Therapy in a Nutshell

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I’m Emma McAdam, a Licensed Marriage and Family Therapist and my mission is to make mental health resources more easy to access. I take therapy skills and psychological research and condense them down into bite-sized nuggets of help. I’m here to spread the message that while mental illness is real, it’s common, it’s debilitating, it’s also treatable. There are dozens of research-backed approaches to treating depression, anxiety, and other mental illness. Change, growth, and healing are possible. Please keep courage! Try one little thing every day to improve your life and health and things can get so much better! Therapy in a Nutshell, and the information provided by Emma McAdam, is solely intended for informational and entertainment purposes and is not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. Therapy in a Nutshell and it’s logo are Registered Trademarks of Therapy in a Nutshell, LLC

Episodes

Thursday Jan 05, 2023

Guided Walkthrough to Stop a Panic Attack

Thursday Jan 05, 2023

So, you’re having a panic attack? If you’re right in the middle of a panic attack, this video is for you.

For many people, a panic attack feels like a lot of intense physical symptoms. Maybe your heart is pounding, you feel faint or tingly, you’re afraid that you’re going to pass out or have a heart attack. In this video we’ll walk you through how to know if it’s anxiety causing those symptoms and some practical steps to stop the panic cycle. Because you’re going to be ok. You are safe. These sensations feel scary but they’re not going to hurt you.

Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.co...

Support my mission on Patreon: https://www.patreon.com/therapyinanut...

Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/bes...

Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger institute for my overall understanding of our ability to choose our life's direction.

And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/c...

If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org/ or 1-800-273-TALK (8255) or your local emergency services.

Thursday Dec 29, 2022

Atomic Habits for Mental Health

Thursday Dec 29, 2022

FREE habit tracker: https://courses.therapyinanutshell.com/pl/2147583979

Online Courses: https://courses.therapyinanutshell.com/?utm_medium=YTDescription&utm_source=Podcast

Why would I think a vitamin could improve mental health?The short answer- https://www.youtube.com/watch?v=3dqXHHCc5lA

James Clear's Blog: https://jamesclear.com/marginal-gains

There’s two ways to think about mental health, and I think a lot of people don’t realize they’re stuck in the first one. Most people believe that you either “have depression” or you don’t. That if you get diagnosed with depression or anxiety, it’s like a permanent trait that you have - and that all you can do is learn to cope with it. I don’t think about depression or anxiety that way. I think of it on a scale- when your symptoms are severe they interfere with your life in a big way, when your symptoms are mild, or when your symptoms go away, it doesn’t interfere with your life anymore. Depression and Anxiety disorders can actually be resolved when we chip away at them. Thinking this way gives us agency, power to change our own lives.

Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.co...

Support my mission on Patreon: https://www.patreon.com/therapyinanut...

Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/bes...

And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/c...

If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org/ or 1-800-273-TALK (8255) or your local emergency services.

Saturday Dec 24, 2022

The Surprising Way Alcohol MakesYour Brain More Anxious with Amber Hollingsworth

Saturday Dec 24, 2022

Check out Amber's channel here: https://www.youtube.com/channel/UCT8PE1v0xFR9zLXOijxM6hg

Alcohol use changes your brain chemistry in a way that makes you more anxious. It also changes how you think- which can make you more anxious. And when you’re drunk, you might do stuff that makes you more anxious later…whether you or a family member has a problem with alcohol use, it’s important to know how it affects the brain and the practical steps you can take to escape the cycle. But, I am not a substance abuse counselor, it’s out of my wheelhouse so I was super grateful when Amber Hollingsworth offered to make a video for my channel all about how alcohol use has the surprising side effect of making your brain more anxious. Amber is a Licensed Professional Counselor (LPC), Master Addiction Counselor (MAC), she’s super freaking passionate about helping individuals and families overcome addiction and has worked in every level of care since 2004. So I hope you love what she has to say… Here's Amber.

Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.co...

Support my mission on Patreon: https://www.patreon.com/therapyinanut...

Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/bes...

And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/c...

If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org/ or 1-800-273-TALK (8255) or your local emergency services.

Thursday Dec 15, 2022

How Genetic is Mental Illness Actually? Heritability Estimates for Mental Health and The Role Genes Play

Thursday Dec 15, 2022

If one of your family members has a mental illness, does that mean you’re more likely to have it too? Can you inherit a mental illness from a parent? If your mom has, let’s say, social anxiety disorder, and you do too, does that mean that she passed it down genetically or that because she didn’t take you out much, and you watched her being nervous around other people- that you learned to be anxious around other people?

In this podcast we’re going to talk about heritability estimates- what the research has to tell us about how much genes contribute to mental health. You’ll learn which disorders have the highest rates of heritability and how understanding this can help you make better choices.

Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com/?utm_medium=YTDescription&utm_source=Podcast

Support my mission on Patreon: https://www.patreon.com/therapyinanutshell Sign up for my newsletter: https://www.therapyinanutshell.com?utm_medium=YTDescription&utm_source=Podcast

Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books

And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe

If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org/ or 1-800-273-TALK (8255) or your local emergency services.

Thursday Dec 08, 2022

Do Sounds Make You Anxious or Angry? Auditory Sensitivity Overlaps Anxiety and Mental Health

Thursday Dec 08, 2022

Auditory sensitivity can occur on a spectrum, where hyperacuity may be on the more severe end of the spectrum, and a dislike of loud noises can be on the less severe side of the spectrum. Auditory sensitivity can also be associated with sensory differences with autism, and it can stand alone- it can just be that you have really sensitive ears.

Thanks to Dr. Lindsey Tubaugh for teaching me about treatment for sound sensitivities: https://littleheroeshearingclinic.com/

Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com/?utm_medium=YTDescription&utm_source=Podcast

Support my mission on Patreon: https://www.patreon.com/therapyinanutshell Sign up for my newsletter: https://www.therapyinanutshell.com?utm_medium=YTDescription&utm_source=Podcast

Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books

And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe

If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org/ or 1-800-273-TALK (8255) or your local emergency services.

Friday Dec 02, 2022

Repressed Memories: Can You Forget About Trauma?

Friday Dec 02, 2022

The idea of repressed memories goes all the way back to Freud, through the 90’s when therapists accidentally implanted people with false memories, through the courtrooms, and into today where the idea of repressed memories is still popular among lay people and controversial among therapists and researchers. So today you’ll learn three skills for better understanding lost memories, aka dissociative amnesia or repressed memories (or at least my opinion about it). The idea of repressed memories goes all the way back to Freud, one of his first patients, Anna O had all sorts of unexplained physical symptoms, when she began talking with her doctor about her life, previously forgotten memories of trauma came back and as she talked about them, her physical symptoms went away. Freud developed the concept of repression, that current symptoms are all related to something that happened in the past, that we repress the memories to protect ourselves, and that we must analyze our psyche in order to uncover it, integrate it and then be freed from it. So that’s where the whole process of psychoanalysis came from, the idea of patients laying on a couch, talking about their childhood. But this concept of repressed memories has become very controversial, because of the way memory works. Most people assume that memory is like a video, your memory records things as they actually happened and stores those memories away, permanently. But memory doesn’t work like that, memories are highly influenced by our biases and how we’re feeling during or after an event. Even Freud learned that many of the things that his patients “remembered” weren’t actual events. Memories can be altered, implanted, influenced, and straight up created under suggestion. Lot’s of laboratory experiments have demonstrated that our memories are terribly fickle.

If you want to see for yourself how this can work, watch this YouTube video “Take This Test and Experience How False Memories Are Made”. https://www.youtube.com/watch?v=D5sk504Yc94

After I filmed this video on repressed memories and dissociative amnesia, the NYT published a very relevant article and two strong opinions on it: https://www.nytimes.com/2022/09/27/opinion/recovered-memory-therapy-mental-health.html

https://www.nytimes.com/2022/10/29/opinion/letters/mental-health.html

Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com/?utm_medium=YTDescription&utm_source=Podcast

Support my mission on Patreon: https://www.patreon.com/therapyinanutshell Sign up for my newsletter: https://www.therapyinanutshell.com?utm_medium=YTDescription&utm_source=Podcast

Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books

And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe

If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org/ or 1-800-273-TALK (8255) or your local emergency services.

Monday Nov 28, 2022

9 Ways Grief Impacts the Body

Monday Nov 28, 2022

Learn more about grief in this mini-course: https://courses.therapyinanutshell.com/grief/?utm_medium=YTDescription&utm_source=Podcast

“Grief is unpredictable, and it will go wherever it finds an outlet. If it can’t be expressed emotionally, it may find expression in the body.” (136)

Grief, like all emotions, isn’t just in your head; it shows up in your body in remarkable ways. But most people have never been taught what is common in the grieving process and how grief does show up in your body, and this can leave some people feeling stuck, spiraling through endless grief and pain. Grief has many physical symptoms. When you learn the physical symptoms of grief, you can be more equipped to address it and work through the process of grief and loss. In this video we’ll learn from grief expert Dr. Dorothy Holinger the author of The Anatomy of Grief, how grief shows up in the body and what we can do to work through it. Grief does not have a concrete number of stages of grief. But, when you learn about the physical symptoms you can gain more awareness of your body and be more accepting of those symptoms of grief and loss. I recently recorded an interview with Dorothy about how grief impacts the body, but unfortunately some of the video files got corrupted, so I’m summarizing our conversation here. The full length interview is on my podcast. https://tinpodcast.podbean.com/e/how-grief-shows-up-in-the-body/ I’m not going to pretend that grief is some easy thing that can or should be fixed, but there are some things you can do that can help your heart and body work through the suffering.

00:00 Introduction 01:03 All Courses 40% off 02:02 How grief impacts the brain 02:46 How grief affects the heart 03:56 Grief tears 04:48 decreased pleasure after a loss 05:01 Loss of appetite after a loss and difficulty sleepin 05:25 weakened immune system while grieving 05:40 headaches and body aches during grieving 05:56 other somatic changes with grief 07:05 When you're not allowed to mourn 07:44 How to deal with grief

Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com/?utm_medium=YTDescription&utm_source=Podcast

Support my mission on Patreon: https://www.patreon.com/therapyinanutshell

Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books

And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe

If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org/ or 1-800-273-TALK (8255) or your local emergency services.

Saturday Nov 26, 2022

The 3 States of Anxiety or Trauma in the Nervous System

Saturday Nov 26, 2022

Do you ever feel hopeless, shut down, or walled off? Or do you get triggered and feel anxious, angry, or agitated? There are essentially 3 states of your nervous system: Ventral Vagal (Safe and social) Sympathetic (Fight or Flight) and Dorsal Vagal (Shut Down). Most people aren’t able to identify which state they’re in, and then they feel helpless to change. This is especially difficult for people with trauma, which includes about ⅓ of the population. When you have trauma, your nervous system can get stuck in a hypervigilant state or a frozen, numb state. And when you can identify the states of your nervous system, you can learn skills to spend more time in the safe and social state of your nervous system. You can retrain your nervous system to be healthier. One approach to learning how to feel safe in your body is the Polyvagal approach. It’s known as the science of feeling safe. The researchers and clinicians who developed polyvagal therapy have developed a system to help people learn to turn on that safe feeling in your body, so that you can feel more calm, have better relationships, and make better choices. In this video you’re going to learn the three states that your nervous system can be in according to polyvagal theory. This will help you learn to identify what state you’re in and then use self-regulatory skills to shift your nervous system to a state of safety.

Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com/

Support my mission on Patreon: https://www.patreon.com/therapyinanutshell

Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books

And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe

If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org/ or 1-800-273-TALK (8255) or your local emergency services.

Thursday Nov 17, 2022

A guided Walkthrough for Getting through an Anxiety Attack

Thursday Nov 17, 2022

Check out my Free Course, Grounding Skills for Anxiety, Stress and PTSD here: https://courses.therapyinanutshell.com/grounding-skills-for-anxiety-stress-and-ptsd

Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com

Support my mission on Patreon: https://www.patreon.com/therapyinanutshell

Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books

And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe

If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org/ or 1-800-273-TALK (8255) or your local emergency services.

Thursday Nov 03, 2022

The 6 Most Common Types of Intrusive Thoughts

Thursday Nov 03, 2022

Learn to drop the struggle with intrusive thoughts in Dr. Kat Green's online course: https://courses.therapyinanutshell.co...

What are intrusive thoughts? Intrusive thoughts are words or images that pop into your mind unwanted, they’re often disturbing, they have little to do with what you’re doing or with reality, and the thoughts that are distressing can seem really loud, demanding your attention. Even when other people tell you a thought isn’t true or it doesn’t mean anything, the thought may feel so disgusting that it’s hard to believe them. These thoughts make you wonder if you’re secretly a terrible person. Maybe you think that if they really knew how dark your thoughts were, they’d be horrified. And while intrusive thoughts can be really uncomfortable, you’re going to learn that they don’t mean anything about you. Study after study after study has shown that almost everyone has intrusive thoughts from time to time. Random, unwanted, disturbing thoughts are actually the norm. Almost everybody has intrusive thoughts- healthy people, average people, anxious people, calm people, people with OCD, they all have them. Most people just brush them off. But for people with OCD or anxiety disorders, intrusive thoughts can feel very intense, and then the way they respond to intrusive thoughts can make them louder. So first let's cover the top six most common types of intrusive thoughts and then we’re going to briefly talk about how you can stop feeding them.

Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.co...

Support my mission on Patreon: https://www.patreon.com/therapyinanut...

Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/bes...

And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/c...

If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org/ or 1-800-273-TALK (8255) or your local emergency services.