Disordered: Anxiety Help

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175 episodes in, we're finally talking about medication. This week we get into  questions we hear constantly: if I take medication for my anxiety, does that mean I'm failing, or that I'll never really recover? Is medication cheating? Is it evil? Is there even an answer to these questions?

We talk about why these questions don't even really hold up, why medication combined with therapy is genuinely the gold standard for treating some anxiety disorders, and why using meds to get to a place where you can do exposure work isn't cheating anyone. We also get into what "working" actually means, since everyone gets to define that differently, why informed consent conversations with your prescriber matter, and why the fear of taking a pill can become its own exposure. As always, we're sharing our own experiences and opinions here, not medical advice, so talk to your doctor or psychiatrist about your own treatment.

Plus Did It Anyway wins, including a 30 year avoidance of a trail beaten with a 15 minute timer, and a first train ride in three and a half months.

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Want to talk about this episode, interact with us, and communicate with others that are sharing your experience? We're hanging out in the Disordered Community Space

https://disordered.fm/community

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The Disordered Guide to Health Anxiety is available now:

⁠https://www.disordered.fm/the-disordered-guide-to-health-anxiety/⁠

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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. 

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Got questions or did it anyways to share? ⁠Send us an email or voicemail on our website⁠.

https://disordered.fm

---

Disclaimer: Disordered  is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts or guests of the podcast. Information here is provided for psychoeducational purposes. As always, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

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Exposure isn't about proving you can sit in traffic, go to the supermarket, or make it through dinner with a friend. This week we talk about what exposure is actually for: practicing being uncomfortable, on purpose, without trying to fix or manage the feeling once it shows up.

We get into why the specific trigger, whether it's a bridge, a dentist's office, or a work presentation, barely matters compared to the discomfort underneath it, why reaching for certainty before you act keeps the cycle going, and why "I'm practicing with uncertainty" works better than trying to talk yourself into feeling safe first. We also talk about why sticking to the same few "safe" exposures can quietly become its own safety behavior, and why recovery is measured by what you still do, not by how anxious you feel doing it.

Plus Did It Anyway wins, including a clogged toilet on a school camping trip and a first exposure that ended in a panic attack anyway.

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Want to talk about this episode, interact with us, and communicate with others that are sharing your experience? We're hanging out in the Disordered Community Space

https://disordered.fm/community

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The Disordered Guide to Health Anxiety is available now:

⁠https://www.disordered.fm/the-disordered-guide-to-health-anxiety/⁠

---

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. 

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Got questions or did it anyways to share? ⁠Send us an email or voicemail on our website⁠.

https://disordered.fm

---

Disclaimer: Disordered  is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts or guests of the podcast. Information here is provided for psychoeducational purposes. As always, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

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Once you're better, desensitized, and living your life again, a different feeling can show up: guilt over the years you lost, the plans you canceled, the people you pushed away. This week we talk about the urge to "make it right," and why that instinct deserves a closer look before you act on it.

We get into the difference between amends that actually help and rumination dressed up as responsibility, why some of that guilt simply has to be carried rather than fixed, and why the people around you sometimes owe you compassion instead of the other way around. We also talk about parents worried they've damaged their kids, what forgiving yourself actually looks like, and why living your life is often the only real answer.

Plus Did It Anyway wins, including a solo cabin trip across two countries and a pregnancy and postpartum period carried through serious health anxiety.

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Want to talk about this episode, interact with us, and communicate with others that are sharing your experience? We're hanging out in the Disordered Community Space

https://disordered.fm/community

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The Disordered Guide to Health Anxiety is available now:

⁠https://www.disordered.fm/the-disordered-guide-to-health-anxiety/⁠

---

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. 

-----

Got questions or did it anyways to share? ⁠Send us an email or voicemail on our website⁠.

https://disordered.fm

---

Disclaimer: Disordered  is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts or guests of the podcast. Information here is provided for psychoeducational purposes. As always, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

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"I tried CBT and it didn't work" is a lot like saying "I tried food and it didn't work." CBT is a massive umbrella, and what you actually got depends heavily on which version of it you were given.

This week we break down what CBT for anxiety disorders actually looks like, from the older, content-driven approach built around thought challenging and thought replacement, to the third-wave, mindfulness and acceptance-based approach we rely on most, which is also CBT. We talk about why arguing someone out of a triggered state rarely works, where ERP, ACT, DBT, and metacognitive therapy all fit under the same umbrella, and what questions to ask a prospective therapist to find out what you're actually getting.

Plus Did It Anyway wins, including a solo trip to a music festival, an interoceptive exposure that turned into a massage, and studying through an OCD attack.

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Want to talk about this episode, interact with us, and communicate with others that are sharing your experience? We're hanging out in the Disordered Community Space

https://disordered.fm/community

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The Disordered Guide to Health Anxiety is available now:

⁠https://www.disordered.fm/the-disordered-guide-to-health-anxiety/⁠

---

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. 

-----

Got questions or did it anyways to share? ⁠Send us an email or voicemail on our website⁠.

https://disordered.fm

---

Disclaimer: Disordered  is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts or guests of the podcast. Information here is provided for psychoeducational purposes. As always, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

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"Yeah, but." Two words that show up constantly in anxiety recovery, right after a win. You did the thing, and before it can count, the mind adds a condition: yeah, but I had my water bottle with me, yeah, but I still felt anxious, yeah, but a real doctor might find something the others missed.

This week we break down why "yeah, but" is one of anxiety's most effective tools, using misapplied logic, hypothetical scenarios, and stories that have nothing to do with you to keep the argument going and hold your attention. We talk about how it shows up differently across panic, health anxiety, OCD, and social anxiety, why the content of the yeah, but never really matters, and how to flip the phrase back on itself instead of arguing with it.

Plus Did It Anyway wins, including a first dentist visit in four years, a slow jog after a year of heart-rate monitoring, and a 1,600 mile trip taken through panic and OCD.

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Want to talk about this episode, interact with us, and communicate with others that are sharing your experience? We're hanging out in the Disordered Community Space

https://disordered.fm/community

----

The Disordered Guide to Health Anxiety is available now:

⁠https://www.disordered.fm/the-disordered-guide-to-health-anxiety/⁠

---

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. 

-----

Got questions or did it anyways to share? ⁠Send us an email or voicemail on our website⁠.

https://disordered.fm

---

Disclaimer: Disordered  is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts or guests of the podcast. Information here is provided for psychoeducational purposes. As always, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

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Not everything is an anxiety disorder, but people pleasing and low self-esteem feed into it constantly. This week we talk about why the two overlap so heavily, and why learning to desensitize almost always requires putting yourself first, which can feel like the least safe thing in the world if pleasing people is how you've kept yourself safe.

We get into what people pleasing actually looks like, from constant scanning of other people's moods to guilt as a baseline feeling, why it's usually a learned response rather than a personality trait, and why exposure work doesn't work without some baseline self-acceptance. We also talk about why the values underneath people pleasing, kindness, cooperation, and community, aren't the problem. It's when they become the only way you're allowed to exist.

Plus Did It Anyway wins, including six flights taken through a lifelong fear of flying.

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Want to talk about this episode, interact with us, and communicate with others that are sharing your experience? We're hanging out in the Disordered Community Space

https://disordered.fm/community

----

The Disordered Guide to Health Anxiety is available now:

⁠https://www.disordered.fm/the-disordered-guide-to-health-anxiety/⁠

---

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. 

-----

Got questions or did it anyways to share? ⁠Send us an email or voicemail on our website⁠.

https://disordered.fm

---

Disclaimer: Disordered  is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts or guests of the podcast. Information here is provided for psychoeducational purposes. As always, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

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This week we go through the most common mistakes people make while trying to recover from anxiety disorders, the ones that feel intuitive in the moment but end up keeping the cycle going.

We cover minimizing your own wins, thinking a place or situation is the actual exposure instead of the feeling underneath it, overestimating anxiety's importance while underestimating your own ability to handle it, and treating a thought that feels true as if it is true. We also talk about why trying to prevent the bad thing from happening during exposure defeats the purpose, why crediting safety behaviors instead of yourself keeps you stuck, and why arguing with anxious thoughts or trying to think your way out of anxiety almost never works.

Plus Did It Anyway wins from Canada, Sweden, and Turkey, including one that involves scuba diving.

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Want to talk about this episode, interact with us, and communicate with others that are sharing your experience? We're hanging out in the Disordered Community Space

https://disordered.fm/community

----

The Disordered Guide to Health Anxiety is available now:

⁠https://www.disordered.fm/the-disordered-guide-to-health-anxiety/⁠

---

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. 

-----

Got questions or did it anyways to share? ⁠Send us an email or voicemail on our website⁠.

https://disordered.fm

---

Disclaimer: Disordered  is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts or guests of the podcast. Information here is provided for psychoeducational purposes. As always, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

Send a question or comment via text message

Is distraction the same thing as running from your feelings? This week we answer a listener question about where that line actually is, and why the answer isn't as simple as always sit with it.

We talk about why attention plays such a big role in anxiety disorders, why getting caught up in your life is not automatically avoidance, and why the real question isn't am I distracting myself but what am I actually running from. We also get into why every emotion, not just anxiety, deserves room, and why treating fear as the only feeling that matters can quietly shut down curiosity about everything else you feel.

Plus Did It Anyway wins, including a tattoo appointment survived and a listener who fell asleep during a 90 minute MRI.

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Want to talk about this episode, interact with us, and communicate with others that are sharing your experience? We're hanging out in the Disordered Community Space

https://disordered.fm/community

----

The Disordered Guide to Health Anxiety is available now:

⁠https://www.disordered.fm/the-disordered-guide-to-health-anxiety/⁠

---

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. 

-----

Got questions or did it anyways to share? ⁠Send us an email or voicemail on our website⁠.

https://disordered.fm

---

Disclaimer: Disordered  is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts or guests of the podcast. Information here is provided for psychoeducational purposes. As always, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

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Anxiety recovery attracts an entire industry, and not all of it is safe. This week we talk about popular but dangerous anxiety cures, the methods and trends that get recommended constantly but that our community says actually made things worse.

We cover the trauma narrative that convinces people their panic and OCD are rooted in trauma stored in the body, nervous system regulation and vagus nerve claims built on debunked science, tapping and EFT marketed as evidence based when it isn't, coaching programs that blame you when their method fails, and wellness grifts like parasite cleanses and heavy metal detoxes. We also talk about why well meaning therapists and coaches can cause real harm even when they believe they're helping.

Plus Did It Anyway wins from Sydney and Saudi Arabia.

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Want to talk about this episode, interact with us, and communicate with others that are sharing your experience? We're hanging out in the Disordered Community Space

https://disordered.fm/community

----

The Disordered Guide to Health Anxiety is available now:

⁠https://www.disordered.fm/the-disordered-guide-to-health-anxiety/⁠

---

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. 

-----

Got questions or did it anyways to share? ⁠Send us an email or voicemail on our website⁠.

https://disordered.fm

---

Disclaimer: Disordered  is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts or guests of the podcast. Information here is provided for psychoeducational purposes. As always, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

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This is our anxiety latest questions and answers episode, where we go straight to the community and tackle real listener questions about panic disorder, OCD, GAD, and health anxiety.

We get into what to do when anxiety symptoms show up all day without fitting a specific diagnosis, why worrying about something you live with, like an aging house, does not count as exposure on its own, and how to tell the difference between doing real exposure work and quietly avoiding it. We also cover what to do when your own therapist contradicts what you hear on this podcast, and why food avoidance driven by fear, including emetophobia, usually needs a different approach than logic and willpower.

Plus several Did It Anyway wins from the community, including a three hour movie and a three night trip taken despite dread and derealization.

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Want to talk about this episode, interact with us, and communicate with others that are sharing your experience? We're hanging out in the Disordered Community Space

https://disordered.fm/community

----

The Disordered Guide to Health Anxiety is available now:

⁠https://www.disordered.fm/the-disordered-guide-to-health-anxiety/⁠

---

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. 

-----

Got questions or did it anyways to share? ⁠Send us an email or voicemail on our website⁠.

https://disordered.fm

---

Disclaimer: Disordered  is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts or guests of the podcast. Information here is provided for psychoeducational purposes. As always, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.