The SelfWork Podcast

Self-criticism can take on a life of its own. And become so constant that you have to fight it on a daily or even hourly basis.

So today we’re going to focus on what may be keeping your self-criticism alive and well in ways that you don't realize.

There are two steps we’ll cover. The first is raising awareness of your own inner self-critical voice. The second is assessing what role or function it may have for you. What purpose might self-criticism have that weirdly protects you in some way or serves a role...

Are you being judgmental? Many of us would quickly say "no" to that question. But how many people do you know one thing about – and one thing only – and you categorize them as “bad” or “good”, "weak" or "strong," "smart" or "not the brightest bulb."

It doesn’t take long for us to form an opinion. And there are obvious situations – such as one where there’s the possibility of harm – where quick judgments are necessary and very helpful.

But what about the kind of judgment that you make because of your own biases? There are two mental mistak...

How do you know if someone with sociopathic traits is playing with your mind? Today on SelfWork we’re going to talk about just that.

The term cognitive dissonance has been around for quite a long time. What it’s describing is when you do something or say something that you believe to be wrong or unkind or unjust. But you do it or say it anyway. So, you’re not following or abiding by the values that you say you have.

The gaslighting technique of those with sociopathy... 

But cognitive dissonance can also be...

Disappointment. It’s a feeling in between hurt and shock. Why? Because you expect one thing – and you receive another. It doesn’t quite shock you - maybe it wasn’t totally unexpected. And it doesn’t crush you – it’s not exactly traumatic.

But expectation and disappointment are totally interrelated.

Some disappointment is normal of course. You don’t always win the prize or get what you were striving for, whether that’s a job, or a grade, a promotion, or a relationship moving ahead. But how do you feel it? And is it possible that you’r...

Grief is never easy. And it can be made harder by the many things that happen with grief that you’re not prepared for – or believe ‘should’ be happening or ‘shouldn’t’. Dr. Elizabeth Kübler Ross made the observation about terminally ill people that they seemed to go through five stages of grief: denial, anger, bargaining, depression, and acceptance. But she never meant for that model, no matter how interactive or nonlinear we may think about it – to become what it’s become – some kind of standard yardstick where you’re supposed to measure if you’re grieving the ‘right’ way.

The...

“Low self-esteem” is one of the symptoms or reflections of classic depression. Of course, it goes along with other symptoms or signs - a negative self-image, feelings of helplessness and/or hopelessness, not enjoying much of anything – which is called anhedonia.

But how do you increase self-esteem? What is self-esteem anyway? It’s a recognition of your value – of your worth. You can have high self-esteem, low self-esteem, or an inflated sense of self-esteem where you think too highly of yourself and even see others as less valuable or worthy than you.

So, self-esteem often gets built...

Have you ever thought that intuition could be used for healing crisis?

Laura Day, the New York Times bestselling author is back with a long-awaited, life-altering book to help you learn how to do just that. In her past breakthrough book Practical Intuition, she explained how anyone can train themselves to gain full access to the powers of the intuitive brain. However, only Laura’s closest friends knew that behind the book’s phenomenal success was a dark family history.

In this, her first book in fifteen years, Day, shares her haunting and unforgettable family story...

Today we have a grab bag of questions and comments, with the topics being blame, perfectly hidden depression, and bipolar disorder.

The first is from a mom who lived through her daughter and yet also didn’t offer safety or a sense of security – even with the basic things. This listener is now sober for a year (much to her credit) and is asking about how to navigate her relationship with her mom – who's still chaotic. The second is from a therapist who attended one of my workshops on perfectly hidden depression and had a great comment to mak...

Anger has a place. It’s an important emotion to feel and know how to handle. It lets you know a boundary and maybe a very important boundary, value, or expectation has been ignored or crossed or threatened in a very real way. But it’s a skill then to think through what you’re going to do with that anger.

It seems that there are a lot more people these days who are angry. Maybe it’s because the immediacy that social media and texting have provided that have made it SO much easier to attack someone...

We’re talking about sexual abuse on SelfWork today – so please, if you have sexual abuse in your history or have somehow been affected by it, listen carefully.

Sometimes I receive a voicemail where I can hear the stark heartache that’s behind the message. And this week was no exception. The hurt expressed was so palpable for me. Not only hurt, but confusion and a huge sense of loss.

Who was it from? She’s a therapist. A mom. A daughter, not in that order. Let’s call her Lisa.

So, what had happen...

One of the most difficult things we all face is how to find meaning in the moments or experiences of our lives that are cruel or devastating, frightening or despairing. The very idea that that might be possible can seem to completely ignore the very real pain or injury of that moment.

A book all about finding meaning... 

One of the most eye-opening books I ever read, I was introduced to in a freshman class I took in college. The course was geared toward the study of how different writers and philosophers, both ancient and p...

Today we’re focusing on what are termed borderline traits as well as different types of borderline personality disorder.

There are many people, primarily women, who struggle with it, without knowing what to call it. In fact, it wasn’t a “diagnosis” until 1980. But that certainly doesn’t mean it wasn’t real before that date.

Having any kind of personality disorder is tough. What do those words “personality disorder” mean? We’ll go over that (you may be wondering if you or someone you love may struggle with that). And today, we'll be covering two distinct and c...

Are you going down the high-functioning nervous breakdown rabbit hole?

When I read these words, written by our guest on SelfWork today, I knew I wanted her on the show. She’s a pediatrician, a mom, an executive – and she gets it.

Most women feel like failures—always feeling like they’re not doing enough, but so exhausted from their over-functioning that they have no more to give. Their go-to solution? To double down on doing more for everyone but themselves. The result? A vicious cycle of work harder, grow resentful, explode at the kids or partn...

Today on SelfWork I’m answering questions about narcissism as well as frustration and even hopelessness about ever healing from the wounds that narcissists can cause. We’ll hear from one man whose dad he describes as extremely self-centered and emotionally abusive to both him and his mother. But asks if this is narcissism or not. Then there’s a very poignant voicemail from a woman who talked eloquently about her past relationships with two different types of narcissists, the first what she calls covert, the second malignant. I’ll describe those terms, so you’ll know what we’re talking a...

Shame may be one of the most, if not the most, devastating feeling about yourself that you can have. I was interviewed this week by a Swedish journalist who asked me some probing questions about my own history with shame – as she’d read an article I wrote in Psychology Today on just that topic. Here’s the last paragraph of that article: The funny thing that shame does? It lies to you. It tells you that you're so terrible. And that you must be the worst of the worst. So, when you meet someone that you like, trust, or res...

My guest for this episode of SelfWork is Leslie Gray Streeter, a woman I’ve “known” (or as she explains to me is a parasocial friend of mine) – since 2019 or 2020. Leslie’s first book, Black Widow, was about the death of her husband, Scott – and was told with such biting truth and gritty humor that I knew I wanted to keep up with her.

She's now written her second book, Families and Other Calamities. She weaves together her own life with her story line, and I once again found her writing - and the characters in this family - to b...

Today we'll cover the four different types of attachment styles, and how they're created in childhood.  As an adult, they influence what you seek in relationship, what you’re comfortable or secure with and what you’re not. But your style can also change – and that’s what we’ll focus on… what you can do about it. You can also click on a link to a questionnaire in your show notes that’s free and you can determine what your own attachment style is currently!

Here’s the link to the attachment questionnaire! Click this link!

  Duration: 00:25:17

Today on SelfWork, in this "second time around" episode, let's focus on a quartet of players in the self-sabotage realm: procrastination, perfectionism, a negative self-fulfilling prophecy, and of course, imposter syndrome. And as always, we'll talk about... what you can do about it. What's self-sabotage? When you're doing things or not doing things that seem to get in the way of achieving something or creating the life you say you want.

I want to talk more about the fear that’s underneath self-sabotage. Perhaps it’s not sabotage at all. It’s really one part of you – the part...

The goal of personal branding is being touted as the best way to ensure success in 2025. Here’s a statement put out by the Harvard Business Review in 2023.. “Much of professional and personal success depends on persuading others to recognize your value. You have to do this when you apply for jobs, ask for promotions, vie for leadership positions, or write your dating profile. For better or worse, in today’s world everyone is a brand, and you need to develop yours and get comfortable marketing it.”

Today we’re going to focus on the pressure involved in persona...

Today we’re going to focus on AI (Artificial Intelligence) and how it might be used as in psychology and specifically in therapy. It’s interesting to see how people are responding; some states are banning its use, either to protect the jobs of people who’ve studied and received degrees (as is happening in many professions) or to warn of mistakes that AI can make or harm it can do.

There was dramatic and heart-breaking example of this happening just this week. I'd already recorded this episode but then heard about 16 year-old Adam Raine who was alleged...

If you've ever wondered if you had it in you to stop drinking or change any destructive habit you have, Marci Hopkins wants to tell you that you can. She's the author of Chaos to Clarity, Seeing the Signs and Breaking the Cycles,  and an award-winning TV Personality, host, show creator and executive producer of "Wake Up with Marci." Wake Up is a talk show all about inspiration and empowerment, where Marci shares stories of triumph and transformation to spread hope.

Marci got very honest with herself (after getting a DWI) that her alcohol use had moved w...

Meeting Kyle Kittleson was an incredibly refreshing experience.

Why? Because he lives and breathes his passion for bettering the world. Whether it's through his work with animals (he's an animal trainer), his dedication to children's learning about animals on his very popular YouTube channel, BaBa Blast. Or his hosting of the incredibly informative MedCircle.com, where he interviews therapists and doctors and all kinds of people about mental health. About that, he says, "To help other struggle less through proper education has been a privilege."

As a child, he formed a club that he called th...

Today we're focusing on the anxiety of being rejected, scorned, or judged. And how it’s a prison that keeps you from feeling safe to talk about yourself in real terms. It’s not a diagnosable anxiety disorder – unless you have panic attacks along with that fear. But to me, it’s as real as any of the classic diagnoses that are out there, like OCD or generalized anxiety disorder.

But when you can allow yourself to step out of that prison – when you feel safe enough with a therapist or a friend or a partner to say who yo...

How To Be Enough, a new book by Ellen Hendriksen is a must-read for anyone struggling with perfectionism and shame.

She's a clinical psychologist at Boston University Center for Anxiety and Related Disorders, and the author of a new book, How to Be Enough: Self-Acceptance for Self-Critics and Perfectionists. She's already a very successful author having published the book How To Be Yourself in 2018 on conquering social anxiety. And I was incredibly interested in talking with her because we are obviously both very concerned about rising perfectionism. She states: "Perfectionism isn't about striving to be perfect. It's a...

What is body dysmorphia? If you've irrationally felt, "I hate the way ....... looks or is," and you're talking about your own body, then you may be struggling with body dysmorphia.

You can have a huge preoccupation with whatever defect your mind is telling you that you have – and can spend lots of time and money and energy to try and “fix” the problem. But tragically, the medicine or the surgery or the exercise doesn’t “fix” the irrationality – and so these kinds of problems can exist for years.

So today, we’re going to focus on what body dysm...

Given the wave of mental health awareness that has occurred over the last decade or more, is depression getting easier to talk about?

In some ways, yes. But in other important ways… it doesn’t seem to be. There are plenty of reasons that are the essentially the same as they've been for a while. But there’s one that’s emerged only recently… the idea that a mental illness diagnosis becomes an identity you have. “I’m bipolar, so this is really hard for me.” It can even become your identity or brand on social media.

What about t...

What's success for men? Lucas Krump would say that what's missing for many men is connection, with their emotions but also with each other.

Who's Lucas Krump?

He's the Chief Growth Officer at EVRYMAN, a global community that fosters men's personal growth and emotional wellness. Lucas has been instrumental in expanding EVRYMAN's mission, offering retreats, online programs, and a membership-based platform that helps men develop deeper emotional intelligence. His work has been featured in outlets such as CBS Evening News, The New York Times, and GQ.

He’s basically a guy who thought he...

I'm a shrink. And today, I want to talk about the hit show Shrinking.

Most of the time, I hear the term "shrink" used in a funny, almost endearing way. It’s like when people call me “Doc” instead of my name. It’s a term that binds us but also keeps boundaries clear.

I’d like to give you my thoughts on the Apple TV show Shrinking. And even more so, its message – that the people who are shrinks aren’t living lives that are somehow set apart from the rest of humanity. We’re dealing with...

Parenting is hard. It may be the most ambiguous job you’ll ever have. Not only do you have to wait literally years to see what the “finished product” truly is – you have to get through adolescence and social media influence and screen time and drug use and hurt from relationships and broken bones and just basic screw-ups on your part – but there’s no guaranteed rule book.

Parenting has stages...

Today’s episode is on the stage of parenting, where you leave the “teaching” stage of parenting to the “consulting” stage. You move from having a very central...

Therapy-misspeak – overusing the terms used by psychologists and doctors and therapists – has blown up in recent years. Words that are used in the mental health world to diagnose or describe certain mental illnesses or traits of mental illnesses have become part of everyday language. But not in a good or accurate way.

The trend seems to be leading… not to better mental health – but to a dilution of the actual pain or hardship that is mental illness as well as to hinder you learning how to talk more plainly about your emotions or experiences.

Things to remem...

Duration: 00:23:01

ADHD in women is finally being diagnosed for what it is and has been!

Understood.org, a leading resource for people with learning and thinking differences, has launched a new podcast series, Climbing the Walls, a new limited-series investigative podcast. Hosted by health and science journalist and documentarian Danielle Elliot, the podcast explores what led to new ADHD diagnoses among women ages 20–49, which nearly doubled between 2020 and 2022 (CDC).

Across six episodes, Elliot weaves together scientific explanations with personal stories, describing significant problems with such things as executive functioning and rejection sensitivity.

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Do you know how to heal from an affair?

This episode is once again motivated by a wonderful question from a listener. He’s a guy whose been in a relationship for many years – had an affair – or as he says “I cheated." But he now realizes that he still has deep feelings for his girlfriend. He wants to know how the two of them need to approach reconciliation together. I was struck by his sincerity and honesty, and decided to feature his comments and question.

There are very specific things I’ve learned about how to hea...

Today's episode is about watching my mother disappear.

She wasn't a magician; she didn't physically leave all of us. She disappeared after she very bravely went into rehab and got off the massive amounts of prescription drugs she'd been taking for decades.

My mother would've been 100 years of age this week, a feat she wouldn't have liked as she hated aging. I think of her a lot but decided that, in an episode that I hope honors her, I wanted to describe how addictions to prescription drugs can happen so easily.

She was b...

Do you chat with a bot these days? Is AI feeling like therapy to you?

Here's a new "You get the gist" segment of SelfWork!

I was surprised the other day by someone saying that – in their battle with an upcoming divorce and ongoing separation – that they’d been talking with an AI chatbot. And that it was helping in its own way.

It reminded me a little bit of the first time a new client told me that they’d met their spouse or dating partner online. It was said with some embarras...

Conflict can work for you and help you create more intimacy in your relationship.

I’ve worked with so many couples on how to work through conflict. And there are definite things to do and things not to do. As I said in the last episode (which you might want to listen to if you haven’t..) a relationship that avoids conflict, where one or both people don’t talk about the elephant in the room, is also avoiding (or not creating) intimacy. If they sense conflict, one or both will change the subject. Or there’ll never se...

 In this episode, we’re going to focus on nine very real consequences or dangers of avoiding conflict in partnerships, in marriages, and in committed relationships. It’s a response to a listener’s question – and I’ll read a part of her email. In general, conflict-avoidant relationships also become intimacy-avoidant relationships. Avoiding the conflict can stem from fear of the loss of the relationship or defensiveness. And it can lead to everything from bitterness and resentment to affairs.

Next week, we’ll focus on how you can learn to handle and cope with conflict in relationships where it’s sa...

Today on SelfWork, we're talking with a mother and father whose beloved daughter Ella, at age 24, died by suicide. And how they've dedicated their lives to suicide prevention.

I was introduced to Martha and Chris Thomas through a family member who told me about their daughter’s suicide. They’ve chosen a path, along with their son Solomon, an NFL football player, to try and keep any other family from living through the horrific pain they've experienced. And more importantly, to keep others who might be going through what Ella was experiencing to consider suicide.

 The D...

Duration: 00:43:47

If you want to find out how to heal your mind through your body, this interview with the very kind and compassionate Karden Rabin is a must-listen.

Drawing on decades of research in neuroplasticity, psychology, trauma, behavior, clinical experience with clients, and their own personal journeys of recovering from chronic illness and pain, Jennifer and Karden teach readers how to learn and ‘speak’ the language of the nervous system. Following a simple yet powerful approach called A I R, readers are guided through three stages of regulation:

Emotional manipulation can be hard to figure out. But when you do, it's also hard to know what to do about it.

So today, I’m going to use two such questions from listeners to give you some ideas. First is from a mom who took care of her granddaughter a lot early on – and now feels that her daughter and her relationship has become toxic and the daughter is withholding her child from her.

Second is from a woman who has “lots” kids with a man she’s been married to for many years. But she al...

Today we’re going to focus on the feeling that you're not important - a feeling likely created by how you were parented.

How does this happen? Your parents' careers came first. The parents themselves came first for one another, only caring for the child as a secondhand and almost bothersome activity. Your being wasn’t celebrated – instead what you could achieve got some notice, as long as you continued to be successful. Your parent was overly self-involved because of their own trauma or mental illness – and never was it explained to you what was truly going on – so y...

Today on SelfWork, we’re focusing on self-doubt and how to grow from failure. Or what you’re calling failure.

But labeling something as a failure can be used in several different ways , can’t it? It can be motivating, or it can stop you in your tracks. It can cause tremendous embarrassment, even shame, or you can use it to grow. What you tell yourself about failure has such a strong impact on whether it leads you into depression, even apathy, or whether you take that failure in stride and integrate it – make it a part of your...

One of the hardest tasks we take on as humans is raising children.

Many of us do a pretty good job of raising children. But many of us don't. Sadly, our kids are often left to become adults themselves and bear the scars of our anger, our addictions, or our neglect. And if they don't do something differently than we did, they can perpetuate the problem.

Raising children poorly can then be passed on. It's called transgenerational trauma. And it's very real.

Hunter Clarke-Fields didn't want to do that. And she tells us...

There are many lessons learned about grief through my work in the last 34 years of being a therapist. And today, I want to share them with you in this 439th episode of SelfWork.

Some common questions that I'll cover are:

As I often...

Are you working toward success?

My guest on SelfWork today is a career expert - Laura Gassner Otting - I've already been influenced by her new book WonderHell in quite a wonderful way!

Laura’s secret superpower is seeing your greatness and reflecting it back on you, so that you can get “unstuck” — and achieve extraordinary results. A regular contributor to Good Morning America, the TODAY Show, Harvard Business Review, and Oprah Daily, Laura is the Wall Street Journal Bestselling Author of three books, Wonderhell, Limitless, and Mission-Driven. I felt that power from the moment I began...

Today we're going to talk about the fairly sticky subject of the difference between expectations, demands, and boundaries. In this "second time around" episode, Christine Mathias, Dr. Margaret's communication manager, lets us in to how her younger self struggled with setting good boundaries - and why this particular episode meant a lot to her.

So, what is the difference between expectations, demands and boundaries?

Here are some questions to ask yourself.

What do you do when you feel disappointed by others? Do you isolate or judge? Do you get mad or sulk? Could i...

Today on SelfWork, the focus is on how to work through disappointment.

John Crowley, my friend and incredible production engineer, chose this episode as one of his "second time around" favorites to present to you in my absence. My immense gratitude to him for taking the wheel!

What are the seven steps to work through disappointment? Here they are!

How are you supposed to live a normal life when "home" was chaos? That's the topic of today's SelfWork. and it's triggered by a very frank email from a listener whose kept his chaos secret for many years.

We can tend to keep secret the fact that home was chaos – you can fear being judged for it, even though you didn’t cause it. Please heed a trigger warning; the story is hard to hear. And if there was significant trauma in your own childhood, then please listen carefully.

You'll also listen to a voicemail that...

Today we're going to focus on how to find community and belonging by finding or creating a "third space." What's that?

Many of you don’t remember the 1983 hit show Cheers. It was about a local Boston bar run by a recovering alcoholic who was still very much a playboy. The bar was peopled by everyone from a grandiose psychiatrist, a retired coach, a rather superior-feeling grad student, a mailman, and well... who knew what Norm did! . Characters fell in lust, in love, and out of love. But the strong message from the show was that everyone ne...

Why is it so hard to treat eating disorders? We're going to find out today in this interview with Johanna Kandel, founder and director of the National Alliance for Eating Disorders.

Kandel brings her own successful recovery from anorexia and bulimia to this interview whose message is that full recovery is possible. She's the author of book "Life Beyond Your Eating Disorder, but in her establishment of a thriving clinician-led service organization, she stresses that you can free yourself from identifying with the disorder - and then become it. Eating disorders can far too easily become who y...

Today the focus is on doctors and depression, with Dr. Pamela Buchanan as my guest, in a second episode in the "Careers That Kill" series, discussing medical providers, the pandemic, and depression.  

She's a board-certified physician, speaker and thought leader dedicated to transforming healthcare and championing mental well-being. She’s a TEDx speaker known for her powerful talk on “Emotional Flatline,” which explores the emotional toll of the high-stress ER during the pandemic, and the struggle doctors have with depression. As the author of The Oxygen Mask Principle, Dr. Buchanan teaches self-care as a revolutionary act for working m...

What is optimism fatigue? Is it a new a kind of depression?

In this episode of SelfWork, I’m thinking aloud a bit with you … if what we’re experiencing is a new kind of depression – one that’s mixed in with anxiety and fatigue. What’s it called? Optimism fatigue. It may not be diagnosable, but as I’ve considered my own situation, I realize that I’m having to dig a little deeper to find comfort that I can offer to others. It’s not that I can’t find it. But it’s harder. There’s a big differen...

What was your "job" in your family?

Most of us love to take tests like the Enneagram or the Myers/Briggs to find out what the test might have to say about our personality style or our strengths and vulnerabilities. But something you might also gravitate to – in thinking about what’s called your family of origin – or the family you grew up in – is talking about the roles each of the children played in the family - or what was your "job" in your family. The six most commonly agreed upon roles are called Hero, Scapegoat, Lost Chi...

What are seven good reasons to stop therapy? That's the focus of this week's SelfWork!

It’s often a very moving moment when you leave therapy. Here’s someone that you’ve trusted and confided in for weeks or months – or sometimes even years. And it’s time to walk out of their office and do without that resource. As I like to say, it’s my job to do myself out of a job. And I celebrate with people I’ve worked with when they leave to hopefully use the skills learned, and enjoy the feelings of having worke...

The focus today is on what I call "the shame and self-blame game."

One listener told me recently that she wondered for a long time - “Did I allow my abuse?” How many of you feel to blame for your own abuse? And does that very shame and self-blame make it even more important to keep what happened secret? You bet it can. It’s this irrational shame we’re going to tackle. Because you’re looking back on what happened with the eyes of an adult - not through the eyes of the child you were. And that's...

We’re talking about sexual abuse today – to be more specific, the horrors of marital rape. Please if you have any kind of history of abuse which many of you I’m sure do – please listen cautiously as the facts of the case could be highly triggering for you. For international abuse hotlines please click here.

You may have heard about the French woman, Gisèle Pelicot, who was the victim of multiple rapes – by multiple men including her husband – while drugged. This occurred over several years. All men were found guilty.

I know many men who voice...

You Only Die Once, written by positive psychologist Jodi Wellman, has this very important message - being aware of your last moment can help you live this one more fully.

She's a devout believer in not wasting the time you have, not spending this moment in dread or apathy. Statistically speaking, we're given four thousand Mondays in our lifetime to live. So savoring those moments, realizing that every minute of every day holds meaning, is vital to your happiness.

Both in her book, You Only Die Once, and her TEDxtalk, she uses her quirky humor...

 Today we’re going to talk about loneliness – and how one article I read drew some conclusions about it that made a lot of sense to me. One major point – we can’t or shouldn’t harken back to older times and think we need to create those now. That’s not the answer. Cell phones, virtual meetings or classes, working from home, pandemic hangover – none of that is going to go away. We’re not suddenly going to help a neighbor raise a barn or birth a baby. So we’ve got to understand there’s no going back and instead look...

We're announcing a new CBT app, the Feeling Great App! ! It's founded by one of the forefathers of Cognitive Behavior Therapy, David Burns MD. He's a renowned psychiatrist, and as we learn in this episode, a doctor who fought the odds to create a technique to treat depression that actually worked.

Dr. Burns is the best-selling author of the books Feeling Good and Feeling Great, which have sold over 7 million combined copies worldwide. Users of the Feeling Great App, have reported a reduction in depressive feelings, on average, a whopping 55%, with similar reductions in anger, loneliness, and othe...

What are the gifts of saying no?

The word that’s often used to talk about this is ‘boundary.’ Do you have trouble saying no? Or can you identify the how, when, where, and why to say no? Or put another way, when to say yes? We’ll focus on how much of your decision-making is affected by depression or anxiety, or even personality disorders that have a huge bearing on how you decide to say no.

Our voicemail today is from a young woman whose mother is highly volatile at home – but who can be quite lo...

Acknowledging emotional abuse can be difficult but it's just as much "abuse" as its physical and sexual counterparts.

I received an email recently that again brought to life the emotional cruelty that can be the reality of some children. In fact, his story reminded me of many others I’ve heard – of how someone in authority can be not just manipulative but emotionally abusive. The harm is intentional. The power exerted over that child is meant to demean – to assert complete dominance.

One of the hardest things about being a therapist is hearing the stories of wha...

In this episode we learn exactly how couples therapy began.

When you’re called “the couple from hell” by your own therapist, that’s something to think about. But Harville Hendrix and his wife of several decades, Helen Hunt, took that all in stride. They're the authors of the book “Getting the Love You Want” which sold millions of copies and put them, when it was published in 1988, on the top of the world of relational or couples therapy.

In this intriguing interview, they talk about how working through their own conflict led them to defining the...

Today we’re going to talk about how to manage your emotions. Sometimes you might feel as though you can’t feel anything, other times that you feel too much and your emotions are leading you to the choices you’re making. Or you can feel that you’re stuck in a feeling – or you’re portraying an emotion to others that perhaps you don’t recognize or mean to (usually a case of ‘how’ you’re saying something than ‘what’ you’re saying). I found the work of Eric Barker, a best-selling author (his last book “Plays Well with Others,” released by Har...

Today I'm answering your questions about depression, therapy, and manipulative moms.

So, it's a grab bag of topics! Whether you're a SelfWork listener or you've read something I've written... somehow my work has reached you. And I love getting your questions!

More specifically, we'll discuss what's called anhedonia in depression, or losing the enjoyment or meaning in activities that you've always enjoyed. We'll also touch on entering therapy for the first time or with a second therapist, how parents can manipulate and the impact it has on their adult children's lives, and the difference between...

This special episode of SelfWork will guide you to step into your inner power as we talk with author and personal branding expert... Jessica Zweig.

I usually don’t have spiritual authors or leaders on SelfWork – not because I don’t believe in the importance of spirituality – but I’ve always kept my own spiritual beliefs more private from my work.

This time, Ashley Stahl - who not only has been on SelfWork as a guest, but has hosted for me – introduced me to our guest today. So I got very interested! And I’m delighted I rea...

Do you know what hormonal replacement therapy is?

Today's SelfWork guest is Donna White, an expert in bio-identical hormone replacement therapy. She's the recent author of "Hormone Makeover" and has also built an academy, The Bio-Identical Replacement Therapy Academy, that trains medical practitioners from all over the world about effective hormone replacement. Whether you're man or woman, in perimenopause, menopause, or post-menopause, she's got information that will help you out!

Menopause can often bring depressive symptoms with it. Getting your hormones checked by a reliable practitioner or pharmacy is vital!

I very much...

Today we’re going to talk all about blame.

If you're one of the people who blame easily, if you find fault with everyone but yourself, then that's a huge problem. Or if you're in a relationship with someone who rarely if ever takes responsibility, they could be suffering with one of the Cluster B personality disorders, such as borderline or narcissism.

Sadly, finding blame leads you to view life as if you’re a victim of injustice, or you're not appreciated. And justifying being angry - and staying angry - because of it.

Tod...

Today our focus is all about the safe psychedelic use of ketamine. And Dr. Steven Radowitz will be answering my questions.

Sadly, the news of Matthew Perry’s autopsy report broke recently and revealed the absolute unethical behavior of the doctors responsible for prescribing ketamine for him. As the story evolves, in case it’s helpful, we wanted to share this content below for your consideration about the difference between at-home vs. in-person ketamine treatment.

As people look for the safe psychedelic use of ketamine, Nushama Co-Founder and Chief Medical Officer Dr. Steven Radowitz has beco...

Today I want to talk about how to find your purpose.

One of the things I’ve been most grateful for in my life has been the sense of purpose that my work and my family have given me. And yet I know that many people don’t know what their sense of purpose is.

I’m going to hope this episode helps you begin to find your purpose. The mantra of SelfWork is “what you can do about it” – and so I’ll offer specific steps for you to explore.

Our listener email is from...

Today's topic is on the incredible power of journaling. My communications manager, friend, and "auxiliary brain" - Christine Mathias - has chosen this week's Second Time Around episode.

Here's a quick introduction!

I was caught off guard the other day when in my FaceBook group, I asked them to journal about a specific topic, and someone wrote that they didn't know what journaling was. So let's talk about journaling. What is it? How is it helpful? Are there specific problems where journaling is particularly helpful? What might make it hard to do? It's an incredibly...

Do you know how to really listen? Well... you can learn.

I'm out on vacation this week and my friend and incredible audio engineer John Crowley takes over the host spot, as he picks one of his favorite episodes from previous years. And this one is truly out of the distant past! Only the eighth episode I ever recorded. Wow, listening to it brought back so many memories! (Mostly how nervous I was...)

But it's also a great example of how the focus here at SelfWork is "what you can do about it" as this...

Today we're going to talk about suicide in construction in honor of Suicide Prevention Month. Dr. Vince Hafeli, a husband, father, and construction guy, tells his very personal story of becoming suicidal and choosing to come forward to talk about healing. Vince has been a leader in the construction industry for well over 30 years; his 2023 TEDx earned the #5 highest spot in the highest number of views... worldwide. Construction, where people risk their lives every day, loses thousands of workers every year to suicide - five times the number lost through accidents on the job.

And Vince wants...

What's a good enough parent?

There were many times when I was actively parenting our child that I thanked a psychology researcher named Winnicott. When he was writing (decades ago...), mothers were blamed for everything - even autism was caused by a "refrigerator mom." Winnicott came along and let moms off the hook a little bit, saying that their caring – as long as it was good enough – as long as she was consistent enough, that most children would be okay. Fathers were left out of the whole pathology-causing picture, by the way.

Frankly, I had no id...

Today’s we’re going to focus on emotional detachment and distancing. I'll explain what it is and when it's healthy - and maybe even necessary - to do just that. I'm also going to bring forward a harsh criticism of a blogpost on unconditional love that I wrote years ago, after having the experience with parents and adult children needing to distance themselves from family, sometimes painfully, sometimes with relief.

What are some of the situations when emotional distancing or detachment is healthy?

Today we’re focusing on the tools necessary to help you listen and "how to be there” for someone else.

We'll discuss what it’s like to listen to the stories of those who trust you to create a safe space for them to talk – and what it means to “be there” for someone. What it’s like to hear things that are very hard to hear. And what it’s like to carry on with your own life as you do so. I’m going to offer a list of eleven necessary tools that I’ve learned to use over...

How would you answer the question, "How's your mental health?'

If you watched the Olympics, you saw Simone Biles not only succeed wildly, but demonstrate to all the world how important maintaining her mental health has been to her. She talked openly about regular therapy sessions and the meditation practice that you could see her doing between competitions. Today we’re going to talk about the concept of mental health versus mental illness. It’s a crucial distinction – and one that I think a lot of people get mixed up. As Simone said of her departure from t...

How do you grieve a parent's death?

Even older adults have told me they feel "orphaned" after both of their parents die. So imagine what can happen when a parent dies when a child is young. There are all kinds of reasons for that child to feel as if their life will never be the same - that the loss makes it impossible to recover their innocence or contentment.

Today we'll hear from a listener who's describing this very dynamic. So much of what happens to a child depends on the adults around them. Yet...

Perspective is a gift. But most of us gain our perspective from years of living and learning. Life often hands us challenges that build that perspective and that wisdom.

But not too many people have two catastrophic medical conditions to cope with – and certainly not two that occurred in the span of a decade.

Lindsey Roy had just that.

At age 31, Lindsey Roy was named vice-president at Hallmark Cards — one of the youngest in the company’s more-than-100-year history. Her life was abruptly transformed five years later when she was nearly killed in a bo...

You have to acknowledge your depression in order to begin to talk about it. That may sound simple to do. But it's not quite so simple.

Why? Because nobody particularly wants to realize or admit that your way of "being" has changed, without you trying to change it. And in fact, you may have become so accustomed to being somewhat depressed, that it can lull you into thinking, "Well, this is just my new normal."

So today, my incredible team, Christine Mathias and John Crowley, have taken over the podcast for this week and are...

How do you thrive with anxiety? Dr. David Rosemarin is our guest today who talks specifically about how to understand your anxiety as something that can help you thrive - when you work with it, and not against it.

David is the director of the Spirituality and Mental Health Program at McLean Hospital. And he's an associate professor of psychology in the Department of Psychiatry at Harvard Medical School. He studies the relevance of spirituality to mental health. His own research has identified that faith is associated with improved treatment outcomes for depressed patients who see themselves a...

Today we're focusing on the lasting impact of trauma. Many of us are quite good - or efficient is perhaps a better word – at avoiding and denying and building a façade that’s rock solid around you… that no one would guess that trauma had every occurred in your life. Or how it could be affecting you now.

I have a story for you that will illustrate how easily it can be affecting you in ways that you don't recognize... until you do. And healing from trauma can occur, perhaps slowly, but it's more than possible. As alway...

What do you do when you hit a wall? And what IS that wall anyway? How often are you able to recognize that that’s what’s happening? Some of you might quickly say, “I can’t hit a wall. I’ve got too many responsibilities. I need to make money. I need to keep going no matter what.”

The three walls we'll focus on today are exhaustion, self-doubt, and saying, "I don't know" or "I need help." First, how to recognize that you’re coming close to hitting your wall (which will be different for everybody) way before a n...

Perfectly hidden depression can end in tragedy.

I don’t quite remember when Penny Gray and I first talked. It was after 2019 when PHD was published. But not long after.

She’s the widow of a man, Dave, who tragically fit the rubric of perfectly hidden depression. She tells the story in this interview about how she happened upon the term "perfectly hidden depression" when she was seeking some kind of understanding about the “why” of her husband’s suicidal death. I am honored to share her story with you and could think of absolutely no better...

Acceptance and Commitment Therapy (ACT) is a fast-growing therapeutic model that I wanted you here at SelfWork to know more about. So, I reached out to Dr. Diana Hill who's an expert on the technique and a firm believer/practitioner in what it has to offer. ACT seems to offer safety and structure, which of course is vital in therapy. I found her to be very real, approachable, and caring as she explains how ACT can help you see how commitment to your core values and staying in the present are so easy to lose when you're faced with...

Cyclothymia, compartmentalization, and Taylor Swift don't seem to have much in common.

But they're sharing this episode of SelfWork! And both are in response to listeners' questions and comments!

Cyclothymia is another one of those more unusual depression diagnoses (like we covered last week with PMDD) and one that doesn’t get much attention as its more dramatic cousins, Bipolar I and II. Yet it shares some of the characteristics of those cyclic disorders (hence the name cyclothymia). Dave wrote about his questions about his own diagnosis of cyclothymia and how much relief and help it...

What is Premenstrual Dysphoric Disorder or or PMDD? We're going to focus today on what it is and what it's not, who suffers from it, how early can it emerge, why is it so misunderstood, misdiagnosed, or even ridiculed (which of course makes seeking treatment much harder). And, as always, what you can do about it.

This episode is in response to a listener's Instagram message to me about the "monster" that emerged every month from within her. So, I’m delighted to share with you what I know and have learned about PMDD through researching what th...

Marjorie Aunos' story is not one you'll forget. In one second, she went from being an able-bodied mom to a disabled one.

As a clinical psychologist, Marjorie developed the first program offering support for families headed by parents with intellectual disabilities in the province of Quebec, Canada. She fought for parents with intellectual disabilities to not be judged as “incapable” because of that disability. Yet in 2012, she sustained a spinal cord Injury in a car accident. Mother to a 16-month-old at the time, the accident and injury left her with paraplegia. Dealing with her own fear, her own...

Why don't you talk about your struggle with depression?

You may have lots of reasons, or excuses, or justifications. But I found out by reading the responses on (what I'm honored to say) is a viral TEDx talk, "How to recognize perfectly hidden depression", that so many of us need to know that this struggle is common - and doesn't have to be hidden.

Some of those reasons are: "It came on so gradually, I didn't notice," or, "I don't trust doctors," or "I"m afraid what will happen if I talk about a mental...

Do you feel guilty for not doing enough? Many people do... the problem is known as productivity guilt. But as always, there's something you can do about it.

Today on SelfWork Dr. Margaret offers nine helpful reminders that can guide you away from this guilt, so that you can stay on task and realize your goals.

Here they are:

One: Attaining goals isn't immediate. It takes time. Two: You can't avoid risk. Three: Your belief in yourself will wax and wane. Four: Life is a process not a product. Five: Ask for help if...

Manifestation has been widely dismissed as self-involved, materialistic phooey. Now, James R. Doty, MD—a Stanford neurosurgeon, New York Times bestselling author, and Dalai Lama collaborator—reveals that manifestation is rooted in science.

Throughout his latest book, Mind Magic.  Dr. Doty unveils his six-part plan for harnessing your mind’s power to change your brain structure and reclaim your agency. He grounds you in practices for neurological transformation by strategically targeting your attention, desires, obstacles, intention, passion, and expectations, so you can consciously create the life you want.

In addition to his medical expertise, Dr. Doty has the liv...

We'll talk today about the interweaving of depression and knowing you matter (or mattering). In my FB group, someone asked the question, "Do you ever wish you were more important to someone than you are? Like, I know I’m important to some people but there are others where I feel like they are more important to me than the other way around and I feel bad about it. Thats sooooo stupid right?

The main answer was, “No that’s not stupid.”

How have learned you matter or didn’t matter? How is mattering different from self...

Suicide is discussed in this episode. Here is the link to the suicide prevention text hotline. 

"My bipolar disorder almost killed me." These are the words of Gabe Howard as he talked about his life with bipolar disorder. He's also an award-winning podcast host, author, and sought-after speaker. And he's someone that so many admire for his openness and knowledge around mental health issues - including me. In this episode, he talks about the ins and outs of being bipolar and passes on vital information about how to have a great life with bipolar!

In 2003, h...

The Surgeon General Vivek Murthy has stated that there is an epidemic of loneliness in the United States and the World Health Organization has declared it as a pressing global health threat, with a mortality effect equivalent to smoking 15 cigarettes a day. In this episode, we’ll talk about loneliness, how simple acts of empathy can be vital to healing loneliness, and "the power of eight minutes" - a way of communicating about needing help, as suggested by thought leader Simon Sinek.

In our email segment,I’m going to read a response one of my blogposts rece...

This week we're focusing on all of you who might see yourself or someone you love as being a HSP - or highly sensitive person. Given that 15 to 20% of the population is thought to “have” it – and I say that in quotes because it’s not something you have, it's something you are - it’s not an illness or a problem. It’s a personality trait. It characterizes you. It’s what people might say about you when they’re trying to describe you. Like he’s stubborn or she’s persistent. They might say, “She gets things before many people do...

What do you do when your child is an addict? My guest on SelfWork this week is Ken Guidroz, author of Letters To My Son In Prison. He's a husband, father of three sons, a grandfather, and an ex-pastor. All three sons had struggles with drugs. But his middle son? For years, Lucas was a heroin addict. And he accidentally killed a man while driving high. And he ran from the scene.

Ken takes the reader through the years his son served in prison and what they both learned; not all the letters they wrote are published. Bu...

 This week we’re going to be talking about couples therapy – and what misconceptions keep couples away from trying it. I can’t tell you how wonderful it is when a couple comes in WAY before there’s a crisis. But most don't. And these misconceptions are often the culprit; these six misconceptions keep couples out of therapy which also acts to help them avoid vulnerability.

What are some of these misconceptions? You're no longer in control. It takes too long and it's too expensive. Individual therapy is better than couples. And I'll also add some direct suggestio...

From getting through divorce to illness to death, your life can be turned on a dime in a seeming second. And you need your friends and loved ones to understand that you’re grieving, and need comfort. But that's not always what you get. Sometimes, they say the wrong thing and at the wrong time.

Maybe it’s laughable. Maybe it’s not. But often, either the most self-centered or ignorant or awkward responses will come your way.

That’s what we’re going to talk about today on SelfWork. How NOT to say the wrong at t...

Today’s SelfWork was inspired by feedback from members of my FB group when I asked for potential topics - and they suggested Answering Your Questions About Therapy.

So.. what were the questions?

1) How to be real with your therapist about what’s not working...

2) Why do I want to feel that my therapist likes me?

3) How do I handle the fear that I’m “too much” for my therapist?

4) How to leave therapy...

Everyone in every profession has an innate or learned comfort level and interest in certain...

Today, SelfWork is featuring Stanford psychiatrist Dr. David Spiegel, one of the world’s most respected and published experts in the field of hypnosis. And if you think hypnosis is some magic trick, you don't know what true hypnosis is. What’s often relegated as a sideshow is actually the oldest form of Western psychotherapy and a powerful evidence-based treatment for numerous disorders.

Dr. Spiegel is aiming to break the stigma around hypnosis and introduce its clinically backed power to the masses. He’s treated 7K+ patients suffering from chronic pain, insomnia, mental illness, eating disorders, addiction, and mor...

Last week SelfWork focused on what fear has to teach you – what it may lead you to think, feel, or experience. And this week, I want to talk about panic, panic disorder, and how you can listen to, learn from, and work with panic.

If you’ve listened to SelfWork for a while now, you probably know that I experienced my first panic attack when I was in my late 20’s. Having them changed my life – I thought at the time, for the worse. But I’ve learned that, like many things, there are gifts that come into our l...

I remember my dad telling me that the main thing he feared in life was to have a heart attack when he was still young. His dad had had that happen and it killed him when my father was only a teenager. My dad, when I was 16, had a heart attack. It didn’t kill him but I so remember the look in his eyes, one of acceptance but also one of demoralization. He lived until his early 80’s but his life changed – and thus our family’s life changed due to that event.

Today we’re going to b...