Explorez tous les épisodes du podcast RECOVERable: Mental Health and Addiction Experts Answer Your Questions

Stop fighting your brain and start understanding it. Dr. Judson Brewer reveals why willpower is a myth and how neuroscience is the real key to breaking bad habits.

Find mental health and addiction treatment near you: https://recovery.com/

Learn more about Dr. Judson Brewer: https://drjud.com/

In this episode of RECOVERable host Terry Maguire sits down with Dr. Judson Brewer (Dr. Jud), a world-renowned psychiatrist, neuroscientist, and New York Times bestselling author of The Craving Mind and Unwinding Anxiety. Dr. Jud explains why the "just say no" approach fails and breaks down the evolutionary "habit loop"—trigger, behavior, and result—that keeps us stuck.

You will learn why dopamine is actually a "motivation molecule" designed for survival, not pleasure, and how to navigate the "three gears" of habit change: awareness, disenchantment, and finding the "Bigger Better Offer". Whether you are struggling with substance use, anxiety, or digital addiction, this conversation provides a science-backed roadmap to rewire your brain using curiosity as a superpower.

Dr. Jud also debunks common myths about "hitting rock bottom" and explains why the logical brain goes offline during a crisis. Learn how to ride out a craving in just 13 minutes and why your "survival brain" might be leading you astray.

Subscribe for Part 2 and visit mindshiftrecovery.org for more resources.

Chapters:

00:00 – Intro

00:48 – Myth vs. Fact: Is Addiction a Lack of Willpower?

05:58 – The Habit Loop: Trigger, Behavior, and Result

11:15 – Why Willpower is More Myth than Muscle

11:43 – Gear 1: Awareness and the "Why" Trap

15:22 – Gear 2: Finding Disenchantment with Habits

26:35 – Gear 3: The "Bigger Better Offer" Strategy

37:35 – Curiosity: The Superpower for Cravings

40:54 – Is Addiction a Choice or a Brain Disease?

53:21 – The Truth About Dopamine Fasting

Questions the Video Answers:

1. Is addiction just a lack of willpower?
2. Does dopamine actually make you feel high?
3. Why is the teenage brain more susceptible to addiction?
4. Can the brain fully recover from long-term drug use?
5. Is sugar addiction the same as cocaine addiction?
6. What is the habit loop and how does it work?
7. Why do we keep doing things we know are bad for us?
8. Can anxiety and worrying become a habit?
9. Why doesn’t willpower work to stop an addiction?
10. What are the three gears of habit change?
11. How do you find a "Bigger Better Offer" in recovery?
12. How long does a typical craving actually last?
13. Is addiction primarily genetic or environmental?
14. Why do people in addiction lie or steal?
15. Is dopamine fasting a real scientific solution?

#Neuroscience #AddictionRecovery #JudsonBrewer

Can you tell if someone has an eating disorder just by looking at them? Dr. Elizabeth Wassenaar debunks the "healthy look" myth and explains why dieting is toxic to recovery. This episode explores the critical "Nine Truths" of eating disorders, the role of genetics, and why early intervention is vital for long-term health. 

Find mental health and addiction treatment near you: https://recovery.com/

In this deep-dive, host Terry McGuire continues the conversation with Dr. Elizabeth Wassenaar, MD, a triple board-certified psychiatrist and the Regional Medical Director at Eating Recovery Center. Dr. Wassenaar leads clinical excellence in treating complex eating disorders and guides families toward sustainable healing. 

We cover the nuances of Binge Eating Disorder (BED)—the most common yet underdiagnosed type—and ARFID (Avoidant Restrictive Food Intake Disorder), a different entity driven by sensory avoidance or fear rather than body image. Dr. Wassenaar also breaks down the four levels of care: Inpatient, Residential, Partial Hospitalization (PHP), and Intensive Outpatient (IOP), helping listeners understand how much containment and support is necessary for true recovery. 

Whether you are a parent looking for signs, a professional seeking evidence-based insights, or someone struggling, this video provides a roadmap for navigating the "crafty" nature of these illnesses. Recovery is possible, but no one has to do it alone. 

Chapters:

00:00 – Intro

01:10 – Can you tell if someone has an eating disorder by looking?

05:02 – Why families are allies, not the cause

06:40 – Is it just a phase? The crisis of adolescence

11:02 – The role of genetics vs. environment

16:32 – Understanding Anorexia, Bulimia, and Binge Eating Disorder

19:46 – What is ARFID? Disinterest and sensory avoidance

24:00 – Why "just eat" or "just stop" is dangerous advice

27:45 – Explaining levels of care: Inpatient to IOP

44:40 – How long does recovery actually take?

52:34 – Common eating disorder behaviors to look for

Questions the Video Answers:

1. Can you look healthy and still have a severe eating disorder?  
2. Why is "you look healthier" a harmful comment?  
3. Do parents cause eating disorders in their children?  
4. Is an eating disorder a phase that teenagers grow out of?  
5. How does malnutrition affect long-term bone health?  
6. Are eating disorders genetic?  
7. What is the most common eating disorder?  
8. Can you have anorexia while in a larger body?  
9. What is Avoidant Restrictive Food Intake Disorder (ARFID)?  
10. Why doesn't dieting work for binge eating disorder?  
11. What is the difference between inpatient and residential treatment?  
12. Why do people with eating disorders feel they aren't "sick enough"?  
13. How does social media affect eating disorder recovery?  
14. What are the common signs of purging besides vomiting?  
15. Where can I find reliable eating disorder treatment?  

#EatingDisorderRecovery #BingeEatingDisorder #MentalHealthMatters

CONTENT WARNING: This episode discusses suicide and suicidal ideation, which may be difficult for some listeners; if you or someone you know is struggling, please reach out to a mental health professional or a crisis hotline like 988.

"When you are suicidal, it is an incredibly isolating feeling. It’s feeling like nobody really understands." In this episode of RECOVER, host Terry McGuire sits down with Dr. Sara Kohlbeck, PhD, a distinguished suicidologist and public health researcher, to peel back the layers of a topic often kept in the shadows. Dr. Kohlbeck shares her profound insights into the "suicide spectrum" and the reality of being high-functioning while struggling with thoughts of ending one's life.

Find mental health and addiction treatment near you: https://recovery.com/

This conversation is designed to normalize the human experience of suicidal ideation and provide practical, research-backed tools for intervention. Whether you are currently struggling, a loss survivor, or someone worried about a friend, this episode offers a roadmap for connection. Dr. Kohlbeck explains the "Suicide Thermometer," why sadness isn't always the primary symptom, and how to navigate the fear of "saying the wrong thing."
Dr. Sara Kohlbeck, PhD, is a leading expert in suicide research, focusing on the complex socio-economic factors that contribute to suicidal behavior. Her work emphasizes that connection is prevention.

If you or someone you know is in crisis, please call or text 988, the Suicide & Crisis Lifeline, or reach out to local mobile crisis teams. You are not a burden, and there is hope for recovery.

⏱️ Chapters:
00:00 – Intro: Breaking the Silence on Suicide
01:31 – Normalizing Thoughts of Suicide
03:05 – The Suicide Thermometer: Understanding the Spectrum
05:58 – The Reality of High-Functioning Suicidality
06:36 – Critical Messages for Those Currently Struggling
13:47 – Why It Happens: The Complex Risk Factors
15:55 – What to Say to Someone Who is Suicidal
22:22 – The Myth: Does Asking About Suicide Plant the Idea?
24:03 – Crisis Response: When to Call 988 vs. 911
47:24 – How to Tell a Partner or Parent You’re Struggling

❓ Questions the Video Answers:
How do I talk to someone who is suicidal?
Does asking someone about suicide put the idea in their head?
What is the difference between passive and active suicidal thoughts?
Can you be high-functioning and suicidal at the same time?
What happens when you call or text 988?
What should I do if someone gets angry when I ask if they are suicidal?
Why do I want to die if I don't feel sad?
What are the subtle warning signs of suicide?
How do I tell my parents I’m struggling if they don’t believe in therapy?
Is suicidal ideation a normal part of the human experience?
What is the "Suicide Thermometer" concept?
When should I call 911 for a mental health crisis?
How can I support a suicide loss survivor?
What are "Warm Lines" and how do they differ from crisis lines?
How do I help someone who feels like a burden?
#suicideprevention #mentalhealth #988lifeline

Living with Borderline Personality Disorder (BPD) often feels like being "screamed at by your brain" while trying to navigate everyday life. In this deeply personal and educational episode, we go beyond the "scary" stereotypes to reveal the intense emotional pain and interpersonal turmoil that defines this condition.

Joining us is Sage Nestler, an LGBTQ+ mental health specialist and a leading educator on BPD. Sage is a member of the advocacy committee for the National Education Alliance on BPD (NEA-BPD) and provides a rare perspective as a clinician who also lives with the disorder. He explains that for those with the quiet version of BPD, the struggle is often internalized, making their experience invisible to the outside world. They share how the "Favorite Person" (FP) phenomenon and black-and-white thinking can create a constant cycle of idolization and fear of abandonment in relationships.

Find mental health and addiction treatment near you: https://recovery.com/

Sage clarifies the common confusion between BPD, Bipolar Disorder, and PTSD, explaining why he believes focusing on symptoms rather than labels is critical for proper care. They also address the most searched questions on the internet: Is there a specific medication for BPD? (The answer might surprise you) and can the disorder truly be "cured"?. Whether you are a "support person" for a loved one or someone seeking clarity for your own experience, they offer the validation and insight needed to move forward with compassion.

For more resources, check out the National Alliance on Mental Illness (NAMI) and the Family Connections Program through the NEA-BPD.

⏱️ Chapters:

00:00 – Defining Borderline Personality Disorder (BPD)

01:21 – Common Stereotypes vs. Reality

02:55 – What Living With BPD Feels Like Internally

05:31 – Advice for Loved Ones and Support Systems

08:56 – How to Know if You Have BPD

10:02 – Resources: NEA-BPD and NAMI

15:08 – The "Favorite Person" (FP) Concept Explained

22:52 – Breaking Down the 9 Diagnostic Criteria

46:02 – Best Medication and Treatments for BPD

48:53 – Can Borderline Personality Disorder Be Cured?

❓ Questions the Video Answers:

1. What is borderline personality disorder (BPD)?
2. What does BPD feel like on the inside?
3. What are the 9 diagnostic criteria for BPD?
4. What is a BPD "Favorite Person" (FP)?
5. What is "Quiet BPD" and how is it different?
6. Can BPD be cured or treated effectively?
7. Is there a specific medication for BPD?
8. What is "splitting" in BPD relationships?
9. How does BPD affect the fear of abandonment?
10. Is BPD often misdiagnosed as bipolar disorder?
11. Why is BPD so heavily stigmatized in mental health?
12. How do you get a professional BPD diagnosis?
13. What is identity disturbance in BPD?
14. How can I support a partner or child with BPD?
15. Does BPD cause chronic feelings of emptiness?

#BPD #BorderlinePersonalityDisorder #MentalHealth Awareness

Stop the stigma. Sage Nestler, MSW, an LGBTQ+ mental health specialist and leading educator on BPD, joins the podcast to pull back the curtain on one of the most misunderstood mental health conditions. Often villainized or confused with narcissism, Borderline Personality Disorder is actually defined by intense emotional pain and a desperate search for relief. Sage shares his personal journey of being diagnosed after a mental breakdown and how he transitioned from fearing he was "evil" to becoming a specialized advocate for the BPD community.

Find mental health and addiction treatment near you: https://recovery.com/

In this deep-dive episode, Sage explains the fundamental characteristics of BPD, including mood dysregulation, an unstable sense of self, and the pervasive fear of abandonment that often sabotages relationships. We explore the specific nuances of "Quiet BPD," where emotional turmoil is turned inward through self-harm or eating disorders rather than external outbursts.

Sage also breaks down the power of Dialectical Behavior Therapy (DBT) and Acceptance and Commitment Therapy (ACT) in managing daily spiraling thoughts. Whether you are living with a diagnosis or supporting a loved one, this conversation offers essential tools for de-escalation, communication, and radical self-compassion. Learn more about Sage Nestler’s work and advocacy by visiting the National Education Alliance on BPD.

⏱️ Chapters: 

00:00 – Introduction to Sage Nestler, MSW 

01:38 – What is Borderline Personality Disorder? 

02:36 – Understanding BPD Mood Dysregulation 

03:29 – How BPD Impacts Sense of Self 

04:30 – The Reality of BPD in Relationships 

07:59 – BPD vs. Narcissism: Ending the Stigma 

19:25 – Is it Dangerous to Self-Diagnose BPD? 

20:45 – Quiet BPD vs. Traditional Symptoms 

27:11 – Supporting Someone with BPD in Crisis 

36:06 – What Causes BPD: Genetics vs. Trauma

❓ Questions the Video Answers:

1. What is Borderline Personality Disorder? 
2. How do BPD mood swings feel on a daily basis? 
3. Is BPD the same as Narcissistic Personality Disorder? 
4. What is "Quiet BPD" and how is it diagnosed? 
5. Why do people with BPD have a fear of abandonment? 
6. What is "splitting" or black-and-white thinking? 
7. Can BPD be treated with medication? 
8. How does DBT help with emotional regulation? 
9. Why is BPD often misdiagnosed as Bipolar Disorder? 
10. What causes BPD: is it genetic or trauma-based? 
11. How should you support a partner with BPD during a crisis? 
12. Why is BPD more commonly diagnosed in those assigned female at birth? 
13. What is a "Favorite Person" in the context of BPD?
14. How can someone with BPD manage impulsive behaviors? 
15. Why is there such a heavy stigma around BPD in the media?

#BPD #MentalHealth #QuietBPD

"The second I feel that I am cured and it no longer exists, is the moment that it invites itself back in." In the conclusion of our powerful conversation, Licensed Marriage and Family Therapist (LMFT) and Licensed Professional Clinical Counselor (LPCC) Aja Chavez joins host Terry Maguire to move beyond symptoms and into the real work of recovery. We tackle the "uncomfortable conversations" that save lives, including how to decode the "FINE" acronym and why you must directly ask about suicidal thoughts.

Find mental health and addiction treatment near you: https://recovery.com/

Aja Chavez brings both professional expertise and the lived experience of surviving a 2008 suicide attempt to discuss depression as a chronic condition that requires long-term management, much like diabetes. This episode provides a practical roadmap for those feeling like a burden, explaining how medication provides a "floor beneath your feet" and how to build a personal "wellness wheel" that incorporates therapy, spirituality, and even the smallest moments of joy. Whether you are struggling to get out of bed or trying to reach a partner who is pushing you away, Aja’s blunt clinical insights and compassionate perspective offer a way forward.

About Our Guest: Aja Chavez, LMFT, LPCC, is a clinical expert specializing in adolescent mental health and crisis intervention. She is a dedicated advocate for lowering barriers to care and helping individuals rediscover their worth through evidence-based therapy and holistic wellness.

⏱️ Chapters:

00:00 – [Intro: Why Depression is Never Fully "Cured"] 

01:04 – [Review: Laziness vs. Clinical Depression] 

05:54 – [The Lies Depression Tells: "You Are a Burden"] 

09:28 – [Why Therapists Don't Give You a "Lies vs. Truth" List] 

12:36 – [How 988 and Crisis Hotlines Actually Help] 

14:26 – [Managing Depression Like Diabetes] 

17:22 – [Decoding "FINE": F***ed Up, Insecure, Neurotic, Emotional] 

19:25 – [How to Support Someone Who Pushes You Away] 

22:42 – [Finding Free and Low-Cost Mental Health Resources] 

27:02 – [Why You Should Never Say "At Least..."] 

32:01 – [The Power of "Wellness Wheels" and Small Joys] 

35:50 – [Medication: "Do You Want to Be Pretty or Dead?"] 

42:26 – [The Role of Prayer and Spirituality in Recovery] 

47:31 – [The Safest Move: Asking Directly About Suicide] 

❓ Questions the Video Answers:

1. Is clinical depression a permanent condition? 
2. How can I help someone with depression who refuses help? 
3. What does the "FINE" acronym mean in mental health? 
4. Why does depression make me feel like everyone is better off without me? 
5. How do I find therapy if I don't have insurance or money? 
6. Can I use the 988 crisis line if I'm not in an immediate emergency? 
7. Does depression medication change your personality or make you a "zombie"? 
8. How can I tell if my teenager is depressed or just being moody? 
9. What is a "wellness wheel" and how do I build one? 
10. Is it okay to ask someone directly if they want to kill themselves? 
11. Why shouldn't I tell a depressed person they have "so much to be grateful for"? 
12. Can prayer and medication work together for recovery? 
13. Why is irritability a sign of depression instead of sadness? 
14. How do I support a partner when they get mean or defensive? 
15. What are "glimmers of joy" and why do they precede hope? 

#depressionrecovery #mentalhealthsupport #988lifeline

Ever stared at your to-do list and wondered, "Am I depressed or am I just lazy?". You're definitely not the only one searching for that answer. In this episode of RECOVERable, host Terry McGuire is joined by Aja Chavez to peel back the layers of a condition that often hides in plain sight. Aja Chavez is an EMDR-trained Associate Marriage and Family Therapist (AMFT) & Associate Professional Clinical Counselor (APCC) who offers a perspective that is as rare as it is vital: she is both a clinical expert and a suicide attempt survivor.

Find mental health and addiction treatment near you: https://recovery.com/

Depression isn't always sitting in a dark room with the blankets pulled over your head. For some, it feels like a "warm, heavy weighted blanket" or a "stage four clinger" that robs you of your ability to connect with joy. Aja shares her personal journey from a high-achieving 20-something who "had it all" to the moment she realized her internal dialogue was a lie designed to keep her in a shame spiral.

We dive into the "train whistle" warning signs you need to watch for and how "contrary action" can save your life when the darkness starts to feel like a "nice friend". This isn't just a clinical lecture; it’s a conversational toolkit for anyone navigating the muddy waters of mental illness. If you've ever felt "other" or like you missed the life rulebook, this episode is for you.

⏱️ Chapters:

00:00 – Introduction to RECOVERable and guest Aja Chavez 

01:35 – What does depression actually feel like? 

03:54 – The #1 search: Am I depressed or am I lazy? 

06:47 – Why depression is a medical condition, not a choice 

10:53 – High-functioning depression: Hiding in plain sight 

13:02 – Aja’s story: When depression feels like a "nice friend" 

23:08 – Dropping the mask and asking for help 

30:48 – The "Train Whistle": Identifying early warning signs 

37:01 – Wellness plans and the power of "contrary action" 

42:21 – Why do I feel depressed for "no reason"? 

❓ Questions the Video Answers:

1. Am I depressed or am I lazy? 
2. What does clinical depression feel like? 
3. How do I describe depression to someone who has never felt it? 
4. Is depression a medical condition or a mood disorder? 
5. What are the different types of depression diagnosis? 
6. How can I tell the difference between sadness and depression? 
7. What is high-functioning depression? 
8. Why do high achievers struggle with mental health? 
9. Can you be depressed if your life looks perfect from the outside? 
10. What are the first technical signs of depression? 
11. How does irritability link to depressive episodes? 
12. Why does depression make it hard to do simple tasks like showering? 
13. What is "contrary action" in mental health treatment? 
14. Can you be depressed for "no reason"? 
15. How do I identify my own early warning signs? 

#mentalhealth #depressionrecovery #highfunctioningdepression

Stop being the thermometer that reads the room and start being the thermostat that sets the temperature. In this deep dive, emotional regulation expert Alyssa Blask Campbell (New York Times Bestselling Author and CEO of Seed & Coach) reveals why our reactions are often "learned habits" and how we can regain self-control in high-stress moments. Whether you are navigating a toddler's meltdown, a workplace panic attack, or a heated argument with a partner, understanding your nervous system is the key to changing the outcome.

Find mental health and addiction treatment near you: https://recovery.com/
Learn more about Alyssa’s work at Seed & Sew: https://www.seedandsew.org/

Alyssa explains the science of the Vagus Nerve—the "muscle" of your parasympathetic nervous system—and why TikTok is obsessed with it. You’ll learn why "hiding" your feelings actually fuels anxiety and how "cold exposure" or "humming" can physically reset your body's fight-or-flight response in seconds. We also explore the revolutionary idea that behavior is never the problem; it is merely a symptom of an unmet need.

By the end of this episode, you will have a toolkit of grounding techniques that actually work and the insight to stop "shutting down" when things get hard. Alyssa Blask Campbell, M.Ed., is the author of Tiny Humans, Big Emotions and Bigger Kids, Bigger Feelings.

Stop reacting and start responding. Emotional development expert Alyssa Blask Campbell, M.Ed., explains how to understand and fix your unique nervous system today. Feeling overwhelmed, snappy, or like you're constantly "treading water" just to stay afloat? You’re likely living in a state of nervous system dysregulation. In this episode, New York Times bestselling author Alyssa Blask Campbell, M.Ed., breaks down the science of emotion regulation and why most of us never learned these essential adulting skills in our youth.

Find mental health and addiction treatment near you: https://recovery.com/

Learn more about Alyssa’s work at Seed & Sew: https://www.seedandsew.org/

We dive deep into the crucial difference between "coping mechanisms" that provide temporary dopamine hits—like substance use or impulsive shopping—and "coping strategies" that produce lasting serotonin and oxytocin to truly calm the body. Alyssa introduces the Collaborative Emotion Processing (CEP) method, explaining how our unique sensory systems—including proprioceptive and vestibular senses—dictate how we experience stress and how we must recharge.

Whether you are navigating "sensory mismatches" in your marriage, trying to handle a child’s grocery store meltdown, or recovering from trauma, this conversation provides a roadmap to self-awareness and self-control. Discover insights from her New York Times bestseller, Tiny Humans, Big Emotions , and learn why "microdosing" self-regulation throughout the day is the key to lasting peace.

⏱️ Chapters:

00:00 – Intro: The "Only Way Out is Through" 

10:33 – What is emotion regulation? 

28:09 – How do I know if I'm dysregulated? 

40:19 – Does nervous system reset actually work? 

41:41 – What is the fastest way to calm myself down? 

❓ Questions the Video Answers:

1. What is the difference between emotion regulation and self-control? 
2. How do I know if my nervous system is dysregulated? 
3. Why do I use online shopping or social media to cope with stress? 
4. Does a nervous system reset really work or is it just buzzword hype? 
5. How does childhood trauma affect my adult stress reactions? 
6. What is the fastest way to calm down during a moment of rage? 
7. Why am I so sensitive to small sounds like clicking or chewing? 
8. How can I stop being sarcastic and snippy when I'm stressed? 
9. What are "legacy blessings" and "legacy burdens" in parenting? 
10. How do I handle a sensory mismatch with my partner or child? 
11. Is deep breathing actually effective for regulating emotions? 
12. What is the proprioceptive sense and how does it help with anxiety? 
13. How do I stop "treading water" and start actually healing? 
14. Why can't a dysregulated adult calm a dysregulated child? 
15. What are the best tools for "microdosing" self-regulation? 

#nervoussystem #emotionregulation #parenting

Relapse isn’t failure — it’s feedback. This conversation explores why relapse is a normal part of addiction recovery and how to use it as data to build a powerful relapse‑prevention plan.

Find mental health and addiction treatment near you: https://recovery.com/

Dr. Jasleen Chhatwal, a board‑certified psychiatrist and addiction medicine physician, explains that addiction relapse prevention strategies hinge on self‑awareness and preparation. You’ll learn why relapse in addiction recovery often reveals hidden triggers, how to identify stressors and cravings early, and why shame‑free support from loved ones matters. We unpack the difference between sobriety and holistic recovery, showing that addressing trauma and mental health is vital to staying well. The video also highlights the signs of addiction and what it means to be a functional addict so you can recognize subtle warning signs before they spiral.

Beyond personal insight, you’ll get compassionate tips on how to talk to someone with addiction without confrontation and how to build a relapse‑prevention plan that works. We cover the stages of addiction recovery, treatment options like medications and 12‑step programs, harm‑reduction approaches, and how to integrate community support. You’ll hear why willpower alone isn’t enough and why hope and intentionality are key. We also tackle co‑occurring mental health issues, signs of trauma and addiction, and what to do when you’re worried about your drinking. Whether you’re struggling yourself or supporting a loved one, this video offers practical tools to avoid relapse, cultivate self‑compassion, and seek help without stigma.

⏱️ Chapters:

00:00 – Introduction & why relapse is part of recovery
02:30 – Learning from relapse & building prevention strategies
05:45 – Hope, harm reduction & staying sober long‑term
08:20 – Recovery vs sobriety & trauma triggers
11:55 – What is a functional addict? Subtle signs you might miss
15:50 – Treatment options: medication, 12‑step & personalized care
18:45 – Compassionate conversations: how to talk to someone with addiction
24:30 – Signs of addiction & when to seek help
30:00 – Co‑occurring mental health & holistic recovery
34:50 – Final takeaway: love, support & hope in healing

❓ Questions the Video Answers:

1. Why do addiction relapses happen and what can we learn from them?
2. What are the best addiction relapse‑prevention strategies?
3. How do you build a relapse‑prevention plan that actually works?
4. What’s the difference between recovery and sobriety?
5. What are the signs of addiction and how can you spot a functional addict?
6. How do you talk to someone with a drug or alcohol addiction without making them defensive?
7. What are the stages of addiction recovery and why do they matter?
8. How can you avoid relapse and maintain long‑term sobriety?
9. Can a recovering alcoholic ever drink again — and why is it a slippery slope?
10. Are 12‑step programs like Alcoholics Anonymous mandatory for sobriety?
11. What treatments exist for opioid or alcohol addiction, from medications to support groups?
12. How does trauma drive addiction and why must it be addressed?
13. What are the signs that your coping strategies are becoming unhealthy or addictive?
14. How do co‑occurring mental‑health disorders impact addiction recovery?
15. What’s the first step when you’re worried about your drinking or drug use?

#addictionrecovery #relapseprevention #mentalhealth

Addiction isn’t a moral failing — it’s a chronic brain disorder that hijacks your reward circuitry and turns coping into compulsion. In this episode, Dr. Jasleen Chhatwal unpacks what addiction really is and why so many people use substances or behaviors to self‑medicate pain, trauma or anxiety. She explains that 40–60% of risk is genetic, but genes don’t doom you — understanding your family history allows you to make healthier choices.

Find mental health and addiction treatment near you: https://recovery.com/

We discuss how addictive disorders cross all demographics, from CEOs to stay‑at‑home parents, and why trauma and stress can rewire the prefrontal cortex so that cravings and compulsions take over. Dr. Chhatwal debunks the “rock bottom” myth by showing that recovery is a process of weighing pros and cons and learning from setbacks. She breaks down the four C’s of addiction — compulsion, cravings, continuing despite consequences and loss of control — and shares simple ways to spot early warning signs, like secrecy or drastic behavior changes. You’ll learn how to ask caring, observational questions instead of accusing someone and why emotional literacy can prevent future substance use.

⏱️ Chapters:
00:00 – Intro: Addiction Defined & Brain Hijack
01:20 – Self‑Medication, Trauma & Feeling “Normal”
04:30 – How Families Can Support Without Enabling
12:54 – Genetics vs Moral Failure: Myths Busted
15:58 – Stereotypes vs Reality: Addiction Affects Everyone
19:11 – Root Causes: Trauma, Mental Health & Brain Development
20:38 – Do You Need Rock Bottom? Motivation & Recovery
23:50 – The Four C’s: Compulsion, Cravings, Consequences, Control
26:29 – Warning Signs & How to Talk About Addiction
29:35 – Is My Kid Using Drugs? Teen Behavior & Emotional Literacy
33:52 – Why Do People with Addictions Lie? Confabulation Explained
37:15 – Why Can’t Addicts Just Quit? Brain Hijack & Treatment
40:30 – Process & Behavioral Addictions: Work, Gaming, Porn
43:24 – When Does a Habit Become an Addiction? Functional Impairment
45:31 – Compassionate Boundaries & Community Support
49:41 – Moderation vs Sobriety & Harm Reduction
51:48 – Harm Reduction & Hope: Meeting People Where They Are
52:07 – Closing & Next Episode Teaser

❓ Questions the Video Answers:

1. What is addiction and how can someone overcome it?
2. What are the early warning signs of addiction?
3. Is addiction genetic or a choice?
4. Why do some people become addicted while others don’t?
5. How do trauma and mental health issues cause addiction and self‑medication?
6. What is “rock bottom” in addiction recovery and do you need to hit it?
7. What are the four C’s of addiction (compulsion, cravings, consequences and control)?
8. How can I help a friend or family member with addiction without enabling them?
9. Why do people with addictions lie so much?
10. Why can’t addicts just stop even when they want to?
11. Can you be addicted to things like work, gaming, porn or food?
12. When does a habit become a full‑blown addiction?
13. How do you know if your teenager’s “weird” behavior is drug use or something else?
14. Can moderation work, or do you need complete sobriety for recovery?
15. What is harm reduction and why is it important in addiction treatment?

#addiction #mentalhealth #recovery

"You can have an eating disorder and not be in an underweight body." 

This powerful insight from Dr. Elizabeth Wassenaar, Regional Medical Director at the Eating Recovery Center, challenges everything we think we know about food, weight, and mental health. In this eye-opening episode of RECOVERable, host Terry Maguire sits down with Dr. Wassenaar to dismantle the dangerous myths surrounding eating disorders.

Find mental health and addiction treatment near you: https://recovery.com/

Dr. Wassenaar, a triple board-certified psychiatrist, explains that eating disorders are real, brain-based biological illnesses—not matters of willpower, vanity, or "just a diet gone wrong". We dive deep into why these conditions are curable, the difference between "disordered eating" and clinical diagnoses, and the alarming rise of anorexia and bulimia in younger children.

We also address the "pathological aloneness" that often accompanies mental illness and why community and connection are the strongest antidotes to the isolation of an eating disorder. Whether you are struggling yourself, worried about a friend, or curious about the signs of eating disorders in men and boys, this conversation provides a compassionate roadmap for understanding and seeking help.

Chapters: 00:00 – Intro 00:32 – What is the one thing society should understand? 02:06 – Why are eating disorders considered a mental illness? 06:34 – Is there a typical age when they start? 08:37 – Why are eating disorders starting at younger ages? 12:22 – How should we communicate with each other about bodies? 14:53 – What does disordered eating actually mean? 19:54 – When does it become a medical or mental health crisis? 23:45 – How does tracking calories and macros play a role? 37:34 – What are the signs a friend might have an eating disorder? 50:17 – Do guys get eating disorders, too?

Questions the Video Answers:

1. What is the difference between an eating disorder and disordered eating?
2. Can you have an eating disorder if you aren't skinny?
3. Are eating disorders a choice or a mental illness?
4. What are the early warning signs of an eating disorder in a friend?
5. Why are eating disorders becoming more common in children?
6. How does social media impact body image and eating habits?
7. Is it possible to fully recover and be "cured" from an eating disorder?
8. What should I do if I feel suicidal due to an eating disorder?
9. Do men and boys struggle with eating disorders?
10. How can I talk to someone about their weight without being hurtful?
11. Why do people use eating disorders as a way to regain control?
12. What is the most fatal mental illness?
13. How does "diet culture" reinforce disordered behaviors?
14. What are the free resources available for eating disorder support?
15. Why is connection and relationship important for recovery?

#eatingdisorder #mentalhealth #recovery

Wonder if your forgetfulness and zoning out is ADHD or just distraction? In this episode of Recovery, child psychologist and ADHD expert Dr. Carrie Jackson explains what ADHD really feels like and why it’s often underdiagnosed in women and BIPOC communities. You’ll learn how to tell the difference between normal distraction and clinically significant ADHD symptoms in women, men and kids and why executive functioning issues – not laziness – drive the forgetfulness, missed deadlines and day‑dreaming.

Find mental health and addiction treatment near you: https://recovery.com/
Learn more about Dr. Carrie Jackson: https://www.drcarriejackson.com/

Dr. Jackson shares her own journey living with ADHD and breaks down the three presentations: inattentive, hyperactive/impulsive and combined. She debunks myths (no, sugar and screen time don’t cause ADHD), explains why girls often present as “quiet daydreamers” while boys are labelled disruptive, and explores the role of hormones and genetics in adult ADHD diagnosis. You’ll hear why there’s no brain scan for ADHD – diagnosis relies on interviews, questionnaires and observing behaviour across settings – and why many adults get diagnosed after childbirth or during major life transitions.

⏱️ Chapters:
00:00 – Introduction & why ADHD is often underdiagnosed
00:24 – Do I have ADHD or am I just distracted?
01:04 – Regulating attention: hyperfocus vs distractibility
03:22 – Interest‑based attention & urgency (video games vs tasks)
04:12 – How ADHD is diagnosed & who can diagnose it
05:49 – No brain scans: interviews, questionnaires & criteria
07:28 – Recognizing symptoms across school, work & home
08:42 – Forgetting homework: performance vs intelligence
10:03 – Misconceptions: laziness, discipline & executive function
11:16 – Gender differences: ADHD in girls vs boys
13:14 – Types of ADHD & how symptoms change with age
15:07 – Inattentive signs: zoning out, random thoughts & losing things
17:09 – Why ADHD is missed: hidden symptoms & doing well in school
18:59 – The emotional toll: shame, self‑esteem & feeling “lazy”
20:43 – Underdiagnosed or overdiagnosed? Changing criteria & awareness
22:05 – Genetics, parental age & environmental factors
23:29 – Key symptoms: attention, organization & impulsivity
26:03 – Causes vs myths: sugar, screen time & diet
27:29 – Does ADHD get worse with age? Hormones & adult life
31:24 – Suspect ADHD? Finding qualified help & next steps
32:45 – Diagnosing young kids & parent‑focused interventions
34:32 – What’s next: medications, parenting strategies & support

❓ Questions the Video Answers:

How can I tell if I have ADHD or if I’m just distracted?

What are the most common ADHD symptoms in women and girls?

How does ADHD differ from normal forgetfulness or laziness?

What’s the difference between inattentive and hyperactive/impulsive ADHD?

How is ADHD diagnosed in adults without a brain scan?

Why are so many women and BIPOC individuals underdiagnosed?

Can you have ADHD and still hyperfocus on video games or work?

Does ADHD get worse with age, or can it improve over time?

Is ADHD genetic, and what environmental factors play a role?

What are the myths about sugar, screen time and diet causing ADHD?

How do hormones and pregnancy impact ADHD symptoms in women?

What’s the difference between ADD and ADHD presentations?

At what age can children be reliably diagnosed with ADHD?

What help is available if my child shows signs but doesn’t meet the criteria?

What should be my first step if I suspect ADHD for myself or my child?

#ADHD #MentalHealth #Neurodiversity

Struggling to manage emotions, stress or relationships? Discover how DBT skills like mindfulness, radical acceptance and validation can transform your life. In this episode, psychologist Dr. Kiki Felling breaks down Dialectical Behavior Therapy (DBT) and shows you how to apply these powerful tools in everyday situations.

Find mental health and addiction treatment near you: https://recovery.com/

Learn more about Kiki: https://www.kikifehling.com/

Dr. Felling explains the four core DBT modules—mindfulness, emotion regulation, distress tolerance and interpersonal effectiveness—and why they matter. She defines mindfulness as being fully present without judgement, paying attention to sensations, thoughts and feelings to tap into your inner wisdom. You’ll learn that distress tolerance skills aren’t about fixing problems but surviving the toughest moments; radical acceptance allows you to acknowledge reality so pain doesn’t turn into suffering. She demonstrates crisis‑survival techniques like grounding with cold water, self‑soothing objects and personalized coping kits. In the emotion‑regulation section, Dr. Felling shows how to understand, use or change feelings and build resilience by accumulating positive experiences. The video also covers interpersonal effectiveness—assertiveness, boundaries, and validation. Validation, she says, is the superpower that reduces conflict and deepens relationships. Throughout the conversation she reminds us that mindfulness is the foundation of every skill and that the ultimate goal is to create a “life worth living” defined by your own values.

If you’re ready to stop reacting and start responding, this episode offers practical DBT strategies you can use right away. Like, comment and share your own experiences with these skills, subscribe for more mental‑health insights, and check out our related videos on emotion regulation and distress tolerance.

⏱️ Chapters:
00:00 – What Is DBT & Who Is It For?
02:25 – Mindfulness Skills Beyond Meditation
05:45 – Distress Tolerance & Radical Acceptance
09:30 – Pain vs. Suffering: Accepting Reality
13:00 – Crisis Survival Skills & The Coping Kit
17:40 – Regulating Your Nervous System (TIP Skills)
22:30 – Emotion Regulation & ABC PLEASE Skills
27:15 – Naming Your Emotions & The Emotion Dictionary
31:50 – Interpersonal Effectiveness & Boundaries
35:20 – The Power of Validation
39:00 – Mindfulness: The Foundation of All Skills
41:30 – Creating a Life Worth Living & Final Thoughts

❓ Questions the Video Answers:

What is Dialectical Behavior Therapy and how does it help with emotion regulation?

What are the four core DBT skills modules?

How does mindfulness differ from meditation in DBT?

What are the “observe” and “describe” mindfulness skills?

What is radical acceptance and why is it crucial for distress tolerance?

How can accepting pain prevent it from turning into suffering?

What are crisis survival skills and how can they help during intense urges?

What should be in a distress tolerance kit?

How does the “tip your temperature” ice‑water technique reset your nervous system?

What are ABC PLEASE skills and how do they build emotional resilience?

How can someone learn to identify and name their emotions?

What are interpersonal effectiveness skills and why are they important?

Why is validation considered a relationship superpower?

How can mindfulness be practiced in everyday life beyond sitting meditation?

What does it mean to create a life worth living and how does DBT help you define it?

#MentalHealth #DBTskills #EmotionalRegulation

📝 Description:
Discover how dialectical behavior therapy (DBT) transforms insight into action and helps you ride out emotional storms. Clinical psychologist Dr. Kiki Fehling shares her personal journey—from using DBT skills to recover after a heart attack to teaching them to clients—and explains why understanding yourself isn’t enough. DBT combines proven cognitive‑behavioral techniques with mindfulness, radical acceptance and coping skills. It teaches you to recognize, regulate and work with your emotions rather than be controlled by them.

Find mental health and addiction treatment near you: https://recovery.com/

Learn more about Kiki: https://www.kikifehling.com/

In this conversation you’ll learn what “dialectics” means (hint: embracing both acceptance and change) and how the Wise Mind helps balance your rational and emotional sides. Dr. Fehling explains that DBT was created for people with borderline personality disorder but research now shows it helps PTSD, anxiety, depression, substance use disorders and eating disorders. You’ll hear how DBT tackles anxiety through exposure and opposite‑action techniques that teach you to face fears while soothing your body and mind. For depression, the therapy reconnects you to activities and relationships that bring joy, and for addiction it provides healthier ways to cope with pain.

Unlike traditional talk therapy, DBT is collaborative and directive—your therapist actively tracks behaviors, teaches life skills and offers coaching between sessions. A comprehensive DBT program includes weekly individual therapy, weekly skills groups and 24/7 phone coaching, and therapists consult with one another to ensure quality care. Even if you can’t commit to the full program, learning DBT skills through books or online groups can still make a difference. Ready to build a more stable, fulfilling life? Watch until the end, subscribe for part two (where we dive into the skills themselves), share your story in the comments and pass this along to someone who could use a little DBT wisdom.

⏱️ Chapters:
00:00 – Dr. Kiki’s DBT Journey & Why Insight Isn’t Enough
02:13 – What Is Dialectical Behavior Therapy? DBT Explained
03:07 – Dialectics: Balancing Acceptance and Change
07:55 – Who Benefits: BPD, PTSD, Anxiety, Depression & Addiction
08:58 – DBT Skills for Anxiety: Exposure & Opposite Action
10:00 – DBT for Depression: Reconnecting With Life & Joy
11:02 – Addiction & DBT: Coping Without Substances
16:21 – Talk Therapy vs DBT: Collaborative Skill‑Based Healing
27:26 – Inside a Comprehensive DBT Program: Individual, Group & Coaching
33:14 – DBT‑Informed Options & Learning Life Skills

❓ Questions the Video Answers:

1. What is dialectical behavior therapy and how does it work?
2. Who can benefit from DBT therapy?
3. How does DBT help with emotional regulation and distress tolerance?
4. What DBT skills can reduce anxiety and worry?
5. How can DBT help someone struggling with depression?
6. Is DBT effective for substance use disorders and addiction?
7. What is the Wise Mind in DBT and how do you access it?
8. How do dialectics balance acceptance and change?
9. How is DBT different from traditional talk therapy or CBT?
10. What does a comprehensive DBT program involve?
11. How long does DBT therapy typically take?
12. Can I learn DBT skills on my own through books or online groups?
13. What are distress tolerance and opposite‑action skills?
14. Does DBT work for borderline personality disorder and PTSD?
15. How do DBT skills improve relationships and build a life worth living?

#DBT #MentalHealth #EmotionalRegulation

Ever wonder why you keep repeating the same painful patterns even when you know better? Trauma therapist Laurel Vander Torn reveals that trauma is more than a single event – it’s a disconnect between what your mind knows and what your body feels. This disconnect can leave you stuck in a constant state of hyper‑vigilance, poor sleep, appetite changes and messy relationships. She introduces the “window of tolerance,” the sweet spot where you can think, feel and act without dissociating or feeling like you’re vibrating out of your skin. You’ll also learn why people‑pleasing and other complex trauma responses were once survival strategies but can become maladaptive in adulthood.

Find mental health and addiction treatment near you: https://recovery.com/

Learn more about Laurel: https://www.laureltherapy.net/laurel-van-der-toorn

Laurel explains that trauma literally rewires your brain by making you more sensitive to threats, but neuroplasticity means you can change it back. By practicing new behaviors and experiencing positive reactions, clients gradually take up space and discover freedom. She shifts the focus from shame to curiosity and self‑compassion, and she stresses the importance of a strong, trusting relationship with a trauma‑informed therapist who can guide you through modalities like EMDR, cognitive‑behavioral therapy, somatic techniques and internal family systems.

⏱️ Chapters:

00:00 – Introduction & What Is Trauma?

02:30 – People‑Pleaser Survival Strategies & Complex Trauma

05:45 – Breaking the Pattern & Closing the Loop

09:50 – Trauma Changes the Brain & Neuroplasticity

13:40 – From Shame to Curiosity & Self‑Compassion

16:50 – Trauma Therapy & Treatment Modalities

20:30 – Trauma, Mental Health & Addiction Recovery

24:50 – Self‑Healing Tools: Positive Memories, Movement & Breathing

33:40 – Holding Hope & Moving Forward

❓ Questions the Video Answers:

What is trauma and why does it feel like your body and mind are living in different realities?

How can you tell if you’re having a trauma response or just reacting to current stress?

Why do people‑pleasing and other survival strategies persist long after childhood?

What is the “window of tolerance,” and how can you stay within it?

How does complex trauma affect relationships and make familiar patterns hard to break?

Does trauma really change your brain, and can neuroplasticity help you heal?

How do you shift from shame and self‑blame to curiosity and self‑compassion?

What should you look for in a trauma therapist, and what are the main treatment modalities like EMDR and somatic therapy?

How are trauma, anxiety, depression and addiction interconnected, and what’s the order of operations for healing?

Can healing trauma reduce the symptoms of anxiety, depression or substance‑use disorders?

What are some simple trauma release exercises and somatic practices you can use at home?

How can movement, such as cardio or strength training, help process trauma stored in the body?

What are the best coping strategies for managing trauma triggers in public, like box breathing or the dive technique?

How can you rebuild safe, healthy relationships after childhood trauma?

Is there hope for a better life after complex trauma, and how do you hold onto that hope?

#traumahealing #mentalhealth #addictionrecovery

Is trauma only for combat veterans? Or could it be shaping your life without you even realizing it? In this powerful episode of Recoverable, licensed family therapist Laurel van der Toorn joins Terry to unpack the internet’s most searched questions about trauma — what it is, how it shows up in your body, and how to truly heal.

Find treatment near you: https://recovery.com/condition/trauma/
Learn more about Laurel: https://www.laureltherapy.net/laurel-van-der-toorn

You’ll learn how two people can live through the same event yet have completely different experiences, why trauma isn’t “what happened to you” but what happened inside you, and how to recognize the subtle signs that your past might still be affecting your relationships, sleep, or stress responses.

Laurel breaks down complex psychology into everyday language, explaining concepts like the window of tolerance, PTSD vs. CPTSD, and EMDR therapy — a groundbreaking trauma treatment proven to rewire the brain and restore emotional balance.

If you’ve ever wondered:
👉 “How do I know if I’ve experienced trauma?”
👉 “Can childhood trauma really affect me as an adult?”
👉 “Can trauma actually be healed?”
…this episode is your roadmap.

⏱️ Chapters:
00:00 – Intro: What We Get Wrong About Trauma
01:00 – Why Trauma Is More Common Than We Think
02:30 – What Is Trauma, Really?
04:30 – The Difference Between Hardship and Trauma
06:00 – Who Gets to Define a Traumatic Experience?
08:00 – Why Two People Experience the Same Event Differently
10:00 – How Resilience and Resources Shape Recovery
12:00 – PTSD vs. Complex PTSD Explained
13:00 – How to Know If You Have Trauma
15:00 – Understanding the “Window of Tolerance”
17:00 – Signs and Red Flags of Unhealed Trauma
18:30 – Trauma’s Link to Anxiety, Depression & Addiction
20:00 – The Power of Curiosity in Self-Healing
22:00 – How Childhood Trauma Shapes Adult Relationships
25:00 – Why Old Patterns Reappear When Life Gets Better
27:00 – Inner Child & Internal Family Systems Work
29:00 – Can Trauma Be Healed?
32:00 – EMDR Therapy Explained
38:00 – What an EMDR Session Looks Like
45:00 – Trauma and the Body: Why It Feels Physical
50:00 – A Simple Calming Exercise You Can Use Anytime

❓ Questions the Video Answers:
What exactly is trauma?
How can two people experience the same event but be affected differently?
How do I know if I’ve experienced trauma?
What’s the difference between trauma and a tough life event?
Who decides if something was traumatic?
How does trauma affect the brain and body?
What is the “window of tolerance” and why does it matter?
What are the signs of unhealed trauma in adults?
How does childhood trauma show up in adult relationships?
What’s the difference between PTSD and complex PTSD?
Can trauma cause anxiety, depression, or addiction?
What are the most effective trauma therapies?
How does EMDR therapy work?
Can trauma really be healed — or just managed?
What are simple grounding exercises to calm your body?

#trauma #ptsd #mentalhealth

Can you outrun a traumatic childhood? Dr. Christina Bethell returns for Part 2 to explain why an Adverse Childhood Experience (ACE) score is an indicator of risk, not a predictor of destiny. As a national leader in population health and systems measurement, Dr. Bethell has reshaped how we understand the "toxic stress" that accumulates in the nervous system when childhood trauma is experienced without buffers.

Find mental health and addiction treatment near you: https://recovery.com/

In this episode, we dive into the "Positivity Paradox" and the breakthrough research on Positive Childhood Experiences (PCEs). Dr. Bethell explains that the absence of positive experiences—feeling loved, supported, and heard—can be as detrimental to long-term health as the presence of trauma itself. We discuss why healthcare systems are often slow to screen for trauma and how the "medicine" of presence and connection can rewire the brain even decades later.

Our guest, Dr. Christina Bethell (PhD, MPH, MBA), is a Professor at Johns Hopkins University and the Director of the Child and Adolescent Health Measurement Initiative (CAHMI). Her work proves that healing is a life process and that "more likely is not most"—meaning a high trauma score does not guarantee a future of illness or addiction. Whether you are struggling with your own past or trying to build a resilient future for your children, this conversation offers a roadmap for shifting from "fixing" to "connecting".

⏱️ Chapters:

00:00 – Recap: How ACEs and PCEs intersect

05:03 – What does an ACE score actually mean?

08;23 – Are you "broken" if you have a high score?

10;43 – How do we get more positive experiences (PCEs)?

13;27 – Why don’t doctors ask about childhood trauma?

16;36 – Is the absence of "good" worse than the "bad"?

23;16 – The 4 indicators of family resilience

34;42 – Is it ever too late for adults to heal?

44;16 – Healing your relationship with your teenager

53;14 – A magic wand for society: Connecting vs. Fixing

❓ Questions the Video Answers:

What is an ACE score? 

Does a high ACEs score mean I will get sick? 

What is the difference between an event and toxic stress? 

How do positive childhood experiences buffer trauma? 

Why is emotional neglect so common and harmful? 

Can I heal my nervous system as an adult? 

What is the "positivity paradox"? 

Why don't insurance companies cover trauma screening? 

Can I build resilience with my teenager now? 

What is "biobehavioral synchrony" in parenting? 

How does trauma affect the immune system? 

What are the 7 key PCEs for healing? 

How do I reparent my inner child? 

Why is "feeling heard" a public health priority? 

How can I find safety if I grew up not trusting people? 

#childhoodtrauma #mentalhealth #resilience

Can you truly heal from a traumatic childhood? Dr. Christina Bethell explains why your past shapes you but doesn't have to define your future. In this episode of Recoverable, we dive deep into the groundbreaking research behind Adverse Childhood Experiences (ACEs) and the "medicine" of Positive Childhood Experiences (PCEs).

Find mental health and addiction treatment near you: https://recovery.com/

We explore the 10-question ACEs screener and why factors like emotional neglect are often the most underrated drivers of adult disease. Dr. Bethell shares her powerful personal story of growing up in the mid-60s amidst addiction and neglect, proving that even with a high trauma score, "flourishing" is possible through connection and emotional safety.

Our guest, Christina Bethell, PhD, MPH, MBA, is a Professor at Johns Hopkins University and the founding director of the Child and Adolescent Health Measurement Initiative (CAHMI). Her work has revolutionized how we view relational health as the cornerstone of well-being. Whether you are an adult seeking healing or a caregiver looking to protect a child, this conversation provides a research-based roadmap for recovery.

If this episode resonated with you, please subscribe and share it with someone who needs to hear that they matter.

⏱️ Chapters:
00:00 – Meet Dr. Christina Bethell
02:52 – What are ACEs and how do they impact us?
04:02 – Why were these 10 specific ACEs chosen?
09:51 – The long-term impact of feeling unloved
23:16 – Does the age trauma happens change the impact?
25:11 – What should you do if you have a high ACEs score?
28:23 – The Science of Positive Childhood Experiences (PCEs)
37:58 – How PCEs buffer the effects of a traumatic past
58:20 – How can we help others heal from trauma?
01:01:06 – What does "flourishing" actually look like?

❓ Questions the Video Answers:

What are Adverse Childhood Experiences (ACEs)?

How do ACEs affect long-term physical health?

What is the "positivity paradox" in trauma healing?

Can you heal from a high ACEs score as an adult?

What are the 7 Positive Childhood Experiences (PCEs)?

Why is emotional neglect as damaging as physical abuse?

How does a parent's addiction impact a child's brain?

Can one caring adult change a child's entire life trajectory?

What is "developmental trauma disorder"?

How do "mirror neurons" affect children witnessing conflict?

Why is high school belonging such a strong protective factor?

What is the neurobiology of "presence"?

How do we move from "fixing" to "connecting"?

What are the four different ways we measure flourishing?

Is a high ACEs score a guarantee of future illness?

#childhoodtrauma #resilience #mentalhealth

Are you feeling overwhelmed, angry, or disconnected after childbirth? You are not alone—nearly 20% of new mothers experience postpartum depression, yet many suffer in silence due to a paralyzing sense of shame.

Find mental health and addiction treatment near you: https://recovery.com/

In this essential follow-up, host Terry McGuire continues the conversation with Dr. Karen Sheffield-Abdullah. Dr. Sheffield-Abdullah is a PhD, researcher, and nurse-midwife with over 20 years of experience specializing in perinatal mental health. While Part 1 focused on pregnancy, this episode dives deep into the "fourth trimester," exploring why the massive dip in progesterone after the placenta is delivered can trigger everything from the "baby blues" to severe clinical depression.

Dr. Sheffield-Abdullah addresses the "elephant in the room": the terrifying intrusive thoughts many mothers experience but are too afraid to voice for fear of Child Protective Services (CPS). We discuss the critical differences between normal exhaustion and medical red flags, including postpartum rage, anxiety, and the rare but serious condition of postpartum psychosis.

This episode is a roadmap for recovery, highlighting the importance of the two-week postpartum check-up and providing resources like Postpartum Support International (PSI) and the 988 crisis line. Whether you are a new parent or a loved one looking for signs, this video offers the language and hope needed to navigate the challenges of early motherhood.

⏱️ Chapters:

00:00 – [Intro] Postpartum Depression vs. The Blues 

00:54 – How Common is Postpartum Depression? 

07:30 – What is "Normal" for a New Mother? 

09:19 – When Does it Become a Medical Problem? 

12:27 – Who is Most at Risk for PPD? 

21:57 – Is it PPD or Just Sleep Deprivation? 

23:25 – The Truth About Scary Intrusive Thoughts 

24:58 – Addressing the Fear of Child Protective Services 

30:27 – How Long Does Postpartum Depression Last? 

40:05 – Understanding Postpartum Rage and Psychosis 

❓ Questions the Podcast Answers:

1. What is the difference between postpartum blues and postpartum depression? 
2. How common is postpartum depression in new mothers? 
3. Why does my mood change so drastically after giving birth? 
4. Is it normal to cry at commercials after having a baby? 
5. When should a new mother seek medical intervention for her mood? 
6. What are the symptoms of postpartum anxiety and OCD? 
7. Are intrusive thoughts about harming the baby common? 
8. Will I lose my baby to CPS if I admit I have depression? 
9. What is the perinatal psychiatry inpatient unit at UNC? 
10. How can I tell my partner I think I have PPD? 
11. How long does postpartum depression typically last? 
12. Why am I experiencing "postpartum rage" and anger? 
13. What are the signs of postpartum psychosis? 
14. Is it normal to have trouble bonding with a newborn? 
15. Where can I find a postpartum depression helpline? 

#PostpartumDepression #PostpartumAnxiety #MaternalMentalHealth

Are you struggling with depression during pregnancy but afraid to talk about it? You are not alone, as up to 20% of women will experience a significant mood disorder during pregnancy or after birth.

Find mental health and addiction treatment near you: https://recovery.com/

In this episode, host Terry McGuire sits down with Dr. Karen Sheffield-Abdullah. Dr. Sheffield-Abdullah is a professor, a nurse-midwife of 20 years, and a researcher specializing in Black maternal stress and anxiety. We dive deep into the often-misunderstood world of perinatal mental health, breaking down the crucial differences between antenatal depression, pregnancy anxiety, and the standard "baby blues". Dr. Sheffield-Abdullah explains how the hormonal shifts of pregnancy, like the dip in progesterone, can easily mask clinical depression.

We also tackle the most searched questions on the internet regarding maternal mental health. Does crying constantly affect your baby's development? Are antidepressants actually safe to take during pregnancy? What are the real risks of leaving depression untreated? Dr. Sheffield-Abdullah provides evidence-based answers, reassuring expecting parents that treatments like talk therapy, mindfulness-based stress reduction, and SSRIs are both safe and highly effective. She also explores the "Superwoman Schema" and how the pressure to maintain a stoic exterior prevents many—especially Black women—from being vulnerable and seeking help.

Whether you are pregnant and experiencing unexplained mood swings , or you are trying to support a loved one who might be quietly suffering, this episode offers compassionate, actionable advice. You'll learn how to successfully advocate for yourself at the doctor's office , simple mindfulness techniques like body scans to break the cycle of "bed rotting" , and why it is so important to build a strong support system early on.

⏱️ Chapters:

00:00 – The Truth About Pregnancy Search History 

01:01 – Antenatal vs. Postpartum Depression Explained 

02:40 – Baby Blues vs. Clinical Depression Symptoms 

06:47 – Why Pregnancy Causes Severe Anxiety 

09:20 – Does Crying Affect My Baby's Development? 

11:05 – Are Antidepressants Safe During Pregnancy? 

14:02 – Overcoming Guilt & The "Superwoman Schema" 

21:57 – Am I Depressed or Just Hormonal? 

29:48 – The Real Risks of Untreated Depression 

36:08 – How to Stop "Bed Rotting" & Seek Help 

❓ Questions the Video Answers:

1. What are the signs of depression during pregnancy? 
2. Is it normal to have extreme anxiety while pregnant? 
3. What is the difference between antenatal depression and perinatal depression? 
4. Does crying while pregnant hurt the baby's development? 
5. Are antidepressants like SSRIs safe to take during pregnancy? 
6. How do you know if you are just hormonal or clinically depressed? 
7. What are the risks to the baby if depression is left untreated? 
8. How do you tell your OBGYN or doctor that you are depressed? 
9. What can I do to stop "bed rotting" and lack of motivation while pregnant? 
10. Can untreated pregnancy anxiety cause premature birth? 
11. How can mindfulness and body scans help with pregnancy depression? 
12. Does hating being pregnant affect bonding with the baby later? 
13. How can I prepare for postpartum depression during my second or third trimester? 
14. What is the Superwoman Schema in maternal mental health? 
15. Why do hormonal shifts cause the baby blues? 

#PregnancyDepression #MaternalMentalHealth #PregnancyAnxiety

Description: How do you know when you’ve finally reached the point where you can't do it alone? For many, the realization doesn't come from a "lightbulb moment," but from the exhaustion of repeating the same mistakes while expecting different results. In Part 2 of our deep dive into the Levels of Care, host Terry McGuire and Dr. Sal Raichbach explore the psychological barriers to seeking help and the reality of life after the "rehab" doors close.

Find mental health and addiction treatment near you: https://recovery.com/

Dr. Sal Raichbach, PsyD, LCSW, CFSW, is an expert in behavioral health with over 33 years of experience. In this episode, he tackles the uncomfortable truths about addiction treatment: why discharge planning must begin the very day you are admitted , the critical difference between "acute" and "chronic" symptoms , and how to navigate a toxic home environment once you've completed a program.

We also address the "failed" treatment attempt. If you’ve tried rehab before and it didn’t work, Dr. Sal offers a perspective that might change everything you think about your journey. From daily recovery habits—like self-reflection and medication adherence—to the power of peer support groups, this conversation provides a roadmap for anyone navigating the complex system of behavioral health. Recovery isn't a "one-stop shop"; it's a series of steps toward a life you actually want to live.

⏱️ Chapters:
00:00 – Recap: The Continuum of Care
02:46 – How to Know When It’s Time for Help
05:23 – Choice vs. Coercion: The Truth About Ultimatums
07:27 – Acute vs. Chronic: Understanding Success Rates
10:45 – Is Relapse a Part of the Process?
12:59 – Why You Can't Dictate Your Own Level of Care
16:16 – Why Discharge Planning Starts at Admission
19:26 – Staying Sober in a Toxic Home Environment
22:53 – 6 Daily Habits to Maintain Long-Term Recovery
26:31 – "I Tried Rehab and Failed"—The Honest Truth

❓ Questions the Video Answers:
How do I know if I'm ready for addiction treatment?
Does treatment work if someone is forced to go?
What is the difference between acute and chronic mental health symptoms?
Is relapse a failure or a "setback"?
Why is discharge planning important in recovery?
How do I stay sober if my family still drinks or uses?
What are "wraparound services" in addiction care?
Can I bring my phone or laptop to residential rehab?
Why do people go back to rehab multiple times?
What daily habits help maintain sobriety after treatment?
How do I advocate for the right level of care?
What is the role of medication in long-term recovery?
Can adolescents be forced into treatment without consent?
What is "projection" in addiction psychology?
Why does "trying" therapy require full participation?
#addictionrecovery #mentalhealth #soberlife

Navigating the world of addiction and mental health treatment can feel like learning a completely different language when you are already at your breaking point. How do you know if you need a "hospital level" of care or if weekly therapy is enough? In this episode of RECOVERable, host Terry McGuire sits down with behavioral health expert Dr. Sal Raichbach to demystify the "continuum of care" and explain exactly what happens at every stage of recovery.

Find mental health and addiction treatment near you: https://recovery.com/

Dr. Sal Raichbach, PsyD, LCSW, CFSW, is a doctoral-level psychologist and Chief Clinical Officer at Haven Health Management with over 33 years of experience in the field. He breaks down the critical differences between Outpatient, Intensive Outpatient (IOP), Partial Hospitalization (PHP), and Residential treatment. You’ll learn why the "30-day rehab" rule is often an insurance myth and what a "SMART" treatment plan actually looks like.

Whether you are struggling with a dual diagnosis or trying to help a loved one choose the right path, Dr. Sal explains the risks of "DIY" research and why professional assessment is the first step toward lasting sobriety. We dive deep into the intensity of medical detox, the power of group therapy for those who "hate groups," and how to manage the transition back into everyday life.

⏱️ Chapters:

00:00 – Why Understanding "Levels of Care" Saves Lives

01:45 – The Danger of "DIY" Addiction Research 

03:00 – Breakdown: The 5 Major Levels of Treatment 

06:14 – Outpatient vs. Intensive Outpatient (IOP) 

13:12 – What is a Partial Hospitalization Program (PHP)? 

18:13 – Residential Treatment: What Really Happens in "Rehab" 

26:19 – The "SMART" Treatment Plan Explained 

27:21 – The 30-Day Rehab Myth & Insurance Truths 

31:52 – Inpatient Care: When Is It a Crisis? 

35:53 – Medical Detox: Is It Always Necessary?

❓ Questions the Video Answers:

1. What are the different levels of care for addiction?
2. What is the difference between inpatient and outpatient treatment?
3. Is intensive outpatient (IOP) better than regular therapy?
4. What does a Partial Hospitalization Program (PHP) actually do?
5. How do I know if I need residential rehab?
6. Why does insurance only pay for 30 days of treatment?
7. Do I need medical detox for alcohol or drugs?
8. Can you do intensive outpatient (IOP) via telehealth?
9. What is a "dual diagnosis" and how is it treated?
10. What happens during a rehab intake assessment?
11. How long do I have to stay in a residential program?
12. Is inpatient care the same as being "locked down"?
13. What is a "SMART" treatment plan in recovery?
14. How does group therapy help if I'm not a "group person"?
15. What are the risks of detoxing at home without medical help?

#addictionrecovery #mentalhealth #rehab

Thoughts of suicide are not uncommon and can be a part of the human experience for many individuals at various points in their lives. In Part 2 of this series, host Terry McGuire welcomes back Dr. Sara Kohlbeck, PhD, a public health researcher specializing in suicide. This conversation focuses on the "invitations" people send when they are in distress and how to navigate the spectrum of suicidal thoughts with empathy and evidence-based tools.

Find mental health and addiction treatment near you: https://recovery.com/

Dr. Kohlbeck explains that warning signs in teens often manifest as impulsivity or reckless behavior, such as dangerous driving or taking unknown substances. She introduces the "Assist" training framework, which views these behaviors as "invitations" to explore the underlying pain a person is carrying. This episode also clarifies the reality of "passive suicidal ideation"—thoughts like wishing to go to sleep and never wake up—which are valid experiences that require support even without an immediate plan.

Dr. Sara Kohlbeck, PhD, provides a rare, firsthand account of her own experience driving herself to the emergency department during a crisis. She details the medical triage process and addresses the common fear that seeking help will lead to immediate restraint or being "locked up". By normalizing these conversations and teaching listeners how to create a "Safety Plan," Dr. Kohlbeck empowers communities to become a foundation for wellness.

⏱️ Chapters:
00:00 – [Intro] Normalizing Thoughts of Suicide
02:50 – Warning Signs in Teens: Impulsivity and Risk
07:15 – Identifying "Invitations" for Help
09;12 – Sudden Calmness: Why It Can Be a Danger Sign
14:10 – Understanding Passive Suicidal Ideation
28:52 – How Long Does a Suicidal Crisis Last?
29:29 – Restricting Access to Lethal Means
33:22 – How to Create a Safety Plan
41:08 – Walking into the ER: Triage and Treatment
45:24 – Will My Therapist "Lock Me Up"?

❓ Questions the Video Answers:
How do warning signs in teens differ from those in adults?
What is the "Assist" training framework for suicide intervention?
What are "invitations" for support and how do I spot them?
Is a sudden improvement in mood always a good sign?
What does "passive suicidal ideation" feel like?
Can the option of suicide act as a "safety valve" for some?
How long does a period of imminent suicidal crisis typically last?
Why is "limiting access to lethal means" critical for safety?
What is "means substitution" and does it actually happen?
What words should I use when walking into an ER during a crisis?
What medical tests are performed during a psychiatric ER visit?
Will I be handcuffed if I admit I am suicidal at a hospital?
How do I tell a therapist I have a plan without being hospitalized?
What are "coping cards" and how can they help?
How can communities better support those with suicidal thoughts?

#suicideprevention #mentalhealth #teenmentalhealth

Alcohol use disorder and gray area drinking affect millions who wonder "am I an alcoholic?" — but don't fit the stereotype. Licensed clinical social worker Kelley Kitley shares her personal recovery story and 20+ years of professional expertise to help you recognize the signs of problem drinking, understand the difference between sobriety and recovery, and find practical strategies for moderation, tapering, and navigating social situations without alcohol. Whether you're questioning your own drinking habits or supporting someone else, this expert interview breaks down DSM criteria, internal warning signs, and health risks in plain language you can actually understand.

Find the right treatment for you at Recovery.com
https://www.recovery.com

0:00 — Introduction: Who Is Kelley Kitley?
1:03 — Kelley's Personal Story: From Bar Business to Recovery
3:07 — What Is Alcohol Use Disorder? (DSM Criteria Explained)
6:46 — Signs of Problem Drinking & Gray Area Drinking
11:14 — Coping Mechanisms & Social Anxiety Without Alcohol
16:50 — Internal Signs, Moderation Management & "Dry January"
21:30 — Comparing Drinking Habits & Hidden Health Risks
26:06 — Sobriety vs. Recovery: Why Just Stopping Isn't Enough
34:42 — Brain Repair Timeline & Tapering Strategies
37:25 — Managing Social Situations in Sobriety

#AlcoholUseDisorder #GrayAreaDrinking #SoberCurious

Can you really rewire your brain after years of addiction? Dr. Judson Brewer explains the science of neuroplasticity and the secret to unlearning any habit.

In this second installment, host Terry Maguire continues the conversation with world-renowned psychiatrist and neuroscientist Dr. Judson Brewer (Dr. Jud). We explore why habits are formed to help us survive and how those same mechanisms can be hijacked by addiction . Dr. Jud explains the Default Mode Network and why it's the "home base" for cravings, worry, and rumination .

Find mental health and addiction treatment near you: https://recovery.com/
Dr. Jud is the New York Times bestselling author of Unwinding Anxiety and The Craving Mind and currently serves as a researcher and clinician. In this episode, he breaks down why smartphones are essentially "pocket slot machines" that use intermittent reinforcement to keep us hooked . He also debunks the 21-day habit myth and shares laboratory data showing that reward values can actually shift in as few as 5 to 15 mindfully aware experiences.

Learn how to step out of the "shame loop" and into a "learning loop" by using curiosity as a clinical intervention . We discuss the HALT method (Hungry, Angry, Lonely, Tired) for identifying stress triggers and the neuroscience behind why meeting a need is always better than feeding a want . Whether it’s substance use, social media, or problematic eating, Dr. Jud proves that everything is recoverable if it is a habit.

Chapters:
00:00 – [Intro]
01:09 – Defining Addiction: Continued Use Despite Consequences
05:26 – Why Addiction is Not a Moral Failure
08:30 – The Default Mode Network & Brain Cravings
13:47 – How to Rewire Your Brain After Years of Use
20:13 – The 21-Day Habit Myth Debunked
27:14 – Are Cell Phones "Pocket Slot Machines"?
33:32 – Dealing with Slips and the "Shame Loop"
43:12 – How Mindfulness Rewires the Brain
51:18 – Dr. Jud's Advice for Loving Someone with Addiction

Questions the Video Answers:
What actually happens in the brain during a craving?


Is it really possible to unlearn any habit?


What is the Default Mode Network in the brain?


Why do slot machines and phones get us addicted?


How many times does it take to change a reward value?


Does a single slip mean I’m back at square one?


Can mindfulness help with addiction recovery?


What is the HALT method for stress management?


Why does curiosity help stop a craving?


Is addiction primarily about choice or survival?


How long does the brain take to form a new habit?


What is "Intermittent Reinforcement"?


How do parents protect their teenager's brain?


How do medications like methadone affect receptors?


Why is "meeting a need" better than "feeding a want"?


#Neuroscience #AddictionRecovery #HabitChange

ADHD isn’t laziness; it’s a neurodevelopmental difference that affects attention, executive function and impulse control. In this eye‑opening conversation with child psychologist Dr. Carrie Jackson, we explore what ADHD really is and why many people’s organizational skills lag by about 30%. You’ll learn how inattention and hyperactivity manifest across the lifespan, why it’s not a knowledge problem but a challenge in acting on intentions, and how misunderstood “ADHD paralysis” keeps you stuck on tasks. Learn science‑backed ways to break paralysis – from changing your environment and using body doubling to working in short two‑minute bursts.

Find mental health and addiction treatment near you: https://recovery.com/
Learn more about Dr. Carrie Jackson: https://www.drcarriejackson.com/

Dr. Jackson also debunks myths about stimulant medication: it targets dopamine and norepinephrine, calms impulsivity and even improves emotion regulation and social skills. Untreated ADHD, however, is linked with accidents, health complications and shorter life expectancy, while proper treatment significantly reduces the risk of substance use disorders by about 40%. For parents, she offers executive function tips, visual schedules and time‑blocking strategies—start with just three important tasks and block realistic calendar slots to avoid burnout. We discuss 504 plans, flexible seating and other accommodations that level the playing field at school and work. Finally, we address relationships: how to explain ADHD to your partner, use non‑judgmental language and focus on positive reinforcement. ADHD is a brain difference, not a flaw; with support, self‑awareness and the right tools, you can thrive.

⏱️ Chapters:
00:00 – What Is ADHD? Neurodevelopment & Executive Function
04:12 – ADHD Time Management & Parenting Morning Routines
08:50 – ADHD vs Anxiety: Overlap & Differences
13:30 – Medication Myths: Benefits vs Stimulant Fears
18:20 – Untreated ADHD Risks & Substance Use
22:45 – ADHD Paralysis, Body Doubling & Time Blocking Tips
29:10 – Accommodations, Relationships & Final Takeaways

❓ Questions the Video Answers:

What is ADHD and how does it affect executive functioning?

Why are organizational skills often 30% behind in people with ADHD?

How is ADHD different from anxiety and depression?

What are the signs of ADHD time blindness and how do you manage it?

What is ADHD paralysis and how can you stop procrastination?

How does body doubling help with task initiation and focus?

What are effective time‑blocking and time management tips for adults with ADHD?

Are ADHD medications safe, and what benefits do stimulants provide?

What are the consequences of untreated ADHD on health and lifespan?

Does treating ADHD reduce the risk of substance use disorders?

How can parents create morning routines and visual schedules for ADHD kids?

What accommodations can schools or workplaces provide for ADHD?

How do you explain ADHD to your partner and repair relationships after impulsivity?

Is ADHD a disability or a strength, and how can you embrace both?

How can you focus with ADHD without burning out or feeling overwhelmed?

#ADHD #MentalHealth #TimeManagement

Alcohol use disorder vs. gray area drinking — what's the difference, and how do you know when your drinking has become a problem?

In this episode, licensed clinical social worker and national mental health expert Kelley Kitley breaks down the real signs of alcohol use disorder (AUD), explains what "gray area drinking" actually means, and answers the question so many people are afraid to ask: am I an alcoholic?

Kelley draws on both her clinical expertise and her own personal recovery journey to help you understand:

✔ The DSM criteria for alcohol use disorder
✔ What gray area drinking looks like — and why it's so easy to miss
✔ Why drinking every night is NOT normal, and what it does to your body
✔ How to talk to a loved one about their drinking without pushing them away
✔ The difference between supporting someone and enabling them
✔ Treatment options: therapy, intensive outpatient programs (IOP), 30-day inpatient, and medical detox
✔ What medications like Naltrexone do for alcohol cravings
✔ Why relapse doesn't mean failure — and when recovery finally "clicks"

Whether you're questioning your own drinking, worried about someone you love, or just trying to understand alcohol addiction recovery, this conversation is for you.

0:00 — Introduction
1:26 — What Is Alcohol Use Disorder (AUD)?
3:05 — Gray Area Drinking: Are You in the Gray Zone?
4:11 — Is It Normal to Drink Every Night?
5:55 — How Alcohol Destroys Your Sleep
7:30 — "I Don't Have an Off Switch" — Kelley's Personal Story
9:44 — Why Trying to Moderate Drinking Rarely Works
11:24 — What Happens When You Quit Drinking
13:23 — How Alcohol Affects Your Kids & Genetic Risk
15:56 — The Moment Kelley Decided to Get Sober
18:29 — How to Talk to a Loved One About Their Drinking
21:56 — Setting Boundaries vs. Enabling
25:15 — How to Encourage Someone to Seek Treatment
30:03 — Treatment Options: Therapy, IOP & Inpatient Rehab
34:14 — What Medical Detox Actually Involves
37:49 — Why Relapse Is Not a Failure
41:15 — Naltrexone & Medications for Alcohol Use Disorder
43:32 — Where to Find Help & Resources

Kelley Kitley is a licensed clinical social worker, national mental health expert, and person in long-term recovery. She specializes in breaking cycles of trauma and addiction using a holistic approach.

#AlcoholUseDisorder #GrayAreaDrinking #AddictionRecovery

Find the right treatment for you at Recovery.com
https://www.recovery.com

What is brainspotting therapy and how does it actually work? Dr. Jenny Hughes, licensed clinical psychologist and trauma expert, explains this revolutionary approach to healing trauma — including how it differs from EMDR, why where you look affects how you feel, and what happens during a real brainspotting session.

In this interview, Dr. Hughes breaks down the science behind brainspotting: how it accesses the subcortical parts of your brain where trauma is stored, why you don't need to talk through your trauma for it to work, and the accidental discovery by David Grand that changed trauma therapy forever.

⏱️ TIMESTAMPS
0:00 — Intro: What Is Brainspotting?
1:33 — Myth or Fact Lightning Round
5:11 — The Accidental Discovery (David Grand & the Skater)
8:15 — EMDR vs. Brainspotting: Quick Overview
8:49 — How Brainspotting Actually Works
10:08 — The "Inside Window" & Finding Your Brain Spot
10:52 — Focused Mindfulness & the Subcortical Brain
12:26 — The Pointer, Variations & Therapist Training
13:33 — Why Therapists Experience Brainspotting First
15:21 — EMDR vs. Brainspotting: The Key Differences
16:50 — What Changes After Brainspotting Therapy
18:15 — Which Therapy Is Right for You?

🔗 ABOUT DR. JENNY HUGHES
Dr. Jenny Hughes is a licensed clinical psychologist specializing in trauma, anxiety, and evidence-based therapies including Brainspotting and EMDR.

🎙️ ABOUT RECOVERABLE
RECOVERable answers the internet's most-asked questions about mental health, anxiety, depression, trauma, and addiction recovery — through expert interviews you can actually understand.

Find the right treatment for you at Recovery.com
https://www.recovery.com

EMDR therapy is one of the most effective treatments for trauma, anxiety, and PTSD — and most people have never heard of it.

In this episode of RECOVERable, licensed clinical psychologist and trauma expert Dr. Jenny Hughes breaks down exactly what EMDR therapy is, how it works, and whether it's right for you.

Dr. Hughes covers:
✔ What EMDR therapy actually is — and what it isn't
✔ How trauma gets "stuck" in your brain (and how EMDR unsticks it)
✔ The difference between EMDR and traditional talk therapy
✔ All 8 phases of an EMDR session, explained step-by-step
✔ Whether EMDR works for anxiety, depression & complex PTSD
✔ Common myths about EMDR — and what the science says
✔ Why you should NEVER try to do EMDR on your own
✔ How to find a certified EMDR therapist

If you've been struggling with trauma, anxiety, or depression — and feel stuck — this conversation gives you a clear, practical understanding of one of the most powerful healing tools available.

——————————————————————
🕒 CHAPTERS
0:00 — Introduction: What Is EMDR Therapy?
1:12 — How Trauma Affects Your Brain
3:02 — Bottom-Up vs. Top-Down Therapy
3:37 — EMDR Myth vs. Fact ⚡ Lightning Round
9:47 — What EMDR Therapy Actually Is
12:05 — How to Find the Right EMDR Therapist
13:41 — EMDR vs. Brain Spotting: What's the Difference?
14:37 — What Can EMDR Treat?
15:58 — The Science & Research Behind EMDR
18:13 — What a Client Experiences During EMDR
22:33 — EMDR Session Walkthrough: All 8 Phases
36:35 — Do You Have to Relive Your Trauma?
39:33 — EMDR vs. Talk Therapy
41:09 — What If You Don't Know What to Target?
43:17 — Risks of EMDR Therapy
44:25 — Can You Do EMDR on Yourself?
45:59 — Does EMDR Work for Anxiety & Depression?
50:01 — In-Person vs. Virtual EMDR
51:20 — Where to Find Help & What's Next
——————————————————————

RECOVERable is a production of Recovery.com — the best place to find mental health and addiction treatment.

Find the right treatment for you at Recovery.com
https://recovery.com

Is willpower alone enough to beat opioid addiction, or are we fighting a medical disease with the wrong tools? In this episode of the Recoverable podcast, we shift the paradigm from shame to evidence-based science.

Find mental health and addiction treatment near you: https://recovery.com/

Host Terry McGuire sits down with Dr. Steven Klein, MD, PhD, a triple-boarded physician in pediatrics, genetics, and addiction medicine who serves as full-time faculty at Caron Treatment Centers. Dr. Klein brings a deeply authentic perspective to the table as a professional in long-term recovery himself, diving into the raw mechanics of Medications for Opioid Use Disorder (MOUD). We break down the crucial differences between traditional Medication-Assisted Treatment (MAT) and OUD-specific options like Suboxone (buprenorphine/naloxone), oral naltrexone, and the game-changing shift toward monthly long-acting injectables.

Dr. Klein directly confronts the intense societal stigma and the ongoing debate within 12-step recovery groups like Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) over whether using addiction medication means you are truly "sober". He shares the striking clinical data regarding the low number needed to treat (NNT) for buprenorphine compared to other lifelines in modern medicine. Beyond the blocking of withdrawal symptoms and cravings, we uncover the profound psychological "why" behind substance abuse—looking closely at trauma, identity, and the heavy sense of disconnection that fuels severe opioid use disorder. If you or a loved one are trying to navigate rehab options, outpatient detox programs, or sober living rules, this conversation offers data-backed hope. Subscribe for Part 2 next week, and leave a comment below with your thoughts!

Chapters:
00:00 – Changing the Paradigm of Addiction Recovery
01:11 – Dr. Stephen Klein’s Personal Recovery Journey
03:36 – What is the Difference Between MAT and MOUD?
05:12 – The Opioid Class: From Prescription Pills to Kratom
07:05 – Is Abstinence Always the Goal of MOUD Treatment?
09:28 – How Do We Measure Success in Addiction Recovery?
11:34 – How Suboxone and Naltrexone Block Cravings
14:56 – Navigating Stigma: "Replacing One Drug with Another"
21:16 – How Monthly Injectables Change Compliance and Self-Stigma
23:55 – The True Medical Risks of Untreated Opioid Withdrawal

Questions the Video Answers:

What is the difference between MAT and MOUD in addiction treatment?

How does Suboxone (buprenorphine/naloxone) work for opioid addiction?

Can you use naltrexone for both opioid and alcohol use disorder?

Why do 12-step programs like AA and NA stigmatize Suboxone users?

How do monthly injectable addiction medications like Vivitrol reduce self-stigma?

What is the Sinclair Method for treating alcohol use disorder?

Is a person on MOUD considered truly sober and in recovery?

What are the side effects of buprenorphine vs untreated opioid withdrawal?

Does health insurance or Medicaid cover long-acting injectable opioid treatments?

Why is kratom considered an emerging and dangerous opioid alkaloid?

How do trauma and deep emotional disconnection cause substance abuse?

How can family members support a loved one starting buprenorphine?

#OpioidAddiction #SuboxoneRecovery #AddictionMedicine

Can a weight-loss medication actually cure your deepest cravings? Discover how GLP-1 drugs are revolutionizing the landscape of addiction recovery.

Find mental health and addiction treatment near you: https://recovery.com/

In this episode of Recoverable, host Terry McGuire sits down with Dr. Steven Klein, an expert medical professional specializing in addiction medicine who also brings his own powerful lived experience of nine years in long-term recovery. Together, they explore the fascinating science of drug repurposing—shifting medications like semaglutide and tirzepatide (widely known under brand names like Ozempic, Wegovy, Mounjaro, and Zepbound) from type 2 diabetes and chronic weight management over to the frontlines of substance use disorder treatment. Dr. Klein breaks down how these powerful gut-brain peptides quiet persistent "food noise" and "drug noise" by directly targeting the mesolimbic dopamine system, which controls the brain’s fundamental reward circuitry.

Whether discussing alcohol use disorder, opioid use disorder, nicotine dependence, or behavioral addictions like compulsive gambling, this deep-dive addresses the critical neurobiology behind how GLP-1 for addiction functions as a substance-agnostic tool. You’ll learn about recent groundbreaking clinical data showing a 50% drop in substance-related mortality, the clinical reality of off-label prescribing, common GI side effects, and what happens to internal cravings once you stop taking the medication. Dr. Klein shares his profound "record needle" analogy, showing how these treatments temporarily quiet internal noise so individuals can learn a completely new behavioral song. If you or a loved one are exploring cutting-edge medical tools to support sustainable recovery, reduce relapse, and reclaim your agency, this episode provides essential context, breaking down the artificial boundaries between physical metabolic health and mental health.

Watch the full conversation to unlock the future of highly personalized behavioral care. Don't forget to like this video, subscribe to the channel, and share your thoughts or personal experiences in the comments section below!

Chapters: 00:00:00 – Intro 

00:01:14 – How GLP-1s Transformed My Relationship with Food 

00:06:27 – How Weight Loss Drugs Ended Up on the Addiction Radar  

00:09:05 – How GLP-1s Treat the Core Circuitry of Addiction  

00:11:14 – What Are the Side Effects of GLP-1 Medications?  

00:15:18 – How Do GLP-1 Drugs Actually Work for Addiction?  

00:18:00 – Does Brain Rewiring Continue After Stopping GLP-1s?  

00:23:49 – Are GLP-1s FDA-Approved for Addiction Treatment?  

00:26:53 – Do GLP-1s Cause Anhedonia or Suicidal Thoughts?  

00:42:31 – Can You Take GLP-1s for Addiction Without Losing Weight?

Questions the Video Answers:

1. How do GLP-1 drugs work for addiction treatment?
2. Can Ozempic or Wegovy help reduce alcohol cravings?
3. What is the success rate of GLP-1 medications for substance use disorders?
4. How do diabetes and weight-loss drugs quiet food noise in the brain?
5. Are GLP-1 medications FDA-approved to treat alcohol or opioid addiction?
6. What are the common side effects of using GLP-1s for addiction recovery?
7. Do cravings return after you stop taking semaglutide or tirzepatide?
8. Can you take GLP-1 medications for addiction if you don't want to lose weight?
9. How do GLP-1 agonists impact the brain's dopamine reward system?
10. Is it safe to combine GLP-1s with other addiction medications like buprenorphine?
11. Will health insurance cover Ozempic or Zepbound if prescribed off-label for addiction?
12. Can GLP-1 medications help treat behavioral addictions like gambling or sex addiction?
13. What did the British Medical Journal study find regarding GLP-1s and substance mortality?
14. Does taking weight-loss drugs cause anhedonia or a general loss of joy?
15. How long will it take for the FDA to approve GLP-1s for addiction?

#GLP1ForAddiction #OzempicForAddiction #AddictionRecovery

Are you secretly struggling with a sports betting addiction or trying to survive financial ruin after chasing losses online? Learn how to break free. In this episode of the RECOVERable Podcast, host Terry McGuire continues an impactful conversation with expert psychologist Dr. Michael Zhang to explore the psychology of behavioral addiction. Together, they pull back the curtain on the industry's hidden traps, detailing the process of self-exclusion and explaining how modern gambling apps add layers of friction—or fail to enforce bans when you are at your most vulnerable. 

Find mental health and addiction treatment near you: https://recovery.com/

Dr. Michael Zhang, a leading psychologist and the innovative founder of the digital platform Incremental, breaks down why gambling disorder is uniquely recognized in the DSM-5 as the only official behavioral addiction. He addresses the intense psychological turmoil that comes with problem gambling, offering actionable advice on how to handle the immediate panic of massive financial loss and the daunting challenge of telling a partner or parents about severe gambling debt. Terry and Dr. Zhang take a hard look at the emerging landscape of sports betting apps and prediction markets, debunking the dangerous myth that betting on sports is purely a game of skill rather than high-risk gambling. 

They also expose the conflicts of interest behind industry-funded 'responsible gambling' programs, urging viewers to follow the money and seek independent recovery support instead. By explaining how variable ratio schedules and intermittent reinforcement keep your brain hooked on fake wins, Dr. Zhang delivers a powerful blueprint for shifting from active addiction into lasting freedom. If you are ready to stop active betting, escape the exhausting double life, and discover what true recovery looks like after hitting rock bottom, this conversation is for you. Watch the full episode to learn how to break the spell, rebuild broken relationships, and build a beautiful, authentic life. Don't forget to like, subscribe, and share this video with someone who needs to hear it today. 

Chapters: 00:00 – [Intro] 00:48 – How Self-Exclusion Works 03:09 – Using Self-Exclusion on Gambling Apps 06:29 – The Significance of Gambling in the DSM-5 08:20 – Handling the Panic of Massive Financial Loss 10:29 – How to Tell Your Family About Gambling Debt 15:14 – Is Sports Betting Gambling or Skill? 22:27 – How Gambling Hotlines Help 24:48 – Addressing Gambling as a Public Health Issue 31:02 – The Overlap with Substance Abuse and True Recovery 

Questions the Video Answers:

1. How do you stop gambling when you can't control it?
2. What is self-exclusion in gambling and does it work?
3. Can you ban yourself from online sports betting apps?
4. Why is gambling addiction classified as a behavioral disorder in the DSM-5?
5. How do I handle the immediate panic after losing all my money gambling?
6. What is the best way to tell your partner you lost rent money gambling?
7. Is sports betting considered real gambling or a game of skill?
8. Why do I keep losing money on sports betting apps?
9. How does calling a gambling addiction hotline help you?
10. Is problem gambling a recognized public health issue?
11. Why is the gambling industry funding responsible gambling programs?
12. What is the relationship between alcohol abuse and gambling addiction?
13. Can overcoming a gambling problem cure depression and anxiety?
14. What does true recovery from a gambling addiction actually look like?
15. How do you break the cycle of chasing losses in gambling

#GamblingAddiction #SportsBetting #AddictionRecovery

Are you or someone you love secretly struggling with a gambling problem? Discover how modern apps trap your mind and how to break the cycle. In this episode of the Recoverable Podcast, host Terry McGuire sits down with expert psychologist Dr. Michael Zhang to uncover the hidden psychology of gambling addiction. They explore why it is so difficult to recognize and why individuals get caught in a dangerous loop of chasing losses. 

Find mental health and addiction treatment near you: https://recovery.com/

Dr. Michael Zhang, a leading psychologist and founder of the innovative digital recovery support platform Income, breaks down the progression of problem gambling from innocent recreational play to a severe diagnosable disorder. Unlike substance abuse, a sports betting or online slots addiction often forces individuals to live double lives, hiding the financial and emotional damage directly inside their bank accounts. Dr. Zhang explains the neurological mechanism behind the "near-miss" effect and how anticipation triggers dopamine pathways long before an outcome is even revealed. 

This deep-dive conversation shatters common myths about willpower, explains official diagnostic criteria, and highlights the terrifyingly high suicide rates associated with this hidden epidemic. If you want to understand how online sports betting apps and prediction markets are engineered to keep you hooked, this video will open your eyes. More importantly, you will learn the crucial difference between temporarily stopping the behavior and completely removing the psychological desire to gamble. 

If you are ready to shift from gambling mode to recovery mode and successfully rebuild your life, watch this full episode for actionable, evidence-based insights. Don't forget to like, subscribe, and share this video with someone who needs to hear it. 

Chapters:

00:00 – Intro

01:54 – Defining Gambling Addiction vs. Gambling a Lot 

04:10 – The Stages of Problem Gambling 

08:25 – Why Awareness of the Problem Develops Slowly 

12:44 – The Dopamine Psychology of a Gambler's Brain 

18:31 – How Modern Technology and Online Apps Changed Gambling 

24:50 – The Psychology of Living a Double Life 

30:15 – Myth vs. Fact: Debunking Common Gambling Misconceptions 

38:57 – Official Diagnostic Criteria for Gambling Disorder 

49:27 – How to Actually Stop Gambling and Rebuild Your Life  

Questions the Video Answers:

1. How do you define a gambling addiction vs gambling a lot? 
2. What are the psychological stages of problem gambling? 
3. Why do people with gambling addictions chase losses? 
4. How does dopamine affect a gambler's brain during anticipation? 
5. Why is a gambling addiction harder to spot than drug or alcohol abuse? 
6. How do modern online betting apps use psychological tricks to keep you hooked? 
7. What is the connection between gambling addiction and high suicide rates? 
8. What are the official diagnostic criteria for a gambling disorder? 
9. Why do gamblers live double lives and hide financial losses? 
10. How do you stop gambling when you have lost everything? 
11. Does paying off someone's gambling debt actually help their recovery? 
12. How does the brain react to a "near miss" in gambling? 
13. What is the difference between taking yourself out of gambling and taking gambling out of you? 
14. What treatment options are effective for long-term gambling recovery? 
15. How can you shift from gambling mode to recovery mode to rebuild your life? 

#GamblingAddiction #ProblemGambling #HowToStopGambling

Can ketamine and MDMA truly transform trauma and severe depression? Clinical psychologist Dr. Chantelle Thomas, PhD, joins Terry McGuire to reveal the clinical truth behind psychedelic-assisted therapy. 

Find mental health and addiction treatment near you: https://recovery.com/

In this episode of RECOVERable, host Terry McGuire sits down with research facilitator Dr. Chantelle Thomas, PhD, for part one of a deep dive into the clinical landscapes of ketamine therapy and MDMA-assisted psychotherapy. Together, they dispel common myths surrounding recreational vs. therapeutic drug use, explaining how "set and setting" fundamentally alter patient outcomes. 

Dr. Thomas explains how ketamine acts on glutamate pathways and brain-derived neurotrophic factor (BDNF) to offer rapid antidepressant relief in hours rather than weeks. You'll learn the crucial differences between standalone IV ketamine infusion clinics and comprehensive ketamine-assisted psychotherapy (KAP), as well as how integration therapy anchors altered states of consciousness into lasting recovery. 

The conversation shifts to MDMA-assisted therapy for PTSD. Dr. Thomas shares insights from FDA clinical trials, highlighting how MDMA expands a patient's capacity to process deep trauma without being overwhelmed. They discuss cardiac risks, candidate screening, abuse potential, and why psychedelic therapy requires skilled facilitation. 

Whether you are exploring treatment-resistant depression, trauma recovery, or alternative mental health treatments, subscribe to RECOVERable for expert insights and stay tuned for part two on psilocybin and ibogaine! 

Chapters: 00:00 – Introduction & Psychedelic Myths 01:20 – What Is Set and Setting? 05:58 – Ketamine vs Antidepressants for Depression 08:00 – Is Ketamine FDA Approved? 14:49 – What Is Ketamine-Assisted Psychotherapy? 22:03 – Ketamine for Addiction & Trauma 27:00 – What Ketamine Therapy Feels Like 36:08 – MDMA-Assisted Therapy for PTSD 42:34 – MDMA vs Traditional Trauma Therapy 54:11 – Critical Takeaways Before Trying Psychedelic Therapy 

Can psilocybin and ibogaine truly cure depression and addiction, or are the risks being ignored?

Find mental health and addiction treatment near you: https://recovery.com/

In Part 2 of this episode of RECOVERable, host Terry McGuire sits down with clinical psychologist and research facilitator Dr. Chantelle Thomas, PhD, to explore the therapeutic potential, safety profiles, and common misconceptions surrounding psilocybin and ibogaine. Dr. Chantelle Thomas, a leading psychologist and researcher who has facilitated clinical trials at the University of Wisconsin-Madison, breaks down the emerging science behind psychedelic-assisted therapy for major depressive disorder, opioid use disorder, and severe trauma.

Together, Terry McGuire and Dr. Thomas separate myth from fact regarding magic mushrooms, neurogenesis, dendritic growth, and the cardiotoxicity risks of ibogaine treatment. Dr. Thomas explains how psilocybin turns down predictive thinking and increases experiential engagement, helping individuals break free from rigid, limiting thought patterns. They also examine the critical distinction between recreational mushroom use at music festivals and structured clinical treatment protocols.

Additionally, Dr. Thomas reveals why psychedelic integration and proper therapeutic preparation are vital, explaining how psychedelics can act as a powerful "gateway drug for therapy" rather than a standalone miracle cure. Whether you are curious about state-level legalization in Oregon, Colorado, and New Mexico, upcoming FDA approval timelines, or how non-ordinary states of consciousness facilitate personal transformation, this episode offers an essential, grounded perspective on the future of behavioral health and recovery. Subscribe for more deep dives into evidence-based mental health treatment!

Chapters:
00:00 – Introduction to Psilocybin & Ibogaine
00:01:35 – Psychedelic Myths vs. Facts
00:06:35 – Neurogenesis & Brain Connectivity
00:10:00 – Psilocybin Clinical Trials & Research
00:18:00 – What Happens in Psilocybin Therapy?
00:23:15 – Why Psychedelic Integration Matters
00:33:15 – Risks, Benefits, & FDA Approval Timelines
00:48:50 – Ibogaine for Opioid Addiction
00:55:00 – Safety & Caution in Ibogaine Treatment
00:59:30 – Final Advice on Psychedelic Healing

Questions the Video Answers:

Is psilocybin therapy effective for major depressive disorder?

How does ibogaine treat opioid addiction and withdrawal?

Can you get permanently trapped in a bad psilocybin trip?

What is the difference between recreational magic mushrooms and psilocybin therapy?

Does psilocybin stimulate neurogenesis and create new neural pathways?

What are the cardiotoxicity and heart risks associated with ibogaine?

How close is psilocybin to receiving FDA approval?

What is psychedelic integration and why is it necessary?

Can a single dose of psilocybin or ibogaine cure addiction?

Where is psilocybin therapy legally available in the United States?

How does psilocybin alter brain network communication?

What happens during an ibogaine life review experience?

How should you prepare for psychedelic-assisted therapy?

Why is traditional psychotherapy crucial before and after psychedelic treatment?

#Psilocybin #PsychedelicTherapy #Ibogaine

Is extreme picky eating actually a life-threatening eating disorder? In this episode of RECOVERable, host Terry McGuire sits down with psychiatrist Dr. Brad Smith to break down Avoidant Restrictive Food Intake Disorder (ARFID).

Find mental health and addiction treatment near you: https://recovery.com/

Avoidant Restrictive Food Intake Disorder (ARFID) is far more than selective eating—it is a complex, recognized mental health condition that goes well beyond simple food preferences. Unlike anorexia nervosa or bulimia nervosa, ARFID is not driven by body image, weight loss, or body size concerns. Instead, it stems from severe sensory sensitivities to food textures and smells, aversive trauma responses following a traumatic choking or vomiting episode, or a total lack of appetite and interest in eating.

In this comprehensive guide, Dr. Brad Smith, an expert psychiatrist and medical leader at The Emily Program, clears up pervasive myths surrounding restrictive eating disorders. He explores the medical consequences of malnutrition, including severe cardiac arrhythmia, digestive slowdown, and brain fog, as well as the deep emotional and social isolation that living with food anxiety creates. We also examine the strong co-occurrence between ARFID, neurodivergence, Autism Spectrum Disorder (ASD), and ADHD.

Learn how medical professionals diagnose ARFID, why multivitamins are not a substitute for complete food nutrition, when higher levels of care or an NG feeding tube become essential tools for medical stabilization, and how exposure therapy with response prevention (ERP) helps patients safely expand their diet. Whether you are a parent wondering if your child's picky eating has crossed the line, or an adult navigating severe food aversion, this episode provides actionable clarity and hope for full recovery. Subscribe to RECOVERable for more insights on mental health, addiction, and recovery support.

Chapters: 00:00 – Intro: ARFID Myths vs. Facts

07:33 – What Is ARFID (Avoidant Restrictive Food Intake Disorder)?

08:52 – What Drives ARFID: Sensory, Trauma, & Low Appetite

12:51 – Is ARFID Just Extreme Picky Eating?

16:01 – When Do People Seek Treatment for ARFID?

20:12 – Physical, Emotional, & Social Impacts of ARFID

33:46 – What Is the Link Between ARFID, Autism, & ADHD? 

36:31 – How Serious Is ARFID & Can It Be Fatal? 

40:48 – When Is an NG Feeding Tube Necessary? 

51:26 – What Does Professional ARFID Treatment Look Like?

Questions the Video Answers:

1. What is Avoidant Restrictive Food Intake Disorder (ARFID)?
2. What is the difference between picky eating and ARFID?
3. What are the three main types or driving factors of ARFID?
4. Can adults develop ARFID or does it only affect children?
5. Is ARFID caused by gentle parenting or spoiling a child?
6. Do you have to be underweight to be diagnosed with ARFID?
7. What physical health risks and heart complications are associated with ARFID?
8. What is the connection between ARFID, Autism Spectrum Disorder, and ADHD?
9. Does a child having ARFID mean they are automatically autistic?
10. Can ARFID be fatal if left untreated?
11. How does an NG feeding tube help in severe ARFID recovery?
12. Can taking multivitamins cure or treat ARFID?
13. How do medical clinicians diagnose ARFID?
14. What is the difference between ARFID and Anorexia Nervosa?
15. What therapy methods (like ERP) are used to treat ARFID?

#ARFID #EatingDisorders #MentalHealth

Are you living in constant survival mode, hypervigilant in relationships, or wondering why safe environments feel uncomfortable? You might be living with Complex Post-Traumatic Stress Disorder (CPTSD). In Part 2 of this deep dive on RECOVERable, host Terry McGuire sits down again with licensed clinical therapist and trauma expert Amanda Stretcher Lewis, MA, LPC-S, to explore how chronic relational trauma shapes the developing brain and nervous system.

Find mental health and addiction treatment near you: https://recovery.com/

Unlike single-event PTSD, complex PTSD stems from repeated interpersonal trauma, emotional neglect, or attachment wounds during childhood. In this episode, Amanda Stretcher Lewis—a trauma-informed therapist, supervisor, and co-founder of Crescent Counseling Dallas—explains why complex trauma leads to deep-seated feelings of shame, self-blame, and dissociation. Amanda breaks down why CPTSD is frequently misdiagnosed as depression, anxiety, BPD, or ADHD, and why it is currently omitted from the DSM-5 despite being recognized internationally in the ICD-11.

Discover how somatic therapies like Brainspotting, Sensorimotor Psychotherapy, and the Safe and Sound Protocol help process trauma stored in the body beyond traditional talk therapy. Learn actionable tools to expand your window of tolerance, navigate relationship triggers, overcome trauma bonding, and step out of survival mode into genuine post-traumatic growth. Subscribe to RECOVERable for more expert mental health guidance, leave your thoughts in the comments, and share this video with anyone healing from childhood trauma!

Chapters: 00:00 – PTSD vs. CPTSD 00:01:29 – Brain Development & Relational Trauma 00:06:13 – Childhood Validation & Internalized Shame 00:08:49 – Developmental Tasks & CPTSD Deficits 00:10:44 – Understanding Dissociation & Coping Mechanisms 00:15:29 – Relational Healing & Trauma Therapy 00:23:12 – Why Survivors Minimize Childhood Trauma 00:31:36 – Trauma Bonding & CPTSD Triggers 00:37:01 – Misdiagnosis & Why CPTSD Isn't in the DSM-5 00:45:10 – Somatic Therapies & Signs of Recovery

Questions the Video Answers:

1. What is the difference between PTSD and Complex PTSD (CPTSD)?
2. How does childhood relational trauma affect brain development?
3. Why do trauma survivors internalize shame and self-blame?
4. What developmental milestones are missed due to childhood CPTSD?
5. What is dissociation and how does it manifest in daily life?
6. How does dissociation impact performance in high-stress jobs?
7. How can you support a romantic partner living with CPTSD?
8. What is trauma bonding and how does it affect relationships?
9. What are common relational triggers for people with CPTSD?
10. Why is CPTSD often misdiagnosed as depression, anxiety, or BPD?
11. Why is Complex PTSD included in the ICD-11 but missing from the DSM-5?
12. Can Complex PTSD be completely cured or healed?
13. What are the best somatic therapies for complex trauma recovery?
14. How do modalities like Brainspotting and EMDR help process trauma?
15. What are the early signs that CPTSD healing is taking root?

#CPTSD #ComplexPTSD #TraumaRecovery

Are you constantly living in survival mode without knowing why? You might be experiencing Complex Post-Traumatic Stress Disorder (CPTSD).

Find mental health and addiction treatment near you: https://recovery.com/

In part one of this two-part series on RECOVERable, host Terry McGuire sits down with licensed clinical therapist and trauma expert Amanda Stretcher Lewis to deeply explore Complex PTSD (CPTSD). Unlike single-event PTSD, CPTSD often stems from chronic, repeated exposure to relational trauma, emotional neglect, or attachment injuries during critical stages of brain development.

In this episode, Amanda breaks down why so many individuals spend years feeling broken, hypervigilant, or trapped in relentless people-pleasing without realizing their nervous system is responding to past wounds. We examine the core differences between PTSD and CPTSD, discuss why CPTSD is so frequently misdiagnosed as treatment-resistant depression or anxiety, and uncover how high-functioning individuals mask severe burnout. Amanda also sheds light on the protective nature of survival strategies, the impact of parentification, and why setting healthy boundaries can feel so intimidating after trauma.

If you have ever felt like safe relationships are uncomfortable or that life is simply harder for you than others, this conversation offers essential clarity, validation, and actionable insight to help you move from self-blame to self-compassion.

Be sure to subscribe so you don't miss Part 2, and share this video with anyone who needs help understanding trauma.

Chapters:

00:00 – Introduction

00:01:28 – Myth vs. Fact: CPTSD

00:06:41 – What Is Complex PTSD (CPTSD)? 

00:08:45 – PTSD vs. CPTSD: Key Differences 

00:15:39 – What Causes CPTSD & Relational Trauma? 

00:19:43 – Signs and Symptoms of CPTSD 

00:24:25 – People Pleasing and Setting Boundaries 

00:28:18 – Is CPTSD Misdiagnosed as Depression? 

00:32:25 – CPTSD in High-Functioning Individuals 

00:46:15 – Adaptive Strategies & Survival Responses

Questions the Video Answers:

1. What is the difference between PTSD and Complex PTSD (CPTSD)?
2. What causes Complex PTSD in adults and children?
3. Can emotional neglect cause CPTSD without physical abuse?
4. What are the most common signs and symptoms of CPTSD?
5. Why do safe relationships feel threatening or uncomfortable after trauma?
6. Is CPTSD frequently misdiagnosed as clinical depression?
7. How does CPTSD show up in high-functioning individuals?
8. Can you have CPTSD if you don't remember your childhood trauma?
9. What is parentification and how does it cause relational trauma?
10. Why does CPTSD cause chronic hypervigilance and survival mode?
11. How does childhood trauma lead to adult people-pleasing?
12. Why are boundaries so hard to set for trauma survivors?
13. What are adaptive survival strategies in trauma recovery?

#CPTSD #ComplexPTSD #TraumaRecovery