When emotional intensity gets high, access to problem-solving, emotion regulation, and interpersonal effectiveness can narrow quickly. TIPP is a DBT distress-tolerance skill that works through the body to reduce physiological arousal. In this episode, I explain the four parts of TIPP—Temperature, Intense Exercise, Paced Breathing, and Paired Muscle Relaxation—and how they can help bring distress down enough to access Wise Mind and choose the next effective step.

The psychoeducation is followed by a full 30+minute guided progressive muscle relaxation practice. We move through the major muscle groups twice, pairing each contraction with the inhale and each release with the exhale. This practice can help with anxiety, emotional overwhelm, physical tension, difficulty settling, and building greater awareness of where stress is being held in the body.

Check out the website for articles published weekly: www.naplesintegratedrecovery.com

Want to work together? I see psychotherapy clients in Florida:

https://www.psychologytoday.com/us/therapists/brian-granneman-naples-fl/1153470

I also offer accountability, coaching, and sober companion services. Send an email: [email protected]

EMDR is often reduced to following a light while bilateral stimulation “unlocks” trauma. In this episode, Brian explains what EMDR actually involves, what researchers still debate about its mechanism, and why Francine Shapiro later said she would have called it “Reprocessing Therapy.” The discussion covers the Adaptive Information Processing model, avoidance, target selection, negative core beliefs, dual attention, and the role bilateral stimulation may play.

Brian also looks at the clinical skill required for effective EMDR, including preparation, pacing, attention to dissociation, tracking whether processing is moving or looping, and using cognitive interweaves when a client becomes stuck. The episode offers a practical explanation of how EMDR can help people process painful memories, remain grounded in the present, and develop healthier beliefs about themselves.

Check out the website for articles published weekly: www.naplesintegratedrecovery.com

Want to work together? I see psychotherapy clients in Florida: https://www.psychologytoday.com/us/therapists/brian-granneman-naples-fl/1153470

I also offer accountability, coaching, and sober companion services. Send an email: [email protected]

Boundaries are often taught as simple limits: say what belongs to you, let other people have their reactions, and stop managing everyone else’s emotions. This episode goes deeper into what happens after the boundary is spoken, especially when the line comes out with years of old resentment, shame, or family history attached to it.

Using Adlerian psychology, Stoicism’s dichotomy of control, recovery language, and a personal example around body comments and family patterns, this episode breaks down the difference between valid content, messy delivery, and unresolved history. The real work is learning to say things earlier, use fewer words when flooded, repair the part that belongs to you, and keep the boundary intact.

Check out the website for articles published weekly: www.naplesintegratedrecovery.com

This episode looks at boundaries through the lens of friendship, emotional access, and reclassifying people when their behavior no longer matches the role you gave them. A personal story about a disappointing friendship becomes a way to explore early vulnerability, inconsistency, ghosting, resentment, and the painful habit of investing in potential. Some relationships need a demotion before they need a deletion. And sometimes the demotion shows you the deletion is still necessary.

If you have ever kept giving someone access while feeling ignored, dismissed, or resentful, this episode gives language for what is happening. It explores why boundaries belong to the person setting them, why accountability still matters when someone is struggling, and why behavior has to matter more than stated values. Reclassification means changing someone’s access level without needing to turn them into a villain. The work is learning to stop giving front-row access to people who keep showing you they don't deserve the seat.

Check out the website for articles published weekly: www.naplesintegratedrecovery.com

A construction project that began around a $150,000 estimate grew into something that may approach half a million dollars. Between surprise costs, “change orders,” restrictive contract language, and a contractor who would not acknowledge obvious problems, Brian found himself replaying arguments and becoming consumed with getting someone to admit what had happened. Then a morning Dharma talk about a six-hundred-year-old Zen painting of a man trying to catch a catfish with a gourd gave him a useful way to understand the pattern.

This episode explores grasping through Buddhism, dopamine, addiction, therapy, and everyday life. Brian looks at why we keep chasing apologies, reassurance, money, control, and achievement as though the next outcome will finally settle us, and asks a practical question: What job have I assigned this thing?

Check out the website for articles published weekly:

Want to work together? I see psychotherapy clients in Florida:

I also offer accountability, coaching, and sober companion services. Send an email:

This episode looks at addiction, dopamine, recovery, and the strange return of quiet joy through the unlikely doorway of bird feeders. Years ago, ordinary contentment looked ridiculous: a jigsaw puzzle, a massive John Adams biography, a quiet evening, a bird outside the window. Through addiction, the reward system gets trained around intensity, escape, threat, and relief, which can make normal life feel flat, boring, or almost offensive.

The deeper question is what changes when recovery reaches attention itself. A cardinal at a feeder, a book, a walk, or a morning cup of coffee can begin to register again when the receiver changes. This is an episode about sobriety, neuroplasticity, mindfulness, grief, trauma exposure, and the weird humility of becoming the kind of person who genuinely cares when the birds show up.

Check out the website for articles published weekly:

Want to work together? I see psychotherapy clients in Florida:

I also offer accountability, coaching, and sober companion services. Send an email:

Patience can become a way to stay stuck. This episode breaks down the difference between slow growth that is actually building capacity and waiting that keeps the same loop alive. Brian looks at relationships, recovery, career frustration, personal development, and the nervous system’s need for closure when the outcome is uncertain.

You’ll learn how to assess whether time is increasing honesty, discipline, judgment, tolerance, and steadiness, or whether the same pattern is continuing under better language. The central question is whether roots are forming or the ground has already given you the answer. Watering dead soil is not patience.

Check out the website for articles published weekly: www.naplesintegratedrecovery.com 

Why do other people feel so exhausting sometimes? This episode uses Buddhist psychology to break down the aversive temperament: the part of the mind that sees flaws quickly, gets irritated by disorder, and can confuse clear perception with contempt. Using examples from beach crowds, Walmart, airports, AA, and public life, Brian explores why some people experience inconsiderate behavior as almost physically intolerable.

The episode also looks at why “that’s my alcoholism” can become too small of an explanation after years of sobriety. The deeper work involves understanding temperament, noticing aversion before it becomes disgust, keeping discernment without feeding contempt, and learning how to stop making peace dependent on everyone else acting right.

Check out the website for articles published weekly: www.naplesintegratedrecovery.com

Why do people keep repeating behaviors they already decided to stop? This episode breaks down the neuroscience behind addictive loops, impulsive behavior, craving, dopamine, the orbitofrontal cortex, salience, tolerance, withdrawal, and why insight alone often does not change behavior. Using a simple cereal aisle example, Brian explains how the brain assigns value before conscious reasoning catches up.

The episode also explains why recovery has to begin earlier in the sequence: before access, before negotiation, before the craving peaks, and before the old behavior becomes automatic. The real work involves changing the environment, interrupting the loop, tolerating discomfort, and giving the brain repeated evidence that the old behavior is no longer required.

Check out the website for articles published weekly: www.naplesintegratedrecovery.com

Phones have become more than tools. They sit on the dinner table, beside the bed, in the bathroom, in the car, in the waiting room, and in the hand before most people even realize they reached for them. This episode looks at how phones became pocket-sized dopamine dispensers, training both kids and adults to escape boredom, silence, discomfort, loneliness, and ordinary waiting.

The conversation moves through childhood development, addiction, parenting, recovery, relationships, and attention. Kids are losing real-world practice with play, conflict, boredom, repair, and face-to-face connection. Adults are living in the same loop, checking for relief, stimulation, outrage, reassurance, or escape. The deeper work is learning how to stay present in actual life instead of constantly leaving through a screen.

Check out the website for articles published weekly: www.naplesintegratedrecovery.com

Want to work together? I see psychotherapy clients in Florida:

https://www.psychologytoday.com/us/therapists/brian-granneman-naples-fl/1153470

I also offer accountability, coaching, and sober companion services. Send an email: [email protected]