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Disordered: Anxiety Help

Josh Fletcher and Drew Linsalata

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Disordered is the podcast that delivers real, evidence-based, actionable talk about anxiety disorders and anxiety recovery in a kind, compassionate, community-oriented environment. Josh Fletcher is a qualified psychotherapist in the UK. Drew Linsalata is a therapist practicing under supervision in the US. They're both bestselling authors in the anxiety and mental health space. Josh and Drew are funny, friendly, and they have a knack for combining lived experience, formal training, and profes ...
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This week Drew and Josh are talking about secondary fear. When triggered into an anxious state by thoughts, sensations, or anything else, we ALL experience a jolt of fear or discomfort. This is primary fear and its simply part of being human. Overcoming an anxiety disorder is not about removing this natural, healthy response to possible threats. Pe…
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Everyone that develops an anxiety disorder wants to know why that happened. Why do some people develop disorders while others are anxious and stressed all the time without ever developing a disorder issue? Excellent question, and one that nobody would blame you for asking. This week on Disordered we're exploring the origins of anxiety disorders, wh…
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Anxious people in recovery from chronic or disordered anxiety can find themselves bored ... and this is often a problem. This week on Disordered we're talking about learning to be bored. Yes, we have to learn how to be bored, which can be challenging if anxiety is a problem for you, but this is a skill well worth learning and practicing. Allowing y…
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"I want to get back into dating but I'm still struggling with anxiety. What should I do?" "It's been going well with this new person and I'm afraid to tell them about my anxiety problem. Any tips?" "Do I need to recover fully before I start dating again?" "What if I start to like this person then then drop me because of my anxiety?" This week on Di…
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Your anxiety narrative is the way you conceptualize your anxiety issues alongside how you see yourself, the world, your life in general, and how you may think your anxiety disorder developed or was triggered. Your personal narrative is important because nobody knows more about you than you! When seeking help with an anxiety problem, your narrative …
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Three things start and drive disordered states of anxiety: Shock, Attention, and Resistance Shock is what we experience when anxiety levels skyrocket for what seems like no reason. We experience scary and disturbing physical sensations, thoughts, and emotions all at the same time. It is ... shocking! Attention drives disordered anxiety when our int…
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Somatic Hyper Focus - That thing where an anxious person becomes hyper aware and hyper fixated on specific bodily sensations or bodily functions. This is a common issue seen in health anxiety, OCD, and panic disorder. This week Drew and Josh are going into detail on somatic hyper focus. What does it look like? How do anxious people get stuck in thi…
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What do you do when you're working on recovery from an anxiety disorder and your techniques stop working? How do you handle those hard days when you can't make it stop or go away? Well ... this is one reason why in the Disordered community we rarely if ever talk about tips, techniques, tricks, hacks, or steps for calming down, preventing anxiety, o…
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This week Drew and Josh are looking at the social impacts of anxiety. What happens when panic attacks, anxiety waves, or a flood of scary intrusive thoughts happens in public or while in social situations or when interacting with friends, family members, co-workers, or relationship partners? If your past experiences in life or past relationships ha…
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Humans will often make the mistake of trying to apply our analytical and problem solving skills in areas where they do not belong. Anxious people - people struggling with anxiety disorders - do this all the time. Are you trying to fix how you feel? Are you trying to solve your anxiety and figure it out? Are you in the habit of trying to control how…
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Let's do an old-fashioned anxiety question and answer session! This week Josh and Drew are answering questions sent in by members of the Disordered podcast community. Listen in for answers to the following questions: Are we supposed to challenge our beliefs in recovery? What about dizziness? How do you do recovery when real life happens? My health …
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Fight ... flight ... or freeze. But what about the fawn response? This week on Disordered, Drew and Josh explore the fawn response and people pleasing. While this may not be a response we see directly like we do with fight, flight, or freeze, the fawn response that leads to habitual and almost automatic people pleasing can get in the way of the rec…
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An anxious state can be at least partially fueled by the act of metacognition. That's thinking and feeling ... about thinking and feeling. When meta-beliefs tell us that thinking, rumination, worry, and mental problem solving is a good way to fix our internal experiences (like big emotions, scary thoughts, or anxiety), things can go off the rails. …
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Even when you understand that changing your reaction to anxious thoughts, feelings, and sensations is the way out ... you may feel that this is impossible because those thoughts, those sensations, and your reactions feel completely automatic and unchangeable. This is a common concern for almost anyone struggling with anxiety disorder recovery so th…
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If you've ever listened to an episode of Disordered and felt the need to ask "Yes, but what about when ...?", then this episode is for you. A common struggle among people trying to overcome chronic and disordered anxiety is gaining the ability to generalize the principles of recovery and apply them in an individual context. Anxious people will ofte…
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Summer has arrived in the US and the UK, so let's talk about anxiety based on the heat. Summertime is often a difficult time for people struggling with anxiety disorders because the seasonal change in temperature becomes an anxiety trigger. Today the guys are talking about: How heat is just uncomfortable. Being uncomfortable in any way is often una…
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We're back in business this week with both Josh and Drew in studio again chatting about the role of food and eating in the anxiety recovery process. Everyone eats, and for people struggling with anxiety disorders, food and the process of eating can become deeply connected to recovery and/or attempting to manage anxiety, symptoms, thoughts, or emoti…
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The principles of Acceptance and Commitment Therapy (ACT) are heard in every episode of disordered. Whenever you hear Drew or Josh talk about acceptance or allowing or surrendering and moving THROUGH anxiety rather than resisting it ... you are hearing elements of ACT. This week we're a bit banged up - Josh is traveling and Drew has the flu, but fe…
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Mindfulness is good for anxiety, right? Isn't this what everyone says? Mindfulness fixes anxiety and makes you happier? Isn't that it? Well ... not really. This week Drew and Josh are taking a look at the practical applications of things like meditation and mindfulness practice in the context of anxiety disorders and anxiety recovery. A few key poi…
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Everyone talks about the fight or flight response. But what about the freeze and fawn responses, which are also found in the anxiety disorder community? This week Josh and Drew dig into the freeze response to anxiety, panic, and perceived threat. What is the freeze response? What does it look like? Does the freeze response mean being literally froz…
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When working through the process of chronic or disordered anxiety recovery many will find that at some point they are fixated on or have become a bit obsessed with monitoring and evaluating their mood. This week on Disordered Drew and Josh take a look at why recovering and anxious people tend to get stuck in "mood monitoring mode". Generally speaki…
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How does one approach recovery from chronic or disordered anxiety when grief is part of the picture? Do the same principles apply? Do we use concepts like acceptance, surrender, or willful tolerance when handling grief? Grief is a powerful thing that will almost certainly impact not just anxiety recovery but all aspects of life and even daily funct…
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This week on Disordered we're looking at anxiety focused on relationships, specifically a form of OCD known as Relationship OCD (ROCD). ROCD - like all forms of OCD - will glue itself to things that really matter to us. In this case, being in loving, secure, successful relationships with people we love and who love us. Someone with ROCD even when i…
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WHAT ABOUT NOCTURNAL PANIC ATTACKS? HOW DO WE DEAL WITH THOSE? Nocturnal panic attacks are scary, disturbing, disruptive, and often feel like they are different from any other kind of panic attack. Anxious people will often insist that they are special, they can't possibly be approached with an attitude of tolerance or surrender, and that there mus…
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WHAT DOES "VALUES DRIVEN RECOVERY" MEAN? Anxiety recovery can be seen as one long journey away from fear driven behavior and toward behaviors that support the things we really value in life. This week Josh and Drew are talking about what values driven recovery mean and how your values - the things that matter to you and make you who you are and wan…
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BUT WHAT ABOUT WHEN YOU'RE TENSE AND SORE? HOW CAN YOU HANDLE THAT? This is one of those questions we get asked all the time. In this episode of Disordered, we're taking a look at how tension, soreness, twitches, and feelings of muscle weakness fit into the anxiety and recover picture. Anxious, scared bodies are going to anxious, scared body things…
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"I know I'm not supposed to focus inward or engage with my anxious or intrusive thoughts, but what am I supposed to think about?!" This week Josh and Drew answer an excellent question from a listener that hasn't really been asked before. What do you do when your anxious thoughts keep coming even when you don't want them to come, and when you insist…
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WHAT RECOVERY LENS ARE YOU LOOKING THROUGH? This week Drew and Josh take a bit of an unexpected turn to explore ways that CBT and exposure-based approaches to recovery can fall short. Recovery can't always be about facing, accepting, exposures, and Claire Weekes. While we might not look to other models to unearth deeply hidden root causes for an an…
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MY NERVOUS SYSTEM IS DYSREGULATED! This week Drew and Josh get up close and personal with "nervous system dysregulation". This is a term that might have some benefit when dealing with issues like stress management or general wellness, but goes straight off the rails into the unhelpful zone when it comes to anxiety disorders. Declaring an anxious st…
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This week on Disordered we're taking a grand tour around the OCD loop! Josh and Drew talk about pure-O, somatic, and "traditional" obsessive compulsive disorder subtypes. While not every possible theme and subtype can be covered in a short podcast episode, the guys touched on some of the more common themes found in the community, taking care to add…
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What Is Your Therapist Thinking While You're Talking? Therapists are people too. They have feelings, opinions, insecurities, fears, and personality quirks. And they - like you - sometimes have an inner dialogue. If you ever wanted to know what goes on inside the mind of an anxiety therapist, this week Josh and Drew dig into this a bit, including a …
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This is the one-year anniversary episode of Disordered! We've been at this now for a full year, and we cannot be more grateful for all the support you guys have provided along the way. What better way to mark a year of Disordered than with an episode dedicated entirely to celebrating the community surrounding this podcast? If you need some encourag…
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What about all this "neuropathways" talk? What does it mean in anxiety recovery? Funny that you asked! This week on Disordered Josh and Drew are talking about neuropathways, anxious habits, and how the concept of "building new neuropathways" applies in the context of anxiety disorders and anxiety recovery. Let's start by acknowledging that even cou…
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OH NO! IT'S COME BACK! The habits we develop and the neuropathways that get created by a disordered state of anxiety mean that even long into recovery, an anxious person might be re-triggered by life events, stress, memories, or any number of expected issues. This is normal. If this happens, we can feel things again ... anxiety, anxiety symptoms, a…
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BURNOUT! Running out of gas and being emotionally, physically, and/or mentally drained can happen to any human. This week on Disordered Drew and Josh explore how an anxious mind can twist and distort the concept of burnout. In many ways, the fear of burning out, and the catastrophic interpretation of what that might mean, can be worse than burnout …
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Are you using wellness concepts, techniques, programs, and principles as a way to resist feelings of anxiety? There's absolutely nothing wrong with taking care of oneself and wanting to be healthy physically, mentally, emotionally, and even spiritually. But in a large community of people struggling with disordered and chronic states of anxiety, com…
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The default state for most humans - to varying degrees - is for the brain to launch into inward thinking and inner dialogue when there's nothing else to pay attention to. If you're struggling with chronic or disordered anxiety, this can become a real issue and a major struggle. This week we're looking at the inward compulsion. That fear-driven habi…
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"Is it normal for my symptoms, or thoughts, or my anxiety to get worse when I start engaging in recovery?" Even Dr. Claire Weekes acknowledged this experience when writing about recovery many years ago. This week on Disordered we're talking about feeling MORE when you stop hiding from anxiety. This is often misinterpreted as "getting worse" but fee…
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"What does anxiety therapy look like?" "What goes on in a session with an anxiety specialist?" "How can I find the right therapist for me?" This week Drew and Josh address these questions, including a really interesting 12-minute mock therapy session to start the episode. Josh plays the therapist while Drew is the client struggling with panic and e…
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But what about hormonal issues, perimenopause, and menopause???!!! This is a question that we are asked all the time, and rightfully so. This week we're joined by Helen Bennett, a qualified UK psychotherapist specializing in supporting people who are dealing with fertility challenges and struggling with the menopause transition. This episode is cho…
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Do you ever get anxious ... because you're not feeling anxious? This is a real thing in our community! Anxious people who begin to experience moments where anxiety and agitation fade into the background will often find themselves becoming anxious because they're not feeling anxious! This week Drew and Josh explore this confusing but all too common …
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"Healing" is a VERY popular word in self-help, mental health, and wellness circles. For many, this word resonates. For our friends struggling to overcome chronic and disordered anxiety, it can sure feel like there's healing to do. But what if recovery wasn't all about healing? What if there was as much learning as there is healing in the process? O…
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Anxiety triggered by exercise, exertion, or being in the gym is a common struggle for anyone dealing with issues like panic attacks, agoraphobia, or any anxiety disorder that places a focus on physical anxiety symptoms or feelings of shame, inadequacy, or embarrassment. This week Drew and Josh share not only a professional take on this aspect of an…
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Productivity anxiety is an often overlooked subject in our community, so this week Drew and Josh are taking a look at anxiety triggered by an obsession with productivity and the fear of "failure" as defined by not meeting extreme productivity or output goals. This can show itself almost anywhere in life. Work and career. School and academics. Paren…
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This week Josh and Drew are talking about anxiety related to the holiday season. This time of year presents extra challenges for people in our community, regardless of which holidays you celebrate, and even if you don't celebrate any holidays! Let's take a look at the added pressures of the holiday season, how that's likely to show up for an anxiou…
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This week we're discussing GAD - Generalized Anxiety Disorder. GAD generates the most confusion in the community around Disordered, so we took some time to address a few important issues: What is GAD and what isn't it? Does being anxious all day mean you have GAD? What are some of the underlying processes that drive GAD? What about worry and rumina…
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ANXIETY QUESTIONS FROM OUR LISTENERS This week Josh and Drew are answering questions sent in by the listeners. The community around this podcast is amazing! Your feedback, questions, and “did it anyway” stories are a bit part of making Disordered what it is. On this episode, the guys answer these questions: What do you do when a busy job triggers a…
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BRAIN FOG!?!?! One of the most common symptoms of anxiety reported in the community surrounding this podcast is "brain fog". That thing where your brain just isn't working the way you'd expect it to work. Maybe you're slow, have memory issues, or struggle to find proper words or names. Maybe you just feel "out of it" or like you're in a dissociated…
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Fear of losing control - and suffering some horrible consequence - is one of the top five core fears found in anxiety disorders. This week Drew and Josh delve into the fear that you may lose control and why this fear seems important and very real but isn't any different than any other expression of a misguided and misfiring threat response. We look…
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When anxious, stressed, or afraid, the gut and GI tract are almost instantly impacted. This is true for a huge number of people, anxious or not. This week Josh and Drew are joined by health psychologist Dr. Sula Windgassen to talk about anxiety and IBS. Dr. Sula specializes in a cognitive behavioral approach to supporting people struggling with IBS…
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