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Page de couverture de Feeling Good Podcast | TEAM-CBT - The New Mood Therapy

Feeling Good Podcast | TEAM-CBT - The New Mood Therapy

Feeling Good Podcast | TEAM-CBT - The New Mood Therapy

Auteur(s): David Burns MD
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 This podcast features David D. Burns MD, author of "Feeling Good, The New Mood Therapy," describing powerful new techniques to overcome depression and anxiety and develop greater joy and self-esteem. For therapists and the general public alike!Copyright © 2017 by David D. Burns, M.D. Développement personnel Hygiène et mode de vie sain Psychologie Psychologie et santé mentale Réussite
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  • 486: Doctor, why won't you ever tell me how you really feel?

    486: Doctor, why won't you ever tell me how you really feel?
    Jan 26 2026
    "Doctor, why won't you ever tell me how you really feel?" Therapist Self-Disclosure-- Featuring Dr. Carly Zankman This week, Dr. Carly Zankman joins us to discuss a really interesting and controversial topic—self-disclosure by a therapist. When is it helpful? And when is it an ethics violation? When I was a psychiatric resident, my supervisors (mainly psychoanalytic) cautioned me NEVER to share my feelings with patients. This felt really awkward at time, but is there some wisdom in that advice? And if so, what IS the wisdom? How does it work or help? And if that rule—never sharing your feelings or personal life--is too rigid, then when and how should we share our feelings and personal experiences with our patients? What is the goal, and what are the best practices? As most of you know, I have often been extremely critical of what I was taught as a psychiatric resident, thinking the teachings were based more on tradition than on science or data. And when it came to never share your feelings, I sometimes used to think about this issue along these lines: Let's assume that one of our jobs is to help our patients become more vulnerable and genuine, by sharing how they really feel inside instead of acting fake and always presenting a happy or professional face to the world. That goal seems reasonable, and it's a prime goal of a great many therapists. But how are we supposed to accomplish that goal by acting fake and hiding our own feelings? That just did not seem to make sense to me! But there are lots of traps when it comes to sharing your feelings. What if the patient is attracted to you, or vice versa? What if you do not like the patient, or feel turned off by them or annoyed with them? In today's podcast, we will try to sort out some of these questions, with help from the vivacious and brilliant Carly Zankman, Psy.D. (INSERT CARLY'S BIOSKETCH AND BRIEF DESCRIPTION OF HER TEAM CBT CLINICAL WORK IN MOUNTAIN VIEW, California. Carly described being taught similar things in graduate school, cautioning the students against opening up in a personal way during sessions. However, one of her supervisors listened to one of her sessions with a patient, and said, "the greatest gift you bring to therapy is just opening up and bringing your own, genuine and authentic self into the room." Carly described being taught similar things in graduate school, cautioning the students against opening up in a personal way during sessions. However, one of her supervisors listened to one of her therapy sessions with a patient, and said, "Your greatest gift is bringing your own, genuine and authentic self into the room," and from that point forward, everything shifted in how she viewed her role in the therapeutic relationship. Carly describes working with a patient recently and receiving a 19 / 20 on the Empathy scale at the end of the session. Although 9 out of 10 therapists would say that's a terrific, near-perfect score, on our scoring key it is rated as a failing grade. That's because the patient is telling you that you didn't quite "get" something about them, or didn't quite connect with them in a completely warm and supportive way. Carly's patient was a 40 year old recently re-married woman with a new baby, and struggling with a lot of regret, guilt, shame, depression, and anxiety. Carly decided on a hunch it might be a good idea to share her personal story, since she saw this woman as a mirror image of herself. Carly asked the patient if she wanted Carly to share her story, and this patient lit right up and was excited. It turned out to be tremendously helpful and was what she needed to believe Carly's empathy was real and not phony. The patient said that in the past she'd had many therapists, but none of them had ever share their personal experiences or feelings. Why was that so helpful? How does it work? And what are some red lines that you do NOT want to cross as a therapist? These are just a few of the ideas we discussed on today's podcast. We listed and briefly discussed a few of the many situations where it might NOT make sense to share our feelings or experiences with patients. Rhonda pointed out that if you've had a traumatic experience and you're feeling quite depressed, anxious, or angry, and have not yet had the chance to do your own personal work, it would not be the best idea to share it with your patient, because you might be using the patient as your own therapy or support network. You also would not share feelings of sexual or romantic attraction to a patientstrong personal feelings of unresolved depression, anxiety, or anger Some feelings you might share with your patient, but only if you have the great therapeutic skill to do so in a helpful, illuminating way, such as feelings of dislike or anger toward the patient. We also discussed the danger of therapy degenerating into a paid friend relationship, and asked how that differed from the work of Dr. Irvin Yalom, the famous Stanford psychiatrist who taught ...
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    53 min
  • 485: Ask David: Schizophrenia; OCD--What REALLY Works?

    485: Ask David: Schizophrenia; OCD--What REALLY Works?
    Jan 19 2026
    Helping a Loved One with Schizophrenia Treating OCD! My Hands Might Be Contaminated! How To Mend an Angry, Broken Heart

    The answers to today's questions are brief and were written prior to the show. Listen to the podcast for a more in-depth discussion of each question.

    Here are the questions for today's podcast.

    1. Joel asks: How can we use TEAM CBT to help a patient or loved one struggling with schizophrenia?
    2. Jean asks: Since CBT won't work with OCD, should we use exposure or the Hidden Emotion Technique instead?
    3. Jim asks: When someone has objectively hurt you, like your partner has had an affair, how do you get over that pain?

    And here are the answers.

    Question #1

    Dear Dr Burns,

    I learned from you that the foundational principle of CBT is that our emotions, and ultimately our behaviors, are rooted in thoughts or beliefs. Are there emotional and/or behavioral disorders (perhaps like schizophrenia) that are rooted in abnormal neurobiological brain pathologies, rather than in distorted cognitions or self-defeating beliefs? And if so, is TEAM CBT relevant to helping those suffering from these "psychoses"?

    With much gratitude, respect, and affection,

    Joel

    Question #2

    Dear Dr. Burns:

    I'm curious if you have thoughts about the problem of talking back to the obsessive thoughts in OCD.

    Thank you,

    Jean

    Question #3

    Dear Dr. Burns:

    When someone has objectively hurt you, like your partner has had an affair, how do you get over that pain? I am not having thoughts that I did anything wrong, or there is something the matter with me, I feel sad, hurt and confused and angry.

    Jim

    Thanks for listening today!

    Matt, Rhonda, and David
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    54 min
  • 484: Live Work with Madeleine, I'm Helpless! Part 3 of 3

    484: Live Work with Madeleine, I'm Helpless! Part 3 of 3
    Jan 12 2026
    Live Work with Madeleine I'm Helpless! Part 3 of 3 Today, we are pleased to present the live and unedited follow-up session with Madeleine, a loving mother who became terrified when she realized that her oldest beloved daughter might be in mortal danger during her hear abroad while in college. Part 3 of 3 We were a bit rushed near the end of M = Methods in Part 2 because of a mistake that I (David) made. I forgot that we had extended this webinar by 30 minutes, so we wouldn't be rushed at the end, so I wrongly concluded we were running out of time when we weren't! In order to complete our work, we scheduled Part 3 several weeks later to do the following critical pieces of the work with Madeleine. Additional work with the Externalization of Voices to make sure she could knock all of her self-critical thoughts out of the park.Cognitive Flooding, using the magazine article she was triggered by to prompt the anxiety. The idea is to make yourself as anxious as possible for as long as possible, until the anxiety and panic eventually loses its punch and becomes boring. This will be one of the first times we have illustrated this technique live in a video-recorded session.Any other loose ends that may have emerged since our first session with the wonderful Madeleine! We did some cognitive flooding, urging Madeleine to close her eyes and describe her most terrifying fantasy involving her daughter's abduction by a sociopathy. We encourage her to make herself as anxious as possible, and within minutes she was at 100% and sobbing. Then we did some "memory" rescripting as we had promised her at the start, and part way through there was an unexpected surge of anger, that seemed to come from out of the blue, although the circumstances of the fantasy were clearly more than enough to trigger rage. Using the technique called "Affect Bridging," I asker her whether the anger she was now feeling might trace back to some earlier traumatic event in her life, perhaps when she was young, and this was confirmed. She described a profoundly troubling indecent involve her mother and dad shortly before they got divorced. There was a tremendous amount of emotion packed into today's follow-up session, almost non-stop, in fact. We look forward to seeing Madeleine's end-of-session Brief Mood Survey and Evaluation of Therapy Session. Jill and David assigned follow-up homework for her, including 15 minutes per day reading the terrifying article from People Magazine that had initially triggered her in the beauty salon. We want to thank you, Madeleine for your courage in being so open and real, and for giving us all a unique opportunity for some incredible learning, and also the chance to get to know you at a deep a genuine level! Thanks for listening to these three podcasts. We hope you enjoyed them and learned something useful and helpful, especially if you've also been struggling with feelings of depression and anxiety, or if you're a mental health professional wanting to take a deeper dive in to how TEAM CBT can sometimes produce extremely rapid healing, even from severe feelings of depression, anxiety, and despair. Madeleine, Jill, Rhonda, and David Following the session, Madeleine sent us the following feedback on the session via email: Hi Jill and David, Completed after session yesterday, but in my state of emotional fatigue, forgot to hit send! Brief Mood Survey after session: Depression: 3 / 20 (minimal) Suicidal urges: 0 / 12 (none) Anxiety: 8 / 20 (mildly elevated) Anger: 9 / 20 (mild/moderately elevated) Happiness: 12 / 20 (low) Relationship Satisfaction: 29 / 30 (nearly perfect) Evaluation of Therapy Session Empathy: 20 / 20 (perfect score) Helpfulness: 20 / 20 (perfect score) Satisfaction: 8 / 8 (perfect score) Commitment: 8 /8 (perfect score) Neg feelings: 4 (high, range = 0- 4) Difficulties with Q: 2 (medium, range = 0- 4) What did you like the Least: exposure was pain. It feels very heavy and exhausting. And i understand, necessary to healing. What did you like the Most: David's "bridging" my affect states to discover my rage source. Jill's keeping us on track and making connection from my present worry about daughter's safety to past feelings of betrayal, losing trust, and resulting anger in my dad, a trusted figure. You both hit the nail on the head so many times in the session to uncover the deeper, ugly, messy, dark pools that lie within me i choose to keep safely sealed tight and out of the light. Postscript: I just completed day 1 of exposure in re reading the awful article. All the anxiety and fear resurfaced along with new feelings of revenge, determination, appreciation for the authors who are perhaps trying to help the family by publishing this. Ick. Best Regards, Madeleine Again, a big thanks to you Madeleine, and we will watch closely as you continue your courageous daily exposure work, and look forward to the day when you have won this battle! Warmly, david
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    1 h et 59 min
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