The SelfWork Podcast

If you've been sexually abused in any way, it changes the way you live your life. You can heal but it takes work and courage. But what if you're abused, you report or tell someone about it and you're not believed? This aftermath of abuse -- this total negation of what happened -- can feel even worse than the initial trauma. That's what we're focusing on today on SelfWork. If yo...

This week I had an interview with Dr. Rami Wehbi who's host of the podcast Beyond Medicine and a fabulous listener. That particular experience led me to talk about what gets in the way of good listening. I chose three dynamics of the numerous ones that are out there: making assumptions, needing to be right, and avoidance of conflict and compromise. I offer solutions or ideas of what you can do...

Depression can steal your sense of vitality. Your "get up and go" or your motivation to reach goals that mean something to you can disappear. It's called anhedonia -- basically the lack of pleasure in (or motivation for) activities that used to mean something to you or to try on new challenges. But you don't have to be depressed for this to happen. Plain old insecurity can morph in...

The victim mentality or emotional martyrdom are personality traits that are very difficult to handle in relationships. It's when someone people pleases to the point of intense self-sacrifice, which leads to bitterness, misunderstanding and drama. At its base is immense insecurity, but it takes a lot of insight for someone with this mentality to see themselves and their impact on others objecti...

As I wrote the book Perfectly Hidden Depression , I included over sixty specific exercises that would make reading it more of an emotional challenge, rather than one more chance to analyze. They are both action-oriented and reflective exercises and hopefully, you'd come away with a journal full of fresh insights, guidance on effecting real change in your life and support for taking risks. So t...

This month has been full of questions from all of you! So I'm taking today to answer even more of them!  The topics are diverse. The first is from a man whose dreams haven’t been fulfilled and he’s almost totally given up that dream and is escaping through  The second from a woman who’s trying to make a decision about revealing past sexual abuse. The third from a man who’s realizing that a lot...

Happy 150 th Episode!! This is the last of the series on aspects of depression and today, we're talking about self-destructive habits and patterns. Depression is innately painful. It’s lonely. It’s dark. Sometimes you lose hope that you can find your way out. So, you can easily turn to self-destructive behaviors to gain some form of perceived control or escape. Our focus will be on six, althou...

Depression and anxiety turn up in several mental illnesses. Yet when there's a definite mood cycle -- when one energy level of mood becomes apparent, either a too up or too down, and then another eventually takes it place -- this can earn the diagnosis of Bipolar II Disorder if certain criteria are met. I'll talk about what Bipolar II is exactly and relay the stories of two people with Bip...

We're talking about love today on SelfWork. Unconditional love  often gets the thumbs up as the best or most selfless kind of love to have. Parents certainly want to welcome their children into the world with unconditional love. But there can be a problem when, as an adult, you don't set boundaries at all, and "loving unconditionally" can be manipulated fairly easily. Then there&#3...

Depression is going to be the topic of SelfWork for the coming weeks. And today, let's look into seven distorted beliefs that are going to justify or support you staying isolated, and even convince you that you're better off being alone. But loneliness and isolation are part and parcel of depression's hold on you. I know how real these voices can seem. I know how hard they are to fight...

It's been Suicide Awareness Week here in the US so I wanted to feature your questions about the well-researched but still largely unrecognized signal for potential suicide risk -- what I term perfectly hidden depression. You have great questions. The first is from a writer who is losing her battle between creativity and perfectionism; the second from a wife and mother who is busy all day, but...

Everyone knows when there's an elephant in the room. It's an event, fact or feeling-- past or present -- that can't, for some mysterious or not so mysterious reason, be acknowledged. It seems impossible or too risky or too painful to talk about. So you walk around it. Avoid it. Throw a sheet over it. We all have what are called "defense mechanisms" to deal with what stresses us...

Getting motivated for change and maintaining that change can be tricky business. Willpower. Self-discipline. Focus. All are touted as necessary for achievement of your goals. But where does self-acceptance come into this? And what about understanding what's underneath the change you maybe want or need to make? I'll talk today about how motivation -- understanding why you're working tow...

Welcome. If you've listened to the previous episode, you know that explaining depression as a "chemical imbalance" is far too simple for such a complex process. Today I'm once again using a very well-written article by a team at Harvard as a guide. Today we'll focus on the   non-neurological factors that have a tremendous influence on whether or not you could become depressed -...

Can depression be explained simply as a chemical imbalance? The answer is a resounding “no.” I’m basing this episode on a very well-written article by a team at Harvard that offers understandable explanations of what researchers believe is going on in your brain and in your life that can lead to depression. And here’s their […] The post 142 SelfWork: Is Depression Simply A Chemical Imbalance? Part...

How often to you look in the mirror and wish you saw another reflection there? There are many reasons for this lack of self-acceptance, everything from bullying to aging to irrational thinking and obsession. I’ll give some examples from my own life – as this has definitely been on my own journey toward health, but […] The post 141 SelfWork: Mirror Mirror… The Struggle with Body Image appeared firs...

Even when you want change in your life, it’s hard to give up what’s familiar and risk the unfamiliar. You at least know you can tolerate what’s happening now and change can be daunting. But you can also be struggling with powerful triggers. I’ll define what a trigger is – how it can be known […] The post 140 SelfWork: Why Is Change So Difficult? The Power of Triggers appeared first on Dr. Margaret...

When you hear the term “personality disorder,” what does that mean? That someone ‘s personality is off-putting or self-destructive? Is it different from mental illness, and if so, how is it different? And if you identify with one of them or are trying to love someone with these problems, is there hope? In this episode […] The post 139 SelfWork: Borderline? Dependent? Narcissistic? What Exactly Is...

What does it mean to “feel invisible?” Like you don’t matter. You aren’t a vital part of things. You’re being overlooked or seen only for what you can do instead of for who you are. That perception can be part of depression, and that “invisibility” may be imagined or misperceived. But sometimes it’s reality, not […] The post 138 SelfWork: The Many Ways to Feel Invisible and How to Find Your Voice...

Medications. You are bombarded with advertisements for them everywhere. And meds for mental health are no exception. In today’s show, I’m offering my clinical perspective as a psychologist (as well as expert advice from Dr. Michael Yapko) after watching thousands of people over the years try out different medications and working hand in hand with […] The post 137 SelfWork: Let’s Talk Medications –...

Do you live by the rule, “When the going gets tough, the tough get going?’ In this podcast, I offer another way of approaching life when it gets tough — an approach that honors both the need to forge ahead when things get hard, but one that won’t lead to emotional and even physical burnout. I […] The post 136 SelfWork: When the Going Gets Tough.. Self-Composure vs. Stoicism appeared first on Dr. M...

Your emails are coming in fast and furious so I decided today that I would answer some of those questions with everyone and we can continue to learn from one another. The subjects range from trauma to ending a relationship to having trouble letting go of regrets and shame to perfectly hidden depression. — so […] The post 135 SelfWork: Your Questions My Answers (and a big announcement…) appeared fi...

Money and the distrust that can be created because of it in a partnership or marriage is what’s on the agenda for today. It’s amazing how many people commit to one another and never touch the subject. We’ll talk about the business of relationships and common problems people run into when they initially establish their […] The post 134 SelfWork: Making A Distrustful Mess with Money and Marriage app...

Today we’re talking about psychological disorders that have to do with you, food, and exercise that have the power to damage your child’s body image and self-esteem as well — no matter how you try to keep it out of their life. Both moms and dads can have struggles that not only damage their own […] The post 133 SelfWork: “I Have Body Image Issues.” The Damage of Eating Disorders and Seven Things Y...

Is therapy really helpful when a relationship is in trouble? And what are the kinds of things you need to realize about therapy that might increase the chances of it being effective? Let’s talk about what’ s important in choosing a couples therapist, but also I’ll offer a roadmap to guide your healing. There are […] The post 132 SelfWork: Where Do I Begin If I Want A Better Relationship? Change Wh...