tensions between these areas, while also pointing towards a growing interest in understanding how they can complement each other in the context of mental health treatment. In essence, the relationship between faith and recovery from OCD highlights the importance of a compassionate and holistic approach. It's about finding ways to respect and integrate an individual's spiritual beliefs into their treatment, ensuring that the journey towards healing is as supportive and effective as possible. This balance is key to harnessing the positive aspects of faith, while also navigating its challenges with care and understanding. Justin K. Hughes, MA, LPC, owner of Dallas Counseling, PLLC, is a clinician and writer, passionate about helping those impacted by OCD and Anxiety Disorders. He serves on the IOCDF's OCD & Faith Task Force and is the Dallas Ambassador for OCD Texas. Working with a diversity of clients, he also is dual-trained in psychology and theology, regularly helping anyone to understand the interaction between faith and mental health. A sought-after writer and speaker, he is currently mid-way through writing his first workbook on evidence-based care of OCD for Christians. He is seeking a collaborative agent who will help secure the best publishing house to help those most in need. Check out www.justinkhughes.com to stay in the loop and get free guides & handouts! Kimberley: Welcome, everybody. Today, we're talking about faith and its place in recovery. Does faith help your recovery? Does it hinder your recovery? And all the things in between. Today, we have Justin Hughes. Justin is the owner of Dallas Counseling and is a clinician and writer. He's passionate about helping those who are impacted by OCD. He is the Dallas ambassador for OCD Texas and serves on the IOCDF's OCD and Faith Task Force, working with a diversity of clients. He's also dual-trained in psychology and theology, regularly helping anyone to understand the interaction between faith and OCD, most commonly Christians. But today, we're here to talk about faith in general. Welcome, Justin. Justin: Kimberley Jayne Quinlan, howdy. Kimberley: You said howdy just perfectly from your Texas state. Justin: Absolutely. Kimberley: Okay. This is a huge topic. And just for those who are listening, we tried to record this once before, we were just saying, but we had tech issues. And I'm so glad we did because I have thought about this so much since, and I feel like evolved a little since then too. So, we're here to talk about how to use faith in recovery and/or is it helpful for some people, and talk about the way that it is helpful and for some not. Can you share a little bit about your background on why this is an important topic for you? Justin: Absolutely. So, first of all, as a man of faith, I'm a Christian. I went to a Christian college, got my degree in Psychology, and very much desired to interweave studies between psychology and theology. So, I went to a seminary. A lot of people hear that, and they're like, "Did you become a priest?" No, it was a counseling program at a seminary, Dallas Theological Seminary. I came here and then

Now fix this one error in thinking if you want to be less anxious or depressed, either one. Today, we are going to talk about why it is so important to be able to identify and challenge this one error in your thinking. It might be the difference between you suffering hard or actually being able to navigate some sticky thoughts with a little more ease. Let's do it together. Welcome back, everybody. My name is Kimberley Quinlan. I'm an anxiety and OCD specialist, and I am so excited to talk with you about this very important cognitive error or error in thinking that you might be engaging in and that might be making your life a lot harder. This is something I catch in myself quite regularly, so I don't want you to feel like you're wrong or bad for doing this behavior, but I also catch it a lot in my patients and my students. So, let's talk about it. The one error you make is black-and-white thinking. This is a specific error in thinking, or we call it a cognitive distortion, where you think in absolutes. And I know, before you think, "Okay, I got the meat of the episode," stay with me because it is so important that you identify the areas in your life in which you do this. You mightn't even know you're doing it. Again, often we've been thinking this way for so long, we start to believe our thoughts. Now, one thing to know, and let's do a quick 101: we have thoughts all day. Everybody has them. We might have all types of thoughts, some helpful, some unhelpful. But if you have a thought that's unhelpful or untrue and you think it over and over and over and over again, you will start to believe it. It will become a belief. Just like if you have a lovely, helpful thought and you think that thought over and over and over again, you will start to believe that too. And what I want you to know is often, for those with mental health struggles, whether that be generalized anxiety, panic disorder, depression, eating disorders, OCD, PTSD, social anxiety, the list goes on and on, one thing a lot of these disorders have in common is they all have a pretty significant level of errors in thinking that fuel the disorder, make the disorder worse, prevent them from recovering. My hope today is to help you identify where you are thinking in black and white so we can get to it and apply some tools, and hopefully get you out of that behavior as soon as possible. Here are some examples of black-and-white thinking that you're probably engaging in in some area of your life. The first one is, things are all good or they're all bad. An example might be, "My body is bad." That there are good bodies and bad bodies. There are good people and bad people. There are good thoughts and bad thoughts. That's very true for those folks with OCD. There are good body sizes and bad body sizes, very common in BDD and eating disorders. There are people who are good at social interaction and bad at social interaction. That often shows up with people with social anxiety. That certain sensations might be good, and certain sensations might be bad. So if you have panic disorder and you have a tight chest or a racing heart rate, you might label them as all bad. And this labeling, while it might seem harmless, is training your brain to be on high alert, is training your brain to think of things as absolutes, which does again create either anxiety or a sense of hopelessness, helplessness, and worthlessness specifically related to depression. So we've got to keep an eye out for the all good and the all bad. The next one we want to keep an eye out for is always and never. "I always make this mistake. I never do things right. I will always suffer. I will never get better." These absolutes keep us stuck in this hole of dread. "It'll always be this way. You're always this way." And the thing to know here is very, very rarely is something always or never true. We can go on to talk about this here in a little bit, but I want you just to sit with that for a second. It's almost never true that almost never is the truth. How does that sound for a little bit of a tongue twister? Next thing is perfect versus failure. If you're someone who is aiming for that is either perfect or "I'm a failure," we are probably going to have a lot of anxiety and negative feelings about yourself. This idea that something is a failure. I have done episodes on failure before, and I'll talk about that here in a second. But the truth is, there is no such thing as failure; it's just a thought. And all of these are just thoughts. They're just thoughts that we have. And if we think that our thoughts are facts, we can often again get into a situation where we have really high anxiety or things feel really icky. Another absolute black-and-white thinking that we do is that this is either easy or it's impossible. There's only those two choices. It should be either really easy or it's not possible at all. Again, it's going to get us into some trouble when we go to face our fears because facing fears is

Obsessive-Compulsive Disorder (OCD) is a challenging condition, but the good news is that it's highly treatable. The key to effective management and recovery lies in understanding the condition, embracing the right treatment approaches, and adopting a supportive mindset. This article distills essential guidance and expert insights, aiming to empower those affected by OCD with knowledge and strategies for their treatment journey. YOU ARE BRAVE FOR STARTING OCD TREATMENT Taking the first step towards seeking help for OCD is a significant and brave decision. Acknowledging the courage it takes to confront one's fears and commit to treatment is crucial. Remember, showing up for therapy or seeking help is a commendable act of bravery. YOU CAN GET BETTER WITH OCD TREATMENT OCD treatment, particularly through methods like Exposure and Response Prevention (ERP) and Cognitive Behavioral Therapy (CBT), has shown considerable success. These evidence-based approaches are supported by extensive research, indicating significant potential for individuals to reclaim their lives from OCD's grasp. The path may not lead to a complete eradication of symptoms, but substantial improvement and regained control over one's life are highly achievable. OCD TREATMENT IS NOT TALK THERAPY OCD therapy extends beyond the realms of conventional talk therapy, involving specific exercises, homework, and practical worksheets designed to confront and manage OCD symptoms directly. These tools are integral to the treatment process, allowing individuals to actively engage with their treatment both within and outside therapy sessions. THERE IS NO SUCH THING AS "BAD" THOUGHTS A pivotal aspect of OCD treatment involves changing how individuals perceive their thoughts and their control over them. It's essential to recognize that thoughts, regardless of their nature, do not define a person. Attempting to control or suppress thoughts often exacerbates them, which is why therapy focuses on techniques that allow individuals to accept their thoughts without judgment and reduce their impact. YOU CAN NOT CONTROL YOUR THOUGHTS, BUT YOU CAN CONTROL YOUR BEHAVIORS You will have intrusive thoughts and feelings. This is a part of being human, and it is not in your control. However, you can learn to pivot and change your reactions to these intrusive thoughts, feelings, sensations, urges, and images. YOU HAVE MANY OCD TREATMENT OPTIONS While medication can be a valuable part of OCD treatment, particularly when combined with therapy, it's not mandatory. Decisions regarding medication should be made based on personal circumstances, preferences, and professional advice, acknowledging that progress is still possible without it. In addition to ERP and CBT, other therapies such as Acceptance and Commitment Therapy (ACT), mindfulness, and self-compassion practices have emerged as beneficial complements to OCD treatment. These approaches can offer additional strategies to cope with symptoms and improve overall well-being. The accessibility of OCD treatment has expanded significantly with the advent of online therapy and self-led courses. These digital resources provide valuable support, particularly for those unable to access traditional therapy, enabling individuals to engage with treatment tools and strategies remotely. For those without access to a therapist, self-led OCD courses and resources can offer guidance and structure. Engaging with these materials can empower individuals to take active steps towards managing their OCD, underscoring the importance of self-directed learning in the recovery process. TREATMENT WILL NEVER INVOLVE YOU DOING THINGS YOU DO NOT WANT TO DO I am usually very clear with my patients. Here are some key points I share I will never ask you to do something I do not want you to do I will never ask you to do something that I myself would not do I will never ask you to do something that goes against your values. RECOVERY IS NOT LINEAR Recovery from OCD is not a linear process; it involves ups and downs, successes and setbacks. Embracing discomfort and challenges as part of the journey is essential. Adopting a mindset that views discomfort as an opportunity for growth can greatly enhance one's resilience and progress in treatment. There will be good days and hard days. This is normal for OCD recovery. There will be days when you feel like you are making no progress, but you are. Keep going at it and be as gentle as you can SETTING CLEAR TREATMENT GOALS Clarifying treatment goals is crucial for a focused and effective therapy experience. Whether it's reducing compulsions, living according to one's values, or tackling specific fears, clear goals provide direction and motivation throughout the treatment process. BE HONEST WITH YOUR THERAPIST The success of OCD treatment is significantly influenced by the honesty and openness of the individual undergoing therapy. Without reservation, sharing one's thoughts, fears, and experiences allows for more tailor

In the realm of managing anxiety and panic attacks, we often find ourselves inundated with advice on what to do. However, the path to understanding and controlling these overwhelming experiences also involves recognizing what not to do. Today, we shed light on this aspect, offering invaluable insights for those grappling with panic attacks. Stop doing these things if you are having panic attacks, and do not forget to be kind to yourself every step of the way. 1. DON'T TREAT PANIC ATTACKS AS DANGER It's a common reaction to perceive the intense symptoms of a panic attack—rapid heartbeat, dizziness, or a surge of fear—as signals of immediate danger. However, it's crucial to remind ourselves that while these sensations are incredibly uncomfortable, they are not inherently dangerous. Viewing them as mere sensations or thoughts rather than threats can create a helpful distance, allowing for more effective response strategies. 2. DON'T FLEE THE SCENE The urge to escape a situation where you're experiencing a panic attack is strong. Whether you're in a grocery store, on an airplane, or in a social setting, the instinct to run away can be overwhelming. However, leaving can reinforce the idea that relief only comes from escaping, which isn't a helpful long-term strategy. Staying put, albeit challenging, helps break this association and builds resilience. 3. DON'T ACCELERATE YOUR ACTIONS During a panic attack, there might be a tendency to speed up your actions or become hyper-vigilant in an attempt to alleviate the discomfort quickly. This response, however, can signal to your brain that there is a danger, perpetuating the cycle of panic. Slowing down your breath and movements can alter your brain's interpretation of the situation, helping to calm the storm of panic. 4. AVOID RELIANCE ON SUBSTANCES Turning to alcohol or recreational drugs as a quick fix to dampen the intensity of a panic attack can be tempting. Nonetheless, this can lead to a dependency that ultimately exacerbates the problem. It's important to let panic's intensity ebb and flow naturally, without leaning on substances that offer only a temporary and potentially harmful reprieve. 5. STOP BEATING YOURSELF UP Self-criticism and judgment can add fuel to the fire of anxiety and panic. It's vital to adopt a compassionate stance towards yourself, recognizing that experiencing panic attacks doesn't reflect personal failure or weakness. Embracing self-kindness can significantly mitigate the added stress of self-judgment, creating a more supportive environment for recovery. SEEKING SUPPORT Remember, you're not alone in this struggle. Whether through therapy, online courses, or community support, reaching out for help is a sign of strength. Resources like "Your Anxiety Toolkit" are there to remind you that it's possible to lead a fulfilling life, despite the challenges panic attacks may present. Lastly, embrace the notion that it's a beautiful day to do hard things. Facing panic with acceptance rather than resistance diminishes its hold over you, opening the door to healing and growth. TRANSCRIPT: Stop doing these things if you have panic attacks. I often, here on Your Anxiety Toolkit, talk about all the things you need to do—you need to do more of, you need to practice skills that you can get better at. But today, we're talking about the things you shouldn't do if you are someone who experiences panic attacks, panic disorder, or any other disorder that you also experience panic attacks in. Let's get to it. Let's talk about the things not to deal. Welcome back. Stop doing these things if you have panic attacks. When I say that, in no way do I mean that the things we're going to discuss you should beat yourself up for. If you're doing any of the things that we talk about today, please be gentle. It is a normal human reaction to do these things. I don't want you to beat yourself up. Please feel absolutely zero judgment from me because even I am someone who needs to keep an eye out for this, keep myself on check with these things when I am experiencing panic attacks as well. Let's go through them. The number one thing to stop doing if you're having a panic attack is to stop treating them like they are dangerous. If you experience symptoms of panic or you experience panic disorder, you know that feeling. You feel like you're going to die. You feel like your heart is going to explode or implode, or your brain will explode or implode. You'll know that feeling of adrenaline and cortisol rushing around your body. You get it; I get it. It feels so scary. But we must remind ourselves that it's not dangerous, and we can't treat them like they're dangerous. We can't respond to these symptoms as if they're dangerous. We want to instead treat them like they are, which is sensations in the body or thoughts that appear in your brain. Once we can do that, then we have a little bit of distance from them and we can respond effectively. Now, the second thing I want you to stop do

Anxiety can often feel like a relentless storm, clouding your thoughts and overwhelming your sense of calm. It's during these turbulent times that finding the right words can be akin to discovering a lifeline amidst the chaos. To aid you in navigating these stormy waters, we've curated a list of 20 empowering phrases based on expert advice. These phrases are designed to validate your feelings, soothe your inner critic, fill you with encouragement, and help you respond proactively to anxiety. Here's how you can incorporate them into your life to foster resilience, kindness, and self-compassion. VALIDATE THE DIFFICULTY "This is hard, and it's okay that it's hard for me." Acknowledge the challenge without judgment. "I'm doing the best I can in this moment." Remind yourself of your effort and resilience. "My feelings are valid and understandable." Affirm the legitimacy of your emotions. "I am human, and having a difficult day is okay." Normalize the ups and downs of human experience. "I give myself permission to feel this while being kind to myself." Embrace your feelings with compassion. SOOTHE THE CRITICAL VOICE "This is not my fault." Release unwarranted guilt and blame. "It's okay that I'm not perfect." Celebrate your humanity and imperfections. "It's okay to make mistakes." View errors as opportunities for growth. "My challenges do not define my worth." Separate your worth from your struggles. "May I be gentle with myself as I navigate this difficult season?" Practice self-compassion and kindness. FILL YOURSELF WITH ENCOURAGEMENT "It's a beautiful day to do hard things." Empower yourself to face challenges. "I can tolerate this discomfort." Recognize your strength and resilience. "This anxiety or discomfort will not hurt me." Acknowledge your capacity to withstand anxiety. "Humans are innately resilient." Remind yourself of your inherent ability to overcome adversity. "I am more than my worst days." Focus on the breadth of your life's narrative. GET CLEAR ON YOUR RESPONSE TO ANXIETY "I REFUSE to lead a life based on fear." Commit to acting on your values. "I choose to speak to myself with understanding and patience." Cultivate a compassionate inner dialogue. "I have already chosen how I'm going to respond, and now I'm going to honor that decision." Preemptively decide on positive actions. "I will treat myself with the same kindness that I offer others." Extend your empathy inward. "I'm going to honor my journey and respect my own pace." Accept your unique path and timing. BONUS PHRASE FOR CONTINUOUS SUPPORT "We are just going to take one step at a time." Focus on the present moment to manage overwhelm. These phrases, thoughtfully designed to address different facets of anxiety, are tools at your disposal. Use them to navigate through moments of anxiety, to remind yourself of your strength, and to cultivate a kinder relationship with yourself. Remember, it's not about employing all of them at once but finding the ones that resonate most with you. Anxiety is a complex and deeply personal experience, and thus, your approach to managing it should be equally personalized. Let these phrases be your guide as you continue on your journey toward a more peaceful and empowered state of being. TRANSCRIPTION: Here are 20 phrases to use when you are anxious. Now I get it, when you're anxious, sometimes it's so hard to concentrate. It's so hard to know where you're going, what you want to do, and it's so easy just to focus on anxiety and get totally stuck in the tunnel vision of anxiety or feel completely overwhelmed by it. Today, I want to offer you 20 phrases that you can use when you're feeling anxious or experiencing OCD. These are yours to try on and see if you like them. You don't have to use all of them. They're here for you to use as you wish, and hopefully, they're incredibly helpful. All right, my loves, let's talk about the 20 phrases you can use when you're feeling anxious. Now, I have prepared these in four different steps. You can actually go through and pick one or several of these and go through these, write them down, and have them in your pocket or in your wallet, or whatever you want, a sticky note on your fridge to use as you need. These are to help guide you towards a life where you lean into your fear. You treat yourself kindly. You encourage yourself. You champion the direction you want to go in. And my hope is that you can use these in many different scenarios, and they can help you get to the life that you want. Let's go and do it. The first category is validate the difficulty. Most people, when they're anxious, they get caught up in this wrestle of, "I shouldn't have this. Why do I have it? It's not fair," and I totally get it. But what we want to do is first validate the difficulty. If you can say that, and you can do that by using one of these five phrases: Number one, "This is hard, and it's okay that it's hard for me." Again, let's say it together. "This is hard, and it's okay that it's hard

THE RISING TIDE OF TEEN DEPRESSION: UNDERSTANDING AND ADDRESSING A MODERN CRISIS In recent times, the specter of teen depression has loomed larger than ever before, casting a long shadow over the lives of young individuals across the globe. With reports indicating a significant upsurge in cases of depression among adolescents, the need to unravel the complexity of this issue and explore effective strategies for intervention has never been more urgent. At the heart of the matter is the alarming statistic that suicide rates among teenagers aged 15 to 19 have surged by 76% since 2007, with a particularly distressing increase observed in teen girls. The rates of suicide have doubled among female teens compared to their male counterparts, underscoring a gendered dimension to the crisis. Moreover, the youngest demographic, children between the ages of 10 and 14, has witnessed the highest rate of increase in suicide across all age groups, a fact that underscores the severity and early onset of mental health challenges in today's youth. This escalation in teen depression and suicidal ideation can be attributed to a myriad of factors, ranging from societal pressures and the rapid pace of cultural shifts to the unique challenges posed by the digital age. The omnipresence of social media and technology, while offering new avenues for connection, has paradoxically fostered a sense of isolation and disconnection among adolescents. The digital landscape, with its relentless comparison and instant feedback loops, has exacerbated feelings of inadequacy, anxiety, and despair among young people. Furthermore, the impact of depression is not confined to any single demographic. Contrary to previous beliefs that African-American families were less likely to experience suicidal ideation, recent research has unveiled an elevated risk among African-American boys aged five to 11. This revelation challenges preconceived notions about the protective factors supposedly inherent in certain communities and underscores the indiscriminate nature of mental health challenges. The narrative surrounding teen depression and despair is further complicated by the conflation of despair with clinical depression. While depression is a diagnosable condition characterized by a specific set of symptoms persisting over time, despair can embody similar feelings of hopelessness and sadness without necessarily meeting the criteria for a clinical diagnosis. This distinction is crucial for understanding the breadth and depth of the emotional turmoil experienced by adolescents, which may not always fit neatly into diagnostic categories. Addressing this burgeoning crisis requires a multifaceted approach, centered around the power of connection and the cultivation of resilience. Building resilience in young people involves fostering internal coping mechanisms as well as providing robust external support systems. Parents, educators, and mental health professionals play a pivotal role in modeling healthy coping strategies and offering unwavering support to adolescents navigating the tumultuous waters of mental health challenges. One of the key strategies for combatting teen depression involves nurturing meaningful connections between young people and their caregivers. The act of showing up for adolescents in both significant moments and the mundane details of daily life can have a profound impact on their sense of belonging and self-worth. Consistency in presence and support, coupled with genuine engagement in activities that resonate with the interests of young people, can fortify their emotional resilience and counteract feelings of isolation and despair. In the digital realm, it is imperative to strike a balance between leveraging technology for connectivity and mitigating its potential negative impacts on mental health. Encouraging responsible and mindful use of social media, fostering face-to-face interactions, and emphasizing the importance of digital detoxes can help alleviate the pressure and anxiety associated with online environments. As society grapples with the escalating crisis of teen depression, it becomes increasingly clear that a collective effort is required to address the underlying causes and provide a supportive framework for adolescents. By prioritizing mental health education, advocating for comprehensive support services, and fostering an environment of openness and understanding, we can begin to turn the tide against teen depression. In doing so, we not only alleviate the immediate suffering of young individuals but also lay the groundwork for a healthier, more resilient generation. TRANSCRIPTION Kimberley: Welcome, everybody. I am so delighted to have our guest on today, Dr. Chinwé Williams. Welcome, Dr. Chinwé Williams. I'm so happy to have you here. Chinwé: Oh, I'm so excited to be here. Thanks so much for having me. Kimberley: As I said to you, several months ago, I was having a massive influx of cases of teens, my teen clients and my

In the realm of mental health, the role of an anxiety therapist is often shrouded in mystery and misconceptions. To shed light on this crucial profession, Joshua Fletcher, also known as AnxietyJosh, shares insights from his latest book, "And How Does That Make You Feel?: Everything You (N)ever Wanted to Know About Therapy," in a candid conversation with Kimberley Quinlan on her podcast. Joshua's book aims to demystify the therapeutic process, offering readers an intimate look behind the therapy door. It's not just a guide for those struggling with anxiety but an engaging narrative that invites the general public into the world of therapy. The book's unique angle stems from a simple yet intriguing question: Have you ever wondered what your therapist is thinking? One of the book's key revelations is the humanity of therapists. Joshua emphasizes that therapists, like their clients, are complex individuals with their own vices, flaws, and inner dialogues. The book begins with a scene where Joshua, amidst a breakthrough session with a client, battles an array of internal voices—from the biological urge to use the restroom to the critical voice questioning his decision to drink an Americano right before the session. This honest portrayal extends to the array of voices that therapists and all humans contend with, including anxiety, criticism, and analytical thinking. Joshua's narrative skillfully normalizes the internal chatter that professionals experience, even as they maintain a composed exterior. The conversation also touches upon the diverse modalities of therapy, highlighting the importance of finding the right approach for each individual's needs. Joshua jests about "The Yunger Games," a fictional annual event where therapists from various modalities compete, underscoring the passionate debates within the therapeutic community regarding the most effective treatment methods. A significant portion of the book delves into the personal growth and challenges therapists face, including dealing with their triggers and the balance between professional detachment and personal empathy. Joshua shares an anecdote about experiencing a trigger related to grief during a session, illustrating how therapists navigate their emotional landscapes while maintaining focus on their clients' needs. The awkwardness of encountering clients outside the therapy room is another aspect Joshua candidly discusses. He humorously describes the internal turmoil therapists experience when meeting clients in public, highlighting the delicate balance of maintaining confidentiality and acknowledging the shared human experience. Joshua's book, and his conversation with Kimberley, paint a vivid picture of the life of an anxiety therapist. It's a role filled with challenges, personal growth, and the profound satisfaction of facilitating others' journeys toward mental wellness. By pulling back the curtain on the therapeutic process, Joshua hopes to demystify therapy, making it more accessible and less intimidating for those considering it. In essence, being an anxiety therapist is about embracing one's humanity, continuously learning, and engaging in the most human conversations without judgment. It's a profession that requires not only a deep understanding of mental health but also a willingness to confront one's vulnerabilities and grow alongside their clients. Through his book and the insights shared in this conversation, Joshua Fletcher invites us all to appreciate the intricate dance of therapy—a dance that, at its best, can be life-changing for both the therapist and the client. Transcript: Kimberley: I'm very happy to have back on the show Joshua Fletcher, a dear friend of mine and quite a rock star. He has written a new book called And How Does That Make You Feel?: Everything You (N)ever Wanted to Know About Therapy. Welcome back, Josh. Joshua: It's good to be back. Thanks, Kim. When was the last time we spoke together on a podcast? I think you were on The Disordered podcast not so long ago. That was lovely. But I remember my guest appearance on Your Anxiety Toolkit was lovely. HOW DOES THAT MAKE YOU FEEL? Kimberley: I know. I'm so happy to actually spend some time chatting with you together. I'm very excited about your new book. It's all about therapy and anxiety and what it's really like to be an anxiety therapist and the process of therapy and all the things. How did this book come about? Joshua: I wanted to write a book about people who struggle with anxiety, but in the mainstream, because a lot of the literature out there is very self-help, and it's in a certain niche. One of my biggest passions is to write something engaging with a nice plot where people are reading about something or a storyline that they're interested in whilst inadvertently learning without realizing you're learning. That's my kind of entertainment—when I watch a show and I've learned a lot about something or when I've read a book and I've inadvertently learned load

In the realm of mental health, the significance of structured daily routines for depression cannot be overstated. Kimberley Quinlan, an anxiety specialist with a focus on mindfulness, Cognitive Behavioral Therapy (CBT), and self-compassion, emphasizes the transformative impact that Daily Routines for Depression can have on individuals grappling with this challenging condition. Depression, characterized by persistent feelings of sadness, hopelessness, and a lack of interest in once-enjoyable activities, affects every aspect of one's life. Quinlan stresses that while professional therapy and medication are fundamental in the treatment of depression, integrating specific daily routines into one's lifestyle can offer a complementary path toward recovery and mental wellness. THE POWER OF MORNING ROUTINES FOR DEPRESSION Starting the day with a purpose can set a positive tone for individuals battling depression. Quinlan recommends establishing a consistent wake-up time to combat common sleep disturbances associated with depression. Incorporating light physical activity, such as stretching or a gentle walk, can significantly boost mood. Mindfulness practices, including meditation, journaling, or gratitude exercises, can help foster a healthier relationship with one's thoughts and emotions. Additionally, a nutritious breakfast can provide the necessary energy to face the day, an essential component of "Daily Routines for Depression." DAYTIME ROUTINES FOR DEPRESSION Throughout the day, setting realistic goals and priorities can help maintain focus and motivation. Quinlan advocates for the inclusion of pleasurable activities within one's schedule to counteract the anhedonia often experienced in depression. Techniques like the Pomodoro Method can aid in managing tasks without becoming overwhelmed, breaking down activities into manageable segments with short breaks in between. Exposure to natural light and ensuring a balanced diet further contribute to improving mood and energy levels during the day. EVENING ROUTINES FOR DEPRESSION As the day draws to a close, engaging in a digital detox and indulging in relaxation techniques become crucial. Limiting screen time and investing time in hobbies or skills can provide a sense of accomplishment and fulfillment. Establishing a calming bedtime routine, including activities like reading or taking a bath, can enhance sleep quality, an essential factor in "Daily Routines for Depression." WEEKLY ACTIVITIES TO OVERCOME DEPRESSION Quinlan also highlights the importance of incorporating hobbies and community engagement into weekly routines. Finding a sense of belonging and purpose through social interactions and new skills can offer a much-needed respite from the isolating effects of depression. NAVIGATING TOUGH DAYS WITH COMPASSION Acknowledging that the journey through depression is fraught with ups and downs, Quinlan advises adopting a compassionate and simplified approach on particularly challenging days. Focusing on basic self-care and seeking support when needed can provide a foundation for resilience and recovery. In conclusion, Daily Routines for Depression are not just about managing symptoms but about rebuilding a life where mental wellness is prioritized. Through mindful planning and self-compassion, individuals can navigate the complexities of depression and move towards a more hopeful and fulfilling future. PODCAST TRANSCRIPT If you're living with depression today, we are going to go through some daily routines for your mental wellness. Welcome. My name is Kimberley Quinlan. I'm an anxiety specialist. I talk all about mindfulness, CBT, self-compassion, and skills that you can use to help you with your mental wellness. Let's talk about living with depression, specifically about daily routines that will set you up for success. My goal first is to really highlight the importance of routines. Routines are going to be the most important part of your depression recovery, besides, of course, seeing your therapist and talking with your doctor about medication. This is the work that we do at home every day to set ourselves up for success, finding ways that we can manage our depression, overcome our depression by tweaking the way in which we live our daily life because the way we live our lives often will impact how severe our depression can get. There are some behaviors and actions that can very much exacerbate and worsen depression. And there are some behaviors and routines that can very much improve your depression. So, let's talk about them today. DEPRESSION SYMTPOMS Let's first just get really clear on depression and depression symptoms. Depression is a common and can be a very serious mental illness and medical condition that can completely negatively impact your life—the way you feel, the way you think, the way you act. It often includes persistent feelings of sadness, emptiness, hopelessness, worthlessness that can really impact the way you see yourself and your own identit

In the insightful podcast episode featuring Joanna Hardis, author of "Just Do Nothing: A Paradoxical Guide to Getting Out of Your Way," listeners are treated to a deep dive into the concept of distress tolerance and its pivotal role in mental health and personal growth. Joanna Hardis, with her extensive background in treating anxiety disorders such as panic disorder, OCD, and Generalized Anxiety Disorder, shares her professional and personal journey toward understanding and teaching the art of effectively managing internal discomfort without resorting to avoidance or escape tactics. The discussion begins with an exploration of the title of Joanna's book, "Just Do Nothing," which encapsulates the essence of her therapeutic approach: the intentional practice of stepping back and allowing thoughts, feelings, and sensations to exist without interference. This practice, though seemingly simple, challenges the common impulse to engage with and control our internal experiences, which often exacerbates suffering. A significant portion of the conversation is dedicated to "distress intolerance," a term that describes the perceived inability to endure negative emotional states. This perception leads individuals to avoid or escape these feelings, thereby increasing vulnerability to a range of mental health issues including anxiety, depression, and substance abuse. Joanna emphasizes the importance of recognizing and altering the self-limiting beliefs and thoughts that fuel distress intolerance. Practical strategies for enhancing distress tolerance are discussed, starting with simple exercises like resisting the urge to scratch an itch and gradually progressing to more challenging scenarios. This gradual approach helps individuals build confidence in their ability to manage discomfort and makes the concept of distress tolerance applicable to various aspects of life, from parenting to personal goals. Mindfulness is highlighted as a crucial component of distress tolerance, fostering an awareness of our reactions to discomfort and enabling us to respond with intention rather than impulsivity. The podcast delves into the importance of connecting with our values and reasons for enduring discomfort, which can provide the motivation needed to face challenging situations. Joanna and Kimberley also touch on the common traps of negative self-talk and judgment that can arise during distressing moments, advocating for a more compassionate and accepting stance towards oneself. The idea of "choice points" from Acceptance and Commitment Therapy (ACT) is introduced, encouraging listeners to make decisions that align with their values and move them forward, even in the face of discomfort. The episode concludes with a message of hope and empowerment: everyone has the capacity to work on expanding their distress tolerance. By starting with small, manageable steps and gradually confronting more significant challenges, individuals can cultivate a robust ability to navigate life's inevitable discomforts with grace and resilience. EPISODE HIGHLIGHTS: The Concept of "Just Do Nothing": This core idea revolves around the practice of intentionally not engaging with every thought, feeling, or sensation, especially when they're distressing. It's about learning to observe without action, which can reduce the amplification of discomfort and suffering. Understanding Distress Intolerance: Distress intolerance refers to the belief or perception that one cannot handle negative internal states, leading to avoidance or escape behaviors. This concept highlights the importance of recognizing and challenging these beliefs to improve our ability to cope with discomfort. Building Distress Tolerance: The podcast discusses practical strategies to enhance distress tolerance, starting with simple exercises like resisting the urge to scratch an itch. The idea is to gradually expose oneself to discomfort in a controlled manner, thereby building resilience and confidence in handling distressing situations. Mindfulness and Awareness: Mindfulness plays a crucial role in distress tolerance by fostering an awareness of our reactions to discomfort. This awareness allows us to respond intentionally rather than react impulsively. The practice of mindfulness helps in recognizing when we're "gripping" distressing thoughts or sensations and learning to gently release that grip. Aligning Actions with Values: The podcast emphasizes the significance of connecting actions with personal values, even in the face of discomfort. This alignment can motivate us to face challenges and make choices that lead to personal growth and fulfillment, rather than making decisions based on the urge to avoid discomfort. These concepts together form a comprehensive approach to managing distress and enhancing personal well-being, as discussed by Joanna Hardis in the podcast episode. TRANSCRIPTION: Kimberley: Welcome, everybody, today. We have Joanna Hardis. Joanna wrote an amazing book called Just Do N

Visual Staring OCD (also known as Visual Tourrettic OCD), a complex and often misunderstood form of Obsessive-Compulsive Disorder, involves an uncontrollable urge to stare at certain objects or body parts, leading to significant distress and impairment. In an enlightening conversation with Kimberley, Matt Bannister shares his journey of overcoming this challenging condition, offering hope and practical advice to those grappling with similar issues. Matt's story begins in 2009, marked by a sense of depersonalization and dissociation, which he describes as an out-of-body experience and likened to looking at a stranger when viewing himself in the mirror. His narrative is a testament to the often-overlooked complexity of OCD, where symptoms can extend beyond the stereotypical cleanliness and orderliness. Kimberley's insightful probing into the nuances of Matt's experiences highlights the profound impact of Visual Staring OCD on daily life. The disorder manifested in Matt as an overwhelming need to maintain eye contact, initially with female colleagues, out of fear of being perceived as disrespectful. This compulsion expanded over time to include men and intensified to such a degree that Matt felt his mind couldn't function normally. The social implications of Visual Staring OCD are starkly evident in Matt's recount of workplace experiences. Misinterpretation of his behavior led to stigmatization and gossip, deeply affecting his mental well-being and leading to self-isolation. Matt's story is a poignant illustration of the societal misunderstandings surrounding OCD and its variants. Treatment and recovery form a significant part of the conversation. Matt emphasizes the role of Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP) in his healing process. However, he notes the initial challenges in applying these techniques, underscoring the necessity of a tailored approach to therapy. Kimberley and Matt delve into the power of community support in managing OCD. Matt's involvement with the IOCDF (International OCD Foundation) community and his interactions with others who have overcome OCD, like Chris Trondsen, provide him with valuable insights and strategies. He speaks passionately about the importance of self-compassion, a concept introduced to him by Katie O'Dunne, and how it transformed his approach to recovery. A critical aspect of Matt's journey is the realization and acceptance of his condition. His story underscores the importance of proper diagnosis and understanding of OCD's various manifestations, which can be as unique as the individuals experiencing them. Matt's narrative is not just about overcoming a mental health challenge; it's a story of empowerment and advocacy. His transition from a struggling individual to a professional peer support worker is inspiring. He is now dedicated to helping others navigate their paths to recovery, using his experiences and insights to offer hope and practical advice. In conclusion, Matt Bannister's journey through the complexities of Visual Staring OCD is a powerful testament to the resilience of the human spirit. His story offers valuable insights into the disorder, challenges misconceptions, and highlights the importance of tailored therapy, community support, and self-compassion in overcoming OCD. For anyone struggling with OCD, Matt's story is a beacon of hope and a reminder that recovery, though challenging, is within reach. Instagram - matt bannister27 Facebook - matthew.bannister.92 Facebook group - OCD Warrior Badass Tribe Email :[email protected] Kimberley: Welcome back, everybody. Every now and then, there is a special person that comes in and supports me in this way that blows me away. And today we have Matt Bannister, who is one of those people. Thank you, Matt, for being here today. This is an honor on many fronts, so thank you for being here. Matthew: No, thank you for bringing me on, Kim. This is a huge honor. I'm so grateful to be on this. It's just amazing. Thank you so, so much. It's great to be here. Kimberley: Number one, you have been such a support to me in CBT School and all the things that I'm doing, and I've loved hearing your updates and so forth around that. But today, I really want you to come on and tell your story from start to end, whatever you want to share. Tell us about you and your recovery story. Matthew: Sure. I mean, I would like to start as well saying that your CBT School is amazing. It is so awesome. It's helped me big time in my recovery, so I recommend that to everyone. I'm an IOCDF grassroots advocate. I am super passionate about it. I love being involved with the community, connecting with the community. It's like a big family. I'm so honored to be a part of this amazing community. My recovery story and my journey started back in 2009, when—this is going to show how old I am right now—I remember talking on MSN. I remember I was talking; my mind went blank in a conversation, and I was like, "Ooh

If you want to know the 5 Most Common Recovery Roadblocks with Chris Tronsdon (an incredible anxiety and OCD therapist), you are in the right place. Today Chris and I will go over the 5 Most common anxiety, depression, & OCD roadblocks and give you 6 highly effective treatment strategies you can use today. Kimberley: Welcome everybody. We have the amazing Chris Trondsen here with us today. Thank you for coming, Chris. Chris: Yes, Kim, thanks for having me. I'm super excited about being here today and just about this topic. Kimberley: Yes. So, for those of you who haven't attended one of the IOCDF Southern California conferences, we had them in Southern California. We have presented on this exact topic, and it was so well received that we wanted to make sure that we were spreading it out to all the folks that couldn't come. You and I spoke about the five most common anxiety & OCD treatment roadblocks, and then we gave six strategic solutions. But today, we're actually broadening it because it applies to so many people. We're talking about the five most common anxiety treatment roadblocks, with still six solutions and six strategies they can use. Thank you for coming on because it was such a powerful presentation. Chris: No, I agree. I mean, we had standing room only, and people really came up to us afterwards and just said how impactful it was. And then we actually redid it at the International OCD Foundation, and it was one of the best-attended talks at the event. And then we got a lot of good feedback, and people kept messaging me like, "I want to hear it. I couldn't go to the conference." I'd play clips for my group, and they're like, "When is it going to be a podcast?" I was like, "I'll ask Kim." I'm glad you said yes because I do believe for anybody going through any mental health condition, this list is bound, and I think the solutions will really be something that can be a game changer in their recovery. Kimberley: Absolutely, absolutely. I love it mostly because, and we're going to get straight into these five roadblocks, they're really about mindset and going into recovery. I think it's something we're not talking about a lot. We're talking about a lot of treatment, a lot of skills, and tools, but the strategies and understanding those roadblocks can be so important. Chris: Yeah. I did a talk for a support group. They had asked me to come and speak, and I just got this idea to talk about mindset. I did this presentation on mindset, and people were like, "Nobody's talking about it." In the back of my head, I'm like, "Kim and I did." But we're the only ones. Because I do think so many people get the tools, right? The CBT tools, they get the ERP tools, the mindfulness edition, and people really find the tools that work for them. But when I really think of my own personal recovery with multiple mental health diagnoses, it was always about mindset. And that's what I like about our talk today. It's universal for anyone going through any mental health condition, anxiety base, and it's that mindset that I think leads to recovery. It shouldn't be the other way around. The tools are great, but the mindset needs to be there. Kimberley: Yeah. We are specifically speaking to the folks who are burnt out, feeling overwhelmed, feeling a lack of hope of recovery. They really need a kickstart, because that was actually the big title of the presentation. It was really addressing those who are just exhausted with the process and need a little bit of a strategy and mindset shift. Chris: Yeah. I don't want to compare, but I broke my ankle when I was hiking in Hawaii, and I have two autoimmune diseases. Although those ailments have caused problems, especially the autoimmune, when I think back to my mental health journey, that always wore me out more because it's with you all the time, 24/7. It's your mental health. When my autoimmune diseases act up, I'm exhausted, I'm burnt out, but it's temporary. Or my ankle, when it acts up, I have heating pads, I have things I can do, but your brain is with you 24/7. I do believe that's why a lot of people resonate with this messaging—they are exhausted. They're busting their butt in treatment, but they're tired and hitting roadblocks. And that's why this talk really came about. Kimberley: Yeah, exactly. All right, let's get into it here in a second. I just want to give one metaphor with that. I once had a client many years ago give the metaphor. She said, "I feel like I'm running a marathon and my whole family are standing on the out, like on the sidelines, and they're all clapping, but I'm just like faceplant down in the middle of the road." She's like, "I'm trying to get up, I'm trying to get up, and everyone's telling me, 'Come on, you can do it.' It's so hard because you're so exhausted and you've already run a whole bunch of miles." And so I really think about that kind of metaphor for today. If people are feeling that way, hopefully they can take away some amazing nuggets of i