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
Podcast website
Latest episode
Apr 9, 2026
Where to listen?
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Episodes
5 Years, 100 Episodes, 7 Lessons for Surviving Hell – Episode 101 06.10.2022 1:11:20
In this episode, Charlie reflects on 100 episodes spent exploring human suffering. He synthesizes wisdom from interviews including coping with natural disaster, loss of a child, suicide, and cancer, arriving at seven overarching guidelines for survival. View video version of this podcast
The Long Reach of Loss – Suicide Outside the Immediate Family – Episode 100 29.09.2022 1:00:51
In the final episode of our 4 part Series on coping with Suicide in the family, we hear from Teddy’s fiancé Mariya. Mariya’s developed a personal friendship with Ross and shares about that relationship and her experience grieving his suicide. She also speaks about what it was like for her as someone outside the immediate family after Ross’ suicide: what it was like to be an outsider witnessing a f...
A Brother and a Best Friend Lost to Suicide (Part 3) – Episode 99 22.09.2022 1:04:36
In the 3rd of our 4 Part Series on coping with suicide in the family, we speak with Beth’s son, and Ross’ brother, Teddy. Teddy shares his perspective on growing up as an older sibling to a brother who struggled with painful emotions throughout his lifetime, on the close friendship they developed as they got older, and his inexhaustible capacity to access compassion and warmth. Teddy talks about b...
Skillful Coping with Cancer (Part 3): Friendship is Good Medicine – Episode 98 15.09.2022 1:03:49
In this episode, the third of four on how Andrea has coped with Cancer throughout 2022, her best friend Amy joins the conversation and they talk about what has happened in their friendship as a result of Cancer. How they have dealt with Cancer has enriched their friendship and their friendship has been key in helping Andrea to reduce her suffering and preserve her love of life. Totally sweet and...
Death by Suicide of a Charismatic Young Man in a Loving Family (part 2) – Episode 97 01.09.2022 1:11:34
In this episode (part 2), Charlie and Nicole speak with Beth about her son Ross who ended his life two years ago. We hear about Beth, the family, and Ross leading up to his death. In future episodes we learn how Beth and other family members have coped with the tragic loss. View video version of this podcast View Gallery
Death by Suicide of a Charismatic Young Man in a Loving Family – Episode 96 31.08.2022 1:08:18
In this episode, Charlie and Nicole speak with Beth about her son Ross who ended his life two years ago. We hear about Beth, the family, and Ross leading up to his death. In future episodes we learn how Beth and other family members have coped with the tragic loss. View video version of this podcast View Gallery
Principles in Practice – The Narcissist in DBT Therapy- Episode 95 20.08.2022 1:02:28
In this episode, Charlie and Nicole role play and then discuss a therapy session in which Charlie patiently sifts through the layers of defensive grandiosity and wounded pride that provoked his Narcissistic patient Taylor (played by Nicole) into a violent outburst at a recent wedding. View video version of this podcast
Narcissistic Behavior Patterns Through a DBT Lens – Episode 94 11.08.2022 1:07:19
In this podcast, Charlie and Nicole contrast DBT versus psychodynamic models for narcissistic patients. Charlie demonstrates how to talk with these patients about the diagnosis with compassion and clarity. Charlie demonstrates how to talk with these patients about the diagnosis with clarity and compassion, using a DBT model. View video version of this podcast
Skillful Coping with Cancer-Interview 2 with Andrea Gold – Episode 93 04.08.2022 1:07:45
This is the second installment of Charlie’s interview with Andrea Gold, PhD, DBT expert, faculty member of Brown University Department of Psychiatry. See podcast #87 for the first hour. Andrea was diagnosed with Breast Cancer in January of this year and is here reporting on how she has coped for the past six months with Cancer and its treatments, including managing her friendships and her fa...
No Narcissist is an Island – Episode 92 29.07.2022 1:04:36
In episode 3 of the series on Narcissism Charlie and Nicole illustrate the relational nature of Narcissism. Through role play and discussion, listeners hear an intimate portrait of complex interpersonal dynamics playing out between the Narcissist and his counterpart, fueling and reinforcing Narcissistic behavior and belief. Stay tuned for the final episode in the series where Charlie and Nicole sh...
Narcissism: It’s More Nuanced Then You Think – Episode 91 21.07.2022 1:04:39
In this episode, the second in our series on narcissism, Charlie and Nicole dissect clinical models and cultural assumptions to illuminate the nature of narcissistic behavior, distinguishing between adaptive traits and the destructive conduct that may meet the criteria for a Narcissistic Personality Disorder diagnosis. View video version of this podcast
Narcissism and Narcissistic Personality – Episode 90 14.07.2022 1:05:22
In this podcast, Charlie and Nicole talk about narcissism, how it plays a part in all of our lives, how there is a range from healthy to pathological, and how it can present in two different types, the grandiose and/or the vulnerable types. This will be the first of three or four podcasts on this topic. View video version of this podcast
I Dont Want to Keep the Baby, Can My Partner Understand – Episode 89 07.07.2022 1:04:25
In this episode, Charlie and Nicole role play a therapy session in which the client plans to terminate her pregnancy. DBT skills help her decide if, and how, she’ll share her plans with her partner who is very excited about having the child. View video version of this podcast
Guns, Abortion and Dialectics (from DBT) – Episode 88 30.06.2022 1:04:57
In this podcast, Charlie and Nicole look at recent divisive decisions by the Supreme Court through a dialectical lens as developed in DBT. In the spirit of conflict, Charlie sings a Dialectical Love Song, “Unhappy Together,” a bastardization of the Turtle’s 1967 love song, “Happy Together.” View video version of this podcast
Skillful Coping with Cancer – An Interview with Andrea – Episode 87 27.06.2022 1:09:18
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Dialectical Perspectives on the Gun Violence Debate – Episode 86 19.06.2022 53:26
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Just Be There – Episode 85 19.06.2022 44:17
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What is DBT and Where Did It Come From? – Episode 84 16.06.2022 54:04
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To Hell and Back with Charlie Swenson is Back 15.06.2022 3:29
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Acting Opposite to Action Urges to Change Emotions – Episode 83 26.03.2021 54:59
“Acting Opposite…” is one of the cardinal skills taught in DBT, a way to reduce painful emotional responses, and the cornerstone of the behavioral change procedure of Exposure. In the upcoming podcast, “live” on Thursday, March 25 at 6:00 pm eastern, I will go over the functions of “acting opposite…,” the formula for doing it, and the nuances of maki...
Applying DBT’S model of emotions to your life – Episode 82 14.03.2021 1:00:56
On this Thursday, March 11, at 6:00 pm, I will be joined on the podcast by three DBT therapists from Clearview Treatment Center Women’s Program: Nicole Riddle, Kate Roahrig, and Ruth Avalos. They all do individual DBT therapy and lots of skills training. They will bring practical examples of how you can apply DBT’s Model of Emotions to your life. You may benefit from listening to the l...
Why is it so damned hard to regulate emotions? – Episode 81 05.03.2021 55:19
Even with all the techniques for regulating emotions, it’s really hard to deal with the intense, repetitive, stubborn ones. In this podcast I will go over ten reasons it’s so difficult. I do this for two reasons: first, maybe this will help someone who is listening to get a better understanding of what is making it so impossible to regulate certain emotions; second, this podcast will s...
Applying DBT’s Third Shape (Dialectics) to Alleviate Pandemic Suffering – Episode 80 19.02.2021 57:57
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More DBT Solutions to Pandemic Suffering – Episode-79 12.02.2021 1:02:23
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DBT Solutions to Pandemic Suffering – Episode 78 29.01.2021 58:42
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