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Health & Fitness

Off the Couch Psychology

Off the Couch Psychology Podcast is your go-to source for understanding mental health, breaking the stigma around mental illness, and learning how to take control of your mind and your life.
Hosted by Dr. Jerry Cunningham, psychologist, author, and podcast host, this show breaks down complex psychological topics into real, practical conversations you can actually use in your everyday life.
Each episode explores mental health in a way that is clear, relatable, and grounded in real science. From anxiety, depression, ADHD, trauma, and burnout to cutting-edge psychological research and treatment approaches, you’ll gain a deeper understanding of what’s really going on in your mind—and what you can do about it.
This isn’t therapy—but it might be the closest thing you can get in your car, at the gym, or sitting on your couch.
If you’ve ever struggled with stress, overthinking, emotional exhaustion, or just found yourself wondering, “What is going on in my mind?”—this podcast is for you.
You’ll learn:
• How anxiety, depression, and other mental health disorders actually work
• Evidence-based therapy approaches that professional use and coping strategies you can use
• How to manage stress, overthinking, and emotional overwhelm
• Information about mental health medications and treatment options
• Practical tools to improve your mental health and daily life
This podcast is designed to educate, motivate, and empower you to take action—because understanding your mind is the first step to changing your life.

Latest Episodes:

When Being Sick Becomes the Goal Oct 20, 2026

Show notes

What happens when someone deliberately creates an illness to receive medical attention? And what happens when an innocent child becomes the patient?

In this episode of Off the Couch Psychology, Dr. Jerry Cunningham explores the disturbing world of factitious disorder, once commonly associated with Munchausen syndrome, and its dangerous counterpart, factitious disorder imposed on another, historically known as Munchausen syndrome by proxy.

You'll discover why some individuals manufacture medical symptoms, how professionals recognize the warning signs, and what treatments may help break the cycle. We'll also examine Munchausen by Internet and the tragic real-life story of Gypsy Rose Blanchard.

This episode will challenge how you think about illness, attention, deception, and the need for care.

Key Takeaways

Understand the difference between factitious disorder and malingering.
Recognize warning signs without jumping to conclusions.
Learn why someone might deliberately create medical symptoms.
Discover treatment approaches and their limitations.
Understand the dangers of factitious disorder imposed on another.

Visit www.Quest-Success.com for more episodes and resources.

Suggested Reading & References

1. Richard Asher (1951). Munchausen's Syndrome — The Lancet. The original medical article introducing the term discussed in this episode.

2. American Psychiatric Association (2022). Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR). Overview of Somatic Symptom and Related Disorders.

3. Merck Manual (2026). Factitious Disorder Imposed on Self — Symptoms, diagnosis, and treatment.

4. Merck Manual (2026). Factitious Disorder Imposed on Another — Medical deception involving children and dependent individuals.

5. American Psychological Association (2023). Medical Deception: Understanding Munchausen Syndrome/Factitious Disorder — Discussion with Dr. Marc Feldman and Dr. Janet Cahill, including Munchausen by Internet.

People & Topics Mentioned — Hashtags

#GypsyRoseBlanchard #DeeDeeBlanchard #NicholasGodejohn #BaronMunchausen #RichardAsher #FactitiousDisorder #MunchausenSyndrome #MunchausenByProxy #MunchausenByInternet

How Cults Take Control of You Oct 16, 2026

Show notes

How does an ordinary person become so devoted to a leader that they surrender their money, relationships, freedom, and sometimes even their life? Could someone you love be under the influence of a destructive group without realizing it?

In this episode of Off the Couch Psychology, Dr. Jerry Cunningham explores the disturbing psychology of cults, beginning with the tragic story of Jim Jones and the Peoples Temple.

You'll discover how cults recruit members, why intelligent people become trapped, and how manipulation, isolation, and fear can gradually replace independent thinking. More importantly, you'll learn how to recognize warning signs, protect yourself, and help someone you care about find a way out.

The most frightening part? Cults don't always look like cults, and their leaders rarely look dangerous in the beginning.

Key Takeaways

Recognize five warning signs of destructive cults.
Understand how psychological manipulation and thought control work.
Discover why intelligent people join and remain in cults.
Learn how to approach someone caught in a controlling group.
Understand practical steps toward leaving safely and rebuilding independence.

Visit www.Quest-Success.com for more episodes and resources to help you better understand your mind and take control of your life.

Suggested Reading and References

— Jeff Guinn (2017). A detailed investigation of Jim Jones, the Peoples Temple, and the events leading to Jonestown.
— Robert Jay Lifton (1961). A foundational examination of psychological control and thought reform.
— Steven Hassan (1988; revised editions). Explores destructive influence and strategies for recovery.
— Robert B. Cialdini (1984; expanded edition 2021). Explains psychological principles behind persuasion and compliance.
— Margaret Thaler Singer with Janja Lalich (1995). Examines cult recruitment, manipulation, and recovery.

People, Books, and Historical References

#JimJones #PeoplesTemple #Jonestown #JeffGuinn #TheRoadToJonestown #RobertJayLifton #ThoughtReformAndThePsychologyOfTotalism #SolomonAsch #StanleyMilgram #LeoRyan #StevenHassan #CombatingCultMindControl #RobertCialdini #InfluenceThePsychologyOfPersuasion #MargaretThalerSinger #JanjaLalich #CultsInOurMidst

When Grief Won't Let Go Oct 13, 2026

Show notes

Everyone says time heals all wounds, but what happens when the world keeps moving and you feel trapped in the moment someone you love died?

In this episode of Off the Couch Psychology, Dr. Jerry Cunningham explores Prolonged Grief Disorder, a condition where the pain of losing someone becomes so overwhelming that moving forward feels almost impossible.

You'll discover how prolonged grief differs from normal grieving, why some people struggle to reconnect with life, and what psychology tells us about finding a way forward. We'll also explore treatments that can help you honor someone you've lost while learning to live again.

And through a touching story about a heart kept inside a bottle, you'll discover why protecting yourself from pain can sometimes keep you from experiencing life.

Key Takeaways

Understand prolonged grief disorder and its warning signs.
Learn how prolonged grief differs from depression and normal grieving.
Discover evidence-based treatments that can help.
Explore practical ways to reconnect with life.
Learn how to honor your loved one while moving forward.

Visit www.Quest-Success.com for more episodes and resources.

Suggested Reading & References

American Psychiatric Association (2022). Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR). Diagnostic criteria for prolonged grief disorder.
Szuhany, K. L., Malgaroli, M., Miron, C. D., & Simon, N. M. (2021). Prolonged Grief Disorder: Course, Diagnosis, Assessment, and Treatment. Focus, 19(2), 161–172.
Shear, M. K., et al. (2016). Optimizing Treatment of Complicated Grief: A Randomized Clinical Trial. JAMA Psychiatry, 73(7), 685–694.
Jeffers, Oliver. (2010). The Heart and the Bottle. Philomel Books. A moving illustrated story about loss, emotional protection, and rediscovering life.
Columbia University Center for Prolonged Grief. Educational resources about prolonged grief disorder and grief-focused treatment. prolongedgrief.columbia.edu

People, Books & Topics Mentioned

#OliverJeffers #TheHeartAndTheBottle #AdamAndEve #CainAndAbel #DSM5TR #ProlongedGriefDisorder #ComplicatedGriefTreatment

When Caring Starts Wearing You Down Oct 09, 2026

Show notes

What happens when you still care about someone, but you are simply exhausted from caring? Compassion fatigue can leave caregivers, healthcare professionals, therapists, first responders, and family members feeling emotionally drained, irritable, detached, and guilty about feelings they may not understand.

In this episode of Off the Couch Psychology Podcast, you'll learn what compassion fatigue is, how it differs from burnout and secondary traumatic stress, and why constantly caring for others without enough recovery or support can begin affecting your own life. You'll also meet Rachel, a 40-year-old woman caring for a grandmother with dementia while receiving almost no help from the rest of her family. Her story shows how love, responsibility, exhaustion, resentment, and guilt can exist at the same time.

Most importantly, you'll learn practical ways to recognize compassion fatigue, protect your own well-being, ask for specific help, create healthier boundaries, and make caring for someone else more sustainable.

Key Takeaways

Recognize the warning signs of compassion fatigue before you reach complete exhaustion.
Understand the differences between compassion fatigue, burnout, and secondary traumatic stress.
Stop confusing exhaustion with a lack of love or compassion.
Ask others for specific, concrete help rather than waiting until you are overwhelmed.
Protect recovery time and maintain parts of your life outside caregiving.
Remember that sustainable caregiving includes caring for the caregiver.

Learn more and explore additional episodes at Quest-Success.com.

Suggested Reading & Research

Professional Quality of Life (ProQOL): Compassion Fatigue and Secondary Traumatic Stress — Resources explaining compassion fatigue, compassion satisfaction, burnout, and secondary traumatic stress.

What Do Family Caregivers of People With Dementia Need? — A systematic review examining support, information, education, and balance among dementia caregivers.

Becoming a Family Caregiver to a Person With Dementia — A literature review examining changing family roles, caregiver burden, respite, and the need for support.

Effects of Peer Support Interventions for Family Caregivers of Persons With Dementia — A 2026 systematic review and meta-analysis examining peer support and caregiver outcomes.

Themes Describing Social Isolation in Family Caregivers of People Living With Dementia — A review exploring isolation, psychological strain, social networks, and support among dementia caregivers.

Mentioned in This Episode

#SuperheroMovies #Caregiving #Dementia

49 adjustment disorder Oct 06, 2026

Show notes

One week your life feels predictable. The next, a job loss, divorce, medical diagnosis, financial problem, or another major change leaves you wondering why you suddenly cannot handle things the way you normally do.

In this episode of Off the Couch Psychology Podcast, you'll learn what an adjustment disorder is, how it differs from the normal stress that follows a difficult life event, and what the symptoms can look like in everyday life. Through the story of Karen—a woman facing the loss of her 23-year career and her marriage at nearly the same time—you'll see how quickly major change can affect sleep, concentration, mood, anxiety, relationships, and daily functioning.

More importantly, you'll hear practical ways to begin moving forward when life changes faster than you can adjust.

Key Takeaways

How adjustment disorders can develop after an identifiable stressor
The major symptoms and different ways they can appear
Why struggling with change is not a measure of personal strength
How CBT and solution-focused brief therapy may help
Practical ways to rebuild routine and regain a sense of control
Why focusing on the next reasonable step can make a difference

Learn more and explore additional episodes at Quest-Success.com.

Suggested Reading & References

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR). American Psychiatric Association Publishing.

Clear, James. Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones. Avery, 2018.

Salinger, J. D. The Catcher in the Rye. Little, Brown and Company, 1951.

O'Donnell, M. L., et al. "Adjustment Disorder: Current Developments and Future Directions." International Journal of Environmental Research and Public Health.

Mentioned in This Episode

#TheCatcherInTheRye #JDSalinger #AtomicHabits #JamesClear

Your Body Can Calm Your Mind Oct 02, 2026

Show notes

What if calming your mind sometimes starts with your body?

In this crossover episode of Quest for Success Podcast and Off the Couch Psychology Podcast, Dr. Jerry Cunningham explores practical ways to use your body to change the intensity of what you're feeling. You'll learn why breathing, facial tension, movement, your senses, and even temperature can influence your emotional state—and what you can do when stress, anxiety, anger, or feeling overwhelmed starts taking control.

You'll discover the physiological sigh, the 5-4-3-2-1 grounding technique, facial feedback, temperature shifts, and simple movement strategies you can use in everyday life. More importantly, you'll learn how to recognize your body's warning signs before your emotions reach the point where your mouth starts making decisions your brain may have to apologize for later.

Key Takeaways

Use breathing to reduce physical arousal and regain control.
Recognize tension in your jaw, face, shoulders, and muscles as early warning signs.
Use your senses to interrupt emotional spirals and reconnect with the present.
Move your body when stress has created physical activation.
Create space between what you feel and what you do.
Practice these strategies before you desperately need them.

For more episodes and resources, visit Quest-Success.com.

Suggested Reading & Research

Yilmaz Balban, M., et al. (2023). "Brief Structured Respiration Practices Enhance Mood and Reduce Physiological Arousal." Cell Reports Medicine. This randomized controlled study examined several breathing practices and found that five minutes of daily breathwork, particularly exhale-focused cyclic sighing, was associated with improved mood and reduced respiratory rate.

Coles, N. A., Larsen, J. T., & Lench, H. C. (2019). "A Meta-Analysis of the Facial Feedback Literature: Effects of Facial Feedback on Emotional Experience Are Small and Variable." Psychological Bulletin. A useful scientific look at the facial-feedback hypothesis; importantly, the researchers found that the effects exist but tend to be small and vary across circumstances.

Levine, Peter A. — Waking the Tiger: Healing Trauma. Levine explores the relationship between trauma, bodily sensations, nervous-system responses, and body-based approaches to regulation.

Dialectical Behavior Therapy (DBT) Distress-Tolerance Skills. For listeners interested in going deeper, DBT provides a broader framework for managing periods of intense emotional arousal through practical distress-tolerance and regulation strategies.

People & Books Mentioned

#AndrewHuberman #PeterLevine #WakingTheTiger

When a Child Cannot Trust Sep 29, 2026

Show notes

What happens when a child learns early in life that the people they need most cannot always be trusted?

In this episode of Off the Couch Psychology Podcast, you'll get a clearer understanding of Reactive Attachment Disorder (RAD), a condition associated with severe disruptions in early caregiving and a child's ability to form healthy attachments. You'll learn what RAD can look like beyond the labels of "defiant," "cold," or "unloving," and why some children may reject the very comfort they desperately need.

We'll look at what may be happening in the developing brain, how early neglect and unstable caregiving can shape a child's expectations of relationships, and why simply placing a child in a loving home may not immediately erase those lessons.

You'll also hear the disturbing story of Theodore, a troubled little boy who eventually became known to the world as Ted Bundy. His story raises an important question about childhood trauma and intervention while also reminding us that there is no documented RAD diagnosis for Bundy and that RAD does not predict serial violence.

Most importantly, you'll learn how consistent caregiving, professional treatment, family involvement, and repeated experiences of safety can help a child begin building something they may never have learned to expect: trust.

Key Takeaways

RAD involves much more than difficult or defiant behavior.
Severe neglect and disrupted caregiving can interfere with a child's ability to seek and accept comfort.
A safe home is important, but rebuilding trust can take time and repeated experiences of dependable care.
Treatment should involve qualified professionals and often includes caregivers as part of the process.
Coercive or frightening "attachment therapies" can be dangerous and should be avoided.
A child's difficult beginning does not determine the ending of their story.

For more episodes, resources, and information from Dr. Jerry Cunningham, visit Quest-Success.com.

Suggested Reading & Resources

American Academy of Child & Adolescent Psychiatry — Attachment Disorders A family-focused resource for understanding attachment disorders and the importance of proper assessment. AACAP Facts for Families: Attachment Disorders

Ellis, Yilanli & Saadabadi — "Reactive Attachment Disorder," StatPearls A clinical overview covering symptoms, diagnostic criteria, evaluation, and management of RAD. Read Reactive Attachment Disorder — StatPearls

American Academy of Child & Adolescent Psychiatry — Policy Statement on Coercive Interventions for Attachment Disorders Important guidance concerning appropriate treatment and the dangers associated with coercive attachment interventions. Read the AACAP Policy Statement

Boris & Zeanah — Practice Parameter for the Assessment and Treatment of Children and Adolescents With Reactive Attachment Disorder A detailed professional resource on assessment, caregiver relationships, treatment, and attachment-focused care. Read the AACAP Practice Parameter

People & Movies Mentioned

#TedBundy #TheBoarder #TroubledChild

Therapy or Coaching: Which Do You Need? Sep 25, 2026

Show notes

Do you need help healing something from your past—or help figuring out what to do next?

Therapy and life coaching can both help people make meaningful changes, but they are not interchangeable. In this crossover episode of Quest for Success Podcast and Off the Couch Psychology Podcast, you'll discover where therapy and coaching differ, where they overlap, and why choosing the right kind of help matters.

Through real-world examples, humor, and a little Good Will Hunting, we'll look at how therapy can address emotional distress and unresolved issues while coaching can focus on goals, habits, performance, accountability, and forward movement. You'll also hear what can happen when a coaching conversation uncovers something deeper that may need the attention of a mental health professional.

Key Takeaways

How therapy and coaching serve different purposes
Why looking backward can sometimes help you move forward
When goal setting and accountability may be useful
When a coaching issue may actually require therapy
How therapy and coaching can sometimes complement each other
Questions to consider when deciding what kind of help you need

For more episodes and resources, visit Quest-Success.com.

Suggested Reading & Resources

American Psychological Association — Understanding Psychotherapy and How It Works — A practical overview of psychotherapy, what it addresses, and how the process works.

International Coaching Federation — Guide to Experiencing Coaching — Explains coaching, its focus on growth and goals, and important distinctions between coaching and therapy.

International Coaching Federation — Coaching vs. Therapy — A resource specifically addressing the differences and areas of overlap between the two approaches.

Atomic Habits — James Clear — The book discussed in this episode explores how small, consistent changes and better systems can produce meaningful behavior change. Learn more about Atomic Habits

American Psychological Association — How to Choose a Psychologist — Includes signs that professional psychological help may be appropriate and guidance on finding a psychologist.

Mentioned in This Episode

#GoodWillHunting #MichaelPhelps #SerenaWilliams #JamesClear #AtomicHabits #MattDamon #RobinWilliams

Pica: When Cravings Aren't Food Sep 22, 2026

Show notes

What happens when someone craves ice, paper, dirt, or even pieces of sheetrock—and cannot simply promise to stop? In this episode of Off the Couch Psychology Podcast, you will meet Jenny, whose behavior began with eating paper as a child and continued through adulthood and three pregnancies.

Through Jenny's story, you will discover what pica looks like beyond its clinical definition, why people often hide it, and how shame can prevent them from seeking help. You will also learn about possible nutritional, medical, and emotional factors behind these cravings. Most importantly, you will hear how medical testing, prescribed supplements, cognitive behavioral therapy, safer replacement behaviors, and practical changes at home can help someone move forward.

If you have ever wondered why someone would eat non-food substances—or why stopping can be so difficult—this episode offers answers without ridicule or judgment.

Key Takeaways

How to recognize the major signs of pica
Why iron and zinc deficiencies may matter
Medical dangers connected with non-food substances
How CBT can help someone respond to cravings
Why support works better than shame

Find more episodes and resources at www.Quest-Success.com.

Suggested Reading

Mentioned in This Episode

#MyStrangeAddiction #TLC

The Rules Your Family Never Said Sep 18, 2026

Show notes

What happens when someone breaks a rule nobody ever said out loud? An elevator ride turns awkward. A family dinner goes quiet. A conversation about money becomes an argument, and neither person knows how it started.

In this crossover episode of Quest for Success and Off the Couch Psychology, you'll hear how unwritten rules shape what feels safe, what causes tension, and what you expect from the people closest to you. Through the Crenshaw family's story, you'll see how some rules bring people together while others make it hard to speak up. You may even recognize a rule you've been following for years without knowing it was there.

Key Takeaways

Notice the unspoken expectations behind everyday conflicts.
Recognize family rules worth keeping and rules worth questioning.
Understand why a small change in behavior can cause a big reaction.
Start a conversation without expecting someone to read your mind.
Examine the money beliefs your family passed down.

Listen in, then visit www.Quest-Success.com for more.

Suggested Reading

Harold Garfinkel, Studies in Ethnomethodology.
Judee K. Burgoon, "A Communication Model of Personal Space Violations: Explication and an Initial Test".
Harriet Lerner, The Dance of Anger.

People and Shows Mentioned

#HaroldGarfinkel #JudeeBurgoon #Bridgerton #LadyWhistledown #Mandy

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