On Ask Kati Anything, your mental health podcast episode 218, licensed therapist Kati Morton talks about negative self talk, the different ways people pleasing can show up in our lives, and how to connect what we rationally know with how we feel. She then discusses whether or not it’s okay to cuss in therapy, how to healthily lose weight when we have an eating disorder, and whether or not a therapist can be biased due to their speciality.

Audience Questions:

2. Can you explain people pleasing and the different ways it can show up? Is it always a pacifying coping mechanism? I find I get dysregulated when my husband is upset so I tend to do things to make him feel better so I feel okay again, any idea what that behavior could be and why?

3. How do I connect what I rationally know to what I feel? I know the "whys" behind my anxiety and know on a rational level that I shouldn't be anxious about it and know how to argue back and how to decrease the anxiety in the short term but nothing helps in the long term because no amount of "thinking" or fighting back against what my anxiety is...

4. I was wondering if it’s ever ok to swear in therapy? I was brought up to be polite and respectful so I watch my mouth in most situations of course this doesn’t mean I don’t swear I just know the company I can swear in vs The ones I can’t. In therapy we were talking about a past trauma and I have described the person before as someone I hate, not a nice person blah blah blah. I think my therapist noticed that I felt more strongly about this as she asked me if “you could describe him in a few words what would it be?”

5. I need to lose weight. It's not just my opinion, I do have excess weight. My health would benefit from losing weight. I'm pre-diabetic, my heart is not doing its best, also the more I weigh, the more my joints hurt. However, I've had every ED under the sun, including anorexia, and in the past I've managed to have a relapse while having a dietitian and therapist. And it turned into anorexia for a year, binge/purge for another year and now binging for the last half year. Every "diet" I've ever had turns into 2-3 years of suffering.

6. Can a mental health professional be biased by their specialization when making a diagnosis? I was diagnosed with BPD, but when I got a new therapist she said that BPD was a misdiagnosis and I got diagnosed with ASD. The first therapist was more familiar with BPD and the latter was specialized in ASD, and I’m wondering if they could have been biased due to their expertise. Is it difficult to tell apart BPD and ASD?

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