Feeling Good Podcast | TEAM-CBT - The New Mood Therapy

David Burns, MD
Feeling Good Podcast | TEAM-CBT - The New Mood Therapy

This podcast features David D. Burns MD, author of "Feeling Good, The New Mood Therapy," describing powerful new techniques to overcome depression and anxiety and develop greater joy and self-esteem. For therapists and the general public alike!

  1. 4 DAYS AGO

    Awesome Interviewing Secrets featuring Dr. Kyle Jones

    Secrets of Superb Interviewing-- How to Be Everyone's Number 1 Choice! Today we feature our beloved Kyle Jones, Ph.D, a clinical psychologist who suggested we might do a really cool podcast on the interviewing skills featured in Chapter 16 of my Feeling Good Handbook. Rhonda and I are absolutely delighted to welcome Kyle for his third appearance on to the Feeling Good Podcast. (Rhonda had to excuse herself after introducing this episode because she was not feeling well) In that chapter on interviewing skills, I listed the five basic principles of successfully interviewing for a job, for admissions to a school, or really almost any type of interview at all. I have to warn you that these ideas may be unfamiliar, and will definitely be quite different from what you've been taught about winning interviews. #1: Be personable and friendly. Don't try to impress the person who's interviewing you! #2 Make them sell themselves to you. #3 Be honest, but present yourself in a positive light. #4 Don't get defensive. #5 Punt when you don't know the answer to the question. To illustrate the first idea, I told a story from Dale Carnegie's book on How to Win Friends and Influence People, in which he describes his interview with a wealth and powerful man in the hopes of soliciting a donation  for the Boy Scouts of America. This was back in the era many years ago when the Scouts were still very popular. The receptionist who made the appointment warned Dale Carnegie that he would have only 15 minutes, and emphasized that her boss was 100% meticulous about time. He started exactly on time, and ended exactly on time, whether or not you were done, so he better talk fast once the interview started. When the time came, and Dale Carnegie entered the office, the receptionist again reminded him that he'd be kicked out after 15 minutes no matter what! As he walked in, Dale Carnegie spotted a trophy fish proudly displayed on the wall above the rich man's desk, and asked, if the wealthy man he'd caught it. himself, The rich man said he had caught it in lake so and so. Dale Carnegie got excited and said, "I fish there too. Where, exactly, were you fishing on the lake when you caught this fish?" The man told him where his favorite fishing hole was, and they become engrossed in a vibrant conversation about the joys of fishing. Suddenly, the office door opened, and the receptionist appeared and said the time was up. On the way out, the wealthy man said, "Oh, I forgot to ask you what the purpose of the interview was." Dale Carnegie said, "Oh, I'm sorry, I forgot to mention that I am trying to raise money to support the Boy Scouts of America." The man replied, "You'll receive a check in the mail tomorrow for a million dollars." And those were the days when that was an enormous amount of money. What's the moral of the story? Relate to the person who's interviewing you as a person, and show an interest in them, instead of pitching your talking points and trying to impress them. People usually make decisions influenced greatly by how much they like the person they are talking to. Don't try to be impressive. Aim for friendly, real and human. How do you do this? Well, let's say that you have an interview with a law firm, hoping to get hired, and you're just out of law school. I used to be the shrink for the University of Pennsylvania Law School, and at the time there were too many law school  graduates looking for too few job openings, and almost no one was hiring. They referred despondent and panicky students to me who'd had a string of rejections. At the time, the top firms had at least 50 to 100 top notch candidates for every position. Was there any hope of starting their careers? I told them to do some research on the person who was going to interview them, or on their firm. Find something interesting about them. Then, at the start of the interview you can say something like this: "I'm so excited to meet you because I've been following your work for some time. I was amazed and blown away by your strategy in the X, Y, and Z case, and I was wondering if you're still using that approach in litigation and how it's been working out? I'd love to hear more about your work, and how you came up with the approach you're using, and what you like the best about this firm." This will get them to talking about themselves. DON'T try to impress them with how great you are . That will just bore them, or turn them off, and it will certainly put you under pressure to perform. This pressure will probably make you anxious, and your  anxiety and insecurity will show. Instead, impress them with how great THEY are. They'll love you! I trained the students in this doing role-playing of imaginary job interviews. Every student I trained in this approach became the #1 choice at every firm they interviewed at! This approach is not just for law students, it's for every type of job, as well as interviews for college, graduate school, and more. Here's the underlying idea. People don't really care much about you. They care about themselves. This is true of all of us. So, use this to your advantage, and you'll suddenly be super happy and glad you were OTHER centered and not SELF centered! Does this mean you should hide your own skills and accomplishments? Of course now. You can answer questions about what you offer with humility and integrity. But that alone will rarely be enough. #2 Make them sell themselves to you. Let's say you're applying for graduate school, and it's very competitive. Again, they have 100 brilliant candidates for every position. Suppose the interview says something challenging, like "As you know, all the top candidates in the Unites States apply to us here at Harvard. Most of them were #1 in the their college classes and several have already been nominated for Nobel Prizes. Why should we be interested in you?" This, of course, is absurd, but I'm taking the worst imaginable question in an interview. Yikes! This sounds impossible, right? How in the world could you respond? Actually, it's easy. You can just say, "Gosh, I don't know if I'd be a good fit here. That's what I'm hoping to learn today. Maybe you can tell me what you're looking for in a top notch candidate. What kinds of candidates have gone on to be stars, and what types have been disappointments? Then I can give you a better answer on whether or not I might be a good fit. Although I love your company, and I'm so impressed with your own career, I wouldn't want to accept a job unless I was convinced I could really contribute to your firm." Is this realistic, or just some David fantasy? During my senior year in college, I was planning to go to graduate school in clinical psychology, since I'd majored in philosophy and psychology seemed like a way more practical career.  However, my college adviser said that medical school would be a far better choice because medications were becoming more and more important in treating mental illnesses, and only psychiatrists could prescribe drugs. I told him that I'd never had any interest in being a medical doctor, and wasn't even a premed student, so there was no way I could get into medical school. I hadn't even had a single biology class in college. He said "That won't be a problem I don't think. You've got the gift of gab, and they probably won't even notice." So, I applied to a number of medical schools and landed an interview at Stanford, and several others. My interview was with someone in the Anatomy Department which was located in the basement of the museum on campus. I went down the stairs and into a room where I met the man who was interviewing me. I said, "It's a bit dark down here. Is this where the medical students dissect their cadavers?" He said, "Absolutely. But it's actually pretty awesome down here. In fact, my laboratory his just down the hall. I said, "Oh, could I see your laboratory? I'd love to take a look and find out what kind of research you do." He seemed excited and as we walked into his lab I noticed all kinds of fancy equipment and read the name on one of them, so kind of photometer or something. I had no idea what it was, but said, "Oh, I see you have an X, Y Z photometer. (or whatever it was). Do you use this in your research?" He said, "Oh, absolutely, it's extremely important in my research." I asked him about the research he did. He excitedly started explaining it, and for the most part I had no idea what he was talking about, but kept expressing interest and asking him for more and more information. I was terrified that he'd ask me questions about my undergraduate work and my research, which of course did not exist. I'd never done any research! Just philosophy classes and such. Well, we had quite the conversation, but after a while he suddenly looked at his watch and said, "Oh, my goodness. We were only supposed to talk for 15 minutes, and we've been talking for nearly two hours. I have to rush over to the medical school quad for an important meeting I'm almost late for. Why don't we walk over in that direction together?" As we were walking out of the basement, he said, "Oh, my goodness, I forgot to ask you who you are and where you're from." I said, "Oh, I'm David Burns from Amherst College." He said, "Well, David Burns, I want you to know that you're the kind of young man we need at the Stanford Medical School.!" I said, "It's really kind of you to say that, but I'm afraid I won't be able to come to the Stanford for medical school." He said, "That's nonsense? Of course you can come! Do you think Harvard is going to make you a better offer? We'll top anything they offer." I said, "Oh no, sir, that's not it. You see, my father is a minister, and we don't have much money, and I've heard that attending medical school would cost more than one hundred thousand dollars. And he believes that borrowing money is a sin." He said, "David Burns, I'm the head of the admissions committee, and that's where I'm headed right now. And I'm

    59 min
  2. 14 APR

    I'm angry! Live Work with Sunny, Part 2

    I’m angry! A Once-Undocumented Immigrant Speaks from the Heart-- Live Work with Sunny, Part 2 Last week you heard Part 1 of the Live work with Sunny, who’s struggling with radically conflicting emotions. On the one hand, he has finally achieved his dream of an incredibly happy and fulfilling life, but he is frequently plunged into profound despair, fear, and anger because of the increasingly adverse political climate for people who are “different”—in gender identity, sexual orientation, nationality, political beliefs, skin color, and more. And he is shocked, fearful, and angered by the mean-spirited treatment so many are receiving—and which Sunny has endured throughout much of his life as well. Today, you will hear about how we set the A = agenda for our session with Sunny, along with the M = Methods we used. You can find Sunny’s goals for each negative feeling at the end of the Positive Reframing, and at the end of M = Methods, if you Click here His scores on the Empathy and Helpfulness Scales in the Evaluation of Therapy Session were perfect. Here are some of the take-home lessons from this session with Sunny. 1.  Unhealthy negative feelings result from distorted negative thoughts, like “I’ll be miserable forever.” Healthy negative feelings, in contrast, result from thoughts that are realistic and, for the most part, undistorted. Healthy negative feelings do not usually require any kind of “treatment,” but skillful empathic listening and support will nearly always be appreciated. 2.  Empathy can be very powerful, and it is absolutely necessary for a meaningful therapeutic relationship, but empathy alone is not enough to change the way someone feels. 3.  Finding compassion for someone who has harmed you, while extremely challenging, can also bring you peace. 4.  Emotions such as anger, sadness, and anxiety are important protective instincts. And one can feel these emotions and be compassionate and loving at the same time. 5.  As a therapist it can be tempting to either assume that you can’t help a patient because their feelings are “normal,” or to try to cheerlead or problem-solve for a patient to cheer them up, but the TEAM-CBT model allows us to collaborate with the patient, understand when and how they want to change, honor their resistance to change, and offer them the tools they need to change in a way that honors their values. Thank you so much for listening and joining us. Rhonda, Jill and I are deeply indebted to you, Sunny, for your courage and vulnerability last week and today, letting us into your world on such a personal level. We love you and will always be grateful to have you in our lives, both professionally and personally! Sunny, Rhonda, Jill, and David

    1h 11m
  3. 7 APR

    I'm angry! Live Work with Sunny, Part 1

    I’m angry! A Once-Undocumented Immigrant Speaks from the Heart-- Live Work with Sunny, Part 1 Sunny Choi is a beloved member of the TEAM community. He grew up in Hong Kong before emigrating with his family to the United States when he was 11 years old. He graduated from UCLA with a major in engineering, completed a master’s degree in Engineering Management at Stanford, and developed a successful career in high tech Silicon Valley companies. However, he left his work to pursue additional graduate training in clinical social work because he discovered that his strongest call was to help individuals who were being marginalized by American culture and suffering. He then obtained an MSW degree with a specialty in Community Mental Health from California State University. We were fortunate when Sunny discovered and joined our free Stanford TEAM CBT training group, and blossomed into an expert TEAM therapist and beloved colleague and friend. Today, Dr. Jill Levitt and I worked with Sunny because he requested a session to work on his own troubled feelings concerning the recent political developments. He emphasized that he wanted to do personal work, rather than focusing too heavily on the current political controversies and battles. You can find the Daily Mood Log (DML) that Sunny prepared just prior to his session if you click here As you can see, at the top of his DML, he described the upsetting event as tearing up when he was teaching a class and discussing a case of a transgender Mexican American man, and he began reflecting on his own memories of growing up as a gay male and undocumented immigrant. Sadness and anger were the two strongest negative feelings (rated 70 and 80, respectively on a scale from 0 to 100), although he was also moderately anxious, guilty, rejected, hopeless, and frustrated. You can also see the ten negative thoughts he recorded on his DML, and how strongly he believed each one, on a scale from 0 (not at all) to 1000 (completely.). During the session he added three more thoughts: 11.  I (shouldn’t be) living such a happy and pleasurable life when others are suffering. 70% 12.  I should be helping others more. 80% 13.  I have to figure out the correct way to be thinking and feeling. 50% At the start of the session, he said that he felt vulnerable and nervous discussing such personal feelings, memories, and thoughts. He also said that after doing much personal and professional work, he was generally happy and loving, but felt profoundly disturbed when he thought about so many people who are suffering. He said, “Many of my clients are being deported. And those who are gay are worried that they’ll lose access to their medications.” These were the kinds of thoughts that triggered his feelings of guilt. During the empathy phase, Jill mentioned that she felt honored to be talking to Sunny today and proud to be a member of a community where you can reach out when you’re suffering. She added that she felt torn, as I did, because it seemed to us that many of his negative thoughts were realistic, and not distorted, and that it makes sense to feel sad, anxious, worried, and angry. For example, his first negative thought on his DML was, “The world is much more unstable and dangerous now.” Sunny emphasized that most of the time he does feel happy, especially when involved with friends and family, and doing the things he loves. But then he gets confused and guilty, wondering if it is right to feel happy when things are looking so dark for so many people. It certainly makes sense to feel unhappy when, as Sunny said, some of his clients and friends have lost their jobs and people in the LGBTQ+ community are afraid they’ll get deported. And we’re all afraid to speak up and talk about diversity, which has become a dirty word that can get you into trouble. And when Sunny thinks about this, he feels profound sadness and compassion. But as previously noted, this has caused confusion for Sunny, and he struggles with feelings of guilt about the fact that he is truly happy so much of the time. He’s happy about his beautiful life, his marriage, and more—this, in fact, is his happiest he’s ever been. Here’s how he puts it: “I used to be undocumented. The experience and the hostility and bias I confronted traumatized me. And when I heard Trump talk about all the ‘murders and rapists’ invading our country from Mexico, I became tearful. I feel angry—they don’t think we’re human. “I want people to be more compassionate. . . . To say we’re rapists and criminals, it’s not okay. . . it’s mean, and it’s very harmful to mental health. . . . It’s like repeatedly poking at someone who is recovering from a terrible wound, and it hurts.” Jill was touched, and found Sunny’s vulnerability heart-warming, beautiful, and refreshing. Rhonda reminded us that unless we are Indigenous Native Americans, all Americans are descended from immigrants. In my own case, all my ancestors came from Sweden in the late 1800s during the potato famine. Sunny pointed out the European immigrants have not been discriminated against in the same way as the Africans, Asians, Latinos, Islamic, and dark-skinned individuals: “Let’s be open. It’s racism. I felt it right from the start.” Sunny gave us an A+ on empathy, and then we worked to set the agenda for the session. What did Sunny hope to get from the session? What did he want help with? What changes was he hoping for? He said: “Maybe my feelings are appropriate, but some may be too intense. My goal is to find peace; to have hope, and to try to do something to help. . . I want to feel proud of who I am and what I stand for. I want to try to be loving and compassionate, even to people who don’t have the same beliefs and values. . . . Although that can be incredibly challenging!” When you listen to today’s podcast, you will hear the T = Testing and E = Empathy portions of the session. Next week, you will hear the A = Paradoxical Agenda Setting and M = Methods portions along with the conclusion, including the final T = Testing to evaluate his end of session scores on the Brief Mood Survey and Evaluation of Therapy Session. Thank you for joining us. Rhonda, Jill, Sunny, and I appreciate all of you!

    1h 3m
  4. 31 MAR

    Eliminate Anxiety Fast: The Awesome Hidden Emotion Technique

    Ask David: The Awesome Hidden Emotion Technique Featuring Matthew May, MD with Rhonda and David The following answers to Ask David questions were written prior to the live podcast where Matt, David, Rhonda, and others discuss the questions in real time. Their answers may differ from Dr. Burns responses listed below. 1. Michael asks: How did you invent the Hidden Emotion Technique? It’s been incredibly helpful to me! Hello, Dr. Burns, Your lifelong work continues to be invaluable to me and so many others, and I apologize if this question was answered on a previous podcast. To my knowledge, it hasn't been. I was wondering how you discovered or created the hidden emotion model? I recently struggled with inexplicable death anxiety that came on every night since college started back up, and I was at a loss, until I remembered the hidden emotion model and wondered if there was something I wasn't acknowledging? Sure enough, I discovered I was actually quite resentful of my new schedule not allowing me to easily fit the gym into my schedule unless I wanted to forgo valuable sleep. Once I had addressed this resentment, the death anxiety vanished. I would love to know how this wonderful technique became part of your phenomenal practice! -Sincerely, Michael Polus. David’s reply You can read all about it in When Panic Attacks, when I learned about it accidentally based on an interaction with a patient who was stuck. Perhaps we can answer it on a podcast. Thanks! david   2. Janie asks: How can I help a patient who ruminates? My client ruminates, that is she experiences repetitive thoughts about conversations and gets stuck in the negative feelings that come from dwelling on those thoughts and conversations. She has referred to it as repetitive thinking about conversations that were distressing in some way. She replays the conversation in her head, and evaluates and re-evaluates her responses. She then plays the conversation using possible different responses she COULD have used and worries whether these would have been better responses. The first individual is a friend where the friendship is very challenging and interwoven into many parts of my patient's life. My patient ruminates about conversations and wonders over and over if she said the right thing or wonders how the friend took what was said. It is a loop that my patient often gets stuck in for long periods of the day. The second individual is my patient's husband. With him, she ruminates about how to say things to him so she can motivate him to be involved in the ways she wants him to be. We will work on these relationships using the 5 secrets eventually, but first she'd like to work on the rumination because it takes up so much of her time. How can I help her? David’s Reply I would recommend TEAM CBT in a step-by-step manner. I do not, in general, like to throw techniques at people based on a description of a problem. Motivational techniques to reduce resistance and bring resistance to conscious awareness. Paradoxical Cost-Benefit Analysis Dangling the Carrot / Gentle Ultimatum / Sitting with Open Hands The Hidden Emotion Technique What If / Downward Arrow Technique ERP (Exposure plus response prevention) Many other techniques inspired by methods a and b above (TEAM CBT) Feared Fantasy: confronting her worst fear Five Secrets of Effective Communication Work on acceptance: she is perfectionistic and self-critical Hidden Emotion: anger Thanks for listening (and reading the show notes), David, Rhonda and Matt

    51 min
  5. 24 MAR

    David, Rhonda and Matt Answer Your Questions about Relationships, Dating, and Religion

    Ask David My friend won’t say thank you! Dating Anxiety Religion vs. Psychotherapy We want to remind you about an awesome virtual workshop on habits and addictions that Dr. Jill Levitt and David will be presenting on March 28, 2025 We will feature powerful new paradoxical techniques that will blow your socks off. It will be from 8:30 to 4:30 and you will earn 7 CE credits while having fun and learning how to heal yourself AND you patients. Check it out! It's less than two weeks away, some check it out while you still have time! You'' LOVE it and LEARN a LOT! Registration and More Information Here! As is so often the case, the answers to these questions that appear in the show notes were email replies to the person before the show. To get the full discussion, make sure you listen to the actual podcast, as the answers often evolve in unexpected ways when the “experts” hash it out! Today’s episode is chock full of personal stories (some racy), expert Five Secrets advice and demonstration,  philosophical / spiritual discussion, and secrets of successful (and racy) dating. 1. Brittany asks: What can I do say to a friend who does not say “thank you” when I pay for our meal or drive a long distance just to see them? 2. Jaydipe asks: How can I get over my anxiety around attractive women? 3. Ali asks: Can religious beliefs cause or intensify feelings of anxiety? (David will talk about the synergies between TEAM CBT and spirituality in all religions. He will also mention the potential antagonisms.)   1. Brittany asks: What can I do say to a friend who does not say “thank you” when I pay for our meal or drive a long distance just to see them. Hello David and Rhonda, I have a friend who typically does not say thank you to me when I pay for a meal out or drive us a long distance. I am someone who always says thank you even if the other person just bought us $10 worth of fast food or gave a short ride. I find myself feeling resentful towards my friend for not saying anything when I pay and drive us around all day. It makes me feel like they don’t appreciate it. At the same time, talking about it and sharing my feelings would then feel like I’m asking them to say it, and then it would not feel authentic. I have said something about it in the past, and they were like I’m sorry, thank you. But it didn’t mean much at that point. Is this one of those annoying traits I just learn to accept? Thank you, Brittany David’s reply Well, you could just use a gentle I Feel statement, which might be paradoxically stronger, but combined with Stroking. Like this, "Jennie, you know I think the world of you, and greatly enjoy our times together, but when I pay for lunch, or drive a distance to hang out with you, you rarely ever say "thank you," and then I feel hurt and unappreciated." Something like that combines Stroking with I Feel and might be effective. But I always rate myself on what I do, or say, and not so much on how the other person reacts. You could, perhaps, also ask if they are upset with you about something that they’ve had trouble expressing to you. Best, david 2. Jaydipe asks: How can I get over my anxiety around attractive women? Hi David Many thanks for the podcast I’m struggling with social anxiety and talking to attractive women and I’ve watched all the podcasts relating to it. I think deep down I have a shame around finding women attractive, so I find it difficult to express interest in them. I find that I can talk to them easily during activities like climbing or co workers, but even on dates with women I can’t seem to take things forwards playfully like you’d expect on a date. I’m too serious and I think that turns people off. I feel like I’m under the spotlight and I have to impress them otherwise they won’t like me. I know this isn’t true and I’ve been trying to get myself to do exposure therapy by asking girls for their numbers and being rejected so it helps with that. Also, I struggle with societal expectations, I hear women say that they don’t want to be approached or talked to or anything so I just end up avoiding them because I don’t want to annoy them, but it holds me back from getting the sex and relationships I want Any help much appreciated Thanks, Jaydipe David’s Reply I have included your excellent question on an upcoming Ask David. In the meantime, have you read my book on dating, Intimate Connections? Best, david PS Should I use your first name, or a fake first name? 3. Ali asks: Can religious beliefs cause or intensify feelings of anxiety? Dear Dr. Burns, After reading your books, I’ve started to recognize that many of my anxious beliefs seem to have a religious background. For example, in the Bible, there’s a verse from John 5:14: “Later Jesus found him at the temple and said to him, ‘See, you are well again. Stop sinning or something worse may happen to you.’” Here’s where I struggle: I want to live my life freely, which includes things like being with different girls before marriage (something I already do). But according to religion, this is considered adultery and a sin. Another verse that weighs heavily on me is from Matthew 5:27-29: “You have heard that it was said, ‘You shall not commit adultery.’ But I tell you that anyone who looks at a woman lustfully has already committed adultery with her in his heart. If your right eye causes you to stumble, gouge it out and throw it away. It is better for you to lose one part of your body than for your whole body to be thrown into hell.” I often find myself looking at beautiful women on the street, which Christianity teaches is sinful, and this sometimes leads to feelings of guilt. I wonder: do I need to leave religion altogether to break free from these negative, self-critical thoughts? I also have other related thoughts that seem to link my faith with the good things happening in my life. For instance: My life is going well right now. My parents are alive, my brother is getting married, I’m healthy, and I’ve been fortunate in many ways. I’ve had incredible experiences, like participating in two Erasmus+ exchange programs in Poland and Lithuania during university, volunteering in Latvia for a year, and even having my New Zealand visa approved in a highly competitive process (only 100 spots for 85 million people, and the application closed in 5 minutes!). I often think that these blessings are because I believe in Jesus, follow the Bible, and try to live as a good person who avoids sin and doesn’t deceive others. But then these anxious thoughts arise: I should always be thankful or pray, or else my life will fall apart. If I leave religion, something bad might happen—my parents could fall ill or pass away, and it would all feel like my fault for turning away from Jesus. Without faith, I’d lose my good fortune(luck), my appearance, and my opportunities. Wherever I apply to would be rejected, then I would understand that it was Jesus in the first place doing all of these things in my life, not me or vice versa! I'd find a terrible job, terrible working environment, terrible mutual relationships. Then everything would be my fault and I'd tell myself I should have believed in him in the first place but now I deserve everything that happens to me! These thoughts are overwhelming, and I’d love to hear your perspective on how to approach and challenge them. Thank you so much for your time and the invaluable insights you share in your work. Warm regards, Ali David’s reply Hi Ali, Sorry you are struggling with so many restrictions, judgments, and inhibitions! I can imagine it triggers anxiety, guilt, inadequacy, resentment, discouragement, and more. You can let me know! If you want, I can include this as an Ask David question on a podcast, with your first name, or a fake first name. Let me know if this works for you. Also, what religion are you? I know that many religions around the world can be very fundamentalistic and super strict in their teachings. My own religious upbringing had a touch of rigidity, too. Best, david Ali’s response to David Hello again, Actually, my family comes from the Christian (Orthodox-Armenian) minority in Turkey, where I was born and raised. So, I am an Orthodox Christian. You're absolutely right that I struggle with many restrictions and judgments. I’d love for you to include this as an "Ask David" question on a podcast since I haven’t seen any episode (and I’ve listened to most of your recent podcasts, including number 408: Do You Believe in God? Does God Exist?) that addresses this topic. By the way, I already use an alias, so "Ali" is a fake name, but you’re welcome to use it in your podcast! Here’s a quick DML (Daily Mood Log) to clarify what I’m dealing with: The Upsetting Event: Doing my daily half-hour Bible reading before bed and coming across certain verses. Emotions: Sad: 60% Anxious/Worried: 70% Inadequate: 60% Guilty/Bad: 90% Abandoned: 70% Pessimistic/Discouraged: 80% Stuck: 75% Angry/Resentful: 75% Tricked/Duped: 80% Although I don’t consider myself a devout Christian, over the past few years, I’ve started reading the Bible—the Old and New Testaments. Initially, I read them in my native language, but now I read in English to fully understand the content. Growing up in the church, I believed everything the priest taught. However, encountering some events and stories that seem illogical to me has made me question my beliefs. I often feel tricked and wonder if I’ve truly believed in all this. At the same time, I feel anxious and worried, as if questioning or criticizing my religion is a betrayal of God. Please let me know if you need any additional information. Ali David’s reply Thanks, Ali, this is super. I was also raised in a somewhat strict Christian (Lutheran) home, and as a child had plans to become a minister, like my dad. In college, I learned critical thinking,

    42 min
  6. 17 MAR

    Who is the REAL David?

    Getting to Know David David Answers Personal Questions! We all know David Burns as the creator of TEAM-CBT, but not many people get to know David, the person. It is fun to know David the person, because he is just like all of us. He is a real person (not a robot), full of life and love. I want everyone in our audience to be able to relate to David on a deeper level, to feel a sense of connection with him, and hopefully for all of us to build our sense of community with each other. Thanks so much to Stan Dickens, TEAM UK, for submitting these questions and sparking this discussion. The complete list of questions was much longer, but I (Rhonda) have selected the ones listed below. I hope you like listening to this podcast, Rhonda The questions are not necessarily in the order listed below, but all are answered on this podcast. David’s answers are all 100% spontaneous, and you will hear them on the podcast! Music & Entertainment 1.  Which band do you like most, the Beatles or the Rolling Stones? (David, please say The Beatles!) 2.  Following on from that, what kind of music do you listen to? Can you tell us about some of your favorite musicians, bands, or composers? Here are some links to just a few of a great many favorite songs of mine. David Tom Waits Never Let Go (of your hand) https://www.youtube.com/watch?v=pROjyuj2P8k&list=RDpROjyuj2P8k&start_radio=1&rv=fGe2igm7Ieo Rickey Nelson It’s Up to You https://www.youtube.com/watch?v=vsBP5P0Xe2c&list=RDvsBP5P0Xe2c&start_radio=1 James Brown Please Please Please https://www.youtube.com/watch?v=vruy2GRUsV8 Mick Jagger and Muddy Waters Please Don’t Go! https://www.youtube.com/watch?v=Mbao_laqF8E Jim Croce I’ll have to say I love you in a song https://www.youtube.com/watch?v=WB6FQBp-YwU Last Train Home Pat Metheny https://www.youtube.com/watch?v=goXJTv_U-PM Lucy Thomas “Hallelujah” https://www.youtube.com/watch?v=dLk9pzmaFHY 3.  If your life were turned into a film, who would play you? 4.  Can you speak with an English accent? Would you be brave enough to give it a try right now? Career & Professional Reflections 5.  If you hadn’t dedicated your life to cognitive behavioral therapy and mental health or authored Feeling Good, what might you have done instead? 6. Is there a common misconception about you or your work that you’d like to clear up? Personal Insights & Philosophy 7.  If you could have dinner with three historical or modern figures, dead or alive, who would it be and why? 8.  If you could give your younger self just one piece of advice, what would it be? 9.  How did you meet Melanie, and what do you love most about her?

    50 min
  7. 10 MAR

    The Vape Escape!

    Vaping--Why and How I Quit. Featuring Dr. Kyle Jones Today we feature a beloved friend and esteemed colleague, Dr. Kyle Jones who will talk to us how he escaped from his vaping addiction. Kyle is a clinical psychologist in private practice, now residing in Los Angeles. However, he works virtually throughout California. He co-leads the OCD Consultation Group, a monthly consultation group for clinicians wanting to improve their competence in treating OCD. He also servs on the adjunct faculty at Palo Alto University where he teaches in the clinical psychology masters and PhD programs. He's recently joined the alumni council in the Department of Psychological and Brain Sciences at the University of California, Santa Barbara. This is the fourth in our recent series on TEAM CBT for habits and addictions (431, Screen Addictions with Brandon Vance; 437, Porn Addiction with Thai An Truong; 438, Overcoming Habits & Addictions with Jill Leavitt). We want to remind you about an awesome virtual workshop on habits and addictions that Dr. Jill Levitt and I will be presenting on March 28th. We will feature powerful new paradoxical techniques that will blow your socks off. It will be from 8:30 to 4:30 and you will earn 7 CE credits while having fun and learning how to heal yourself AND you patients. Check it out! Registration and More Information Here! Today, Kyle gave a brief history of vaping, which entered the scene around 2010, and described the experience as pleasurable and addictive. An estimated 3 million teens are addicted, and the flavored versions are quite tasty, but banned in California. He described his first exposure to smoking when he was 19, and living in Paris. It was “the” thing to do at that time, but he eventually gave it up, but later began to take a hit or two of vaping at a party, and then purchased his own vaping device in 2023. “Shamefully, he says, I tried to hide it from my partner and from other people, and I would vape in the bathroom.” He vaped for most of 2024, but explains that eventually, it got out of hand. At New Year’s 2025, he listed the advantages versus the disadvantages of vaping, and made the decision to give it up. This was difficult because of the withdrawal effects that lasted for several weeks, including intense cravings, fatigue, difficulty sleeping, irritability, anxiety, and the urge to overeat. The TEAM CBT technique that helped the most was HAL, the Habit and Addiction Log, and we demonstrated the Devil’s Advocate Technique. Rhonda and David played the role of the Tempting Thoughts and Kyle bravely battle back. Here’s the list of thoughts: 1. I’m driving, so I can just vape in the car. 2. Here’s a chance for a nice break. I can vape right now!\ 3. I can take another hit, no problem! I’ll just get a little feeling of pleasure. 4. I need It tastes sooo gooood! We translated the “I” statements into “you” statements to maximize the temptation, and were as seductive as possible. But no matter how hard we tried to tempt Kyle, he won “huge” and hit it out of the park. We discussed Relapse Prevention, and Kyle described being at a party on Friday where some people were vaping and sharing the vape. We also described and illustrated the powerful Triple Paradox, which works paradoxically. I have personally trained Kyle in TEAM CBT, along with many other fine TEAM teachers, and he was always brilliant, compassionate and extremely effective in his therapy work. He works with the full spectrum of mood and anxiety disorders, and has a bit of a specialty in the treatment of OCD. Thanks for listening today!

    1h 5m
  8. 3 MAR

    Habits and Addictions: The TEAM Approach

    Episode 438 The TEAM Approach to Habits and Addictions Powerful New, Radically Different Approaches that Can Help! Today, Dr. Jill Levitt joins David and Rhonda to discuss and illustrate the TEAM CBT approach to habits and addictions and give a little promo for their upcoming online workshop on Habits and Addictions on March 28, 2025. You can sign up for the workshop here: cbt-workshop.com Although the workshop is for mental health professionals, participants will have the chance to work on their own habits and addictions during the workshop in order to gain a more in-depth understanding of the new treatment methods for: Overeating / binging / restricting Drugs Alcohol Procrastination Doomscrolling Excessive cell phone use Internet addiction Excessive use of social media Shop-a-Holic Biting fingernails Video games Gambling And more David emphasized that nearly all current treatment methods frequently fall short because they focus on control of symptoms using behavior modification rather than the cause. He describes a research study at the Stanford inpatient unit that indicated that 50 common DSM Diagnoses (such as mood disorders, anxiety disorders, personality disorders, and more) were not significantly correlated with any of the DSM addictive / misuse disorders including drugs, alcohol, eating disorders, and gambling, which was not really consistent with the beliefs of many that emotional factors play a central causal role in addictions. In fact, the only significant correlation he noted was between depression and overeating, but the correlation was in the negative direction—in other words, higher levels of depression were associated with weight loss, not weight gain. And, in addition, the magnitude of the correlation was extremely small, indicating that other factors play a far more important role. So, what is the explanation for this puzzling and anti-intuitive finding? David described a 5-item survey he developed which asks about temptations in use or give in to your habit / addiction in the past week. This tool, in contrast to all of the DSM diagnoses, was very strongly correlated with all the addictions. This suggests that we give in to our habits and addictions for one simple reason--they make us feel great! At least in the short term! 150 years ago, they didn’t have an epidemic of obesity in America. Why not? Life was likely just as stressful as it is now, maybe even more so! But what they didn’t have was all the fast food restaurants and all the gooey, tasty foods that are abundantly available today, and they didn’t have the resources to purchase them, either. This doesn’t mean that behavioral models or diets or other tools have no value. But the TEAM CBT model focuses first on assessing the patient’s motivation for and resistance to treatment using a variety of powerful and innovative new techniques, including: The Triple Paradox The Ten Positive Distortions The Habits and Addictions Log (HAL) The Devil’s Advocate Technique The Five-Minute Rule The “I Stubbornly Refused” Technique The Anti-Procrastination Sheet Relapse Prevention Techniques utilizing The Externalization of Voices The Acceptance Paradox Stimulus Control And more They emphasized that these are methods, but not in the ordinary sense, because they rely heavily on the use of paradox, which is unfamiliar to many therapists, and require a great deal of skill. Jill and David first discussed the nature of tempting thoughts and how positive distortions work. Then, they illustrated the Devil’s Advocate Technique with Rhonda who volunteered to work on her temptation to overeat chocolate, and especially chocolate chip cookies with peanut butter, and listed several of her tempting thoughts, including: 1. A little chocolate chip cookie can’t hurt. 2. I have to keep them in the house because my husband loves them. 3. Just one cookie. It will taste SOOOO Gooood! 4. I can always work out a little more. 5. That cookie smells Sooo Good! I just CAN’T resist. Jill and David played the tempting part of Rhonda’s brain, and she played the part that resisted the temptations. She started strong, but her conviction seemed to weaken on the third thought, and she didn’t win “huge.” Instead of doing a role reversal to “help” or “save” her, David said that perhaps that wasn’t really something she was willing to give up, and perhaps we could work on something else instead. She INSTANTLY did a complete turnaround and won “huge” when they gave her another chance to defeat the tempting voice. David and Jill emphasized that paradox nearly always wins, and “helping” nearly always fails. But this is why these methods are so challenging—because the therapist’s well-intentioned attempts to help nearly always backfire, and yet are extremely difficult to resist. Jill and David emphasize that prior to doing this type of role-playing method, it is crucial to find out if this is something the patient really wants help with, and Jill emphasized that we rarely or never impose an agenda on any patient. We do not have any belief that there is a “correct” way for people to be. Rhonda—or any patient--will first have to convince us that this is something she really wants help with. And that will be one of the many take home messages for the therapists who attend on March 28th. Thanks for listening today, and be sure to tune in again next week! Jill, Rhonda, and David

    56 min
4.2
out of 5
62 Ratings

About

This podcast features David D. Burns MD, author of "Feeling Good, The New Mood Therapy," describing powerful new techniques to overcome depression and anxiety and develop greater joy and self-esteem. For therapists and the general public alike!

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