In this beautiful episode of Your Anxiety Toolkit, I speak with the amazing Andrea Barber about her new book, Full Circle: From Hollywood to Real Life and Back Again. In this interview, Andrea shares her experience with anxiety, panic and mental wellness. She shares why she wrote this book and her hopes for this memoir.
In her book, Andrea Barber shares, “To fans, I’ve always been synonymous with my character, since most people don’t know me in any other role. But now, I want you to accept the real me . . . and the fact that I’m nothing like I appear on TV. To know me is to realize that I am very flawed, and I have many shortcomings and insecurities. By sharing them with you, you may recognize things in yourself, and discover that you and I are not so unalike after all. For once, it will be nice to share Andrea with the world.”
Andrea shared what it was like having a huge support system, but still feeling completely alone with her anxiety, panic and depression. Andrea spends some time talking about how her anxiety manifests in stomach related symptoms. She also tells us about the process of accepting the application of medication in her wellness journey and her experience with the side effects of medications.
I just adored when Andrea shared what she learned about herself since going through her mental health journey and her new reflection on mental illness and mental wellness. One of my favorite lines from her book, she shared “It’s actually very empowering to think about: I have the power to change my life”.
One of the coolest things about Andrea Barber is her passion for speaking about suicide prevention and awareness. You will just adore the advice she gives. And finally, her most impactful message is this: “The most important thing perspective has taught me, and what I want to tell anyone out there who has been made to feel too broken to love, is that your illness does not define you.”
If you would like to apply for the 3rd annual UK OCD Camp please visit theocdcamp.com • Applications close 19th January • Interviews (15 mins) – W/C 27th January • If selected payment due by 1st March
Welcome to another episode of Your Anxiety Toolkit Podcast. There has been a lot of talk lately in the OCD Community surrounding this big question “Does Khloe Kardashian have OCD?” I know a lot of you are really struggling with this topic, feeling unseen, unheard and misunderstood.
In a recent episode of Keeping Up with the Kardashians, Khloe’s mom, Kris Jenner discussed her daughter Khloe’s overwhelming need to be organized. She shared, “Khloe is the most organized, cleanest, most obsessive person I know in her own home. But lately, she’s on another level.”
In response, Khloe explained: “Being the control freak that I am, this experience is torture”. However, she also has been known to explain her need to be organized as “a good thing” and something that “helps” her in her life.
This brings us to the big question: Does Khloe Kardashian have OCD?
Well, the most important thing to remember in this podcast episode is that we cannot diagnose someone we haven’t met. Please keep this in mind as we address this very important topic.
In an effort to do my due diligence, I consulted with an attorney on this and he confirmed that it is not appropriate to diagnose someone you haven’t met. He reported that this is an ethical issue, not a legal issue.
One of the big questions that arose after this recent Kardashian episode was, “Can you treat someone you haven’t diagnosed?”
Again, when consulting with an attorney, we revealed that a therapist technically can in situations where it is not necessary to diagnose someone. However, in order to implement a treatment tool, it is a good standard of care to do a full assessment to be sure the treatment modality and related tools are appropriate for the person we are meeting with.
In an effort to discuss if Khloe Kardashian has OCD and if her description of symptoms and presentation of symptoms meets criteria to be OCD, we would first need to have a good understanding of what OCD is diagnostically.
In the episode, we discuss in depth the Diagnostic Criteria for Obsessive Compulsive Disorder, in an effort to thoroughly educate and advocate for those who have OCD and who are struggling to ask for help.
Diagnostic Criteria (Directly from the DMS 5) A. Presence of obsessions, compulsions, or both: Obsessions are defined by (1) and (2): Recurrent and persistent thoughts, urges, or images that are experienced, at some time during the disturbance, as intrusive and unwanted, and that in most individuals cause marked anxiety or distress. The individual attempts to ignore or suppress such thoughts, urges, or images, or to neutralize them with some other thought or action (i.e., by performing a compulsion). Compulsions are defined by (1) and (2): Repetitive behaviors (e.g., hand washing, ordering, checking) or mental acts (e.g., praying, counting, repeating words silently) that the individual feels driven to perform in response to an obsession or according to rules that must be applied rigidly. The behaviors or mental acts are aimed at preventing or reducing anxiety or distress, or preventing some dreaded event or situation; however, these behaviors or mental acts are not connected in a realistic way with what they are designed to neutralize or prevent, or are clearly excessive. Note: Young children may not be able to articulate the aims of these behaviors or mental acts. B. The obsessions or compulsions are time-consuming (e.g., take more than 1 hour per day) or cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. C. The obsessive-compulsive symptoms are not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition. It is important that we specify if the symptoms are accompanied by good, fair or poor insight, as this can help us differentiate between the diagnosis of OCD and other mental illnesses that may look the same. With good or fair insight: The individual recognizes that obsessive-compulsive disorder beliefs are definitely or probably not true or that they may or may not be true. With poor insight: The individual thinks obsessive-compulsive disorder beliefs are probably true. With absent insight/delusional beliefs: The individual is completely convinced that obsessive-compulsive disorder beliefs are true. D. The disturbance is not better explained by the symptoms of another mental disorder, differential diagnosis or set of symptoms
In an effort to really give you a good understanding of other diagnostic possibilities for someone showing similar, but not exact symptoms, I wanted to address some symptoms and disorders that would need to be RULED OUT before treatment. The reason for this is that small differences in the symptoms may drastically change the course of correct treatment. This is a crucial part of the assessment process, done by a therapist, psychiatrist, medical doctor or psychiatric nurse.
The first is perfectionism which can be divided into two categories, adaptive and maladaptive. Adaptive perfectionism is a type of perfectionism that improves the quality of someone’s life while maladaptive perfectionism negatively impacts a person’s life. Research has shown that both adaptive and maladaptive perfectionists have high personal standards, but failing to meet those standards can have a negative impact.
Perfectionism can also be categorized by orientation. Self-oriented perfectionism is perfectionism that is pushed by the individual person. Self-oriented perfectionists are very hard on themselves, set very high standards for themselves and have rules and expectations that are often unreasonable. Socially prescribed perfectionism is perfectionism that occurs due to societal expectations. This might include the expectation to get good grades in order to have a good life or having to have the “perfect” body to be loved.
It is also important that we address the similarities and differences between OCD and OCPD. According to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), OCPD is explained as “a pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency.” People with OCPD have an unhealthy expectation of achieving perfection and have an excessive devotion to work at the expense of leisure time and close personal relationships. They are often inflexible with issues related to ethics and morality and can be seen as judgmental and expect others to live to the same standard.
So, when answering the question, “Does Khloe Kardashian have OCD?” I encourage us all to do our best to continue to educate others on the differences between OCD, levels of insight related to OCD, perfectionism, and OCPD.
Welcome back to another episode of Your Anxiety Toolkit. Today I talk about how “you cannot skip the line.” This podcast episode is about an event that happened to me a few weeks ago that blew my mind. It pretty much punched me in the gut. Yes, you read that right. It was a hard, hard day. In this episode, I speak about attending a meditation class and being given a very hard lesson. The lesson was, “You cannot skip the line”. Let me tell you more.
In this class, I asked what I thought was a simple question. Without expecting it, the teacher taught me a very important lesson that I think will impact me for quite some time.
She responded with “There is a lesson for everyone here. It is important that you do not skip the line here. You must do the work. If you haven’t wrestled with this practice over and over, do not come to me for the answers.”
I was embarrassed. I felt ashamed. I felt called out. I felt anger.
But, after some time and contemplation, I asked myself, “Is there a pattern here?” And guess what?! There was. The lesson was that you cannot skip the line to the “know” the answer. When you “skip the line”, you prevent yourself from learning the real process. Knowing will only help for the first time or two. After that, it takes practice and patience.
In this episode, I will walk you through a 4 step process to help you lean in and do the work instead of just asking questions.
These steps include being aware that you cannot skip the line and then catching yourself when you are doing such behavior. The steps also involve being honest with yourself when you are engaging in such behavior instead of staying in the unknown. The goal is to be as patient as you can along the way. And lastly, the most important step involves Compassion, Compassion, Compassion.
I hope this helps you in some way to notice when you are “skipping the line.”
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Please check out this excellent blog post by the amazing Shala Nicely, LPC on the problem with saying “I’m so OCD.”
Welcome to Your Anxiety Toolkit Podcast. In this week’s podcast, I want to talk with you about how I failed 100 times this year. Wait, What?!?! Yes, you heard right! In 2019, I made the goal to fail on purpose 100 times. The goal was to set my goals so high that I was forced to fail. And guess what? I failed 100 times. I possibly failed 1000 times. I failed so many times I lost count. In this podcast, my hope is to share with you my personal experiment in changing the way that I feel and respond to the thought of failure.
Here are examples of how I failed 100 times:
• I asked a lot of people to come on the podcast. A lot of people said no. I knew they would, but I figured it was worth a try. But, do you know what I learned? I learned that a lot of people I didn’t think would say yes did.
• I took a course that was so hard and out of my line of skills and really struggled to complete it.
• I started playing the ukulele even though I was so afraid of being terrible at it (which I am).
• I pitched a book to a publishing company (more on this later).
• I said yes to being Room Mum for both of my kids (knowing I would not be the best at it).
• I aimed to increase registration for ERP School and we did it. We reached the highest registration yet.
But here is the thing. I also failed 100 times at things I never set out to fail at. I had to accept in many ways that I cannot push my body to do things that I simply could not do. This was the hardest part about failing. I had to stare my fear of failing at the easy stuff over and over again.
Here are examples of how I not only failed 100 times, but gave myself permission to fail, even though it hurt so much.
◆ Remember that course I told you about? I got so sick, I didn’t finish it. I had to drop out and this made me face imperfection and failure head-on.
◆ I was a less than perfect therapist! I missed sessions with clients, and I double booked clients during times when I was so overwhelmed.
◆ I gave myself permission to share the struggles I have had with friends. I was so embarrassed to do this, but I am so glad I did. I learned that when you share your struggles, you actually feel more connected with the people around you.
But finally, the most important example of how I failed 100 times is the decision I have made to take a month off of the podcast. After much consideration, I have decided to listen to my body and take the month of December to rest, rejuvenate and repair. I fought this decision for a long time, but I know it is what I need.
With that being said, I want to thank you for being so loyal and kind to me. I adore your support. I wish you a very Happy 2019 Holiday! I will be back in January, ready to go. Ready to fail!
FREE anxiety video training! Learn how to become more intentional with the words you use to describe yourself, your experiences and your future. Cbtschool.com/thinkwisely
Are you struggling with gratitude this holiday season? If so, this episode is exactly what you might need to hear. In today’s episode of Your Anxiety Toolkit, I spoke with Shala Nicely about struggling with gratitude. Together, we address why some people might be struggling with gratitude or being grateful, especially if they are also struggling with mental health.
In this episode, Shala Nicely addresses the personal struggles she has had in the past with gratitude and some incredible tools to manage this.
Shala so beautifully articulates three common reasons why people struggle with gratitude. The first two struggles fall under the category, that Shala calls, gratitude by comparison. This often occurs when you are supposed to be doing “better” than someone else, but you do not feel very grateful. Shala explains that gratitude by comparison can fall into two separate categories: relief-induced gratitude and guilt-induced gratitude.
The third common struggle is forced gratitude. An example of this might be, “I should be grateful and I’m not. What’s wrong with me?” or, “You have everything going for you. Why can’t you just be thankful for what you have instead of focusing on the negative?”
I love that Shala addresses how forced gratitude quickly becomes what we know clinically as toxic positivity.
Some great tips if you are struggling with gratitude might be:
Welcome back to another episode of Your Anxiety Toolkit Podcast. Today we have a very special guest, Giulia Suro, Ph.D., who is going to talk to us about Acceptance and Commitment Therapy and how we can use ACT tools in our everyday life. Giulia is a psychologist in private practice in the Washington, D.C. area. She is passionate about ACT and helping her clients develop a new way of looking at their thoughts and feelings. Giulia does such a beautiful job of bringing these ACT tools to us in a compassionate and articulate manner. Thank you, Giulia!
In this episode, we address how Acceptance and Commitment Therapy centers on the concept of mindfulness. We learn that ACT is really quite unique because anyone can use the tools regardless of the struggles they are facing. Giulia discusses how fighting or resisting those struggles can impact us in the long term and we learn that ACT involves moving towards our values. We also address the core ACT tools that Giulia uses in her daily life and in her practice, such as, the Bullseye worksheet (link below).
Giulia Suro beautifully addresses the following questions with grace, care, and expertise:
What is ACT?
Why do we use ACT In everyday life?
How can it complement our recovery/wellness plan?
What tools does she use with her clients?
What tools does she personally use?
What struggles does she see some of her clients go through when practicing ACT?
Welcome to another episode of Your Anxiety Toolkit Podcast. This topic has been a long time coming, and highly requested. This week’s podcast is all about anxiety and sex. In this podcast, we talk about how anxiety and sex can become two peas in a pod and how anxiety can present itself in many different ways. While I am not a sex therapist, I do have a lot of experience talking with my clients about anxiety and sex.
The truth is, there are many ways anxiety shows up during sex, or sex shows up in our anxiety. This is true for many people and this can become very confusing. People often report anxiety impacting sex in many ways. This might include loss of arousal, loss of libido or interest in sex, intrusive thoughts during sexual intercourse, hyper-awareness of sexual-related sensations and many more.
In this week’s episode, we address the following topics
• Social Anxiety: In social anxiety, people are afraid of being judged by their sexual partner and will often avoid sexual interactions in fear of being judged. For people struggling with social anxiety and sex, they must accept the risk of being judged and work to find a partner who respects them and their fears. Finding safety in a partner can help immensely.
• Performance anxiety: This involves the fear of not being able to perform well (or perfectly) in sexual interactions. This is very common and often involves setting realistic expectations for ourselves.
• OCD: There are many ways that OCD can create anxiety around sexual intimacy. This is most common for those who have sexual orientation obsessions, relationship obsessions, or pedophilia obsessions
• Panic Disorder: Symptoms of panic can often come on during all stages of intimacy, not just anticipatory anxiety
• Trauma: Trauma is a very important component to address. We encourage people who have trauma in this area to seek professional mental health care and work through these issues with a safe and caring clinician.
Hello there everyone and welcome to another episode of Your Anxiety Toolkit Podcast. This week’s episode is all about how to prevent Social Anxiety. I know that the title, “How to Prevent Social Anxiety” might sound a little fishy, but in this episode, we are going to look at some groundbreaking new research on social anxiety that might help us to understand the relationship between shyness and social phobia and how to prevent social anxiety in adolescence. In this incredible new finding, researchers found that there is a direct relationship between shyness and social anxiety in pre-adolescents. For the purpose of this episode, we will define shyness as the feeling of apprehension, lack of comfort, or awkwardness. These symptoms will increase, especially when a person is around other people and in new or unfamiliar situations.
This research found that negative social self-cognitions mediate the shyness – social anxiety link, whereas, social interpretation bias does not. Social interpretation bias, by definition, is the tendency to interpret ambiguous situations in a positive or negative fashion. What does this mean in regard to how to prevent social anxiety, you may ask? Basically, if we can teach pre-teens how to interpret themselves in a more positive way, we might be able to reduce the impact of social anxiety in adulthood. This research showed that prevention should address the negative self-cognition of shy (pre-)adolescents. So examples such as the below statements might be corrected into more logical and objective statements. ◆“I am a fool” ◆“There is something wrong with me” ◆“I look like an idiot”
More Objective Statements ◆I am not for everyone ◆Just because there was silence, doesn’t mean I am incapable of being in social settings ◆It’s ok that they didn’t laugh at my jokes. One person’s “funny” isn’t everyone’s version of funny.
Welcome back to another episode of Your Anxiety Toolkit Podcast! Do you know what POTS is? I didn’t know either until earlier this year, and my life has not been the same ever since. Let me tell you one thing, we are NOT talking about something that holds plants and something you cook spaghetti in. This episode is all about Postural Orthostatic Tachycardia Syndrome, also called POTS for short.
Why? Because October is Dysautonomia Awareness month and because I have recently been diagnosed with POTS. This episode is aimed at educating you about POTS and also addresses my own experience of being diagnosed with a chronic medical condition. It has been an emotional ride, and my hope is to share with you a few tools that have helped me to manage this news and the ongoing treatment that I will need to adhere to. Thank you so much for supporting me this year. Your messages and kindness has been overwhelmingly positive and I am so grateful for you all.
So, what is POTS? Postural Orthostatic Tachycardia Syndrome (POTS) is a condition that affects circulation (blood flow). Basically, for most people, our autonomic nervous system works to control and regulate our vital bodily functions and our sympathetic nervous system, which activates the fight or flight response.
However, if you have POTS you have what is called orthostatic intolerance. What this means is that when standing up from a reclining position, blood pools in the legs causing lightheadedness, fainting, and an uncomfortable, rapid increase in heartbeat. People with POTS have trouble regulating the blood vessel squeeze and heart rate response causing blood pressure to be unsteady and unstable.
Each case of POTS is different. Patients may see symptoms come and go over a period of years. In my case, I have probably had it my whole adult life, but it has worsened enough to need medical attention. In most cases, with proper adjustments in diet, medications and physical activity, a person with POTS will see an improvement in quality of life.
People with POTS usually suffer from two or more of the many symptoms listed below. • High/low blood pressure • High/low heart rate; racing heart rate • Chest pain • Dizziness/lightheadedness especially in standing up, prolonged standing in one position, or long walks • Fainting or near-fainting • Exhaustion/fatigue • Abdominal pain and bloating, nausea • Temperature deregulation (hot or cold) • Nervous, jittery feeling • Forgetfulness and trouble focusing (brain fog) • Blurred vision • Headaches and body pain/aches (may feel flu-like); neck pain • Insomnia and frequent awakenings from sleep, chest pain and racing heart rate during sleep, excessive sweating • Shakiness/tremors especially with adrenaline surges • Discoloration of feet and hands • Exercise intolerance • Excessive or lack of sweating • Diarrhea and/or constipation
Welcome to Your Anxiety Toolkit Podcast! Today I am so thrilled to introduce to you this week’s guest, Alegra Kastens, MA. Alegra is not just a guest on the podcast. Alegra is also a very important part of CBT School and has helped me so much since CBT School launched in 2018. Alegra Kastens has been a huge part of the creation of this podcast, uploading it each week, creating a lot of the technological support, creating images and supporting me when I am struggling with all the projects. Alegra is now moving forward with her career and is working as a therapist who specializes in OCD.
In today’s discussion, Alegra told us about the first moment she had her first intrusive thought and how these impacted her life. She also shared with us the process of her finally deciding to ask for help, even though she was petrified and so ashamed. Alegra shared what she found helpful and not helpful from her therapist and how she was supported and encouraged to seek specialized OCD treatment from her therapist who did not specialize in OCD.
What I loved most about this episode is that Alegra Kastens so candidly talks about her experience of shame, guilt, and stigma related to having OCD. Alegra’s main sub-type of OCD was pedophilia obsessions, which caused her to be stuck in self-doubt, self-criticism and complete panic for a very long time. Alegra Kastens shared what it was like to experience sexual obsessions such as pedophilia obsessions and what it was like to undergo Exposure and Response prevention for her OCD symptoms. Alegra shared some of the ERP exposures looked like and the importance of being given psycho-education about ERP before beginning. I loved how much education and inspiration Alegra Kastens brought to this conversation.
To learn more about her story, click HERE to read an article she wrote for IntrusiveThoughts.org.
