When Depression is in Your Bed℠

Trish Sanders, LCSW

When Depression Is in Your Bed℠ is a podcast about what happens when life gets hard and how we find our way back to connection. Hosted by Trish Sanders, Licensed Clinical Social Worker, Certified Advanced Imago Relationship Therapist and Relationship Coach, each episode explores the complex relationship between our nervous systems, our relationships, and our emotional well-being. Through a blend of personal stories, professional insights, and practical tools, Trish tackles topics such as depression, communication, perfectionism, neurodivergence, self-trust, conflict, repair, empathy, boundaries, attachment, nervous system regulation, and relational healing. With honesty, warmth, and a deep belief in people's capacity to grow, Trish helps listeners understand not only why they get stuck, but how meaningful change becomes possible. Whether you're struggling with depression, feeling disconnected from yourself or your partner, or simply trying to navigate life with more awareness and compassion, this podcast offers a roadmap back to connection, again and again.

  1. 4d ago

    #88 You Know Better, But Can't Always Do Better: What Makes Change Possible

    Have you ever known exactly what you would like to do differently... and still found yourself unable to do it in the moment? Maybe you understand your patterns. You know your triggers. You've done the therapy, read the books, listened to the podcasts, and gained incredible insight into yourself and your relationships. And yet, sometimes, you still find yourself right back in the same familiar place. So if knowing better isn't always enough to help us do better, what actually makes change possible? In this episode, Trish explores the question that has significantly changed the way she understands growth, relationships, and lasting change. Through personal storytelling, practical nervous-system understanding, and the lens of The Road to Reconnection™, she considers why insight matters, but may not be enough on its own, and what else may influence our ability to participate differently in our lives and relationships. In this episode, you'll learn: Why knowing what would be helpful and having it genuinely available in the moment are not necessarily the same thing.How our conditions can influence our nervous systems, our capacity, and what becomes available to us.Why understanding capacity doesn't mean removing responsibility or accountability.Why trying harder or communicating more isn't always enough to shift a familiar relationship pattern.How meaningful growth can happen through small, imperfect changes that may be easy to overlook.Why new lived experiences can provide new evidence about what is possible.Why familiar doesn't necessarily mean permanent.Introducing The Road to Reconnection™ Assessment This episode also marks something special: the public launch of The Road to Reconnection™ Assessment. This free assessment is designed for partners who love each other and want their relationship to work, but find themselves returning to familiar arguments, reactions, misunderstandings, or emotional distance. Each partner takes the assessment separately, reflecting on their own experience of the relationship. You'll receive an individualized report designed to help you get your bearings, see where you may be on The Roadmap of Relationship™, and understand your current relationship experience with greater clarity and compassion. Take The Road to Reconnection™ Assessment here: Knowing better matters. But knowing more isn't always what makes something different possible. Sometimes change begins when new experiences give us new evidence that the familiar road isn't the only road available. Because familiar doesn't have to mean permanent. If you and your partner are ready to co-create the roadmap to the relationship of your dreams, join us for the next in-person "Getting the Love You Want" Weekend Couples Retreat!  For support in how to have deeper connections and better communication in the relationships that matter most in your life, follow the host, Trish Sanders on Instagram , Bluesky or LinkedIn.

  2. Sep 23

    #87 Getting Knocked Down and Finding Your Way Back Up: What Nervous System Flexibility Looks Like

    Have you ever been knocked down by something and wondered, “After all the work I’ve done, why is this still so hard?”  We sometimes imagine that growth will eventually make us so regulated, resilient, and capable that difficult experiences won’t knock us down anymore. But life doesn’t stop bringing challenges just because we’ve grown. We can still feel overwhelmed by something enormous, or find ourselves unexpectedly affected by something that looks relatively small from the outside. So perhaps the question isn’t how to avoid getting knocked down. Perhaps it’s how our relationship with what happens next can begin to change. In this episode, Trish shares two very different experiences that brought her growing capacity to respond to overwhelm into focus. Through personal storytelling and the lens of Polyvagal Theory, she explores what nervous system flexibility can look like when we allow ourselves to be affected by life, recognize what we need, and discover what becomes possible as our circumstances and capacity change. Getting back up isn’t always about doing more. Sometimes it means slowing down, allowing ourselves to rest, or accepting support. And sometimes it means taking a step forward without needing to know how we’ll navigate the entire journey. In this episode, you’ll learn: Why getting knocked down by a difficult experience doesn’t erase the growth you’ve made.How nervous system flexibility differs from staying calm, connected, or capable all the time.Why both withdrawal and constant action can become patterns that leave us feeling stuck.How to begin noticing the difference between temporarily escaping overwhelm and caring for yourself in ways that genuinely restore you.Why knowing what you need doesn’t always mean you have the capacity to do it right away.How rest, compassion, and receiving support can help expand what becomes available to you.Why getting back up may mean participating in your life differently, rather than returning to exactly where you were before.How you can care for yourself and the people you love even when you cannot control what happens next.We don’t have to fight every wave that knocks us down. We don’t have to shame ourselves for being affected by life. And we don’t have to figure out the entire journey before we can begin caring for ourselves in this moment. There may be hard moments ahead. There may be things we wish we could change but simply can’t. And the way forward may not look like the path we would have chosen. But growth can give us more ways to care for ourselves, more ways to find support, and more capacity to respond to life’s challenges in ways that truly support us.  One moment and one step at a time, we can find our own way back up. If you and your partner are ready to co-create the roadmap to the relationship of your dreams, join us for the next in-person "Getting the Love You Want" Weekend Couples Retreat!  For support in how to have deeper connections and better communication in the relationships that matter most in your life, follow the host, Trish Sanders on Instagram , Bluesky or LinkedIn.

  3. Sep 16

    #86 Counting Every Step Along the Way: Receiving Growth Before You've Fully Arrived

    What happens when you can see that something is changing, but it still isn’t quite where you want it to be? Growth can be easier to recognize when the results are obvious. The old pattern doesn’t happen. The conversation goes differently. Something that used to be hard suddenly feels easier. But so much of real growth happens somewhere in between where we started and where we hope to go. In this episode, Trish continues the conversation about how we recognize progress when growth is still unfolding. Through a recent experience with her own familiar shame spiral and an imperfect but meaningful moment of support from her partner, she explores what it means not only to notice growth, but to actually receive it and let it count. Because receiving growth doesn’t mean declaring the work finished. We can appreciate that something is different while still wanting more. We can recognize our own increased capacity while acknowledging the places where old patterns still show up. And we can receive a partner’s effort without pretending it landed exactly the way we wanted it to. Through personal storytelling, practical neuroscience, and the lens of The Road to Reconnection™, Trish explores how focusing only on what is still missing can make it harder to take in how far we have already come. In this episode, you'll learn: Why an old familiar pattern showing up doesn’t erase the growth that has already happened.What it can look like to have a different relationship with an experience that once overwhelmed you.Why receiving a partner’s growth doesn’t require ignoring what you still need or want.How focusing on the remaining distance can cause us to overlook meaningful change that is already happening.Why our present-day lives and environments may not yet reflect all of the growth that has happened within us.How compassion for where we have been can coexist with continuing to influence where we are going.Why noticing, receiving, and allowing imperfect growth to matter may help support what becomes possible next.We don’t have to wait until we have fully arrived to appreciate how far we’ve traveled. There can still be more road ahead. There can still be things we want to change. There can still be old patterns, messy moments, and places where we wish things looked different. And we can count every step along the way. Because growth does not need to be complete before it matters. If you and your partner are ready to co-create the roadmap to the relationship of your dreams, join us for the next in-person "Getting the Love You Want" Weekend Couples Retreat!  For support in how to have deeper connections and better communication in the relationships that matter most in your life, follow the host, Trish Sanders on Instagram , Bluesky or LinkedIn.

  4. Sep 9

    #85 The Real Trajectory of Growth When It Feels Like You're Back Where You Started

    Have you ever thought you were finally making progress... only to find yourself right back in a familiar pattern and wonder if anything had really changed at all? Growth can be incredibly encouraging when we can see it happening. But what about the moments that don't look like growth? The argument you thought you'd moved beyond. The reaction you thought you'd changed. The family pattern that seemed to be getting better, until suddenly, there it is again. It can be easy to look at that moment and think, We're right back where we started. But are we? In this deeply personal episode, Trish returns to the family car rides she has shared about in recent episodes. After intentionally creating a new and much more connected experience together, the next family trip didn't begin nearly as well. And that raised a bigger question: How do we actually know whether growth is happening? Through personal storytelling, practical neuroscience, and the lens of The Road to Reconnection™, Trish explores what becomes visible when we stop measuring growth only by whether an individual moment went the way we hoped and begin looking at the larger trajectory. This isn't about putting a positive spin on every difficult experience or insisting that something isn't a setback when it feels like one. It's about getting curious about whether we may sometimes call something a setback because we're measuring the wrong thing. In this episode, you'll learn: Why growth rarely follows the steady upward trajectory we may expect.How a familiar pattern can reappear without necessarily meaning you're back where you started.Why the outcome of a difficult moment isn't the only place to look for evidence of change.How noticing, understanding, responding, recovering, and repairing differently can reveal growth that might otherwise be missed.Why something new can represent meaningful movement even when it doesn't yet look like the outcome you're working toward.How approaching difficult experiences as information can help reveal what you may need for the next step.Why measuring each individual experience as a success or failure can sometimes make continued growth harder.Up close, we may only be able to see the moment we're standing in. The good one. The hard one. The one that felt like progress. The one that made us wonder if we'd lost it. But an individual moment and the trajectory of growth are not the same thing. Sometimes we have to step back far enough to ask not only, Did this go the way I hoped? But also: What was different this time? What became available? What did I understand that I didn't understand before? What did I learn about where I need to go next? Because maybe the question isn't simply whether we moved forward or backward. Maybe it's whether we can learn from where we are now and take the next step from here. If you and your partner are ready to co-create the roadmap to the relationship of your dreams, join us for the next in-person "Getting the Love You Want" Weekend Couples Retreat!  For support in how to have deeper connections and better communication in the relationships that matter most in your life, follow the host, Trish Sanders on Instagram , Bluesky or LinkedIn.

  5. Sep 2

    #84 You Don't Have to Take My Word for It: Revising Old Stories and Building Trust

    What happens when someone you love expects something from you that you truly wish they didn't... and you understand why they expect it? Our relationships are filled with predictions. We anticipate how our partner will respond, how a familiar conversation will unfold, or what will happen when we find ourselves in a situation we've experienced many times before. And often, those expectations exist for a reason. In this deeply personal episode, Trish explores how our nervous systems use past experiences to anticipate what may happen next, and what becomes possible when we stop fighting those predictions and begin creating new experiences instead. Through a recent experience with her own family, Trish considers what it means to recognize that someone we love may have learned to expect something from us that doesn't reflect what we want to bring to the relationship. The "old stories" we carry aren't simply cognitive stories we're telling ourselves. They can be predictions grounded in repeated nervous-system experience. And when our nervous systems have gathered evidence for what is likely to happen, changing that prediction may require more than simply being told that things are different now. Through personal storytelling, practical neuroscience, and the lens of The Road to Reconnection™, Trish explores how understanding Prediction as Protection can help us move beyond promises and begin participating in the experiences that make new predictions, and greater trust, possible. In this episode, you'll learn: How repeated relational experiences can shape what we learn to expect from one another.Why old predictions can remain powerful even when circumstances or people begin to change.How Prediction as Protection can help us understand expectations without judging or dismissing them.Why asking someone to trust that things are different may not be enough to change what their nervous system expects.How validation can contribute to greater relational safety and a stronger foundation for growth.Why changing the conditions surrounding familiar experiences can create opportunities for something new.How new experiences can gradually provide evidence for new predictions.Why building trust may be less about convincing someone we've changed and more about allowing change to be experienced.Sometimes we want the people we love to simply trust us when we say things will be different. But maybe they don't have to take our word for it. Maybe we can understand the experiences that shaped what they expect. And then we can begin creating new experiences together. Not by erasing what happened before. Not by demanding trust. But by creating opportunities for something different to become familiar. And, over time, for something different to become possible. If you and your partner are ready to co-create the roadmap to the relationship of your dreams, join us for the next in-person "Getting the Love You Want" Weekend Couples Retreat!  For support in how to have deeper connections and better communication in the relationships that matter most in your life, follow the host, Trish Sanders on Instagram , Bluesky or LinkedIn.

  6. Aug 26

    #83 Capacity Discrepancy: When "I Would" Becomes "You Should"

    Have you ever looked at your partner and thought, "But I would never handle it that way"? I would have remembered. I would have asked for help. I would have taken care of it. If I can do it, why can't they? It's an incredibly easy leap to make. What would be available to us becomes what we believe should be available to the person we love. And before we know it, a difference between two people can become a judgment about responsibility, effort, caring, or even character.  In this deeply personal episode, Trish introduces the idea of Capacity Discrepancy, the reality that two people in a relationship may have very different things genuinely available to them in the very same moment. Through a recent experience with her husband, Ben, Trish explores what can happen when "I would" quietly becomes "you should." When we view our partner's choices through the lens of what we would do, it's easy to assume that what feels obvious or available to us should be equally available to them. From there, frustration can quickly turn into stories about what their behavior means.  But recognizing a difference in capacity doesn't mean excusing behavior, ignoring its impact, or abandoning our own needs. It's about becoming curious about the difference. Through personal storytelling, practical nervous system understanding, and the lens of The Road to Reconnection™, Trish explores how honoring what is genuinely available to each person can create room for both partners' experiences, and why sometimes maintaining connection matters more than reaching immediate resolution. In this episode, you'll learn:  What Capacity Discrepancy can look like between two people in a relationship.  How "I would do this" can subtly become "you should do this," and eventually become judgment about our partner.  Why something that feels obvious or available to one partner may not be genuinely available to the other in the same moment.  Why capacity isn't a fixed trait, and why one partner isn't simply the "high-capacity" person while the other is "low-capacity."  How curiosity can help us distinguish our interpretations of our partner's behavior from their actual experience.  Why honoring your partner's capacity doesn't require ignoring the impact of their choices or abandoning your own needs.  How greater nervous system regulation can make additional responses available, even when frustration, sadness, or anger are still present.  Why some conversations are better left unfinished until both people have more capacity available.  How couples can move from managing a difficult moment, to understanding it afterward, to intentionally creating conditions that support both partners in the future.  Sometimes the most supportive thing we can do in a relationship isn't convince our partner to respond the way we would. It's recognizing: This is where you are. This is where I am. How can we make room for both? We can honor someone else's experience without rejecting our own. We can remain curious about what's different. And we can trust that every difficult conversation doesn't have to be resolved immediately in order for connection to remain. Because sometimes relational safety isn't created by finishing the conversation. Sometimes it's knowing that an unfinished conversation doesn't have to mean an unfinished connection.  If you and your partner are ready to co-create the roadmap to the relationship of your dreams, join us for the next in-person "Getting the Love You Want" Weekend Couples Retreat!  For support in how to have deeper connections and better communication in the relationships that matter most in your life, follow the host, Trish Sanders on Instagram , Bluesky or LinkedIn.

  7. Aug 19

    #82 When the Backslide Doesn't Scare You Trusting the Way Back

    What if healing isn't reaching a place where you never struggle again, but trusting yourself when you do? When things finally start feeling better, it can be surprisingly difficult to simply enjoy them. Instead, we may find ourselves waiting. Wondering when the other shoe will drop. When we'll fall back into an old pattern. When depression, anxiety, overwhelm, disconnection, or some other familiar struggle will return and prove that the progress we've made wasn't real after all. But what if returning to a familiar struggle doesn't mean returning to the beginning? In this deeply personal episode, Trish explores a change she didn't expect to find in her own healing journey: she is no longer as afraid of backsliding as she once was. Not because she believes she will never struggle again. But because she increasingly trusts her ability to find her way back. Through personal reflection, practical neuroscience, and the lens of The Road to Reconnection™, Trish explores how Prediction as Protection can leave us bracing for the loss of the very things we've worked so hard to build, and how repeated experiences of navigating difficult moments can gradually create something different: self-trust. This episode isn't about becoming so healed that nothing knocks you off balance. It's about discovering a different kind of stability. The kind that comes from knowing that even when your capacity narrows, even when old patterns reappear, and even when what you've learned doesn't feel immediately available, your growth hasn't disappeared.  In this episode, you'll learn:  Why a difficult day, week, or season doesn't mean you've returned to the beginning.  How the fear of backsliding can make it harder to fully participate in the moments when life is going well.  Why familiar struggles can become evidence for old stories about who we are and what we should expect from our lives.  How Prediction as Protection can leave us anticipating the next fall even while we're standing on solid ground.  Why temporarily losing access to something you've learned is different from losing the growth itself.  How self-compassion and support can help us stay with ourselves when our capacity narrows.  Why self-trust doesn't have to mean trusting yourself never to struggle.  How repeated experiences of finding your way back can gradually change your identity and what you predict about the future.  Why healing doesn't remove the difficult parts of being human, but can change the way we experience and move through them. Maybe progress isn't about finally reaching a place where you never lose your footing. Maybe it's realizing that losing your footing doesn't erase the road you've already traveled. You've learned things. You've built resources. You've developed relationships. You've found your way through difficult moments before. And every time you find your way back, you're creating new evidence that you can do it again. Eventually, the goal may not be to trust that the good moments will last forever. It may be to trust yourself even when they don't. If you and your partner are ready to co-create the roadmap to the relationship of your dreams, join us for the next in-person "Getting the Love You Want" Weekend Couples Retreat!  For support in how to have deeper connections and better communication in the relationships that matter most in your life, follow the host, Trish Sanders on Instagram , Bluesky or LinkedIn.

  8. Aug 12

    #81 Expanded Capacity: When Life Doesn't Feel as Hard as It Used To

    What if one of the clearest signs that you're healing isn't a huge breakthrough, but realizing that something that used to feel hard... just doesn't feel as hard anymore? Growth doesn't always make itself known with a big announcement.   There aren't always fireworks or one life-changing moment when everything suddenly shifts. Sometimes meaningful change happens so gradually that we don't recognize it while it's happening. Until one day, we do. In this deeply personal episode, Trish explores the concept of Expanded Capacity™ and what it can look like when years of growth begin changing our everyday experience in ways we may not immediately notice. Through reflections on her own life, parenting, neurodivergence, and decades of personal growth, Trish considers why healing can be so difficult to recognize from the inside. When we're still aware of everything that feels hard, it's easy to overlook the things that have quietly become easier. This episode isn't about reaching a place where life is always easy or where our nervous system is perfectly regulated. It's about noticing when more becomes available. Through personal storytelling, practical neuroscience, and the lens of The Road to Reconnection™, Trish explores how greater safety, self-understanding, and nervous system regulation can gradually expand our capacity, changing not only how we experience ourselves, but how we're able to participate in our lives and relationships. In this episode, you'll learn: Why meaningful growth doesn't always arrive through a giant breakthrough.How gradual changes can be easy to miss while they're happening.What Expanded Capacity™ can look and feel like in everyday life.How overwhelm, executive functioning, neurodivergence, and nervous system capacity can influence what feels genuinely available to us.Why expanded capacity isn't about becoming more productive or perfectly regulated.How repeated experiences of greater safety and self-understanding can gradually change what becomes available to us.Why our own expanded capacity can influence how we're able to show up for the people we love.How looking at what isn't as hard as it used to be can help us recognize growth we might otherwise overlook.When we're in the middle of growth, it's easy to focus on how far we still have to go. But sometimes there's value in looking back. What feels different than it once did? What takes a little less effort? Where do you have a little more room than you used to? The answers may reveal changes you didn't even realize were happening. Because growth isn't always about finally arriving somewhere new. Sometimes it's recognizing that you're already living differently than you used to. If you and your partner are ready to co-create the roadmap to the relationship of your dreams, join us for the next in-person "Getting the Love You Want" Weekend Couples Retreat!  For support in how to have deeper connections and better communication in the relationships that matter most in your life, follow the host, Trish Sanders on Instagram , Bluesky or LinkedIn.

Ratings & Reviews

4.9
out of 5
8 Ratings

About

When Depression Is in Your Bed℠ is a podcast about what happens when life gets hard and how we find our way back to connection. Hosted by Trish Sanders, Licensed Clinical Social Worker, Certified Advanced Imago Relationship Therapist and Relationship Coach, each episode explores the complex relationship between our nervous systems, our relationships, and our emotional well-being. Through a blend of personal stories, professional insights, and practical tools, Trish tackles topics such as depression, communication, perfectionism, neurodivergence, self-trust, conflict, repair, empathy, boundaries, attachment, nervous system regulation, and relational healing. With honesty, warmth, and a deep belief in people's capacity to grow, Trish helps listeners understand not only why they get stuck, but how meaningful change becomes possible. Whether you're struggling with depression, feeling disconnected from yourself or your partner, or simply trying to navigate life with more awareness and compassion, this podcast offers a roadmap back to connection, again and again.

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