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. 2D AGO

    “I Didn’t Mean To”: Intention, Impact, and Repair in Relationships

    “I didn’t mean to” can be true — and still not be the same as “I’m sorry.”  In this episode, a small moment at the breakfast table with my children opens the door to a deeper conversation about the difference between intention and impact — and why that gap matters so much in our closest relationships. When my son accidentally hurt his sister and quickly said, “I didn’t mean to,” it sparked a family conversation that Ben and I have had many times before. Of course he didn’t mean to. But something important lives inside that moment: the difference between what we intend to happen and what actually lands in another person. Using a recent conflict between Ben and me as an example, I explore how two people can both be acting with reasonable or caring intentions and still end up feeling hurt, unseen, or alone. Through an Imago- and nervous-system-informed lens, we look at how old relational stories and attachment experiences can shape how impact is felt — and why repair becomes essential when intention and impact don’t align. Intention matters. It provides context and helps us understand each other more fully. But intention does not erase impact. When we focus only on what we meant, we often miss the opportunity to repair the harm that was experienced. This episode explores what becomes possible when we shift from defending our intentions to becoming curious about our impact — and how repair helps restore relational safety between partners, within families, and even within the wider world. In this episode, we explore: • The difference between intention and impact in everyday relationships  • Why “I didn’t mean to” can be true and still incomplete  • How a small family moment revealed a larger relational pattern  • The role of old stories and attachment wounds in how impact is experienced  • Why repair becomes necessary when intention and impact don’t match  • How intention can support repair without canceling impact  • What makes an apology feel genuine rather than defensive  • Why curiosity about impact strengthens relational safety  • How nervous systems influence rupture and repair  • What it means to practice a truly relational approach to conflict 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.

    21 min
  2. MAR 4

    Communication for Connection Part 3: A Real-Life Imago Dialogue

    What if the conflict isn’t the problem — but the speed, the stories, and the nervous system state you’re in while you’re trying to communicate? In this episode, my husband Ben joins me for our first ever real-time, recorded demonstration of the Imago Intentional Dialogue. After the last two episodes introduced the structure of the Dialogue, this one lets you hear what it actually sounds like when two partners use the process in a real moment of rupture — with real feelings, real nervous system activation, and real stakes. We originally planned to dialogue about something that happened on my birthday, but a fresh conflict came up that felt even more relevant: tension around our new rhythm of co-hosting the podcast and the vulnerability of sharing something that has mattered deeply to me for a long time. What unfolded was a powerful example of how quickly a practical scheduling issue can turn into something much older — fear of relying on others, fear of not mattering, fear of being unseen. Through an attachment and nervous-system informed lens, we slow the conversation down and walk step-by-step through the Dialogue: an appointment, mirroring, validation, empathy, and repair. You’ll hear how the structure helps interrupt “simultaneous monologuing,” reduces escalation, and makes space for the deeper story underneath the surface conflict. In Trish’s share, you’ll hear how Ben going into the office on a snow day landed as abandonment and as a painful activation of an old belief: “I can’t rely on people.” In Ben’s share, you’ll hear how being told he wasn’t prioritizing the podcast landed as a gut punch — an experience of being unseen and unvalued despite the ways he has consistently supported the podcast and their family behind the scenes. After the Dialogue, we reflect briefly on what it was like to repair, the role of the “ventral narrator” during dysregulation, and how even when a story is irrational, the emotional experience is still real, and worthy of care. If you’ve ever felt stuck in painful cycles where both partners end up feeling alone, unimportant, or misunderstood, this episode offers a grounded example of what it looks like to create safety and connection in the middle of a real-life rupture. In this episode, we explore: A real, unscripted Imago Dialogue between Trish and BenHow a practical conflict can activate deeper attachment woundsThe “appointment” and why consent matters before hard conversationsMirroring in real time: what it sounds like to slow down and reflect accuratelyHow old stories of abandonment and self-reliance can get triggeredHow “you don’t prioritize this” can land as shame, invisibility, and a gut punchThe difference between intent and impact — and how Dialogue holds bothThe nervous system layer: dysregulation, repair, and the “ventral narrator”Why validation isn’t agreement, and empathy isn’t mind-readingHow repair can happen quickly when partners return to curiosity and structureThis episode completes the introductory trilogy on Imago Intentional Dialogue: ➡️ Part 1: What the Imago Dialogue is and why it works (appointment, mirroring, validation, empathy) ➡️ Part 2: The personal sto 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.

    45 min
  3. FEB 25

    Communication for Connection Part 2: How the Imago Intentional Dialogue Changed My Relationship

    What if a single conversation could shift the trajectory of your relationship — not because the problem disappeared, but because you finally felt understood? In this episode, I share the personal story of the moment I used the Imago Intentional Dialogue process in my own marriage and experienced a profound shift from disconnection to genuine understanding. Rather than offering theory alone, this episode explores what it looks like when structured communication tools move from concept to lived experience. Through an attachment and nervous-system-informed lens, I describe how years of distress, hopelessness, and depression created a relational environment where connection felt out of reach. You’ll hear how the Dialogue provided a container strong enough to hold intense emotion without escalating conflict, which in turn, allowed vulnerability to emerge where defensiveness had once dominated. I also reflect on why this process can feel awkward or even artificial at first, and why that very structure is what makes safety possible. By slowing down the conversation and focusing on understanding rather than persuasion, partners can interrupt patterns of simultaneous monologuing and create space for empathy, repair, and renewed connection. This episode offers reassurance that meaningful change does not require perfection, immediate agreement, or both partners being fully ready at the same time. Sometimes the first shift comes from one person choosing to show up differently and trusting the process. If you’ve ever wondered whether deeply entrenched patterns can truly change, or whether connection can return after long periods of distance, this story offers a grounded example of how relational healing can begin. In this episode, we explore: The personal context that led to trying the Imago Dialogue How structured communication can contain intense emotion without escalationWhy awkward or scripted conversations can still produce genuine connectionThe role of safety in allowing vulnerability to surfaceWhat it feels like to be deeply heard after prolonged disconnectionHow understanding differs from agreement or problem solvingWhy change can begin even when only one partner can take a stepHow the Dialogue interrupts defensive, protective communication patternsThe emotional impact of being mirrored accuratelyWhat makes repair possible after long-term distressThis episode is Part 2 of a three-part series exploring the Imago Intentional Dialogue: ➡️ Part 1: An introduction to the Dialogue process, including mirroring, validation, empathy, and the appointment ➡️ Part 3: A real, unscripted demonstration of the Dialogue between Trish and her husband Ben 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.

    21 min
  4. FEB 18

    Communication for Connection Part 1: The Imago Intentional Dialogue Process

    What if the way you’ve been trying to communicate is actually preventing the connection you long for, even when your intentions are loving? In this episode, I introduce the Imago Intentional Dialogue process, a structured communication tool that helped transform my own marriage from separation to recommitment. Rather than focusing on winning arguments or fixing problems, this model creates safety, understanding, and genuine connection, even during difficult conversations. Through an attachment and nervous system informed lens, I walk you step-by-step through the core components of the Dialogue: mirroring, validation, and empathy, along with the opening step, known as the appointment. Together, these tools help partners slow down, reduce dysregulation, and replace defensive communication patterns with conscious connection. I also explore why conflict often feels so urgent, how nervous system dysregulation shapes communication, and why many arguments are actually about deeper unmet needs rather than surface issues. You’ll hear how even simple shifts, like asking for consent before a difficult conversation, can dramatically change relational dynamics. This episode serves as preparation for Part 2 of this series, where I share the moment I first used these tools to transform my own relationship, followed by Part 3, where my husband and I will demonstrate the Dialogue live in an unscripted real-life conversation. If you’ve ever felt stuck in repeating arguments, unheard, misunderstood, or unsure how to repair disconnection, this episode offers a practical starting point for communicating in a way that builds safety rather than eroding it. In this episode, we explore: What the Imago Intentional Dialogue process is and why it worksThe three core steps: mirroring, validation, and empathyThe power of the “appointment” in creating conversational safetyWhy urgency in conflict can trigger defensive reactionsHow nervous system states shape communication patternsThe concept of “simultaneous monologuing” and why it blocks connectionHow validation differs from agreementWhy empathy is about imagination, not mind-readingThe role of consent and timing in productive conversationsHow structured dialogue can heal attachment woundsWhy many conflicts reflect deeper unmet needsHow communication can shift from self-protection to connectionThis episode is Part 1 of a three-part series: ➡️ Part 2 (next week): The personal story of the moment this process transformed Trish’s own relationship and how you can apply these tools even if your partner isn’t quite ready ➡️ Part 3 (March 4):  A real, unscripted demonstration of the Imago Dialogue between Trish and her husband Ben 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.

    30 min
  5. FEB 11

    Know Your Worth, Know Your Impact: How Embracing Your Relational Power Shapes Social Change

    What does it really mean to know that you matter — and how does that shape the impact you have on your relationships and the world? In this episode, I explore how reclaiming a sense of worth can be a powerful source of energy, agency, and relational influence — especially when we’re feeling shut down, disconnected, or powerless. Through my own experience, I reflect on how depression often shows up as disconnection from self, others, and the world, and how that disconnection can quietly erode our sense that we matter. Drawing on an Imago and nervous system informed lens, I share a working theory: people who don’t know they matter often don’t know their impact. When worth is unclear, power can feel distorted, either expressed through collapse and withdrawal, or through attempts to assert dominance. Both are understandable nervous system responses to deep relational injury. This conversation focuses primarily on dorsal shutdown, the immobilized nervous system state where self-care, connection, and engagement with the world feel out of reach. I reflect on how beginning with the assumption that I mattered, rather than waiting for proof, helped restore energy, curiosity, and capacity for connection in my own life. I also share how being accurately seen and mirrored within the Imago community became a healing experience, allowing growth to layer on top of safety. As my sense of worth strengthened, I became more able to notice my impact on others and to influence the quality of connection without collapsing or exerting control. This episode is an invitation to consider how small, intentional shifts in the quality of our connections — first with ourselves, then with those closest to us, and eventually with the wider world — can become a meaningful source of personal and collective change. In this episode, we explore: Depression as disconnection from self, others, and the worldHow not knowing you matter impacts nervous system regulation and energyThe link between worth, impact, and our relationship to powerDorsal shutdown and why lack of energy isn’t a personal failureBeginning with worth as a foundation for healing and agency“I matter because I am here” as a way of interrupting old narrativesHow accurate mirroring supports relational repair and growthWhy reclaiming worth restores capacity for connection and contributionHow small relational shifts can ripple outward into larger systemsThis episode is an invitation to slow down, question old narratives of worthlessness, and remember that when we know we matter, we’re better able to stay present, relational, and engaged — and that’s how small connections begin to shape the world. 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
  6. FEB 4

    What It Means to Be Relational: Safety, Connection, and the World We Can Create Together

    What does it really mean to be relational — beyond simply having relationships? In this episode, I explore what it means to value connection, belonging, and collective safety in a world that often prioritizes hierarchy, control, and individual success. Through an Imago- and nervous-system-informed lens, we look at how relationship itself can be a pathway toward healing — not only in our personal lives, but in our communities and the broader world we share. This conversation invites a shift from “power over” to “power with,” from certainty to curiosity, and from dysregulation to dialogue. Drawing on polyvagal theory, I reflect on how we are not isolated nervous systems, but interconnected ones — constantly shaping and being shaped by one another. When safety breaks down for one or many, the impact ripples through the whole system. Rather than focusing on blame or ideology, this episode centers our shared humanity. It asks what becomes possible when we understand violence, polarization, and disconnection not only as moral or political failures, but also as signs of collective nervous system wounding — and when we respond by creating safety, not more threat. This is an episode about relationship as a foundation for real and lasting change. In this episode, we explore: What it means to be relational, not just relationally skilledThe shift from hierarchy to mutual, relational connection, as supported by Imago theoryHow polyvagal theory helps us understand interconnected nervous systemsThe idea of a collective nervous system — and what happens when it’s woundedWhy fear and unsafety fuel disconnection and dehumanizationHow violence can be understood as a nervous system response at scaleWhy peace doesn’t require agreement, but does require safetyHow relational presence and dialogue create conditions for healingThis episode is an invitation to slow down, soften certainty, and remember that every moment of connection — however small — contributes to the world we are shaping together. 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
  7. JAN 28

    Introducing My Husband: From Behind the Scenes to Sharing the Mic

    This episode marks a meaningful milestone for the podcast — the first episode of its second year, and the first with my husband, Ben, joining me on the microphone. For the past year, he has been an essential part of this podcast behind the scenes. In this episode, he steps forward — not because he was pushed, but because the timing felt right. We reflect on what it has meant to create this podcast over the last year, the different ways we’ve each participated in that process, and how sharing a voice is not the same as sharing readiness. This conversation is about honoring pace, consent, and the often-invisible labor that sustains meaningful work. This is not a conversation about expertise or advice. It’s about relationship. About what it looks like when two people with different rhythms consciously co-create something that fits who they are — and who they are becoming. In this episode, we explore: What one year of creating this podcast has taught usThe value of behind-the-scenes support and invisible laborWhy timing and consent matter in shared projectsWhat shifted when it felt right to share the microphoneHow shared voice doesn’t require shared paceThe intention for this next chapter of the podcastThis episode marks both a reflection and a beginning — a new chapter shaped by trust, choice, and the willingness to step forward together. 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.

    30 min
  8. JAN 21

    Becoming Someone I Can Trust: ADHD, Depression, and One Year of Nervous System Healing

    What does it mean to become someone you can trust — especially when living with ADHD and depression? In this one-year anniversary episode, I reflect on how understanding my nervous system changed my relationship with effort, consistency, and self-belief. For much of my life, I didn’t trust myself — my energy, my follow-through, or my ability to show up consistently. Living with depression and undiagnosed ADHD, difficulty with motivation and focus was often interpreted as personal failure. In this episode, I slow things down and reflect on what has shifted over the past year, shaped in large part by creating this podcast and showing up for weekly episodes  I share how learning to befriend my nervous system — rather than trying to override it — became a turning point. Through a polyvagal and neurodivergence-informed lens, I explore how patterns of avoidance, shutdown, and inconsistency were not signs that I was broken, but signals that my system was in protection mode. This episode is about repair — not only in relationship with others, but in relationship with Self. About what it has meant to build trust slowly, through repeated acts of showing up with compassion rather than force. In this one-year reflection, I share what has supported my growth, including: Befriending my nervous system instead of fighting itLearning to rest without earning itTaking anchored, sustainable action rather than pushing throughAcknowledging grief for what was lost and misunderstoodMaking room for celebration — even when growth has been unevenIn this episode, we explore: What “becoming someone I can trust” looks like in everyday lifeHow ADHD and depression shape our relationship with effort and consistencyWhy willpower is often not the problemHow honoring true capacity can yield more progress than trying to push through to do what you think you "should" be doingHow self-attunement and pacing support sustainable changeWhat one year of showing up — imperfectly — has taught me about healingGentle note for listeners: This episode includes discussion of depression, ADHD, and nervous system states related to shutdown and overwhelm. Please listen with care and take breaks as needed. 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.

    35 min

Ratings & Reviews

4.9
out of 5
8 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