Disordered: Anxiety Help

Anxiety and Mental Health Misinformation w/Dr. Birthe Macdonald (Episode 124)


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In this essential episode, Drew and Josh are joined by Dr. Birthe Macdonald, a psychologist and neuroscience researcher who's become a vital voice in combating mental health misinformation on social media. The conversation tackles the overwhelming sea of questionable advice that anxious people encounter online, from vagus nerve stimulation devices to "nervous system regulation" quick fixes.

Dr. Macdonald shares her journey from neuroscience researcher to science communicator, sparked by sponsored ads for electrical vagus nerve stimulators that made bold claims without solid evidence. The trio explores why these pseudoscientific approaches are particularly appealing to people struggling with anxiety disorders – and why they can actually be harmful.

Key topics include:

  • The dangerous appeal of "one thing" solutions that promise instant relief
  • Why sponsored vagus nerve stimulation devices and similar products exploit vulnerable people
  • How social media algorithms amplify misinformation while evidence-based content gets overlooked
  • Red flags to watch for when consuming mental health content online
  • The difference between what we know about how the brain works versus being able to "work" the brain directly
  • Why ChatGPT and AI can become problematic reassurance-seeking tools for people with anxiety
  • How to become a more critical consumer of pop psychology content


The conversation doesn't dismiss that some techniques may provide temporary relief, but emphasizes understanding why they work (often through distraction rather than magical nervous system manipulation) and recognizing when they become compulsive behaviors that maintain anxiety in the long run.

This episode serves as both a reality check and a guide for navigating the complex landscape of mental health information online, helping listeners distinguish between evidence-based approaches and appealing but potentially harmful quick fixes.

Find Birthe Online:

  • https://www.instagram.com/dr.birthe.macdonald/
  • https://www.birthemacdonald.com
  • https://substack.com/@drbirthemacdonald

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Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Worry and Rumination Explained⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolvable problems.

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Want to ask us questions, share your wins, or get more information about Josh, Drew, and the Disordered podcast? Send us an email or voicemail on our website.


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Disordered: Anxiety HelpBy Josh Fletcher and Drew Linsalata

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