Sarah Thome and Matthew Gallagher

Behind the Therapy Door

Health EN ↓ 41 episodes

Have you ever wondered what your therapist is really thinking? Hopefully they are open and tell you and in this podcast two licensed mental health therapists share candid descriptions of the therapeutic process, theories of personality, communication, relationships, and self-help strategies to help you live your best life. Join the Affinity Consultants (Sarah and Matt) for a humorous and educational peek behind the therapy door.

Author

Sarah Thome and Matthew Gallagher

Category

Health

Podcast website

www.buzzsprout.com

Latest episode

Jun 28, 2026

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Episodes

Episode 41: When Therapy Stalls 28.06.2026

The therapeutic journey often has a lot of twists and turns, rather than a straight line trajectory.  This is due to many factors…different personality types, motivation for change, toleration of discomfort, etc.  In fact, therapy can stall out as well, which does not necessarily mean a problem exists, but rather that an opportunity for reassessment is present.  Matt and Sarah explore what causes...

Episode 40: Can AI Be My Therapist? 15.06.2026

AI can certainly be your therapist, but only if you want a subpar experience!  AI is all the rage these days and is an incredibly valuable tool in certain fields.  The data that AI can pull with specific prompts can save time, gather all information into a consolidated format, and provide ideas and resources.  These are all appropriate uses of AI in the therapeutic world, but to assume AI’s abilit...

Episode 39: How to Know When You are Done with Therapy 31.05.2026

In a nutshell, knowing when to end the therapeutic experience involves collaboration between the client and therapist.  Many times clients know when they have achieved their goals, solved ongoing conflict, or figured out how to get unstuck and these are times when therapists have the privilege of supporting the client’s intuitive knowing that their time in therapy has ended.  Other times clients a...

Episode 38: Healthy Attachment in Every Personality audio 17.05.2026

One fact of life that is present for most individuals is a desire for healthy and safe connection with others.  In fact, it is a vital part of our biological wiring from infancy.  Some find attachment to be a natural and easy process, while others might find it more challenging or even awkward at times.  Process Communication Model (PCM) highlights the nuances and patterns in every Type of persona...

Episode 37: “The Do Over” Magic 03.05.2026

Do you ever wish you had the chance to say something different than how it came out, follow through on that gut instinct instead of ignoring it, or take action rather than sit out on the sidelines?  Well, this episode is for you!  It is so easy to get caught up in the emotions of an argument or discussion, or get stuck in resentment for what your partner did or did not do, and lose sight of the po...

Episode 36: Interview with a Therapist’s Child - Maddie 19.04.2026

Continuing the family affair, Matt’s oldest child, Maddie stops by to discuss what it has been like growing up in a house with a father that is a therapist.  She discusses her own journey of being a successful teacher in a local high school and what made her decide to continue her education to become a counselor.  Maddie unpacks the dynamics of her own personality and how they informed her journey...

Episode 35: Polyvagal Theory in Therapy 05.04.2026

Our bodies are wired to react to different circumstances in an automatic and intuitive way.  Whether this is when we get butterflies in our stomachs while falling in love or sweaty palms when giving a public presentation, our body is designed to mobilize for action, feel safe in a rested state, etc.  When we can make sense of the biological systems in place to alert us to excitement, fear, danger,...

Episode 34: Interview with a Therapist’s Child - Dalton 26.03.2026

People might assume that having a live-in therapist for a parent makes life easier.  However…is this really the case?  In this episode, we sit down with Sarah’s oldest child, Dalton, and ask him what it is like having a parent that is a therapist, what he has learned from the relationship, what has been difficult to navigate, if PCM has been helpful in understanding himself and others, and what he...

Episode 33: The Art of Self Disclosure in Sessions 11.03.2026

Finding the right balance of self-disclosure as a therapist can be tricky.  There is technically no “right” way to be a therapist, but there is the absolute necessity of having positive intention when sharing and connecting; to enhance rapport, share relatable conditions to normalize, showcase our own flaws and mess-ups to reduce fear of vulnerability in sessions, etc.  Oversharing is annoying and...

Episode 32: Life Transitions 19.02.2026

Change is hard. It is hard for all of us, even those of us who enjoy spontaneity and excitement. Transitions are especially difficult as it often involves changing roles, changing relationships, changing power dynamics, etc.  As we unpack several relatable changes, we hope to offer tips and tricks in navigating them, in order to make it more manageable and less stressful.  Change is inevitable. If...

Episode 31: Welcome back to Season 2! 09.02.2026

It is 2026 people…Get Your Shit Together!  Though this colorful title got my vote, my more professional and appropriate counterpart was correct in dialing it down a notch for our opener of Season 2  Behind the Therapy Door.  In this episode, we catch up about our holidays and time off with family and friends, talk about what is currently in our podcast/book queue, what is influencing our growth an...

Episode 30: Holidays with Cousin Eddie 23.11.2025

Most people have a love/hate relationship with the holiday season, depending on lived experience.  We here at Affinity Consultants have much to be grateful for during this holiday season of 2025. Tune in as we reflect on a season of growth, both personally and professionally, and recount many moments of gratitude, both big and small.  But do not worry…there will be plenty of humorous WTF’s along t...

Episode 29: Leading Healthy Teams 16.11.2025

Much has been written about and researched regarding effective leadership.  The reality is, however, that effective leadership is more about each member of the team and how they impact the whole.  Healthy leadership prioritizes a foundation of trust, proactively navigates conflict, encourages commitment and accountability, and utilizes tools to empower and mobilize action, creativity, and curiosit...

Episode 28: Fear is the Little Death… 09.11.2025

Fear often gets a bad rap as a toxic and negative emotion that serves little purpose.  While it is true that fear can be corrosive when unprocessed and unchecked, it can also serve as a powerful motivator for facing challenges, growing confidence, and rewiring the nervous system.  We investigate how fear can hijack each type of personality, using Process Communication Model as a framework, as well...

Episode 27: What's it Like to Live with a Therapist? 02.11.2025

We have a fun episode in store today!  Ever wonder what it is like to be married to a therapist and live with day in and day out access to know-it-alls, ahem…advice and communication tools galore? We had the pleasure of sitting down with our spouses (AKA very good sports) in the lovely town of Hermann, MO, to interview them on what it is like living with a therapist, what is helpful, what might be...

Episode 26: Conflict, not Drama 20.10.2025

Conflict is inevitable, as much as we do not like it or want it near us.  It exists in all relationships and situations and can often serve as a powerful lesson in compromise, healthy communication, self-empowerment, etc.  Conflict is not the same as drama, however, and it is important to be able to distinguish the two from one another.  Today we explore Stephen Karpman’s Drama Triangle, the 3 rol...

Episode 25: Relationship Fallacies Part 2 05.10.2025

We are back for Part 2 of Relationship Fallacies this week and unpacking more myths that exist in partnerships.  It is easy to get caught up in so many of these myths, as they have become a part of the social vernacular.  However, as seasoned therapists, we are trained to deconstruct the narrative and rework it in healthier and more compromising ways to help clients live their best lives.  Help us...

Episode 24: Depression 28.09.2025

Disruptions in mood can be a common occurrence and often a confusing one.  Depression is a condition that impacts people of all walks of life and ages and can take many twists in turns.  The heaviness and fog often connected to periods of depression can make even mundane tasks seem extraordinarily hard. In today’s episode, we talk through mild symptoms of depression up to more serious symptoms, ho...

Episode 23: Relationship Fallacies Part 1 20.09.2025

There are too many relationship myths to count, but they all have something in common…false information based off assumptions.  You know what they say when we assume?  It makes an ass out of u and me!  Follow along in today’s episode as we unpack common relationship myths, how they can be destructive, and the healthier options required for meaningful communication and connection. theaffinityconsul...

Episode 22: Guest Wendy Hummell, Retired Detective and First Responder Wellness Manager 13.09.2025

What is there not to say about our 1st guest on Behind the Therapy Door?  We could go on and on, but suffice it to say, Wendy Hummel is a powerhouse of compassion, a change agent, and our friend. She is a retired detective that has been through the trenches, all while raising a family, going through several education programs, becoming a certified yoga instructor, etc.  Wendy is a thought leader t...

Episode 21: The Art of Compromise 09.09.2025

You know that phrase, “It’s not all about you!”?  Welcome to the Art of Compromise!  When working through dilemmas that involve another person, it cannot just be our way or their way.  Most often, the best strategy is finding a way for both to come to the negotiating table in an open and curious position and work together.  In today’s episode, we unpack tips and tricks for healthy listening, fair...

Episode 20: Anxiety, Join the Club! 01.09.2025

Anxiety is a universal condition and one we can all relate to at different points in our lives.  Learning how to recognize the early signs of somatic distress and the emotional signals of anxiety can often empower us to decrease its vice grip-like hold on us.  Tune in as we discuss common symptoms of anxiety and panic, how to discern when it is stress vs. something more serious, and hands on tools...

Episode 19: Bonding is For Babies (Phase Issues) 24.08.2025

Action oriented and charming Promoter Types are so incidence focused that they can leave others in the dust when in Phase distress.  The thought of slowing down, asking for help, and showing their soft underbelly is synonymous with kryptonite.  However, when directed to lean into their vulnerability, the natural courage of Promoter change agents can shine through and lead to even greater excitemen...

Episode 18: Grow up Already (Stages of Development) 18.08.2025

In this week’s episode, we unpack the developmental stages first written about by Erik Erikson.  These stages are ones we all go through, regardless of personality type, and span the entire age spectrum.  Each stage poses an internal struggle that must be mastered in order to develop the accompanying virtue that waits as the pot of gold at the end of the journey.  The stages, once mastered, culmin...

Episode 17: Finding and Owning your Power (Phase Issues) 11.08.2025

The natural “chill” that Imaginer Types possess can become their very downfall, if trapped in phase distress  Though the calm nature of an Imaginer Type is something novelists write about, it can also morph into passive withdrawal and isolation when intense distress is heaped on.  Imaginer Type’s can become overwhelmed with too much stimulation or too many expectations to achieve or perform and be...

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