Hello, all! If you spent some time off from work and/or with loved ones over the "holiday", I hope you have really enjoyed yourself. I'm incredibly grateful for you all. In this episode, I tackle the following awesome listener questions:  I have a much lower sexual drive than my spouse and she thinks I don't find her attractive because of it. What can I do? Every time I'm in a relationship, my mental health crumbles. Why?  As always, you can send me your questions to duffthepsych@gmail.com and find the show notes to this episode at http://duffthepsych.com/episode280 ---- This episode of Hardcore Self Help is sponsored by MasterClass and Skylight Calendar. MasterClass gives you the chance to learn from the world’s best minds – anytime, anywhere, and at your own pace. Check it out now and get unlimited access to every MasterClass. and as a special offer for listeners, you get 15% off an annual membership! Go to masterclass.com/duff for 15% off MasterClass.  With a mission to connect loved ones, Skylight Calendar displays your family events on a simple, touchscreen device. Now, as a special offer, you can get $10 off your purchase of a Skylight Calendar when you go to skylightframe.com/calendar and enter code HARDCORE at checkout.

Episode 280: Low Libido & Relationships Cause Sadness

This is a podcast dedicated to answering your questions about mental health, anxiety, depression, relationships, sex, and life WITHOUT psychobabble BS. I am Dr. Robert Duff, a psychologist from Southern California, but I'm also a regular dude who legitimately wants to help out. I wrote the best selling books Hardcore Self Help: F**k Depression and Hardcore Self Help: F**K Anxiety. Those are available at http://hardcoreselfhelp.com

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Hello, friends! In today’s episode, we tackle two profound listener questions that may resonate with many of you: Navigating Dating with a Stutter: A 38-year-old listener shares their struggles with stuttering, particularly how it impacts their dating life. They often need months to work up the courage to ask someone out and lose confidence if they stutter while doing so. We explore the nature of stuttering, its psychological impacts, and offer practical advice on managing anxiety, building self-confidence, and embracing one's uniqueness in social contexts.  Overcoming Self-Harm Scars and Building Confidence: Another listener, who self-harmed from ages 12 to 15, describes the ongoing shame they feel about their visible scars, which has affected their dating life and social activities. They seek advice on how to overcome this fear and become more open about their past. We discuss strategies for self-acceptance, the importance of vulnerability, and ways to reframe scars as symbols of resilience and survival. As always, you can send me questions to duffthepsych@gmail.com and find the full show notes for this episode at http://duffthepsych.com/episode399 ---- I've been pretty open with you guys about my health journey and my goal to reduce blood pressure. That's why I'm excited about Magic Mind, a mental performance shot that includes L-theanine to help you stay energized all day without the crash from caffeine. You can get 48% off your first subscription or 20% off a one-time purchase with the code DUFF at magicmind.com/duff.  

399: Dating with a Stutter & Self-Harm Scars

Hello, friends! In today’s episode, we tackle three insightful listener questions that many of you might relate to: Choosing Not to Have Biological Children Due to Mental Illness: A listener shares their decision to not have biological children to avoid passing on their mental health struggles. They feel confident in this choice but encounter surprise and judgment from others. We discuss the validity of their decision, the heritability of mental health conditions, and the importance of respecting personal choices. Navigating Barriers to Inpatient Mental Health Treatment: Another listener is considering inpatient treatment but faces significant logistical and financial barriers. We explore the challenges of dealing with insurance, paperwork, and managing life responsibilities during treatment. Suggestions for alternative treatment options like intensive outpatient programs (IOP) and partial-hospitalization programs (PHP) are also discussed. Addressing Mismatched Sex Drives in a Relationship: A listener in a relationship with differing sex drives seeks advice on how to encourage their partner to address potential low testosterone or other medical issues affecting their libido. We delve into the complexities of communication about sexual needs, potential underlying relationship issues, and strategies for fostering open dialogue and seeking professional help. As always, you can send me questions to duffthepsych@gmail.com and find the full show notes for this episode at http://duffthepsych.com/episode398. ---- OneSkin This episode is brought to you by OneSkin. Their products, formulated with the OS1 peptide, target skin aging at the cellular level, helping to strengthen the skin barrier and reduce signs of aging. Get 15% off with code DUFF at oneskin.co. BetterHelp This episode is brought to you by BetterHelp. Therapy can help you manage stress and improve mental health. Get started with BetterHelp, an online platform suited to your schedule. Visit betterhelp.com/duff for 10% off your first month.

398: Choosing to be Childless, Sex Mismatch, & Inpatient Treatment

Hello, friends! In today’s episode, we dive deep into a listener’s question about finding the right therapy for a variety of complex mental health issues. This 29-year-old woman is struggling with childhood trauma, mental health challenges such as anxiety and depression, and relationship issues. She is also seeking guidance on possible autism/ADHD symptoms and needs help navigating the overwhelming array of therapy options available. We explore the IPA framework (Immediacy, Problem, Approach) to help her and others identify the most suitable types of therapy. Additionally, we discuss the different types of therapists and their qualifications, the importance of cultural competency, and practical tips for finding a good therapist using various resources. This episode is a comprehensive guide for anyone looking to start their therapy journey. As always, you can send me questions to duffthepsych@gmail.com and find the full show notes for this episode at http://duffthepsych.com/episode397  Support for today’s episode comes from OneSkin. I’m really excited to share OneSkin’s products with you because I’ve seen great results myself. Their topical supplements are scientifically proven and free from over 1,500 chemicals and preservatives that can cause irritation, making them perfect for sensitive skin. Just cleanse, pat your skin dry, and apply their OS-1 Face, Eye, Body, or Shield products twice daily. They fit easily into your current skincare routine. Founded by an all-woman team of scientists, OneSkin’s products target cellular senescence, a key hallmark of aging. Their OS-01 peptide has been shown to reverse skin’s biological age by reducing senescent cells by up to 50%. For a limited time, you can try OneSkin for 15% off using the code DUFF at oneskin.co. 

397: What Kind of Therapy Is Right for Me?

 Hello, friends!    In today’s episode, we tackle a profound listener question that may resonate with many of you.  A listener who survived a suicide attempt at 13 is considering reaching out to the pediatric psychiatrist who assessed them during their hospitalization. They feel that the presence of medical students during their assessment was inappropriate and impacted their honesty. They're seeking guidance on how to provide feedback and advocate for their younger self.    As always, you can send me questions to duffthepsych@gmail.com and find the full show notes for this episode at http://duffthepsych.com/episode396    Links:    https://www.nami.org/advocacy/    https://www.patientadvocate.org/    ---    Ready to release your stressors and find a safe space to talk? Try BetterHelp, an entirely online therapy platform that fits your schedule. Fill out a brief questionnaire to get matched with a licensed therapist, and switch therapists anytime for no extra charge. Get 10% off your first month at http://betterhelp.com/duff  

396: Her Doctor Failed Her - Privacy for Youth in Psychiatry, Suicidality Assessment, and Advocating for Your Past Self

 Hello, friends!    In today’s episode, we tackle a profound listener question that may resonate with many of you.    A listener struggling with agoraphobia seeks guidance on overcoming their anxiety and finding motivation to pursue exposure exercises. They’ve been working with a therapist and taking anxiety medication but feel stuck. We explore the complexities of agoraphobia, the importance of prolonged exposure, and strategies for building motivation and support.    As always, you can send me questions to duffthepsych@gmail.com and find the full show notes for this episode at http://duffthepsych.com/episode395  ---    Nourish Your Skin with OneSkin: Combat dry, aging skin with OneSkin’s peptide-powered products, including their moisturizing body lotion and the innovative OS-01 SHIELD SPF. Address skin issues at their root with a 15% discount using code DUFF at oneskin.co.    

Episode 280: Low Libido & Relationships Cause Sadness

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