Listeners submitted questions on OCD (Obsessive-Compulsive Disorder): Is it an organic illness? Are drugs necessary in the treatment? What's the best book to read if you want to heal yourself? What's the prognosis? Drs. Nye and Burns begin by explaining OCD and answering the questions. David emphasizes the importance of using four treatment models when working with OCD—the cognitive model, the motivational model, the exposure model, and the hidden emotion model if you are hoping for a rapid and ...
Jul 03, 2017•39 min•Ep. 43
The late Dr. Albert Ellis developed a technique to help individuals struggling with shyness. It's called Shame-Attacking Exercises. Essentially, you do something bizarre in public to overcome your fear of making a fool of yourself; and you will probably discover that the world doesn't come to end. When used skillfully, this method can be incredibly liberating. However, there are several ethical considerations. First, before therapists can ask their patients to do Shame Attacking Exercises, thera...
Jun 26, 2017•23 min•Ep. 42
The third uncovering technique is called the "What-If" Technique, developed by the late Dr. Albert Ellis. The What-If Technique can will help you identify a terrifying fantasy under the surface that fuels your fears. David brings this technique to life with an inspiring story of a woman from San Francisco suffering from more than 10 years of mild depression and paralyzing Agoraphobia—the intense fear of leaving home alone. You may be surprised when you discover the Negative Thoughts that trigger...
Jun 19, 2017•34 min•Ep. 41
The Roles and the Rules—Psychoanalysis at Warp Speed! Most of us run into conflicts with other people from time to time, or even frequently. In this podcast, you will discover precisely why this happens, and how you to change the beliefs that get you into trouble, if that's what you want to do. Psychoanalysts sometimes help people discover what they call "core conflicts." According to the highly regarded psychoanalytic researcher Lester Luborsky, PhD , an example of a core conflict might be, "My...
Jun 12, 2017•38 min•Ep. 40
What are the root causes of depression? Anxiety? Relationship problems? In this, and the next two podcasts, you will discover the answer! Cognitive Therapists believe that negative thoughts, or cognitions, can exist on two different levels. When you're upset, you'll have Automatic Negative Thoughts (ANTs) in the here and now, and they'll usually be something like this: Depression: You may be telling yourself that you're a loser, or a failure, or that you'll be miserable forever. Anxiety: You're ...
Jun 05, 2017•39 min•Ep. 39
A listener named Daisy describes her despair at being unable to have a baby, despite intensive efforts at a fertility clinic. She gets well-meaning messages from friends, family and support groups that she really needs a baby in order to feel truly happy and fulfilled, and these messages make her feel anxious and depressed. But she wonders whether this is really true. Does she really need a baby to feel happy? In fact, we we get all kinds of messages from society that we need certain things in o...
May 29, 2017•25 min•Ep. 38
"My problems are real! The world really IS screwed up! And that's not a distortion. So what can I do about my severe depression and anxiety?" David and Fabrice discuss two questions submitted by Feeling Good Podcast listeners. #1. Shari writes: "I read your book Feeling Good and now I am reading your book When Panic Attacks --thanks to April's podcast with you. I still struggle but recently our current political situation and environmental research about our negative impact on earth—has triggere...
May 22, 2017•25 min•Ep. 37
A blog reader made a fairly strong and impassioned comment that sometimes asking the patient to examine ways she or he may be contributing to the problem may be a mistake when the patient really IS a victim, and cautioned against blaming the victim. David's goal is never to blame patients, but rather to empower you. David and Fabrice begin by discussing the fact that sometimes people vacillate between other-blame (it's all his/her fault) and self-blame (it's all my fault), and emphasize that nei...
May 15, 2017•39 min•Ep. 36
This is the last live therapy podcast with Mark, the physician who was convinced he was a failure as a father because of his difficulties forming a close, loving relationship with his oldest son. Although the session appeared to go well, we can't be sure until we see Mark's end of session mood ratings on the Daily Mood Log and on the Brief Mood Survey and and Evaluation of Therapy Session. David emphasizes that therapists' perceptions of patients are notoriously inaccurate, but most therapists a...
May 08, 2017•48 min•Ep. 35
Using the Externalization of Voices, which is arguably the most powerful Cognitive Therapy technique ever created, David & Jill continue encouraging mark to challenge his negative thoughts. The goal of the Externalization of Voices is to create genuine and lasting change at the gut level. Although it is one of the first cognitive Therapy techniques Dr. Burns created, it is rarely used by cognitive therapists in the United States, perhaps because it is so edgy, or perhaps because it is sophis...
May 01, 2017•45 min•Ep. 34
David and Jill begin using M = Methods to challenge the Negative Thought Mark wants to work on first: "There must be something defective in my brain that prevents me from forming a loving relationship with my oldest son." You may recall that Mark believed this thought 90%. Do you know what the necessary and sufficient conditions are for feeling emotionally upset? The necessary condition is that you have a negative thought in your mind, such as "I'm a failure as a father," or "There's something d...
Apr 24, 2017•50 min•Ep. 33
Jill and David encourage Mark to develop his list of positives. Mark draws a blank at first. This is very common among patients and therapists alike. Most of us have not been trained to think about depression, anxiety, shame, defectiveness, hopelessness and anger as being good or positive. In fact, we think of them as symptoms of "mental disorders," according to the DSM ( Diagnostic and Statistical Manual of the American Psychiatric Association .) So we think of them as bad, something to get rid...
Apr 17, 2017•35 min•Ep. 32
In the early days of my career, I (Dr. Burns) would have assumed that Mark definitely wanted to change--after all, he'd been in a lot of pain for a long time, and he came to the session because he wanted help. So, following the empathy phase of the session, I would have jumped in with a variety of cognitive therapy techniques to help Mark challenge his Negative Thoughts, such as "I've been a failure as a father," or "my brain is defective." Although this might have been effective, there's a good...
Apr 10, 2017•32 min•Ep. 31
After reviewing Mark's scores on the Brief Mood Survey, the Empathy phase of the session unfolds. During this phase of the session, David and Jill will not try to help, rescue, or save Mark. They will simply try to see the world through his eyes and provide some warmth and compassion. Mark explains that he had two goals in life when he was a young man. He hoped to have a large, loving family; and wanted to become a skillful and compassionate physician. Although he has achieved the second goal, h...
Apr 03, 2017•47 min•Ep. 30
This is the first in a series of podcasts that will feature live therapy. As you listen, you'll have the opportunity to peak behind closed doors to see how TEAM-CBT actually works in a real-world setting, and not role playing. The patient is a physician named Mark who has been haunted for decades by a problem with his oldest son, and he feels like a failure as a father. Although the facts of your life are likely to be very different, you might understand what it's like to feel like a failure, or...
Mar 27, 2017•30 min•Ep. 29
The key is bringing the patient's subconscious resistance to conscious awareness, and melting it away with paradoxical techniques. This is absolutely critical if you are hoping to see a complete elimination of symptoms in any type of anxiety. You may recall that the Outcome Resistance for anxiety disorders usually results Magical Thinking—the anxious patient may be suffering intensely and asking for help, but secretly believes that something terrible will happen if the treatment is successful an...
Mar 20, 2017•46 min•Ep. 28
David reminds us about the differences between healthy fear and unhealthy, neurotic anxiety, or an anxiety "disorder" like a phobia, or OCD, and so forth. He explains that negative thoughts, and not events, trigger all our emotions, healthy or unhealthy. However, healthy fear results from negative thoughts that are valid and undistorted, and does not need treatment. For example, if you are walking around Chicago in an area dominated by gangs, you may have the thought, "I could get shot. I better...
Mar 13, 2017•27 min•Ep. 27
We begin by describing the three different deaths of the ego that are required for recovery from depression, anxiety, or a relationship conflict, respectively. For depression recovery often results from the "Great Death," A Buddhist concept that involves the discovery that there is no such thing as a "self" that could be worthless, or inferior, or judged by another person. David and Fabrice only touch on this theme and promise an entire future podcast on this fascinating and helpful spiritual no...
Mar 06, 2017•45 min•Ep. 26
David answers these questions: How do you deal with a patient (or friend) who is boring? How do you deal with a patient (or friend) you don't like? How do you get patients to do their psychotherapy homework? How do you deal with a patient (or friend) who is boring? David describes a technique he learned from a mentor, Dr. Myles Weber, during his second year of psychiatric residency at Highland Hospital in Oakland. The technique works instantly 100% of the time, and is guaranteed to make any bori...
Feb 27, 2017•38 min•Ep. 25
The cognitive model of anxiety is based on three powerful ideas: Anxiety always results from negative thought (NTs) that involve the prediction of danger. For example, if you have public speaking anxiety, you are probably telling yourself something like this: "I just know I'm going to blow it. My voice will tremble. People will know I'm anxious. My mind will go blank. I'll mumble and make a total fool of myself." Or, if you struggle with panic attacks, you probably have thoughts like this: "I th...
Feb 20, 2017•52 min•Ep. 24
There are 4 powerful treatment models for anxiety, including The Cognitive Model The Exposure Model The Motivational Model The Hidden Emotion Model Each approach has a completely different theory about the causes of anxiety and utilizes completely different treatment techniques. For example, cognitive therapists believe that distorted thoughts trigger all anxiety, and that the most effective treatment involves challenging these distortions. In contrast, exposure therapists argue that avoidance i...
Feb 13, 2017•23 min•Ep. 23
David and Fabrice answer these questions: What is anxiety? How does it differ from depression? Do anxiety and depression always go hand in hand? How does anxiety differ from healthy fear? What are the most common forms of anxiety? How common is anxiety? Anxiety, like depression, has been called the world's oldest con. That's because you are always fooling yourself, and buying into negative thoughts that aren't true, when you're feeling anxious and insecure. Dr. Burns highlights the most common c...
Feb 06, 2017•29 min•Ep. 22
A listener with OCD is plagued with intrusive and shameful sexual fantasies. David discusses his treatment strategies for a young man from Argentina who was struggling with forbidden fantasies of Jesus having sex with the Virgin Mary in all positions of the Kama Sutra, but the harder he tried to control them, the more intense and tantalizing they became. Being a good Catholic lad, he was terrified and tearful he would burn in hell if he didn't overcome this problem. If you've ever struggled with...
Jan 30, 2017•17 min•Ep. 21
Discussion of recent startling and disturbing research studies by Dr. Irving Kirsch and others that suggest that the chemicals called "antidepressants" may, in reality, have few or no true antidepressant effects above and beyond their placebo effects. Dr. Burns illustrates the placebo effect with a thought experiment, and explains why it is so confusing to researchers and the general public alike. In addition, David and Fabrice discuss additional troubling research by Dr. David Healey and others...
Jan 23, 2017•32 min•Ep. 20
Can the EAR techniques help a listener deal more effectively with a defiant, oppositional child. Dr. Burns reveals a fantastically helpful secret that he and his wife stumbled across in raising their own children. If you have ever struggled in your attempts to deal with an oppositional child or adolescent, you will find this podcast enlightening!
Jan 16, 2017•25 min•Ep. 19
David and Fabrice address this question submitted by a listener: Dear Dr. Burns, I read Feeling Good twenty years ago. It was a wonderful relief and help to me. Your book has helped me live a better and balanced life. The best part was passing the knowledge on to my daughter. I thought I read a wonderful description of how to handle death anxiety in the book. I was describing it to a friend, but could' find it in the book. Is it in another book? Your reply would be considered an act of generosit...
Jan 09, 2017•11 min•Ep. 18
David answers a challenging question posed by a listener: Dear Dr. David: In your Feeling Good Handbook , you suggest that the reader just allows himself or herself to be an ordinary person instead of trying to be perfect. Contrary to your opinion in the book, you're an outstanding therapist in reality. You've studied in one of the world's top colleges, you're well-educated with a doctor degree, and successful in your career and life. How can I believe your claim? I'm quite confused! Sincerely, ...
Jan 02, 2017•23 min•Ep. 17
David and Fabrice are joined by Lisa Kelley, a certified TEAM-CBT therapist and former journalist from Littleton, Colorado. Lisa interviews David about an interview / blog David has just published on this website. Lisa begins by asking how people responded to a survey on David's website asking this controversial question: " Do you believe that a depressed individual could experience a complete elimination of symptoms in a single, two-hour therapy session? " More than 5,000 individuals completed ...
Dec 28, 2016•41 min
How can you help a depressed friend or family member? You may be surprised to discover that the attempt to "help" is rarely effective, and may even make the problem worse. In contrast, the refusal to help is nearly always helpful. But to understand that paradox, you'll have to give a listen to this fascinating edition of "Ask David!" David and Fabrice also address a related problem nearly all of us confront from time to time: How do you deal with a friend who is a relentless whiner and complaine...
Dec 26, 2016•33 min•Ep. 16
If used skillfully, the Five Secrets can resolve nearly any relationship conflict and transform hostility, resentment and mistrust into intimacy and warmth, often with amazing speed. And although this may seem easy when you first learn about the Five Secrets, it's extremely difficult in real world situations. In this Podcast, David and Fabrice discuss a number of predictable emotional and mental errors nearly everyone makes when trying to use the Five Secrets to get close to someone he or she is...
Dec 19, 2016•33 min•Ep. 15
