Charlie Swenson, MD

A Podcast with Charlie Swenson - To Hell and Back

This podcast series, “To Hell and Back,” is focused on the nature of hellish experiences in life, how people get into them, and to present and discuss tools for coping with hell and getting out. The various podcasts will move back and forth between different varieties of hell in life, and different tools for coping. The tools will be drawn from dialectical behavior therapy (DBT), from other treatments, and from other life experiences.

Author

Charlie Swenson, MD

Category

Government

Podcast website

charlieswenson.com

Latest episode

Apr 9, 2026

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Episodes

Synchronized Swimming – Episode 126 09.04.2026

In this podcast Charlie recalls a piece of biological research he did 57 years ago, at college. He pursued the question: how is it that the 2 billion cells of the human heart, each of which has on its own the capacity to contract, beat in synchrony from birth to death every second or so? What are the biological structures that make that possible? And what does it teach us about cooperation, commun...

Dialectics, Democracy, Tyranny, Trump, and the American Way – Episode 125 26.01.2026

In the wake of the recent killing by federal agents of two adults in Minneapolis, this podcast represents an attempt to deepen my perspective on these events, on Donald Trump, and on the forces in our country that have supported him. I close with some thoughts about how to counter him in the coming days. View video version of this podcast

Does DBT Work as a Model for Understanding and Addressing a Fascist Takeover? – Episode 124 23.09.2025

DBT’s emphasis on behavioral specificity, validation, and dialectical thinking, while effective for therapy, must be sufficiently grounded in deep moral convictions and motivational forces if it is to be used to address a fascist takeover of our society. View video version of this podcast

Bystanders Get Off the Sidelines Please – Episode 123 15.08.2025

In this podcast Charlie reviews the six categories of people in the United States insofar as they are actors in the drama between democracy and authoritarianism, highlighting where it might be possible to change the momentum. He then discusses the role of “bystanders” and the psychology of bystanders, with a plea to convert bystanders to more active participants View video version of t...

Nuggets of Gold in Piles of Sand – Episode 122 12.08.2025

In this podcast, Charlie reflects on a recent consultation as a window into the way in which memory is tethered to certain moments, as an example of Linehan’s metaphor for validation as finding a nugget of gold in a pile of sand, and as a segue into the integration of DBT and depth psychology in therapy. View video version of this podcast

Amputation of Morality: What to Do About It? – Episode 121 03.07.2025

The perspective within this podcast is that our current political process is seriously dysfunctional, having been taken over by decision-makers who seem disconnected from normal human morality. After noticing the resemblance of that process to what goes on in mob organizations and families, and in some families where incest occurs, we will identify the various roles in this ugly process and consid...

Getting Out of Hell and Into Reality – Episode 120 16.06.2025

This podcast focuses on the fact that we spend most of our lives living in the stories we tell ourselves about reality, but not in reality itself. Hear how DBT helps us to find our way back to reality, and how doing so increases the quality of our lives and the lives of those around us View video version of this podcast

What the fuck? Dialectics and Improvisation in Therapy and Everyday Life – Episode 119 29.05.2025

In this podcast, I explore what is meant by dialectics in general, dialectics in the practice of DBT, and especially what it takes to “do dialectics-in-action.” It’s way more common and profound than simply applying dialectical strategies to certain situations. View video version of this podcast

Wise Mind, Polarization, Dialectics, and Stopping Fascism – Episode 118 19.05.2025

In this podcast, the third in a series, I clarify the place of dialectics in DBT as an antidote to polarization. Using some case examples, I detail how one might use dialectics. Then I bring the same lessons into finding a way to deal with political polarization and what appears to be a fascist takeover. By the end of my search, I find a way. View video version of this podcast

Learning to Say No Effectively to Fascism – Episode 117 01.05.2025

To say NO to the forces and practices of fascism in the U.S., effectively enough to stop it, can be frightening. We will borrow from the DBT skills training model, explaining ways to acquire, strengthen, and generalize the skill of saying NO in hopes that each of us can find our voice and make a difference. View video version of this podcast

When Hell is an Attack on Democracy – Episode 116 20.04.2025

In this podcast, Charlie draws from DBT in search of ways to understand the current assault on democracy in the United States, and to become more effective at taking care of oneself and acting more effectively. View video version of this podcast

Adapting DBT Skills When Working with Autistic Individuals – Episode 115 26.04.2023

In this episode, the fourth in a series on autism and DBT, Charlie is again joined by Amara Brooke and Rachel Kraus, two DBT therapists who are autistic and who have subspecialties in working with autistic clients. Our focus here is entirely on the application and adaptation of DBT skills in the work with autistic individuals. Which skills work well as they are? Which skills require adaptation in...

Challenging, Changing Course, Reframing. Irreverence in Therapy and Life – Episode 114 06.04.2023

In this episode, Charlie explains, and gives lots of examples of, being irreverent in therapy. What is the essence? What is the point? Why is it important to do? Why is it hard to do? What are the forms irreverence can take? What are some tips for becoming irreverent? View video version of this podcast

Top Ten Tips for Adapting DBT to Autistic Clients – Episode 113 30.03.2023

Charlie moderates a discussion between Amara Brook and Rachel Kraus, both of whom are DBT-informed therapists with subspecialties treating autistic and ADHD individuals, as they come of with ten things to consider when adapting DBT to autism. In the next episode after this one, the same guests will specifically address how to modify DBT skills in working with autistic clients. View video version o...

Do we use DBT to target autism? No – Episode 112 24.03.2023

Charlie talks further with Amara Brook about autism, neurodiversity, and DBT: how can DBT be adapted, not to target autism itself, but to help autistic folks succeed at their own life-worth-living goals; how can we apply DBT’s bio-social theory in understanding and treating autistic individuals; and what are the barriers for autistic individuals in becoming DBT therapists? View video version of th...

Autism, Neurodiversity and DBT – Episode 111 16.03.2023

It seems that the world is paying more and more attention to autism in particular and neurodiversity in general. Beginning with this episode, Charlie talks with Amara Brooke, Ph. D., about autism, neurodiversity, and ways of adapting DBT to help an autistic individual reach their life-worth living goals. Tune in for this three-episode special conversation, which will eventually lead to ten tips fo...

Wise Mind – Episode 110 09.03.2023

Charlie provides an in-depth discussion of WISE MIND as used in DBT. What is it, why is it so valuable, what are perspectives on it, what are its features, how do you access it and use it? He then discusses a painful example from his own life when he needed wise mind but failed to access it. View video version of this podcast

“As Bad A Year As It Was, It Was As Good As It Could Have Been” – Episode 109 23.02.2023

In a manner that is absolutely true to these words from her DBT and life mentor, Seth Axelrod, Andrea Gold has completed her one year of prescribed treatment for breast cancer, with the best results one can hope for. Tune in to this episode to hear Andrea celebrate the completion of the year and reflect upon how she managed the suffering (a lot) and created fun and connection through it all (a lot...

Guaranteed Success, By Design – Episode 108 24.11.2022

> In part 2 of the conversation with world class trainer Cem Eren, join Charlie and Nicole and enter the Lion’s Den, a practice environment thoughtfully constructed to support our training journey from the moment we step through the door until the moment we step out of it. As we tour the space, we hear how unconditional acceptance underlies Cem’s strategy for facilitating positive change, and how...

Skillful Mind Training, Embodied – Episode 107 17.11.2022

“In this episode, Nicole and Charlie tap into the wisdom that Cem Eren has gained from two decades of training elite NBA athletes, boxers, bodybuilders, beauty contestants, and ordinary humans of all ages. In examples that extend to therapy and coaching, Cem shares how he meets his clients every single day with freshness, compassion, dignity, and nonjudgmental presence, helping them connect...

Identity Grammar – Episode 106 10.11.2022

What shapes the syntax of Self? How does context inform our inner lexicons? Are we more than the sum of all our actions? In this episode Charlie and Nic explore the ways we find meaning through expressing identity, how we hold space for inner contradictions, and why self definition is a paradox, ripe for dialectical intervention. View video version of this podcast

Skillful Grieving, Making Meaning from Suffering, and a Dinosaur – Episode 105 03.11.2022

In this second of our two-episode conversation with Natalia Garcia about her grieving process over the years since the death of her two-year-old son, we focus in on her altered relationship to time, rituals, and anniversaries; her remarkable use of DBT skills and dialectics to navigate the grieving process; the ways that she has made meaning out of her suffering; and a dinosaur, a gift from a fell...

Who IS that Woman?! – Episode 104 27.10.2022

Since Nicole joined Charlie as co-host, several long-time listeners have asked Charlie, Who IS that woman?! It’s actually a great question and the answer is far from simple. In this podcast, Charlie and Nicole explore their own self-narratives and expand into a larger conversation about how we all see ourselves, how we define ourselves, how we represent ourselves, how we are seen by others,...

In Her Own Words – Natalia Garcia on Coping with Loss and Trauma with Opposite Action and an Approach Lifestyle – Episode 103 21.10.2022

In 2018, Natalia Garcia spoke with me over three podcast episodes about how she was dealing with the catastrophic and traumatic death of her two year old son eight months earlier. He died in the middle of the night for unexplained reasons. In three podcasts she spoke at length of her life, of the death itself, and then the road to recovery. In this week’s podcast, we reprise selected excerpt...

Long Grieving, Complicated Joy, and Flowers That Grow Around a Hole in the Heart – Episode 102 13.10.2022

In June of 2018, eight months following the death of her two-year-old son to the Sudden Unexplained Death in Childhood (SUDC), Natalia Garcia joined this podcast for three episodes to describe the catastrophic loss and the ensuing grief process marked by her courage and skill in facing her vulnerabilities. Now, five years since the loss, she returns to the podcast to talk about the longer arc of t...

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