The SelfWork Podcast (Margaret Robinson Rutherford PhD)

First of all, I cannot express how grateful I am to be back and to be healthy. Fear was very much a part of the weeks before my surgery. I had to realize and accept that I wasn’t in control of what might or might not happen. I was only in control of my response to those things. So that’s what I tried to focus on – how was I going to respond? But all has turned out very well... and I feel intense gratitude.

The topic for today was brought to my attention by a wonderful voice mail I got over the break. This listener asks about how to handle a strange sort of guilt she feels when she's not doing a purposeful activity and feeling confusion over what to say to someone who innocently asks, "Whatcha been doing?" After you haven't been doing anything much of importance.

We'll focus on three sources of this guilt: Self-reproach. Fear or anxiety about how you might be judged or perceived as lazy or incompetent. And last... "time anxiety" itself, which is anxiety over how you're spending your time - and how to quell that anxiety with one simple question. "How would I define 'time well-spent?'

Vital Links:

The Clockify Article on time anxiety

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has been published and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it's available in paperback, eBook or as an audiobook!

Now there's another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Marjorie Aunos' story is not one you'll forget. In one second, she went from being an able-bodied mom to a disabled one.

As a clinical psychologist, Marjorie developed the first program offering support for families headed by parents with intellectual disabilities in the province of Quebec, Canada. She fought for parents with intellectual disabilities to not be judged as “incapable” because of that disability. Yet in 2012, she sustained a spinal cord Injury in a car accident. Mother to a 16-month-old at the time, the accident and injury left her with paraplegia. Dealing with her own fear, her own drive, and all the feelings in between, Marjorie tells her story of learning to mother from a wheelchair – and what she learned about life in the course of doing so.

Marjorie Aunos, Ph.D. is 2021 Inspirational Speaker of the Year, an author, internationally renowned researcher, psychologist, adjunct professor at Brock University and UQTR, and a member at large of the Council of Canadians with Disabilities. She is the co-author of a book on Parenting Capacity Assessment and the author of Mom on Wheels: The Power of Purpose as a Parent with Paraplegia.

Advertisers' Link:

Have you been putting off getting help? It's 2024, and BetterHelp, the #1 online therapy provider, has a special offer for you now!

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Here's a bonus episode for you during the holidays!  I couldn’t think of a better guest than Shann Vander Leek. She’s the cohost of the extremely popular podcast AnxietySlayer and the website AnxietySlayer.com. Her gentleness and broad knowledge of all things calming is incredible. She and her partner Ananga have created a complete experience of teaching you the how-to of what you can do right now about your anxiety, through words and music, meditation and calming practices. What I especially love about this episode is that Shann demonstrates some actual techniques you can try while you’re listening as she and I - and now you - do them together.

BetterHelp, the #1 online therapy provider, has a special offer for you now!

You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism or need for control which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Perspective is a gift. But most of us gain our perspective from years of living and learning. Life often hands us challenges that build that perspective and that wisdom.

But not too many people have two catastrophic medical conditions to cope with – and certainly not two that occurred in the span of a decade.

Lindsey Roy had just that.

At age 31, Lindsey Roy was named vice-president at Hallmark Cards — one of the youngest in the company’s more-than-100-year history. Her life was abruptly transformed five years later when she was nearly killed in a boating accident. Left with an amputated left leg and severe limb injuries, and facing a long and difficult recovery ahead, she was determined not just to heal, but to emerge stronger.

A second blow... 

Eight years post-accident, fully adapted to her circumstances and genuinely thriving, Lindsey confronted the unexpected again: she was diagnosed with a rare and progressive disease that destroyed the blood vessels in her lungs, requiring a double-lung transplant. This profound setback challenged her to actively shift her viewpoint in order to discover the hidden advantages of her situation and new depths of resilience in herself.

Now a sought-after speaker, she’s imparting these hard-won lessons to help you adapt, persevere, and innovate in your own life.

Vital Links

Lindsay's Roys 2017 TEDx

The Gift of Perspective - her first book recently published.

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Today we’re going to focus on three skills that are considered ego skills or what compose ego strengths. First is self-regulation or how you monitor and cope with your emotions. Second is self-control - how you manage your impulses and reactions. And third is self-motivation - what does it take to give you a sense of proactivity and purpose. SelfWork is almost always about "what you can do about it" and this episode is no different. We'll define how these three skills interact and how you can build them into your own set of skills - so that they're available to you when you need them.

So in today's episode, sponsored by Athletic Greens, you'll learn that rehearsal is vital – not only to prove to yourself that you can change and grow – but to give your brain a chance to build new neurological circuitry.

The listener voicemail for today features a mom who feels completely disrespected by her now adult children. And asks if I have any advice… What would you say?

Important Links:

Click Here for the fabulous offer from Athletic Greens - now AG1 - with bonus product with your subscription!

VeryWellMind article on self-regulation

Podcast by Andrew Huberman called The Huberman Lab.

Tony Robbins article on self-motivation

Jessica Stillman article on Huberman's work

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression has been published and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it’s available in paperback, eBook or as an audiobook!

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Here's our last Second Time Around until we're back in the saddle in a few days! And we're so looking forward to what's ahead in 2022!

What's a trauma bond? How does it form? Why is it important for that dynamic to have its own label or name? Trauma bonding happens when trust is highly manipulated; when commitment and trying to make a relationship work is used against someone as a way to keep them in denial or disbelief that a relationship is harmful to them. I’ve been there. I still have never revealed all that happened in that relationship; so much of it is now such clear abuse, I’m flabbergasted I didn’t see it for what it was. But I didn’t. Until I did.

Our listener email for today is from someone who wants some answers about enmeshment and what she terms “covert narcissism” – It sounds like she’s the daughter and feels enmeshed or has been told perhaps she’s enmeshed with him. It’s very much like our topic so I thought it meshed well with the topic.

So please get comfortable and listen in to what may be a triggering episode for some of you - so listen carefully and protectively. And my gratitude to our sponsor today - BetterHelp!

Important Links:

BetterHelp, the #1 online therapy provider, has a special offer for you now!

John Kim, aka The Angry Therapist provides an article on trauma bonding

A BBC article on Stockholm syndrome

An  article in VeryWellMind.discusses features of covert narcissism

Wikipedia article on trauma bonds

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then clickhere and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has been published and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it’s available in paperback, eBook or as an audiobook!

Now there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

John Moe first got my attention when I became a podcaster and listened to his very popular podcast The Hilarious World of Depression. What makes him unique and truly loved by his listeners is his transparency about his own depression and his very wry sense of humor. After making a living as a comic, a writer and then an NPR broadcaster,   he faced his own severe depression. As he interviewed comedians and celebrities for the podcast, he began to see similar behavior patterns and coping mechanisms in his conversations. He saw that there was tremendous comfort and community in talking about these experiences, (including his own suicidal thoughts and the actual suicide of his older brother Rick), and that humor had a unique power.

He's now written a new book by the same name. I found him a very smart, but modest and thoughtful person who was more than willing to be interviewed by me – not the most accomplished of interviewers as this was the first one I’ve done in literally years. So, I was honored that he wanted to a part of SelfWork.

The episode is about twice as long as most SelfWork episodes; but I think you’ll find that the time flies by. He’s a warm and fascinating guy, whose lived a lot of life, and wants to share what he’s learned. As a therapist, I wanted to know more about his depression, rather than about the podcast. And my questions reflect that. If you’ve ever been depressed, lived through a complex family life, even wondered if your depression might’ve been handed down to you within your family – what’s termed transgenerational trauma - this is the episode for you. Come laugh. Come learn. And come join me and John Moe for a conversation about learning to live with and manage chronic depression. .

Important Links:

BetterHelp, the #1 online therapy provider, has a special offer for you now!

The Hilarious World of Depression on Amazon

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has been published and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it's available in paperback, eBook or as an audiobook!

Now there's another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

I thought today might be a great day to post an episode about acting maturely, as we in the US have gone through a very divisive election and hopefully will be trying to mend and heal and carry on. I'll be back next week and can't wait to fill you in on what's been happening!

This is a very early episode... but the message is one that's a thread throughout my clinical work with patients - and now, you.

Feeling mature, decisive, not being reactive but responsive, having insight into our own behavior and changing that behavior when it’s appropriate – when we can do these things, we are acting in our adult selves. So much of how or how long that takes depends on what happened to us as kids. In this episode, sponsored by BetterHelp, we'll talk about your childhood strategies – the ways you unconsciously coped with whatever was present in your family. If you’re still using the same guide or strategy, you might be stuck, or not actually dealing with life as it is now. We'll define not only different strategies, but how and why you came up with them. What are clues that you’re still using your childhood strategy, and how you can change it — if it’s not working for you now?

You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click hereand answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Sometimes the very decision on what to talk about here at SelfWork seems difficult, as the possibilities are endless really. And since May is Mental Health Awareness Month, I wanted to do something special – although any month is mental health awareness month for me! To help get me organized, I turned to an old teacher of mine who’s an internationally known expert on depression - Dr. Michael Yapko. I listened into one of his YouTube presentations on the current research in depression and what the best thinking is about its causes and its treatment. He mentions the five most common mental mistakes that can lead to depression or to a relapse.

So, this month in May, I’m going to present those to you;  I’ll add in some of my own experiences and stories so that hopefully you can try and see if you’re making any of those mistakes – whether or not you consider yourself “depressed” or not.

For the listener email  “response” this week, I’m going to comment on a review for SelfWork that was left on Apple – a kind of, “I was really looking forward to listening but got disappointed,” kind of review. I’m hoping to address what I thought were the listener’s comments – as I could very well see what had disappointed them. So, I dug a little deeper and will let you know what I found.

Nick Wignall's Medium post on resilience

Several links to research articles having to do with minority happiness factors:

Article on black white differences and happiness 

Article on role of discrimination and ethnic identification

Article on racial identity and happiness

Quick Links!

Have you been putting off getting help in 2023? BetterHelp, the #1 online therapy provider, has a special offer for you now!

And here's an offer from BiOptimzers and Magnesium Breakthrough for SelfWork listeners! Every month they have a new "giveaway' product! Just click here! Make sure you use the code "selfwork10" to check out free product!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it's available in paperback, eBook or as an audiobook!

And there's another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Today’s SelfWork was inspired by feedback from members of my FB group when I asked for potential topics - and they suggested Answering Your Questions About Therapy.

So.. what were the questions?

1) How to be real with your therapist about what’s not working...

2) Why do I want to feel that my therapist likes me?

3) How do I handle the fear that I’m “too much” for my therapist?

4) How to leave therapy...

Everyone in every profession has an innate or learned comfort level and interest in certain kinds of work. Therapists are no different. And clients also have “kinds” of therapists they prefer and want to work with. Today I'll answer these questions about therapy and more!

The Speakpipe voicemail for this week left me with several thoughts about the impact of chronic trauma and the lives of people who are living it, and at times, may be creating it.

I want to thank Choosing Therapy for including SelfWork in their top 15 podcasts on depression for 2024! And to thank all of you for tuning in, sharing, and helping to make SelfWork… work! You are the reason that we keep growing so my gratitude of course extends to you as well!

Vital Links:

Wonderful article on therapy in MindCenter

Get your SelfWork merch here on Zazzle!

Advertiser’s Links:

Have you been putting off getting help? It's 2024, and BetterHelp, the #1 online therapy provider, has a special offer for you now!

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Coping with rejection in a relationship, whether it be a friendship or partnership or a marriage, can be very difficult. But to add to the hurt, you can also learn that your ex has moved on quickly -- or perhaps had moved on while still in a relationship with you. And that can lead to a feeling of being replaced. We'll talk about the feelings and thoughts this can create -- and something that can help you move through this grieving process.  It's called redefinition or reinterpretation -- and although it takes time to heal, this idea will help you move through feeling rejected into a better and more healthy life.

Our listener email is from someone from Sweden who used the SpeakPipe opportunity to tell me of her interest in perfectly hidden depression or PHD and its potential place with spiritual problems..I give her my thoughts..

You can hear more about relationships and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Before we get started, I wanted you to know that Facing Depression, my new course all about depression -  what causes it and what you can do about it - is available now, exclusively on Himalaya Learning. Himalaya Learning is an audio learning platform that provides an extensive library of courses straight to your ears from the world's greatest minds like Malcolm Gladwell, Tim Ferriss, Seth Godin, and more. To listen to this course and others like it, go to himalaya.com/depression and enter promo code OVERCOMING at checkout to get your first 14 days free. I hope to see you there!

Today’s episode, sponsored by BetterHelp, covers two topics – each one of them important to understand. The first topic is what positive psychologists (those that study what makes life worth living) call languishing – as its touted as the major emotion caused by the pandemic. What is languishing? It’s defined as a lack of well-being – or as one definition put it, an absence of a positive emotion about life.  Researchers in the positive psychology camp say it’s different than actual depression and identify how you can go from languishing to flourishing or true happiness by stabilizing your life with these five pillars  - focusing on positive emotions, being highly engaged, having quality relationships, identifying with something meaningful or broader than yourself, and feeling a sense of accomplishment.

The listener email is particularly poignant: it’s from a woman whose child died a decade ago. And her grief doesn’t seem to be remitting in any way.  I’ll answer her using the words of other mothers who’ve lost their children.

Important Links:

BetterHelp, the #1 online therapy provider, has a special offer for you now!

Article about Martin Seligman and the Five Pillars of Happiness

Article by Corey Keyes

NY Times article by organization psychologist Adam Grant on languishing

Six areas of psychological well-being

Episode 90 of SelfWork: Interview with Dr. Susan Averitt about grieving the death of a child

Best Online Grief Support Groups

HuffPost Article on Grieving the Death of a Child

You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism or need for control which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions, long hidden away, that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Today we’re focusing on the tools necessary to help you listen and "how to be there” for someone else.

We'll discuss what it’s like to listen to the stories of those who trust you to create a safe space for them to talk – and what it means to “be there” for someone. What it’s like to hear things that are very hard to hear. And what it’s like to carry on with your own life as you do so. I’m going to offer a list of eleven necessary tools that I’ve learned to use over the years. What I hope is that that list is helpful to you as you go about the business of loving others and being there emotionally for them.

I should say that this episode isn’t a substitute for any mental health treatment that you might choose or need.

And I have two listener contacts to share with you, both of which made me smile.

Vital Links: 

Nash Fung TEDx

Zazzle link for The SelfWork Mug!

Advertiser's Link: 

Click HERE for the NEW fabulous offer from AG1 – with bonus product with your subscription!

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

There are many times that work with my own clients sparks a podcast episode – and this time, I needed to look at what had been discussed in the literature since I saw my last client with postpartum depression. Because I had another – and her depression was severe.

The moms I’ve seen with PPD have all been different. Some highly anxious but unable to function due to that anxiety along with a bad depression. Some who had histories of depression and some who didn’t. Some who had had previous children with no problem and some who’d prepared for PPD since they’d experienced it before. And some who were almost dissociative – meaning that they were going through the motions of motherhood but felt very little about it. They “loved” their baby but having one seemed unreal – as if it hadn’t happened.

So today we’re going to get the facts out about postpartum depression and of course, what you can do about it.

Our listener voicemail is from a woman whose mom was an alcoholic and got sober, but who also appears to have borderline traits or BPD. – and who is viewing her daughter’s choice to set boundaries as cruel and punitive. You can hear the poignancy in this mom’s voice as she wants so to protect her children – but is she really protecting them by setting the boundary and thus, from her perspective, “creating” her mom’s reaction and other difficult family dynamics. The point is she’s NOT the one creating the dysfunction – or it certainly doesn’t sound as if she is.  What would you say?

Advertisers Link: 

Have you been putting off getting help? BetterHelp, the #1 online therapy provider, has a special offer for you now!

Vital Links:

My TEDx talk that today has earned 82,000 views!

For more celeb stories, you can click here.

Symptoms of Post Partum Depression

Causes of Post Partum Depression

The Retrievals Serial podcast series

Al-Anon information

You can hear more about this and many other topics by listening to my podcast, The Selfwork Podcast.  Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it's available in paperback, eBook or as an audiobook!

And there's another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Episode Transcript/Intro

This is SelfWork. And I'm Dr. Margaret Rutherford. At SelfWork, we'll discuss psychological and emotional issues common in today's world and what to do about them. I'm Dr. Margaret and SelfWork is a podcast dedicated to you taking just a few minutes today for your own selfwork.

Hello, welcome or welcome back to SelfWork. I'm Dr. Margaret Rutherford. I'm a psychologist. I've been in private practice for 30 years now and have decided to extend the walls of that practice to those of you who might be very interested in hearing more about mental health topics, maybe you're in therapy, maybe you've just been diagnosed with something or you have some kind of problem that you just want some help seeing through different eyes... and of course to a third group of you - those of you who think mental health treatment and maybe even therapists are just a little wacky and a little strange . So we're here together and I'm so glad we are.

There are many times that my work with my own clients sparks a podcast episode, and this is one of them. I have someone with pretty severe postpartum depression, and so I wanted to look more into it, especially the recent research.

The moms I've seen with postpartum have all been different. Some have been highly anxious and unable to function due to that anxiety along with a bad depression. Some had histories of depression, some who didn't, some who'd had previous children with no problem, and then some who prepared for postpartum depression since they'd experienced it before. Some were almost dissociative, meaning that they were going through the motions of motherhood, but felt very little about it. They loved their baby, but having one seemed unreal. They sort of felt dissociated from the whole experience. Detached is what that means  - as if it hadn't happened.

What the general public doesn't realize is just how many miscarriages actually occur or how many problems there can be with pregnancy. For example, in 2020, there were 21,000 stillbirths that occurred in the US and the majority of those occurred among non-Hispanic, native Hawaiian or other Pacific Islanders and non-Hispanic black women.And this rate is more than twice the rate for non-Hispanic white women.

So today we're gonna get to the facts out there about postpartum and of course what you can do about it.

Our listener voicemail is from a woman whose mom was an alcoholic and got sober, but who also appears to have borderline traits and who's viewing her daughter's choice to set boundaries as cruel and punitive. You can hear the poignancy in this mom's voice as she wants so to protect her children. But is she really protecting them by setting a boundary, and thus, from her perspective, creating her mom's reaction and other difficult family dynamics? The point is, she's not the one creating the dysfunction, or it certainly doesn't sound as if she is. What would you say? We'll delve into that more later.

As always, we wanna thank our generous sponsors. And if you've noticed, there's a fairly new arrival in SelfWork's queue of podcast listens, and that's an announcement about the Jordan Harbinger Show. You can support me and SelfWork by listening into my intro on Jordan's podcast. It'll appear second in your feed, as well as hearing a short message from Jordan himself on how he shapes his podcast. I actually listen to him on my walks. It's very different from SelfWork, but I like his style. Give it a listen when you can because it will support SelfWork..

The Episode

For now, let's get into a discussion about what is a very painful subject when you're not supposed to be depressed -  'cause you just had a baby,

It seems that finally postpartum depression is getting attention and that attention is long overdue. Some celebrities have been talking about it through the years revealing what an extremely tough time they had for the months after their child's birth. Marin Morris, for example, the country singer says "You're trying to become a new mother and good parent and do everything right". She added of the drowning feeling, "You just feel like you suck at every level".

The actress Reese Witherspoon gave testimony to this kind of depression sneaking up on you. She said she felt completely out of control after the birth of her first child. And now I quote, "We don't understand the kind of hormonal rollercoaster that you go on when you stop nursing, and no one explained that to me. I was 23 years old when I had my first baby, and nobody explained to me that when you wean a baby, your hormones go into the toilet.I felt more depressed than I'd ever felt in my whole life. It was scary."

And there's another, Serena Williams had her baby in 2018, and she said, "Honestly, sometimes I still think I have to deal with it". Her daughter was born by emergency cesarean section, and the athlete also had a near death experience involving pulmonary embolism. So you can see why that is really trauma and that happens. So I quote her again, "I think people need to talk about it more because it's almost like the fourth trimester. It's part of the pregnancy. I remember one day I couldn't find Olympia's bottle and I got so upset I started crying because I wanted to be perfect for her."

If you wanna hear more celeb stories, I've got a link for you in the show notes.

So what are the most recent statistics and facts about postpartum depression?

Here's what a New York Times article had to say. "In recent years, mental health struggles have become the leading cause of maternal mortality in the United States, primarily due to suicides and drug overdoses. It's estimated that one in eight new moms experience postpartum depression and some research has suggested that the prevalence climbed as high as one in three during the early days of the pandemic. Yet roughly half of the women who are struggling with their mental health after pregnancy don't receive treatment. Barriers to care include a lack of awareness about symptoms and treatments and inability to access resources and of course stigma."

So now I move away from that article to say there's increasing awareness that maternal deaths don't just happen during pregnancy or within the first few weeks after birth. This is going to surprise you. It was a stunning revelation to me. The new figures come amid a troubling rise in deaths of pregnant women and new mothers in the United States, which has the highest maternal mortality rate in the industrialized world.

The figures soared during the pandemic to 32.9 deaths for every 100,000 live births in 2021. Rates for black and Native American women are two to three times higher than those for white women. It seems that the rates for black and native American women may be more equivalent to white women when the deaths are about depression or suicide.

So now we know that there's danger to mom and baby for quite a long time. I'm going to quote one more article, summing up the findings from the CDC and I quote, "A fuller extent of the problem came to light in September when the Centers for Disease Control and Prevention took a more expansive look at mother's deaths analyzing them for a full year after childbirth and including deaths resulting from mental health conditions based on data provided by 36 states on 1018 pregnancy related deaths from 2017 to 2019."

The CDC concluded that about a third of them occurred during pregnancy or on the day of delivery, and roughly another third before the baby turns six weeks old. But a full 30% occurred from that point until the baby's first birthday, a period that had not been a focus of maternal mortality research. I mean, I think this is incredible.

Of note, most pregnancy related suicidal deaths occurred in the postpartum period with 62% of pregnancy related suicides occurring between 43 and 365 days postpartum, followed by 24% during pregnancy, and 14% within 42 days postpartum. So we don't have to just worry about postpartum in the first few weeks. We actually have to be very tuned into its presence even a year after the baby is born. The data have led to calls for closer follow-up care and more support for new moms during what has been called the fourth trimester, as Serena Williams called it, with special attention given to the women most vulnerable.

I love this quote from Allison Stuby, an OB GYN professor at the University of North Carolina School of Medicine. She says, "Our approach to birth has been that the baby is the candy and the mom's the wrapper. And once the baby is out of the wrapper, we cast it aside. We need to recognize that the wrapper is a person. Moms are getting really sick and dying."

Just to let you know, the other deaths that were not mental health conditions, the most frequent is hemorrhage, cardiac conditions, infections, thrombotic embolism and cardiomyopathy in that order. And they accounted for over 75% of pregnancy related deaths. And actually the figures show that 84% of those deaths were preventable. Let me say that again. 84% of those deaths were preventable. But people aren't paying attention. Moms don't wanna complain. Families are in denial. They don't know about this information.

That's why it's so vital, and we're featuring it here on SelfWork. So is it that women didn't complain or that somehow mothers signs of illness were overlooked, somehow seen as weakness or that pregnant or new moms weren't counting their blessings?

In fact, I will remember that when I finally became pregnant through I V F, that's in vitro fertilization. I was in my OBs office complaining about how much my feet had swollen. Now, I liked my OB, but he said, "Now, Margaret, you're so lucky to be pregnant. You shouldn't complain" in this kind of patronizing voice, I looked straight at him and said, "I couldn't disagree with you more. You're right. I worked hard to get pregnant and I am lucky. But that hard work gives me all the room in the world to complain. This was hard from the very beginning." He apologized, which was one of the reasons why I liked him so much.

But somehow, women are supposed to handle the very difficult and at time frightening aspects of childbirth while either parenting other children or working full-time for a salary or whatever, without complaining, without receiving support, or more importantly, without being listened to for what are very real problems.

In my research for this episode, I also came across a story about just this attitude toward women that truly shocked me to the core, at least rationally as a woman. However, I sadly got it. After we hear from BetterHelp who can help you through depression of any kind, I'll tell you this story and talk more specifically about the symptoms of postpartum depression.

I recently heard a fascinating reframe for the idea of asking for help. Maybe you view asking for help as something someone does, who's falling apart or who isn't strong. So consider this. What if asking for help means that you won't let anything get in your way of solving an issue, finding out an answer or discovering a better direction? Asking for help is much more about your determination to recognize what needs your attention or what is getting in your way of having the life you want better help. The number one online therapy provider makes reaching out about as easy as it can get. Within 48 hours, you'll have a professional licensed therapist with whom you can text, email, or talk with to guide you, and you're not having to comb through therapist websites or drive to appointments. It's convenient, inexpensive, and readily available. Now you can find a therapist that fits your needs with better help. And if you use the code or link Betterhelp.com/ selfwork, you get 10% off your first month of sessions. So just do it. You'll be glad you did. That. Link again is betterhelp.com/selfwork to get 10% off your first month of services.

Okay, first, let's talk about the symptoms of what's called PPD or postpartum depression. It's very different than the baby blues. Baby blues are very, very common, similar to what things are going on in other life transitions, they are mood swings, anxieties, sadness, irritability, feeling overwhelmed, crying, trouble with thinking and concentration, trouble sleeping. But that tends to go away when the new mom or maybe the mom with two or three other children settles down. But if the baby is sick or colicky or is born with some kind of problem, who knows what will happen. And yet, even if the baby seems perfectly normal, postpartum depression can happen and you can place huge shame onto yourself because somehow you're not grateful or happy. It basically is the same as a major depressive episode. In fact, that diagnosis has to be there with huge hormonal changes occurring.

I worked with a woman who developed major depression after an adoption, not because there was anything wrong, but 'cause she'd gone through years of infertility treatment and failed adoptions and had never grieved the loss of those dreams. Her grief was waiting for her, and her experience was that she had very strong depression after she got her child. And let's say the mother herself had serious medical trauma during the birth or the pregnancy, and now she's supposed to be able to snap back from that and parent or nurse. Maybe she nearly died herself, but there's no time to grieve... or so she can tell herself and others can feed her that line as well. So in that instance, talk about complication!. She may be dealing with post-traumatic stress alongside trying to care for a child and becoming depressed herself.

Now, what are postpartum depression symptoms? It's very similar, if not the same with major depression, except there are unique things that have to do with hormonal changes and being a mom. You're depressed, you have severe mood swings, you cry too much. You have difficulty bonding with your baby. You withdraw from family and friends. You can't eat, you can't sleep. Or sometimes you sleep too much. You don't enjoy what you used to enjoy. You can be very angry and irritable. You fear that you're not a good mother. Feel hopeless, helpless, worthless. You can have severe anxiety and even panic attacks. You can have thoughts of harming yourself or your baby and recurring thoughts of death or suicide.

So who's more at risk for postpartum? One, someone who's had depression in the past. Two, if you have a partner with an untreated mood disorder or substance abuse and three, lack of social support. Now what does that last one mean? Maybe you have little to no maternity leave. Maybe you're on your own with no friends or relatives to help you adjust. Untreated postpartum depression may last for many months or longer.

Now, there is a thing called postpartum psychosis. Just like in any depression, a deeper depression can devolve into psychosis where you feel confused and lost. You hallucinate -meaning you see things that aren't there or hear things that aren't there. You have delusions. You can feel paranoid, and you may even hear voices telling you to harm your baby. You've got to tell people if that's what's happening. It requires immediate treatment.

I'm gonna touch on the fact that fathers who are young, have a history of depression, experience relationship problems, or are struggling financially are also candidates for a certain kind of postpartum depression, sometimes called paternal postpartum depression. It can certainly have the same negative effect on the mother and father's relationship and their child's development. So we must become more aware of this. And if you have a daughter or a sister or a friend who's struggling, what's the best thing you can do?

Before I answer this question, I wanna bring up perfectionism. Just think what happens when a woman who's perfectionistic and needs a lot of control has a baby. Everything that was in her control suddenly isn't. This can be a highly dangerous time for her. It can be a pressure cooker, and friends can really help out by affirming what is a difficult transition for anyone, but especially if you need a lot of control.

So I told you about a story I was gonna tell you that I was shocked by. I discovered a podcast called The Retrievals that is a part of the Serial series. Now, I haven't listened to it all, but what I heard was shocking. Basically, an employee, a nurse from the Yale Infertility Clinic stole pain meds that the women undergoing egg retrieval procedures were supposed to get in their IVs, pain meds that would normally have made the procedure perhaps uncomfortable, but that would be it.

And yet, several of the women having these egg retrievals, which is an operation basically were screaming that they could feel everything and that the pain was unbearable. And this happened to multiple, multiple people and went on for several weeks. But the women just bore the pain because they were told, "Well, we've given you all the pain medicine we can." The producer of this program stated that they did what women often do, which is to make up a story that would somehow lead them to blame themselves for their horrific experience. And that's what women tend to do. We tend to find fault with ourselves.

But listen to this... Even after the facts were discovered, the crime was discovered that the nurse had basically replaced the pain meds with saline solution. So some women only got one to 10% of the pain medicine needed. Even after that had been discovered, all of the women got a statement from Yale that basically said, "We're sorry, but you know, there was no harm done." What?No harm?

So the women felt relief that their realities were validated but also very disrespected. I'm anxious to hear the rest of the program. Maybe they did something about that. I'll have the links to the entire podcast for you in the show notes.

So women's pain is often overlooked. We are seen as complaining or whining when it's really very real. And this has just got to stop. Postpartum depression is a very real and dangerous form of depression. So we must make sure we listen and pay attention. And rather than saying, "Well, I don't wanna tell my daughter who's about to have a baby that this might happen to her, you know, I don't want to worry her. I don't want her to be afraid." Myself. I'd rather someone know that this is what to watch for. In fact, that would be a wonderful gift to give someone who's just discovered she's about to have a child - Sso they can prepare and be alert. That's what you can do about it. And then support them getting the help that they need.

You'll be excited to hear. I'm excited to say that later on this week, it will be a midweek episode. I'm gonna have Dr. Zenobia Harris on who heads up the Arkansas Birthing Project. My state of Arkansas leads the nation in maternal mortality rates. And Dr. Harris is gonna talk to us about that as well as what's going on in the field so that we can prevent those deaths. So tune in again this week to hear more about that

Speak pipe message from dr margaret rutherford.com.

Listener Email

So now let's get to our weekly voicemail.

Hi, I'm looking for some advice on how to manage my borderline mom as a grandmother to my six and four year old children. I've been putting in boundaries with her since I became a mom about six years ago. So it's very new in our relationship and she hasn't taken it well. She's playing the victim and that since she's stopped drinking, which she abused alcohol for nearly 20 years of my life, she thinks all the issues are resolved and that I'm being selfish for not forgiving her and that I'm being making things very hard and treating her badly by having boundaries. I'm getting to the point of thinking there's no way forward. But apart from struggling with being labeled as difficult and a problem and not compassionate and attacked by family members for treating her this way, I'm very mindful of protecting my children from this dynamic in my family. But it feels like going no contact and having to explain that to my children is me bringing that dynamic to my children rather than protecting them from it. So how do I navigate this while protecting my children from her, but also from the story of her? I really am lost and worried. So any advice would be so helpful.

You know, there aren't many more problematic family issues than when a family member, whether it's a parent, a child, a sibling, a grandparent, whatever, denies the impact of their behavior on other people. I've often talked with one of my very dear friends who happens to be a psychologist. Think of it like this. Imagine a a fairly small party or gathering where one person doesn't talk, doesn't say anything, doesn't say why they're not talking, just walks around or sits and stares. You can imagine what kind of impact that's likely to have on the others. Some people will try very hard to engage them, some will get mad, some people will ignore them or at least try to, but they have a lot of power, don't they? It's like someone refusing to own their impact on others. So you can have a family member like this mom, who is refusing to own the impact of her past behavior, and in fact wants credit for having changed, which is great that she's quit drinking, but she's still not taking responsibility for the impact of her past behavior and perhaps other characterological issues.

What they don't realize is that they've been hurtful and must earn back the trust of their family members because the family is not supposed to turn the page and pretend it didn't happen. No, that's not the way it works. And especially to call someone setting boundaries, abandonment when the trust hasn't been earned back, isn't fair or right. In fact, from what I know, from what this listener talks about, it seems that the mom just wants her daughter to ignore what has happened and trust her. And yet, I've heard many, many times in my office with people or mothers or fathers, whomever that have had abusive parents, they've said to me, "I can deal with them hurting me, but I'm not gonna let them hurt my child or my children." So that can seem pretty clear, right? The boundary's drawn, the mom gets mad, family doesn't understand, but it's still about," I'm not gonna let you hurt my children."

Yet this listener brings up another difficult point: Is not being involved with her mother going to confuse her children or even more greatly expose them to the pain in the family, especially if it sounds like other members of the family are moving on? Both her mom and some of her family are seeing this as cruel and they may make a big deal about it.

So this is my somewhat painful answer. Yes, it is a difficult issue and in fact, there's probably no total win in this situation, or at least what I've heard from this listener. Being estranged from a parent or a grandparent is going to need an explanation, at least an age appropriate one. But you can prepare yourself for that conversation.

I'd highly recommend that this listener read some Al-Anon literature or join an online or local group. Al-Anon is a group that was formed years ago.They help each other to see how their own behavior or choices could what's called enable the drinker. And remember, stopping drinking alone doesn't fix the problems created when someone was drinking. That's naive and even entitled. But the people who are involved in Al-Anon have a lot of wisdom to share. I've been told their motto is something like "detach with love." I've got the Al-Anon link in the show notes, and there are meetings all over the world in 133 countries. And of course you can join in online.

Perhaps they will give you their own versions of what they said to parents or family and how they explained it to their children. But you must remember as well that children learning that there is a natural consequence to their behavior and others, that's a really important thing for them to learn. I hope this has been helpful.

Thank you so much to those of you who are regular listeners, welcome to new listeners. I got a wonderful review from a listener in South Africa. She happens to be a therapist, so thank you for that. I read that. I appreciate it very much. People ask me all the time, how long have you been doing that podcast? And now in October it'll be seven years. It's just become a part of my life. And I appreciate all of you listening, reviewing, rating, commenting, and sending in your questions and voicemails. Thank you so much. Please take care of yourself, your family, and your community. I'm Dr. Margaret and this has been SelfWork.

Today's SelfWork, sponsored by BetterHelp, focuses on why, how and why you might choose to end therapy, or more concisely, to leave a particular therapist. We'll cover some "good" reasons to leave, reasons that either have to do with the success you've experienced or reaching your goals, as well as the ones that have to do with disappointment with or even misbehavior or unethical behavior by the therapist themselves.  But we'll also focus on the reasons why you might justify leaving, when in actuality, it may not be in your best interest to do so. I’m a huge believer in the power of good therapy. But it’s not always good. And we need to address how you know when it’s time to leave – or not.

The listener email is once again quite different. I’ll read from a letter I received from a man who’s serving time in prison, He reached out in a very special way – and I thought you’d like to hear.

Important Links:

BetterHelp, the #1 online therapy provider, has a special offer for you now!

Good article in Psych Central about reason to leave or not leave therapy

You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism or need for control which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Ashley Stahl is a counterterrorism professional turned career coach, spokesperson, and author of the bestselling book, You Turn: Get Unstuck, Discover Your Direction, Design Your Dream Career. Through her two viral TEDx speeches, her online courses,and her podcast, the You Turn Podcast, she’s been able to support clients all over the world in discovering their best career path, upgrading their confidence, and landing more job offers. She maintains a monthly career column in Forbes, and her work has been also featured in outlets such as The Wall Street Journal, CBS, SELF, Washington Post, Chicago Tribune, and more.

Those are the facts about Ashley Stahl. But let me tell you what it’s like to talk with her. She’s quick, bright, compassionate – quick to laugh. And her advice and guidance about choosing a career or moving into a career that uses your core values, skills and very nature – where your particular brand of of energy can have the chance to be naturally expressed every day and bring you fulfillment – is refreshing to hear. Her book isn’t a checklist of to-do’s about getting the perfect job for you – but is chock-full of personal stories that give her message context and power. I changed careers in my late 20’s and it took nine years to do so but was so very worth that time. I wish I’d had her book as I realize I stumbled around looking for the direction she provides.

So now we’re introducing each other’s work to our own podcast audiences – and I chose her interview with Tatyana Rae – who's been Ashley's mentor as a personal inspiration consultant. Here is some of Tatyana's heritage: "I come from a family lineage of Shaman on my Father’s side, who was Apache I received my earliest training at the feet my paternal Great Grandmother. The skills associated with Shamanism were passed on to my Father, myself, and now my son, Zachary, who is being groomed in the Remembering." She's a fascinating guest and I so enjoyed their discussion!

So here are Ashley Stahl and her interview with the revolutionary expert in the art of loving. Tatyana Rae.

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression has been published and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it’s available in paperback, eBook or as an audiobook!

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Welcome to a two-part series created to highlight our veterans and first responders, all whose suicide rates are very high. If you're a veteran or first responder, or you love one, this series is a must listen.

Today's interview is with Dr. Shauna Springer, better known to her veteran clients as "Doc." The story of how she learned how to work with veterans' trauma actually holds within it a far broader approach and hope to anyone who might be trying to heal from invisible wounds. You may be surprised to learn what those actual wounds are - not the ones we typically think of as civilians. But rather, ones that belong to those that experience a vital bond with the people that fight beside them. And if that bond is broken or damaged, shame, guilt and a vast emptiness can be created - feelings that last far longer than actual memories of violence.

Shauna ‘Doc’ Springer is a best-selling author, frequently requested keynote speaker, and one of the world's leading experts on psychological trauma, military transition, suicide prevention, and close relationships. She is the author of WARRIOR: How to Support Those Who Protect Us and the co-author of BEYOND THE MILITARY: A Leader’s Handbook for Warrior Reintegration. A Harvard graduate who has become a trusted Doc to our nation’s military warfighters, she navigates different cultures with exceptional agility. As Chief Psychologist for Stella, she advances a new model for treating psychological trauma that combines biological and psychological interventions. Doc Springer is a licensed psychologist who is frequently sourced by the media for her uniquely perceptive insights on trauma recovery, post-traumatic growth, psychological health, and interpersonal relationships, developed from two decades of work at the extremes. Doc Springer’s work has been featured in multiple media outlets, including CNN, VICE, NPR, NBC, CBS Radio, Forbes, Business Insider, Military Times, Military.com, Gun Talk Radio, Coffee or Die Magazine, Havok Journal, THRIVE GLOBAL, Police1, Anxiety.org, Washington Post, and Psychology Today.

Other important links:

BetterHelp, the #1 online therapy provider, has a special offer for you now!

Dr. Shauna Springer's Speaking Page

Overcoming Barriers to Treatment (based on Chapter 2 of Dr. Shauna Springer's book WARRIOR):  https://youtu.be/oNUiCNDYeys

You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism or need for control which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions, long hidden away, that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Image courtesy of Pixels.

Today we’re going to focus on what people mean when they say someone they love “had a nervous breakdown.” What does that phrase really mean and is it a real thing? Or some kind of slang we’ve adopted to describe something we don’t really understand... On this episode of SelfWork, sponsored by BetterHelp, we'll discuss how someone can avoid a ‘breakdown” versus being aware of emotional stress or trauma that needs to have a place to vent – to be let go – to be released.

We’ll talk a little history as well – going back to Sigmund Freud who’s considered the creator of psychoanalysis. Some of his ideas have been refuted but some others were right on track. And certainly his term “Hysteria” is something we still see today - and still don’t completely  understand.

The listener email today is from a listener from Thailand who was confused about the difference between self-pity and depression… I talked about this in Episode 153 but called it “a victim mentality” which I think is probably more accurate. But I’ll address his specific question.

Important Links:

BetterHelp, the #1 online therapy provider, has a special offer for you now!.

The article from  British author Chris Nicholson  on Freud

The GoodReads link for "It's All In Your Head"

Acute stress disorder

Mayo Clinic’s article on nervous breakdowns

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

What’s emotional incest? (Please be aware that you could be triggered by this episode if abuse is in your past and I’ll share links to help lines.) It’s not the same as sexual incest – but can certainly cause its own type of damage. It falls within the dynamic of enmeshment but has its own definition and characteristics. Emotional incest is defined as a parent turning to a child to meet their emotional needs instead of having that relationship with an adult.  We’ll talk about how it happens and how it’s so often missed since it can appear as if all is normal, when it's not at all. And as always, we'll focus on what you can do about it.

The listener voicemail is from someone who used what she called discipline to parent but her kids have some resentment toward her. We’ll talk about what she could do.

Vital Links!!!

Click this link to try out some of the best CBD out there! Ozark Mountain Medicine's CBD products and get 10% off! 

Click Here for the fabulous offer from Athletic Greens - now AG1 - with bonus product with your subscription!

International Sexual Abuse Hotlines

Sean Grover's article in Psychology Today on Emotional Incest

Check out SelfWork  Episode 62 on being overly close to your parent and Episode 224 on steps out of enmeshment

Dr. Pat Love's book The Emotional Incest Syndrome

Don Miguel Ruiz' book The Four Agreements

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it’s available in paperback, eBook or as an audiobook!

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

I’m so delighted to be back with you in 2022! Happy New Year to all of you as we continue to work for you here on the podcast! We are growing by leaps and bounds so a huge thank you to all of you who’ve been sharing and telling your friends about your experience. Please subscribe wherever you listen and my immense gratitude to any of you who’ve left a review or rating! That lets people know we’re still pumping it out and giving SelfWork listeners what you want and need and enjoy! And I’d welcome more questions! You can use the Speakpipe app in the show notes below or email me: askdrmargaret@drmargaretrutherford.com.

This listener left a written review: “I do love listening to this podcast because it helps me feel more “normal” in my depression, anxiety, trauma. I’m 41 years old and I recognize that something is not right with me , but I bottle it up and shove it away! Thanks for sharing your experiences and help!” So today, we’re going to focus on learning how to soothe yourself - and not to bottle it up and shove it away.

The listener email asks for some perspective or support about boundaries or walls in relationships – and that’s when an apology – even a sincere one – isn’t accepted. It can be heart-breaking but I’ll offer some ideas of what she can choose to try.

So,in this first fresh episode of SelfWork in 2022, sponsored by AG1 or Athletic Greens (which was basically my first act of self-care on the very first day of 2022), we’re talking about self-soothing.

Important Links:

SelfWork Episode 227 on "Bad stuffing versus good stuffing"/ Comparmentalization

Article on repression and suppression

If you want to listen to the full orchestral piece, Adagio for Strings by Samuel Barber, here's the link.

Here's the link once again to my new interactive podcast on Fireside Chat! Click here! 

Click Here for the fabulous offer from Athletic Greens - now AG1 - with bonus product with your subscription!

Podcast on handling narcissism in relationships

Podcast on loving someone with borderlinepersonality disorder

You can hear more relationship advice and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then clickhere and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And here's another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Do you or someone you know apologize all the time? This can stem from several dynamics – if you’re in an abusive relationship currently or there was trauma in your childhood where you’ve grown up believing that the fault when relationships or events go sour is somehow all yours. There’s also the presence of anxiety or more specifically OCD, or what’s termed “the spotlight effect”. We’ll talk about all of these and more.

So we’ll talk about how to catch yourself from that unnecessary “I’m sorry” and change it into something that notices when things aren’t quite right, but doesn’t indicate a one-down position.

The listener voicemails for today share two distinct ways of thinking about aging. I wrote a post called “Turning 58” years ago now – and both of them had strong reactions. The fact that they both were sent to me in a short period of time was ironic – and it would be easy to label one “Good” and the other one “bad.” I’d like us to listen instead with compassion and see what could help both.

So welcome to this episode of SelfWork sponsored by BetterHelp – and let’s talk about over-apologizing and as always, what to do about it.

Importnat Links:

The spotlight effect research described.

Beverly Engel's book The Power of an Apology,

Therapist Sharon Martin's take on how to stop apologizing .

The Swaddle's take about where the power of apologizing lies... and why some apologize and others don't.

Forbes article on how over-apologizing can steal your self-confidence.

My blogpost on Turning 58.

BetterHelp, the #1 online therapy provider, has a special offer for you now!

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click hereand answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression has been published and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it’s available in paperback, eBook or as an audiobook!

Now there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Come celebrate with us! SelfWork is having its seventh anniversary so we're celebrating by bringing on the whole team! Please join me, Christine Mathias and John Crowley for a completely spontaneous conversation (which you'll be able to tell...) about our topic for today - the seven year itch! (Sounds appropriate don't you think?)

I'm offering seven ideas (keeping in the swing of things): three on how to avoid the itch altogether; one to use if you feel the itch to leave or to not act out what you know is best; and three more to help you keep on keeping on, growing in trust and intimacy with one another.

I'll announce the winner of Marriage Is Not for Chickens as well!

Advertiser's Link:

Have you been putting off getting help? BetterHelp, the #1 online therapy provider, has a special offer for you now!

Research Links!

Wikipedia's take on the seven year itch

Dr. DiDonato writes in Psychology Today about seven year itch

Your career and the seven year itch

You can hear more about this and many other topics by listening to my podcast, The Selfwork Podcast.  Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it’s available in paperback, eBook or as an audiobook!

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

I began this episode thinking I’d talk about ten things I’d learned from being a therapist. But I realized that almost every one of them could be their own podcast episode. Today we’ll focus on the first – not in importance, but the first that came to mind – perhaps connected with the zeitgeist of our time. The need to be right or living being certain that you are. We’ll discuss these questions: Is having the need to be right a bad or a good thing, helpful or hurtful? Is it connected with a mental or emotional condition such as depression or anxiety? How can that belief affect your relationships with others? I’ve done my research and we’ll look at it from various angles – and then, per usual, I’ll add in my two cents.

Five Major Takeaways!

• Being right and needing to be right are two completely different things. You can be right but also be humble.
• Being wrong is a means of learning. Coming to a conclusion that proves to be wrong or misguided is a means through which you figure out things that will be helpful to you. “I was wrong about that.”
• Your perspective is unique and thus has value. But it’s also limiting – meaning there are other perspectives that are valuable as well..
• A change of perspective creates growth; When you think about some of the most meaningful movies or books you’ve ever seen or read, it probably involves watching someone’s perspective change. The Star Wars series is an embodiment of this – when we watch someone cross from the “dark” side into the “light.” Or vice versa. The battle of what’s their truth – what’s their belief – and how perspectives can change for good and bad.
• Living with uncertainty is a skill.

The voicemail message for today is from a listener who’s been on disability for years and is struggling with self-worth and finding a sense of purpose, especially because her son is graduating, she’s getting a divorce so she’s facing being alone. That’s a lot to have on your plate. What would you say to her?

We'll also hear from two of SelfWork's awesome sponsors: AG1 and MagBreakthrough!

Vital Links: 

Click Here for the fabulous offer from Athletic Greens - now AG1 - with bonus product with your subscription! 

And... Click this link to order Magnesium Breakthrough with a free product giveaway and 10% off your order!

You can hear more about boundaries and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

The Forbes article on being right or being effective.

Cleveland Clinic article describing the traits of sociopathy

Take a look at this ambiguous images! 

SelfWork episode: Depression Is Not Simply A Chemical Imbalance: Part 2

Starting off in a new year, knowing it'll be filled with both challenge and celebration, it helps to think you have a solid partnership in your life. But if you have conflict or estrangement or alienation within your relationship, facing a new year can be more than daunting and certainly very lonely. Today we’re going to focus on what can cause these kinds of problems. But as usual, we’re also focusing on “what you can do about it.” I’ll use a couples therapy case from my own practice that shows that even though a problem may seem insurmountable, and like the relationship is over, there are four attitudes and actions that can help you find your way back to each other – and even to love.

Our listener email today is a very poignant one from a young man whose relationship with his mom was rocky due to her being abusive. But now she’s died of a second bout with cancer. And he finds himself pushing away others who love him, except for his two year-old child. He wants to understand his actions, and I’ll do my best to answer his question.

But before going further, let's hear from a great SelfWork sponsor - Athletic Greens who has a great offer for you - as well as bonus product! (I use this every day and it's great!)

Important Links:

Here's the link once again to my new interactive podcast on Fireside Chat! Click here! 

Click Here for the fabulous offer from Athletic Greens - now AG1 - with bonus product with your subscription!

Podcast on handling narcissism in relationships

Podcast on loving someone with borderlinepersonality disorder

You can hear more relationship advice and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then clickhere and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

How do you thrive with anxiety? Dr. David Rosemarin is our guest today who talks specifically about how to understand your anxiety as something that can help you thrive - when you work with it, and not against it.

David is the director of the Spirituality and Mental Health Program at McLean Hospital. And he's an associate professor of psychology in the Department of Psychiatry at Harvard Medical School. He studies the relevance of spirituality to mental health. His own research has identified that faith is associated with improved treatment outcomes for depressed patients who see themselves as "spiritual beings."

Advertisers' Link:

Have you been putting off getting help? BetterHelp, the #1 online therapy provider, has a special offer for you now!

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

As a therapist, I’ve been honored by many to try to help them work through their grief. And it can be raw,  cutting off someone’s ability to breathe deeply or feel like they’re even breathing at all. Or want to. But when I met met Leslie Streeter, I knew I had to have her on SelfWork. Her story, told with candor, humor and grit, is about her husband Scott's death when suddenly she was thrust into being a single mom while trying to cope with life and grief.

Leslie Gray Streeter is an author, veteran journalist and speaker. whose memoir “Black Widow,” was published in March 2020 by Little, Brown and Company. Until recently, she was the longtime entertainment and lifestyle columnist and writer for the Palm Beach Post. A native of Baltimore, Md and a University of Maryland graduate, she and her work have been featured in The Washington Post, The Atlanta Journal-Constitution, The Seattle Times, The Atlantic, The Today show, SiriusXM, O, The Oprah Magazine and more. She lives with her son Brooks and her mother Tina in her hometown of Baltimore, which she moved back to last summer. She’s a slow runner, an amateur vegan cook and a true crime and “Law and Order” enthusiast.

You can see her light and spirit in her Today Show interview. This certainly wasn't the life that she could've possibly imagined. And yet, she's made it work. And she's written a book that makes her husband come alive.

Why am I offering this conversation now? Because in entering the holiday season, not only am I aware of millions of people around the world, and almost 800,000 people here in the US who have died from Covid. So each one of those people had families and friends, coworkers and neighbors who are grieving their absence. I wanted to offer to them the story of someone who got through – who has moved forward with her grief.

So in this episode of SelfWork, sponsored by BetterHelp, it's my honor to introduce you to Leslie Streeter.

Important Links:

Here's the link once again to my new interactive podcast on Fireside Chat! Click here! 

BetterHelp, the #1 online therapy provider, has a special offer for you now!

Get Black Widow on Amazon...

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my websiteand receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click hereand answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression has been published and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it’s available in paperback, eBook or as an audiobook!

Now there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

I originally wrote this in July of 2016 in the wake of natural disasters, shootings, and tragedies overseas. I’m offering it again to you today with a few nods to what we are going through together as the world faces this pandemic. I wish you all well.

I sat down to write early this morning, and could only think of the many tragedies, caused by humans and by nature, that have been occurring for the last few weeks and months. I felt paralyzed. Broadcasters keep using the term "unprecedented" and they are right. Especially here in the United States, there are few areas where there is not division and unrest. 

How could what I have to say matter? Then I remembered a stranger's kindness, and I smiled.

We can always choose kindness. 

You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

We can always choose kindness.

During my research on last week's episode on post partum, I learned that my own state of Arkansas holds the #1 spot in the US for maternal mortality rates. I'm interviewing Dr. Zenobia Harris today, whose accolades in this field are numerous to try to understand what's not happening in Arkansas that needs to happen - and what states are doing it right and how. Dr. Harris heads up the Arkansas Birthing Project, and is an incredible force and national advocate for health equity and for improvements to family, child, and maternal health. The program as well as the national organization Every Mother Counts is reaching out to minority women and their families, who are much more likely to suffer severe medical problems both during and after pregnancy.

Thanks as always to MagBreakthrough for their sponsorship of this episode!

Advertisers' Link:

We welcome back BiOptimizers and Magnesium Breakthrough as a returning sponsor to SelfWork and they have a new offer! Just click here! Make sure you use the code "selfwork10" to check out free product!

Vital Links:

Birthing Project USA

Dr. Krystal Caschetta as a victim of severe post partum depression

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it's available in paperback, eBook or as an audiobook!

And there's another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Episode Transcript

This is SelfWork. And I'm Dr. Margaret Rutherford. At SelfWork, we'll discuss psychological and emotional issues common in today's world and what to do about them. I'm Dr. Margaret, and SelfWork is a podcast dedicated to you taking just a few minutes today for your own selfwork.

Speaker 2: Dr. Margaret

Hello and welcome or welcome back to SelfWork. I'm Dr. Margaret Rutherford, and I'm so glad you're here.

This week, we had another reminder of the seriousness of post partum depression - or the potentially fatal mixture of new motherhood and suicide.

Dr. Krystal Caschetta, an oncologist, is reported to have killed her 4 month-old daughter and then killed herself in New York.  Current evidence seems to support that she was suffering from the most severe type of post partum, or what's called post partum psychosis, where the new mother is besieged with delusions or hallucinations that can govern her behavior and lead to violence against her baby and her self. It's another set of gruesome tragedies that demands our attention because these deaths can be prevented with the right care and understanding.

I'm sure there will be more to report. And our hearts go out to that family and others who've experienced such a harsh reminder of the mental and emotional toll pregnancy can take.

During my research on last week's episode on post partum, I learned that my own state of Arkansas holds the #1 spot in the US for maternal mortality rates. I'm interviewing Dr. Zenobia Harris today, whose accolades in this field are numerous. She heads up the Arkansas Birthing Project, and is an incredible force and national advocate for health equity and for improvements to family, child, and maternal health. The program as well as the national organization Every Mother Counts is reaching out to minority women and their families, who are much more likely to suffer severe medical problems both during and after pregnancy.

What's amazing is that those statistics can be reversed with support for that mom during pregnancy - provided by who Dr. Harris calls "sister friends."  Here on SelfWork, we talk about what you can do about it. Dr. Harris is doing just that and creating a network of sister friends that are saving lives- and we want to support that mission here at SelfWork!

We want to welcome back Magnesium Breakthrough as a sponsor of SelfWork once again! In fact, Mag Breakthrough helped me avoid a side effect of another medication I needed to take for a few days simply by helping my colon function better. I love this product!

Commercial for MagBreakThrough

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Speaker 2:

So now I'd like to introduce you to Dr. Zenobia Harris, head of the Arkansas Birthing Project, and a highly respected advocate for improving the care and support that all mothers receive, but especially moms of color who are the most at risk.

Speaker 3: Dr. Harris

The Arkansas Birthing Project is located in the main office is in Little Rock, but we do have birthing projects in various counties around Arkansas and primarily in southeast Arkansas. We primarily work with African American women and women of color. Yes.

Speaker 2:

So, but tell me about how long have you been the head of the birthing project and what do y'all do and talk about some maternal mortality issues.

Speaker 3:

Well, the Arkansas Birthing Project is an affiliate of Birthing Project, USA, which is a 40 year old black maternal and child health organization that originally formed in California Uhhuh , but it was founded by a woman from Arkansas. Really? Her name is Catherine Trujillo, and she was from Moscow, Arkansas. Yeah. But she was actually working for the California Department of Health and Human Services and was spending a huge amount of money as a fiscal agent on preterm Babies Care. Okay. And so she decided to do, conduct a social experiment with several of her friends. They decided to provide support to pregnant women during their pregnancy. There were, were 10 of them, and they each got a mentee, a little pregnant woman who they provided material and physical supports to during pregnancy and social supports, and they were astounded by the outcomes.

Speaker 3:

Traditionally statistically, the young women that they partnered with should have had really poor outcomes, and they didn't. The babies were born close to term or on term, the baby's weighed more than 5, 6, 5 and a half pounds at birth. Wow. they had a non-eventful delivery, and they did quite well after birth. And so they replicated this in that community several times and ended up at one, at, at later time, actually establishing a health clinic in a really at-risk community in the Sacramento area. And this kind of just sort of spread through informal networks. The, the idea of doing this well I, I saw Catherine when she came to Arkansas about, oh, about 10 years after she had founded the birthing project. She did a, a program for the March of Dimes, and I was mesmerized by the work she was doing. And so I became involved with the birthing project at that time. Yeah. And have been, had been working on it part-time until I actually retired from my work as a administrator with the Arkansas Department of Health and have been doing the birthing project full-time now in Arkansas since 2016.

Speaker 2:

I should add, you have your doctorate in nurse practitioner,

Speaker 3:

But we what we do is we go into local communities and train community women to provide support to women during their pregnancy.

Speaker 2:

What did those in initial mentors do? Or what is that? What does that support look like?

Speaker 3:

Well we primarily focus, of course, on social supports because many of the women that we interact with are women who identify as people who fall through the cracks. Perhaps they don't have a, a permanent place to live, or they have food insecurity, or they don't, they're not seeking prenatal care for various reasons because they don't know how to access it or they don't know have transportation, all those kinds of issues.

Speaker 2:

Too Expensive. They don't have insurance. Yeah, exactly.

Speaker 3:

Exactly. And some of them don't have family members to support them. They don't have close, you know people in their lives that will provide that support during this really special time in their lives. And so, our sister friends who are our mentors, we encourage them to become really familiar with the resources in their local communities. Okay. And to work with their little sisters to access those resources that she needs to have a good outcome. Okay. We require that the sister friends work with the little sisters to make sure they get a source of prenatal care and that they keep their prenatal appointments. If they have need transportation, help them work on identifying that we encourage our sister friends not to make your little sister dependent on you, but to encourage her to be independent.

Speaker 2:

That's an important point, isn't it? Wow. Yes.

Speaker 3:

Yes.

Speaker 2:

So what about postnatal care? Because I mean, you know, last week I did this episode on postpartum depression and found out that suicide and drug overdose is accounts for about 25% of the mortality deaths. Is that right? The maternal deaths? Is that correct?

Speaker 3:

Maternal? Yes, that's correct. Mental health related issues certainly have a huge impact. And unfortunately, some physical health issues also impact our maternal mortality issues such as undiagnosed health conditions such as diabetes, right. Cardiac disease, hypertension, which can lead to eclampsia, preeclampsia, and eclampsia, and which can be very fatal. And unfortunately for many African American women it is,

Speaker 2:

I'm so sorry. And the, the couple of articles, 84% of those deaths were preventable.

Speaker 3:

Yes. That is a, that is a huge tragedy for our communities. Huge, huge, huge tragedy and a huge loss of potential of human potential that could you know, be at work in these communities helping to improve the status of our communities. So it's a, it's a huge loss that we experience when these things happen.

Speaker 2:

Yes, it is. And as well as the children they bore, you know, so Yes.

Speaker 3:

Right. And unfortunately, sometimes we lose the babies as well. You know, we have the fourth highest infant mortality rate in the United States as well.

Speaker 2:

Do we really,?

Speaker 3:

Arkansas.

Speaker 2:

Wow.

Speaker 2:

Which are the states that are doing it better? What are the states that are doing it better and, and how are they doing it better?

Speaker 3:

Well as you, you may or may not be aware many states, over 30 of our states in the United States have extended the coverage for Medicaid for women postpartum. You know, in Arkansas, their postpartum coverage cuts off for women who are Medicaid eligible after the second, after two months after delivery. Oh my goodness. Well, many states - about 30 states - have extended that coverage for the first year of life because these deaths can often occur during the postpartum period. Many of them occur during the postpartum period when women don't have coverage. And what we, what they have found is that women will put off going to the doctor because they don't have money to pay for their care. And so they put off their symptoms and they'll deny their symptoms or delay, you know, seeking care until it's unfortunately too late.

Speaker 2:

What do you know for the mental health aspect of things?

Speaker 3:

Well, I think we, we do have a real acute shortage of mental health providers in our state, as you probably are very well aware mm-hmm. , and there's some parts of our state that are worse than others. And so dealing with that, in addition to some of the stigma that is associated with seeking psychological care and support is something that we've got to address as a society.

Speaker 2:

Now, if I read some of the articles disagreed with one another about this, so let me ask you... I read in one article that the mental health problems, suicide and drug overdose were more prevalent in minority women than white women. And then another article, it said, no, they're about the same.

Speaker 3:

They're about the same. Okay. In my experience. Okay.

Speaker 2:

Okay. Yes.

Speaker 3:

Yeah, yeah. You know, we have the first trimester, second trimester, third trimester is, you know, when during the time the baby is born. Sure. And then, of course, that fourth trimester, which is the period, the immediate period after birth, actually that first year after birth of the baby. I think something that we need to make some distinctions about, or what we call baby blues. Have you heard that terminology, baby blues?

Speaker 2:

Oh, yes, of course.

Speaker 3:

Have, mm-hmm. versus postpartum depression. And I think sometimes people get those things confused. In the baby blues, you know, a little bit of melancholy and uncertainty and perhaps a little depression after birth because of all this tremendous hormonal and body changes that are occurring. If it lasts longer than two weeks, then we're really talking about postpartum depression.

Speaker 2:

And speaking of that, there is a, a, a medication that has just been FDA approved for postpartum depression, specifically for postpartum depression. Now I'm real excited about that. But, you know, my, my podcast goes well, I have listeners from all over the world, but certainly all over the United States. What, what could a woman do or, or a friend of someone who's pregnant? What are all these, is it called the Tennessee Birthing Project? Is it called the Mississippi Birthing Project? What, what are the, or the California, whatever it is, how can people plug themselves in or plug people in that they, that they know and love into these kinds of programs?

Speaker 3:

Well, the birthing project is just one of many opportunities I think we have available in our local communities to provide support to women during this really critical time. You know, there's been a lot of discussion about community doulas as well, and the supports that they provide. Yes. And I think there's room for everyone. The birthing project specifically, we identify people who are lay people. They don't necessarily have to be trained medical people, and they don't necessarily have to have any kind of certification, but we work with them and support them so that they can in turn, feel free and empowered to support a, an individual person basically like becoming a, a good friend of that person. Okay. A reliable and trustworthy friend. And Birthing Project USA, which is based out of Albuquerque, New Mexico is sort of the hub where people go to get information to establish birthing projects in other states. There are even some international birthing projects in Cuba in Ghana and other foreign nations.

Speaker 2:

Can you tell the audience what, what a doula is?

Speaker 3:

Well, a doula is an individual who is specially trained and experienced to provide to women at doing support during very critical times, either during their pregnancy, during labor and delivery postpartum. And there are even some some bereavement doulas who actually provide specialized support to real, recognize important needs that women and their families have as well. Mm-Hmm. , and to provide those supports to them to make sure that they have good pregnancy outcomes. So they are right there with women in the delivery area. They're that other voice in that other set of eyes and hands in that area and space that women need often when they're going through this real critical period, because as you know, it's very stressful and often, sometimes decisions have to be made pretty quickly, and it is good to have someone there who is very focused on the needs and the desires of the woman involved Right. During this real critical period.

Speaker 2:

Right. So if people wanted to either volunteer or donate, they could go to the Birthing Project, USA

Speaker 3:

Or the Arkansas Birthing Project if they're in Arkansas.

Speaker 2:

Sure, sure, sure. Mm-Hmm. . Well, yeah. Most, a lot of my listeners are New Yorkers and California people. So

Speaker 3:

Birthing Project USA. it's listed they do have a web, there's a website Birthing Project USA, and we'd be happy, they can indicate that they're interested in more information, and we'd be happy to get in touch with them. Arkansas has been asked to do some of the training for Birthing Project U S A because they appreciate the model that we have in our state. We're the only state that has multiple birthing projects in different counties compared to some of the other, you may have just one birthing project in one particular area in their state.

Speaker 2:

I have a sneaking suspicion that's about you,

Speaker 3:

. Well, I'm, I'm very passionate about this work. I'm very committed to it. And I just want to make sure that our next generation is prepared to provide supports that women need during this really important time in our lives. We're building our communities and we want to make sure that we get the full benefit of every person, the full humanity of every person in our communities safely delivered into this in our communities, and safely ensconced in our communities empowered to achieve the goals that God has set before them so that they can be full functioning citizens in our society.

Speaker 2:

I, I couldn't, well, very well said and eloquently said, by the way, so I'm so glad you could come on. And I hope to, again, it's Birthing Project USA or in if you live in Arkansas, it's the Arkansas Birthing Project. This is Dr. Zenobia Harris, and I'm delighted, absolutely delighted that you've joined me today. Thank you so very much,

Speaker 3:

Dr. Margaret. Can I do one more plug You regarding Every Mother Counts. Every Mother Counts has been very generous working with us. They actually have produced a film called Giving Birth in America, Arkansas. Oh. And we are encouraging people to access that film. It can be accessed on Every Mother Counts website to schedule viewings of the, of the film. And if you are interested in having a discussion groups set aside, we can certainly arrange that for you too, because we want people to talk about this very important issue of maternal mortality in our state and come together on solutions for this very important issue.

Speaker 2:

What is the name of it again? Because I will put it in the show notes.

Speaker 3:

Giving Birth in America, Arkansas, and it's on the Every Mother Counts website.

Speaker 2:

Okay. I got it.

Speaker 3:

Thank you. And thank you to Every Mother Counts too, for their support.

Speaker 2:

Yeah. They seem like an incredible organization.

Speaker 3:

Well, thank you so much, Dr. Margaret.

Speaker 2:

Of course. Of course. Anytime.

Speaker 3:

All right, let's stay in touch.

I'm sure you were as impressed with Dr. Harris as I am and was. Please reach out to her and all the organizations. Most states are gonna have some sort of support group like this as well as Every Mother Counts. That's a national organization, and I bet there are others. I know that not everyone who listens to SelfWork is from the United States, so please look around for help that you might need and benefit from. As usual, thank you for being here. It's an exciting week. My TED Talk has reached a hundred thousand views and many of you are probably those who have viewed it. So I want to thank you very much. We've got a lot of plans for the fall, and I can't wait to begin to introduce them to you. Thank you. Thank you for being here. Please take care of yourself, your family, and your community. I'm Dr. Margaret, and this has been self work.

.

When I began looking for how to shape this 200th episode of SelfWork, I wanted to share my own major self-doubts about creating SelfWork. Was I truly an expert? What if I made mistakes? But that wasn't the worst. There was one more that was even stronger... so I turned to the wisdom of Maya Angelou for some help. And I received it from her - and will share it today with you.

We’re going to talk about confronting self-doubt. We all have insecurities; even the people that don’t look like they do – do. But why does self-doubt stop some people and not others? What gives self-doubt power?

But today is also about celebrating 200 episodes of SelfWork, as I had to conquer my own substantial self-doubt to begin. Several of you sent in recordings and emails telling me what SelfWork has meant to you, and I will include a couple of them. You were kind and oh so generous. I also have an amazing team to thank - there are really no words to say how much each of them means to me. Their talents make SelfWork what is has become. And their talents and your presence will help it to grow into something even stronger and better.

But let’s get to the topic of confronting self-doubt in this episode sponsored by BetterHelp – and what can be the result. And then we’ll celebrate!

Important links:

BetterHelp, the #1 online therapy provider, has a special offer for you now!

Tribute to Maya Angelou

Article by Margie Warrell in Forbes 

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has been published and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it's available in paperback, eBook or as an audiobook!

Now there's another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Ashley Stahl and I met when her book You Turn came out – and to prepare for her interview on SelfWork, not only did I read her book, I watched a couple of her TedTalks – yes she has two! And I thought her advice was solidly based on the importance of values in choosing a career.  I saw that she’d  established herself extremely well in the entrepreneurial world, giving career advice to many world wide – while at the same time, being very transparent and giving of herself. So I wanted to feature her and her work – so that SelfWork listeners could approach their professional lives more clearly.

Here's her actual bio:

Ashley Stahl is a counterterrorism professional turned career coach, an international bestselling author, a Fortune 500 spokesperson, and expert on intuition, personal branding, and fulfillment.  Daymond John (Shark Tank, Fubu, NYT bestselling author) says Ashley’s bestseller, You Turn: Get Unstuck, Discover Your Direction, Design Your Dream Career, is “the ultimate guide to discover your path in the workforce.”  Between her online courses, subscribers, and show “The You Turn Podcast,” (with 2M downloads), she’s been able to support clients in 78 countries in self-discovery, upgrading their confidence, and finding career fulfillment.

When I asked her to be a guest host, she energetically jumped right in – which was more than meaningful for me. And I loved listening to her episode! She’s going to share eleven what she calls “mindshifts” that have been vital for her to learn in 2022 and take now into 2023. Here’s a sneak peak into her list… she’s learned the difference between a “connection” and a true relationship – the first being highly seductive perhaps but the second holding within it security and consistency , which is so needed by us all. I’m honored she’s here – as I have been with all my guest hosts!

Click Here for the fabulous offer from Athletic Greens - now AG1 - with bonus product with your subscription! 

Start fresh in 2023! BetterHelp, the #1 online therapy provider, has a special offer for you now!

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression, which is coming out in the spring in German, is available and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it's available in paperback, eBook or as an audiobook!

And send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Acceptance and Commitment Therapy (ACT) is a fast-growing therapeutic model that I wanted you here at SelfWork to know more about. So, I reached out to Dr. Diana Hill who's an expert on the technique and a firm believer/practitioner in what it has to offer. ACT seems to offer safety and structure, which of course is vital in therapy. I found her to be very real, approachable, and caring as she explains how ACT can help you see how commitment to your core values and staying in the present are so easy to lose when you're faced with struggle. And, as we like to focus on at SelfWork, what you can do about it.

Here's how she explains it: "When you are faced with life’s challenges, it’s easy to lose track of what’s important, get stuck in your thoughts and emotions, and become bogged down by day-to-day problems. Even if you’ve made a commitment to live according to your core values, the ‘real-world’ has a way of driving a wedge between you and a deeper, more meaningful life."

Vital Links: 

Dr. Hill's recently published daily journal!

Her podcast Wise Effort

Advertiser's Link: 

Click HERE for the NEW fabulous offer from AG1 – with bonus product with your subscription!

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Welcome to SelfWork's You Get the Gist, five minutes of some ideas you can ponder for the rest of the day. Today YGTG is about saying goodbye.

When I knew back in 1992 that my husband and I were going to leave Dallas and move to Arkansas, I distinctly remember a conversation I had with my therapist. I was wondering how I would say goodbye to all these friends and family that were so important to me. It seemed overwhelming. He gave me such an important way of understanding something about goodbyes that's I'd never considered - that many of us don't handle endings very well. We don't know how to grieve.

It helped me not personalize what happened next. We'll talk about all kinds of grief - and what you can learn about how you say... goodbye.

You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism or need for control which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions, long hidden away, that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

We can’t believe it! 300 episodes!!! And that’s due to your loyalty and your emails and your messages and your support and your reviews and…. well, you!   Thank you!!!

I had a topic in mind for this three hundredth episode of SelfWork. But I realized that what was on my heart and mind was how so many of you don’t think you have the time to deal with whatever depression or anxiety you might be feeling. Well I’m delighted you’re taking this next 25 minutes to listen – as today we talk about what may surprise you – that it doesn’t take as much time as you may think to do your own selfwork – or even to practice how to change your own relationship with time and yourself in the process.

It's about acknowledgement. And that takes a minute.

Then we have a little something to hopefully add a smile to your day! It's time for another blooper reel!

Vital Links! 

BetterHelp, the #1 online therapy provider, has a special offer for you now!

And... Click this link to order Magnesium Breakthrough and enjoy a whopping 42% savings!

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it’s available in paperback, eBook or as an audiobook!

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Today we’re going to cover two of the most frequent questions I hear -- how to find a therapist and how you know a therapist is right for you. The title of the episode has “new” in quotes because often what's old is new again, and that's certainly the case here!  We'll go over the seven factors that are found to make therapy the most effective it can be. What are those? Let's start out with the alliance between the therapist and the client. That's #1.

The listener email today is from a young woman who’s in a relationship with someone who seems very depressed – who has had a difficult childhood, is a child of divorce and has been very influenced by a mother who has always seen the world very negatively. Her question is about her actions are seen as intentionally malicious. The listener doesn’t know what to do and is asking for advice, as currently she feels blamed irrationally and viewed through overly distrustful eyes.

Important Links:

Episode 001 SelfWork: What Is Good Therapy

Ratings of the top ten online counseling services.

Recent APA Meta-analysis of Therapeutic Effectiveness:

Seven Demonstrably Effective Factors and Report by Tora DeAngelos

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

As many of you know, I was a professional singer before I began my journey to become a therapist and a psychologist. The only thing I knew about therapy was that I’d had lots of it and had never laid down on a couch. And that it had been extremely helpful many times. My decision was made in 1984 and I became licensed in 1993. Nine years is a long time. So, I couldn't wait to use all I'd learned in school.

But the learning actually started when I began seeing patients on my own. And I also realized that many of the things I'd experienced from being in therapy myself - made me a better therapist. So today, in this episode sponsored by BetterHelp, I'll talk about ten things that a good therapist knows to do. In fact, here they are:

1. The importance of timing. Sometimes it's better to wait.
2. What true empathy is.
3. Staying curious rather than assuming I know.
4. When to listen to my gut.
5. The vital importance of self-care.
6. When personal sharing is helpful.
7. The importance of being myself and not adopting some kind of therapeutic persona.
8. To think outside of the box.
9. How to hold a safe space.
10. How and when to use gentle confrontation.

The listener email is from a woman whose mother sends her what the listener calls “unfiltered” critical comments about her parenting – she’s caught between wanting to love her mom, but not being willing to receive the non-asked for feedback. It’s a tough place to be..

You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism or need for control which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions, long hidden away, that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Today's YGTG, or "You Get the Gist," deals not with who's right and who's wrong in the ongoing drama between Meghan Markle, Prince Harry and Great Britain's royals. Nor about the very serious allegations of racism. As a psychologist, what I'm concerned about is how this focus on talking about suicidal thinking is affecting those whose loved ones have already died by suicide, and how this could affect the way those words are recognized in the future by anyone who actually hears them. For every suicide “success” as it’s ironically labeled, The American Foundation of Suicide Prevention reports there are 25 attempts.

We'll discuss common but painful reactions from families. And we need to realize that everyone who kills themselves has thought about it before. Maybe even shared their thoughts with someone. It's so important to listen, and try to help.

Important Links:

Seven Women's stories about overcoming suicidal thoughts

You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism or need for control which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions, long hidden away, that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

 This week we’re going to be talking about couples therapy – and what misconceptions keep couples away from trying it. I can’t tell you how wonderful it is when a couple comes in WAY before there’s a crisis. But most don't. And these misconceptions are often the culprit; these six misconceptions keep couples out of therapy which also acts to help them avoid vulnerability.

What are some of these misconceptions? You're no longer in control. It takes too long and it's too expensive. Individual therapy is better than couples. And I'll also add some direct suggestions for those who might be talking about divorce.

Hope you'll listen in!

The listener email is one I won’t read. But it made me want to share a couple of my thoughts about why I do this podcast, and what I hope you take from it. And what I hope you don’t.

Advertiser's Link: 

Click HERE for the NEW fabulous offer from AG1 – with bonus product with your subscription!

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Today's "You Get the Gist" explains the four different types of narcissism. All of them share the major features of a constant need for admiration, an unrealistic sense of self-importance, a lack of empathy, and great difficulty forming meaningful relationships. What are they and how are both similar and dissimilar to one another? You'll find out more.. but they are the grandiose narcissist, the covert narcissist, the communal narcissist (I'd never heard of that one..) and the malignant narcissist. I use the excellent work of Darlene Lancer, an attorney and a mental health clinician  (link below). However, I do offer one caveat - be careful about diagnostic labels. They were historically meant to aid in better communication but often go way beyond that.

Links:

Darlene Lancer Psych Central article

Article on covert narcissism

You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism or need for control which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions, long hidden away, that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

What is optimism fatigue? Is it a new a kind of depression?

In this episode of SelfWork, I’m thinking aloud a bit with you … if what we’re experiencing is a new kind of depression – one that’s mixed in with anxiety and fatigue. What’s it called? Optimism fatigue. It may not be diagnosable, but as I’ve considered my own situation, I realize that I’m having to dig a little deeper to find comfort that I can offer to others. It’s not that I can’t find it. But it’s harder. There’s a big difference between false enthusiasm and true optimism or hope. And I’ll hope that what I’ve learned from research and then, adding in my own two bits, will guide you in your own quest for emotional balance – and even optimism.

The listener email for today is from a young woman who’s despairing about the emotional abuse she’s received from several partners – yet yearns to create a family with children. I told her that I’d be using her question today so hopefully she’s listening – I’ll do my best to give her, and you, some helpful ideas.

Vital Links:

LinkedIn 2020 question from Warren Schlichting

SelfWork episode on languishing

Optimism fatigue versus languishing

Beth Burgess on the difference between optimism and positivity

The "wanting mind" as described by Dharma Wisdom

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

.

Today in this episode sponsored by BetterHelp, we’re talking about hypnosis. Not only will I try to debunk the various myths there are out there about it, but help you understand exactly how it can work. I’ve been hypnotized several times myself and I’ll explain what I experienced.  I’ve also been trained in hypnosis so I can explain what it’s like to actually do hypnosis; what you’re watching for in the client, how you set the process up for the most success. I’ll draw heavily on the work of Michael Yapko, whose trainings I’ve attended and who’s an international expert on hypnosis and its effectiveness with depression. It’s truly a fascinating experience – both to use it in therapy and to participate in it. And I'll include the most dramatic example I've had thus far in my practice of it helping my client tremendously with PTSD.

Our listener email today is from a woman who’s talking about something we touched on in last week’s episode about sexual abuse; that one of the lingering issues can be the strong association of sex with danger or dominance or even pain. Just how do you break that kind of connection so that normal healthy sexual intimacy can be enjoyed?

Important Links:

BetterHelp, the #1 online therapy provider, has a special offer for you now!

Wikipedia description of hypnosis

Dr. Michael Yapko's definition and explanation of hypnosis

Harvard's brain scanning research using the brains of 57 people during guided hypnosis.

Article on the myths of hypnosis

A great article by  psychiatrist Dr. Aaron Kheriaty explaining the mind/body connection in BDSM.

The Body Keeps the Score by Bessel Van Der Kolk

A wonderful summary of Dr. Van Der Kolk's book

You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism or need for control which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

There are many lessons learned about grief through my work in the last 34 years of being a therapist. And today, I want to share them with you in this 439th episode of SelfWork.

Some common questions that I'll cover are:

• Is it ever “too late” to grieve?
• Does your grief mean that your faith isn’t strong enough or that you are failing?
• Is there a right way to grieve?
• Is there a right way to respond to someone’s grief?
• Do you ever get over grief?
• What’s the relationship between grief and shame?

As I often say, I feel as if I’m a conduit – a bridge – between people I’ve seen in the past and those that walk in my office today. I can try to help these present-day clients with lessons learned about grief from those seen in the past.

The listener voicemail is from a mom whose daughter is living with a man whose own mother seems to be trying to control him so that he’ll remain in the home with her – to take care of her etc. It sounds complicated for sure.

Advertisers Links:

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Manage your hormones with the help of Happy Mammoth, a leader in women's health! Go to https://happymammoth.com/selfwork to order!

Click HERE for the NEW fabulous offer from AG1 – with bonus product with your subscription!

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

A.A. Milne's character Winnie the Pooh -  Eeyore - the droopy eyed donkey who Winnie loves, has many famous quotes. But this is one of my favorites, especially when thinking about how to work through disappointment. "Weeds are flowers too, once you get to know them." Disappointment is something we all have to work through. Yet it’s important to know that you can do it - because it's one of those things that happens to everyone. Something you thought would happen, had counted on and put energy into  - won't happen. And that hurts.

So in today's episode, sponsored by BetterHelp, I'll offer seven steps to do just that. What are they?

• Grieve first.
• Start getting perspective right off the bat.
• Consider and acknowledge what your own part and what you were disappointed in is or was. That's utilizing your internal locus control.
• Acknowledge what you couldn't control, utilizing your external locus control.
•  Build back your energy, enthusiasm by choosing to do things that will bring you pleasure. And those dopamine receptors will love that.
•  Look for the windows that are opening as that door closes. Again, you might need friends to do that.
• Reassess your disappointment. Take time in the next two or three months or even six months to look back and say, “All right, how do I perceive that disappointment now?"

We'll talk about all of these - so that those weeds do become lovely enough and you can move on.

The listener voicemail is from someone who listened to my YouTube talk about enmeshment – not only has she recognized that she and her mom were highly enmeshed, now she’s obsessed with finding out information about it – and doesn’t know what to do. She has a label but now what? I’ll do my best to give her some ideas.

Other Important Links:

BetterHelp, the #1 online therapy provider, has a special offer for you now!

A great article explaining locus of control

The neurobiology of disappointment - what's going on in your brain when you're disappointed?

Another article about the lateral habenula and its role in disappointment and depression

Harvard Business Review article on disappointment

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression has been published and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it’s available in paperback, eBook or as an audiobook!

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

I’ve long been one to say to someone who’s paralyzed about the direction they see their lives going in or goals they want to achieve – experiences they want to have – to say, “Why not “and?”

After they look at me kinda funny, I’ll explain. “Why can’t you be a plumber and a painter? A mother and an ad exec?

That’s what this week's SelfWork guest has accomplished. She’s an internal medicine doctor and she’s a comic. A stand-up comic at that. Named by Refinery29 as one of the 50 Female Stand-Up Comedians You Need To Know", Priyanka Wali is a stand-up comic who also believes strongly in mind/body connection and the importance of fear in true transformation. I think you'll love this conversation!

She's also the co-host of HypochondriActor with Sean Hayes (yes the guy from Will and Grace…). I know you'll enjoy talking about her story and how you might use it as motivation for your own!

After all, why can’t life be an “and?”

Advertisers' Links:

We welcome back BiOptimizers and Magnesium Breakthrough as a returning sponsor to SelfWork and they have a new offer! Just click here! Make sure you use the code "selfwork10" to check out free product

Click HERE for the NEW fabulous offer from AG1 - with bonus product with your subscription!

Episode Transcript:

Speaker 2: Dr. Margaret

This is SelfWork. And I'm Dr. Margaret Rutherford. At SelfWork, we'll discuss psychological and emotional issues common in today's world and what to do about them. I'm Dr. Margaret and SelfWork is a podcast dedicated to you taking just a few minutes today for your own selfwork.

Hello and welcome or welcome back to SelfWork. I'm Dr. Margaret Rutherford. I'm a clinical psychologist, and I started this podcast just about seven years ago to extend the walls of my practice to many of you, some of you very interested in therapy or psychological issues, but also perhaps those of you who are a bit skeptical about the whole thing.

So, I have a great interview for today and before beginning, here's a message and an offer from AG1, the Greens mix I take every morning to get my day started on the right track. Okay... Occasionally I miss a day, gotta say that, but I try to remember every day 'cause it makes a difference.

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Dr. Margaret

I've long been one to say to someone who's paralyzed about the direction they see their lives going in or goals they wanna achieve, experiences they wanna have... They always say, "Well, I've gotta have this or this, but I've gotta make the perfect choice. I've gotta try this or this." And my question to them is, "Why isn't it an "and"? And after they look at me, kind of funny, I'll explain, "wWhy can't you be a plumber AND a painter, a mother AND an ad exec?

We don't have to limit ourselves. We can be "AND",  not this or this. And that's what our guest has accomplished. She's an internal medicine doctor and she's a comic, a standup comic, by the way, who was named by Refinery 29 as one of the top female standup comedians that you need to know. Her name is Priyanka Wali. And she's the co-host of HypochondriActor with Sean Hayes, the guy from Will and Grace that probably a lot of you know, It's a great, great podcast and I'm delighted to have her on SelfWork as a true "And" - er .

Here's one more sponsor message. This one from BiOptimizers and Magnesium Breakthrough. I use it every night just like I use AG1e in the morning. And that's my own AND,  I guess,

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Episode 356 with Priyanka Wali. 

Realize you can support self-work by supporting our sponsors. And now, Priyanka Wally,

Speaker 2: Dr. Margaret

I started off my morning by listening to your comedy routine .

Speaker 3: Dr. Priyanka Wali

Oh, which one? Which bit did you check out?

Speaker 2:  the one on your Website?

Speaker 3: The one? Oh, yeah, yeah, yeah.

Speaker 2: And I laughed. I just thought, I've known some in and out guys.

Speaker 3: . Oh man. Yeah, that takes me back. You know, I haven't, I haven't, you know, after the pandemic hit, you know, obviously comedy changed and performing in person totally changed. And I remember going back on stage in 2021, so, you know, we were kind of used to reentry, we were opening up a little bit, and the vibe was just really different. And so I've, I've slowly been getting my feet

Speaker 2: Thought about that. How was it different, Priyanka?

Speaker 3: Well, first of all, you know, having, it was an outdoor show and most people were wearing masks. But even if you're doing an indoor show, you, it's hard to see people's facial expressions if they're masked. Right? So that, you know, to me, standup has always been a relationship between the, the performer and the audience. It's a connection. And when you, you know, cover the face for obvious important reasons, safety reasons it, it sort of breaks that connection. And so what I found was that I enjoyed comedy, less enjoyed performing less after the pandemic.

And I actually took a break from comedy and I sort of went back to like, "Okay, what does bring me joy? Like, what is this really about?" And I went to France and I actually studied clowning with Philippe Goer, who's a world renowned clowning expert. And I went back to the basics of like, okay, physical comedy, like comedy with your body and not just your neck up mind voice.

And then I sort of came into singing parody songs. And that's kind of the new stuff that I'm working on now. Really? Yeah. So I'm taking my comedy and I'm turning it into more parody songs, and I've released a few small clips on Instagram. But I'm planning on releasing a longer video at some point. So that's kind of what I'm working on. And that's like part of the transformation as an artist, which is, it's an incredible journey.

Speaker 2: Well, you know and I wanna, I wanna back up and we, we kinda started in the middle, didn't we? Or I did. Yeah. Yeah. And so I wanna back up and, and talk about how you got to be, but you know, I'm a huge advocate of, of, AND kind of lives. I am this AND I'm that, and I'm something else. Mm-Hmm. . So I love that you're living your life that way. Oh, thank you. I also listened to the last podcast that you and Sean did. Mm-Hmm. . And I thought the story about your either great-grandfather or your grandfather was so touching that Wali is actually the Arabic name. Mm-Hmm. healer or helper.

Speaker 3: Yeah. Helper. Helper. Or like friend, friend of man, helper of man. Yeah. Yeah. It was a name bestowed upon us. Yeah.

Speaker 2: Incredible.

Speaker 3: . Yeah. Yeah. When I, when I learned that for the first time, and it sort of changed my relationship with my own name, you know, I always thought I didn't really have a relationship, but then once I realized it was sort of like, gifted, I was like, Wow, that's, that's, there was an identity shift and you know, there's a sense of humility and gratitude as well.

Speaker 2: You know, when you hear stories like that. My grandmother was named Emma Clayton Robinson, and I remember asking one time why was, why was her middle name Clayton? And the story was that I'm from the south, I'm from Arkansas, and her mother and father's home was taken over by the Yankees during the Civil War by a General Clayton.

Speaker 3: Okay.

Speaker 2: He was so kind to them that they, when my grandmother was born, she was named Emma Clayton Robinson.

Speaker 3: Wow.

Speaker 2: And Clayton has become one of our family names, which is just so, I don't know, it adds something to your understanding of your family and what has happened, and of course,

Speaker 3: Right.

Speaker 2: It's just, I don't know, there's something about that kind of tradition or g legacy that's just fascinating to me.

Speaker 3: Yeah. And I'm curious, do you know what, what was the name prior to Clayton before that?

Speaker 2: Well, no, she had not been. She was born and then, and then they named her Emma Clayton Robinson.

Speaker 3: Wow. Wow. Yeah. There's so many complexities to that story, because on one hand, this, this person was the oppressor. They came in and they took, you know, your family home and your land. Right. And yet they were a kind, oppressor, kind enough for us to name them after them. It's like, there's so many nuances to that, that story. It's, it's very complex. It certainly could, would be totally justifiable to bring up a lot of different set of feelings around that.

Speaker 2: Yeah, I think so. So I wanna find out about your journey. You are a physician. Mm-Hmm. , you're an internal medicine physician. Mm-Hmm. . And I think you also have training in OB obesity, is that right?

Speaker 3: Correct. Yeah. Double board certified. Mm-Hmm. double board certified.

Speaker 2:  And so, and, and then, and you know, you, you've laughed with your co-host Sean, about I really wanna be just a doctor on tv and Yeah.

Speaker 3: , I just want a small rule on Grey's Anatomy. Is that too much to ask? I mean, come on.

Speaker 2: So I would love to hear you know, there's a lot of doctors in your family and you told that story, but Yeah. How, how did you decide to become a physician? And are you, are, are you American born? Are you, were you born in India or were you born in America?

Speaker 3: Yeah, great question. So I was born in the United States, so I'm Kary Pundit. So my family originates from Northern Kashmir, and that region was actually affected by genocide as recent as 1991. And so that led to a diaspora and immigration all over the world. And my family chose the United States.

And so I was born in Los Angeles, but I actually spent some early formative years going back and forth between India and the United States up until I was age three. And so, you know, my childhood upbringing you know, my parents were doctors, their siblings are doctors. Their kids are doctors. I mean, and, and the lineage goes further up the chain. So healing was really, we would not have normal dinner discussions. You know, like the, the dinner table discussions were about, like, the cases my dad had and like, you know, all this sort of preventive medicine stuff.

And so I joke, you know, like I sort of came out of the womb holding a stethoscope. It was something that I lived, breathed. It wasn't until I went to college that I was like, oh, people can do other things. You know what I mean? And I always had an artistic side to me. And so I always loved performing arts and creative writing, and that's always been a, a very big part of my sort of soul's energy.

And at the same time, the science had also would come to me quite easily. And so I found myself you know, going through the pre-med classes and I actually was accepted into a program coming out of high school called a Baccalaureate MD program. It no longer exists, but it was a program where you basically got accepted into medical school coming out of high school.

Really? It was a, yeah, it was a very competitive program. They only took, I think like 12 or 15 people all across the United States. And so I knew, I knew out of high school that I was gonna go to med school. Yeah. And I can't say honestly though, that that was what I wanted.

I think there was a part of me that really was you know, I loved creative arts. I loved performing. And I couldn't see a path if I were to pursue medicine. But I, I grew up in a very traditional Indian family. Like, I had a tremendous amount of pressure from my parents. Like, no, you have to go to med school. Like, that's gonna happen. Yeah. And so, you know, again, because the science would come to me easily, I decided to, to sort of give it a go and give it a chance.

You know, in hindsight I wish I had taken some time off in between undergrad and med school. 'cause I went straight through. And I, I don't necessarily recommend that. I think if I had had more time to sort of develop and simmer as a human being you know, I, I wasn't really a human being by the time I went to HU Med School. I was just this concept, you know, I was so undeveloped as a person.

Speaker 2: So you followed the structure that your parents wanted you to follow, and really hadn't had a whole lot of autonomy about

Speaker 3:

That. Totally. Yeah. And, you know, it would come out in these different ways. Like I, you know, when I was a med student, I joined this local improv troupe in East Los Angeles, you know, and I would have these little pockets of things that I would do to create balance. Sure. And it's funny now because the work that I do as a, as a physician, I, I am very passionate about it now, but I think it's because I've taken much more of a an an identity that this is part of social justice activism in terms of like, what is going on right now with the current medical paradigm and you, what needs to change. I feel like very compelled now to be involved with this and to be a part of this. Because at the end of the day, we're all connected.

And I feel like I was given a set of privileges by being born into a family that, you know, was all healthcare providers on some aspect. And I feel like it would really be a, a waste to, to squander those gifts essentially. Mm-Hmm. . And so it's funny 'cause now I, I really love what I do and the way I've sort of built my life. I mean, I'm definitely not working like a traditional medical doctor at like, you know, a major hospital or anything like that. I mean, I have my own private practice and I, the way I think about healing, I would say it's, it's more consistent with like a new paradigm as opposed to the older paradigm. You know, in terms of integrated,

Speaker 2: More holistic,

Speaker 3: More holistic integrative, you know, thinking about issues from a mind body perspective as opposed to the current, you know, the current paradigm is like, you have a heart problem, you go to a heart doctor, you have a kidney problem, you go to a kidney doctor, you have a mind problem, you go to the mind doctor. It's like that. It's very disconnected and, you know, there's no more like general doctors anymore. I mean, it's like, it's a rare dying breed. And so I am really trying to bring a callback to, Hey, let's look at the whole person. Let's treat the whole person. This is not just a mind issue or a body issue. This is a mind body issue. And essentially we are all mind body spirits. Yeah.

Speaker 2: Yeah. Couldn't agree more. So I was always interested, and I remember asking my sort of, she's my manager you know, why does Priyanka wanna come on SelfWork? I mean, why does she wanna come on a mental health podcast? And I, I wanna ask you that question. I was so intrigued that, you know, and it sounds like it's very may maybe tied into this, well, one, of course, you're an example of someone who is saying, don't be, don't be governed by, you know, what other people expect of you. But make sure that you're, you're zoning in and really expressing the parts of yourself that bring you joy and, and that kind of thing. Which I think is wonderful. I didn't know if you had any history with depression or anxiety or anything like that, but it also sounds like maybe it's tied in with more of this holistic view of things.

Speaker 3: Yeah, I think, I think you're hitting the nail on the head. So, so yeah. I, I actually, I've talked about this publicly. I think there was an article in Women's Health Magazine where I actually was very depressed in medical school. In fact, I didn't realize that I had the signs and symptoms of clinical depression until my psychiatry rotation in medical training Oh. . Where I was interviewing people. Yeah. I was interviewing people who were severely clinically depressed. And I was walking away from these interviews with individuals and I was like, there's really no difference between me and this person that like, probably needs to be hospitalized. And you know, I, it was then that I, yeah. So it was then that I realized that, you know, I had severe clinical depression and I needed to be on antidepressants for a period of time in medical training.

And what, what in hindsight coming out of that, what really was going on is that I was in a very difficult situation. The medical system, the medical training system, it's actually a very oppressive system. And I didn't have the best coping skills. I didn't even know what therapy was at the time. And fortunately that's when I learned about treatments, like cognitive behavioral therapy. And I started therapy. I saw a psychiatrist and was able to get the help that I needed. And then when I graduated medical school, my depression symptoms went away and I was able to get off the meds. And I haven't had a relapse of depression to that severity since then.

Speaker 2: So it was probably very situational and that kind of thing. It was

Speaker 3: Absolutely situational. Yeah.

Speaker 2: I have the fancy title of adjunct professor at University of Arkansas Medical School. Mm-Hmm. Medical School of Medical Sciences, I think it's called mm-hmm. . And I laughed and said, I don't even get a parking place with that. So

Speaker 3: . Yeah. Yeah. And

Speaker 2: I, I teach a course that's, you know, an hour and a half in one semester or so, it's very little about psychotherapy to medical students. Mm-Hmm. who are psych psychiatry rotation. And one of my major questions is, what do y'all think therapy is? And they just kind of stare at me. Oh, yeah. Like, what are you talking about? You know, and Oh yeah, well now we've learned that this is what you do with this person and this is, and I said, you know what? You gotta throw all that out. 'cause That's not really true. Mm-Hmm. mm-hmm. . But it, it's fascinating how that the, unfortunately the medical school schools still don't really incorporate a whole lot of mental health knowledge and understanding to physicians.

Speaker 3: You know, I really appreciate you naming this because it's something I talked about. I think on one of the podcast episodes, you know, in medicine we are sort of taught that if you can't objectively identify the cause of someone's issues, like for example, if you can't get lab work Right. That can corroborate or a CAT scan or something like that, you we're, we're literally taught, or at least back when I was in med school, I was taught that you need to conclude that this is a psychosomatic issue. And once you label someone as having a psychosomatic issue, you kind of wash your hands of it and move on. What the deficit in education right now that's happening in the system, I think physicians especially need to be taught the next step. Right. If you're gonna label someone as having a psychosomatic issue, the next training is understanding, okay, well what is the emotion that's linking to that physical symptom?

Speaker 2: Well, the trauma or the Yeah, exactly. The, what's going on? Name what's going on with the patient. I, I love it. I did my dissertation yeah, my dissertation on conversion disorders,

Speaker 3: So, okay. Sure.

Speaker 2: I was, you know, bridging the gap between, for those listeners who don't know what conversion disorders are, they are disorders that are, that are psychologically based, but can can mimic mm-hmm.

Speaker 3:

Speaker 2: Make true medical problems. And I did mine on Pseudoseizures mm-hmm. , which was someone looks like they're having a seizure, but there's no actual abnormal EEG activity, so, right. Although they can be mixed anyway, enough about that. Mm-Hmm. . Yeah.

I'm always I'm so glad that more, at least there's a movement toward physicians moving there's a movement toward moving ,

Speaker 3:, a lot of movement, a lot

Speaker 2: Of movement, lot of movement toward integrative, or that's kind of this kind of medicine. 'cause I just think it's vital.

Speaker 3: Oh, not only is it vital, Margaret, I I actually am at the point in my career where I am sort of, if anyone's gonna call themselves a physician or even a healer for that matter. Yeah. and they don't have a basic understanding of this type of education. They actually have an incomplete education of how healing actually works in human beings. And so what I would love to see more of is more education for medical students, especially helping them understand how to name emotions and the effects that that has on the human body.

Speaker 2: Sure. Sure. Because isn't there research, in fact, I've read some research that says the brain actually doesn't, can't tell the difference between physical pain and emotional pain.

Speaker 3: That's correct. Actually, yes. When we experience emotional pain, it activates the same receptors of the brain. This is through functional MRI studies, it activates the same receptors of the brain as if we were to experience physical pain. Fascinating. Fascinating. Yeah. Yeah. I mean, all we're naming here again, is this is more and more evidence of how we need to move towards a mind body model, a model in medicine. And I do believe this will be the next paradigm where we start to look at human beings as mind bodies and not just bodies with minds.

Speaker 2: Right, right. Bio psychosocial,

Speaker 3: Spiritual. Yeah. Right. Yeah. Exactly.

Speaker 2: Okay, so let's switch gears. Okay.

 Talk about the clown part of you, or the funny part of you, the comedic part of you. You have a wonderful podcast yourself that's very, very popular. It's called, let me see if I can not This Hypo Dry actor Hypo

Speaker 3:

Hypochondriac. hypochondria. I'm so

Speaker 2:

Used to saying the word hypori, called it .

Speaker 3: Yeah, totally. We just call it hypo for sure.

Speaker 2: And your partner is, your partner in crime,

Speaker 3:

Is the lovely Sean Hayes, who you may know from a small show called Will and Grace tiny little show. Yeah.

Speaker 2: In fact, my trainer, I was working out this morning and I was told him who I was, who I was interviewing. He goes it did you say that her co her cohort, you know, her partner is, is Sean Hayes. And I said, yeah. Oh, I can't wait to tell my girlfriend that you're interviewing someone .

Speaker 3: Yeah. Yeah, Sean's darling. I love working with him. It's, it's been a pleasure. And I don't know when this episode's getting released, but he's currently on Broadway at the moment. So I do, I do miss him because he is, he's very, very busy on Broadway. But it has been just an absolute joy working alongside with him. Oh, great. He brings, you're, oh, thank you. Mm-Hmm. . Yeah.

It's, it's so easy to work with someone who's so lighthearted as Sean, and he brings just a lot of joy and humor and, you know, in on the podcast we're talking about, we can talk about some pretty serious things, pretty heavy things. And, you know, that that lightness that he brings, it allows us to kind of go to places where maybe we wouldn't necessarily be able to go if this was a more serious kind of heavy podcast. Mm-Hmm. , you know, it's so important when you're interviewing celebrities or anyone who's willing to share something vulnerable about creating a safe space so that people feel like they can share. And so I feel really grateful to be working alongside him.

Speaker 2: And you answer questions from listeners about, is it only medical issues that they call in about? Or is it Yes.

Speaker 3: Yeah. So people like to call in and share their medical stories. And it's been also, that has been a very, very humbling experience. You know, the, the callers that call in and the, the depths of their shares, you know, as the show has progressed, the shares have been more and more vulnerable, which we so appreciate. And what I love about the shares is that people will many times call in and say, you know, I thought I was the only person that had blah, blah, blah, but after listening to this episode, I realize I'm not, and I have it too. And this is my experience. And that's, to me is what this is really about. You know, connecting us, reminding us that we're all one people. We're one species. We're human beings, and we, we feel the same things and emotions do connect us. And I think that's so important to remember in this time of such divisiveness

Speaker 2: On SelfWork. I also love to, to answer questions from listeners. It's one of my most favorite things to do. And so it's your right. I just feel like there's so many, you know, there's this, again, research will say that there's this explosion of loneliness, and it's true and right. Staring at our screens instead of talking right to another. And so there's this sense of, I must be the only one feeling this. So, so since, since the pandemic happened, what are you doing with you? You said you went to France and you, you're doing this clowning and that kind of thing. Tell us about that part of you.

Speaker 3: Yeah. Yeah. So, you know, I think in order for me to stay balanced, it is very important that I engage in some kind of play. Yeah. And it can be formal play, like going to study clowning with a renowned clowning expert. But on a day-to-day, like every day, you know, I can't fly to France to study clowning . I do spend a, a significant part of my day. Like, I dance every day. I try and do some kind of movement, you know, especially before I start to see individuals in my private practice. You know, I may put on a song and just move my body and I get really funky and really weird, and I'll growl. I love growling and I love putting my yoga mat out and just like rolling on the floor and just like, moving and arching my back and acting like a total fool.

I mean, just like completely just like the, just an animal. But to me, I, it, it's important for me to do that every day. You know, I think we forget that we, human beings, we're animals and we're, we're, so we have to engage in somatic practices, otherwise we'll be very disconnected from our bodies. And in my own healing journey, I've noticed that the more I'm in my body, the more present I am, and the more I can give, the more I can share sort of the gifts that I have. And we all have gifts to share. And I've just noticed that the more I engage in somatic practices, it's easier for me to tap into that and play. I also consider rest to be a really important facet. I mean resting, going slow, taking naps, anything that just, again, keeps the body in flow. Mm-Hmm. . And so yeah, I'm, I'm generally a very silly person. and .

Speaker 2: You know, people always ask me, well, how do you do something so serious all day long? And I think I laugh all the time with people, right?

Speaker 3: Yeah. I mean,

Speaker 2: There's a lot to not, we're not laughing. I'm not laughing at people. I'm laughing with people that I see. We find things too, to laugh about because it's so important for them to laugh. And it's important for me to laugh.

Speaker 3: Oh my gosh. Yeah. And laughing is so, you know, there's studies to show that laughter literally will lower cortisol levels in the blood. It'll lower inflammatory markers. I mean, it's, and it's, it's just a, a really great feeling. And I think that's why while I was a resident working 80 hours a week, sure. I gravitated towards standup comedy and performing comedy. 'cause It was this one thing that I could do solo on my own terms. And it, there's an immediate feedback. You make the audience laugh like you've done it. That's the feedback. And it's spontaneous. You can't fake it. Well, maybe you can fake it, but like a real belly laugh. Mm-Hmm. really hard to fake, you know, that big old belly laugh. For those

Speaker 2: Listeners who are out there going, how do you, how do you get the courage to stand up there for five or eight minutes and try out these jokes? Because I know from, I've heard enough conversations with, with standup comedians that they, they go to hundreds of these clubs and try material and try out material, and sometimes it dies. I was lucky enough to hear Ellen DeGeneres when she was young.

Speaker 3: Oh, nice. Wow.

Speaker 2: And, and I can remember thinking, this lady's going somewhere. You know, I was

Speaker 3: In . Oh, wow.

Speaker 2: And but I know it just must be grueling. And, and I don't know, how did, how did you, how did you rake up or whatever We would say the courage to do it?

Speaker 3: Yeah. Yeah. So, you know, I was a resident and I had just broken up with a long-term relationship. So I was really going through a process where I was really just re trying to figure out who am I at the coming out of this very long relationship. And I, I sort of took some time and I was like, what is it that I really need? What is it that I really want? And I, I, I searched in and the answer was like, I, I want laughter and I want to make people laugh. And, you know, to be completely honest, standup was a morbid fear of mine. You know, it was something that I could have never imagined myself doing, but I sort of wielded it within myself. I was like, you know what, it's just gonna be a one-time thing. It was supposed to be like a bucket list thing.

Like, I'm gonna do standup once, and then that's it. And I'm writing it off. But what happened is, I was in San Francisco training, and I Google searched good place to try standup comedy for the first time in San Francisco. And the first hit that came up on Google was a laundromat slash cafe slash open mic place where people, oh, fun. They have a, they have an open mic and people are like folding their laundry while you're like, telling jokes . And yeah, the website said, this is a good place to try standup comedy for the first time in San Francisco.

So I go to Brainwash Cafe slash laundromat, and I, there were three minute sets, so I wrote three minutes of jokes. They were, I, they, now, in hindsight, they weren't funny at all, but they were all I could do at the time.

Mm-Hmm. and I go to the laundromat, I do a three minute set, it went well. And just, it happened to be that, that afternoon in the audience was a local producer who produced shows locally in the Bay Area. And he came up to me after my set, he is like, you were really funny. Like, do you wanna do my showcase? Which is in a month? No. And I was shocked. And I was like sure. And he is like, I need you to do 10 minutes and it's next month. See you next month. And so I was like, I told him, yeah, absolutely.

But in my mind, I was like, 10 minutes, I don't even have 10 seconds of good material . So, you know, what I ended up doing is I started going to other open mics so I could prep for that one showcase.

But then what happened is that at those other open mics, other comedians who had shows, they would see me and they were like, Hey, I want you to do my show. And so by the time I had that showcase a month out, I actually had all these other showcases lined up, and the next thing I knew I was, I was in it. I was deep in it. And, and the, the, it really just transformed. And then I, I was like, this is a lot of fun. I'm not gonna stop. And so I just kept doing it. And then years passed and then more opportunities arose, and then I started doing commercials. And that, you know, it turned into this whole other world. But it really originated for me wanting to face this small fear and just like seeing what would happen. I hope,

Speaker 2: I hope my listeners are listening to this because, you know, one of the things that I, that I say probably, I mean too many, too many times, is it doesn't matter where you go, it matters that you go, oh

Speaker 3: Yes.

Speaker 2: It sounds like you just said this is a fear of mine. I wanna confront it. You didn't have plans necessarily to become, you know, a standup comedian, but you just went where, you know, you went, you went in intersection and three minutes

Speaker 3: . Yes. And those three minutes literally changed my life. Yeah. And, you know, over the years, my relationship with fear has evolved. You know, it's, it's only years later that I realized, you know, when we experienced fear, and I'm not talking about the, the, the real fear. Like, if there's a tiger about to mall you or you know, a car gonna hit you or something like that, forget about that sort of fear, like actual real fear, but just sort of the existential fear that everyday fear to me. Now, when I experienced that in relation to a specific situation, I actually view that as a sign that I'm getting close to some area of transformation. Fear is a sign that you probably are doing something right.

Speaker 2: It's a flare from your unconscious mind going, pay attention, pay attention,

Speaker 3: Pay attention. Yeah. And so now when I experience fear, my relationship with it is such that I'm like, oh, it seems like this might be an opportunity for transformation.

Speaker 2: I Just love your story..

Speaker 3: Oh, thank you.

Speaker 2: What's the next?

Speaker 3: You know, yeah. So there's a coup, there's a couple of things in the pipeline. I mean I, I just wanna name to, to piggyback off of what you're saying, you know, again, when I first started doing standup, I never thought it would pivot to doing more social justice activism about better treatment for physicians treat. I never thought it would lead to educating the general public about complex medical issues in the form of a podcast that mixes comedy and medicine. You know standup really are, is kind of the trunk of the tree, but the branches led to other things. And for that, I'm very grateful. And so at this point, you know the, the podcast is taking up quite a bit of time. And we do have, it does butt

Speaker 3: it's a lot of work. It's a lot of work. And like I said earlier, I am working on a show with parody songs and singing. So I love that you sing because singing has, has also been, it's another way of performing that really uses your whole body. And so I, I'm working on that as well. And then a couple of other projects that I can't really talk about yet, but I, I'm excited to release soon.

Speaker 2:Oh, that's nice. Well, again, we'll have the link to your podcast, but say it one, because I'll probably crucify again. So ,

Speaker 3:

It's, it's HypochondriActor episodes are released every Wednesday on all of the channels Spotify, iTunes audible, you name it.

Speaker 2:Yeah. Okay. And way any other ways people can reach out to you. Yeah,

Speaker 3: Sure. You know, I'm available on social media, Instagram. You can find me at Wali Priyanka. That's w a l i, Priyanka, P R I Y Y A N K A.

Speaker 2: Okay. Well, I, I, like I said, I was up about five 30 this morning and I started, you know, and you made me laugh and you made me laugh hard.

Speaker 3: Oh, good. .

Speaker 2:That was really a fun way to start my morning. And I have loved our conversation. Likewise.

Speaker 2: If You ever wanna have a mental health professional on, just keep me in mind,

Speaker 3:

. Yeah. Yeah. I'd love to stay in touch. Well,

Speaker 2:

It's lovely to meet you. Likewise.

Speaker 3:

Bye.

Dr. Margaret Outro

I hope you enjoyed that. I could not have been more pleased that Priyanka wanted to be on the episode. In fact, we had quite a bit of schedules and reschedules and reschedules before we could get things planned. I really enjoyed talking with her. I hope I get to meet her in LA one time when I go out to see my son.

As of this recording, my TEDx has now had 112,000 views. Please go listen to it or watch it and like it if you do, I'm falling a little short on likes, 'cause I really want those to show that people are agreeing with the idea that we don't have to keep secrets. That we can be transparent even about things that are very, very hard to talk about. I hope that's what SelfWork is showing you, that I and other people can talk about things like depression, anxiety, sexual abuse, anything that happens to you with clarity so that we can act as beacons for each other.

So just go to YouTube, TEDx Dr. Margaret Rutherford, and it'll be there. You could watch it, listen to it, and if you do like it or even comment, that's even better. Thanks for being here, guys. It's always a pleasure. Take very good care of yourself, your family, and your community. I'm Margaret, and this has been.

This is the 250th episode of SelfWork. And frankly, I'm amazed. So, that made me wonder... where does willpower come from? Can you learn to have more willpower? What makes something worth sacrificing for? What can cause you to forego immediate gratification for something where you’ll obtain or earn or enjoy something in the future? Is it your “fault” if you struggle with willpower? If you’ve listened before to SelfWork, you can probably guess that I don’t believe that.. nor has that been my experience as a therapist. Yet I know there are many who walk around shaming themselves for not having “enough” willpower.

So, in this episode sponsored once again by Athletic Greens, we'll talk about what the most recent research says about willpower, and how it debunks some old ideas about where it comes from. And perhaps the most important message? A struggle with willpower is not a moral failing.

The listener email is from a woman who found herself within the traits of perfectly hidden depression and wanted to let me know what that had helped her see – and asked about conquering the anxiety of opening up.

Important Links:

Click Here for the fabulous offer from Athletic Greens with bonus product with your subscription!

The APA article on the research about willpower

The controversy about willpower research and what studies show about people with self-control.

You can hear more about depression and many other topics by listening to Dr. Margaret’s podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to this website and receive her weekly blog posts and podcasts!

If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available! And you can orderhere! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Do you sabotage relationships that have potential? Are you risk averse? Do you commit too quickly or are you passively going along with the relationship continuing? Today we're talking about several ways you can sabotage a relationship's potential or you can end in a relationship that's simply not healthy. As this podcast is being recorded when so many of us are staying home with family, we’re enjoying the strengths of the relationships we’ve built – but also perhaps bearing up under the brunt of ones that aren’t what we’d hoped they would be. Or you're home alone, wondering why certain relationships "never worked."

The listener email today is one that is very timely – and we’re going to spend a good bit of time on it -- what you’re seeing in your relationships on lockdown. It's from one woman who isn’t able to escape how there’s no sense of partnership or even enjoyment of being together.. and she's therefore lonelier than ever. She wrote me back after this episode was recorded and told me that the podcast on apathy was actually very helpful to her.

Important Links:

Episode 069 on the victim/savior relationship.

Raquel Peel's TED Talk on anticipating failure in relationships

My own podcast on combatting apathy in relationships

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Why don't you talk about your struggle with depression?

You may have lots of reasons, or excuses, or justifications. But I found out by reading the responses on (what I'm honored to say) is a viral TEDx talk, "How to recognize perfectly hidden depression", that so many of us need to know that this struggle is common - and doesn't have to be hidden.

Some of those reasons are: "It came on so gradually, I didn't notice," or, "I don't trust doctors," or "I"m afraid what will happen if I talk about a mental health struggle."

Today I answer the question of why you don't talk about your depression, and give you solid reasons why most of those justifications are just that... justifications. Not rational reasons. It' s not easy.... but there are so many benefits to seeking understanding and help.

Vital Links:

HealthLine article on common hurdles to revealing depression

Andrew Solomon’s TED talk

Ten traits of perfectly hidden depression

Advertiser's Link: 

Click HERE for the NEW fabulous offer from AG1 – with bonus product with your subscription!

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

In today's episode, sponsored by BetterHelp, we’'ll be talking about enmeshment. It sometimes can be confused with codependency, terms which some use interchangeably. We'll focus on not only enmeshed families or couples, but also parent/child enmeshment. And I'll offer seven steps to slowly and carefully begin to gain more of your independence and sense of self. Families are extremely different in how well they build safety, love and caring within the family, while also supporting each member through their own development of  unique beliefs and skills.

What are these seven steps? First you have to realize that rarely will you get permission to gain some distance. And you also have to recognize that enmeshment created within an abusive relationship has to be handled extremely - as even setting appropriate boundaries can be punished with violence.

The seven steps are:

• Realize the overt and covert rules that you are following. Write them down. .
• Realize the beliefs associated with those rules. Again, write them down.
• Acknowledge what you fear will be others' reactions.
• Understand and face your own fears of independence or self-doubt.
• Start small. Start creating those boundaries. Ask yourself, "What do I believe I'm getting by reaching out that I can't give myself?
• Then figure out a way to provide or discover those for yourself in the world apart from the enmeshed relationship.

Our listener email is from someone who was struck by one of the assignments or the what to do about it in a past episode.. she’d tried it and it had worked! I"m always delighted to hear that…

Important Links:

Article by Sharon Martin in Psych Central on codependency and enmeshment

Psychology Today article.. describing the five family structure within the Beavers Family Systems Theory

A good article on developing a safety plan before you begin separating from an enmeshed domestic violence relationship.

You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism or need for control which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions, long hidden away, that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

What happens in therapy that can be helpful? How does it work? These are basic questions that were brought to my attention during my recent interview with Lewis Howes on his podcast The School of Greatness. He and his team bring what they consider “great” ideas and ways of being to his listeners. And I was honored to be there.

If you're interested in listening to his podcast, here it is! You can click here:  LewisHowes.com. Upgrade Your Mental Health with Dr. Margaret Rutherford Ep 895.

I was intrigued with some of his questions. I sometimes forget that there are many people who don’t have a concept of what therapy is even like or what it’s purpose is. His questions grounded me in the reality most people have – that they’ve never tried therapy and don’t quite understand it. His questions dealt with shame, common reasons for seeking therapy, how I might define mental illness and are we all mentally ill, and how to recognize depression, especially if you’re a perfectionist or have trouble with denial. I figured if he wanted my answers to these questions, so might you.

Our listener email today is a from therapist who listened to that very interview and had a question about my mention of pseudoseizures – a disorder I did my dissertation on years ago -- as well as any thoughts I had on a case she was presenting.

You can hear more about therapy and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

I wouldn’t wish borderline personality disorder on anyone – it’s a truly difficult and chaotic way to live life. Yet it’s just as difficult to be in relationship with someone who lives their life on an emotional roller coaster. Today we’re going to focus on how you can set boundaries with folks who have borderline traits (I’ll also go over the traits themselves). We’ll focus specifically on having a parent with borderline PD – but these suggestions could also help if your friend or cousin or sibling suffers from the disorder. I’m pulling from some extremely well-written articles as well as my own experience with patients – and those links you’ll be able to find in the show notes..

The listener voicemail is tough to listen to and involves murder – so please realize this may be a trigger for you. It’s from a woman who’s deeply grieving her daughter’s actions as well as the deaths of grandchildren - and blames herself – or feels guilt – for not knowing how to help. I’ll do my best to answer…

Vital Links:

Click Here for the fabulous offer from Athletic Greens - now AG1 - with bonus product with your subscription!

Have you been putting off getting help in 2023? BetterHelp, the #1 online therapy provider, has a special offer for you now!

Mayo Clinic’s list of signs and symptoms

Psychology Today article, Matthew Hutson

Article by Megan Glosson from The Mighty

Books on Borderline Personality Disorder: Understanding the Borderline Mother, Stop Walking on Eggshells, and I Hate You Don't Leave Me. 

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it's available in paperback, eBook or as an audiobook!

And there's another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Episode Transcript

This is SelfWork. And I'm Dr. Margaret Rutherford. At SelfWork. We'll discuss psychological and emotional issues common in today's world and what to do about them. I'm Dr. Margaret and SelfWork is a podcast dedicated to you taking just a few minutes today for your own selfwork.

Hello and welcome or welcome back to SelfWork. I'm Dr. Margaret Rutherford. I'm a clinical psychologist and I started SelfWork almost seven years ago in order to extend the walls of my practice to those of you who might already be very interested in psychological and emotional issues, maybe you're even in therapy, would would appreciate the comments from another therapist or thoughts or to those of you who might be looking for answers. Maybe you've just been diagnosed with a mental illness or you have a loved one that you're concerned about. But also to those of you who are bit skeptical about the whole mental health thing, this is for you and I so appreciate every one of you being here.

You know, I wouldn't wish borderline personality disorder on anyone. It's a truly difficult and chaotic way to live life, but it's just as difficult to be in relationship with someone who lives their life on this kind of emotional rollercoaster.

Today we're gonna focus on how you can set boundaries with people who have borderline traits. And I'll also go over the traits themselves. We'll focus specifically on having a parent with borderline personality, but these suggestions would also help if your loved one is a friend or a cousin or a sibling that suffers from the disorder. I'm pulling from some extremely well written articles as well as my own experience with patients and those links you'll be able to find in the show notes.

I discovered a wonderful article on the Mighty written by someone with borderline who offered what I thought were creative and very helpful tips on how the individual themselves can set boundaries with themselves that allow them to slow down, be less reactive, and thus create less chaos.

The listener voicemail is tough to listen to and involves murder. So please realize this may be a trigger for you. It's from a woman who's deeply grieving her daughter's actions as well as the deaths of grandchildren and blames herself or feels guilt for not knowing how to help. I'll do my best to answer. I wanna announce that for a few weeks now, self self-work has offered transcripts for episodes which we hope will offer the hearing impaired or anyone who might wanna read the actual transcript. What I hope is that those folks who wanna do their selfwork will now be able to read it.

Before we get started, let's hear from the top online therapy provider. Better Help. Research continues to show by the way that online therapy is as effective as in-person and is far more convenient and doable for many.

I recently heard a fascinating reframe for the idea of asking for help. Maybe you view asking for help as something someone does who's falling apart or who isn't strong. So consider this. What if asking for help means that you won't let anything get in your way of solving an issue, finding out an answer or discovering a better direction? Asking for help is much more about your determination to recognize what needs your attention or what is getting in your way of having the life you want better help. The number one online therapy provider makes reaching out about as easy as it can get. Within 48 hours, you'll have a professional licensed therapist with whom you can text, email, or talk with to guide you, and you're not having to comb through therapist websites or drive to appointments. It's convenient, inexpensive, and readily available. Now you can find a therapist that fits your needs with better help, and if you use the code or link Better help.com/self work, you get 10% off your first month of sessions. So just do it. You'll be glad you did. That. Link again is better help.com/self work to get 10% off your first month of services.

So let's answer the most obvious question first, what are borderline traits? Here's the Mayo Clinic's list of signs and symptoms, and I'm adding my own comments about what that might look like in real life.

So here's number one, an intense fear of abandonment, even going to extreme measures to avoid real or imagined separation or rejection. Now when they say extreme, it can be very extreme. I once worked with a man, happened to be a doctor who'd been so emotionally abused by a wife with borderline that he was divorcing her. He drove from another city to see me because she'd follow him, threaten him with bizarre threats and leave frightening troubled notes or dead animals to try to prevent the divorce from happening. This was very serious. Now obviously she had severe borderline and borderline is on a spectrum just like everything else in mental health, but this fear of abandonment is really, really strong.

Number two is a pattern of unstable, intense relationships, such as idealizing someone one moment and then suddenly believing the person doesn't care or is cruel. So you can go from the best friend ever, the best child ever, if it's your parent, the best therapist ever to the worst, just imagine what it might be like to truly feel that way, the way the borderline feels. And of course when you're on the receiving end, and if you are a child, it's highly confusing and can feel very manipulative.

Number three is rapid changes in self-identity and self-image. That includes shifting goals and values and seeing yourself as bad or as you don't exist at all. What I've found is that questions will be asked like, do I matter at all? For example, years ago I had a client who'd leave this message on my voicemail, "Call me back if you want to."

So if I called back, I obviously wanted to reflecting that it was soothing to her that it wasn't my job to call her back, but cause I cared about her. And of course the opposite of that would be if I didn't call her back, at least not immediately, it would mean to her I didn't care and the client could even feel that she didn't exist for me. And so they can set themselves up by this need for reassurance. And also when they don't get it in the way they want it, they can feel as if they don't exist. They're not important, they're bad, whatever.

Number four is periods of stress-related paranoia and loss of contact with reality lasting from a few minutes to a few hours. Now this is the case for truly severe cases of borderline. I'd say what happens more often is that the person with borderline personality disorder frequently disassociate likely due to previous abuse.And so it's become a way for them to de-stress.

Dissociating means that your minds sort of goes someplace else and you feel like you're not really in your body. Daydreaming is a mild form of dissociating. But people with a lot of abuse in their histories, their minds have dissociated from the abuse when the abuse was happening as a way to protect themselves.

Here's the next one, impulsive and risky behavior such as gambling, reckless driving, unsafe sex spending, sprees, binge eating or drug abuse or sabotaging success by suddenly quitting a good job or ending a positive relationship. Now this trait can be confused with bipolar disorder and does have quite a few similarities, but when the mania is over, someone with bipolar disorder will see the damage as damage. Someone with borderline personality disorder may not. Most of this is due of course, to the fact that they are governed by their emotions.

So if they wanna do it, if they feel like it's an impulse at the time that they wanna do or they'll spend the money or they'll drive recklessly it's sex they wanna have, then they'll do it no matter what the impact on them is or other people.

Actually. The next one is suicidal threats or behavior or self-injury, often in response to fear of separation or rejection. This is very, very common. Cutting is often a part of this or burning yourself. Another is hitting their heads against something repeatedly. And of course what someone with borderline personality disorder might tell you is that when they cut, they're actually trying to distract themselves from their deep emotional pain. It relieves the depth of their emotional pain by feeling physical pain. Other borderlines have told me that they don't feel anything when they cut. So it is truly a dissociative, like we were talking before, it's a dissociative behavior.

Here's the next. Wide mood swings lasting from a few hours to a few days, which can include intense happiness, irritability, shame, or anxiety. Again, this really mimics bipolar disorder.

Here's a very important one, ongoing feelings of emptiness. I had the same, "call me if you want to" client tell me her soul felt like it was a black hole. In my work with borderline personality, I often used the image of creating a safe sponge in your soul. So when something positive comes your way, you can absorb it instead of being lost in that black hole and you lose the existence of whatever positivity there was. But of course, someone with borderline may also or more often absorbed the negative. That's why the sponge idea has to be linked with positive feedback.

And then the last is inappropriate intense anger such as frequently losing your temper, being sarcastic or bitter or having physical fights.

So those are the major signs and symptoms of borderline personality disorder. Now your next question could easily be how does someone develop B P D? The only answer is that its cause seems to have multiple levels, multiple facets because we don't know. It may be from early trauma, very poor attachment, never feeling safe. There are many in fact who feel that dissociative identity disorder or what used to be called multiple personality disorder is really a severe borderline disorder where in your past your safety was so compromised that you literally had to break into another sense of self or another persona to handle the stress of no safety. Think of it as something getting heavier and heavier to hold. So you have to use both hands. As the stress increases with the horror in this case, increases, your mind creates another self to help with the weight of that horror.

And so doing your mind stays more stable, although you are now "broken" into two personas. Much less severe is the person who may feel as if they morph into different aspects of themselves. Not two different names or identities, but again, those symptoms we discussed of changing values or identities is tied into dissociation so early trauma can cause it. Then there's genetic inheritance, although genetic factors are being ruled out in other areas. So I'm not sure on this one. Now these behaviors can also be learned if you had a parent with borderline, you can absorb and mimic those beliefs and behaviors. But what I really wanna say is that it's a miserable way to live. And obviously if you are a child of someone with borderline, it's very confusing and very complicated. But let's move on to trying to love and relate to someone with borderline personality disorder. We'll talk about that right after we hear from AG1.

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Okay, let's get down to setting those boundaries. Many of the authors and researchers who write about borderline personality say it's helpful to see the different kinds of people with borderline traits. If you've listened to SelfWork a lot, I did an episode a while back on the different categories of narcissism. So this is similar we should say here, and in fact I probably should have said it in the beginning. There do seem to be more females with borderline than males. The reason for that is unknown.

So let's talk about those types or categories of borderline. Christine Lawson, author of Understanding the Borderline Mother has a taxonomy of the troubled parent. There are four of them, the waif, the hermit, the queen and the witch. In a Psychology Today article, a man named Matthew Hudson writes, "The queen is controlling, the witch is sadistic, the hermit is fearful and the wave is helpless."

Why is this important? Because the way they may have of interacting with you is going to look and feel different from one another. And so each requires a different approach. Again, I'm still quoting Matthew Hudson. "Don't let the queen get the upper hand. Be wary even of accepting gifts because it engenders expectations. Don't internalize the hermit spheres or you'll become limited by them. Don't allow yourself to be alone with a witch. Maintain distance for your own emotional and physical safety. The witch is probably the most sadistic and even sociologically pathological kind of personality, and the wife don't get pulled into her crises and sense of victimization". Lawson says, "Pay attention to your own tendencies to want to rescue her, which just feeds the dynamic."

But all that said, what does loving someone with borderline personality feel like and what can you do? Often the chief of motion you have to deal with and learn how to confront is guilt.

Let's say your phone rings, you look down and her name appears on your screen. Sadly, you dread clicking over and then comes the guilt you history with her rushes into your mind as you wait for one more ring, you're reminded of all the times that you've rushed her aside, comforted her and told her you'd be there for her while realizing over time that your caring would never be enough to shore up her fragile self-worth. Or you think of how you've watched as she's made one impulsive choice after another, while blaming others, including you. For the chaos of her life, you've had to set boundaries against which she constantly pushes, ultimately accusing you of not caring when she senses your fatigue. Perhaps you've heard thinly veiled hints of self-harm followed by admonitions that she doesn't know how long she could continue like this. Maybe there are sudden unexplainable times when you felt that your love for her was reciprocated in an intense, almost intoxicating way, yet almost as quickly as it arrives, that warm glow that you feel disappears in a cloud of sudden anger or irrational disappointment that's coming at you.

Even more confusing is that others who know her in the community may adore her. They have a clue about how draining this relationship can be for you and would find your reality nearly unbelievable as she can often be quite popular and well loved by coworkers, neighbors, and even strangers. You see, structure offers her a scaffolding, a role to play, and if she's the teacher or the supervisor, she can shine, but she lacks the empathy needed for closer, more intimate relationships. What this means, again, is that with structure, someone with borderline personality disorder, when that structure is provided for her, when she knows what her role is, what her duties are, what her responsibilities are, she can follow those rules exactly and be beloved, be kind, be enthusiastic. But when she leaves that structure and has to build her own, that's where she can fall apart.

And so she's not a good mother or she's not a good friend. In fact, she could be an awful friend or an awful mother no matter who she is, whether she's your mom, your sister, your partner, your friend, you can become exhausted and your own guilt can be unrelenting. And guess what? She'll encourage that.

So what does guilt sound like inside your head? "She's my mother. She raised me the best way she could. I owe her and she's getting older and isn't able to care for herself." Or, "She's my daughter. I'll never forget the day I saw her for the first time. So tiny, so trusting, she deserves the same kind of relationship I have with the other kids", but she's not like your other kids. "Even though she's my ex, I don't know how she'd treat the kids if she felt like I wasn't there for her.She flipped out when we got divorced. I can't totally abandon her ever. It's wreaking havoc between me and my now wife who of course she detests" And one more. "She was my best friend when no one else would talk to me in the eighth grade. She was there always. So why do I shudder at the thought of simply talking with her?"

Now you can hear it. Guilt. Guilt and more guilt, In

I hate you. Don't leave me the classic book on borderline personality disorder. The author state, "The borderline shifts her personality like a rotating kaleidoscope, rearranging the fragmented glass of her being into different formations". That's what we were talking about before, right? Like a chameleon, she transforms herself into any shape that she imagines will please the viewer. That's why you can think you know her, but then when you try to develop an intimate or emotionally intimate relationship with her, all of these other traits that we talked about begin to come out.

In fact, it could actually be uncanny how well someone with borderline traits can assess your own internal struggles and use those very issues to manipulate you. For example, if you're someone who takes responsibility for your actions very seriously, she may subtly or not so subtly insinuate you're falling down on the job or question whether you know what you're doing. A lot of times if I had a borderline client, maybe I hadn't slept the night before and I was a little fatigued, and she would look at me and she'd say, "Oh, you know what? We don't have to meet today. You look kind of tired." You could hear that she's zoned in on my fatigue already and she's trying to see if I'm going to tell her, "You're right, you're not important to me. Let's call off this session". Or "Of course you're important to me even though my fatigue is showing." It's a setup, but they don't realize it's a setup.

That's what's important to know. As someone who's lived and tried to love someone with this struggle, you can only be responsible for that which you can control. I wanna say that sentence again. You may be someone who's lived and tried to love someone with this borderline struggle, but you must remember you can only be responsible for that which you can control. You've probably tried multiple times to get your loved one help. And what does she do? She stops taking her meds, she gets involved with another bad relationship, or she doesn't return your text after she's threatened suicide one more time. Perhaps she even denies that she has a problem at all pointing the finger at you and stating you're not, not trying hard enough at the relationship. So here are some steps to minimize that guilt and establish those boundaries we talked about in the title of this episode.

What you need to do is one, face the fear of your own helplessness in this relationship by predicting the most feared outcome, most likely suicide or some kind of highly dramatic action and decide how you would handle it. This sort of anticipatory grief or anticipation of the worst helps you develop some kind of armor to it. I know what's probably going to happen and I won't be as hurt by it. Number two, assess whether or not she's capable of physically hurting you. Is that a rational fear on your part? If it is, seek advice from a lawyer or in an emergency, the mental health emergency services in your area if you have any. Number three, try to objectively see the damage caused to you and to other family members because someone with borderline is not going to understand the impact of her actions. You need to journal about it and see how your acknowledgement of that may influence your future actions.

But you have to claim, yes, I've been hurt, my children have been hurt, whatever it is. Here's number four. Give her back the responsibility for her own life. For example, when she calls with another crisis, say, I know you'll find a way to cope with this and get off the phone. Again, that's giving her back the responsibility for her own life and likely she'll do okay. Now, she may call you back in 20 seconds or 20 minutes, but you just have to keep reassuring her, you know you've got what it takes to handle this. Knowing that she may respond by doing some dramatic action. That's what we talked about at the very beginning. Number five is you wanna provide empathy but not sympathy. You wanna set up strict boundaries for communication, especially around hot topic issues, and then be available. If she does indeed, follow those guidelines.

Give her feedback about the positives in the relationship and what you appreciate about her. You want to know and to remember that she's probably in many ways not realizing her impact again, but you don't wanna feel sorry for her, but you can have empathy for what that must feel like. Number six, you wanna grieve the relationship that could have been acknowledge and feel the pain of that loss. Again, journaling can be very helpful here. Number seven, realize she may never have the capacity of understanding the impact she's having on you. She's not withholding something from you, she's likely not capable of giving it. So if you stop expecting that from her, perhaps she won't get hurt. Number eight is get support from others who understand or have walked the same walk. Again, books like Understanding the borderline mother, stop walking on eggshells and I hate you Don't leave me provide great strategies.

And number nine, and perhaps the most important, have compassion for yourself.

But now quickly, I want to add in some advice from an author who has borderline personality disorder herself and offer some steps for the borderline to set their own boundaries. It's a woman named Megan Glosson, and I found this on The Mighty. So this is boundary setting for the borderline herself. You wanna maintain a two-sided conversation where you listen as well as talk. So focus on listening. You want to ask people if they have the emotional bandwidth to talk to you before you start divulging something serious or telling them how dysregulated you're coming, how upset you are. Don't answer phone calls and don't text messages during your work or sleep hours. You want to pause before you respond in conversations. When you feel yourself growing what she calls dysregulated again, upset, unstable, angry, whatever it is, you wanna take certain situations to your therapist for coaching before you simply react emotionally.

You get to practice with your therapist. I loved this idea. You wanna create a list with your family members of off limit topics or friends who don't agree with your perspective and you know you're just gonna argue about it. So there's a list of topics that you agree not to talk about. You can say no to requests that feel uncomfortable or may lead to poor decisions on your part. And then this last one I really liked. You could ask people to not use your diagnosis of borderline as a weapon or an excuse to treat you poorly. And that's exactly right. Now again, some of that may be things you're perceiving erroneously, but that's not fair for someone to say, you know, you've got borderline personality disorder, you're crazy. That's gonna go nowhere. So I thought this was wonderful advice. And from someone who knows how hard it is to live with borderline personality disorder, you can hear the pragmatism in her suggestions.

Stop, wait, think, then act. I'll end with this. When I have someone as a client with borderline personality, I'll suggest they ask themselves the question, will this likely create chaos? Now, the definition of chaos might need a little work, but overall, you want to help someone stop and wait and think through things, and that's vital to healing. And if you're trying to love someone with borderline personality disorder and if they have any sense of how their behavior is impacting you and their relationships, perhaps this is a list you want to share with them. And then perhaps you could apply the stop, wait, think, and then act to yourself.

Speak pipe message from dr margaret rutherford.com.

Let's hear from the listener voicemail for today. Again, a warning is about a murder of two children. Please don't listen if that will act as a trigger for you.

Good morning. I woke up feeling guilty this morning because I wasn't able to or didn't know how to help my daughter. At her darkest moments. She wanted to kill herself and I didn't know how to help. She ended up killing her two kids and she attempted to kill herself as well. Her relationship with the kids' father was terrible. She never asked for help. She really put up a front that everything was really good. I live in California, she lived in Las Vegas, but she never said anything and I feel really, really guilty about that. I'm very sad. So the past two years I had my two grandkids pass away, and this year my mother passed away.

I've worked with parents and even grandparents who've lost children to murder, but for the mom to kill these children, that's obviously a deep, deep illness or pathology. I could guess that maybe she was hearing voices that told her to kill. That's called psychosis and the proper term is auditory hallucinations. But there's another term for killing your children. It's called philide. The most common factors are depression, including postpartum depression, psychosis, prior mental health treatment, and suicidal thoughts. Sometimes it can happen because a mother believes death is in the child's best interest or she can have delusions. And again, she may be hearing these command hallucinations that tell her to kill. This can occur as a result of cumulative child abuse, neglect, or what's called Munchhausen syndrome by proxy. We won't go into that today. It's too long . Maybe I'll do an episode on it.

And actually sometimes it's a very selfish mother who believes her kid as a hindrance. We've recently heard about a woman who killed children because they weren't following her particular religious views where she saw them as filled with the devil. And this is the rarest, a mother who kills as an act of revenge against the child's father. But whatever the reason or the pathology behind it, it's horrific for those who've loved all of them. And this mama also tried to kill herself or it looked like she did this kind of grief that's also accompanied by absolute horror.

To use that word again, is so very complicated. I'm certainly going to recommend that this listener gets someone to talk to about the guilt she carries since her daughter didn't look sick. Then it's likely that she kept secret whatever was really going on with her. It could have been postpartum depression or some kind of depression that she hid. Perhaps more will be discovered. But until then, the guilt that you didn't see, this is something that I've seen as a part of many types of grief that occur from sudden loss. The fact is, your daughter didn't want you to see it. She didn't want anyone, it sounds like to see it or to see her. I'm so sorry for your loss and sad for all involved, but please turn to a therapist who knows how to work through this kind of trauma with you.

Thank you all for being here today. I know there are many ways you can spend your time and having you here at self-work means so very much. Don't forget my Facebook group at facebook.com/groups/ selfwork, and please leave me a rating, a review wherever you listen. I cannot tell you how important that is and how absolutely grateful I feel when I see a new review. Thank you again for being here. Please take very good care of yourself, your family, and your community. I'm Dr. Margaret and this has been SelfWork.

What are the gifts of saying no?

The word that’s often used to talk about this is ‘boundary.’ Do you have trouble saying no? Or can you identify the how, when, where, and why to say no? Or put another way, when to say yes? We’ll focus on how much of your decision-making is affected by depression or anxiety, or even personality disorders that have a huge bearing on how you decide to say no.

Our voicemail today is from a young woman whose mother is highly volatile at home – but who can be quite loving and wonderful at other times. She’d read my article on borderline mothers, and it strongly resonated with her – I’m sure some of you can also relate. It’s a very confusing family dynamic but one that’s more common perhaps than you might think. I’ll have the article in the show notes.

Vital Links:

My YouTube Channel! Click here.

SelfWork episode on people pleasing

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Click HERE for the NEW fabulous offer from AG1 – with bonus product with your subscription!

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Out of curiosity,  l listened to an older voicemail this week. It was from "this time last year." How many times have you said that to yourself, "This time last year I... " Maybe the end of that sentence is joyful. Maybe it's sad. But it's an exercise in self-reflection - which is the topic for today's SelfWork.  This particular question is a  sort of time travel in your own head and heart.

Self-reflection isn't about over self-involvement: it’s what we humans can do to get perspective and learn ways you might be getting in your own way of creating the life you want. Show you how to move out of depression or anxiety. And when you pair self-reflection with action - it can lead to healing change. 

So here are the self-reflective questions that lead to action that we’re looking at today.

• What am I needing to still learn? What have I learned?
• When do I recognize that I need to put something new in place?
• Where was I last year at this time? What did I learn? What did I find out about myself?
• Why am I doing what I’m doing? What’s my purpose?
• How do I want to put the answers to these questions in place in very real ways in my life?

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Have you been putting off getting help? BetterHelp, the #1 online therapy provider, has a special offer for you now!

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Real motherhood can certainly seem like you're trudging your way through a jungle of fears, exhaustion, and confusion - so why is it still portrayed as "easy" or "natural"? Author Annaliese Lawton's new book, Welcome To The Jungle, explores her own emotional turmoil associated with maternity coupled with life's daily struggles. Lawton is a small-town mom whose literary journey began when her Facebook post on motherhood and mental health went viral. Her post was translated in seven different languages, accumulated 80,000 shares, six million views, and eventually landed Lawton a book deal. Filled with unfiltered thoughts and perspectives on womanhood, Welcome to the Jungle isn’t just another parenting book on the highs and lows of motherhood, it will encourage conversations about topics on maternal mental health, marriage, and wellness. Lawton shares, “To say the book is about motherhood is really an underestimation. Motherhood is the backdrop against which the real story unfolds."

And thanks once again to our great sponsor for this episode, Athletic Greens!

Click Here for the fabulous offer from Athletic Greens - now AG1 - with bonus product with your subscription!

My book entitled Perfectly Hidden Depression has been published and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it's available in paperback, eBook or as an audiobook!

And there's another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Today's YGTG (You Get the Gist) is focused on self-help; can you seek out too much help? The answer is yes. Self-help can actually make some people feel inferior and ashamed, rather than better about themselves - especially if you inundate yourself with it, or are almost addicted to seeking out articles and TikTok's and Instagram reels. And... podcasts.

Even though I'm one of those people who are trying to offer my experience as a psychologist, I've often suggested to people that they need to stop looking outside of themselves for answers or waiting for just one more piece of information before they act. You can get into analysis paralysis - and time passes, and passes, and passes. And you do nothing - because you're so afraid of making a mistake.

So... if it will be helpful - truly helpful - please listen in to the wisdom of Mel Robbins and Mark Manson. But know you and only you can learn to trust yourself.

Vital Links:

Mel Robbins' five-second rule.

Great article by Mark Manson on the one thing that self-help cannot help you do.

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression has been published and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it’s available in paperback, eBook or as an audiobook!

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

There’s a psychological dynamic called approach/avoidance and it’s when something you desire has both positive and negative implications. But the same words are used in considering relationships, where approach/avoidance (or withdrawal) can lead to a true deadlock and constantly recycle itself, with misunderstanding, grief, hurt and resentment steadily increasing.

You might think of approach as being the more controlling of the two energies, especially if the approach is made in anger. But my observations have been that withdrawal is incredibly potent. So in today’s episode of SelfWork sponsored by BetterHelp, we’re going to talk about that very potency and, as always, what you can do about it.

The listener email for today is from a young woman who read a blog post of mine on perfectly hidden depression (and now has become a listener) and wants know how to find a therapist. This is probably in the top five of all questions I receive and I'll answer it today.

Important Links:

BetterHelp, the #1 online therapy provider, has a special offer for you now!

The list of the fifteen most compelling movie "goodbyes"

Article written on the Four Horsemen of the Apocalypse – defined by Julie and John Gottman, very well-known marriage researchers.

Podcast on finding and interviewing a potential therapist

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has been published and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it's available in paperback, eBook or as an audiobook!

Now there's another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

.

Manifestation has been widely dismissed as self-involved, materialistic phooey. Now, James R. Doty, MD—a Stanford neurosurgeon, New York Times bestselling author, and Dalai Lama collaborator—reveals that manifestation is rooted in science.

Throughout his latest book, Mind Magic.  Dr. Doty unveils his six-part plan for harnessing your mind’s power to change your brain structure and reclaim your agency. He grounds you in practices for neurological transformation by strategically targeting your attention, desires, obstacles, intention, passion, and expectations, so you can consciously create the life you want.

In addition to his medical expertise, Dr. Doty has the lived experience of using manifestation to revamp his reality. After he went from rags to riches back to rags, Dr. Doty overhauled his thinking to focus on being spiritually and morally centered. In turn, the riches stayed for the long haul.

Advertiser's Link: 

Click HERE for the NEW fabulous offer from AG1 – with bonus product with your subscription!

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

I first met Lewis Howes in 2019, the year Perfectly Hidden Depression was published, as I was  a guest on his incredible podcast The School of Greatness. I was flabbergasted to be asked – listen to their own description of the show!  "Lewis Howes is a New York Times best-selling author, 2x All-American athlete, keynote speaker, and entrepreneur. The School of Greatness shares inspiring interviews from the most successful people on the planet—world-renowned leaders in business, entertainment, sports, science, health, and literature—to inspire YOU to unlock your inner greatness and live your best life."

I’m certainly not one of the most successful people on the planet so how did I get on the show? One of his producers loved the book and asked me on. It was a tremendous experience. But the funny thing.. they were busy building a new studio for Lewis, so our interview took place in his kitchen, sunlight streaming into his breakfast room early in the morning. He didn’t feel well but I guess he knew I’d come all the way from Arkansas to be on – so he soldiered through. He was also kind enough to be on SW himself, talking about his early sexual abuse as a child and how that had impacted him for years. For all of his success, when I reached out to see if he could be a guest host this month (fully expecting “sorry I’m too busy”), he contacted another of his producers, Chris,  who took over. And he offered to provide my interview with Lewis from December of 2019. I was blown away! And then, there were Chris’ words.

"I first want to say that your interview on the show was actually one that deeply impacted me and how I view mental health so thank you for all the work you do in the world. I hope your upcoming surgery goes great!"

So on this episode of SelfWork, you’re going to listen in on the first half of my interview with Lewis Howes.

Vital Links! 

Click this link to try out some of the best CBD out there! Ozark Mountain Medicine's CBD products and get 10% off! 

BetterHelp, the #1 online therapy provider, has a special offer for you now!

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it's available in paperback, eBook or as an audiobook!

Now there's another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Round Two is coming your way! I had both many women and men attend the Part One of this free workshop on July 30th and their questions were both poignant and intriguing. Part One explained the potential dangers of perfectionism and what exactly perfectly hidden depression is and why it occurs. If you missed Part One, no problem! You can watch it at my website: https://drmargaretrutherford.com/workshop. 

Now in Part Two, we'll talk about working and creating new strategies to handle this need and how to become someone who can accept yourself for both your strengths and your vulnerabilities. We'll cover the five stages of healing covered in my book as well as give a sampling of exercises from the book. 

The difference between my work on perfectionism and other workbooks is I talk about "why." Knowing the why you needed to look as if your life was perfect can lead you to a true change in your outlook and entire life. I hope you'll join me! August 13th, 6:00 EST. You can go to EventBrite to register or to my website: https://drmargaretrutherford.com/workshop. I'll see you there! 

Today, I wanted to take the time before 2021 ends to answer a few more or your email questions. Your questions are so good, it’s hard not to answer them all! Today’s subjects are enmeshment, developing feelings for your therapist, maternal sexual abuse, and getting multiple forms of therapy at once – all great topics in and of themselves.

So, lots of diversity in this episode sponsored by Athletic Greens, or AG1 - and they have a special offer for SelfWork listeners that you can click below!

Important Links:

Here's the link once again to my new interactive podcast on Fireside Chat! Click here! 

Click Here for the fabulous offer from Athletic Greens - now AG1 - with bonus product with your subscription!

You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

We’re talking self-talk today on SelfWork;  What is it? And what can you do about it? A lot of people tell me they kinda “know” what it is, but haven't a clue how to change it. It feels as if it’s too elusive. How could you possibly rein in what your mind is telling you about something?

Today, in this episode sponsored by Athletic Greens, I'll offer six steps for this process. But I want to stress that it takes practice. And lots of it. So please be patient with yourself. The rewards can be incredible, but often you're trying to undo years of self-criticism that whispers almost constantly.

Our listener email from today is from someone who’s not getting over a divorce and links it with not having access to his emotions. So how do you access your emotions when it doesn't come easily for you?

Important links:

Click Here for the fabulous offer from Athletic Greens with bonus product with your subscription!

List of emotions: https://www.therapistaid.com/therapy-worksheet/list-of-emotions

You can hear more about depression and many other topics by listening to Dr. Margaret’s new podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to this website and receive her weekly blog posts and podcasts!

If you'd like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there's a new way to send me a message! You can record by clicking below and ask your question or make a comment. You'll have 90 seconds to do so and that time goes quickly. By recording, you're giving SelfWork (and me) permission to use your voice on the podcast. I'll look forward to hearing from you!

A listener left a voicemail for me within the past couple of weeks… in fact, two. Basically she asked, “I have trouble bonding with people and find myself not expecting too much. I’m in a good relationship now with my partner, but how do I get over this issue?  Can you give tips on how to start trusting myself, others and especially my parents?” I want to stress that being able to trust is about connection – about intimacy – and if you struggle with it, then you’ll not experience true connection, but isolation and fear. The good news is, as Bessel Van Der Kolk says in The Body Keeps The Score, “As long as you keep secrets and suppress information, you are fundamentally at war with yourself…The critical issue is allowing yourself to know what you know. That takes an enormous amount of courage.” Trigger warning: We’ll be talking about specific examples of abuse.

The voicemail for today is from a listener who had severe withdrawal symptoms from being on an antidepressant for year, and asks about how to avoid withdrawal problems.  Again I’m not a medical doctor but I can convey what I’ve observed clinically.

Our sponsors today are Ozark Mountain Medicine whose CBD products are the best of the best, and the number one online therapy service, BetterHelp!

So sit back and relax – get in touch with your breathing and your body (that's another hint...) and let’s learn about how you can begin to trust after abuse.

Vital Links:

BetterHelp, the #1 online therapy provider, has a special offer for you now!

And... Click this link to try out some of the best CBD out there! Ozark Mountain Medicine's CBD products and get 10% off! 

An article by Darius Cikanavicius that offered us a great way to organize our discussion and I'd highly recommend it!

I"d also recommend reading Bessel Van Der Kolk's The Body Keeps The Score for wonderful practical and conceptual advice on healing from abuse!

A SelfWork YGTG on pharmacogenomics testing

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression has been published and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it’s available in paperback, eBook or as an audiobook!

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Norman Lear is someone whose work, talent, and creativity I’ve admired for a long time. I've used an interview that he gave before he died as my inspiration for this episode, when he said about his own mortality, "It's not the going... it's the leaving that's hard."

So today on SW, we’re going to focus on endings and grieving and three facets of grief that may be surprising:

• When grief is harder the second year and facing the future is hard
• When your grief means that you fear risking loving again
• When grief is characterized by "counterfactuals" - "what if's" for example - that keep you paralyzed and living the same life you did when the deceased was alive

Our Speakpipe voicemail today is from a daughter who’s looking for answers for her mom – after her mother has moved in with her own mother (the listener’s grandmother). “She feels a heavy energy…”. And asks how I can help…

Vital Links:

What are counterfactuals and how do they keep you stuck in grief?

“The reality is that you will grieve forever. You will not ‘get over’ the loss of a loved one; you will learn to live with it. You will heal and you will rebuild yourself around the loss you have suffered. You will be whole again but you will never be the same. Nor should you be the same nor would you want to.”
― Elizabeth Kubler-Ross and David Kessler

Advertiser’s Links:

Have you been putting off getting help? It's 2024, and BetterHelp, the #1 online therapy provider, has a special offer for you now!

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

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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 objectively. Today I'll describe the major characteristics and what patterns of behavior someone who is in a relationship with an emotional martyr may observe.

This episode is airing on what is an important day for me. Perfectly Hidden Depression, my book on breaking free from damaging and destructive perfectionism,  is available as of today in both paperback form and as an ebook or Kindle. You can read more about it and order here! 

To celebrate, we’ve updated SelfWork a bit – a new cover and a slightly new name, The SelfWork Podcast. Simply a freshening up of what has become one of my favorite ways of reaching out!

Today's listener email is from a young mom who is struggling with depression after the birth of her fourth child, but she's calling it "yearning to be alone." We'll talk about how postpartum depression can be something you shame yourself for, rather than for the condition that it is.

Important Link:

Article from Your Tango by Nancy Carbone

You can hear more about perfectly hidden depression and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

How much do you count on people "liking" or "following" you or the videos you put on Instagram, FB or TikTok?  And are you really happy or does your life appear to others as happy? Is your self-esteem found in the present or does it lie in the amount of positive attention something gets on social media? This of course is part of creating the persona of perfectionism that I stress in my work on perfectly hidden depression. But today, we focus on the three components of true happiness and how to add happiness to almost any experience you have: Positive psychologists say that all you have to do is add pleasure, challenge or meaning - and happiness will arrive.

The listener email today is from someone who suffered childhood neglect and knows it’s affecting her relationships in her adult life. I’ll hope to help out where I can.

Hope you enjoy this episode on true happiness - sponsored by BetterHelp.

Important Links:

BetterHelp, the #1 online therapy provider, has a special offer for you now!

Victoria Garrick's  TedX Talk “The Hidden Opponent”

Anuschka Rees' Article on three components of true happiness

Episode 124 of SelfWork: Learning From The Voices of Childhood Neglect

Psychology Today article by Dr. Grant Brenner:

You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism or need for control which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

We’re talking about sexual abuse today – to be more specific, the horrors of marital rape. Please if you have any kind of history of abuse which many of you I’m sure do – please listen cautiously as the facts of the case could be highly triggering for you. For international abuse hotlines please click here.

You may have heard about the French woman, Gisèle Pelicot, who was the victim of multiple rapes – by multiple men including her husband – while drugged. This occurred over several years. All men were found guilty.

I know many men who voice their horrors of marital rape, or any sexual violence. And I’ve worked with male victims of sexual abuse. Yet women live with fear every day – that the simplest of choices, like turning on a light when you get into your apartment or making a choice to jog a different way home – as now, if someone was watching you, they’d know where you live or they’d get you alone. The fear is constant for girls and women, and often occurs in marriage and families.

Our listener voicemail is from someone who finds that she’s mimicking the very harsh anger she’d heard from a parent - and hated – so what’s going on when you begin to do what you don’t want to do or become who you don’t want to be? She’s taken the first step of awareness and hopefully I can suggest the next ones.

Vital Links:

The Independent (Great Britain) article on the Pelicot case/arrest

HuffPost article by a victim of rape in response to the Pelicot case

Guardian article challenging the idea that "rape is more about power than sex" 

Psych Today article in 2022 giving marital rape statistics

Advertiser's Link and Special Offer:

Have you been putting off getting help? BetterHelp, the #1 online therapy provider, has a special offer for you now!

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

There’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

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's conditional love, when love will be withdrawn if certain expectations aren’t followed. The boundaries or expectations themselves are manipulative, but often don't feel like they are. Why? Because they're couched in terms of "closeness" or "loyalty." I'll give several examples of conditional love and you can see if you recognize it in your own life.

So your selfwork today is to look at the boundaries in your own relationships. Are the boundaries clear and respected, or perhaps not so much?

The listener email for today is from someone who defines herself as a "people pleaser" and asks how she can change that particular pattern.

Important Links:

John Amodeo in Psychology Today

You can hear more about love and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click hereand answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depressionwill be arriving November 1, 2019 and you can pre-orderhere! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

My dad used to say to us as kids, “Your rights end where someone else’s nose begins.” And that’s where I began learning about boundaries. Psychological boundaries are those that define where your own personal limits are as to what is emotionally harmful, and what is not. And that is unique to every individual. We'll ask these questions: What makes a boundary necessary to voice? Or there “understood” boundaries? When does a boundary have a positive effect and when is it not? How is a boundary different from an demand? Or is it? What is your recourse if a boundary you’ve set and explained is continuously ignored or blatantly defied

The listener email offers has a great question about how a history of an ex with a pornography problem and the underlying deceit can have an effect on future trust and self-confidence. She’s asking for help – what can she do?

You can hear more about boundaries and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Do you feel guilty for not doing enough? Many people do... the problem is known as productivity guilt. But as always, there's something you can do about it.

Today on SelfWork Dr. Margaret offers nine helpful reminders that can guide you away from this guilt, so that you can stay on task and realize your goals.

Here they are:

One: Attaining goals isn't immediate. It takes time. Two: You can't avoid risk. Three: Your belief in yourself will wax and wane. Four: Life is a process not a product. Five: Ask for help if you're struggling. Six: Be aware of the impact of those around you. Seven: If you're in an overly controlling or abusive relationship, realize it. Eight: Have a growth mindset and know you can learn. Nine: Realize if your goal aligns with your values.

The listener email for today focuses on when trust is lost and what it takes to regain it.

Vital Links:

Dr. Mark Traverse's article in Psychology Today on productivity guilt

Trauma Bond Episode on SelfWork

My TEDx : How to Recognize Perfectly Hidden Depression

Advertisers' Link:

Have you been putting off getting help? It's 2024, and BetterHelp, the #1 online therapy provider, has a special offer for you now!

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

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Today's episode has been chosen by my audio engineer and producer, John Crowley, as one of this favorite episodes which earns the status of "good enough for a second time around" slot. And boy, does shame cause problems.

People often come into therapy saying things like, “I’m afraid I’m wasting your time, “ or, “I don’t know why I can’t pull myself together, “ Or, “If I believed in my faith and God enough, I wouldn’t be here. But because I am, I’ve failed.”

I know – without a doubt – I’m listening to shame talking.

Here are the ten most common birthplaces of shame you've never deserved... but carried with you. And it's time to challenge any voices that tell you differently.

• You were treated like an object through physical or sexual abuse.
• You were neglected and your most basic needs were intentionally unmet.
• You were valued only for external attributes or achievements, not for who you were.
• You were put on a pedestal or smothered, so you lack a sense of true security in yourself. Instead, you could “do no wrong.”
• You were put in charge as a child, did the best you could, but ultimately felt as if you failed.
• You were pulled into adult conflicts/dynamics that you couldn’t fix.
• What hurt you was invalidated or you feared rejection if you revealed your true self.
• You weren’t allowed to want/be/talk/think differently than your parents.
• You grew up in a family where nothing made rational sense and rules were always changing.
• You were compared negatively to others.

The listener voicemail is from someone who’s been diagnosed with Bp 1, 2, and then BPD, and has become overly reclusive. But what may be a major impediment to becoming more successful professionally and personally is his tendency to take what others say too personally – and building a wall of resentment toward them.. At the same time, he has friends and family who are supportive – so what’s going wrong?

Vital Links:

Here's the link to my course Perfectly Hidden Addiction on April 5, 2023 at 9:00 CST! Great for CE but also for information!

Click Here for the fabulous offer from Athletic Greens - now AG1 - with bonus product with your subscription!

And Click this link to try out some of the most potent CBD out there (And the best bang for your buck!) ! Ozark Mountain Medicine's CBD products and get 10% off!

Excellent article on 17 shaming states children hear in shame-based families by Doran Lamb

BetterHelp''s extremely helpful article illustrating how to find a Certified DBT Therapist

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression has been published and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it’s available in paperback, eBook or as an audiobook!

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Photo by Mathias Reding.

Today, SelfWork is featuring Stanford psychiatrist Dr. David Spiegel, one of the world’s most respected and published experts in the field of hypnosis. And if you think hypnosis is some magic trick, you don't know what true hypnosis is. What’s often relegated as a sideshow is actually the oldest form of Western psychotherapy and a powerful evidence-based treatment for numerous disorders.

Dr. Spiegel is aiming to break the stigma around hypnosis and introduce its clinically backed power to the masses. He’s treated 7K+ patients suffering from chronic pain, insomnia, mental illness, eating disorders, addiction, and more with hypnosis, and cofounded self-hypnosis app, Reveri. The app offers personalized, guided sessions that mirror the experience of in-person sessions with Dr. Spiegel––and it works. Over 90% of users feel the immediate, impactful relief.

And you, the listeners of SelfWork, can get TWO free weeks to try out this new app! Just use this link: https://reverihealth.app.link/selfwork. I'm using it and I can see and feel changes already. And by the way, there's no financial gain for me if you try it out. I've featured this app and Dr. Spiegel because I believe it can help some of you - and it's what you can do about it.

SelfWork Merchandise!!! 

Get your SelfWork merch here on Zazzle!

Vital Links:

Link for your two week free trial of REVERI! 

Advertiser's Link: 

Click HERE for the NEW fabulous offer from AG1 – with bonus product with your subscription!

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Radical acceptance is a termed that describes a way of being - acknowledging the reality of what is happening rather than fighting it emotionally and thus, causing yourself, and perhaps even others, more suffering. I very much like a Carl Rogers quote that Tara Brach, author of the 2003 best-seller, Radical Acceptance, used in her book; “The curious paradox is that when I accept myself just as I am, then I can change.” Radical acceptance takes that idea even further – that accepting what happens in your life also brings a much greater ability to cope rationally with it.

The listener email is from a therapist who’s dating someone who sounds severely depressed. And she doesn’t know what to do. I’ll see if I can come up with a couple of ideas for her – and all you “helpers” (and I’m one of them) get helped yourself.

And this episode is once again sponsored by BetterHelp!

Important Links:

BetterHelp, the #1 online therapy provider, has a special offer for you now!

Blog post about empty nest called Separate Houses

Article by Margarita Tartaskovsky in Psych Central.

Excerpt from Radical Acceptance by Tara Brach

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has been published and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it's available in paperback, eBook or as an audiobook!

Now there's another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Here at SelfWork, we focus on what you can do about it - right? I preach and I encourage all of you to figure out the one thing that’s in your control and make a change that will help you with your sense of wellness. Like all of you, I laugh at memes and try to take myself with a grain of salt. Usually, I think I’m pretty good at this… but not the last few weeks.

I’ve been in the dumps.

So today we're going to spend some time talking about being in the dumps and the slumps - as well as getting over the humps (the murky middle of a journey where you can lose sight of hope. And as always, "what you can do about it."

Our Speakpipe voicemail of the week is from a woman who checks in with my website and left a message there – which all of you can do at drmargaretrutherford.com! Love her question about whether to “let someone with apparent BPD” know that you’ve learned what they did in a fit of rage. It feels like you’re keeping a secret.. and a powerful one… But what makes it so powerful? That’s where my answer will lie – how does this voicemailer want to use that power?

Advertisers' Links:

We have a brand new sponsor of SelfWork - moonbird. What is it? It's the world’s first, tactile breathing coach designed to fit in the palm of your hand, which provides real-time biofeedback. Created for those grappling with stress, anxiety, autism, or insomnia, it's a compact device that aids users through soothing breathwork exercises. For their special Black Friday offer of 20% off (November 20-27th, 2023) or 10% off after Black Friday, click here and use the code SELFWORK!

Have you been putting off getting help? BetterHelp, the #1 online therapy provider, has a special offer for you now!

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

I’ve had many people tell me over the years that they feel free to tell me things because they know I cannot tell anyone else. That’s true of course- unless I believe that there's imminent danger of some kind to them or someone else. But I don’t think of my role as that of secret-keeper. Instead I think of a therapist as offering safety rather than secrecy. Part of the safety is the secrecy – but of course, in abusive or manipulative relationships, secrecy is often used with malintent. So today, we’re going to talk about secrets.

Here are the questions we'll answer!

• What are the most common secrets?
• Why can some people not keep a secret or why are they a tattletale or a gossip?
• What’s the difference between secrecy and privacy? Or secrecy and confidentiality?
• Is it true that when something is kept secret from you, it has no impact on you?
• What’s the difference between Secrecy and manipulation? And secrecy and abuse?

The SpeakPipe voicemail for today is from a woman who revealed childhood sexual abuse to her sister; her abuser was a brother, 8 years older than she. Sadly, the sister has withdrawn from her – and now she’s asking me what she should do. What would you say?

Vital Links: 

Click this link to try out some of the best CBD out there! Ozark Mountain Medicine's CBD products and get 10% off! 

Click Here for the fabulous offer from Athletic Greens - now AG1 - with bonus product with your subscription!

Episode 217 on sibling sexual abuse

Interview with Michael Slepian about his new book on secrets

Psychology Today article by Michael Slepian

Why some people can't keep a secret...

How you can tell someone is lying.

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression has been published and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it’s available in paperback, eBook or as an audiobook!

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

"I want this over!!"  is being shouted from the rooftops by many after this round of holidays held little release from the sacrifices we are all making. But pandemic fatigue can easily morph into pandemic burnout, meaning that whatever skills you’d been using to dig a little deeper or find some laughter or hope – those skills are maxed out . It's easy to take frustration out on the person who's your pandemic partner. And the three facets of burnout - excessive fatigue, detachment  and cynicism, and a feeling of lack of accomplishment - can too easily be focused on your relationship. So in this episode of SelfWork, sponsored by BetterHelp, we'll also focus on four considerations that might help you realize that the pandemic is dramatizing what are fairly normal facets of long relationships.

What are these four considerations?

1. Realize the problem could lie with you as you might've become clinically depressed.
2. Be aware of how others might be negatively impacting how you think about your partner.
3. Consider which of your disappointments in your partner are tied in with things you love about them. You don't get one without the other.
4. Recognize that you might not be "in sync" with one another, living almost parallel lives, and try to listen and respond more kindly and lovingly.

The listener email is from a mom who’s confused about her children saying she’s coming across as needy when she feels all she’s doing is letting them all know she’s thinking of them and praying for them. So I’ll answer her as best I can – and you can decide what you think as well!

Important Links:

BetterHelp, the #1 online therapy provider, has a special offer for you now!

. An article in EveryDay Health talks about pandemic fatigue

Find out how pandemic burnout is defined in this article in New Scientist

Article on Intimate Partner Violence and how the pandemic has affecting hotline use

From Mom to Me Again: Wonderful book on managing empty nest .

You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism or need for control which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

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Today we’re focusing on your choice to be transparent and how it can be important in your mental health. Self-transparency. Think of it like this – if you put a lot of energy into covering up – into not allowing anyone to see your own struggles. There can be repercussions from that. You’re living in fear of being known – of being seen. What are you so afraid of people seeing? And what would have to happen for you to risk transparency?

The SpeakPipe voicemail is from a listener who wants to know how she can determine her own diagnosis, if it’s CPTSD or BPD. She’s worried about her own kids – so I’ll do my best to answer her. But let’s just say – anyone who’s concerned about their impact on their children already may have my vote as NOT having BPD – but we’ll talk more about that dynamic.

Advertisers' Links: 

Click HERE for the NEW fabulous offer from AG1 – with bonus product with your subscription!

Have you been putting off getting help? BetterHelp, the #1 online therapy provider, has a special offer for you now!

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Warning: This episode could act as a trigger due to its topic. Please listen with caution.

The murders in Uvalde, Texas this week may pull for many different reactions to such senseless violence. And the unbelievable but very real fact that children were once again targeted makes it even more devasting. 

I humbly offer these suggestions to you to help you make sense and give direction to your own swirling emotions as well as the way to talk to your children about how they might be feeling.

• Look around you and do something you have control over.
• Talk to your children. Allow them to share and work through their feelings and guide them to focus on an act of kindness toward others.
• Journal your own feelings but couple that expression with a plan, no matter how simple.
• Ask for help if you need it.
• Use your anger or anguish not as a weapon, but as motivation.
• This is trauma. Know that you are being affected. And that the only healing direction is through the feelings that you have. 
• And as always, take very good care. Of yourself, your loved ones, and your community.

You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my websiteand receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Dr. Kristina Kiefer reached out to me recently. Her email was simple and to the point. "I’m in vet med and veterinarians are in trouble." I was intrigued and looked up some statistics on my own. Nearly 400 veterinarians died by suicide between 1979 and 2015, according to a CDC study published in January that analyzed more than 11,000 veterinarian death records in that timeframe. The study also found that female veterinarians are up to 3.5 times more likely to kill themselves than members of the general population.

She then introduced me to her friend and colleague, Dr. Kimberly Pope-Robinson who has spoken many times about this subject and is the author of the book “The Unspoken Life”, detailing what vets need to do to stay stable. I can tell you these two are a dynamic duo and told me things about the vet profession I’d never have believed.

Even if you’re not a vet, many of us have pets and put our trust in them implicitly. Or so I thought. What vets contend with on a regular basis – from completely erratic schedules to problems with the people who bring their pets – or sadly, dump their pets on a vet. I do want to give a trigger warning for any of you who might be pet lovers – some of what they discuss might anger you. But I was also delighted to learn of efforts to help these animals who have no voice. But also to support those in vet med in their own mental health struggles. You might think it’s euthanasia that’s the problem. But it’s much more.

So in this episode, sponsored by BetterHelp, let's learn more about the life of someone in vet med and the struggles they have.

Important Links:

BetterHelp, the #1 online therapy provider, has a special offer for you now!

Statistics on veterinarian suicide

You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism or need for control which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions, long hidden away, that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

A  few weeks ago, a patient looked at me and said, “I realized that what I needed  - I’d had all along. It’s like the ruby red slippers. You simply have to know their power and your own power.”

I haven’t been able to get that notion out of my head since that session. We all have the capacity to learn, to understand, to see and to have confidence in ourselves - but we can sabotage and discount our strengths, values, talents, and gut feelings. In this episode, I decided to trust my own red slippers in this episode, sponsored by BetterHelp, and allow my own mind and heart to create a list of ten things that can build self-confidence - and with humility I bring it to you.

This is Movember – the month where men’s issues, specifically in the way so many disregard their medical and mental health, are highlighted by men growing mustaches – in a light-hearted but very sincere attempt to throw light on men. Thus the listener email is from a man who writes that he’s begun having symptoms of anxiety and panic at a time when he and his wife are having troubles and she wants a separation.

Important Links:

BetterHelp, the #1 online therapy provider, has a special offer for you now!

You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Photo by Lisa Fotios from Pexels.

This episode is my response to a review that was left on SelfWork this week. They write, “Thank you for taking the time to make this podcast. I’ve tried therapy at least five times in the last ten years for anxiety, depression and grief. I could never stick with therapy. But since discovering your podcast and binging on the episodes that resonate, I feel much more confident about taking on therapy and more modern treatments, and much more informed. “

So, on this episode of SelfWork sponsored by Athletic Greens,  we'll focus on why you might tend to quit therapy – or at least the reasons you give.  And my recommendation is to think through the "why" of your desire to leave the relationship. This issue may be more complicated than first thought.

Tied in with that, what are the roles therapists can play? Or what are the different structures for therapy? If you know these roles, you’ll walk into the relationship realizing all it could be – and make sure you and your therapist are headed in the direction that you understand and believe could be helpful.

The listener email is short and sweet.. and has to do with getting over “hard feelings.” I appreciated this question in its simplicity. Hard feelings are something that can stick around for a. long time and cause the feeler of them much more harm that whoever they’re toward. Or whatever they’re about. So, I can’t wait to dig into that one.

Important Links:

Click Here for the fabulous offer from Athletic Greens with bonus product with your subscription!

And join me for a real chat - you and me talking! Click here and request permission to access Fireside!

A wonderful article by Ms. Griffith and Good Therapy on five reasons for quitting therapy. I used this article as part of the scaffolding for my own comments and it's a great article.

You can hear more about depression and many other topics by listening to Dr. Margaret’s podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to this website and receive her weekly blog posts and podcasts!

If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available! And you can orderhere! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Today we’re going to talk about embarrassment. I was listening to Brené Brown's relatively new podcast called Unlocking Us and heard her use a term I didn’t know. The term was self-conscious emotions and embarrassment is one of them. In this episode sponsored by BetterHelp, we'll cover how young you are when you can feel embarrassment, what you can learn from failure, and the positive aspects of embarrassment. You might be surprised!

I’ve often said you learn a lot more from failure – and I personally have done just that. But how does it get to be something you can learn from rather than something you must avoid at all costs? Why is it that some people cannot tolerate being embarrassed and thus live extremely risk averse lives?

The listener email today is from a woman who only recently revealed sexual abuse to her therapist – before not even deeming it important enough to discuss - and how those revelations are changing her for the better.

Important Links:

BetterHelp, the #1 online therapy provider, has a special offer for you now!

A Time article featuring Brené Brown's answers to ten questions

Dr. Michael Lewis’ research on embarrassment and child development

Tyson Hartnett article on fearing failure

Article in LifeScience by Remy Melina  about positive aspects embarrassment

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has been published and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it's available in paperback, eBook or as an audiobook!

Now there's another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Warning: This episode uses examples from the lives of real people who’ve been bullied by their own parents. So please listen with caution. Here  are a couple of numbers, one for the sexual abuse textline in the US and one for the US National Suicide Hotline.

In this episode sponsored by BetterHelp, we’re going to talk about bullies that might be in your life today. Or from your past. What makes someone a bully? Is being a bully a diagnostic category? And as always, what can you do about it and how can you heal?

The listener email is from a young woman who sounds to me as if she has, sadly, gone from the frying pan into the fire, and chosen a familiar pain – one that she felt in the biological famly, and now playing that out with the family she married into.

Important Links:

BetterHelp, the #1 online therapy provider, has a special offer for you now!

Story line of Toy Story 3 -

Teaser for  Mean Girls

Teaser for Wonder

Episode 139 on borderline and narcissistic personality disorder.

Blog post on domestic violence and the difficulty in leaving.

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it's available in paperback, eBook or as an audiobook!

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

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Hello and welcome again to SelfWork! We've got one more week until we're back live!  But I've chosen some of the most popular episodes to listen to a second time around! And of course, today's episode is one very close to my heart.

What’s the difference, or is there one, between Perfectly Hidden Depression and what’s called high-functioning depression? I’m particularly motivated – in fact very sadly motivated – to talk about it because of an email I received this week from a woman whose husband killed himself. He was in his early 40’s. And no one could believe it. He had a perfect-looking life. Children he loved, a career he felt excited about, friends and family that loved him. Yet he couldn’t communicate his darker emotions, emotions that would lead him to suicide. We’ll talk about the difference – and why that difference matters. In fact, why that difference has to be understood.

The listener email will feature the woman who wrote me about the sudden suicide of her husband, and I’ll answer her questions concerning where to go from where she is.

But before continuing, let's hear from our wonderful sponsor, Athletic Greens and learn about their very special offer to SelfWork listeners!

Important Links:

Here's the link once again to my new interactive podcast on Fireside Chat! Click here! 

Click Here for the fabulous offer from Athletic Greens - now AG1 - with bonus product with your subscription!

Articles on high-functioning depression:

Author and food writer David “Avocado” Wolfe

Millennial free lance writer Shin Hye on The Huffington Post

Counselor Annie Wright on The Mighty.

You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Today we're going to focus on how to find community and belonging by finding or creating a "third space." What's that?

Many of you don’t remember the 1983 hit show Cheers. It was about a local Boston bar run by a recovering alcoholic who was still very much a playboy. The bar was peopled by everyone from a grandiose psychiatrist, a retired coach, a rather superior-feeling grad student, a mailman, and well... who knew what Norm did! . Characters fell in lust, in love, and out of love. But the strong message from the show was that everyone needed a place of acceptance and belonging - hence the lyrics of the Cheers theme song.

"Sometimes you wanna go

Where everybody knows your name

And they're always glad you came

You wanna be where you can see (ah-ah)

Our troubles are all the same (ah-ah)

You wanna be where everybody knows your name"

But that was 1983. A lot has changed – a lot. But today we’re going to focus on our remaining need as humans to have a sense of belonging and community - and to combat the loneliness epidemic that's the reality of so many.

One of those things is finding or creating what's termed a "third space." We'll focus on how to do that today on SelfWork.

The listener voicemail is from a guy who’s been told all his life that he can’t do things for himself – and he’s unsure of where to start – of how to begin or maybe redefine his own independence.

Vital Links:

Great article in The Atlantic called The Anti-Social Century by Derek Thompson was phenomenal.

Research showing attendance at only one cultural/community event decreases depression

Advertiser's Link:

Click HERE for the NEW fabulous offer from AG1 – with bonus product with your subscription!

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Perfectly hidden depression can end in tragedy.

I don’t quite remember when Penny Gray and I first talked. It was after 2019 when PHD was published. But not long after.

She’s the widow of a man, Dave, who tragically fit the rubric of perfectly hidden depression. She tells the story in this interview about how she happened upon the term "perfectly hidden depression" when she was seeking some kind of understanding about the “why” of her husband’s suicidal death. I am honored to share her story with you and could think of absolutely no better person to feature on our 400^th episode.

My respect for Penny is immense. She’s fighting severe kidney disease now on top of everything else, but has a passion to tell Dave's story. You’ll hear just how hard it was for her and her children as one minute, she was texting back and forth with her husband who seemed to be having a "moment" but saying he was ‘fine’, then killed himself 15 minutes after finishing a text to her.

"What kept you from revealing your pain?" 

What exactly kept Dave from revealing his pain? She’ll talk about what she’s pieced together, while at the same time, she’s still reeling from questions and emotions that she deals with every day. Her grieving family is left to try to understand, "What was so hard that you had to kill yourself?" But there’s no real answer. Just speculation. Wonder. And maybe a sense of one or two things that, with time, are becoming more clear.

I’m truly honored to introduce you to Penny Gray.

Click here for International Suicide Hotlines

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Photo by Sebastian Palomino.

Here’s a special preview of the new season of The Happiness Lab for the YGTG for this month!  You might think you know what it takes to lead a happier life… more money, a better job, or Instagram-worthy vacations. You’re dead wrong. Yale professor Dr. Laurie Santos has studied the science of happiness and found that many of us do the exact opposite of what will truly make our lives better.

She’ll take you through the latest scientific research and share some surprising and inspiring stories that will change the way you think about happiness. In the preview you’re about to hear, Laurie is joined by the US Surgeon General Vivek Murthy to talk about a massive public health crisis that has touched nearly all of us at some time or another: loneliness. Loneliness is a far more common and far more serious problem than we think. If we're feeling lonely, what can we do? As you'll hear in this preview, we need to build out our social connections.

Hear more fromThe Happiness Lab at https://podcasts.pushkin.fm/thls5?sid=selfwork.

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression has been published and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it’s available in paperback, eBook or as an audiobook!

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Today's "You Get the Gist" is about nomophobia. And you have to listen to find out what it is. (There's a test for it in the show notes below...)  I admit it. I have it. Not a severe case, but I'm as guilty as the next guy. So what follows is what it is and as always, what you can do about it. So now, you get the gist.

Important Links:

Here’s a test to see if you have it, created by Iowa State University.

American Academy of Sleep Medicine article on sleep and nomophobia.

Psychology Today  great article by Susan Weinschenk  on our brain chemistry and how it responds to our phones.

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Trigger Warning: If you choose to listen to this episode on sibling sexual abuse, please keep your own self-care in mind. I’ll have international sexual abuse hotline numbers in the show notes: But the US hotline is  1-800-656-4673.

Sibling sexual abuse is a complex and painful subject that's vastly underreported. And it can happen in any home, anywhere. How is it different than normal sexual curiosity between siblings? What sets the environment up for it to occur? Why don't they tell a parent? How does it affect its victims? What if they themselves repeated or even forced sexual activity on others in the family? I'll use a case from my own practice to talk about how and when it can occur - and as always, what a parent or loved one can do about it. What's important to know from the beginning is that sexual abuse isn't only about sex; it's much more about control and grabbing power.

In this episode sponsored by BetterHelp, we'll go over in detail a very moving email I received – and I'll point out the language used by the writer, a victim of sibling abuse. You'll be able to hear for yourself her confusion about blame, responsibility, shame, and fear.

Listener Email: (Bolded sections created by Dr. Rutherford)

What do you do if you're carrying the guilt and shame of being sexually abused as a child, but also the guilt of taking part in the abuse? My abuse started when I was probably 2 years old by my sisters and cousins who were all older than me. Then I was taught to do things as a child and my first and only sexual experiences were us kids doing sexual acts to each other. This went on until I was about 11/12. Family member's were involved and no one talks about it to this day but I suffer mentally with it. I feel like it was my fault, mostly because my sister's (the two who abused me would say this to me, and that I didn't speak up.  And when I was 7 I was raped by a male family friend. I never told. Now as an almost 40yr old woman I still feel ashamed, like someone should have stopped it.

Important Links:

BetterHelp, the #1 online therapy provider, has a special offer for you now!

Facts about sibling abuse from a VeryWell Mind

SelfWork episode on the Karpman Triangle 

Article on the cycle of sexual abuse and outcomes for victims; Article in VeryWell Mind

SelfWork episode on the shame associated with sexual arousal during sexual abuse

Facts about sexual offenders

Sexual anorexia: What is it?

Healing the Shame That Binds You

Sexual Abuse Hotlines

https://www.childhelplineinternational.org/child-helplines/child-helpline-network/

https://www.hotpeachpages.net/a/countries.html

https://www.rainn.org/

https://victimconnect.org/resources/national-hotlines/

You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism or need for control which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

I received an email from one of you that saddened me. It opened with, “Listening to today’s podcast has left me feeling more hopeless than ever.”

Hopelessness. Feeling despair. And its counterpart – helplessness, which is believing that nothing can be done to prevent what’s happening - are two of the worst feelings of depression, and two of the ones non-depressed people often can’t seem to understand. Maybe even my own mantra that I repeat in almost every episode, “Look for what you can do about," for those who are fighting these two demons – sounds like I’m skimming the surface of deeper depressions and not talking about the heavy burden and darkness that you might feel.

Since I’ll be using much of this one listener’s email, we won’t feature another for today. I promise you this listener’s life holds much to be understood, and to have compassion for.

She did say toward the end, “I felt the need to write this.  Much of it has never seen the light of day.  Perhaps that alone might help?

I can only hope that featuring her email might help as well.

Advertisers' Links: 

We have a brand new sponsor of SelfWork - moonbird. What is it? It's the world’s first, tactile breathing coach designed to fit in the palm of your hand. To try it yourself, click here and use the code SELFWORK!

Have you been putting off getting help? BetterHelp, the #1 online therapy provider, has a special offer for you now!

Vital Links:

Dr. Margaret's podcast episode on "stinkin' thinkin'

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

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I’ve never experienced what I did this past week but it's normal considering the current pandemic. The podcast topic was completely elusive to me. There was too much else on my mind. After really struggling to know what to talk about, I wondered if many of you were having a similar struggle. How exactly are we all supposed to focus on the tasks or experiences of the day – and not allow the anxiety from the novel coronavirus to overwhelm us?.So that became the topic - coping with anxiety.

One answer is through beginning to meditate. It doesn't take long and even though you may feel as if you're failing, the practice itself gently begins to help you focus and find more calm. Included below is are links to the best meditation apps of 2020, a graph about the benefits of meditation, and Deepak Chopra's offering of a free mediation workshop.

The listener email was a tough one for me. But I wanted to share it with you. I’d never want anyone to feel the way this listener did – of course I can’t control that, but her response was genuine.

Important Graphic and Links: Huff Post Article on Meditation and site of below graphic

Best Meditation Apps of 2020

Link to Deepak Chopra's free meditation course

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Perhaps one of the most complex concepts in mental health is the concept of choice. More specifically, there’s a huge and dramatic debate over the idea that someone “chooses” depression or anxiety. I myself have panic disorder as many of you know and it riles me up a bit to hear from someone that I chose at one point in my life to shake and sweat, for my heart to race as if I’m facing a monster – when it was simply my turn to introduce myself at a meeting. So on today's SelfWork, sponsored by Athletic Greens,  we’re going to try to have a reasonable look at choice - choice theory, positive psychology and just how far you should go with the concept of choice in mental health issues and especially, trauma.

The listener email today is from a woman who says that she’s dissociated often since childhood and the habit or the tendency is now getting in her way of staying in the present especially when she’s with family.  And she picks her nails when she dissociates so that maybe there’s a clue there!

Important Links:

Here's the link once again to my new interactive podcast on Fireside Chat! Click here! 

Click Here for the fabulous offer from Athletic Greens - now AG1 - with bonus product with your subscription!

APA's article on Choice Theory

TalkSpace article on positive psychology

Martin Seligman's  TED Talk on positive psychology

Carol Kauffman's article in the   Harvard Mental Health Letter on how to integrate positive psychology into more traditional therapy

Cleveland Clinic's article on depersonalization/derealization disorder

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click hereand answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression has been published and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it’s available in paperback, eBook or as an audiobook!

Now there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

September is Suicide Prevention Awareness Month and I want to be a part of debunking what are commonly believed myths concerning suicide. I also want to make sure you're safe. If you become triggered, here's the link to all the suicide services that are known in every country that provides them. It helps to reach out – that’s been proven over and over… so please if you need to talk or text someone, click that link.

I've chosen twelve myths that are common to hear and then give the facts. Sometime the experts disagree or issues are more complex, but it's so important to stop saying that suicide is selfish or that only people with mental illness die by suicide.

The listener email for today is from someone who couldn’t find grief on the feeling wheel that I discussed in the suck it up episode – which was really an episode on not sucking it up… She’s overwhelmed by grief and doesn’t know how to get through it…

Important links:

BetterHelp, the #1 online therapy provider, has a special offer for you now!

Article about the pandemic’s effect on suicide worldwide

Shahnaz study 2018

Dr. Kristin Fuller for The NAMI Blog

An article to help you learn and understand the warnings signs

Article on suicide by Magellan Health resource

NPR article about What’s best with teens and kids

193 SelfWork: Conversation with John Moe (The Hilarious World of Depression)

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has been published and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it's available in paperback, eBook or as an audiobook!

Now there's another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

There are a lot of mental illnesses that are characterized by intense emotion which then governs behavior, such as in bipolar disorder, major depression, or several personality disorders. But even it it’s a pattern, and not an actual mental illness, it may mean that you don’t have the skill to regulate your emotions – to have control over them instead of them over you. What does this look like? You get angry at a friend and you text them impulsively about your feelings instead of taking a minute to cool down. You get dumped by someone you're dating and you immediately head to the nearest bar or pub to work on getting picked up.

That’s what we’re going to focus on today. How do you learn to more self-control emotionally or how to “self-regulate” those emotions?  We’ll also talk about when intense control over emotions is highly self-protective.

The listener email follows this subject line as well, but is more about the listener’s recognition and identification with perfectly hidden depression. But they put a bit of a different spin on it – and are asking how I might suggest they “explain” PHD to a new therapist.

Vital Links: 

Link to sign up for CE training on June 27^th at 9:00 – noon CT.

Psychology Today article on self-regulation

We welcome back BiOptimizers and Magnesium Breakthrough as a returning sponsor to SelfWork and they have a new offer! Just click here! Make sure you use the code "selfwork10" to check out free product!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it's available in paperback, eBook or as an audiobook!

And there's another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Why is it so hard to treat eating disorders? We're going to find out today in this interview with Johanna Kandel, founder and director of the National Alliance for Eating Disorders.

Kandel brings her own successful recovery from anorexia and bulimia to this interview whose message is that full recovery is possible. She's the author of book "Life Beyond Your Eating Disorder, but in her establishment of a thriving clinician-led service organization, she stresses that you can free yourself from identifying with the disorder - and then become it. Eating disorders can far too easily become who you are.

Kandel seeks to empower readers by sharing her own past—how her youthful perfectionism and aspirations to become a ballerina fueled her need to control and numb her emotions, which stoked her disorder. She also offers practical advice: “My eating disorder gave me carte blanche not to have to do things that scared me: I didn’t have to feel . . . Basically, it protected me . . . from life.”

I loved this conversation. As someone with a history of anorexia myself, it gave me another chance to speak to my own vulnerability.

Advertiser's Link and Special Offer:

Have you been putting off getting help? BetterHelp, the #1 online therapy provider, has a special offer for you now!

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

There’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

Today my editor, graphic designer and general "auxiliary brain" Christine Mathias, has chosen her favorite podcast. It's all about self-soothing and Mister Rogers came to mind! And we look at the neurobiology of "calm," featuring work by Dr. Dan Siegel, a psychiatrist, author, researcher and integrative neurobiologist who coined the phrase, “Name it to tame it.”

Our listener email is from someone who has gained a lot from SelfWork – always something that makes me smile – but who can’t stop worrying about the cancel culture that has arrived. Suddenly you’re simply not around anymore or important or valued, because of what can seem like immediate and complete social rejection.

Important Links:

Click Here for the fabulous offer from Athletic Greens - now AG1 - with bonus product with your subscription!

Click this link to try out some of the best CBD out there! Ozark Mountain Medicine's CBD products and get 10% off! 

YouTube Video of Dr. Dan Siegel demonstrating the "hand brain"

Dr. Dan Siegel article about Mister Rogers

New York Post article on cancel culture.

My book entitled Perfectly Hidden Depression has been published and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it's available in paperback, eBook or as an audiobook!

And there's another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

YGTG is five minutes of jam-packed info about one concept or idea or behavior - and today it's about emotional bandwidth. People are using the term emotional bandwidth to reveal that they can't tolerate certain emotions or discussions. It's a short cut way of saying, "I can't be there for you right now." But when does it become an almost too impersonal or detached way of absolving yourself from a commitment? It may make something seem almost like a technical glitch rather than a personal choice to withdraw from a commitment that would take emotional maturity and growth. Or rather than the more vulnerable, “I don’t think I can learn how to be the person I thought I could be.”

You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression has arrived and you can order here! Its message is specifically for those with a struggle with strong perfectionism or need for control which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

I’ve long been fascinated by the connections between our minds and our bodies, so much so that I wrote my dissertation (the original research you must complete before they give you a Ph.D.) on pseudoseizures. What are those? They look like actual seizures -  which are bursts of uncontrolled electrical activity between neurons that can cause all kinds of movements and abnormalities in muscle tone, sensations, or states of awareness. But they’re not.  Pseudoseizures are seizure-like activity that’s apparently caused by emotional/psychological factors.

So today we’re focusing on the mind/body interaction – how your brain processes physical and emotional pain – a brief touch on what are called somatic disorders -  but what I want to focus on how your body might be expressing the pain or trauma you’ve experienced in your life. It's an intriguing topic and one I hope you'll enjoy.

The listener voicemail is from a daughter who believes her mom may have something to do with her being ill and not knowing how to leave or get other help. This could be something called “munchausen’s syndrome by proxy” which is a very complicated dynamic – but it might also be that this daughter’s mom has been part of her trauma. I’ll offer suggestions for both..

So in this episode, sponsored by AG1, let’s learn together about just how your body and mind are interconnected – which of course is what AG is all about! Settle in and I’m so glad you’re here.

Scads of Important Links!

BetterHelp, the #1 online therapy provider, has a special offer for you now!

A recent Forbes article… discussing how your brain processes physical and social pain.

Depression Isn't Simply A Chemical Imbalance Part One (SelfWork Podcast)

Depression Isn't Simply A Chemical Imbalance Part Two (SelfWork)

An article on somatic disorders found on VeryWellMind.

How To Become An Emotional Grownup I don’t have time sadly to discuss all of it – but here’s a

A recent Psychology Today article about different techniques that you can try to "get at" your body's holding on to trauma. And encouraging it to let go.

Article on FDIA. Facticious Disorder impoased on another

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression has been published and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it’s available in paperback, eBook or as an audiobook!

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

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 -- specifically stress, trauma, medical illnesses and medications themselves. And I throw in some of my own observations and thoughts. And as always, there's a focus on treatment -- or what you can do about it.

The listener email format is different today! On my website (and within the show notes) there’s now an icon from SpeakPipe which invites you to leave me a message for use on the podcast. This listener's question is a poignant one. She and her husband have been booted out of her daughter's life, who seems to have a history of significant emotional problems and is in therapy. So the question is how this mother could approach this very painful estrangement from her daughter as she wonders if the therapy itself is encouraging this behavior.

Important links:

Episode 091 on decreasing stress through mindfulness

SelfWork Episode 109 on the use of a timeline

Another more recent episode (121) on healing from trauma

You can hear more about depression and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to this website and receive her weekly blog posts and podcasts!

If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression will be arriving November 1, 2019 and you can pre-order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And there’s a new way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

I get a lot of questions about therapy - how to find a therapist, how to know if therapy is working. One of the most common questions is, “How do I open up?” But here was another and different kind of comment last week.  “Things I was only vaguely aware of, or knew, but was able to keep locked away from myself - have decided to pick the lock.” So, sometimes opening up can be a slow process while at other times, painful emotions and memories can come bursting out when triggered. So, in this episode of  SelfWork, sponsored by BetterHelp, we're going to focus on five things to be aware of that can lead you to feel as emotionally safe as possible with your therapist.

The listener voicemail is only five seconds long… but her question is heartbreaking. I’m not sure I have answers… but I definitely want to extend comfort and reassurance.

So, let’s talk about how you build safety into beginning to open up about things that – at least initially – don’t feel safe at all.

Important Links:

BetterHelp, the #1 online therapy provider, has a special offer for you now!

Psychology Today article by Dr. Margaret on when you have conflict with your therapist...

You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression has been published and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it’s available in paperback, eBook or as an audiobook!

And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!

This question came up in a couple of scenarios this week. So, I decided to go with the synergy of that and focus on the decisions surrounding self-revelation - or telling your story. Here's the question: “How do I talk to someone about what’s really going on with me? I’m scared they’ll feel like I’m dumping on them, I’m feeling sorry for myself. Or even worse, I’m scared they’ll take it on like it’s their problem.” I know some of you rarely if ever do that; some of you may do it too much. So, what’s a middle ground? How can you filter your own need to be listened to, to be understood, so that you set up a situation where you get what you want and need?. Or for those of you who stay completely away from sharing parts of your story, how can you begin to do it at all??

The listener email is from someone who saw my Pinterest feed – and more specifically the pin on PHD – took my questionnaire and was shocked by her score. So ,what should or could she do now? This is a question I get a lot so wanted to bring it to the forefront again today.

You’ll also hear from Athletic Greens, or AG1 – about their conservation commitment and how you can not only benefit from their product, but how they trying in turn to benefit the world.

So sit back and relax -as we focus together on sharing – the why, how, what, when and where of sharing. And how do you know whether you’re venting, dumping, or simply sharing your story…

Important Links:

Click Here for the fabulous offer from Athletic Greens - now AG1 - with bonus product with your subscription!

A great article on the difference between venting and dumping

The USA Today article on trauma dumping

My SelfWork episode (008) on how to be a good listener

You can hear more of many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then clickhere and answer the membership questions! Welcome!

My book entitled Perfectly Hidden Depression is available and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

And here's another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!