A Podcast with Charlie Swenson - To Hell and Back

40 Episodes
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By: Charlie Swenson, MD

This podcast series, β€œTo Hell and Back,” is focused on the nature of hellish experiences in life, how people get into them, and to present and discuss tools for coping with hell and getting out. The various podcasts will move back and forth between different varieties of hell in life, and different tools for coping. The tools will be drawn from dialectical behavior therapy (DBT), from other treatments, and from other life experiences.

Amputation of Morality: What to Do About It? – Episode 121
Yesterday at 9:25 PM

The perspective within this podcast is that our current political process is seriously dysfunctional, having been taken over by decision-makers who seem disconnected from normal human morality. After noticing the resemblance of that process to what goes on in mob organizations and families, and in some families where incest occurs, we will identify the various roles in this ugly process and consider what can be done to improve things. View video version of this podcast


Getting Out of Hell and Into Reality – Episode 120
06/16/2025

This podcast focuses on the fact that we spend most of our lives living in the stories we tell ourselves about reality, but not in reality itself. Hear how DBT helps us to find our way back to reality, and how doing so increases the quality of our lives and the lives of those around us View video version of this podcast


What the fuck? Dialectics and Improvisation in Therapy and Everyday Life – Episode 119
05/29/2025

In this podcast, I explore what is meant by dialectics in general, dialectics in the practice of DBT, and especially what it takes to β€œdo dialectics-in-action.” It’s way more common and profound than simply applying dialectical strategies to certain situations. View video version of this podcast


Wise Mind, Polarization, Dialectics, and Stopping Fascism – Episode 118
05/19/2025

In this podcast, the third in a series, I clarify the place of dialectics in DBT as an antidote to polarization. Using some case examples, I detail how one might use dialectics. Then I bring the same lessons into finding a way to deal with political polarization and what appears to be a fascist takeover. By the end of my search, I find a way. View video version of this podcast


Learning to Say No Effectively to Fascism – Episode 117
05/01/2025

To say NO to the forces and practices of fascism in the U.S., effectively enough to stop it, can be frightening. We will borrow from the DBT skills training model, explaining ways to acquire, strengthen, and generalize the skill of saying NO in hopes that each of us can find our voice and make a difference. View video version of this podcast


When Hell is an Attack on Democracy – Episode 116
04/20/2025

In this podcast, Charlie draws from DBT in search of ways to understand the current assault on democracy in the United States, and to become more effective at taking care of oneself and acting more effectively. View video version of this podcast


Adapting DBT Skills When Working with Autistic Individuals – Episode 115
04/26/2023

In this episode, the fourth in a series on autism and DBT, Charlie is again joined by Amara Brooke and Rachel Kraus, two DBT therapists who are autistic and who have subspecialties in working with autistic clients. Our focus here is entirely on the application and adaptation of DBT skills in the work with autistic individuals. Which skills work well as they are? Which skills require adaptation in order to work well with this population? Which skills can actually make things worse if you aren’t mindful of autistic features? Please rate, review, and write to me with comments and qu...


Challenging, Changing Course, Reframing. Irreverence in Therapy and Life – Episode 114
04/06/2023

In this episode, Charlie explains, and gives lots of examples of, being irreverent in therapy. What is the essence? What is the point? Why is it important to do? Why is it hard to do? What are the forms irreverence can take? What are some tips for becoming irreverent? View video version of this podcast


Top Ten Tips for Adapting DBT to Autistic Clients – Episode 113
03/30/2023

Charlie moderates a discussion between Amara Brook and Rachel Kraus, both of whom are DBT-informed therapists with subspecialties treating autistic and ADHD individuals, as they come of with ten things to consider when adapting DBT to autism.

In the next episode after this one, the same guests will specifically address how to modify DBT skills in working with autistic clients. View video version of this podcast


Do we use DBT to target autism? No – Episode 112
03/24/2023

Charlie talks further with Amara Brook about autism, neurodiversity, and DBT: how can DBT be adapted, not to target autism itself, but to help autistic folks succeed at their own life-worth-living goals; how can we apply DBT’s bio-social theory in understanding and treating autistic individuals; and what are the barriers for autistic individuals in becoming DBT therapists? View video version of this podcast


Autism, Neurodiversity and DBT – Episode 111
03/16/2023


Wise Mind – Episode 110
03/09/2023

Charlie provides an in-depth discussion of WISE MIND as used in DBT. What is it, why is it so valuable, what are perspectives on it, what are its features, how do you access it and use it? He then discusses a painful example from his own life when he needed wise mind but failed to access it.


β€œAs Bad A Year As It Was, It Was As Good As It Could Have Been” – Episode 109
02/23/2023

In a manner that is absolutely true to these words from her DBT and life mentor, Seth Axelrod, Andrea Gold has completed her one year of prescribed treatment for breast cancer, with the best results one can hope for. Tune in to this episode to hear Andrea celebrate the completion of the year and reflect upon how she managed the suffering (a lot) and created fun and connection through it all (a lot). She brings an infectious and intelligent enthusiasm, an emotional and affiliative personality, and a bad-ass exposure and DBT lifestyle, to rather grim cancer-related events: diagnosis, staging, mastectomy...


Guaranteed Success, By Design - Episode 108
#108
11/24/2022

Be your best by inspiring the best in others. Join Nicole and Charlie as they tap into Cem Eren’s two-decades of wisdom training elite NBA athletes, boxers, bodybuilders, beauty contestants, and ordinary humans of all ages. In examples that apply to therapy and coaching, Cem shares how he meets his clients every single day with freshness, compassion, dignity, and nonjudgmental presence, helping them connect with their strengths while building toward their goals.

Learn how to be your best by inspiring the best in others as Nicole and Charlie tap into Cem Eren’s two-decades of wisdom trai...


Guaranteed Success, By Design – Episode 108
11/24/2022


Skillful Mind Training, Embodied - Episode 107
#107
11/17/2022

Learn how to be your best by inspiring the best in others as Nicole and Charlie tap into Cem Eren's two-decades of wisdom training elite NBA athletes, boxers, bodybuilders, beauty contestants, and ordinary humans of all ages. In examples that apply to therapy and coaching, Cem shares how he meets his clients every single day with freshness, compassion, dignity, and nonjudgmental presence, helping them connect with their strengths while building toward their goals.

In part one of a two-part conversation, Charlie and Nicole seek to discover the secret to world class trainer, Cem Eren's two decade career...


Skillful Mind Training, Embodied – Episode 107
11/17/2022

"In this episode, Nicole and Charlie tap into the wisdom that Cem Eren has gained from two decades of training elite NBA athletes, boxers, bodybuilders, beauty contestants, and ordinary humans of all ages. In examples that extend to therapy and coaching, Cem shares how he meets his clients every single day with freshness, compassion, dignity, and nonjudgmental presence, helping them connect with their strengths while building toward their goals.


Identity Grammar - Episode 106
#106
11/17/2022

In this episode Charlie and Nic explore the ways we find meaning through expressing identity, how we hold space for inner contradictions, and why self definition is a paradox, ripe for dialectical intervention.


Identity Grammar – Episode 106
11/10/2022


Skillful Grieving, Making Meaning from Suffering, and a Dinosaur – Episode 105
11/03/2022


Who IS that Woman?! – Episode 104
10/27/2022


In Her Own Words – Natalia Garcia on Coping with Loss and Trauma with Opposite Action and an Approach Lifestyle – Episode 103
10/21/2022


Long Grieving, Complicated Joy, and Flowers That Grow Around a Hole in the Heart – Episode 102
10/13/2022


5 Years, 100 Episodes, 7 Lessons for Surviving Hell – Episode 101
10/06/2022


The Long Reach of Loss – Suicide Outside the Immediate Family – Episode 100
09/29/2022


A Brother and a Best Friend Lost to Suicide (Part 3) – Episode 99
09/22/2022


Skillful Coping with Cancer (Part 3): Friendship is Good Medicine – Episode 98
09/15/2022


Death by Suicide of a Charismatic Young Man in a Loving Family (part 2) – Episode 97
09/01/2022


Death by Suicide of a Charismatic Young Man in a Loving Family – Episode 96
08/31/2022


Principles in Practice – The Narcissist in DBT Therapy- Episode 95
08/20/2022


Narcissistic Behavior Patterns Through a DBT Lens – Episode 94
08/11/2022


Skillful Coping with Cancer-Interview 2 with Andrea Gold – Episode 93
08/04/2022


No Narcissist is an Island – Episode 92
07/29/2022


Narcissism: It’s More Nuanced Then You Think – Episode 91
07/21/2022


Narcissism and Narcissistic Personality – Episode 90
07/14/2022


I Dont Want to Keep the Baby, Can My Partner Understand – Episode 89
07/07/2022


Guns, Abortion and Dialectics (from DBT) – Episode 88
06/30/2022


Skillful Coping with Cancer – An Interview with Andrea – Episode 87
06/27/2022


Dialectical Perspectives on the Gun Violence Debate – Episode 86
06/19/2022


Just Be There – Episode 85
06/19/2022