All Episodes of Disordered

What do you do when you're working on recovery from an anxiety disorder and your techniques stop working? How do you handle those hard days when you can't make it stop or go away? Well ... this is one reason why in the Disordered community we rarely if ever talk about tips, techniques, tricks, hacks, or steps for calming down, preventing anxiety, or managing anxiety or symptoms. This week Josh and Drew are talking about what happens when we try to use calming, relaxation, or wellness technique...

This week Drew and Josh are looking at the social impacts of anxiety. What happens when panic attacks, anxiety waves, or a flood of scary intrusive thoughts happens in public or while in social situations or when interacting with friends, family members, co-workers, or relationship partners? If your past experiences in life or past relationships have contributed to developing self-beliefs or persistent worries about being rejected, excluded, or being exposed as being "less than", you may b...

Humans will often make the mistake of trying to apply our analytical and problem solving skills in areas where they do not belong. Anxious people - people struggling with anxiety disorders - do this all the time. Are you trying to fix how you feel? Are you trying to solve your anxiety and figure it out? Are you in the habit of trying to control how you feel, engineering away bad feelings and trying to manufacture only good feelings? Are you always on the lookout for more tools, t...

Let's do an old-fashioned anxiety question and answer session! This week Josh and Drew are answering questions sent in by members of the Disordered podcast community. Listen in for answers to the following questions: Are we supposed to challenge our beliefs in recovery? What about dizziness? How do you do recovery when real life happens? My health anxiety is "different". Can I use going to the doctor as an exposure? I'm very anxious when reminded of a past event that I'm no...

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

An anxious state can be at least partially fueled by the act of metacognition. That's thinking and feeling ... about thinking and feeling. When meta-beliefs tell us that thinking, rumination, worry, and mental problem solving is a good way to fix our internal experiences (like big emotions, scary thoughts, or anxiety), things can go off the rails. What seems like a good idea - thinking to fix how you feel - suddenly feels like a bad idea after you can't accomplish your goal and wonder why ...

Even when you understand that changing your reaction to anxious thoughts, feelings, and sensations is the way out ... you may feel that this is impossible because those thoughts, those sensations, and your reactions feel completely automatic and unchangeable. This is a common concern for almost anyone struggling with anxiety disorder recovery so this week Drew and Josh are talking about how anxiety, anxious thoughts, symptoms, and reactions can feel - and really are - automatic. But even w...

If you've ever listened to an episode of Disordered and felt the need to ask "Yes, but what about when ...?", then this episode is for you. A common struggle among people trying to overcome chronic and disordered anxiety is gaining the ability to generalize the principles of recovery and apply them in an individual context. Anxious people will often hear advice aimed at different types of anxious presentations, then ask for specific advice aimed at their specific fears or thoughts or sympt...

Summer has arrived in the US and the UK, so let's talk about anxiety based on the heat. Summertime is often a difficult time for people struggling with anxiety disorders because the seasonal change in temperature becomes an anxiety trigger. Today the guys are talking about: How heat is just uncomfortable. Being uncomfortable in any way is often unacceptable for people with anxiety disorders. Heat may trigger feelings that resemble panic attacks or that might remind you of times i...

We're back in business this week with both Josh and Drew in studio again chatting about the role of food and eating in the anxiety recovery process. Everyone eats, and for people struggling with anxiety disorders, food and the process of eating can become deeply connected to recovery and/or attempting to manage anxiety, symptoms, thoughts, or emotions. As usual the guys share from their own experiences while covering some of the key points to consider when identifying how food and eating c...

The principles of Acceptance and Commitment Therapy (ACT) are heard in every episode of disordered. Whenever you hear Drew or Josh talk about acceptance or allowing or surrendering and moving THROUGH anxiety rather than resisting it ... you are hearing elements of ACT. This week we're a bit banged up - Josh is traveling and Drew has the flu, but fear not. Not only are we going to talk about ACT today, but we're talking about it with the guy that literally invented it - Dr. Steven C Hayes. ...

Mindfulness is good for anxiety, right? Isn't this what everyone says? Mindfulness fixes anxiety and makes you happier? Isn't that it? Well ... not really. This week Drew and Josh are taking a look at the practical applications of things like meditation and mindfulness practice in the context of anxiety disorders and anxiety recovery. A few key points: Mindfulness is paying attention to what you want to pay attention to without judgment or evaluation of your ability to pay attention...

Everyone talks about the fight or flight response. But what about the freeze and fawn responses, which are also found in the anxiety disorder community? This week Josh and Drew dig into the freeze response to anxiety, panic, and perceived threat. What is the freeze response? What does it look like? Does the freeze response mean being literally frozen and completely immobilized? Do we need special instructions or rules for how to "fix" the freeze state when anxious or experiencing panic? ...

When working through the process of chronic or disordered anxiety recovery many will find that at some point they are fixated on or have become a bit obsessed with monitoring and evaluating their mood. This week on Disordered Drew and Josh take a look at why recovering and anxious people tend to get stuck in "mood monitoring mode". Generally speaking, the issue here is the belief that mood is an important indicator of recovery progress or status, or that mod is a predictor of doom or certa...

How does one approach recovery from chronic or disordered anxiety when grief is part of the picture? Do the same principles apply? Do we use concepts like acceptance, surrender, or willful tolerance when handling grief? Grief is a powerful thing that will almost certainly impact not just anxiety recovery but all aspects of life and even daily functioning at times. In this episode Josh and Drew explore the relationship between anxiety, anxiety recovery, grief, and the grieving process. ...

This week on Disordered we're looking at anxiety focused on relationships, specifically a form of OCD known as Relationship OCD (ROCD). ROCD - like all forms of OCD - will glue itself to things that really matter to us. In this case, being in loving, secure, successful relationships with people we love and who love us. Someone with ROCD even when involved in what by all accounts may be a very healthy and satisfying relationship experiences doubt about various aspects of those relationships...

WHAT ABOUT NOCTURNAL PANIC ATTACKS? HOW DO WE DEAL WITH THOSE? Nocturnal panic attacks are scary, disturbing, disruptive, and often feel like they are different from any other kind of panic attack. Anxious people will often insist that they are special, they can't possibly be approached with an attitude of tolerance or surrender, and that there must be special instructions or techniques for preventing them, stopping them, or getting over them. But nocturnal panic attacks, as difficult a...

WHAT DOES "VALUES DRIVEN RECOVERY" MEAN? Anxiety recovery can be seen as one long journey away from fear driven behavior and toward behaviors that support the things we really value in life. This week Josh and Drew are talking about what values driven recovery mean and how your values - the things that matter to you and make you who you are and want to be - play a role in the recovery process. A few key points from this episode: Identifying and exploring your values is worthwhile...

BUT WHAT ABOUT WHEN YOU'RE TENSE AND SORE? HOW CAN YOU HANDLE THAT? This is one of those questions we get asked all the time. In this episode of Disordered, we're taking a look at how tension, soreness, twitches, and feelings of muscle weakness fit into the anxiety and recover picture. Anxious, scared bodies are going to anxious, scared body things. That's how we're designed. There's nothing wrong with being medically checked, and once you've been cleared your job becomes acknowledging ...

"I know I'm not supposed to focus inward or engage with my anxious or intrusive thoughts, but what am I supposed to think about?!" This week Josh and Drew answer an excellent question from a listener that hasn't really been asked before. What do you do when your anxious thoughts keep coming even when you don't want them to come, and when you insist that you MUST only focus outward because that's how recovery is done? Spoiler alert ... if you're in the business of trying to stop your tho...

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

MY NERVOUS SYSTEM IS DYSREGULATED! This week Drew and Josh get up close and personal with "nervous system dysregulation". This is a term that might have some benefit when dealing with issues like stress management or general wellness, but goes straight off the rails into the unhelpful zone when it comes to anxiety disorders. Declaring an anxious state to be a state of dysregulation might be defended from a semantics standpoint. Operationally however, when we insist that our internal states mu...

This week on Disordered we're taking a grand tour around the OCD loop! Josh and Drew talk about pure-O, somatic, and "traditional" obsessive compulsive disorder subtypes. While not every possible theme and subtype can be covered in a short podcast episode, the guys touched on some of the more common themes found in the community, taking care to address how regardless of the specific obsession, there are common characteristics that we can rely on when approaching recovery. Keep in min...

What Is Your Therapist Thinking While You're Talking? Therapists are people too. They have feelings, opinions, insecurities, fears, and personality quirks. And they - like you - sometimes have an inner dialogue. If you ever wanted to know what goes on inside the mind of an anxiety therapist, this week Josh and Drew dig into this a bit, including a few moments where the guys exercise their drama and acting skills. Absolutely Oscar-worthy, so tune in. As usual ... it's quite a scene. ...