21 episodes

Dr. Bridget Nash created Therapy Show in order to demystify mental health treatment by interviewing the top experts in the field using easy to understand language. Therapy Show can help you determine which evidence-based therapy is right for you and how you can find a psychotherapist or physician trained in that therapy to guide your treatment.

Therapy Show Dr. Bridget Nash

    • Mental Health

Dr. Bridget Nash created Therapy Show in order to demystify mental health treatment by interviewing the top experts in the field using easy to understand language. Therapy Show can help you determine which evidence-based therapy is right for you and how you can find a psychotherapist or physician trained in that therapy to guide your treatment.

    What is Suicidal Behavior Disorder? Dr. Ursula Whiteside Interview

    What is Suicidal Behavior Disorder? Dr. Ursula Whiteside Interview

    Dr. Ursula Whiteside is a licensed clinical psychologist and a member of the Clinical Faculty at the University of Washington. Dr. Whiteside trained under Dr. Marsha Linehan, the creator of Dialectical Behavioral Therapy, and later served as a DBT-adherent research therapist on a clinical trial led by Dr. Linehan that was funded by the National Institute of Mental Health.  As a researcher, she has been awarded grants from the National Institute of Mental Health and the American Foundation for Suicide Prevention. Dr. Whiteside is the CEO of NowMattersNow.org which was conceived from her research study involving over 18,000 high-risk suicidal patients in four major health systems. This study includes a guided version of NowMattersNow.org which is a program she developed that includes skills for managing suicidal thoughts and is based on DBT and paired with Lived Experience stories. Dr. Whiteside is national faculty for the Zero Suicide Initiative, a practical approach to suicide prevention in healthcare and behavioral healthcare systems. Dr. Whiteside serves on the faculty of the National Action Alliance Zero Suicide Academy. She is also a founding board member of United Suicide Survivors International and a member of the Standards Trainings and Practices Committee for the National Suicide Prevention Lifeline. As a person with Lived Experience, she strives to decrease the gap between "us and them" and to ensure that the voices of those who have been there are included in all relevant conversations. Nothing about us without us.
    Suicidal Behavior Disorder is a proposed separate diagnosis in the Diagnostic and Statistical Manual, Fifth Edition. Firstly, in order to have this diagnosis, an individual has made a suicide attempt within the past two years. Secondly, the criterion for non-suicidal self-injurious behavior is not met during the aforementioned suicide attempts. Thirdly, the diagnosis is not applied to preparation for a suicide attempt, or suicidal ideation. Fourthly, the act was not attempted during an altered mental state, such as delirium or “ confusion.” Finally, the act was not ideologically motivated, i.e., religious or political (American Psychological Association, 2013).
    A prior history of suicidal behavior is a key predictor for future suicidal behavior. Other environmental factors such as unemployment, financial crisis, bullying, military combat, incarceration, or relationship disruptions are also associated with risk. Although suicidal behavior may co-occur with another psychiatric condition, this is not always the case. Many people who die by suicide have not been diagnosed with a mental disorder.
    Suicidal behavior is the cause of over a million deaths worldwide every year. Non-fatal suicidal behavior is estimated to be even more common. It is important to create strategies to identify those individuals at risk within the health care system. This is critical because, as mentioned above, many people who complete suicides have not interacted with a mental health worker but may have been seen by a medical professional such as a primary care physician. Defining suicidal behavior disorder as a separate diagnosis in the DSM-5 is important to standardize care in order to develop methods to identify suicidal behavior, document in medical records, and track patients at every level of care.
    The fact that suicidal ideation waxes and wanes over time can create perilous situation in which key information may be missed. Continuity of care is very important with patients with a risk of suicidal behavioral—some healthcare systems have more robust medical records systems than others. Even in cases when the past suicide attempt is identified, data about suicide risk is often lost during hand-offs and may not be included in discharge summaries (Orquendo & Baca-Garcia, 2014).
     
    Twitter:
    @ursulawhiteside
    @NowMatte

    • 34 min
    What is Compulsive Sexual Behavior Disorder? Dr. Stephanie Carnes Interview

    What is Compulsive Sexual Behavior Disorder? Dr. Stephanie Carnes Interview

    Dr. Stephanie Carnes is the President of the International Institute for Trauma and Addiction Professionals, more commonly called ITAP, which is a training institute and professional organization for addiction professionals. Dr. Carnes is a Senior fellow at Meadows Behavioral Healthcare where she works with sexually addicted clients and their families. Her father, Dr. Patrick Carnes, is the founder of ITAP and is an internationally recognized expert in the field. He also created the assessment tool and the 30-task model treatment modality which is used by clinicians all over the world to help their patients recover from sexual addiction. Dr. Carnes’ credentials include being a certified sex addiction therapist, a clinical sexologist, a licensed marriage and family therapist and a supervisor specializing in therapy for couples and families struggling with sexual addiction. Dr. Carnes is the clinical architect for Willow House at The Meadows, a 45-day inpatient program designed specifically for women who are struggling love addiction, relationship issues, and intimacy disorders.  Dr. Carnes currently co-facilitates Module 2 in the Certified Sex Addiction Therapist Training as well as the Certified Partner Trauma Therapist Training.  She is the author of numerous publications including her books Mending a Shattered Heart: A Guide for Partners of Sex Addicts and Facing Heartbreak: Steps to Recovery for Partners of Sex Addicts.
    Compulsive Sexual Behavior Disorder was added as a new mental diagnosis by the World Health Organization in the ICD-11. Compulsive Sexual Behavior Disorder is characterized by a repetitive and intense preoccupation with sexual fantasies, urges, and behaviors, leading to negative consequences and impairment in a person’s functioning on many levels including family, work and social life. A defining feature of Compulsive Sexual Behavior Disorder is when a person makes unsuccessful efforts to stop or control the time they participate in sexual fantasies, urges or behavior in an attempt to cope with stress or mood states.

    • 35 min
    What is Attention Deficit Hyperactivity Disorder? Dr. William Dodson Interview

    What is Attention Deficit Hyperactivity Disorder? Dr. William Dodson Interview

    Dr. William Dodson is a board-certified psychiatrist and, since 1994, has specialized in attention deficit hyperactivity disorder which is more commonly called ADHD. He has written extensively on how the basic research on ADHD can be applied to everyday clinical practice. Dr. Dodson retired in April from active patient care and is currently spending his time completing the manuscript of a textbook on ADHD for clinicians on how to diagnose and treat ADHD from childhood to the elderly.  Incredulously, there is no such textbook, and this will be the first one available for clinicians once it is completed. Dr. Dodson is a former faculty member at Georgetown University and the University of Colorado Health Sciences Center, Dodson is a Life Fellow of the American Psychiatric Association and was the 2006 recipient of the Maxwell J. Schleifer Distinguished National Service Award for his work with people with disabilities.
    Attention-Deficit/Hyperactivity Disorder includes a persistent pattern of inattention, hyperactivity, or both. If present, ADHD symptoms of inattention or hyperactivity can make it difficult to perform in school, home, and social settings. Dr. Dodson’s work with ADHD has revealed the hallmark feature of ADHD to be the “inconsistent engagement,” inconsistent performance, inconsistent moods, etc. Activities that were done beautifully yesterday are terribly done today. Usually this is commonly viewed in a very judgmental way that the person with ADHD is “flighty, unreliable, unpredictable, or intentionally not trying.”
    It is only in the last few years as children with ADHD became articulate adults with ADHD that we have come to understand that there is a consistent pattern to the inconsistency. In a limited number of circumstances people with ADHD could “get in the Zone/get in the Flow” and not have any impairment at all. When an ADHD person is Interested, Challenged, or finds the task Novel or Urgent they snap into the Zone and can literally do anything they try to do. When they lose that sense of ICNU, they are back in La La land again. The conditions that engage, organize, and motivate the other 90% of human beings (Importance, Rewards, and Consequences) never ever work for people with ADHD. Individuals with an ADHD nervous systems ALWAYS use Interest, Challenge, Novelty, and Urgency and can NEVER use Importance rewards and consequences in daily life to get the tasks of their lives done.
    The second defining feature of ADHD is the special problems of how people regulate their emotional lives.  People who have an ADHD style nervous system tend to experience their own lives in an intense and passionate way that can be exhausting to themselves and their loved ones.  To make matters even more difficult, people with ADHD can also have episodes of overwhelming, almost unbearable emotional pain that are triggered by their perception that they have been rejected, criticized, or fallen short of their own expectations.  While no one likes being rejected or criticized, the experience of Rejection Sensitive Dysphoria (also called emotional dysregulation in Europe) is much, much more intensely painful and disruptive to their lives than similar events are to Neurotypical people without ADHD.
    The combination of the emotional component of Rejection Sensitive Dysphoria and the cognitive component of an Interest-Based Nervous System can explain virtually all of the manifestations of adolescent and adult ADHD. So, in the end the only person who sees the evidence of ADHD firsthand is you. In the end the only person who must completely be sure that you have an ADHD nervous system is you as well.

    • 33 min
    What are Emotional Freedom Techniques? Dr. Peta Stapleton Interview

    What are Emotional Freedom Techniques? Dr. Peta Stapleton Interview

    Dr. Stapleton is an Associate Professor in Psychology at Bond University in Australia and in 2019 she was named Psychologist of the Year by the Australian Allied Health Awards. Dr. Stapleton is the world’s leading researcher in Emotional Freedom Techniques which is commonly called EFT or Tapping and has established herself as one of Australia’s leading online Health Professionals. One of Dr. Stapleton’s most significant contributions to the field of mental health was to lead the world’s first randomized clinical trials investigating the effectiveness of EFT. I encourage you to read Dr. Stapleton’s new book The Science Behind EFT Tapping which was published in 2019.
    Emotional Freedom Techniques, commonly known as EFT or Tapping, are groundbreaking techniques that combine psychotherapy and acupressure, bringing together elements of exposure, cognitive therapy and somatic stimulation. EFT’s developers see it as being similar to acupuncture but without the needles, and it has been referred to as ‘psychological acupuncture’. As with acupuncture, EFT stimulates various pressure points on the face and body to relieve stress, which then alleviates many psychological-based concerns. EFT is a powerful self-applied, stress reduction method based on extensive research that demonstrates that emotional distress can contribute to illness. EFT can help a range of symptoms or conditions by simply focusing on the issue you would like to address and linking it to an acceptance statement using a simple two finger tapping technique. EFT is a surprisingly easy technique to use and works by stimulating pressure points on the body with this two finger tapping technique which result in a calming effect on the amygdala (the stress center of the brain), and the hippocampus (the brains memory center), both of which play a role in the decision making process to determine if something is, or isn’t, a threat, and in the fight or flight response. EFT also seems to have the same calming effect on cortisol – the stress hormone. High cortisol levels can be caused by a variety of things, including biological stressors, and mood disorders such as depression and anxiety and psychological stress. Clinical trials have shown that EFT is able to rapidly reduce the emotional impact of memories and incidents that trigger emotional distress. EFT has an immediate calming effect and can be used by children as young as 3-4 years old.
    Emotional Freedom Technique on Twitter: @PetaStapleton

    • 19 min
    What is Family Systems Therapy? Dr. Michael Kerr Interview

    What is Family Systems Therapy? Dr. Michael Kerr Interview

    Dr. Michael Kerr succeeded Dr. Murray Bowen as Director of the Georgetown Family Center and served in that role until 2010. Dr. Kerr co-authored with Dr. Bowen the seminal book Family Evaluation: An Approach Based on Bowen Theory. Dr. Kerr’s new book, Bowen Theory’s Secrets: Revealing the Hidden Life of Families, was released in February 2019. Dr. Kerr was also the founding editor of Family Systems: A Journal of Natural Systems Thinking in Psychiatry and the Sciences. Dr. Kerr is now the Director of the Bowen Theory Academy in Islesboro, Maine.
    Family System Therapy  uses systems theory to describe the family as a complex emotional unit where members are intricately and intensely interconnected. FST looks through the lens of system theory where each family member is emotionally and behaviorally connected through complex interactions. In FST, “Families so profoundly affect their members’ thoughts, feelings, and actions that it often seems as if people are living under the same ‘emotional skin.’” Family members react to one another in both behavior and emotions. If there is a change in one person, there will most likely be reciprocal changes in other family members. Family members who “absorb” the anxiety of others are vulnerable to depression, alcoholism, affairs, and physical illnesses.
    Family Systems Therapy on Twitter: @thebowencenter

    • 48 min
    What is Inpatient Psych? Justin Capote, M.D. Interview

    What is Inpatient Psych? Justin Capote, M.D. Interview

    Justin Capote, MD is Board Certified in both adult psychiatry and consultation-liaison psychiatry and was appointed to the American Health Council Board of Physicians for his outstanding contributions to improving mental health. Dr. Capote has extensive experience working in hospital, community, and emergency room settings. He has expertise in treating conditions related to medication overuse and misuse, withdrawal syndromes, age-related comorbidities, and common psychiatric symptoms, such as anxiety, anger, and depression. Dr. Capote is a graduate of Rutgers New Jersey Medical School and a member of the Academy of Consultation-Liaison Psychiatry.
    Inpatient Psych refers to acute psychiatric care in a hospital setting and includes psychiatric assessment, treatment, and medication stabilization. Patients receive treatment from a multidisciplinary team of psychiatrists, mental health professionals, and nurses with the goal of providing patients a protective environment to stabilize an acute psychiatric illness while developing a treatment plan and medication stabilization. While in an Inpatient Psych Unit, patients are treated by a psychiatrist, psychiatrically trained nurses, and mental health clinicians in both a one-on-one and group setting.

    • 36 min

Customer Reviews

MusicallyInclined ,

Excellent Podcast!

Dr. Bridget engages her guests in a relaxed and insightful dialogue about their specific area of expertise. The format is well structured: the “What is _______” framework that Dr. Nash uses allows her listeners to accurately focus on the topics of greatest interest.

Excellent work - well done - keep it up!

WWNSr ,

Finally...a mental health roadmap for everyone!

This podcast is for anyone who is interested in mental health treatment but doesn’t know which therapy will be effective for their specific condition.

It is a helpful resource that explains the major clinically-proven mental health therapies in language anyone can understand by interviewing the people who created those treatments.

Dr. Bridget asks each expert the same questions so the listener can compare the main forms of therapy and find the one best suited for their need. The interviews also touch on how to find someone skilled in each therapy and how to get the most out of treatment.

I love that she also asks the experts if there are any people each therapy is not right for, which will prevent people from wasting time and money on an inappropriate form of treatment.

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