Hello, everyone! Thank you SO much for joining me for episode 400. I can't believe it's been 400 episodes already. Blows my mind. In this episode, I have a (creepy) mystery question that I share, and I also go through some rapid fire questions from the Hardcore Self Help Facebook group. A special shout out to everyone who has been with me from the start. Here is to the next 100 episodes!  As always, you can send me questions to duffthepsych@gmail.com and find the full transcript at http://duffthepsych.com/episode400 ---   Feeling proud of yourself for 2024 so far? Take time to celebr ..read more

Hello, friends! In today’s episode, we tackle two profound listener questions that may resonate with many of you: Navigating Dating with a Stutter: A 38-year-old listener shares their struggles with stuttering, particularly how it impacts their dating life. They often need months to work up the courage to ask someone out and lose confidence if they stutter while doing so. We explore the nature of stuttering, its psychological impacts, and offer practical advice on managing anxiety, building self-confidence, and embracing one's uniqueness in social contexts.  Overcoming Self-Harm Scars and ..read more

Hello, friends! In today’s episode, we tackle three insightful listener questions that many of you might relate to: Choosing Not to Have Biological Children Due to Mental Illness: A listener shares their decision to not have biological children to avoid passing on their mental health struggles. They feel confident in this choice but encounter surprise and judgment from others. We discuss the validity of their decision, the heritability of mental health conditions, and the importance of respecting personal choices. Navigating Barriers to Inpatient Mental Health Treatment: Another listener is co ..read more

Hello, friends! In today’s episode, we dive deep into a listener’s question about finding the right therapy for a variety of complex mental health issues. This 29-year-old woman is struggling with childhood trauma, mental health challenges such as anxiety and depression, and relationship issues. She is also seeking guidance on possible autism/ADHD symptoms and needs help navigating the overwhelming array of therapy options available. We explore the IPA framework (Immediacy, Problem, Approach) to help her and others identify the most suitable types of therapy. Additionally, we discuss the diffe ..read more

Hello, friends!   In today’s episode, we tackle a profound listener question that may resonate with many of you. A listener who survived a suicide attempt at 13 is considering reaching out to the pediatric psychiatrist who assessed them during their hospitalization. They feel that the presence of medical students during their assessment was inappropriate and impacted their honesty. They're seeking guidance on how to provide feedback and advocate for their younger self.   As always, you can send me questions to duffthepsych@gmail.com and find the full show notes for this episode ..read more

Hello, friends!   In today’s episode, we tackle a profound listener question that may resonate with many of you.   A listener struggling with agoraphobia seeks guidance on overcoming their anxiety and finding motivation to pursue exposure exercises. They’ve been working with a therapist and taking anxiety medication but feel stuck. We explore the complexities of agoraphobia, the importance of prolonged exposure, and strategies for building motivation and support.   As always, you can send me questions to duffthepsych@gmail.com and find the full show notes for this episode at htt ..read more

Hello, friends!   In today’s episode, we tackle two thought-provoking listener questions that may resonate with many of you:   Cymbalta Conundrum: A listener shares their experience with Cymbalta, a medication prescribed for panic disorder. They noticed feeling amazing on days they forgot to take the medication, leading them to wonder if they truly needed it. We explore the concept of conditioned compensatory response, the effects of medication on the body, and the importance of gradual tapering.   ADHD Focus Struggles: Another listener struggles with focus and motivation despit ..read more

Hello friends! In today’s episode, we explore the deep and complex emotions involved in expressing love within romantic relationships and the challenging path to recovery following a severe traumatic brain injury. We kick off with a question about the appropriate timing for saying “I love you” in a romantic context, especially considering cultural differences and personal challenges such as being on the autism spectrum. Our listener’s journey brings forward the importance of understanding personal feelings and the unique dynamics of each relationship. We then shift to an inspiring yet poignant ..read more

Hello friends! In today’s thoughtful episode, we tackle two profound listener questions that may resonate with many of you: Contemplating Harm OCD and Supporting a Friend: A listener shares their concerns about how to best support a friend struggling with harm OCD. They've noticed their attempts to help by offering reassurance or checking things for their friend might actually be counterproductive. We dive into the nature of OCD, the impact of well-meaning actions, and how to genuinely support someone without reinforcing their compulsive behavior. Finding Balance Amidst Life's Transitions: Ano ..read more

Hello friends! In today’s episode, we tackle two interesting questions that delve into the heart of mental and emotional challenges many of us face. First, we explore the complex world of panic disorder through the eyes of a 24-year-old graduate student grappling with severe panic attacks. Their story illuminates the physical and psychological intensity of panic disorder, revealing how it transcends mere stress or anxiety to significantly disrupt daily life. We dissect the cycle of fear and avoidance intrinsic to panic disorder and discuss the critical importance of specialized care and therap ..read more