Episodes

  • Summer has arrived in the US and the UK, so let's talk about anxiety based on the heat. Summertime is often a difficult time for people struggling with anxiety disorders because the seasonal change in temperature becomes an anxiety trigger.

    Today the guys are talking about:

    How heat is just uncomfortable. Being uncomfortable in any way is often unacceptable for people with anxiety disorders. Heat may trigger feelings that resemble panic attacks or that might remind you of times in the past when you've had scary or difficult experiences that you've attributed to high temperatures. How anxiety disorders will argue irrationally about the danger or risk posed by summer temperatures, often totally discounting the ability of humans to exist quite safely in a very wide range of even extreme climates. Typical exposure ideas that target heat centric anxiety. Why working on your heat anxiety means you're also working on other triggered because heat anxiety is just another expression of the single core fear that comes with things like panic disorder or OCD - that thoughts, feelings, and sensations will be too much.

    As usual there are questions from the community and a few "did it anyways" to provide encouragement and inspiration.

    ---

    Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Worry and Rumination Explained⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolveable problems.

    ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bit.ly/worryrumination⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    -----

    Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?

    Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

  • We're back in business this week with both Josh and Drew in studio again chatting about the role of food and eating in the anxiety recovery process. Everyone eats, and for people struggling with anxiety disorders, food and the process of eating can become deeply connected to recovery and/or attempting to manage anxiety, symptoms, thoughts, or emotions.

    As usual the guys share from their own experiences while covering some of the key points to consider when identifying how food and eating can be part of your recovery plans. A few important points:

    Eating to be healthy is never a bad idea. But eating as a way to try to manage anxiety symptoms, prevent panic, or to micromanage physical processes that were never designed to be micromanaged can backfire on us. Eating can become a safety or avoidance behavior when we tie our diets and eating habits to our anxious fears. Be mindful of less than well-informed advice found on the Internet and in other places that promises to cure your anxiety with special diets - especially extreme or highly restrictive diets. Don't make the mistake of eating like your body is fragile and can only exist inside a narrow dietary range. In the absence of medical/physical issues that demand dietary limitations, a varied diet has physical benefits while also teaching vital lessons about psychological flexibility that matters so much in the recovery process. Contrary to popular belief, it is possible (though we would not suggest this if you can help it) so fully recover from an anxiety disorder - being afraid of being afraid - being anxious about being anxious - while consuming only junk food. Treating your body well is a better idea of course and certainly supportive, but it is not generally helpful to place food and diet on a pedestal as a cornerstone of recovery. Food can change how your body feels. This is 100% true. But remember that being afraid of your body is an entirely different situation. This matters in the recovery process.

    This episode was sparked by a question from a listener. Thanks, Nick! Want to participate in a future episode of Disordered by sending in a did it anyway or asking a question? Visit disordered.fm and let's hear what's on your mind!

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    Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Worry and Rumination Explained⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolveable problems.

    ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bit.ly/worryrumination⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    -----

    Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?

    Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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  • The principles of Acceptance and Commitment Therapy (ACT) are heard in every episode of disordered. Whenever you hear Drew or Josh talk about acceptance or allowing or surrendering and moving THROUGH anxiety rather than resisting it ... you are hearing elements of ACT.

    This week we're a bit banged up - Josh is traveling and Drew has the flu, but fear not. Not only are we going to talk about ACT today, but we're talking about it with the guy that literally invented it - Dr. Steven C Hayes. If you want to explore the foundations of ACT and what it's all about, you can't pick a better person to talk to than Dr. Hayes so we are thrilled about this one.

    Surprises in this episode include Dr. Hayes talking about how he's a former sufferer of panic disorder, and framing anxiety as part of the "gift of emotion". Does that seem ridiculous to you? Keep listening. It makes sense when you work it through and aligns perfectly with what we're always talking about here.

    To learn more about Dr Hayes, ACT, and the work he's done, check out his website at

    https://stevenchayes.com

    ---

    Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Worry and Rumination Explained⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolveable problems.

    ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bit.ly/worryrumination⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    -----

    Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?

    Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

  • Mindfulness is good for anxiety, right? Isn't this what everyone says? Mindfulness fixes anxiety and makes you happier? Isn't that it?

    Well ... not really. This week Drew and Josh are taking a look at the practical applications of things like meditation and mindfulness practice in the context of anxiety disorders and anxiety recovery. A few key points:

    Mindfulness is paying attention to what you want to pay attention to without judgment or evaluation of your ability to pay attention. PRACTICE is the key. The practice of training one's attention is where the win is. This is something we do. A process. It's not a state we achieve or a skill to perfect. Expecting calmness, happiness, or perfection in meditation or mindfulness is not a good approach. Mindfulness and meditation are NOT calming tools or anxiety shields in this context. Please do your best to steer clear of trying to use these concepts to escape from your anxious state. That usually leads to frustration and a much more fragile state of recovery. Mindfulness and meditation apps are great! General wellness advice on how to use mindfulness and meditation is great. Just be careful about trying to apply general advice to the specific context of disordered anxiety and recovery.

    ---

    The book we talked about in this episode is Drew's "Seven Percent Slower" which is a short, friendly read on how to use the principle of slowing down to help navigate more mindfully through anxiety, fear and stress. Learn more here.

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    Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠⁠⁠⁠⁠⁠⁠⁠⁠Worry and Rumination Explained⁠⁠⁠⁠⁠⁠⁠⁠⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolveable problems.

    ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bit.ly/worryrumination⁠⁠⁠⁠⁠⁠⁠⁠⁠

    -----

    Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?

    Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

  • Everyone talks about the fight or flight response. But what about the freeze and fawn responses, which are also found in the anxiety disorder community?

    This week Josh and Drew dig into the freeze response to anxiety, panic, and perceived threat. What is the freeze response? What does it look like? Does the freeze response mean being literally frozen and completely immobilized? Do we need special instructions or rules for how to "fix" the freeze state when anxious or experiencing panic?

    Along the way, the guys also touch on the fawn response, which also doesn't get enough discussion in this community. We'll be doing a dedicated fawn response episode next week.

    ----

    Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠⁠⁠⁠⁠⁠⁠⁠Worry and Rumination Explained⁠⁠⁠⁠⁠⁠⁠⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolveable problems.

    ⁠⁠⁠⁠⁠⁠⁠⁠https://bit.ly/worryrumination⁠⁠⁠⁠⁠⁠⁠⁠

    -----

    Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?

    Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

  • When working through the process of chronic or disordered anxiety recovery many will find that at some point they are fixated on or have become a bit obsessed with monitoring and evaluating their mood.

    This week on Disordered Drew and Josh take a look at why recovering and anxious people tend to get stuck in "mood monitoring mode". Generally speaking, the issue here is the belief that mood is an important indicator of recovery progress or status, or that mod is a predictor of doom or certain downward spiral. Little room is allowed for the natural ebb and flow of mood that all humans experience organically every day.

    If you find that you're always monitoring your mood to check to see if you're feeling "right" or if you're OK, this episode may shed some useful light on the topic for you, so tune in.

    As always, some successes are shared by members of the community, and the guys answer a question about compulsively consuming anxiety and mental health content and seeking the "miracle cure" for an extended period of time.

    ----

    Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠⁠⁠⁠⁠⁠⁠Worry and Rumination Explained⁠⁠⁠⁠⁠⁠⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolveable problems.

    ⁠⁠⁠⁠⁠⁠⁠https://bit.ly/worryrumination⁠⁠⁠⁠⁠⁠⁠

    -----

    Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?

    Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    Disclaimer: Disordered is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

  • How does one approach recovery from chronic or disordered anxiety when grief is part of the picture? Do the same principles apply? Do we use concepts like acceptance, surrender, or willful tolerance when handling grief?

    Grief is a powerful thing that will almost certainly impact not just anxiety recovery but all aspects of life and even daily functioning at times. In this episode Josh and Drew explore the relationship between anxiety, anxiety recovery, grief, and the grieving process.

    This can get complicated and as always there are subtle details and nuances so tune in. We hope you find this episode helpful.

    ----

    Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠⁠⁠⁠⁠⁠Worry and Rumination Explained⁠⁠⁠⁠⁠⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolveable problems.

    ⁠⁠⁠⁠⁠⁠https://bit.ly/worryrumination⁠⁠⁠⁠⁠⁠

    -----

    Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?

    Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    Disclaimer: Disordered is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

  • This week on Disordered we're looking at anxiety focused on relationships, specifically a form of OCD known as Relationship OCD (ROCD).

    ROCD - like all forms of OCD - will glue itself to things that really matter to us. In this case, being in loving, secure, successful relationships with people we love and who love us. Someone with ROCD even when involved in what by all accounts may be a very healthy and satisfying relationship experiences doubt about various aspects of those relationships. Far beyond the usual questions and doubt that all people might experience now and then, ROCD doubt will trigger extreme discomfort and a sense of distress, demanding that one engage in rituals and compulsions designed to alleviate that sense of distress.

    The thing is ... as usual ... that relief never lasts. ROCD will toss whatever assurance, solution, or peace our compulsions bring us, demanding that the cycle of doubt and rituals be repeated again and again.

    The episode does include discussion of attachment theory/styles and self-esteem issues that may in fact play a role for people with ROCD, however the focus remains on treating the OCD itself before digging into what may be associated issues.

    As always, the guys share some success stories from the listener community and answer a question about the difference between distraction and productive focusing of attention.

    ----

    Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠⁠⁠⁠⁠Worry and Rumination Explained⁠⁠⁠⁠⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolveable problems.

    ⁠⁠⁠⁠⁠https://bit.ly/worryrumination⁠⁠⁠⁠⁠

    -----

    Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?

    Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    Disclaimer: Disordered is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

  • WHAT ABOUT NOCTURNAL PANIC ATTACKS? HOW DO WE DEAL WITH THOSE?

    Nocturnal panic attacks are scary, disturbing, disruptive, and often feel like they are different from any other kind of panic attack. Anxious people will often insist that they are special, they can't possibly be approached with an attitude of tolerance or surrender, and that there must be special instructions or techniques for preventing them, stopping them, or getting over them.

    But nocturnal panic attacks, as difficult as they are to experience, are not special nor different. This week on Disordered Josh and Drew are digging into what nocturnal panic attacks are all about and why they seem different or in need of a particular or special approach.

    The guys also touch on how nocturnal panic attacks can impact people struggling with OCD or recurring or intrusive thoughts. There's also a discussion of scary or vivid dreams and how they are also often interpreted as dangerous or very important.

    As always we have some excellent "did it anyways" from the community and an excellent question about what happens when living according to one's values becomes a bit extreme and results in overwhelm and burnout.

    ----

    Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠⁠⁠⁠Worry and Rumination Explained⁠⁠⁠⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolveable problems.

    ⁠⁠⁠⁠https://bit.ly/worryrumination⁠⁠⁠⁠

    -----

    Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?

    Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    Disclaimer: Disordered is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

  • WHAT DOES "VALUES DRIVEN RECOVERY" MEAN?

    Anxiety recovery can be seen as one long journey away from fear driven behavior and toward behaviors that support the things we really value in life. This week Josh and Drew are talking about what values driven recovery mean and how your values - the things that matter to you and make you who you are and want to be - play a role in the recovery process.

    A few key points from this episode:

    Identifying and exploring your values is worthwhile because knowing WHY you are choosing to do scary, difficult things can support your recovery efforts. Not really remembering what non-anxious you looks like is a common experience in our community. Focusing on values and can help us re-connect to who we really are rather than who anxiety tells us to be. Connecting to your values and working on values driven recovery is a great plan, but be careful about assuming that your values will instantly override your fear. Sometimes but look to your values as a source of motivation, not as a way to smash anxiety and run it over. Sometimes life gives us no choice and waves our values in our faces, demanding that we either follow them or retreat in a given moment. See if you can recognize those moments and use them in a positive way rather than defaulting to feeling defeated when you can't easily "rise up" to meet those challenges on demand.

    As usual we're celebrating some "Did It Anyway" submissions from members of the community, and we answer a question about how social anxiety and agoraphobia can be connected in some cases.

    ----

    Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠⁠⁠Worry and Rumination Explained⁠⁠⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolveable problems.

    ⁠⁠⁠https://bit.ly/worryrumination⁠⁠⁠

    -----

    Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?

    Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    Disclaimer: Disordered is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

  • BUT WHAT ABOUT WHEN YOU'RE TENSE AND SORE? HOW CAN YOU HANDLE THAT?

    This is one of those questions we get asked all the time. In this episode of Disordered, we're taking a look at how tension, soreness, twitches, and feelings of muscle weakness fit into the anxiety and recover picture.

    Anxious, scared bodies are going to anxious, scared body things. That's how we're designed. There's nothing wrong with being medically checked, and once you've been cleared your job becomes acknowledging that tension and related issues are going to be part of this equation.

    It's not the tension, the soreness, or the twitching that matters most. These are certainly impactful and unpleasant, but the part we care most about is the continued choice to focus on these sensations, ruminate on them, and attempt to frantically escape from them or force them to stop. That just makes things worse.

    Once again, we find ourselves confronted with the difficult task of acknowledging in a compassionate way, then exercising the skills of letting go and willfully tolerating an unpleasant experience. Why? So we can learn that unpleasant doesn't automatically equal dangerous or catastrophic.

    ----

    Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠⁠Worry and Rumination Explained⁠⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolveable problems.

    ⁠⁠https://bit.ly/worryrumination⁠⁠

    -----

    Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?

    Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    Disclaimer: Disordered is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

  • "I know I'm not supposed to focus inward or engage with my anxious or intrusive thoughts, but what am I supposed to think about?!"

    This week Josh and Drew answer an excellent question from a listener that hasn't really been asked before. What do you do when your anxious thoughts keep coming even when you don't want them to come, and when you insist that you MUST only focus outward because that's how recovery is done?

    Spoiler alert ... if you're in the business of trying to stop your thoughts or never hear or notice them so you can perfectly focus outward to recover, you can get out of that business right now. Anxious thoughts focused on your internal state - thoughts about you and how you feel - are going to come no matter what we do. This is normal and expected for all humans.

    The secret sauce here is in the continued practice of noticing those thoughts when they happen, seeing that they exist, and not launching into thought stopping or thought control responses. Its OK to have whatever thoughts your brain creates. See them, acknowledge that you are thinking like all humans do, refrain from judging and evaluating the thoughts as proper or improper, then do your best to bring them with you as you do life.

    Is this frustrating at times? You bet it is. Be nice to yourself when you get frustrated and impatient with this process, and always remember that you simply cannot demand to not have a thought. Insisting that you must only think outward thoughts is a dead end and never works, so soften that stance, let your brain do its thing, and try not to treat your thoughts like they require control, management, or engineering.

    ----

    Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠Worry and Rumination Explained⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolveable problems.

    ⁠https://bit.ly/worryrumination⁠

    -----

    Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?

    Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    Disclaimer: Disordered is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

  • WHAT RECOVERY LENS ARE YOU LOOKING THROUGH?

    This week Drew and Josh take a bit of an unexpected turn to explore ways that CBT and exposure-based approaches to recovery can fall short. Recovery can't always be about facing, accepting, exposures, and Claire Weekes. While we might not look to other models to unearth deeply hidden root causes for an anxiety disorder, other theoretical frameworks can be quite useful - or even necessary - to conceptualize why one might encounter obstacles in the recovery process itself.

    In this episode, the guys so a little Transactional Analysis role play, drag the venerable Carl Rogers into the recovery forum, and generally provide different ways of looking at how you see yourself and what recovery lenses you might be looking through.

    ----

    Struggling with worry and rumination that you feel you can't stop or control? Check out Worry and Rumination Explained, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolveable problems.

    https://bit.ly/worryrumination

    -----

    Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?

    Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    Disclaimer: Disordered is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

  • MY NERVOUS SYSTEM IS DYSREGULATED!

    This week Drew and Josh get up close and personal with "nervous system dysregulation". This is a term that might have some benefit when dealing with issues like stress management or general wellness, but goes straight off the rails into the unhelpful zone when it comes to anxiety disorders.

    Declaring an anxious state to be a state of dysregulation might be defended from a semantics standpoint. Operationally however, when we insist that our internal states must be labeled as problems that must be fixed, this can and most times does backfire by activating the threat detection and response system that we're trying so hard to deactivate. The attempt to regulate winds up having the opposite result. Welcome to anxiety paradox number 10,641.

    Imagine stepping on the accelerator pedal in your car (insisting that you must find ways to extinguish your internal experience) then immediately looking for ways to slow the car down because going fast doesn't feel right. Now imagine what might be possible if you saw your nervous system as responding as designed to a perceived threat.

    Is it the nerves that must be addressed, or that off-kilter threat scanning and response routine?

    If you've been trying to find ways to hack your nervous system or force it into some kind of acceptable "regulated" state, and that's proving to be frustrating or disheartening for you in your recovery, this episode is for you.

    ----

    If you love Disordered and think you might benefit from spending 30 full days in an everyday intensive small group recovery support group led by Josh and Drew,⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ check out Disordered Boost at https://disordered.fm/boost⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    -----

    Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?

    Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    Disclaimer: Disordered is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

  • This week on Disordered we're taking a grand tour around the OCD loop! Josh and Drew talk about pure-O, somatic, and "traditional" obsessive compulsive disorder subtypes.

    While not every possible theme and subtype can be covered in a short podcast episode, the guys touched on some of the more common themes found in the community, taking care to address how regardless of the specific obsession, there are common characteristics that we can rely on when approaching recovery.

    Keep in mind that OCD subtypes and themes often morph and overlap, and that related anxiety disorders often look a whole lot like OCD because there really is quite a bit of common ground between these mental health issues.

    Coming soon ... follow-up episodes covering treatment for OCD, including guest appearances by some well known and respected OCD specialists.

    ----

    If you love Disordered and think you might benefit from spending 30 full days in an everyday intensive small group recovery support group led by Josh and Drew,⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ check out Disordered Boost at https://disordered.fm/boost⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    -----

    Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?

    Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    Disclaimer: Disordered is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

  • What Is Your Therapist Thinking While You're Talking?

    Therapists are people too. They have feelings, opinions, insecurities, fears, and personality quirks. And they - like you - sometimes have an inner dialogue. If you ever wanted to know what goes on inside the mind of an anxiety therapist, this week Josh and Drew dig into this a bit, including a few moments where the guys exercise their drama and acting skills. Absolutely Oscar-worthy, so tune in.

    As usual ... it's quite a scene.

    ---

    Interested in Josh's new book, “And How Does That Make You Feel?”

    ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://geni.us/JoshFletcher⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    ----

    If you love Disordered and think you might benefit from spending 30 full days in an everyday intensive small group recovery support group led by Josh and Drew,⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ check out Disordered Boost at https://disordered.fm/boost⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    -----

    Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?

    Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    Disclaimer: Disordered is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

  • This is the one-year anniversary episode of Disordered! We've been at this now for a full year, and we cannot be more grateful for all the support you guys have provided along the way.

    What better way to mark a year of Disordered than with an episode dedicated entirely to celebrating the community surrounding this podcast? If you need some encouragement or inspiration in your recovery, listen in as we play and read "did it anyway" stories from our listeners and your peers.

    Thanks to everyone who shares their stories with us. We appreciate them, and we're happy to share them when we can.

    Now let's get on with year two, shall we?

    ---

    Interested in Josh's new book, “And How Does That Make You Feel?”

    ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://geni.us/JoshFletcher⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    ----

    If you love Disordered and think you might benefit from spending 30 full days in an everyday intensive small group recovery support group led by Josh and Drew,⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ check out Disordered Boost at https://disordered.fm/boost⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    -----

    Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?

    Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    Disclaimer: Disordered is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

  • What about all this "neuropathways" talk? What does it mean in anxiety recovery?

    Funny that you asked! This week on Disordered Josh and Drew are talking about neuropathways, anxious habits, and how the concept of "building new neuropathways" applies in the context of anxiety disorders and anxiety recovery. Let's start by acknowledging that even counterproductive anxious habits are built atop pathways in the brain designed to make things easier for us. We can learn good habits and develop responses and behaviors that almost feel automatic because that's metabolically efficient and frees our thinking brains up to concentrate on more important things. But sometimes, this amazing mechanism is accidentally used to create anxious or avoidant responses and habits based on a misfiring of our threat detection systems. Are there neuropathways beneath habits designed to avoid or escape anxiety triggers? Yes, there are.

    But the good news is that we can play an active role in building new neuropathways. New behavioral choices and new experiences can re-wire our brains, even in the case where we might be terrified of our own bodies and minds. The guys use a bunch of analogies (some clever, some not so clever) to illustrate how making new choices in responding to anxious thoughts and anxious sensations triggers the process of creating new neuropathways. The conversation also touches on the need for commitment and repetition in building these new pathways that support new behaviors, new habits, and a new relationship with anxiety and fear.

    Tune in for this, the usual "did it anyways", questions from the community, and maybe even a surprise for Josh and his now trademark screaming American eagle sound effect. ;-)

    ---

    Interested in Josh's new book, “And How Does That Make You Feel?”

    ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://geni.us/JoshFletcher⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    ----

    If you love Disordered and think you might benefit from spending 30 full days in an everyday intensive small group recovery support group led by Josh and Drew,⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ check out Disordered Boost at https://disordered.fm/boost⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    -----

    Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?

    Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    Disclaimer: Disordered is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

  • OH NO! IT'S COME BACK!

    The habits we develop and the neuropathways that get created by a disordered state of anxiety mean that even long into recovery, an anxious person might be re-triggered by life events, stress, memories, or any number of expected issues. This is normal. If this happens, we can feel things again ... anxiety, anxiety symptoms, and scary thoughts. This is not failure, or returning to square one, or "doing it wrong". This is being human and alive.

    But exactly what has been re-triggered when this happens? How does a recovered person or nearly recovered person become re-sensitized to anxious sensations and thoughts? This week we're talking about how external events can re-trigger INTERNAL sensitization - the state where we treat how we feel and what we think as urgently important or even dangerous.

    When suddenly re-sensitized, what then? As you might expect, this episode goes into detail about the process of de-sensitizing oneself to your internal state, which isn't a process at all. It's OK to be re-triggered. The trick here is to steer clear of the usual traps - looking for steps, tools, and techniques for making the feelings go away.

    When re-sensitized, the object of the game is to de-sensitize as you did before by allowing, accepting, tolerating, and surrendering. Bring it all with you, do not launch into evasive action or retreat rituals, and you will likely find that de-sensitization happens much more quickly than you expect it to.

    ---

    Want to pre-order Josh’s book, “And How Does That Make You Feel?”

    ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://geni.us/JoshFletcher⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    ----

    If you love Disordered and think you might benefit from spending 30 full days in an everyday intensive small group recovery support group led by Josh and Drew,⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ check out Disordered Boost at https://disordered.fm/boost⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    -----

    Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?

    Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    Disclaimer: Disordered is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

  • BURNOUT!

    Running out of gas and being emotionally, physically, and/or mentally drained can happen to any human. This week on Disordered Drew and Josh explore how an anxious mind can twist and distort the concept of burnout. In many ways, the fear of burning out, and the catastrophic interpretation of what that might mean, can be worse than burnout itself!

    The guys explore different signs of burnout, how burnout comes in different shapes and sizes depending on context, and how obsession with and fear of burnout can mimic fear of depression or fear of the lack of enough or proper sleep.

    Finally, Josh and Drew share some tips for avoiding burnout and taking care of oneself. As always, there are a couple of great questions and "Did It Anyways" from the community in this episode, so tune in!

    ---

    Want to pre-order Josh’s book, “And How Does That Make You Feel?”

    ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://geni.us/JoshFletcher⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    ----

    If you love Disordered and think you might benefit from spending 30 full days in an everyday intensive small group recovery support group led by Josh and Drew,⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ check out Disordered Boost at https://disordered.fm/boost⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    -----

    Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast?

    Visit us on the web at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://disordered.fm⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    Disclaimer: Disordered is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts of the podcast. Information here is provided for psychoeducational purposes. As always, when you have questions about your well-being, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.