Episodes

  • Your anxiety narrative is the way you conceptualize your anxiety issues alongside how you see yourself, the world, your life in general, and how you may think your anxiety disorder developed or was triggered. Your personal narrative is important because nobody knows more about you than you!

    When seeking help with an anxiety problem, your narrative is the place a good helper will start. Helpers do not get to tell you your own story or impose their stories upon you. They should start with your conceptualization - your narrative - and work to incorporate that into the theories or modalities they use that work best in the context of your primary issue.

    This week Josh and Drew will explore why there is often confusion, conflict, and even debate about anxiety related narratives and how sometimes it can be difficult to conceptualize your own story when bombarded with so many varying messages on busy social platforms.

    In the end, you are always the expert on you. Taking time to work out your anxiety narrative, including how it may change as you go through the recovery process, is a process well worth engaging in. Just remember that this can be unclear, confusing, or even frustrating at times so beware of the perfection of "doing it right" traps. Your anxiety narrative is organic. It lives and breathes and changes and that's OK. There is no wrong way to address your own story!

    ---

    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

  • Three things start and drive disordered states of anxiety:

    Shock, Attention, and Resistance

    Shock is what we experience when anxiety levels skyrocket for what seems like no reason. We experience scary and disturbing physical sensations, thoughts, and emotions all at the same time. It is ... shocking! Attention drives disordered anxiety when our internal states become the most important and interesting thing in the room all the time. We focus all our attention on how we feel all the time and cannot even imagine doing otherwise. Resistance drives disordered anxiety when we fight our reality. We are anxious. We have symptoms. We have scary thoughts. We feel emotions. This is our reality in any given moment. We wear ourselves down, increase our sense of powerlessness and hopelessness, get more and more confused, and feel more and more lost and out of control when we resist this reality and try to control it rather than working WITH it.

    This week on Disordered we're looking at the Shock / Attention / Resistance cycle that ignites and maintains a disordered state of anxiety.

    ---

    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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  • Somatic Hyper Focus - That thing where an anxious person becomes hyper aware and hyper fixated on specific bodily sensations or bodily functions. This is a common issue seen in health anxiety, OCD, and panic disorder.

    This week Drew and Josh are going into detail on somatic hyper focus. What does it look like? How do anxious people get stuck in this loop? What are the mechanisms at play? What tricks does the anxious mind (our friend the amygdala) employ to get us to remain focused and convinced that closely monitoring our bodies is a good idea?

    We're talking about hyper focus on heartbeat, breathing, muscle twitches, stomach sensations, aches and pains, and a slew of other common somatic fixation targets. We're also talking about a way to conceptualize this issue that might help you turn away from it and learn through behavioral change and experience that its OK to not urgently analyze the results every time your frightened mind scans your body for signs of danger.

    Of course, there's the usual dose of humor and silly music and sound effects to round out the discussion, along with a reminder that overcoming somatic hyper focus takes time and requires patience and self-compassion. Nobody fixes this problem overnight, so tune in, take what you can from this episode, and be nice to yourself as you address this disruptive and unwanted habit.

    ---

    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

  • What do you do when you're working on recovery from an anxiety disorder and your techniques stop working? How do you handle those hard days when you can't make it stop or go away?

    Well ... this is one reason why in the Disordered community we rarely if ever talk about tips, techniques, tricks, hacks, or steps for calming down, preventing anxiety, or managing anxiety or symptoms.

    This week Josh and Drew are talking about what happens when we try to use calming, relaxation, or wellness techniques to make disordered anxiety go away. There will be surprises here ... the number one technique we use in anxiety disorder recovery is to not try to use any techniques. The most valuable lesson we can learn is that even without taking special steps, our internal experiences come and go and are not worthy of changing our lives over, even when they are highly uncomfortable or scary.

    This episode also touches on the use of calming, relaxation, and stress management techniques as important parts of overall wellness outside the context of an anxiety disorder. Not everything is an exposure and acceptance problem in life. There are times when engaging in good wellness and stress management practices can be very helpful!

    The bottom line this week is that trying to use techniques to directly control how you feel and what you think in an urgent or frantic way is generally a bad plan. Applying techniques to teach us how to better handle stressors and move THROUGH our uncomfortable experiences is probably a better way to go.

    ---

    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

  • This week Drew and Josh are looking at the social impacts of anxiety. What happens when panic attacks, anxiety waves, or a flood of scary intrusive thoughts happens in public or while in social situations or when interacting with friends, family members, co-workers, or relationship partners?

    If your past experiences in life or past relationships have contributed to developing self-beliefs or persistent worries about being rejected, excluded, or being exposed as being "less than", you may be tempted to insist that being anxious in social settings can't possibly be OK and that there must be some special way to approach this issue.

    The short answer is that there really is no special way, and the same principles will apply. Its always helpful to be able to identify reasons why your threat response has latched onto themes like rejection, exclusion, or being unworthy or less than.

    Even then the path forward is THROUGH. In this episode we're talking about identifying and challenging core beliefs focused on social fears, and learning two valuable lessons :

    1. The worst case often does not happen

    2. Even if it does, you are capable of handling the feelings that come with that

    ---

    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

  • Humans will often make the mistake of trying to apply our analytical and problem solving skills in areas where they do not belong. Anxious people - people struggling with anxiety disorders - do this all the time.

    Are you trying to fix how you feel? Are you trying to solve your anxiety and figure it out? Are you in the habit of trying to control how you feel, engineering away bad feelings and trying to manufacture only good feelings? Are you always on the lookout for more tools, tips, techniques, and instructions on what's good "for anxiety?"

    These are hints that you might be a fixer or a perfectionist or both, and that you might be trying to fix or solve your anxiety .... perfectly. If this is you, tune in to this episode of Disordered for more on the fixing trap and how what seems like a good idea can often backfire and make things worse.

    ---

    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

  • Let's do an old-fashioned anxiety question and answer session!

    This week Josh and Drew are answering questions sent in by members of the Disordered podcast community. Listen in for answers to the following questions:

    Are we supposed to challenge our beliefs in recovery? What about dizziness? How do you do recovery when real life happens? My health anxiety is "different". Can I use going to the doctor as an exposure? I'm very anxious when reminded of a past event that I'm not proud of. Any tips? How can I do more so I can be more recovered and not feel anxiety? How can be compassionate toward ourselves ... and really mean it?

    Of course we also have a few "did it anyways" in this episode to inspire and encourage. Thank you to everyone that sends in questions, shares victories both big and small, or just listens to the podcast every week. Your presence and participation are always greatly appreciated!

    ---

    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

  • Fight ... flight ... or freeze. But what about the fawn response?

    This week on Disordered, Drew and Josh explore the fawn response and people pleasing. While this may not be a response we see directly like we do with fight, flight, or freeze, the fawn response that leads to habitual and almost automatic people pleasing can get in the way of the recovery process. It's not exactly easy to choose to do difficult scary things to get better when you may have been conditioned by past experiences to keep yourself under wraps and not rock the boat or risk rejection or harm.

    We're examining some common experiences that can deal to developing and fawn or people pleasing response and looking at how the fawn response can impact family relationships friendships, intimate and romantic relationships, and even career or social group performance.

    One item of note. It's perfectly OK to be shy. Being considerate of others and trying to be a good person is not a problem. We're not trying to erase these parts of our personalities. Overcoming the fawn response and excessive people pleasing is not about becoming hyper-independent or insensitive. This is always about bringing behaviors and beliefs back into a healthy, beneficial place in one's life.

    ---

    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

  • An anxious state can be at least partially fueled by the act of metacognition. That's thinking and feeling ... about thinking and feeling. When meta-beliefs tell us that thinking, rumination, worry, and mental problem solving is a good way to fix our internal experiences (like big emotions, scary thoughts, or anxiety), things can go off the rails.

    What seems like a good idea - thinking to fix how you feel - suddenly feels like a bad idea after you can't accomplish your goal and wonder why you can't stop engaging in overthinking, worry, and rumination.

    This week Josh and Drew are joined by Rhiannon Wilcox, a qualified UK therapist that's been trained and certified in Metacognitive Therapy, a treatment that's been studied and validated when used to address chronic and disordered anxiety problems.

    Come learn more about thinking and feeling about thinking and feeling, and why those thinking habits might be leading you astray, even as they promise to lead you to recovery.

    To find Rhiannon Wilcox online:

    https://instagram.com/rhiannonwilcoxtherapy

    ---

    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

  • Even when you understand that changing your reaction to anxious thoughts, feelings, and sensations is the way out ... you may feel that this is impossible because those thoughts, those sensations, and your reactions feel completely automatic and unchangeable.

    This is a common concern for almost anyone struggling with anxiety disorder recovery so this week Drew and Josh are talking about how anxiety, anxious thoughts, symptoms, and reactions can feel - and really are - automatic. But even when things happen automatically, there is a choice point in every anxious situation where we are aware of what is happening. That awareness gives us power to choose a different path, even when that path is a difficult one to choose.

    It is critical to practice self-compassion in this context because it can be easy to fall into the trap of declaring failure or setback when you can't "control" automatic things. Remember that we're not trying to control automatic things, we're working on building awareness of our automatic thoughts, sensations, and reactions, so that the NEXT actions we take after that can be intentional and directed at recovery rather than retreat.

    ---

    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

  • If you've ever listened to an episode of Disordered and felt the need to ask "Yes, but what about when ...?", then this episode is for you.

    A common struggle among people trying to overcome chronic and disordered anxiety is gaining the ability to generalize the principles of recovery and apply them in an individual context. Anxious people will often hear advice aimed at different types of anxious presentations, then ask for specific advice aimed at their specific fears or thoughts or symptoms.

    That's a reasonable thing to ask of course, but what if the advice you're hearing for panic attacks also applies to GAD or OCD or health anxiety? Can you see how the principles of eliminating avoidance and doing the opposite of what your fear wants to you do might apply in your situation?

    Recovery isn't necessarily about learning how to eradicate your specific symptom or worry. It's about learning that avoiding and struggling against your internal experiences is making things worse instead of better. This general principle is applicable regardless of the specific struggle in any given moment.

    ---

    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

  • 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

  • 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.