Being Well with Forrest Hanson and Dr. Rick Hanson

In this very special episode, Dr. Jacob Ham and associate therapist Elizabeth Ferreira join me to discuss their work as trauma therapists. They talk openly about the messy, unglamorous reality of struggle, mistakes, and repair that characterizes trauma work, its nature as both art and science, how their work has changed over time, and what they’ve learned along the way. Topics include self-disclosure, working with shame and grief, dealing with situations where the client wants an apology, the difference between trauma work and more manualized approaches, therapist training and supervision, and “polishing the mirror.” I loved listening to Dr. Ham and Elizabeth talk during this episode. It’s a truly unique one, and I hope you enjoy it. About our Guest: Dr. Jacob Ham is a clinical psychologist, Associate Clinical Professor at the Icahn School of Medicine at Mount Sinai, and the Director of the Center for Complex Trauma there. He's the clinician featured in Stephanie Foo’s wonderful book What My Bones Know. Key Topics : 0:00: Introduction and nervousness 6:21: The role of disclosure 11:34: Mistakes, rupture, and repair 23:20: Sharing grief 33:04: Supervision and parallel process 36:29: Therapy as an art form 47:52: Structure, flexibility, and 'opening the hand' 52:50: A listener question: how to let it all go 1:02:40: How trauma work changes you 1:07:46: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. SponsorsGo to Zocdoc.com/BEING to find and instantly book a top-rated doctor today. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Rick and Forrest explore the lessons we can learn from two of Humanistic psychology’s more challenging branches: existential psychology and transpersonal psychology. Existential psychology asks what it means to build a meaningful life in the face of death, while Transpersonal psychology wonders if the individual self is what we should be so focused on. Forrest and Rick focus on the work of Rollo May, Irvin Yalom, Abraham Maslow, and Stanislav Grof, and major themes include freedom, agency, anxiety, the limits of the “self,” and how confronting these can lead to a fuller and more meaningful life. Rick’s Self-Worth Course: Starts this week! In this 6-week online course, Rick will guide you in practical, research-backed ways to release old patterns and grow a lasting sense of confidence, kindness toward yourself, and genuine self-worth. Learn more at RickHanson.com/worthy and use coupon code BeingWell25 to receive a 25% discount. Key Topics: 0:00: Intro and recap of humanistic psychology 6:12: History and context of existential psychology 12:04: Three important lessons from existentialism 26:03: Agency and meaning making within existential psychology 38:38: Overview of transpersonal psychology 1:00:43: Three important lessons from transpersonal psychology 1:11:14: Closing reflections, and a one word summary 1:14:07: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. SponsorsSleep Reset is offering a free 7-day trial, available only at thesleepreset.com/podcast. Start your first week of real, clinician-designed insomnia treatment tonight. Learn more about your ad choices. Visit megaphone.fm/adchoices

Why don’t we choose the things we know are good for us? It’s usually because we’re struggling with self-regulation, one of the most important (and most misunderstood) skills out there. In today’s episode, Forrest talks with Eric Zimmer about what healthy self-regulation actually looks like, the gap between insight and action, how shame can derail us, and why most change comes down to small steps taken consistently. They discuss how to figure out what actually matters to you vs. what you want right now, the tension between acceptance and change, and how to get back on track after a slip without making it worse. About our Guest: Eric Zimmer is the creator of The One You Feed, an award-winning podcast with over 50 million downloads. He’s also the author of the new book, How a Little Becomes a Lot: The Art of Small Changes for a More Meaningful Life. Key Topics: 0:00: Intro: Why is self-regulation so important? 4:32: Moving from insight to action 8:14: Values versus desires 14:25: Eric’s sobriety journey 20:57: Changing our relationship to shame 32:05: When to accept things as they are, and when to move from acceptance to change 38:17: Choosing the more useful meaning 42:51: How to get over self-doubt 46:41: Having a backup plan for when things go sideways 53:54: Balancing striving with non-craving 1:06:16: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Sleep Reset is offering a free 7-day trial, available only at thesleepreset.com/podcast. Start your first week of real, clinician-designed insomnia treatment tonight.Visit https://carawayhome.com/BEINGWELL to take an additional 10% off your next purchase of non-toxic cookware made modern. Learn more about your ad choices. Visit megaphone.fm/adchoices

Why is it so hard for us to do what we actually want to do? In this episode, Forrest explains the hidden structure of self-abandonment: how shame drives the loop, how the loop produces more shame, and how the inner critic uses a “can’t win” situation to keep us stuck. Then he and Dr. Rick explore what actually breaks the cycle, including the role of anger, the difference between shame and grief, self-compassion, and what it really means to get on your own side. Key Topics: 0:00: Intro and overview of self-abandonment 4:38: What are we abandoning? 8:30: The self-abandonment loop 21:55: How a parts model can help us understand the shame 26:20: The double-bind of self-criticism 32:56: How to get out of the double-bind 41:34: Anger and resentment 49:47: Moving from shame to grief 56:15: Breaking the self-abandonment loop 1:10:22: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Go to Zocdoc.com/BEING to find and instantly book a top-rated doctor today.Level up your bedding with Quince. Go to Quince.com/BEINGWELL for free shipping on your order and three hundred and sixty-five -day returns. Learn more about your ad choices. Visit megaphone.fm/adchoices

Forrest is joined by associate therapist and his fiancée Elizabeth Ferreira for an honest, personal conversation about what it's actually like to be in a relationship when one partner is living with trauma, complex PTSD, or another ongoing mental health challenge. Drawing on their experience together, they discuss supporting without enabling, avoiding power imbalances, managing resentment, dealing with moments of frustration, and the importance of reciprocity. Elizabeth has some thoughts about the DSM. Forrest shares about how Elizabeth has supported him. It’s a good one. Key Topics: 0:00: Intro and Elizabeth’s overview 5:50: How trauma shapes you 9:05: How Elizabeth found safety in her relationship with Forrest 11:12: How the relationship helped Forrest grow 15:44: Self-discovery through relationship 21:19: How to effectively support a partner with mental illness 33:42: Being ‘sturdy’ 39:18: Navigating criticism 43:30: Communicating without resentment or shame 54:57: Avoiding stigma, and why Elizabeth wants to throw the DSM out the window 59:52: Not buying in to the smallest version of your partner 1:04:27: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Grab Huel today with my exclusive offer of 15% OFF online with my code BEINGWELL at huel.com/beingwell. New customers only. Thank you to Huel for partnering and supporting our show!Sign up for a one-dollar-per-month trial period at shopify.com/beingwell. Learn more about your ad choices. Visit megaphone.fm/adchoices

Have you ever walked back into your parents' house and suddenly felt like you'd downloaded an old version of yourself? In today’s episode, Dr. Rick and Forrest explain why through one of the most influential frameworks in psychology: Family Systems Theory (FST). FST argues that hidden rules govern the behavior of the groups we’re a part of, and when you know the rules it’s easier to see them in action. Rick and Forrest explore how systems replicate patterns of behavior, place people into specific roles, and manage anxiety through shifting alliances. They close with how we can become differentiated by building a stronger sense of self. Topics include balancing closeness and distance, triangulation, specific roles like the “golden child,” FST’s non-pathologizing stance, the intergenerational transmission of patterns, and building strong relationships outside the system. This episode includes references to self-harm. Key Topics: 0:00: Intro 2:19: What’s Family Systems Theory? 12:01: Overview of big concepts in FST 18:50: Family roles 25:19: How anxiety moves through a family system 36:42: The “identified patient” 46:51: Balancing compassion, agency, and responsibility 51:11: How healthy differentiation can disrupt a system 57:48: How to become more differentiated 1:11:33: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Grab Huel today with my exclusive offer of 15% OFF online with my code BEINGWELL at https://huel.com/beingwell. New customers only. Thank you to Huel for partnering and supporting our show! Learn more about your ad choices. Visit megaphone.fm/adchoices

Forrest is joined by journalist and author Michael Easter to discuss how we can make our lives better by making them (the right kind of) harder. They start with one of modern life’s paradoxes: things have gotten much easier, but this hasn’t led to more happiness or fulfillment. Michael talks about how our biological wiring backfires in today’s world of abundance, why humans need a mission, and the vital experiences we’ve lost. Other topics include problem creep, how everything has become a slot machine, rucking, and the “super medium” body. About our Guest: Michael Easter is a professor at the University of Nevada, Las Vegas, journalist, and best-selling author of The Comfort Crisis, Scarcity Brain, and Walk with Weight. Michael is also the author of the #1 Substack in the Health & Wellness category, Two Percent. Key Topics: 0:00: Intro 2:10: How our world became engineered for comfort 7:39: Problem creep 10:49: Michael’s experience with sobriety 15:00: Abundance in today’s world: the industrial revolution, social media, and slot machines 21:17: Why we need a mission 25:31: Building resilience in a world of comfort and abundance 29:30: Personal agency vs systemic forces 38:09: The lost experience of boredom 48:19: Walking with weight 1:00:46: Getting back into nature 1:10:41: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. SponsorsVisit https://carawayhome.com/BEINGWELL to take an additional 10% off your next purchase of non-toxic cookware made modern. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Rick and Forrest answer listener questions about the freeze state, ADHD, and power imbalances in relationships. First, they talk about how to deal with feelings of shame associated with the freeze state, emphasizing how we can “be with” in order to “work with.” Then they tackle a tricky question about how psychoeducation can complicate relationships. Next up, they discuss whether rates of ADHD have actually increased, and the differences between “real” ADHD vs. symptoms of screen addiction. Finally, they talk about how to think about the right fit with a therapist. Key Topics: 0:00: Introduction 1:17: Question 1: Shame and the freeze state 19:12: Question 2: “My partner’s lack of psychoeducation is frustrating me!” 33:56: Question 3: “Why does everyone have ADHD?” 46:21: Question 4: “What’s the right amount of directness in therapy?” 56:01: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Go to Zocdoc.com/BEING to find and instantly book a top-rated doctor today. Sign up for a one-dollar-per-month trial period at shopify.com/beingwell. Learn more about your ad choices. Visit megaphone.fm/adchoices

Protect your peace, set boundaries, don't let people drain your energy…there’s a lot of advice like that, and it’s easy to take it a little too far. Therapist and bestselling author Nedra Glover Tawwab joins Forrest to discuss the unintended consequences of the boundaries movement. They talk about how the helpful concept of boundaries led some toward isolation and rigid standards, and focus on healthy dependency: the reality that we all need other people. Nedra explains the spectrum from codependency to hyper-independence, why your attachment style is more flexible than you think, and how the stories we tell about ourselves become self-fulfilling. Throughout, they focus on developing key aspects of healthy dependency: being able to ask for help, receive support, tolerate distance, feel comfortable in closeness, and repair after conflict. About our Guest: Nedra Glover Tawwab is a licensed therapist, relationship expert, and best-selling author with over 2 million followers on social media. Her new book is The Balancing Act: Creating Healthy Dependency and Connection Without Losing Yourself. Key Topics: 0:00: Intro: Misconceptions around boundaries 7:14: What we get wrong about codependency 11:13: The consequences of individualism 15:00: How this all relates to attachment styles 20:03: Personal narratives and self-concept 24:50: Opposite action vs. trusting your gut 27:46: Developing self-awareness around your tendencies 34:42: Navigating distance and boundaries in relationships 44:30: Showing up for friends in difficult relationships 52:50: How to be in imperfect relationships 55:51: How to move out of the shallow zone in relationships 1:07:20: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Grab Huel today with my exclusive offer of 15% OFF online with my code BEINGWELL at huel.com/beingwell. New customers only. Thank you to Huel for partnering and supporting our show! Go to Zocdoc.com/BEING to find and instantly book a top-rated doctor today. Sign up for a one-dollar-per-month trial period at shopify.com/beingwell. Learn more about your ad choices. Visit megaphone.fm/adchoices

What is mindfulness really? According to one fourth-grader, "Not hitting someone in the mouth." Legendary meditation teacher Sharon Salzberg joins Rick and Forrest to discuss how we can work skillfully with anger, fear, and reactivity without becoming doormats or numbing ourselves out through the lens of her new children’s book Kind Karl. They explore the protective function of anger, and how we can create more space by relating differently to our thoughts, emotions, and sense of self. Sharon shares a Buddhist lens that links anger and fear, and how looking closely at “what’s in the anger” can help us get clarity without collateral damage. Along the way, they talk about the difference between healthy moral anger and the habit of anger, how to extract the positive energy from difficult emotions without getting burned, and how lovingkindness and self-compassion can be active, strengthening forces. About our Guest: Sharon Salzberg is the co-founder of the Insight Meditation Society, a world-renowned teacher of mindfulness, and author or co-author of 14 books including her seminal work Lovingkindness and her first children’s book Kind Karl: A Little Crocodile with Big Feelings. Key Topics: 0:00: Intro and Sharon’s new children’s book 1:30: Rick and Sharon’s personal history 3:40: Making abstract concepts direct and simple 6:00: “Mindfulness means not hitting someone in the mouth.” 12:30: Equanimity, reactivity, and our relationship with pleasure and pain 26:48: Healthy moral anger and outrage 34:17: How mindfulness decenters the self 43:53: Decoupling identity from states of suffering 50:23: Dissolving boundaries, self protection, and loneliness 1:03:09: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Go to Zocdoc.com/BEING to find and instantly book a top-rated doctor today. Sign up for a one-dollar-per-month trial period at shopify.com/beingwell. Learn more about your ad choices. Visit megaphone.fm/adchoices

Forrest and somatic therapist Elizabeth Ferreira explore a common source of relationship conflict: the mismatch between “fixing” (moving quickly into problem-solving) and “feeling” (wanting attunement and empathy before solutions). They talk about where these patterns come from, how each functions as a psychological defense, and the role of gender socialization, identity, and adaptation. The conversation also touches on trauma, nervous-system activation, and why building safety usually comes before real change. Key Topics: 0:00: Intro 3:40: “Fixing” vs. “feeling,” and why both can be protective strategies. 6:03: Socialization and learned coping styles. 9:12: Why conflict happens 14:28: Attunement, then problem-solving. 18:35: How discomfort with emotion shapes communication 30:48: What change looks like in practice. 33:49: Trauma and nervous-system activation 42:32: Helping logical-first people open up emotionally. 46:49: “Do you want empathy or solutions?” 49:03: Teaser about Complex PTSD in relationships. 52:30: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Grab Huel today with my exclusive offer of 15% OFF online with my code BEINGWELL at huel.com/beingwell. New customers only. Thank you to Huel for partnering and supporting our show! Over 100,000 people have given their Caraway Kitchen products a 5 star rating, and Caraway’s cookware set is a favorite for a reason. Visit Carawayhome.com/BEINGWELL or use code BEINGWELL at checkout. Go to Zocdoc.com/BEING to find and instantly book a top-rated doctor today. Learn more about your ad choices. Visit megaphone.fm/adchoices

Top performance coach and author Brad Stulberg joins Forrest to reframe and reclaim excellence. Brad explains how real excellence - involved engagement with something you care about - is the healthy middle path between over-the-top hustle-culture and detached nonchalance. They discuss the current culture of pseudo-excellence, the risks and rewards of caring deeply, how modern life can derail us, and how the real prize is the person you become while trying to reach your goals. Brad shares practical tools to build the habit of excellence: clear aims, micro-milestones, consistency over intensity, constraint-based discipline, and connection. About our Guest: Brad is a regular contributor at the New York Times, the co-host of the Excellence, Actually podcast, and on faculty at the University of Michigan’s Graduate School of Public Health. He’s also the author of a number of books, including The Way of Excellence: A Guide to True Greatness and Deep Satisfaction in a Chaotic World. Key Topics: 0:00: Life feels better when we’re “trying well” 1:56: What does Brad mean by excellence? 3:42: What excellence is not 5:06: Staying on the path: how to keep going when results are slow 11:56: Excellence vs. skill 21:10: The Nonchalance Epidemic 27:29: Building your “identity house” 35:29: Specific tools for excellence 44:12: Excellence vs flow 50:10: Finding the enjoyable aspects of hard things 1:01:11: Gumption 1:03:57: “See the ball go through the net” 1:05:56: How to finish a process that never ends 1:13:22: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Grab Huel today with my exclusive offer of 15% OFF online with my code BEINGWELL at huel.com/beingwell. New customers only. Thank you to Huel for partnering and supporting our show! Over 100,000 people have given their Caraway Kitchen products a 5 star rating, and Caraway’s cookware set is a favorite for a reason. Visit Carawayhome.com/BEINGWELL or use code BEINGWELL at checkout. Go to Zocdoc.com/BEING to find and instantly book a top-rated doctor today. Learn more about your ad choices. Visit megaphone.fm/adchoices

Forrest and Dr. Rick explore how well-intentioned self-help advice can drift away from science under the incentives of the attention economy, where overclaiming, alarmist framing, and “this one simple trick” outperforms nuance. They talk about how authority gets manufactured, how the algorithm encourages overclaiming, and how “theories of everything” lead to misinformation. Dr. Rick and Forrest discuss whether seemingly harmless pseudoscientific practices can create a slippery slope, lowering the importance of material evidence and acting as an on-ramp to more consequential misinformation. Key Topics: 0:00 Introduction 2:00 The attention economy 9:00 The problems with clickbait 18:30: The risks of sprawling expertise 25:15: Modality capture: when all you have is a hammer 27:15: ADHD and trauma 39:24: If science changes, what can we trust? 42:30: How “fringe” can become mainstream 50:10: How do you decide who to trust? 1:06:00: The slippery slope of “woo” 1:11:35: What’s a better alternative? 1:21:11: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Go to Zocdoc.com/BEING to find and instantly book a top-rated doctor today. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Rick and Forrest explore how we can put our key values into action in 2026. They discuss how we can identify authentic values, and then translate them into goals and daily behaviors while reducing our focus on outcomes we don’t control. Forrest focuses on insights from Self-Determination Theory, and Dr. Rick shares how to create a warmer inner climate, and they talk about the overall importance of self-belief. The episode includes a number of practical tools related to environment design, scheduling, social accountability, and how to overcome obstacles. Key Topics: 0:00: Introduction 2:00: What values are you focusing on this year? 8:50: Turning your values into plans 16:00: Motivation is “context dependent” 22:10: Claiming autonomy in an imperfect world 34:20: Turning ideas into specific behaviors 41:15: Updating self-concept 51:00: How to deal with normal obstacles 1:00:34: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Go to Zocdoc.com/BEING to find and instantly book a top-rated doctor today. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this New Year’s episode, Dr. Rick and Forrest make the case that most resolutions fail because they focus on the wrong things: outcomes and behaviors rather than key values. They explore how we can identify our important values, embrace caring about them, and start to let them change our behavior. Forrest talks about how we can differentiate authentic values from “conditions of worth,” and Dr. Rick shares a number of ways to get more in touch with what matters to you. Topics include translating “shoulds” into values, experiencing more autonomy and agency, creating personal narratives, and finding your “stance toward the year.” Key Topics: 0:00: Intro: values, self-concept, and levels of action 7:22: Living from states of having, doing, and being 13:09: Stances toward life based in threat versus opportunity; what are you paying attention to? 20:18: Examining “shoulds” to find and define your authentic values 33:30: Emulating the people you admire and respect most 41:55: Strategies to identify your root values 54:05: Recap Rick's Goals Course: If you want to get more out of the year ahead check out Rick’s online course on resolutions that last. Learn more at RickHanson.com/goals, and use coupon code BeingWell25 to receive a 25% discount. Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Listen to Turning Points: Navigating Mental Health wherever you get your podcasts. Follow the show so you never miss an episode. Level up your bedding with Quince. Go to Quince.com/BEINGWELL for free shipping on your order and three hundred and sixty-five -day returns. If you are exploring whether you might be neurodivergent, check out Hyperfocus with Rae Jacobson. Skylight is offering our listeners $20 off their 10 inch Skylight Frame by going to myskylight.com/BEINGWELL. Go to Zocdoc.com/BEING to find and instantly book a top-rated doctor today. Sign up for a one-dollar-per-month trial period at shopify.com/beingwell. Learn more about your ad choices. Visit megaphone.fm/adchoices

Not caring - or nonchalance - is having a cultural moment. Nihilism is in, trying too hard is cringe, and the best way to cope with an often disappointing world is by not getting that invested. There’s just one problem: it’s hard to live a meaningful life without caring. In this episode, Forrest and Dr. Rick close 2025 by making the case for healthy caring: choosing objects of care wisely, prioritizing process over outcome, and cultivating equanimity without slipping into apathy. They do this by exploring four common obstacles that keep people from caring, sharing practical ways to work with each of them. Key Topics: Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Listen to Turning Points: Navigating Mental Health wherever you get your podcasts. Follow the show so you never miss an episode. Level up your bedding with Quince. Go to Quince.com/BEINGWELL for free shipping on your order and three hundred and sixty-five -day returns. If you are exploring whether you might be neurodivergent, check out Hyperfocus with Rae Jacobson. Skylight is offering our listeners $20 off their 10 inch Skylight Frame by going to myskylight.com/BEINGWELL. Go to Zocdoc.com/BEING to find and instantly book a top-rated doctor today. Sign up for a one-dollar-per-month trial period at shopify.com/beingwell. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Rick and Forrest open up the mailbag to answer listener questions about resentment, highly sensitive people, situationships, and expanding the window of tolerance. In the first three questions, they explore how resentment shows up across different relationships, including with coworkers, family members, and romantic partners. They discuss when to speak up, when to let go, and the underrated options in between. They then talk about agency, self awareness, and the expectations of others through two questions about highly sensitive people and building tolerance for discomfort. They close with a surprise bonus question for Forrest from Dr. Rick. Key Topics: 3:51: Question 1: When should I address resentment with coworkers? 15:46: Question 2: How to deal with resentful family members? 24:26: Question 3: Is my jealousy and resentment post-situationship valid? 34:23: Question 4: What are appropriate requests as a Highly Sensitive Person? 50:30: Question 5: How can I build the capacity to embrace discomfort? 56:14: BONUS BIRTHDAY QUESTION from Dr. Rick 1:00:00: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Listen to Turning Points: Navigating Mental Health wherever you get your podcasts. Follow the show so you never miss an episode. Level up your bedding with Quince. Go to Quince.com/BEINGWELL for free shipping on your order and three hundred and sixty-five -day returns. If you are exploring whether you might be neurodivergent, check out Hyperfocus with Rae Jacobson. Skylight is offering our listeners $20 off their 10 inch Skylight Frame by going to myskylight.com/BEINGWELL. Go to Zocdoc.com/BEING to find and instantly book a top-rated doctor today.Sign up for a one-dollar-per-month trial period at shopify.com/beingwell. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Rick and Forrest explore one of the major topics in psychology today: the tension between "mainstream" and "alternative" approaches, and how to understand evidence-based care. Using the recent IFS controversy as a backdrop, they discuss what it means for an approach to be evidence-based, the real-world dangers of inflated claims, and therapy’s complex relationship with the medical model. They get into the weeds on study design, effect sizes, insurance, why different approaches may or may not have a large body of evidence, and how to think about the research on “common factors” in therapy. Dr. Rick and Forrest offer a simple framework for making good decisions amidst all of this complexity. Key Topics: 0:00: Introduction: the IFS article 7:27: Psychotherapy as medicine vs. personal growth practices 15:31: “Don’t know” mind versus “durrr who knows?” mind 19:50: What counts as evidence? 29:58: What does it mean for a therapy to be evidence-based? 42:38: How do we know therapy works? 53:45: Getting on your own team 59:07: Complexities with the medical model 1:10:24: How insurance and the healthcare system complicate the picture 1:18:27: Dr. Rick’s top two takeaways 1:29:05: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Listen to Turning Points: Navigating Mental Health wherever you get your podcasts. Follow the show so you never miss an episode. Level up your bedding with Quince. Go to Quince.com/BEINGWELL for free shipping on your order and three hundred and sixty-five -day returns. If you are exploring whether you might be neurodivergent, check out Hyperfocus with Rae Jacobson. Skylight is offering our listeners $20 off their 10 inch Skylight Frame by going to myskylight.com/BEINGWELL. Go to Zocdoc.com/BEING to find and instantly book a top-rated doctor today. Sign up for a one-dollar-per-month trial period at shopify.com/beingwell. Learn more about your ad choices. Visit megaphone.fm/adchoices

Forrest is joined by psychiatrist Dr. Blaise Aguirre to discuss Borderline Personality Disorder (BPD) and Dialectical Behavioral Therapy (DBT). They explore how extreme emotional sensitivity can lead to despair, self-hatred, suicidality, and an intense fear of abandonment, and how DBT can teach the skills needed to regulate those feelings. They discuss the nature of self-hatred, how to change the stories you’ve told about yourself, and how their insight and empathy can make people with BPD some of his favorite clients to work with. About our Guest: Dr. Blaise Aguirre is the medical director of 3East at McLean Hospital, a residential DBT program for adolescents and young adults, and is an assistant professor of psychiatry at Harvard Medical School. He’s also the co-author of a number of books including DBT for Dummies, and the author of I Hate Myself: Overcome Self-Loathing and Realize Why You're Wrong About You. Key Topics: 0:00: Introduction 4:05: Common features of BPD 15:16: Skill-building versus narrative work in therapy 22:10: What DBT looks like in practice 27:02: DBT skills: mindfulness, dialectic thinking, and opposite action 33:43: How to shift self-hatred 49:22: Stigmatization of BPD 53:25: BPD versus CPTSD 58:52: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Listen to Turning Points: Navigating Mental Health wherever you get your podcasts. Follow the show so you never miss an episode. Level up your bedding with Quince. Go to Quince.com/BEINGWELL for free shipping on your order and three hundred and sixty-five -day returns. If you are exploring whether you might be neurodivergent, check out Hyperfocus with Rae Jacobson. Skylight is offering our listeners $20 off their 10 inch Skylight Frame by going to myskylight.com/BEINGWELL. Go to Zocdoc.com/BEING to find and instantly book a top-rated doctor today. Sign up for a one-dollar-per-month trial period at shopify.com/beingwell. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Rick and Forrest explore toxic relationships, focusing on how to identify and exit them. Rick talks about how positive traits like empathy, loyalty, and a sense of duty can keep us stuck. They then discuss common relationship red flags like lovebombing, cycles of idealization and devaluation, power imbalances, and what Forrest calls “the fuzz.” Finally, they talk about how people can increase their chances of a healthy exit. Other topics include developing self-trust, trauma-bonding, shame, and avoiding the cycle of “maybe next time they’ll…” Key Topics: 0:00: Introduction 3:05: Why do good people stay in bad relationships? 10:02: Relationship red flags: the dark triad, devaluation, lovebombing, and the fuzz 24:17: How this shows up in Dr. Rick’s practice 39:48: How to get out: building self-trust, increasing your options, and duty to yourself 1:12:33: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Listen to Turning Points: Navigating Mental Health wherever you get your podcasts. Follow the show so you never miss an episode. Level up your bedding with Quince. Go to Quince.com/BEINGWELL for free shipping on your order and three hundred and sixty-five -day returns. If you are exploring whether you might be neurodivergent, check out Hyperfocus with Rae Jacobson. Skylight is offering our listeners $20 off their 10 inch Skylight Frame by going to myskylight.com/BEINGWELL. Go to Zocdoc.com/BEING to find and instantly book a top-rated doctor today. Sign up for a one-dollar-per-month trial period at shopify.com/beingwell. Learn more about your ad choices. Visit megaphone.fm/adchoices