When Depression is in your bed

Trish Sanders, LCSW

This podcast looks through both a professional and personal lens to explore the impact depression can have on individuals and on relationships.  It takes a non-judgmental, destigmatizing view of mental health that encourages true, holistic healing and growth.The host, Trish Sanders, is a Licensed Clinical Social Worker and Certified Advanced Imago Relationship Therapist.  In addition to her experience in the office with couples and depression, both she and her husband have lived with depression for most of their lives.  Trish shares with transparency and vulnerability, while bringing hope and light to an often heavy subject.Follow Trish @trish.sanders.lcsw on Instagram for support in how to have a deeper connection and better communication in the relationships that matter most in your life. Subscribe to When Depression is in Your Bed and share it with someone who you think may benefit from hearing it.-  If you are looking to take the first step towards improving your connection and communication with your partner, check out this FREE monthly webinar on  "Becoming a Conscious Couple: How to Connect & Communicate with Your Partner,"  at wwww.wholefamilynj.com/webinar-  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!  Register at www.wholefamilynj.com/workshop

  1. 4D AGO

    A Conscious Christmas Story: Choosing Connection When the Holidays Got Me Down

    When the holidays don’t match the picture in your head, the gap can feel like grief. This year brought fevers, cancellations, and a quiet house that amplified old patterns of shutdown. I share what helped me move through the heaviness with care: naming the dorsal state of the nervous system, choosing breathwork over busyness, protecting sleep, and inviting small, real moments of connection with my kids when plans fell apart. You’ll hear how I traded perfection for presence and found meaning in simple rituals—wrapping gifts to a breathing cadence, building Legos side by side, taking a short nature walk to collect leaves for a flower press. We talk about practicing regulation first so repair can land, and how to navigate loneliness without abandoning yourself. I open up about the tension between holiday “shoulds” and values, why expectations quietly fuel burnout, and how to design family time around energy and capacity rather than tradition for tradition’s sake. We also explore a family breathwork session that gave us a shared rhythm when words felt like too much, plus a vision board exercise that revealed the life I’m already creating and the calm I want more of next year. If you’re managing depression, navigating overwhelm, or simply craving a slower season, you’ll find practical, nervous system-informed tools you can use today: regulate, relate, then reason; breathe, rest, invite. Press play to reimagine holidays that honor your bandwidth and build genuine 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.

    22 min
  2. 12/24/2025

    Let It Begin With Me: Embodying Peace Through Nervous System Regulation

    We explore how two opposing beliefs—“I have to do everything" and "I can't do anything"—grow from different nervous system states and how peace begins by shifting our state toward safety and connection. Using Polyvagal Theory, we offer practical steps to move from survival into grounded presence and how that approach can ripple out to create a more peaceful world. • mapping sympathetic overdrive and dorsal shutdown to everyday thoughts • why state drives story and limits choice • using the nervous system ladder to find ventral safety • gentle ways to slow down when doing feels safer • small actions to lift energy when shutdown hits • building connection with people, pets, nature, and self • noticing and naming as daily regulation practice • creating inner peace as a path to meaningful outer change If today's episode resonated with you, please subscribe so you can be notified when each weekly episode gets released.  I encourage you to leave a review and please share this podcast with anyone who you think may be interested or who may get something from what I have shared 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.

    25 min
  3. 12/17/2025

    Writing New Stories: How My Brain Healed After Holiday Depression and Beyond

    The holidays can feel bright for some and unbearably heavy for others. I open up about a Christmas that nearly ended my marriage and trace how those memories slowly softened—not by accident, but because the brain can change and grow when it feels safer. This is a story that starts with depression and disconnection, then moves to the science of hope: moving beyond survival mode, neural pruning, and memory reconsolidation. It’s also a map for finding one supported step when the season overwhelms you. I talk through the shift from scanning for danger to making room for joy, and how therapy—especially Imago relationship work—gave us tools to repair when words misfired and patterns felt unbreakable. You’ll hear about the tree I decorated late, a child’s wonder at a star, and a mason jar full of Xs and Os that didn’t land the way I hoped. Those moments didn’t vanish; they were rewritten by new experiences of safety and small daily choices that rewrote a story of connection over time. If you’re carrying grief, holiday blues, or chronic stress, consider this your gentle invitation to take one step today. Slow down instead of speeding up. Ask for help. Set one clear boundary. Reach for safe-enough connection. Your nervous system can learn a different holiday rhythm, and your brain can compress what no longer serves while expanding what sustains. Press play for a grounded blend of story and neuroscience, and leave with practical ways to start your new chapter. If it resonates, subscribe, share with a friend who needs it, and leave a review so more people can find support 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.

    23 min
  4. 12/10/2025

    Grief, Gratitude & ADHD: What’s Been Coming Up for Me This Holiday Season

    Holidays have a way of pulling old feelings to the surface. This time, two truths came up at once: the enduring ache of losing my dad five years ago, and a quieter grief I call “ADHD grief”—the gap between the cozy, orderly home I imagine and the real limits of my brain and nervous system. I share the moments that stopped me mid-task, what changed when I paused to feel instead of fix, and how gratitude began to stand beside grief without erasing it. You’ll hear how an unexpected gathering on my dad’s anniversary became a gift of connection rather than a ritual of loss, and why that mattered more than any plan I could have made. We talk about the pressure to perform “holiday perfection,” the comparison traps that heighten shame, and the kinder, capacity-based choices that bring the season back to what counts. From ordering cards early to hearing my daughter say the tree makes every morning feel like Christmas, I show how small, doable wins can carry real magic—even when the closets are messy and the to-do list is imperfect. If you live with ADHD or another form of neurodivergence, or if you’re navigating fresh or longstanding grief, you’ll find practical compassion here: naming what you can’t control, choosing what you can, and taking one step—toward action, rest, connection, or care. We won’t force gratitude as a cure, and we won’t rush grief. Instead, we make space for both and let them guide better decisions, gentler self-talk, and traditions that fit our actual lives. If this resonates, follow the show, share it with a friend who needs it, and leave a review—then tell me: what one step will you take today? 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.

    18 min
  5. 11/26/2025

    From Cautiously Curious to Confident: What I Learned Before Starting Ketamine Therapy

    Healing doesn’t always arrive as a lightning bolt. Sometimes it looks like a short, supported window where defenses soften and your nervous system finally has space to reorganize. That’s the potential of ketamine-assisted psychotherapy: not a shortcut, but a different door into change. We take you from ketamine’s legal role as an anesthetic to its misunderstood 90s reputation, then into the research era where clinicians began seeing fast-acting benefits for people labeled “treatment-resistant.” We talk plainly about why that label can feel shaming, how trauma and chronic stress reshape the brain and body, and why words alone can’t always reach the places that hurt. Along the way, we draw clear lines between ketamine and classic psychedelics like psilocybin and LSD, and touch on MDMA’s empathogenic profile—each alters consciousness, but the experiences and mechanisms differ in meaningful ways. The heart of our conversation is integration. Infusions without therapy can produce a lift, but integration is where insights stick. We share how guided preparation, a safe dosing container, and post-session processing turn inner imagery and softened defenses into practical shifts—sleep, boundaries, relationships, and daily habits that support mood. We also outline safety basics: licensed prescribers, trained therapists and healers, ethical settings, and trusting your own readiness rather than pushing through fear. This isn’t a sales pitch for psychedelics; it’s an invitation to learn, ask questions, and consider whether KAP belongs in your healing toolkit. If this conversation sparks curiosity, follow the show, leave a review, and share it with someone who might need a new path forward. Your feedback shapes future episodes—join us and keep the dialogue going. 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.

    22 min
  6. 11/19/2025

    Signals of Safety: Real Stories of Nervous System Self- and Co-Regulation

    The hardest part of a taxing day likely isn’t a thing on the to-do list— our nervous system state that influences how we perceive what needs to be done and if we have on "depression googles," we can expect that even the lightest load may feel like seriously heavy lifting.  When depletion hits and dorsal shutdown pulls you under, forcing productivity can deepen the spiral. I share how I recognized my capacity, swapped a plan that I didn't feel connected to in the moment for one that felt more aligned, and used small, body-first moves to steer back toward safety. From literal sunlight on my skin to honest words with my daughter, each tiny choice was designed to do one thing: not make it worse, so something better could emerge. We get practical about self-regulation: noticing state before strategy, choosing “comfy cues” that quietly lower threat, and practicing compassionate self-talk that interrupts the urge to self-criticize. I also break down why rehashing conflict can flood your system and how to ask for support in ways that soothe rather than spike. Inner child attunement shows up as a guide, helping meet adult responsibilities and younger needs so decisions can feel holistically beneficial. The throughline is capacity—matching the day’s demands to the body’s actual fuel, not the fantasy of what you “should” be able to do. The heart of this conversation is a bed-side moment with my 14-year-old. Advice didn’t help; my nervous system did. I shifted from fixing to co-regulation, lay down, and practiced coherent breathing until the room felt safer. No lecture, no push—just presence. That silence sent a signal he could trust and opened the door to one small, self-chosen step up the ladder. If you’ve ever tried to talk someone out of collapse, you’ll hear why safety often travels faster through breath, tone, posture, and proximity than through the smartest words. If this resonates, subscribe for weekly episodes, share it with someone who needs a gentler path, and leave a review to help others find the show. Your step today can be tiny—one breath, one boundary, one text to a supportive friend. Take it. 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.

    17 min
  7. 11/12/2025

    My Ketamine-Assisted Psychotherapy (KAP) Journey: From Self-Hatred To Self-Care

    What if real rest isn’t zoning out, but learning to feel safely still in your own body? Trish takes you inside her year-long journey with ketamine-assisted psychotherapy, sharing what KAP actually looks like—from medical screening and at-home setup to music-guided sessions, dosing with lozenges, and why a simple request for lip balm became a breakthrough in receiving care. We walk step by step through the first session nerves, blood pressure protocols, eye mask and playlist prep, and the gentle inner experience that led to two anchoring insights: "the most beautiful place in the world is inside of me" and "I can breathe here". You’ll hear how integration sessions transformed fleeting moments into durable change, pairing neuroplastic windows with practical rituals so self-compassion moved from concept to felt sense. Along the way, Trish unpacks the difference between therapeutic and recreational use, clarifies common misconceptions about ketamine, and frames the work through a polyvagal lens—contrasting shutdown with true slowdown and naming the blended state of safety and stillness that makes rest restorative. This is an honest, grounded account designed for the KAP-curious, the clinically minded, and anyone navigating depression who wonders whether healing can stick. We talk best practices, chaperones, virtual care, dosing methods, and the very real variability in risk across different ketamine models. Most of all, we focus on what lasts: trust, integration, and nervous system learning that helps you choose rest without shame and return to center more easily. If this resonated, subscribe for weekly releases, share it with someone who might need hope today, and leave a review to help others find the show. What question about KAP would you like us to explore next? 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.

    34 min

Ratings & Reviews

4.9
out of 5
7 Ratings

About

This podcast looks through both a professional and personal lens to explore the impact depression can have on individuals and on relationships.  It takes a non-judgmental, destigmatizing view of mental health that encourages true, holistic healing and growth.The host, Trish Sanders, is a Licensed Clinical Social Worker and Certified Advanced Imago Relationship Therapist.  In addition to her experience in the office with couples and depression, both she and her husband have lived with depression for most of their lives.  Trish shares with transparency and vulnerability, while bringing hope and light to an often heavy subject.Follow Trish @trish.sanders.lcsw on Instagram for support in how to have a deeper connection and better communication in the relationships that matter most in your life. Subscribe to When Depression is in Your Bed and share it with someone who you think may benefit from hearing it.-  If you are looking to take the first step towards improving your connection and communication with your partner, check out this FREE monthly webinar on  "Becoming a Conscious Couple: How to Connect & Communicate with Your Partner,"  at wwww.wholefamilynj.com/webinar-  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!  Register at www.wholefamilynj.com/workshop