The Anxious Truth - A Panic, Anxiety, and Mental Health Podcast

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In this episode of The Anxious Truth, we look at why the lessons of floating, mindful acceptance, and exposure can feel out of reach. While the principles of recovery are simple, they are difficult to execute because they are counterintuitive and require facing the things you fear most. Beyond the initial fear, deeper obstacles rooted in background, culture, and personal experience often stop people from embracing a mindful approach.

I discuss two primary...

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When compulsions are behavioral, like hand washing or door checking, they are easy to identify. But when they are mental in nature, things get much fuzzier. In this episode, I’m joined by OCD specialist Lauren Rosen to take the mystery out of mental compulsions and explain why your "problem-solving" brain is actually keeping you stuck.

We break down the critical difference between having an intrusive thought (th...

When a blizzard or thunderstorm is in the forecast, do you find your anxiety levels spiking long before the first snowflakes or raindrops fall? You aren’t alone. Many people struggling with anxiety disorders or chronic states of anxiety find themselves extra triggered by significant weather events. In this episode, we’re looking at why anxiety and weather often go hand-in-hand and why it isn't actually the snow or rain that is the problem. 

We dive into the two underlying processes that create the "bad weather trap." First, we explore the "trapped" or isolated feeli...

When you have an anxiety disorder, it can feel like your list of fears and triggers just keeps getting longer. You might have started being afraid of one or two things, but now it seems like everything sets you off. Driving, being home alone, intrusive thoughts, physical sensations, even opening a new bottle of medication.

Despite what it feels like, you're actually only afraid of one thing.

All those different triggers lead to the same place, no matter how varied they seem. Whether it's a health worry, a fear of losing control, or an intrusive...

If you've been searching online for ways to deal with your anxiety, you've probably noticed there's an avalanche of information claiming to be "science-based" or "evidence-based." But here's the problem. That isn't always true.

This week I'm joined by Dr. Birthe Macdonald, a research psychologist and cognitive neuroscientist, to talk about why online mental health information is so confusing and full of misinformation. We discuss why things that aren't actually science still look like fact when you're struggling and searching for relief.

We touch on polyvagal theory and vagus nerve claims, SPECT brain scans and...

If you're struggling with panic disorder, health anxiety, OCD, GAD, or other anxiety issues you've may have encountered online content that references Stoicism, warrior philosophy, and Marcus Aurelius. The message: master your emotions, be tough, control your fear through discipline and suffering.

But that's not what Marcus Aurelius was actually writing about.

In this episode, I dig into what Marcus actually wrote in his Meditations—his personal diary that accidentally survived 2,500 years. When you read his actual words, you see a man repeatedly struggling with the same issues: getting out of bed, dealing with difficult pe...

Anxious people love coping skills and coping strategies. Everybody loves to cope. But today we're going to talk about how coping can go off the rails and become part of the problem instead of part of the solution.

When you're dealing with chronic anxiety or an anxiety disorder, coping strategies can actually backfire. Every time you frantically reach for your grounding techniques or breathing exercises because you desperately need to calm down, you might be reinforcing the belief that your internal state is dangerous and must be controlled at all costs. If you've been stuck in the...

Children with OCD and anxiety disorders have the same diagnoses as adults, but their experience looks and feels different in important ways. In this episode, I sit down with child anxiety and OCD specialist Natasha Daniels to explore those differences and what they reveal about the fundamental nature of these disorders.

When you ask a young child why they're doing a ritual, they often can't tell you. They report vague discomfort or say "it just feels weird if I don't." Adult brains, on the other hand, build elaborate narratives about danger, responsibility, and catastrophic consequences...

Sometimes life throws real challenges at us—loss, relationship changes, health concerns, financial struggles—that naturally trigger anxiety. But when you're dealing with an anxiety disorder, these moments become especially confusing. How do you tell the difference between "normal" anxiety and disordered anxiety? And what do you do when recovery concepts don't seem to apply?

In this episode, we explore what happens when bad things really do happen in life and trigger genuine anxiety. We'll talk about why not all anxiety is disordered anxiety, how anxiety disorders create a unique challenge when facing legitimate life stressors, and why...

Anxious parenting can feel overwhelming, especially when your own anxiety drives you to do more - more rescuing, more protecting, more intervening. But what if the path to better parenting actually requires learning to do less?

In this episode, I'm joined by anxiety/OCD specialist Joanna Hardis to talk about how anxious parenting patterns keep us stuck and what we can really do about them. Joanna just released her new book "Just Do Nothing (For Parents): Parenting Better by Doing Less". Joanna brings training, experience, and insight into why anxious parenting makes us want to swoop in...

This week we're doing a special "no frills" edition of The Anxious Truth (just like the old days). I asked my Instagram audience for questions, and I'm here to do my best to answer them. 

If you're dealing with panic disorder, agoraphobia, OCD, health anxiety, or generalized anxiety disorder, you've probably asked yourself many of these same questions.

I cover the most common questions about anxiety symptoms—heart palpitations, dizziness, nausea, breathing difficulties—and explain why treating them as individual problems to solve actually keeps you stuck. We also tackle common questions about intrusive thoughts, inclu...

Anxiety that you cannot control, that keeps coming back, that you don't understand and are terrified of, will trick you into believing that something is really wrong. But what if that intense fear you experience—while absolutely real—is based on a prediction your brain is making that isn't actually true?

In this episode, I speak with Dr. Lisa Feldman Barrett, neuroscientist and author of How Emotions Are Made and 7 1/2 Lessons About The Brain about how anxiety is constructed in the brain. Dr. Barrett explains the theory of constructed emotions and how your brain uses pred...

If you're struggling with anxiety and searching for ways of calming your feelings, this episode is for you.

I break down why the most popular strategies for calming your feelings - like using logic to talk yourself out of anxiety, trying to replace negative emotions with positive ones, attempting to control your body's responses, or avoiding triggers - often backfire when you're dealing with anxiety disorders.

Drawing from mindfulness principles and acceptance-based therapy approaches, I explain a counterintuitive truth: calming your feelings often happens when you learn to be with difficult emotions rather than fighting...

There's whole industry built around helping people feel good about feeling bad, and while validation has its place, this endless cycle of anxiety content might actually be keeping you stuck. In this episode, we explore how consuming validation-focused content can become a form of modern reassurance-seeking that maintains anxiety disorders rather than promoting recovery.

We'll discuss the research showing that excessive reassurance-seeking provides immediate relief but leads to increased anxiety over time. You'll learn the difference between helpful validation and the validation trap, and why automatically turning to anxiety content when you feel uncomfortable might be functioning...

If you're struggling with anxiety disorders and constantly being told you need a positive mindset, stronger beliefs, and better motivation to recover, this episode is for you. I'm breaking down why these three concepts are tragically misunderstood and misapplied in anxiety recovery—and why they might actually be keeping you stuck.

What You'll Learn:

Why you can't just "decide" to believe in yourself or adopt a positive mindsetThe counterproductive fantasy that words will change how you think and feelWhy motivation follows action, not the other way aroundHow to work with your current negative beliefs in...

Exposure for anxiety is the gold standard treatment for anxiety disorders, but most people get it wrong, especially when trying to use exposure without professional help. In this episode, we're breaking down why so many people struggle with exposure for anxiety and how to avoid the common traps that lead to frustration and giving up.

If you've ever tried exposure therapy for panic disorder, agoraphobia, OCD, social anxiety, or health anxiety and felt like it wasn't working, this episode is for you. Learn the real science behind exposure, why it's supposed to be scary, and how to...

For 25 years of my life, I struggled with panic disorder, agoraphobia, OCD, and depression. I was so anxious that I couldn't leave my house or be alone for more than a few minutes at a time. But last week, I finally did something I've wanted to do since I was 9 years old.

In this episode, I share a personal story - not as a blueprint for your recovery, but as encouragement that anxiety recovery is possible. When I was in elementary school, a trip to the planetarium showed me what the night sky really looks like without...

This week on The Anxious Truth, we're talking about what happens when a problem solving mind sees itself as a problem to solve.

Your mind is an incredible problem-solving machine - it's what sets humans apart and has helped us thrive for thousands of years. But when that same problem-solving ability turns inward and starts trying to "fix" your own thoughts, emotions, and internal experiences, things can go very wrong very quickly.

If you're stuck in cycles of overthinking, constantly trying to figure out your anxiety, or exhausting yourself attempting to solve feelings that aren't...

I get asked about medication every single day. Can you get better without it? Is it necessary? What's the best one? Is it cheating to take medication?

Today I'm explaining why I don't answer these questions - and why you should be cautious about content creators who do.

In this episode, I cover:

The three main reasons mental health content creators shouldn't give medication adviceWhy personal beliefs and autonomy matter more than you might thinkThe countless variables that make medication decisions incredibly complexWhy your recovery journey changes over time (and...

How do real anxiety therapists apply mindfulness principles when working with real anxiety clients in real therapy sessions? Let's check out part two of my chat with therapists Lauren Rosen and Joanna Hardis. We all make heavy use of the principles of mindfulness in our practices, and in our daily lives.

What you'll learn in this episode:

Why "being present" isn't about feeling calm or peacefulThe concept of being "aggressively present" when anxiety strikesHow mindfulness is really attention training, not relaxation trainingWhy meditation for anxiety is like going to the gym for your attentionThe...

What happens when three anxiety specialists get together to talk practically about how they use mindfulness in anxiety treatment? This week on The Anxious Truth, we find out.

I'm joined by Lauren Rosen, who practices in Los Angeles specializing in OCD and anxiety disorders, and Joanna Hardis from Cleveland, also an expert in treating OCD, anxiety, and anxiety disorders. Together, we break down how mindfulness in anxiety treatment actually works in real therapy sessions - not the Instagram version, but the practical, sometimes messy reality of applying these principles with actual anxious clients.

We tackle...

If you've reached the point of declaring "I've tried everything and nothing works for my anxiety," this episode is specifically for you. Many anxiety sufferers fall into this trap and conclude they're uniquely broken or have a special form of anxiety that's resistant to recovery.

As both a therapist and someone who personally recovered from panic disorder and agoraphobia, I'll explain why this frustrating experience happens. You'll discover why commonly-tried control and avoidance strategies can provide temporary relief but ultimately strengthen anxiety's grip on your life.

I'll break down the fundamental flaw in these approaches...

Do you find yourself running from difficult emotions or trying desperately to control them? Many people with anxiety disorders develop a deep fear of their own emotions, believing they're too intense or unbearable to experience fully. In this episode of The Anxious Truth, Drew is joined by therapist Joanna Hardis to explore the concept of "emotional allowability" – learning to coexist with our emotions rather than fighting against them.

They discuss why trying to control emotions is ultimately futile, how the stories we tell ourselves about emotions cause more suffering than the emotions themselves, and practical steps for be...

Navigating driving anxiety with exposure therapy—but not how you might think. 

In this episode, Drew Linsalata (therapist, author, and former anxiety sufferer) challenges common misconceptions about addressing driving anxiety. 

Learn why the feeling is the exposure, not the driving itself, and discover how interoceptive and imaginal exposures can help without ever starting your car. 

Drew explains why pulling over or listening to music isn't avoidance if you're still experiencing anxiety, clarifies what true avoidance looks like, and emphasizes that recovery is about learning from each experience, not just driving farther. 

W...

When struggling with chronic anxiety or anxiety disorders, our instinct is often to search for ways to control, manage, or eliminate our symptoms. But what if that approach is actually keeping us stuck?

This week we're looking at the fundamental difference between acceptance-based strategies and control/management-based approaches to anxiety recovery. Drawing from both research evidence and real-world experiences of anxiety sufferers, we'll explain why acceptance consistently produces better long-term outcomes than trying to control our internal experiences.

You'll learn:

The critical distinction between externally-generated stress and internally-generated anxietyWhy popular "anxiety hacks" and nervous...

In this no-frills episode of The Anxious Truth, I'm tackling common questions about anxiety sent in by you, the listeners. No fancy production today - just real talk about real anxiety concerns.

We're diving into: 

00:00 - Introduction 

00:58 - Emetophobia (fear of vomiting) - what it is and how it's typically addressed 

06:12 - Nocturnal panic attacks - why they're jarring and how to handle them 

11:24 - Is focusing on breathing a distraction or helpful technique? 

14:45 - The meta-problem of ruminating about rumination 

18:20 - External sources of anxiet...

This week we're looking at why the anxious fear that bothers you most is NOT special - and why that's actually good news for your recovery.

After receiving countless messages asking me to address specific fears (passing out, heart attacks, going insane), I've noticed a pattern: everyone thinks their particular anxiety is unique, more dangerous, or requires special treatment.

Here's the reality: while your fear feels incredibly real and disturbing, all anxiety disorders follow similar patterns. Your anxiety isn't special because:

Everyone with anxiety believes their fear is "the worst one"All anxiety disorders...

When anxiety hits, how do you know what to do? This week on The Anxious Truth we're exploring how your personal values can guide your choices in anxious moments. Tune in to learn practical ways to identify and connect with your values. This can inform more productive responses when anxiety gets triggered.

For full show notes on this episode:

https://theanxioustruth.com/311

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How to Accept Anxiety: Opening Up to New Options

In this episode, we explore the second component of the ACT Triflex framework for anxiety acceptance: opening up to new possibilities. Learn why considering options when triggered—even without knowing what to do next—is a crucial step in recovery.

Key Points:

Understanding the ACT Triflex framework for anxiety acceptanceWhy mindfulness is essential for breaking automatic responsesHow psychological flexibility develops through small moments of choiceThe paradox of opening up to new optionsWhy confusion can actually be a sign of progress

HOW DO I ACCEPT ANXIETY?!?!?!?!

Let's start a three-part series on accepting anxiety using the ACT Tri-flex framework. As both a therapist and former anxiety sufferer, I'm going to break down the crucial first practical step of getting present and what it really means in a practical way.

KEY POINTS:

Why there are no "steps" to accepting anxietyThe difference between "doing mode" and "being mode"What mindfulness actually means in anxiety recoveryHow to develop nonjudgmental awarenessWhy automatic reactions aren't truly automatic

QUOTES FROM THE EPISODE: 

"Accepting anxiety is about dropping o...

In this episode of The Anxious Truth, we tackle a question that comes up constantly in anxiety recovery: Should you take time off from work or school because of anxiety? We explore why this seemingly simple question has a complex answer, and why what feels intuitively right might not always serve your recovery.

Key Topics Covered:

Why the urge to take time off is completely normalThe paradox of anxiety recoveryUnderstanding avoidance vs. strategic restHow to make decisions that serve your recoveryPractical alternatives to taking time offUsing time off effectively if you choose to take it

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