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    Health

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

    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!

    Advertise

    Copyright: Copyright © 2017 by David D. Burns, M.D.

    • Apple Podcasts
    • Google Play
    • Spotify

    Latest Episodes:
    099: Lisa Nicole Bell Interview — Behind the Brilliance Jul 30, 2018
    Show notes

    Lisa Nicole Bell is the host of the highly regarded podcast, Behind the Brilliance. In this lively interview, Nicole and David talk about

    • David's path into the mental health field
    • the difficulties and rejections David faced getting his first book, Feeling Good, published
    • David's advice to listeners interested in therapy
    • how he approaches perfectionism, depression, and anxiety with patients
    • the joys of a life free from the need to be special—
    • and much more!

    Lisa's show delivers a smart and funny take on pursuing ambitions, designing a life, and living joyfully. Lisa's most recent media work includes producing an Australian documentary on identity and gender politics within sports and a digital docu-series produced by Academy Award-winning actress Viola Davis.


    098: Live Session (Lee) — Methods, Five Secrets (Part 3) Jul 23, 2018
    Show notes

    David and Jill do M = Methods, and show Lee how to respond to his wife more skillfully, using the Five Secrets of Effective Communication (link). Like everyone who is trying to learn the Five Secrets, Lee struggles with several blind spots:

    • "I Feel" Statements. Lee has tremendous difficulties sharing his feelings openly, in a respectful manner. He seems indoctrinated with the cultural idea that men should not be vulnerable and express feelings.
    • Lee makes the common error of "problem solving" instead of asking his wife to share more of her feelings.
    • Lee makes another common error of apologizing and using the trite phrase "I'm sorry" instead of encouraging his wife to open up. David discusses the different between dysfunctional and effective apologies.

    David and Jill do lots of role-play practice with Lee and give him a homework assignment.

    T = Testing. After the session is over, Lee completes the Brief Mood Survey again. His scores indicated that his feelings of anxiety and anger have completely disappeared, and he also has a perfect score Positive Feelings Survey and the Relationship Satisfaction Scale. He also gave David and Jill perfect scores on the Empathy and Helpfulness scales and wrote what he liked the best about the session:

    "My epiphany came at the moment I realized I had been afraid of emasculating myself and realizing that my vision of what a "man" should be was completely inaccurate."

    At the end, Jill reads an emotional email from Lee describing how he relapsed and started arguing with his wife, and then remember to empathize use the Five Secrets instead, with an amazing result!


    097: Live Session (Lee) — Agenda Setting (Part 2) Jul 16, 2018
    Show notes

    David and Jill do A = (Paradoxical) Agenda Setting with Lee, starting with the Invitation: Jill asks Lee if he wants help with the relationship conflict, and if this would be a good time to roll up our sleeves and get to work. Lee indicates that he does want help.

    They review the first two steps of his Relationship Journal, where Lee had recorded one specific thing his wife said to him, and exactly what he said next. Here's what he wrote down:

    Step 1 – She said: Write down exactly what the other person said. Be brief:

    I was trying to convince my 18-month-old daughter to put her pajamas on. I was calm. Eventually, I raised my voice an octave or two and in a stern voice I told my daughter to put her pajamas on.

    Afterwards, Liza said, "I don't think you need to use that tone with a small child."

    Step 2 – I said: Write down exactly what you said next. Be brief:

    I said, "I don't think there was anything wrong with what I did. You can be stern without losing your shit*. There are times when she needs to know I am serious and not messing about anymore."

    It then devolved into a debate over a clash of values on how to raise our daughter.

    * Transcribed as-is from Lee's Relationship Journal.

    Lee also circled all the emotions he thought she was having, along with all of the emotions he was having. He thought she was feeling:

    • Sad and unhappy
    • Anxious and worried
    • Rejected and alone
    • Discouraged, pessimistic, and despairing
    • Frustrated and stuck
    • Angry, annoyed, irritated and upset
    • Other feelings: troubled, defensive, dismayed, downhearted, and disconnected

    Here's how he was feeling:

    • Unhappy
    • Anxious and worried
    • Guilty, remorseful, bad and ashamed
    • Inferior, inadequate, defective and incompetent
    • Embarrassed, foolish and self-conscious
    • Hopeless, discouraged and despairing
    • Frustrated
    • Angry, mad, resentful, annoyed, irritated, upset and furious
    • Other feelings: hostile, loud, critical, agitated, defensive, stubborn, exasperated, sarcastic, powerless, diminished, low, resistant, confused, judgmental, vulnerable, inept

    Step 3. Good vs. Bad Communication. When David and Jill ask Lee to examine his response to his wife, he had to admit that his response in Step 2 had all the characteristics of bad communication—he did not acknowledge any of her feelings, he did not share his own, and he did not convey love and respect. This was disturbing and surprising to Lee.

    Step 4. Consequences. When David and Jill asked Lee to examine the impact of what he said to his wife, they suddenly ran into a wall of resistance, which is almost universal in relationship work. The Relationship Journal is an incredibly powerful tool, and it can be extremely painful because you have to stop blaming the other person and examine your own role in the relationship.

    Lee suddenly and painfully discovered the answer to his question of why his wife was so controlling and critical of him—it was NOT because of the influence of her mother, but rather because he was forcing her to treat him like that almost every time he interacted with her.

    This insight cannot be denied when you do the Relationship Journal, and it's potentially incredibly empowering, but it can be incredibly painful at the same time.

    You will also hear a masterful and paradoxical response by Dr. Levitt when Lee resists—and as a result, his resistance suddenly disappears, and he jumps on board!


    096: Live Session (Lee) — Testing, Empathy (Part 1) Jul 09, 2018
    Show notes

    For the past couple months, Fabrice has asked me to set up a live therapy session to illustrate how to treat troubled relationships using TEAM-CBT. I was fortunate to get an email request from a colleague named Lee who wanted help with his marriage. He explained that his wife was very controlling and critical of him and attributed this to the fact that she had a controlling mother. This is very typical in troubled relationships, most of us are convinced that the problem is the other person's fault. Of course, Lee told us that his wife, in turn, blames back and feels that Lee is the one who needs to change.

    Lee initially thought we'd do couples therapy, but in TEAM-CBT we actually prefer to treat just one person in a troubled relationship.

    Two weeks ago, Jill and I sat down with Lee on a Saturday morning, linking to each other on the internet since he lives abroad, for a three-hour treatment session. The session has been broken down into three separate podcasts plus commentary from Fabrice, Jill and David on each of the three segments.

    By way of disclaimers, Lee is a colleague who does coaching for individuals with alcohol addiction problems. We are not entering into a formal treatment relationship with Lee. Instead, he has offered to help us illustrate a therapy technique, using a real person problem, as part of his training and personal growth. We are deeply grateful to Lee for letting us share his intensely personal "session" with you!

    Today, you will hear the first segment on T = Testing and E = Empathy. Lee will tell his story. Jill and I will listen without trying to "help" or "rescue" Lee. On the Brief Mood Survey, he indicated no depression or suicidal urges. He was mildly anxious and slightly angry. His Positive Feelings Survey indicated that he was quite happy except in two areas: He felt only moderately close to people and only slightly connected to others. You will also hear him say that he felt like one of the loneliest people we would ever meet toward the end of the empathy phase of the session.


    095: The Recovery Circle Jul 02, 2018
    Show notes

    How to select the techniques that will be most helpful for various kinds of problems, and how to individualize the treatment for each patient.


    094: 50 Methods in 50 Minutes (Part 2) Jun 25, 2018
    Show notes

    For a long time, Fabrice has wanted to do a show on my list of "Fifty Ways to Untwist Your Thinking" called "Fifty Ways in Fifty Minutes." So we finally did it, and it was fun!

    If I'm helping you overcome depression or anxiety, I'll ask you to fill out a Daily Mood Log, so you can list your negative thoughts and feelings at some specific moment when you were upset. You may be thinking, "I'm a failure," or "I should not have made that mistake," or "I'm unlovable."

    Your negative thoughts will nearly always be distorted, but you'll still believe them, and that's why you're feeling depressed and anxious. And the moment you discover that your negative thoughts aren't true, you'll immediately feel better. But that's not going to be easy, because you've probably been giving yourself the same negative messages for years, or even decades. And friends and family members, and even your therapist, may have been trying, unsuccessfully, to talk you out of them.

    That's why I've developed more than fifty methods to help you crush the negative thoughts at the heart of your suffering. So today, you'll take a look at the landscape!


    093: 50 Methods in 50 Minutes (Part 1) Jun 18, 2018
    Show notes

    For a long time, Fabrice has wanted to do a show on my list of "Fifty Ways to Untwist Your Thinking" called "Fifty Ways in Fifty Minutes." So we finally did it, and it was fun!

    If I'm helping you overcome depression or anxiety, I'll ask you to fill out a Daily Mood Log, so you can list your negative thoughts and feelings at some specific moment when you were upset. You may be thinking, "I'm a failure," or "I should not have made that mistake," or "I'm unlovable."

    Your negative thoughts will nearly always be distorted, but you'll still believe them, and that's why you're feeling depressed and anxious. And the moment you discover that your negative thoughts aren't true, you'll immediately feel better. But that's not going to be easy, because you've probably been giving yourself the same negative messages for years, or even decades. And friends and family members, and even your therapist, may have been trying, unsuccessfully, to talk you out of them.

    That's why I've developed more than fifty methods to help you crush the negative thoughts at the heart of your suffering. So today, you'll take a look at the landscape!


    092: Stephanie James Interview (Part 1) — Feeling Good Now Jun 11, 2018
    Show notes

    I recently did the first of three interviews with Stephanie James on her superb radio show and podcast, The Spark. Here's how Stephanie described the interview (with minor changes):

    We have amazing power within us to change our thoughts, our feelings, our actions, and our lives.

    This episode is an inspirational way to take control of your automatic negative thoughts today and transform them in order to create a more joyful present and a more fulling future.

    Join us as we talk with the legendary Dr. David Burns about how we can break through the old thinking habits that bind us and begin to live a more happy, harmonious life where we can feel good now.

    Stephanie is a superb therapist and dynamic radio personality from Colorado. It was an honor to be on her show. She is co-authoring a book on how to live a "spark-filled life." It should be completed soon, so you'll likely be hearing from Stephanie a lot next year!

    Following the interview, Stephanie visited my Tuesday training group at Stanford and participated in one of our Feeling Good Podcasts with some students in the group. She suggested we might want to broadcast the Tuesday group live so that therapists from all over the world could join us. We are thinking about that, but will have to check with the powers that be to see if we could get permission to broadcast from Stanford, as well as our Tuesday group members who may have mixed feelings, due to the intensely personal nature of the training.

    Let me know what you think about this idea!

    My second interview with Stephanie was on the evolution of traditional Cognitive Behavioral Therapy (CBT) into the new TEAM-CBT. Fabrice and I will publish it for you shortly. My third interview with Stephanie will be on the interpersonal TEAM model—how to convert conflicted relationships into loving, rewarding ones.


    091: The Celebration of Failure Jun 04, 2018
    Show notes

    I had a magical fantasies of what would happen once I was an "author." The reality was quite the opposite and quite painful, with almost endless rejections accompanied by feelings of self-pity and defeat. For example, soon after publication, I learned my book was at the top of my publisher's "loser list." Then I discovered that magazines, newspapers, and TV and radio shows had no interest in it whatsoever.

    I hope you enjoy the story. It's all about the celebration of failure and the conversion of failure into success.


    090: Roy Germano Interview — How David Became an Anti-Antidepressant Crusader and a Bestselling Author May 28, 2018
    Show notes

    I was recently interviewed by author, professor, and documentary filmmaker Roy Germano for his outstanding Other Side Podcast. Fabrice and I thought you might enjoy this interview, and Roy graciously gave us permission to share it with you.

    You will get some personal glimpses into the early days of my career, including why I left academics to pursue a full-time private practice, along with some of controversies about antidepressants. You will also hear a story of what happened when I was trying, rather unsuccessfully, to get my first book, Feeling Good, published. It wasn't easy, and it almost didn't happen!

    Roy is terrific and his podcasts cover a wide range of topics. You can find his podcasts on iTunes.


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