The Delve Podcast

Delve Psych

The Delve Podcast is dedicated to exploring deeper approaches to mental wellness and the craft of psychotherapy.

  1. 4d ago

    Stop Living Your Relationship in Your Head

    Many people silently build resentment because they are too afraid to ask their partners for what they actually want. In this episode, clinical psychologists Adam Fominaya and Dr. Andrea Bink break down why we avoid difficult conversations and how to stop overestimating the risk of rejection. This discussion provides actionable clinical tools, including Gottman's soft startup and a DBT-based communication strategy, to help you navigate relationship conflict without causing defensiveness. Subscribe to the channel and leave a comment below sharing your biggest takeaway on improving communication with your partner. --Breakdown of Segments (Chapters)-- 00:00 - Why people live their relationships entirely in their heads. 08:20 - A clinical debate on why therapists cannot actually "empower" clients. 11:30 - How a secure bond changes your reaction to relationship conflict. 18:00 - Guidelines for conflict: Gottman's soft startup and four key communication moves. 31:30 - Designing unconventional relationships, like living on separate continents. 35:00 - A DBT-based framework to prepare for highly activating conversations. 41:00 - Navigating mismatched values and doing things simply as a gift to your partner. 46:40 - The Terrence Real quote on complaining about what you never asked for. --Media Links-- Website: delvepsych.com Instagram: @delvepsychchicago Blog: Check out their writings on Substack --Participants-- Hosts/Guests: Adam Fominaya (Executive and Clinical Director) & Dr. Andrea Bink (Clinical Psychologist). Note: Ali McGarel is absent for this episode. --Overview of Big Ideas-- Overestimating Risk: People often assume their partner will react with anger or rejection, preventing them from communicating clearly and allowing resentment to build. Effective Communication Moves: Conversations go significantly better when individuals use open-ended questions, make clear asks, offer gifts of reassurance, and share primary emotions (like sadness) rather than secondary emotions (like anger). Preparing for Activation: Before bringing up a heavy topic, it is crucial to clarify your goal—whether it is preserving the relationship, getting your point across, or maintaining self-respect—and deliberately plan for your own emotional activation. The Beauty of Differences: A healthy relationship does not require identical moral framings or shared interests, as differences provide necessary variety and opportunities to give to one another. --AI Recommended References-- Gottman, J. M., & Levenson, R. W. (2000). The timing of divorce: Predicting when a couple will divorce over a 14‐year period. Journal of Marriage and Family. (Provides foundational research on the "soft startup" concept discussed in the episode, showing how the first three minutes of a conflict discussion predict relationship outcomes.) Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. Guilford Press. (Details the core Interpersonal Effectiveness skills of Dialectical Behavior Therapy (DBT), directly supporting the episode's discussion on balancing relationship preservation, objective effectiveness, and self-respect.) Johnson, S. M. (2004). The Practice of Emotionally Focused Couple Therapy: Creating Connection. Brunner-Routledge. (Explores attachment theory in adult relationships, providing context for the episode's discussion on how secure bonds dictate our responses to a partner's negative behavior.) #RelationshipAdvice #CommunicationSkills #CouplesTherapy #DBT #GottmanMethod #Podcast

  2. Aug 23

    Testing AI Therapy: The Real Limitations of Chatbots (Live Test)

    This episode explores the rapid rise of artificial intelligence in mental health and the clinical limits of AI-generated therapy. Hosts Ali McGarel and Adam Fominaya conduct a live test of an advanced AI chatbot to analyze how it handles a fictional client presenting with hopelessness and a lack of direction. The demonstration highlights the crucial differences between an algorithm programmed to validate and a human therapist trained to explore, challenge, and build a genuine therapeutic alliance. This conversation breaks down why an automated response cannot replace authentic human connection. --Media Links-- Website: delvepsych.com Instagram: @delvepsychchicago Substack: delvepsych.substack.com --Participants-- Hosts: Ali McGarel & Adam Fominaya (Delve Psychotherapy of Chicago) --Overview of Big Ideas-- The Appeal and Danger: Chatbots provide immediate access but lack the nuance to handle complex mental health crises safely. Validation vs. Exploration: AI models offer quick fixes and surface-level validation rather than digging into the root causes of distress. The Illusion of Connection: Interacting with an AI lacks the genuine empathy and accountability of a human relationship. The Power of "Tough Love": A human therapist leverages a trusting relationship to safely challenge self-destructive patterns. --Breakdown of Segments-- Opening thoughts: The growing trend and inherent dangers of chatbot therapy. The live AI test: Analyzing an advanced language model's clinical response to heavy feelings. Critiquing the algorithm: Breaking down the AI's tendency to offer patronizing metaphors and assume diagnoses. Testing for crises: Observing how the AI pivots to providing disclaimers when pressed with heavier scenarios. The human alternative: Roleplaying the same scenario to demonstrate how a human therapist actively listens, challenges assumptions, and looks for deeper diagnostic clues. Closing reflections: Affirming the irreplaceable value of human connection in mental health. --AI Recommended References-- Iftikhar, Z., et al. (2025). New study: AI chatbots systematically violate mental health ethics standards. AAAI/ACM Conference. (Explores how AI counselors create a false sense of empathy and over-validate negative beliefs.) Haber, N., et al. (2025). Exploring the Dangers of AI in Mental Health Care. Stanford Institute for Human-Centered AI. (Highlights the specific risks and biases of LLM-based therapy.) Pentina, I., et al. (2024). Human-Human vs Human-AI Therapy: An Empirical Study. Journal of Human-Computer Interaction. (Analyzes transcript quality between AI and human therapists during problem exploration.)

  3. Aug 16

    How Are Therapists Trained?

    This episode pulls back the curtain on the rigorous, complex, and sometimes controversial world of mental health training. Ali and Adam sit down with clinical psychologist Dr. Andrea Bink to decode the massive barriers to entry and the resilience required to become a mental health professional. --Media Links-- Website: delvepsych.com Instagram: @delvepsychchicago Substack: delvepsych.substack.com --Participants-- Hosts: Ali McGarel (Staff Therapist at Delve Psychotherapy of Chicago), Adam Fominaya (Executive and Clinical Director at Delve Psychotherapy of Chicago) Guest: Dr. Andrea Bink (Clinical Psychologist at Delve Psychotherapy of Chicago) --Overview of Big Ideas-- Decoding the Professions: Distinct differences exist between the major mental health pathways, including psychiatry, clinical psychology, social work, counseling, marriage and family therapy, and coaching. Education vs. Experience: A specific credential or degree does not automatically guarantee a therapist has extensive clinical practice hours. The Importance of Fit: A therapist's personality, therapeutic approach, and interpersonal connection matter far more to clinical success than the specific letters behind their name. Systemic Flaws: The current clinical training model is heavily prolonged and expensive, creating massive barriers to entry during a nationwide mental health crisis. --Breakdown of Segments-- Opening and introductions: Defining the various types of licenses and educational backgrounds in the mental health field. The clinical grind: Exploring the thousands of direct service hours and years of supervision required for provisional and full state licensure. The Ph.D. pipeline: A detailed breakdown of the clinical psychology doctoral process, moving from early foundational classes into community practica, research dissertations, and specialized assessment sites. The internship match: Discussing the grueling, highly competitive national matching process that forces doctoral candidates to rapidly uproot their lives. Post-doctoral fellowships: The final step to independent licensure and the anxiety-inducing timeline required to secure a placement. Closing reflections: A critical look at how the time-consuming and unpaid requirements of becoming a licensed therapist shut out highly qualified, diverse candidates who cannot afford the process. --AI Recommended References-- Martin, D. J., Garske, J. P., & Davis, M. K. (2000). Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal of Consulting and Clinical Psychology. (Explores how the therapeutic alliance is a consistent predictor of treatment success, supporting the episode's point that client-therapist fit matters more than specific clinical credentials.) Callahan, J. L., et al. (2018). A meta-analysis of the effect of therapist experience on outcomes for clients with internalizing disorders. (Synthesizes literature demonstrating that a therapist's years of formal experience or degree level only have a modest effect on actual patient outcomes.) Wilcox, M. M., et al. (2024). A Review of Diversity-Related Content on Clinical Psychology Doctoral Program Websites. Training and Education in Professional Psychology. (Provides academic context to the episode's closing points regarding the systemic, financial, and diversity barriers within clinical psychology training programs.)

  4. Aug 9

    You Don't Have to Heal Before Dating

    website: delvepsych.cominstagram: @delvepsychchicagoyoutube: https://www.youtube.com/@DelvePsych20substack: https://delvepsych.substack.com/ Participants Ali McGarelAdam W. Fominaya Overview of Big Ideas Healing is not a prerequisite for healthy relationships; many of our deepest relational wounds can only emerge—and therefore only be addressed—while we are actually relating to another person. Avoiding relationships until you're "ready" can unintentionally prolong loneliness and prevent the very experiences that foster growth. Like learning to swim, relationships require practice in the real environment, not just reflection from the sidelines. The hosts argue that insight alone is insufficient. Emotional growth comes from experiencing attachment, vulnerability, conflict, and repair in real time rather than merely understanding them intellectually. Drawing from psychodynamic, attachment, and humanistic psychology, the episode explores how safe, corrective relationships can become powerful vehicles for healing without requiring either partner to be perfect. Healthy relationships are not conflict-free relationships. Growth depends on expressing needs, negotiating differences, respecting boundaries, and learning to fight well rather than suppressing resentment. The discussion concludes by encouraging listeners to take responsibility for their own healing while remaining open to relationships as part of that process—not waiting for an impossible state of being "fully healed." Breakdown of Segments Opening discussion about the popular belief that people should completely heal before entering a relationship, and why that idea sounds compassionate but often keeps people isolated. Why relationship skills can only truly be developed through relationships, including the memorable analogy that "you don't learn to swim on land." A discussion of experiential therapy, emotional learning, and exposure, using phobias and graduated exposure as a parallel for approaching intimacy. A tour through major psychological thinkers—including Freud, Jung, Ainsworth, Bowlby, Rogers, and Winnicott—and how their ideas support healing through relationships rather than before them. Attachment theory, corrective emotional experiences, and the remarkable stabilizing influence secure partners can have while acknowledging that even secure people have limits. Practical therapy insights, including balancing idealization versus criticism, doing "the opposite" of one's habitual relational tendencies, and using therapy strategically while dating. Why healthy couples still argue, the importance of expressing needs and boundaries, and how avoiding conflict often breeds resentment and contempt. Closing reflection on the quote, "A bird can always fly away, which is why it can feel a little safer staying put," applying it to avoidant attachment and the importance of slowing down before ending relationships. AI Recommended References (APA) Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Lawrence Erlbaum Associates. Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. Basic Books. Johnson, S. M. (2019). Attachment theory in practice: Emotionally focused therapy (EFT) with individuals, couples, and families. Guilford Press. Rogers, C. R. (1961). On becoming a person: A therapist's view of psychotherapy. Houghton Mifflin. Winnicott, D. W. (1971). Playing and reality. Tavistock Publications.

  5. Aug 2

    Do All Men Suck? Trauma, Dating, and Building Better Relationships

    --Media Links-- website: delvepsych.com instagram: @delvepsychchicago youtube: https://www.youtube.com/@DelvePsych20 substack: https://delvepsych.substack.com/ --Participants-- Ali McGarel Adam W. Fominaya --Overview of Big Ideas-- Generalizations like "all men suck" often arise from genuine pain, but they obscure the complexity of individual people and relationships. It is possible to validate someone's harmful experiences with men while still encouraging self-examination and avoiding blanket conclusions. Past relationships and early life experiences can shape expectations, attraction, and selection patterns in future relationships. Healthy relationships are not discovered fully formed—they are built through communication, flexibility, feedback, and mutual adaptation. Guardedness can protect against future hurt, but it can also make vulnerability and intimacy much harder to achieve. A good partner is less defined by perfection than by responsiveness, curiosity, and a willingness to grow alongside another person. Caring about men's mental health and challenging harmful male behavior are complementary goals rather than competing ones. Living a meaningful life requires commitment to the process rather than fixation on outcomes. --Breakdown of Segments-- Opening discussion of an Instagram Reel asking why "all men suck" and the broader cultural conversation surrounding gender, safety, and misandry. Examining crime statistics, violence, and why many women reasonably develop fears while avoiding unfair conclusions about all men. Critiquing Emily W. King's response, including where her emphasis on personal responsibility is useful and where it becomes overly dismissive and body-shaming. How therapists might approach someone expressing hopelessness about dating by exploring family history, attachment patterns, core beliefs, and relationship experiences with curiosity rather than judgment. Selection bias in dating, why emotionally available partners are sometimes overlooked, and how repeated experiences reinforce unhealthy patterns. The importance of giving feedback instead of expecting partners to read minds, and why adaptability is one of the strongest predictors of relationship health. Moving beyond the search for a "perfect" partner toward intentionally constructing a healthy relationship together through communication and mutual learning. Balancing empathy for women's experiences with conversations about men's loneliness, shame, suicide, and the need for healthier models of masculinity. Closing reflections on process versus outcome, emphasizing that fulfillment comes from engaging deeply in meaningful pursuits rather than chasing external achievements. --AI Recommended References (APA)-- Reeves, R. V. (2022). Of boys and men: Why the modern male is struggling, why it matters, and what to do about it. Brookings Institution Press. Plank, L. (2019). For the love of men: A new vision for mindful masculinity. St. Martin's Press. Gottman, J. M., & Silver, N. (2015). The seven principles for making marriage work (Revised ed.). Harmony Books.

  6. Jul 26

    Your Brain Is on Autopilot: Automaticity, Error, and Repair

    --Media Links--website: delvepsych.cominstagram: @delvepsychchicagoyoutube: https://www.youtube.com/@DelvePsych20substack: https://delvepsych.substack.com/ --Participants--Ali McGarelAdam W. Fominaya --Overview of Big Ideas--The brain spends much of life on autopilot. Automatic thinking conserves energy and handles familiar tasks efficiently; it is not laziness or negligence. Automaticity works remarkably well until something unusual happens. Because the brain expects familiar patterns, it may overlook anomalies or quietly omit steps from a routine. Deliberate processing is slower and more strenuous. We typically engage it only when something feels wrong, unfamiliar, or sufficiently consequential. Demanding that people “pay more attention” ignores the limits of human cognition. Checklists, redundancy, manageable workloads, routine reviews, and technological safeguards provide more reliable protection against error. A systems approach does not abolish accountability. It asks what conditions made an error likely and how the environment can prevent its recurrence. Automatic responses also affect relationships. A person’s first response is rarely their best response—and often is not their final response. People can return, acknowledge the impact, and say what they wish they had said. Automaticity can explain hurtful behavior, but it does not excuse refusing repair. A willingness to reconsider and negotiate in good faith matters. Boredom, fatigue, and task switching complicate performance. Humane workplaces should account for fluctuating attention and energy rather than equating constant visible activity with conscientiousness. --Breakdown of Segments--Life on autopilot: driving home without remembering every turn, forgetting whether you used conditioner, and placing objects in strange locations while distracted. When routine becomes dangerous: why experienced pilots, surgeons, drivers, and therapists can perform complex tasks automatically—and consequently miss unexpected details. Designing for fallible humans: aviation, air-traffic control, surgery, and checklists illustrate why safeguards outperform blame. Attention and brain efficiency: a speculative discussion of neural pruning, autism, savant abilities, sensory processing, and the brain’s selective retention of information. Fast and slow thinking: the dual-process model distinguishes quick, intuitive responses from slower, effortful reasoning; the bat-and-ball problem demonstrates the difference. Fail-safes in psychotherapy and organizations: quarterly case reviews, supervision questions, overlapping responsibility, and a culture that treats mistakes as opportunities to improve systems. Interpersonal autopilot: taking responsibility for an impulsive remark, separating intent from impact, revisiting conversations, and recognizing whether another person is negotiating in good faith. Boredom and multitasking: rapid task switching carries cognitive costs, while relentless monotony creates its own strain; workplaces must negotiate between imperfect options. Closing reflection: practice eventually turns difficult skills into automatic ones—but expertise still benefits from safeguards. --AI Recommended References (APA)--Evans, J. St. B. T., & Stanovich, K. E. (2013). Dual-process theories of higher cognition: Advancing the debate. Perspectives on Psychological Science, 8(3), 223–241. https://doi.org/10.1177/1745691612460685 Gawande, A. (2009). The checklist manifesto: How to get things right. Metropolitan Books. Reason, J. (2000). Human error: Models and management. BMJ, 320(7237), 768–770. https://doi.org/10.1136/bmj.320.7237.768 Rubinstein, J. S., Meyer, D. E., & Evans, J. E. (2001). Executive control of cognitive processes in task switching. Journal of Experimental Psychology: Human Perception and Performance, 27(4), 763–797. https://doi.org/10.1037/0096-1523.27.4.763

  7. Jul 19

    Love from a Distance: Trust, Intention, and Staying Connected

    --Media Links--website: delvepsych.cominstagram: @delvepsychchicagoyoutube: https://www.youtube.com/@DelvePsych20substack: https://delvepsych.substack.com/ --Participants--Ali McGarelAdam W. Fominaya --Overview of Big Ideas--Long distance does not automatically weaken a relationship; it often exposes trust problems, insecurities, and expectations that already existed. Every partnership needs both togetherness and apartness. Distance can preserve individuality while making shared time more deliberate and precious. Connection does not always require hours of conversation. An eight-minute call, a shared journal, or a thoughtful message can simply communicate, “I’m still here.” Visits can feel like recurring vacations, which creates excitement but may conceal the mundane challenges of eventually living together. Physical affection may be a genuine need, but it is worth distinguishing needs from desires, anxieties, and rigid assumptions about what relationships must look like. Flexibility matters when partners face relocations, careers, family obligations, and competing attachments to particular places. Mutual sacrifice and firm boundaries can coexist. Creativity can make absence more bearable: virtual dates, shared activities, handwritten reflections, and even bringing a life-size cardboard partner to a wedding. --Breakdown of Segments--Opening and Delve updates: invitations to follow, review, share, and explore Delve’s therapy services and writing. The fear of distance: anticipated disconnection, infidelity, loneliness, and the illusion that proximity can guarantee fidelity. The unexpected advantages: greater intentionality, less complacency, protected independence, and heightened appreciation during reunions. Creating connection from afar: short calls, journaling to one another, future plans, and choosing quality over sheer quantity of contact. Physical touch and emotional tolerance: examining whether the absence of cuddling justifies ending an otherwise meaningful relationship. Fantasy versus ordinary life: romantic reunions can obscure the practical adjustment required when long-distance partners finally live together. Starting long distance: online communities, gaming spaces, conventions, and other unconventional paths through which relationships can develop. The relocation dilemma: questioning the belief that love requires one partner to move; weighing employment, family, community, and personal well-being. Flexibility and boundaries: how reciprocal accommodation can become the backbone of a durable partnership. Creative presence: “Flat Pat,” FaceTime, and other ways of remaining involved when physical attendance is impossible. Closing tangent on dreams: conscious concerns, coincidence, magical thinking, and the post hoc fallacy. --AI Recommended References (APA)--Sahlstein, E. M. (2004). Relating at a distance: Negotiating being together and being apart in long-distance relationships. Journal of Social and Personal Relationships, 21(5), 689–710. https://doi.org/10.1177/0265407504046115 Stafford, L., Merolla, A. J., & Castle, J. D. (2006). When long-distance dating partners become geographically close. Journal of Social and Personal Relationships, 23(6), 901–919. https://doi.org/10.1177/0265407506070472 Stafford, L., & Merolla, A. J. (2007). Idealization, reunions, and stability in long-distance dating relationships. Journal of Social and Personal Relationships, 24(1), 37–54. https://doi.org/10.1177/0265407507072578

  8. Jul 12

    Plan to Move to Albania: Making Room for Absurd Ideas

    --Media Links--website: delvepsych.cominstagram: @delvepsychchicagoyoutube: https://www.youtube.com/@DelvePsych20substack: https://delvepsych.substack.com/ --Participants--Ali McGarelAdam W. Fominaya --Overview of Big Ideas--Couples often reject unfamiliar ideas before actually considering them. A reflexive “no” may protect against anxiety, disruption, or vulnerability, but it can also foreclose useful conversations. “Plan to move to Albania” is an exercise in taking an improbable idea seriously without committing to it. Partners imagine the logistics, challenges, pleasures, and consequences simply to practice exploratory dialogue. Entertaining an idea is not the same as endorsing it. Couples can hold skepticism and curiosity at once: “I am worried about this, and I am willing to explore how it might work.” Absurd conversations can reveal desires that ordinary conversation leaves hidden. A fictional move abroad might uncover a wish for adventure, warmer weather, novelty, or a different way of living. Novel, playful discussion can also restore discovery in long-term relationships. Partners who feel they already know everything about each other may encounter surprising values, fears, and aspirations. The episode closes by distinguishing the story of love from the story of loss. Grief can dominate the narrative, but losing someone does not erase the affection, meaning, and deliberate care that preceded the loss. --Breakdown of Segments--Opening and Delve updates: tongue twisters, basal-ganglia pedantry, and the mysterious Albania premise. The Albania exercise: why couples should practice discussing ideas they have no intention of adopting. The knee-jerk no: replacing immediate rejection with candid skepticism and genuine exploration. Dreaming without obligation: using improbable plans to uncover wishes, possibilities, and future paths. “Yes, and”: how improvisational thinking permits disagreement, complexity, and two truths at once. Homework without coercion: therapeutic assignments as opportunities rather than obedience tests. Love and loss: remembering what a relationship gave, not only the pain of its ending. --AI Recommended References (APA)--Aron, A., Norman, C. C., Aron, E. N., McKenna, C., & Heyman, R. E. (2000). Couples’ shared participation in novel and arousing activities and experienced relationship quality. Journal of Personality and Social Psychology, 78(2), 273–284. https://doi.org/10.1037/0022-3514.78.2.273 Cialdini, R. B., Vincent, J. E., Lewis, S. K., Catalan, J., Wheeler, D., & Darby, B. L. (1975). Reciprocal concessions procedure for inducing compliance: The door-in-the-face technique. Journal of Personality and Social Psychology, 31(2), 206–215. https://doi.org/10.1037/h0076284 Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1–25. https://doi.org/10.1016/j.brat.2005.06.006

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The Delve Podcast is dedicated to exploring deeper approaches to mental wellness and the craft of psychotherapy.