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    Health

    The SelfWork Podcast

    I'm Dr. Margaret, a psychologist for over 30 years, TEDx speaker, and the author of Perfectly Hidden Depression. I created The SelfWork Podcast in 2016 to explain mental health treatment and to give you the chance to consider therapy without thinking it's weird or that it somehow suggests you can't fix your own problems. My team is very honored that nine years later, SelfWork has earned nearly 5 million downloads! Each episode features the popular listener question as well as interviews with outstanding guests, authors, and experts, adding to the wide diversity of topics listeners so appreciate. Regularly rated as one of the top mental health/depression podcasts out there (ranked as a top .5% internationally) I keep it short, casual, and focused on "what you can do about it." I'd love to hear from you. Please join me.

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    Copyright: © DrMargaretRutherford.com

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    Latest Episodes:
    360 SelfWork (Second Time Around): 15 Questions to Ask Your Potential Therapist Sep 22, 2023
    Show notes

    I have such a fantastic production team in Christine Mathias, my communications manager, and John Crowley, my audio engineer. And so I want to thank them for pulling the next two episodes off for me while I'm on vacation with my family!

    This was Christine's choice as one of her favorites, and she introduces this week's episode in this "second time around" listen. The focus is on how to interview a potential therapist, a task which stop SO many people from even trying therapy. I agree with her about how important this info is. So I hope - actually we hope - it's great info for you.

    The listener voicemail today is from a woman who’d read one of my blogpostarticles on challenging or working through the shame that you've carried around, quite without rational or reason, because you felt invisible to others, and thought whatever happened to cause your shame was somehow your 'fault.'

    Advertisers' Links:

    Click HERE for the NEW fabulous offer from AG1 – with bonus product with your subscription!

    Vital Links:

    The podcast episode also talking about the problem of feeling invisible.

    An Unquiet Mind written by Kay Redfield Jamison,

    My first podcast episode on What Is Good Therapy?

    An Open Counseling article explaining licensure and training differences between therapists

    My podcast on whether to terminate therapy

    The different family roles that you can adopt and play

    You can hear more of many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join my FaceBook closed group, then clickhere and answer the membership questions! Welcome!

    My book entitled Perfectly Hidden Depression is available and you can order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

    And here's another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!


    Advertising Inquiries: https://redcircle.com/brands

    359 SelfWork: Talking About Sibling Sexual Abuse: A Conversation with TEDx Speaker Jane Epstein Sep 15, 2023
    Show notes

    Trigger Warning: We're talking about sibling sexual abuse in this episode. The links for sexual abuse hotlines are below. I’ve had so many guest interviews on SelfWork – really wonderful researchers and authors, therapists and thinkers. But there’s something very special about someone coming forth to share their message when they’ve learned something the hard way – and they want to help others either through what they went through or to avoid it in the first place. Jane Epstein is this kind of person. She tells her story in this episode about how her life was dramatically impacted by her brother sexually abusing her. It took her years to put the pieces of the puzzle together, making connections between past and present that were difficult and painful to make – but also were freeing. Many of you who are listening may have experienced something similar – and have tried, as Jane did for many years – to sweep it under the rug. A stepsister or stepbrother, an older sibling – and you’ve blamed yourself. Or felt a shameful heaviness. Please know, you are far, far from alone. Advertiser's Links: We welcome back BiOptimizers and Magnesium Breakthrough as a returning sponsor to SelfWork and they have a new offer! Just click here! Make sure you use the code “selfwork10” to check out free product! Vital Links: Jane Epsteins TEDxBocaRaton Talk: Great sexual abuse website for sibling abuse: The 501-3-C non-profit 5WAVES.org - Jane's (and others) website for support International Sexual Abuse Hotline thru RAINN I want to thank Jane and all other survivors of abuse who’ve come forward. It takes tremendous courage. You can hear more about this and many other topics by listening to my podcast, The Selfwork Podcast. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome! My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it’s available in paperback, eBook or as an audiobook! And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you! Episode Transcript: Speaker 1: Dr. MargaretThis is SelfWork. And I'm Dr. Margaret Rutherford. At SelfWork, we'll discuss psychological and emotional issues common in today's world and what to do about them. I'm Dr. Margaret and SelfWork is a podcast dedicated to you taking just a few minutes today for your own selfwork. Welcome or welcome back to SelfWork. I'm Dr. Margaret Rutherford, and we have a wonderful guest for you today. I wanna make sure you hear however, that this episode does discuss sexual abuse, sibling sexual abuse. So please heed a trigger warning and we'll have sexual abuse hotline suggestions in the show notes. You know, I've had so many guest interviews here on Selfwork, really wonderful researchers and authors, therapists and thinkers. But there's something very special about someone coming forth to share their message when they've learned something the hard way, and they want to help others, either through what they went through or to avoid the experience in the first place. Jane Epstein is this kind of person. She tells her story in this episode about how her life was dramatically impacted by her brother sexually abusing her for a six year period of time. It took her years to put the pieces of the puzzle together, making connections between past and present that were difficult and painful to make, but also were very freeing. And I want to quickly say, many of you who are listening may have experienced something similar and have tried, as Jane did for many years, to sweep the memories under the rug. Maybe it was a stepsister or stepbrother, an older sibling, and you've blamed yourself or felt a shameful heaviness. So that's what we're talking about today on SelfWork. But before we continue, let's hear a brief message from Magnesium Breakthrough. You wanna give their product a try if you have too many sleepless nights, maybe from your own troubling memories. Magnesium Breakthrough Ad:I hope you truly enjoyed some time with family and friends this summer and got to take a break from the daily grind and enjoy your life. Perhaps you've indulged a bit on ice cream to beat the heat, or a margarita or two. Gosh, lots of indulgence may become the norm, but now kids are back in school and it's time to get back on track. If you struggle to return to your health routine, there are three major things to prioritize healthy eating, exercise, and above all, quality sleep. 'cause sleep is the key to your body's rejuvenation and repair process. It actually controls hunger and weight loss hormones, boosts energy levels, and it impacts countless other functions. That's why I take Magnesium daily, but not any supplement. I got Magnesium Breakthrough because it's just better. It's made by BIOptimizers and I, I highly recommend it. It has seven forms of magnesium designed help you fall asleep, stay asleep, and wake up refreshed. And guess what? If you get more sleep, you're gonna find out that your healthy eating and exercise may be a little easier to do. So visit magbreakthrough.com/selfwork. Don't forget to enter Code SelfWork10 for 10% off any order. Once again, it's magbreakthrough.com/selfwork. Speaker 1: Dr. MargaretI should tell you before we begin, how I met Jane Epstein. She actually did a TEDx talk for Boca Ratone and I watched it and we had the same coach. That's sort of a neat bond for us to share, but we talk about our TEDx experience a little bit here too. So please listen to this episode. Please click the link to Jane's TEDx talk, which will be in the show notes, or go to my website, drmargaretrutherford.com, and you can find it there. Another website that Jane has told me about, which is really wonderful is www.siblingsexualtrauma.com. But just know you are far, far from alone. Speaker 1: Dr. MargaretI couldn't be happier to have you on SelfWork Jane, because I have listened to your TEDx many, many times. And we shared a coach, which was kind of fun. And so I, I looked at yours as to say, well, what would it be like to to work with Brian Miller? But I personally today wanna hear more about your story. About one of my questions as I looked at it is, how did you talk to your family about it? Or, or did you say, "No, it's my story to tell." Just what and what made you, what brought you to TEDx in the first place? Speaker 2: Jane EpsteinFirst of all, thank you for having me on your show. Of course, I, I have listened to a couple of your podcasts and I, I've listened to you and I've listened to your TEDx and you are very trauma informed, and you are very kind and compassionate and lots of wisdom. So I appreciate being on your puck. Thank you. First thing, what brought me to TEDx and how did I tell my family? Me, I don't remember the exact timeline, but I started Googling sibling sexual abuse and trauma, and I couldn't find anything on it. And I, I had this feeling that I wasn't the only one. I thought, I can't be the only person. 'cause I found two outdated articles that stated that it's a silent epidemic, right? I was, okay, well, if it's an epidemic, I'm clearly not the only six year old little girl. My my sibling who was 12 at the time, is not the only 12 year old child who, who an abused a sibling. So I just was called to start talking about it, and I reached out to my sibling. It was very awkward. And I expressed to him, I said, "I feel called to start talking about this and sharing my story because no one's talking about it. And it's a silent epidemic." And he said he understood and that he would support me in whatever way he can. Speaker 1:I get chill bumps when I hear that. Speaker 2:Yes. He, I'm, I have a very unique situation. I've been able to forgive him. I can call him and ask him questions. I'll say, I had this memory, is this true? And he's very careful to not give me more information. Mm-hmm. , because he knows I have enough to work with. I don't need any more triggers. I don't need any more memories. Mm-hmm. . And I also think that because of what happened between us, that he's hypervigilant and that he's got his eyes on other families, and that he sees that there could potentially be problems and sexual abuse occurring. And because sibling sexual abuse is so prevalent and not talked about, I think we are seeing things and not always able to put our finger on it. In Speaker 1:Your talk, you quote in your talk, you quote statistics like it's three to five times - It happens three to five times more than father daughter abuse, which is incredible. It starts earlier. It lasts for years often. So you're right. And it, it is something I, I remember I wrote a post on sex, uh, sibling sexual abuse. I got all kinds of comments. So yes, you're exactly right. Speaker 2:Yes. I listened to your podcast on the sibling sexual abuse, and it was very well done. Thank you. You're, you're very informed, . Thank you. So I started talking to my brother and I said, I need, we need to talk about this. We need to, we need to do this. Um, or I need to do this. And I had these great grand visions because there's so much work that needs to be done. Well, it's a marathon on its front . So I started pitching the media, it, my emails were either not opened or not responded to. One response was, "Well, we haven't ever talked about that, but if we do, we'll reach out". And I'm thinking, you're not gonna talk about it. So I come across a video with Brian Kenneth Miller, our joint TEDx coach. And he had gone through, what is a TEDx? What is a TEDx? Speaker 2:What is not a TEDx? Because I thought, "Well, I'll go on TEDx and I'll share my story and I'll raise the alarm bell." Well, TEDx is not sharing your story, but I thought, well, I'll book a call with him anyways. So I booked a call with him and he said, "A tough topic, but I think we could come up with something." So we started talking about it, and it is, it's a tough topic, it's a dark topic. And Brian was never told me this, but he was concerned, how am I gonna get on the TEDx stage? Mm-hmm. . So we started going down the path of how to support someone who's been through a traumatic event. And I was gonna slide sibling sexual abuse and trauma through the back door. Okay. Which would not have been a great talk because there's lots of how to support people who've gone through trauma. It would not have been Speaker 1:Not unique, Speaker 2:Impactful, not unique, not impactful. It might have gotten on stage, but not likely. So then I heard from TEDx Boca Raton, and I sat down with Eric and Eric said, look, you know, we like your idea, but we really wanna know more about the sibling sexual abuse and trauma. Can you talk just about that? And I said, yes, I can. And I pointed to all my research books and I started spouting off all these statistics. And he said, "Great, that's what we want you to talk about". And I said, excellent. And that's how it all started. And I didn't mean to be on the TEDx, it's just that's kind of where I landed. And I, you know, once I was approved and started practicing my TEDx talk, I started having all the anxieties of speaking in front of a large crowd, but practiced and practiced and practiced. And the day I got on that stage, I just, they basically, there's something magical about that red dot. Maybe it's true. I got on that red dot and all was okay. But I was shaking.. Speaker 1: Oh, I was perfectly calm. . Speaker 2:It's amazing what you can make, even though the camera, you know, the camera shows all, oh, it was done. Well, you did aYou did a really wonderful job. Speaker 1: And, and one of the things that I thought was so powerful about it, again, you've already mentioned it, was that your, your brother had, he had apologized, but then he had, you had written to him years later and he said, "Oh gosh, I didn't know this was still a thing for you." So I'm sure this solidified for him, again, the seriousness of the trauma, the impact that that had had on you, uh, and that it had, it had, uh, impacted your choices as an adult. And when you left home and it was, it was a elegant story. Well, it's, call it elegant is missing the point of that. It was very painfully uh, impactful. So, um, yeah, I mean, you made, you made some career choices that were obviously you trying to get back in control, but it didn't work. Speaker 2:Right. Right. And I'm not sure he understands the full impact. We've never sat down and, and talked about it. It's, it's like, it's a, it's a strained relationship. Speaker 1:Okay. Speaker 2:Um, but it, it's friendly enough in that I can reach out to him. I haven't reached out to him for a while, but I would can reach out to him and say, "I had this memory, is this a false memory? Is this true? Is this what happened?" And he is very careful the way he answers it, because he does, doesn't wanna trigger me and give me more memories. 'cause I have plenty to work with. Sure. He understands why I'm so public. He's not exactly thrilled about it. But, you know, I was in the People magazine and I had to run that by him. And, and the pictures, I ran the pictures by him. And that, it's hard. Uh, it's hard because it's putting him in a, in a, in a tough situation. But in my situation, in my story, my sibling is not a monster. My sibling is not a pedophile. My sibling caused a lot of harm, caused a lot of damage, caused a lot of trauma. And I, I have forgiven him. Um, and I'm not telling every survivor, you have to forgive to heal. That is not my, that's not my thing. It's just that's what worked for me. And it started by forgiving the little girl first, my little girl myself. And then I was able to forgive him. Speaker 1:Well, an aspect of this that I wanted to talk to you about a little bit more was you opened the talk by saying that you were in marital work with your husband, and your therapist turned to you and said, "I, I just don't get where all this anger is coming from. It doesn't seem to fit the situation." And, and then ask the very astute question of, "Is there something that might be, is triggered by what's going on with your husband? And that's what's, that's what we're seeing". And you, did you, did you connect the dots right then? Or did it take you a while? It took a while. It was your sexual abuse that was getting somehow, maybe you can talk about that a little bit. What was getting triggered with your husband? Speaker 2:Right. Many years before, before we were in counseling, something happened in the bedroom that, that triggered a memory. And that memory would not go away. Usually memories would come and go and I could put them away. And I thought it was just two kids being curious. That's not my problem. Speaker 1:Okay. Speaker 2:I thought beca…

    Full show notes at the publisher

    SelfWork YGTG: Marriage Is Not For Chickens - A Giveaway! Sep 13, 2023
    Show notes

    Hello my friends!

    This September (2023) we're giving away two(2) copies of a little book Christine Mathias and I worked on called Marriage Is Not For Chickens. A post by the same name, when it appeared in HuffPost, earned over 200,000 views and over 50,000 shares... Wow! (Of course, I didn't get a call to be on a morning talk show... lolol)

    This book may take you two minutes to read because it's meant to be a gift for someone who's getting married or deciding to commit to a relationship - or maybe to someone who's having an anniversary. The photos that fit all 24 statements of "what marriage is" and "what marriage is not" were either taken by Christine or my old high school friend Deborah Strauss. The images are breath-taking, poignant, evocative, or simply "right." We're very proud of it - and hope it will give you and yours joy.

    So, all you have to do is leave a written review on the SelfWork page on Apple Podcasts to be included in the drawing! But I realized, you might need to hear what it's all about. So that's what today's quick YGTG (You Get The Gist) is all about!

    Listen in, smile, and I hope you enter the contest - so you can give it away, keep it, or have fun with it in some way or the other.

    Vital Links:

    Dr. Margaret's TEDxBocaRaton Talk (now with 155,000 views!)

    You can listen to Dr. Margaret's TEDxBocaRaton Talk on perfectly hidden depression and the Immediate need for greater transparency in talking about emotional pain and suicidal feelings.

    You can hear more about this and many other topics by listening to my podcast, The Selfwork Podcast. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

    My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it’s available in paperback, eBook or as an audiobook!

    And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you!


    Advertising Inquiries: https://redcircle.com/brands

    358 SelfWork: What You've Been Taught About Grief May Be Wrong Sep 08, 2023
    Show notes

    We certainly have had – and the world has had – our fair share of reasons to grieve. Wherever you live, you felt the fear and loss of the pandemic. Add on to that, the impact of hurricanes, tornados, drought, fires, floods, war, racism, political unrest, violence… we’ve got it all - some countries more than others. But these events are also a backdrop for whatever happens in our personal lives – people who we’ve loved dying, losing a job, having to move or even to escape from where you’ve lived, developing a severe mental or physical illness or one that’s chronically debilitating, being abused… The list goes on and on. And we need to grieve. Yet, one of the ironies is that the model we’ve been taught – in a very “this is how you should be grieving” kind of way – was created to help us understand what the person dying might feel and wasn't created to describe the grief of people who are alive and grieving loss. What’s grief really like? How do the stages that Kübler-Ross help? How do they hurt? What are the effects of your culture or faith alter your experience of grief? How is the Internet changing the way we grieve? The listener email for today is from a woman whose sense of emotional stability has decreased after the death of her father – and she has no relationship with her mom. She uses the term, “I feel orphaned.” So as always, we’ll talk about what you can do about it. Before we go on, I’d like to invite you to listen and watch my TEDxBocaRaton talk.. Here’s one of the many reviews… "Dr. Rutherford, what a beautiful talk. I watched it several times. We can all learn to recognize the signs and be ready to support those who might be silently struggling. This TEDx talk is a powerful reminder to be more attentive to the people around us, listen beyond the surface, and offer support without judgment." Click here to listen! Advertisers Links: Have you been putting off getting help? BetterHelp, the #1 online therapy provider, has a special offer for you now! Vital Links: Heidi Bastian's article in The Atlantic Article: It's Time To Let The Five Stages of Grief Die Dr. Franco's article on cultural differences in grief. You can hear more about this and many other topics by listening to my podcast, The Selfwork Podcast. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome! My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it’s available in paperback, eBook or as an audiobook! And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you! Episode Transcript: Intro: This is SelfWork and I'm Dr. Margaret Rutherford. At SelfWork, we'll discuss psychological and emotional issues common in today's world and what to do about them. I'm Dr. Margaret and SelfWork is a podcast dedicated to you taking just a few minutes today for your own selfwork. Welcome or welcome back to SelfWork. I'm Dr. Margaret Ruthford. I'm so glad you're here. I started this podcast almost seven years ago now to extend the walls of my practice to those of you who are already interested maybe in therapy or you were just interested in psychological stuff, to those of you who might have just been diagnosed or you're looking for some answers. And to those of you who might just be a little skeptical about the whole mental health horizon, so welcome, welcome to all of you. We certainly have had, and the world has had their fair share of reasons to grieve recently. Wherever you live, you felt the fear and loss of the pandemic. Add onto that, the impact of hurricanes, tornadoes, drought, fires, floods, war, racism, political unrest, violence - we've got it all - some countries more than others, but these events are also a backdrop for whatever happens in our personal lives, people who we've loved dying, we lose a job, we have to move or even you, you have to escape where you've lived. You develop a severe mental or physical illness or or that's chronically debilitating or someone you love does or you're being abused. The list goes on and on and we need to grieve. And yet one of the ironies, and what I want to address in today's SelfWork is that the model we've had taught to us in a very "this is how you should be grieving" kind of way, was initially met or designed to describe the stages of grief for the person who is terminally ill or dying themselves. It's Elizabeth Kübler Ross's five stages of grief. It was never meant for the people who were alive in grieving a loss. So that's what we're gonna talk about today. What's grief really like? How did the stages that Kübler Ross suggests help? How do they hurt? What are the effects of your culture or faith and how does that alter your experience of grief? How is the internet changing the way we grieve? That's an interesting kind of subject. The listener mail for today is from a woman whose sense of emotional stability has decreased after the death of her father, and she has no relationship with her mom. She uses the term, "I feel orphaned." I've heard so many people say this, so we're gonna talk about it today on SelfWork. Before we go on, I'd like to invite you to listen and watch my TEDxBocaRaton talk. Here's one of the many reviews, "Dr. Margaret Rutherford. What a beautiful talk. I watched it several times. We can all learn to recognize the signs and be ready to support those who might be silently struggling. This TEDx talk is a powerful reminder to be more attentive to the people around us. Listen beyond the surface and offer support without judgment. Together we can break mental health stigma and create a more compassionate and understanding society." So I will have the link in the show notes or you can just put in Dr. Margaret Rutherford TEDx and it'll lead you right with my YouTube. And of course, if you like it, please say you do or check that off and even leave a review. I'm beginning to get asked to speak about perfectly in depression directly because of this TEDx talk. And so that's a wonderful and very helpful way you can help me spread what I believe is a very important message. Thanks, my gratitude to y'all. Episode Elizabeth Kübler-Ross, the psychiatrist who first developed and wrote about five stages of grief, gathered her ideas from conversations with dying patients. She talked to them and she watched the grief that they go through. And yet it was snapped up by others to describe what everyone who is grieving must go through. In fact, it doesn't make a lot of sense when you think of it and it's even becomes something you should be going through, which is really ridiculous. For one thing, the stages are interactive, but somehow people have felt bad that those stages weren't part of their experience. In an article put out by McGill entitled, it's Time to Let the Five Stages of Grief Die. The author state and I quote while she was a psychiatry resident in New York, Kubler Ross realized how little attention was paid by hospital staff to terminally ill patients and how little medical knowledge there was regarding the psychological aspects besetting patients facing death. She worked extensively with terminally ill patients throughout her medical school career and continued to study and teach about such topics. She was also criticized by academic researchers for not running a real study. Instead, she used conversations with a dying as her basis for putting the stages forth and wanting medical staff to be a better attuned to what was going on with these patients. Now, what are those stages that she was describing? You may have thought I needed to know this way before now, but here we go. Denial, anger, bargaining, depression, and acceptance. She asserted that these stages weren't rigid. You could feel or express them at any time. Denial that you were dying or that you had a serious illness might make you not seek treatment or refuse treatment. Keep how serious your illness was out of your consciousness. Anger is the second one, anger that it feels unfair that you're not ready to die, that you have more life to live. The third one is bargaining. If I can just get better, I'll never do X, Y, or Z again, or I'll start doing X, Y, or Z. Then there's depression, sadness over past choices, sadness over not having control, sadness that you're leaving the people you love, the life you've been fulfilled by and thus acceptance, realizing there's truly no more you can do. Acceptance that you won't see your grandchild born or your kid graduating from high school. Of course, how you grieve is shaped so much by the culture you live in or in the rituals, the religion you follow or that you have faith in general. Dr. Marissa Franco, who we've had here as SelfWork as a guest, she's really cool, writes in Psychology Today that research suggests that when we're helping our loved ones cope with grief, we should consider what they find. Most supportive people in the Asian and Asian American communities for example, may prefer spending time with close others without talking about their grief. While people in the European American community may want more explicit emotional support. So she's pointing out that we need to understand and be aware of how a certain person may be grieving, how their culture influences them, how their faith influences them, and what you may need or want to do to be respectful of that because that's what's important. Even with the best of intentions, you may make someone's experience of grief more difficult or if they really want that kind of support from you, they want to talk about their loved one who's gone. Then you hold back obvious emotional support and you don't wanna do that, or at least most of us don't. actually to know what's truly helpful. You could of course ask and not assume, how would you like for me to support you? So what role does a belief in life after death have on grief? I looked at several different studies but was drawn to one whose results showed that people reporting no spiritual belief had not resolved their grief. By 14 months after the death, participants with strong spiritual beliefs resolved their grief progressively over the same period. And then people with low levels of belief showed little change in the first nine months but thereafter resolved their grief. So basically a spiritual belief seemed to increase the likelihood that you'll resolve your grief earlier and even a small bit of relief helped to resolve grief more quickly. That's important. But let me quickly say that's not necessarily been what I've seen in my own clients, and I've watched many people grieve. Because so much of what matters is the timing or the way someone died. Did you have a chance to do what's called anticipatory grieving? Allowing yourself to feel what it's going to feel like to lose someone you love, whether you got to say goodbye, whether you feel to blame or partially responsible for their death or you were told that you were responsible. Grief can often challenge your belief in some of these instances. If there's a God, then how did this happen? Now for those of you listening who say, if you believe in heaven, if you believe in life after death or if your religion is Buddhist or Hindu or whatever it is, that may of course be very comforting. I'm not saying that, but here's an example. I worked with a man years ago whose alcoholic parents had told him he was to blame for a sibling's death when he had been only a child himself. When it occurred they were inside drinking and this 10 year old boy was tasked with watching his four younger siblings and one of them got hit by a car. So obviously when you're blamed, when you have a terrible time processing your own grief, or maybe you lose contact with others who you might be grieving with, you've got to go back to college or you've got a new job or you've quickly moved to a new home. So those that you might be grieving with are no longer there. Of course, our modern technology helps with that, but still, but there's also the possibility that you are not even allowed to speak of your mom who died because your father has remarried. So many factors affect your grief, how you are encouraged to express it or how you're not allowed to do so again, faith, a certain structure of what happens after death. If you believe, that can certainly be helpful, but from my perspective at in my experience, that suddenly you just don't grieve. That's far too simplistic. Let's stop for a moment for a brief message and offer from BetterHelp where you just might turn in this kind of grieving situation or time. BetterHelp Ad I recently heard a fascinating reframe for the idea of asking for help. Maybe you view asking for help as something someone does who's falling apart or who isn't strong. So consider this. What if asking for help means that you won't let anything get in your way of solving an issue, finding out an answer or discovering a better direction? Asking for help is much more about your determination to recognize what needs your attention or what is getting in your way of having the life you want better help. The number one online therapy provider makes reaching out about as easy as it can get. Within 48 hours, you'll have a professional licensed therapist with whom you can text, email, or talk with to guide you and you're not having to comb through therapist websites or drive to appointments. It's convenient, inexpensive, and readily available. Now you can find a therapist that fits your needs with better help and if you use the code or link betterhelp.com/selfwork, you get 10% off your first month of sessions. So just do it. You'll be glad you did that. Link again is betterhelp.com/selfwork to get 10% off your first month of surfaces. Episode Continues Sometimes when I'm looking into a topic like I did today, I realize that someone has said something born from their their own experience and expertise that I just can't say better. So when I read this Atlantic article by a grieving mother who's also a researcher, Heidi Bastian, I knew I was having that experience again. She went looking after her 38 year old son's sudden death for help. She found everything from you'll never survive This grief to the idea that there is a time period when grief will be at its strongest but will abate. I want to share this with you because it's the wisest thing I've read on my journey to bring you this episode. So I'm going to be directly quoting from Heidi Bastian's Atlantic article, and if you want to read all of it, I will have it in the show notes. So I quote, "For most people, after most deaths, grief starts to ease after a few weeks and continues to reduce. From there, there can still be tough times ahead, but in most circumstances, by the time you reach six months, you're unlikely to be in a constant state of severe grief. Although most peo…

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    357 SelfWork: How A Couple Can Destroy Their Relationship in Four Painfully Easy Steps... Or Not Sep 01, 2023
    Show notes

    I was shocked to see this past week that I'd never done an episode on the four most well-researched communication patterns that can predict a couple will divorce or end their relationship. And I talk about them in couples therapy all the time! These four have been written about extensively by the well-known pair of researchers John and Julie Gottman – and I think their work is right on target, given what I sadly see on a regular basis in my office. And I’ll offer the most recent ways these four distinct behaviors can appear in the modern partnership. Sadly, if you or your partner don’t see these things as problems, then that is a tremendous issue. But if you’re not aware of the danger of these, then you may not know the quicksand your relationship is in – and sinking fast. The listener voicemail is from someone who was taught that everything in her life had to appear “perfect” – even saying that if someone comes over for dinner, there need to be five courses and the house has got to be spotless. That is truly a prison and she wants out! But… she lives in the same city as her mother – who taught her all this – and she fears moving away from those choices and what her mother’s reactions might be. I so love the questions y’all send in so keep them coming! Advertisers Links: We welcome back BiOptimizers and Magnesium Breakthrough as a returning sponsor to SelfWork and they have a new offer! Just click here! Make sure you use the code “selfwork10” to check out free product Click HERE for the NEW fabulous offer from AG1 – with bonus product with your subscription! Vital Links: Article describing the original Four Horsemen of the Apocalypse You can hear more about this and many other topics by listening to my podcast, The Selfwork Podcast. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome! My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it’s available in paperback, eBook or as an audiobook! And there’s another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you! Episode Transcript Dr. Margaret: This is SelfWork and I'm Dr. Margaret Rutherford. At SelfWork’ we'll discuss psychological and emotional issues common in today's world and what to do about them. I'm Dr. Margaret and SelfWork is a podcast dedicated to you taking just a few minutes today for your own selfwork. Hello and welcome or welcome back to SelfWork. I'm Dr. Margaret Rutherford. I'm so glad you're here. I hope you've enjoyed the last few interviews. I thought especially Dr. Priyanka Wali’s interview was really fascinating, a doctor and a comedian. She also just had some wonderful thoughts - that was last week. Hope you get a chance to listen to that if you haven't. I was commenting on an Instagram post the other day about someone giving their partner this silent treatment, which is something we all hear about. And I was looking for podcast episodes I'd done on marriage. I thought surely there'd be a whole bunch of them. And to my shock. I found ONE on stonewalling, but not much else. I was really looking for talking about problems in marriages that cause maybe divorce or something like that. And there are actually very well researched bad habits. There are four of them that can predict divorce. So that's the topic for today. These four have been written about extensively by the well-known pair of researchers, John and Julie Gottman, and I think their work is right on target, given what I sadly see on a regular basis in my office. We'll focus on the Gottman's four candidates and you can see what you and your partner may be guilty of. Sadly, if you or your partner don't see these things as problems, then that itself is a tremendous issue. But if you're not aware of the danger of these habits, then you may not know the quicksand your relationship actually could be in and you could be sinking fast. Now, I'm not a researcher, but I'll also add a few more thoughts of my own about what these look like in the modern 2023 relationships. The listener voicemail is from someone who was taught that everything in her life had to appear perfect. Even saying that if someone comes over for dinner, there need to be five courses and the house has got to be spotless. That's truly a prison and she wants out, but she lives in the same city as her mother who taught her all this, and she fears moving away from those choices and what her mother's reactions might be. I love these questions that y'all send in. So please send a message over SpeakPipe, which is a voicemail, and I get to listen to your inflections and your voices and I love that. And the SpeakPipe option is in your show notes, but it's also on my website, drmargaretrutherford.com. It's right at the top. Let's hear first from SelfWorknsponsor Magnesium breakthrough. Ad from Magnesium Breakthrough I hope you truly enjoyed some time with family and friends this summer and got to take a break from the daily grind and enjoy your life. Perhaps you've indulged a bit on ice cream to beat the heat or a margarita or two. Gosh, lots of indulgence may become the norm, but now kids are back in school and it's time to get back on track. If you struggle to return to your health routine, there are three major things to prioritize healthy eating, exercise, and above all, quality sleep. 'cause sleep is the key to your body's rejuvenation and repair process. It actually controls hunger and weight loss hormones, boosts energy levels, and it impacts countless other functions. That's why I take magnesium daily, but not any supplement. I got magnesium breakthrough because it's just better. It's made by BIOptimizers and I highly recommend it. It has seven forms of magnesium designed to help you fall asleep, stay asleep, and wake up refreshed. And guess what? If you get more sleep, you're gonna find out that your healthy eating and exercise may be a little easier to do. So visit magbreakthrough.com/ self-work. Don't forget to enter code selfwork10 for 10% off any order. Once again, it's magbreakthrough.com/selfwork. Body of Episode: So let's talk about ways that you can really screw up your marriage, Dr. Margaret – Speaker 2 Marital work or couples work. Any kind of couple really is something I love to do. It's very challenging to help both people feel heard and understood - not always agreed with of course, but as long as I don't have one or both people looking at me and saying, “Please help them see how wrong they are”. , I feel pretty hopeful - in most cases at least. But sometimes that's exactly what's on one or both people's agenda. They've come to therapy way after they should have, it's really, it's not too late, but gosh, they've come in after multiple fights and threats of divorce or “I'm taking the children”, after affairs or betrayals of some kind have happened, be they financial or emotional or whatever. And they sit and argue in front of me at least for a while. I allow it to go on because I want to see the pattern that is as long as it doesn't get physically or verbally assaulted. If it does, I have to cool things down and sometimes this is what I'll do. To cool them down. I'll ask them both, “What do you think are the four greatest predictors of divorce?” Usually I get answers like fighting or your in-laws or trust kinds of answers. And that's not wrong. But the best research out there, in fact, the most rigorous that has been done is by Julie and John Gottman and what they call the four horsemen of the apocalypse - in this case, meaning the end of the partnership or marriage, are well-regarded as true predictors in the field of psychology. So I look at the couple and by now they have kind of settled down, because remember, they probably wouldn't be in my office if they truly wanted a divorce. So they're open to hear, “Well, okay, what are the predictors?” And I say very slowly in order of importance. Stonewalling is number four. That's when one or both of you goes for hours or days refusing to communicate with the other. Usually someone looks kind of sheepish at that point. They may have even told me there are times, like even days, we barely say anything to each other because it's such a relief from the fighting. Or I've seen people kind of smirk like somehow stonewalling their partner is a really cool way to gain control works every time they'll say, which I would usually answer, “Well, if it worked really well, I don't think you'd be here.” What's number three..Blaming. And not to be mean, but to make my point. I'll repeat a few phrases from what I've just listened to that I would call blaming. Or when you don't take your share or the responsibility for whatever problems there are, you're focused on the other one you think you're not or never to blame or you're quick to blame, you don't apologize. You're quick to angrily yell, “Whose fault is this? Who did this? “ So, your focus is mostly on other people and what they're doing wrong and not taking responsibility for yourself. Number two, let me let you think, if you can guess for a second, what could be number two, it's close to blaming…criticism - and now the room is getting even more quiet. What's the difference between blaming and criticizing? They usually are wrapped up together, but you can have one or the other that predominates like blaming is this is your fault. “This wouldn't have happened if you hadn't X, Y, or Z.” Where criticism isn't as much about fault, but about correcting them saying they're wrong. And you're right, you can hear shades of gaslighting here. “Why didn't you pay that bill?” Or, “ Why do you change the baby's diaper that way?” Lots of why questions, which puts everybody on the defense by the way, and why questions that infer criticism or there's downright criticism – “ The way you did that was just dumb” or labeling your partner, “You're so lazy “or bringing in the kids, “The children are on my side” here, or “All our friends agree with me.” Making sure you establish yourself as more right than your partner. More put together. You're like a healthier, more likable human being. So that gives you the right to criticize your partner. I think the worst thing, no, not the worst, maybe the funniest in many ways was one couple came in and they have one of those strings that come down in their garage so when they pull in, they know when to stop, you know, it kind of hits their windshield. And she was saying that thing would hit the windshield. He had a certain timing that if she didn't turn off the car like two seconds after that or a second after that, he told her, “You just don't know how to park.” It was really a little trivial . She wasn't running into the wall. So what do you think the last one is? Guesses. The last one is contempt. Now what does contempt sound like? And I either pull from what they've already said or I make up my own examples. Like , “I can't believe I married someone like you. No one would ever guess just how disgusting you can be.” “How could you be so stupid?” Or it can be nonverbal stuff l- ike eye-rolling. But it's you have a disdain, a contempt, a huge disrespect for the other person. So this couple is sitting in front of me now looking maybe a little ashamed, maybe a little surprised, maybe a little shocked. And a few seconds later, one of them might say to me, “We do all of those.” And I say, “So we've got our work cut out for us, right?” But guess what? Sometimes one of them will say, “Well, I never do any of those things”, or I” wouldn't do it if she didn't do it or he didn't do it or they didn't do it Well guess what? That's blaming, right? or even contempt. And I point that out. Oh, so you just blamed her for all the problems or him. Now before I go on, let me say that we probably all make these errors. We all have bad days. We say mean things. We may even know what criticisms to use that will really get our partner something like, you know, you're sounding just like your mother. Oh, I thought you told me you were gonna try to change that in Margaret's office. I don't really see it. That's contempt and we use it on purpose. But if a couple doesn't see these four things as problems or one of them doesn't or refuses to, that may likely reflect that there's true emotional abuse going on, which of course reflects another level of problem. It's not a bad habit that they've gotten into that's gotten out of hand. It could be a choice to be in control and sabotage the worth and emotional stability of your partner and the absolute denial of blame or responsibility for any problem can be a destructive character trait that may not respond to therapeutic suggestion at all. Like in some of the personality disorders, borderline histrionic, narcissistic sociopathic, some of those problems if you are married to someone like that or partnered with them, it can take them some time to understand the impact they have on others if they can at all. But that's not the topic for today. We're talking about two pretty normal folks who've just gotten into some bad habits and may not recognize the horrible impact they can have. One couple comes to mind immediately, but before I talk about them, let’s hear from AG1. Your support of these products helps us make and produce SelfWork. So remember that as you listen and if you think it might benefit you, then please go for it. AG1 Advertisement Our next partner is AG1, the daily foundational nutrition supplement that supports whole body health. I drink it literally every day. I gave AG1 a try because I wanted a single solution that supports my entire body and covers my nutritional bases every day. I wanted better gut health, a boost in energy immune system support. I take it in the morning before starting my day and I make sure and leave it out for my husband because he tends to forget. I love knowing that I'm starting my day so incredibly well and I wouldn't change a thing because it's really helped me the last two or three years I've taken it. And here's a fact, since 2010, they've improved their formula 52 times in the pursuit of making this nutrition supplement possible and the best it can be. So if you wanna take ownership of your health, it starts with ag one. Try ag one and get a free one year supply of vitamin D and five free AG1 travel packs with your first purchase. Go to drinkAG1.com/selfwork and that's a new link. DrinkAG1.com/selfwork. Check it out. Speaker 2: Okay, so back to this couple. They came in only a few times together. She'd come to therapy to talk about feeling blamed for her husband's affairs that he'd had for years. “But he doesn't call them affairs,” she said, “They're all prostitutes. He says he only goes once a month. Sometimes they have sex, but most of the time he simply wants to…

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    356 SelfWork: What You Can Learn From Laughter and Fear: A Conversation with Dr. AND Comedian Priyanka Wali Aug 25, 2023
    Show notes

    I’ve long been one to say to someone who’s paralyzed about the direction they see their lives going in or goals they want to achieve – experiences they want to have – to say, “Why not “and?” After they look at me kinda funny, I’ll explain. “Why can’t you be a plumber and a painter? A mother and an ad exec? That’s what this week's SelfWork guest has accomplished. She’s an internal medicine doctor and she’s a comic. A stand-up comic at that. Named by Refinery29 as one of the 50 Female Stand-Up Comedians You Need To Know", Priyanka Wali is a stand-up comic who also believes strongly in mind/body connection and the importance of fear in true transformation. I think you'll love this conversation! She's also the co-host of HypochondriActor with Sean Hayes (yes the guy from Will and Grace…). I know you'll enjoy talking about her story and how you might use it as motivation for your own! After all, why can’t life be an “and?” Advertisers' Links: We welcome back BiOptimizers and Magnesium Breakthrough as a returning sponsor to SelfWork and they have a new offer! Just click here! Make sure you use the code "selfwork10" to check out free product Click HERE for the NEW fabulous offer from AG1 - with bonus product with your subscription! Episode Transcript: Speaker 2: Dr. Margaret This is SelfWork. And I'm Dr. Margaret Rutherford. At SelfWork, we'll discuss psychological and emotional issues common in today's world and what to do about them. I'm Dr. Margaret and SelfWork is a podcast dedicated to you taking just a few minutes today for your own selfwork. Hello and welcome or welcome back to SelfWork. I'm Dr. Margaret Rutherford. I'm a clinical psychologist, and I started this podcast just about seven years ago to extend the walls of my practice to many of you, some of you very interested in therapy or psychological issues, but also perhaps those of you who are a bit skeptical about the whole thing. So, I have a great interview for today and before beginning, here's a message and an offer from AG1, the Greens mix I take every morning to get my day started on the right track. Okay... Occasionally I miss a day, gotta say that, but I try to remember every day 'cause it makes a difference. AG1 Advertisement: Our next partner is AG1, the daily foundational nutrition supplement that supports whole body health. I drink it literally every day. I gave AG1 a try because I wanted a single solution that supports my entire body and covers my nutritional bases every day. I wanted better gut health, a boost in energy immune system support. I take it in the morning before starting my day, and I make sure and leave it out for my husband because he tends to forget. I love knowing that I'm starting my day so incredibly well and I wouldn't change a thing because it's really helped me the last two or three years I've taken it. And here's a fact. Since 2010, they've improved their formula 52 times in the pursuit of making this nutrition supplement possible and the best it can be. So if you wanna take ownership of your health, it starts with AG1. Try AG1 and get a free one-year supply of Vitamin D and five free AG1 travel packs with your first purchase. Go to drinkAG1.com/selfwork, and that's a new link. DrinkAG1.com/selfwork. Check it out. Dr. Margaret I've long been one to say to someone who's paralyzed about the direction they see their lives going in or goals they wanna achieve, experiences they wanna have... They always say, "Well, I've gotta have this or this, but I've gotta make the perfect choice. I've gotta try this or this." And my question to them is, "Why isn't it an "and"? And after they look at me, kind of funny, I'll explain, "wWhy can't you be a plumber AND a painter, a mother AND an ad exec? We don't have to limit ourselves. We can be "AND", not this or this. And that's what our guest has accomplished. She's an internal medicine doctor and she's a comic, a standup comic, by the way, who was named by Refinery 29 as one of the top female standup comedians that you need to know. Her name is Priyanka Wali. And she's the co-host of HypochondriActor with Sean Hayes, the guy from Will and Grace that probably a lot of you know, It's a great, great podcast and I'm delighted to have her on SelfWork as a true "And" - er . Here's one more sponsor message. This one from BiOptimizers and Magnesium Breakthrough. I use it every night just like I use AG1e in the morning. And that's my own AND, I guess, Magnesium Breakthrough Advertisement: Hey guys, I wanna share with you that recently I've been working on some very important projects that have very short deadlines, as always, right? It seems everything today is a S A P. Anyway, I have not been able to keep up with all of my self-care routine. I certainly haven't had breaks to have proper meals, and I'm drinking way too much ice tea. I was starting to get really stressed out when I remembered that the magnesium breakthrough I take every night is also a great support for stress management. And I'd kind of forgotten that. In fact, magnesium is responsible for over 300 body reactions. And magnesium breakthrough is the only magnesium formula that delivers all seven different forms of magnesium. I didn't know there were seven forms, one of them being feeling more calm, centered, and in control of our stress. If you are trying to balance life demands, give it a try. Trust me, your mind and your body will thank you for it. What you can do is visit mag breakthrough.com/ self-work and order now. Oh, in addition to the discount you get by using promo code self-work 10. So that's different self-work. 10. They're also amazing gifts with purchase. That's why I love shopping it by optimizers. Again, go to mag breakthrough.com/ self-work to get your magnesium breakthrough and find out this month's gift with purchase. Episode 356 with Priyanka Wali. Realize you can support self-work by supporting our sponsors. And now, Priyanka Wally, Speaker 2: Dr. Margaret I started off my morning by listening to your comedy routine . Speaker 3: Dr. Priyanka Wali Oh, which one? Which bit did you check out? Speaker 2: the one on your Website? Speaker 3: The one? Oh, yeah, yeah, yeah. Speaker 2: And I laughed. I just thought, I've known some in and out guys. Speaker 3: . Oh man. Yeah, that takes me back. You know, I haven't, I haven't, you know, after the pandemic hit, you know, obviously comedy changed and performing in person totally changed. And I remember going back on stage in 2021, so, you know, we were kind of used to reentry, we were opening up a little bit, and the vibe was just really different. And so I've, I've slowly been getting my feet Speaker 2: Thought about that. How was it different, Priyanka? Speaker 3: Well, first of all, you know, having, it was an outdoor show and most people were wearing masks. But even if you're doing an indoor show, you, it's hard to see people's facial expressions if they're masked. Right? So that, you know, to me, standup has always been a relationship between the, the performer and the audience. It's a connection. And when you, you know, cover the face for obvious important reasons, safety reasons it, it sort of breaks that connection. And so what I found was that I enjoyed comedy, less enjoyed performing less after the pandemic. And I actually took a break from comedy and I sort of went back to like, "Okay, what does bring me joy? Like, what is this really about?" And I went to France and I actually studied clowning with Philippe Goer, who's a world renowned clowning expert. And I went back to the basics of like, okay, physical comedy, like comedy with your body and not just your neck up mind voice. And then I sort of came into singing parody songs. And that's kind of the new stuff that I'm working on now. Really? Yeah. So I'm taking my comedy and I'm turning it into more parody songs, and I've released a few small clips on Instagram. But I'm planning on releasing a longer video at some point. So that's kind of what I'm working on. And that's like part of the transformation as an artist, which is, it's an incredible journey. Speaker 2: Well, you know and I wanna, I wanna back up and we, we kinda started in the middle, didn't we? Or I did. Yeah. Yeah. And so I wanna back up and, and talk about how you got to be, but you know, I'm a huge advocate of, of, AND kind of lives. I am this AND I'm that, and I'm something else. Mm-Hmm. . So I love that you're living your life that way. Oh, thank you. I also listened to the last podcast that you and Sean did. Mm-Hmm. . And I thought the story about your either great-grandfather or your grandfather was so touching that Wali is actually the Arabic name. Mm-Hmm. healer or helper. Speaker 3: Yeah. Helper. Helper. Or like friend, friend of man, helper of man. Yeah. Yeah. It was a name bestowed upon us. Yeah. Speaker 2: Incredible. Speaker 3: . Yeah. Yeah. When I, when I learned that for the first time, and it sort of changed my relationship with my own name, you know, I always thought I didn't really have a relationship, but then once I realized it was sort of like, gifted, I was like, Wow, that's, that's, there was an identity shift and you know, there's a sense of humility and gratitude as well. Speaker 2: You know, when you hear stories like that. My grandmother was named Emma Clayton Robinson, and I remember asking one time why was, why was her middle name Clayton? And the story was that I'm from the south, I'm from Arkansas, and her mother and father's home was taken over by the Yankees during the Civil War by a General Clayton. Speaker 3: Okay. Speaker 2: He was so kind to them that they, when my grandmother was born, she was named Emma Clayton Robinson. Speaker 3: Wow. Speaker 2: And Clayton has become one of our family names, which is just so, I don't know, it adds something to your understanding of your family and what has happened, and of course, Speaker 3: Right. Speaker 2: It's just, I don't know, there's something about that kind of tradition or g legacy that's just fascinating to me. Speaker 3: Yeah. And I'm curious, do you know what, what was the name prior to Clayton before that? Speaker 2: Well, no, she had not been. She was born and then, and then they named her Emma Clayton Robinson. Speaker 3: Wow. Wow. Yeah. There's so many complexities to that story, because on one hand, this, this person was the oppressor. They came in and they took, you know, your family home and your land. Right. And yet they were a kind, oppressor, kind enough for us to name them after them. It's like, there's so many nuances to that, that story. It's, it's very complex. It certainly could, would be totally justifiable to bring up a lot of different set of feelings around that. Speaker 2: Yeah, I think so. So I wanna find out about your journey. You are a physician. Mm-Hmm. , you're an internal medicine physician. Mm-Hmm. . And I think you also have training in OB obesity, is that right? Speaker 3: Correct. Yeah. Double board certified. Mm-Hmm. double board certified. Speaker 2: And so, and, and then, and you know, you, you've laughed with your co-host Sean, about I really wanna be just a doctor on tv and Yeah. Speaker 3: , I just want a small rule on Grey's Anatomy. Is that too much to ask? I mean, come on. Speaker 2: So I would love to hear you know, there's a lot of doctors in your family and you told that story, but Yeah. How, how did you decide to become a physician? And are you, are, are you American born? Are you, were you born in India or were you born in America? Speaker 3: Yeah, great question. So I was born in the United States, so I'm Kary Pundit. So my family originates from Northern Kashmir, and that region was actually affected by genocide as recent as 1991. And so that led to a diaspora and immigration all over the world. And my family chose the United States. And so I was born in Los Angeles, but I actually spent some early formative years going back and forth between India and the United States up until I was age three. And so, you know, my childhood upbringing you know, my parents were doctors, their siblings are doctors. Their kids are doctors. I mean, and, and the lineage goes further up the chain. So healing was really, we would not have normal dinner discussions. You know, like the, the dinner table discussions were about, like, the cases my dad had and like, you know, all this sort of preventive medicine stuff. And so I joke, you know, like I sort of came out of the womb holding a stethoscope. It was something that I lived, breathed. It wasn't until I went to college that I was like, oh, people can do other things. You know what I mean? And I always had an artistic side to me. And so I always loved performing arts and creative writing, and that's always been a, a very big part of my sort of soul's energy. And at the same time, the science had also would come to me quite easily. And so I found myself you know, going through the pre-med classes and I actually was accepted into a program coming out of high school called a Baccalaureate MD program. It no longer exists, but it was a program where you basically got accepted into medical school coming out of high school. Really? It was a, yeah, it was a very competitive program. They only took, I think like 12 or 15 people all across the United States. And so I knew, I knew out of high school that I was gonna go to med school. Yeah. And I can't say honestly though, that that was what I wanted. I think there was a part of me that really was you know, I loved creative arts. I loved performing. And I couldn't see a path if I were to pursue medicine. But I, I grew up in a very traditional Indian family. Like, I had a tremendous amount of pressure from my parents. Like, no, you have to go to med school. Like, that's gonna happen. Yeah. And so, you know, again, because the science would come to me easily, I decided to, to sort of give it a go and give it a chance. You know, in hindsight I wish I had taken some time off in between undergrad and med school. 'cause I went straight through. And I, I don't necessarily recommend that. I think if I had had more time to sort of develop and simmer as a human being you know, I, I wasn't really a human being by the time I went to HU Med School. I was just this concept, you know, I was so undeveloped as a person. Speaker 2: So you followed the structure that your parents wanted you to follow, and really hadn't had a whole lot of autonomy about Speaker 3: That. Totally. Yeah. And, you know, it would come out in these different ways. Like I, you know, when I was a med student, I joined this local improv troupe in East Los Angeles, you know, and I would have these little pockets of things that I would do to create balance. Sure. And it's funny now because the work that I do as a, as a physician, I, I am very passionate about it now, but I think it's because I've taken much more of a an an identity that this is part of social justice activism in terms of like, what is going on right now with the current medical paradigm and you, what needs to change. I feel like very compelled now to be involved with this and to be a part of this. Because at the end of the day, we're all connected. And I feel like I was given a set of privileges by being born into a family that, you know, was all healthcare providers on some aspect. And I feel like it…

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    355 SelfWork: How Five Types of Perfectionism Can Work For You: A Conversation with Katherine Morgan Schafler Aug 18, 2023
    Show notes

    When I received an email about this new book, I knew I wanted to talk with its author. The book? The Perfectionist's Guide to Losing Control. The author? Katherine Morgan Schafler, a psychotherapist and former on-site therapist at Google. She's worked with many high-achieving women who are told they need to find "balance" - as if they're doing something wrong! Katherine tells us instead that what's important is to learn about the five different types of constructive perfectionism so that it can work for you! As she says, "You can dare to want more without feeling greedy or ungrateful!" She's an eloquent writer and speaker and it was wonderful having her on SelfWork as she helps these women exchange superficial control for real power. Hope you'll listen in and learn! Advertisers' Links: Have you been putting off getting help? BetterHelp, the #1 online therapy provider, has a special offer for you now! Vital Links: The Perfectionist's Guide to Losing Control: A Path to Peace and Power My TEDx talk that today has earned 100,000 views! You can hear more about this and many other topics by listening to my podcast, The Selfwork Podcast. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome! My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it's available in paperback, eBook or as an audiobook! And there's another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you! Episode Transcript: Speaker 1: Dr. Margaret This is SelfWork. And I'm Dr. Margaret Rutherford At Self-Work. We'll discuss psychological and emotional issues common in today's world and what to do about them. I'm Dr. Margaret, and Self-Work is a podcast dedicated to you, taking just a few minutes today for your own selfwork. Hello and welcome or welcome back to SelfWork. I'm Dr. Margaret Rutherford. I started this podcast now, almost seven years ago, to extend the walls of my practice to many of you who've already been in therapy and very interested in psychological and mental issues, emotional issues, to those of you who might have just been diagnosed with something and you're looking for answers. And also to a third group of you that might be a little skeptical about the whole mental health treatment thing. And even admitting to someone that you need help, that's a step in and of itself. So listening to a podcast, it's a real safe way to do that, right? Welcome to all of you. Y'all all know that I've written a book called Perfectly Hidden Depression, where we need to look at perfectionism as it serves as a camouflage for really a lot of inner struggle, despair, loneliness, and even sometimes suicidal thinking. So I was very interested to see a book that's come out talking more about the positive aspects of perfectionism, what I would term constructive perfectionism rather than destructive perfectionism. So there's a new book by Katherine Morgan Schafler called The Perfectionist Guide to Losing Control. And she says, you know, you don't have to stop being a perfectionist to be healthy. She says, for women who are sick of being given the generic advice that they just need to find balance, her new approach has arrived, and she's categorized these constructive perfectionists in five ways: classic, intense, Parisian, messy or procrastinator. Which one could you be? As you identify your unique perfectionist profile, you'll learn how to manage each form of perfectionism to work for you, not against you. Beyond managing, you'll learn how to embrace and even enjoy your perfectionism. Yes, enjoy. This book is elegantly written. I had to comment at the very beginning of the interview. I think it's one of the best books, at least self-help books that I've ever read, including my own. So Catherine's book is a love letter to the ambitious, high achieving full of life clients who have filled the author's private practice and who changed her life. Ultimately, her book will show you how to make the single greatest trade you'll ever make in your life, which is to exchange superficial control for real power, is what she says. So I was very interested to talk with Katherine, and we talked a few weeks ago, and that's our episode for today, Katherine Morgan Schafler. So this episode is sponsored once again by Better Help, because when you are ready to ask for help, maybe that will be the venue that you turn to because it is so easy, affordable for many, and very, very conducive to whatever lifestyle you are living. So let's hear from Better Help. BetterHelp Ad: I recently heard a fascinating reframe for the idea of asking for help. Maybe you view asking for help as something someone does who's falling apart or who isn't strong. So consider this. What if asking for help means that you won't let anything get in your way of solving an issue, finding out an answer or discovering a better direction? Asking for help is much more about your determination to recognize what needs your attention, or what is getting in your way of having the life you want better help. The number one online therapy provider makes reaching out about as easy as it can get. Within 48 hours, you'll have a professional licensed therapist with whom you can text, email, or talk with to guide you, and you're not having to comb through therapist websites or drive to appointments. It's convenient, inexpensive, and readily available. Now, you can find a therapist that fits your needs with better help. And if you use the code or link Better help.com/selfwork, you get 10% off your first month of sessions. So just do it. You'll be glad you did. That. Link again is better help.com/selfwork to get 10% off your first month of services. And now I want to introduce you to Catherine Morgan Schaeffler, the author of The Perfectionist Guide to Losing Control. Interview: Speaker 1: Dr. Margaret Catherine, I I, I was reading your book and, and I will tell you that I, I think you're one of the most eloquent writers that I've ever interviewed and I've interviewed a bunch. Speaker 2: Katherine Schafler Wow, thank you so much. Speaker 1: The way you use language, the way you approach ideas and the way you get them across is really, it makes the book not only very compelling, but it's it's just a pleasure to read. It's, it's a, it's the, it's very evocative and, and I just so enjoyed the way you think and the way you put things. So the process of the book was really good, I thought. 2: Thank you. That is so flattering. I will take that. Thank you so much. 1: Oh, good. So tell SelfWork listeners a little bit about you, who you are, how you get, you know, how you got to be an author, all that kind of thing. 2: Sure. So my name's Katherine Morgan Schafler. I live in New York City, and I'm a psychotherapist and, and I, I think I always secretly wanted to write, but it was never in the forefront of my mind because I really do love being a therapist and, and my private practice was the soul of my work and still is. But I just noticed so many patterns as, as I know you have, because I've read your book as well, which is also fantastic. It was hooked on that intro story, which is every therapist's worst nightmare of Natalie and everything. Anyway, I digress. So, you know, when it is your job to listen to the most intimate pieces of someone's life, unfiltered, uncut and totally honest, that there's something special and sacred about that. And you kind of have your pulse on the zeitgeist in the way that other professions don't necessarily allow. And for me, recognizing patterns across so many clinical settings, across so many de demographics, culturally, socioeconomically, and in all these kinds of ways, really compelled me to contain it somewhere. Mm-Hmm. , hence the book. Mm-Hmm. . So I wrote The Perfectionist Guide to Losing Control, A Path to Peace and Power, because that's, I noticed, universal. 1: That's my cue to show it. . Yeah. , yes. 2: So I, I really noticed universal plates around perfectionism that we are not talking about in commercial wellness. And not only are we not talking about them, we are talking about perfectionism. Like we fully understand it, like we know what it is, and you know, it's agreed upon in the research world that we're in the infancy of understanding this construct and that we don't even have a, an a formal clinical definition for so much of this stuff. And that really... 1: I noticed you call it an innate natural human tendency mm-hmm.Yeah. I thought that was interesting. 2: Yeah. You know, I think that it is natural and innate, and natural does not mean immediately healthy. Mm-Hmm. mm-hmm. , you know, like anger is also natural. That doesn't mean that anger is always healthy, but it also doesn't mean that it's not that there aren't wonderful expressions of that impulse within us. And that if we can just harness our natural innate human impulses instead of trying to eradicate them and get rid of them, which doesn't work, it will never work. I'm glad it will never work, because perfectionism is so powerful. Anger is such a powerful tool. All these things that we think are bad. Mm-Hmm. , they're not bad. They're powerful. 1: Yes. And they can be used in that way. You know, I, of course, I was thinking about my own writing and, and research and work when I was reading your book, and I really loved the juxtaposition of, of what your focus was and what my focus was. Which your focus is much more to a look at the, the beauty of perfectionism and celebrate it in many ways. And, and yet also look for when it's becoming something that, you know, like you said, all the five different types have their pros and their cons. Right. There are things that are great about them, and then there's things that are a little more vulnerable about them. Whereas my work is more talking about trauma and perfectionism and how that can, how perfectionism can at times, certainly not all the time be a camouflage of some kind, something that someone learns how to do in order to cope with the trauma that they have. So they mm-hmm. Anyway, enough about that. But I, I, I so enjoyed looking at this other side of it. And how did you come up with the five different categories? I mean, is that something just observation, clinical observation? 2: Yes. Well, first, let me say, I really resonate with what you just said, because my first job in this profession was working in residential treatment with kids in LA who had been severely abused and neglected so much so that they were no longer even in foster care because their family of origin had in some way not been fit to parent. And then they were abused and neglected in foster care, and then they became what was called wards of the state. Yes. And I saw so much perfectionism, maladaptive perfectionism of just shape shifting, of being around an adult and immediately trying to assess, "Okay, who do they want me to be?" Speaker 2: Who does this grownup want me to be? How do I, how do I best be whatever they need me to be right in this moment to stay safe. 1: Yeah. It's like a supervisor told me once, if you go into someone's home where you meet a family, always pay attention to the child that is quiet in the corner. . 2: Yeah. I put that in my book too. I had, I had similar advice from my supervisor who said, really specifically, pay attention to the children who are behaving perfectly. And I think that's a common adage in training and therapy, because, you know, kids have natural frenetic energy so often, and they're a little bit all over the place, and, and that's a good thing. But when they are trying to manage so much, they you know, fade themselves out. But to return to your original question, I came up with the five types because I was really trying to understand a phenomenon that I was noticing, which was, you know, I, I worked onsite at Google. I had a private practice on Wall Street. I worked in a rehab in Brooklyn in all these different, you've been , all these different settings. And I was able to take a client from my rehab and a client from my private practice on Wall Street and on, and see that they were both going to respond similarly to a certain situation. And those kinds of things started happening all the time. And I'm like, what is the tie that binds this true? Love it. And I thought for a moment, like, is it attachment theory? Is it this, is it what is happening? And how come I can predict with reasonable reliability, how people are going to respond to certain, you know, stimulus? And that's where the five types came from. I said, oh, it's perfectionism that is manifesting here, and it manifests in a patterned way. 1: So the, just to let the listeners know, the five types are: classic, procrastinator, messy, intense, and Parisian. And having lived in Paris for a little while I thought was, that one was very interesting. Oh, I think the French would love that they were some type of perfectness. 2: Well, you know, I I came up with that title because, you know, the, the beauty aesthetic for French women is so, so understated and simple in the sense that like, simplicity is the greatest form of sophistication. Like, it's very much signaling a a subtext of I'm not trying too hard. And the Parisian perfectionist really is embarrassed about other people knowing how much they care about something. Oh, that's, you know, and so they wanna be a little bit effortlessly cool. I'm not trying too hard. I don't care if you like me or not. Speaker 2: Meanwhile, they care a lot. And as I talk about in the book, that's not a bad thing. It's not a bad thing to prioritize connection and relationships and understand the power of those connections that you have. And that is what Parisian perfectionists do. Every perfectionist is chasing an ideal mm-hmm. . And we think of perfectionism in a one dimensional way, as in behavioral perfectionism. So I want everything to be organized and in its place when actually perfectionism is kaleidoscopic. And so perfectionism can show up interpersonally, I want to be perfectly liked by you, or perfectly understood, or I wanna be the perfect mother, the perfect whatever. And that doesn't look like I wanna act and say the perfect things. It's so much more nuanced. That's why I love this subject, because the person is holding in their mind a pie chart of what the perfect mother, let's say, okay. Speaker 2: Behaves like. Right. It's not that she never screams, it's that when she loses her cool, it's only to a certain amount. And then she's immediately able to make successful repair attempts and she's continually, you know, improving and getting better. And, you know, she's, and so when we think of perfect, we think of happy all the time, or never making a mistake, but perfectionism is actually very individualized. Mm-Hmm. , and it's based on the…

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    354 SelfWork: Why Are New Moms Dying? A Conversation with Dr. Zenobia Harris Aug 16, 2023
    Show notes

    During my research on last week's episode on post partum, I learned that my own state of Arkansas holds the #1 spot in the US for maternal mortality rates. I'm interviewing Dr. Zenobia Harris today, whose accolades in this field are numerous to try to understand what's not happening in Arkansas that needs to happen - and what states are doing it right and how. Dr. Harris heads up the Arkansas Birthing Project, and is an incredible force and national advocate for health equity and for improvements to family, child, and maternal health. The program as well as the national organization Every Mother Counts is reaching out to minority women and their families, who are much more likely to suffer severe medical problems both during and after pregnancy. Thanks as always to MagBreakthrough for their sponsorship of this episode! Advertisers' Link: We welcome back BiOptimizers and Magnesium Breakthrough as a returning sponsor to SelfWork and they have a new offer! Just click here! Make sure you use the code "selfwork10" to check out free product! Vital Links: Birthing Project USA Dr. Krystal Caschetta as a victim of severe post partum depression You can hear more about this and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome! My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it's available in paperback, eBook or as an audiobook! And there's another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you! Episode Transcript This is SelfWork. And I'm Dr. Margaret Rutherford. At SelfWork, we'll discuss psychological and emotional issues common in today's world and what to do about them. I'm Dr. Margaret, and SelfWork is a podcast dedicated to you taking just a few minutes today for your own selfwork. Speaker 2: Dr. Margaret Hello and welcome or welcome back to SelfWork. I'm Dr. Margaret Rutherford, and I'm so glad you're here. This week, we had another reminder of the seriousness of post partum depression - or the potentially fatal mixture of new motherhood and suicide. Dr. Krystal Caschetta, an oncologist, is reported to have killed her 4 month-old daughter and then killed herself in New York. Current evidence seems to support that she was suffering from the most severe type of post partum, or what's called post partum psychosis, where the new mother is besieged with delusions or hallucinations that can govern her behavior and lead to violence against her baby and her self. It's another set of gruesome tragedies that demands our attention because these deaths can be prevented with the right care and understanding. I'm sure there will be more to report. And our hearts go out to that family and others who've experienced such a harsh reminder of the mental and emotional toll pregnancy can take. During my research on last week's episode on post partum, I learned that my own state of Arkansas holds the #1 spot in the US for maternal mortality rates. I'm interviewing Dr. Zenobia Harris today, whose accolades in this field are numerous. She heads up the Arkansas Birthing Project, and is an incredible force and national advocate for health equity and for improvements to family, child, and maternal health. The program as well as the national organization Every Mother Counts is reaching out to minority women and their families, who are much more likely to suffer severe medical problems both during and after pregnancy. What's amazing is that those statistics can be reversed with support for that mom during pregnancy - provided by who Dr. Harris calls "sister friends." Here on SelfWork, we talk about what you can do about it. Dr. Harris is doing just that and creating a network of sister friends that are saving lives- and we want to support that mission here at SelfWork! We want to welcome back Magnesium Breakthrough as a sponsor of SelfWork once again! In fact, Mag Breakthrough helped me avoid a side effect of another medication I needed to take for a few days simply by helping my colon function better. I love this product! Commercial for MagBreakThrough Hey guys, I wanna share with you that recently I've been working on some very important projects that have very short deadlines, as always, right? Seems everything today is ASAP. Anyway, I have not been able to keep up with all of my self-care routine. I certainly haven't had breaks to have proper meals, and I'm drinking way too much ice tea. I was starting to get really stressed out when I remembered that the magnesium breakthrough I take every night is also a great support for stress management, and I'd kind of forgotten that. In fact, magnesium is responsible for over 300 body reactions, and Magnesium Breakthrough is the only magnesium formula that delivers all seven different forms of magnesium. I didn't know there were seven forms, one of them being feeling more calm, centered, and in control of our stress. If you are trying to balance life demands, give it a try. Trust me, your mind and your body will thank you for it. What you can do is visit Magbreakthrough.com/ selfwork and order now. Oh, in addition to the discount you get by using promo code selfwork10. So that's different selfwork10. They're also amazing gifts with purchase. That's why I love shopping it BiOptimizers.. Again, go to mag breakthrough.com/self work to get your magnesium breakthrough and find out this month's gift with purchase. Speaker 2: So now I'd like to introduce you to Dr. Zenobia Harris, head of the Arkansas Birthing Project, and a highly respected advocate for improving the care and support that all mothers receive, but especially moms of color who are the most at risk. Speaker 3: Dr. Harris The Arkansas Birthing Project is located in the main office is in Little Rock, but we do have birthing projects in various counties around Arkansas and primarily in southeast Arkansas. We primarily work with African American women and women of color. Yes. Speaker 2: So, but tell me about how long have you been the head of the birthing project and what do y'all do and talk about some maternal mortality issues. Speaker 3: Well, the Arkansas Birthing Project is an affiliate of Birthing Project, USA, which is a 40 year old black maternal and child health organization that originally formed in California Uhhuh , but it was founded by a woman from Arkansas. Really? Her name is Catherine Trujillo, and she was from Moscow, Arkansas. Yeah. But she was actually working for the California Department of Health and Human Services and was spending a huge amount of money as a fiscal agent on preterm Babies Care. Okay. And so she decided to do, conduct a social experiment with several of her friends. They decided to provide support to pregnant women during their pregnancy. There were, were 10 of them, and they each got a mentee, a little pregnant woman who they provided material and physical supports to during pregnancy and social supports, and they were astounded by the outcomes. Speaker 3: Traditionally statistically, the young women that they partnered with should have had really poor outcomes, and they didn't. The babies were born close to term or on term, the baby's weighed more than 5, 6, 5 and a half pounds at birth. Wow. they had a non-eventful delivery, and they did quite well after birth. And so they replicated this in that community several times and ended up at one, at, at later time, actually establishing a health clinic in a really at-risk community in the Sacramento area. And this kind of just sort of spread through informal networks. The, the idea of doing this well I, I saw Catherine when she came to Arkansas about, oh, about 10 years after she had founded the birthing project. She did a, a program for the March of Dimes, and I was mesmerized by the work she was doing. And so I became involved with the birthing project at that time. Yeah. And have been, had been working on it part-time until I actually retired from my work as a administrator with the Arkansas Department of Health and have been doing the birthing project full-time now in Arkansas since 2016. Speaker 2: I should add, you have your doctorate in nurse practitioner, Speaker 3: But we what we do is we go into local communities and train community women to provide support to women during their pregnancy. Speaker 2: What did those in initial mentors do? Or what is that? What does that support look like? Speaker 3: Well we primarily focus, of course, on social supports because many of the women that we interact with are women who identify as people who fall through the cracks. Perhaps they don't have a, a permanent place to live, or they have food insecurity, or they don't, they're not seeking prenatal care for various reasons because they don't know how to access it or they don't know have transportation, all those kinds of issues. Speaker 2: Too Expensive. They don't have insurance. Yeah, exactly. Speaker 3: Exactly. And some of them don't have family members to support them. They don't have close, you know people in their lives that will provide that support during this really special time in their lives. And so, our sister friends who are our mentors, we encourage them to become really familiar with the resources in their local communities. Okay. And to work with their little sisters to access those resources that she needs to have a good outcome. Okay. We require that the sister friends work with the little sisters to make sure they get a source of prenatal care and that they keep their prenatal appointments. If they have need transportation, help them work on identifying that we encourage our sister friends not to make your little sister dependent on you, but to encourage her to be independent. Speaker 2: That's an important point, isn't it? Wow. Yes. Speaker 3: Yes. Speaker 2: So what about postnatal care? Because I mean, you know, last week I did this episode on postpartum depression and found out that suicide and drug overdose is accounts for about 25% of the mortality deaths. Is that right? The maternal deaths? Is that correct? Speaker 3: Maternal? Yes, that's correct. Mental health related issues certainly have a huge impact. And unfortunately, some physical health issues also impact our maternal mortality issues such as undiagnosed health conditions such as diabetes, right. Cardiac disease, hypertension, which can lead to eclampsia, preeclampsia, and eclampsia, and which can be very fatal. And unfortunately for many African American women it is, Speaker 2: I'm so sorry. And the, the couple of articles, 84% of those deaths were preventable. Speaker 3: Yes. That is a, that is a huge tragedy for our communities. Huge, huge, huge tragedy and a huge loss of potential of human potential that could you know, be at work in these communities helping to improve the status of our communities. So it's a, it's a huge loss that we experience when these things happen. Speaker 2: Yes, it is. And as well as the children they bore, you know, so Yes. Speaker 3: Right. And unfortunately, sometimes we lose the babies as well. You know, we have the fourth highest infant mortality rate in the United States as well. Speaker 2: Do we really,? Speaker 3: Arkansas. Speaker 2: Wow. Speaker 2: Which are the states that are doing it better? What are the states that are doing it better and, and how are they doing it better? Speaker 3: Well as you, you may or may not be aware many states, over 30 of our states in the United States have extended the coverage for Medicaid for women postpartum. You know, in Arkansas, their postpartum coverage cuts off for women who are Medicaid eligible after the second, after two months after delivery. Oh my goodness. Well, many states - about 30 states - have extended that coverage for the first year of life because these deaths can often occur during the postpartum period. Many of them occur during the postpartum period when women don't have coverage. And what we, what they have found is that women will put off going to the doctor because they don't have money to pay for their care. And so they put off their symptoms and they'll deny their symptoms or delay, you know, seeking care until it's unfortunately too late. Speaker 2: What do you know for the mental health aspect of things? Speaker 3: Well, I think we, we do have a real acute shortage of mental health providers in our state, as you probably are very well aware mm-hmm. , and there's some parts of our state that are worse than others. And so dealing with that, in addition to some of the stigma that is associated with seeking psychological care and support is something that we've got to address as a society. Speaker 2: Now, if I read some of the articles disagreed with one another about this, so let me ask you... I read in one article that the mental health problems, suicide and drug overdose were more prevalent in minority women than white women. And then another article, it said, no, they're about the same. Speaker 3: They're about the same. Okay. In my experience. Okay. Speaker 2: Okay. Yes. Speaker 3: Yeah, yeah. You know, we have the first trimester, second trimester, third trimester is, you know, when during the time the baby is born. Sure. And then, of course, that fourth trimester, which is the period, the immediate period after birth, actually that first year after birth of the baby. I think something that we need to make some distinctions about, or what we call baby blues. Have you heard that terminology, baby blues? Speaker 2: Oh, yes, of course. Speaker 3: Have, mm-hmm. versus postpartum depression. And I think sometimes people get those things confused. In the baby blues, you know, a little bit of melancholy and uncertainty and perhaps a little depression after birth because of all this tremendous hormonal and body changes that are occurring. If it lasts longer than two weeks, then we're really talking about postpartum depression. Speaker 2: And speaking of that, there is a, a, a medication that has just been FDA approved for postpartum depression, specifically for postpartum depression. Now I'm real excited about that. But, you know, my, my podcast goes well, I have listeners from all over the world, but certainly all over the United States. What, what could a woman do or, or a friend of someone who's pregnant? What are all these, is it called the Tennessee Birthing Project? Is it called the Mississippi Birthing Project? What, what are the, or the California, whatever it is, how can people plug themselves in or plug people in that they, that they know and love into these kinds of programs? Speaker 3: Well, the birthing project is just one of many opportunities I think we have available in our local communities to provide support to women during this really critical time. You know, there's been a lot of discussion about community doulas as well, and the supports that they provide. Yes. And I think there's room for everyone. The birthing project specifically, we id…

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    353 SelfWork: But I Can't Be Depressed: Understanding Post Partum Depression Aug 11, 2023
    Show notes

    There are many times that work with my own clients sparks a podcast episode – and this time, I needed to look at what had been discussed in the literature since I saw my last client with postpartum depression. Because I had another – and her depression was severe. The moms I’ve seen with PPD have all been different. Some highly anxious but unable to function due to that anxiety along with a bad depression. Some who had histories of depression and some who didn’t. Some who had had previous children with no problem and some who’d prepared for PPD since they’d experienced it before. And some who were almost dissociative – meaning that they were going through the motions of motherhood but felt very little about it. They “loved” their baby but having one seemed unreal – as if it hadn’t happened. So today we’re going to get the facts out about postpartum depression and of course, what you can do about it. Our listener voicemail is from a woman whose mom was an alcoholic and got sober, but who also appears to have borderline traits or BPD. – and who is viewing her daughter’s choice to set boundaries as cruel and punitive. You can hear the poignancy in this mom’s voice as she wants so to protect her children – but is she really protecting them by setting the boundary and thus, from her perspective, “creating” her mom’s reaction and other difficult family dynamics. The point is she’s NOT the one creating the dysfunction – or it certainly doesn’t sound as if she is. What would you say? Advertisers Link: Have you been putting off getting help? BetterHelp, the #1 online therapy provider, has a special offer for you now! Vital Links: My TEDx talk that today has earned 82,000 views! For more celeb stories, you can click here. Symptoms of Post Partum Depression Causes of Post Partum Depression The Retrievals Serial podcast series Al-Anon information You can hear more about this and many other topics by listening to my podcast, The Selfwork Podcast. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome! My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it's available in paperback, eBook or as an audiobook! And there's another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you! Episode Transcript/Intro This is SelfWork. And I'm Dr. Margaret Rutherford. At SelfWork, we'll discuss psychological and emotional issues common in today's world and what to do about them. I'm Dr. Margaret and SelfWork is a podcast dedicated to you taking just a few minutes today for your own selfwork. Hello, welcome or welcome back to SelfWork. I'm Dr. Margaret Rutherford. I'm a psychologist. I've been in private practice for 30 years now and have decided to extend the walls of that practice to those of you who might be very interested in hearing more about mental health topics, maybe you're in therapy, maybe you've just been diagnosed with something or you have some kind of problem that you just want some help seeing through different eyes... and of course to a third group of you - those of you who think mental health treatment and maybe even therapists are just a little wacky and a little strange . So we're here together and I'm so glad we are. There are many times that my work with my own clients sparks a podcast episode, and this is one of them. I have someone with pretty severe postpartum depression, and so I wanted to look more into it, especially the recent research. The moms I've seen with postpartum have all been different. Some have been highly anxious and unable to function due to that anxiety along with a bad depression. Some had histories of depression, some who didn't, some who'd had previous children with no problem, and then some who prepared for postpartum depression since they'd experienced it before. Some were almost dissociative, meaning that they were going through the motions of motherhood, but felt very little about it. They loved their baby, but having one seemed unreal. They sort of felt dissociated from the whole experience. Detached is what that means - as if it hadn't happened. What the general public doesn't realize is just how many miscarriages actually occur or how many problems there can be with pregnancy. For example, in 2020, there were 21,000 stillbirths that occurred in the US and the majority of those occurred among non-Hispanic, native Hawaiian or other Pacific Islanders and non-Hispanic black women.And this rate is more than twice the rate for non-Hispanic white women. So today we're gonna get to the facts out there about postpartum and of course what you can do about it. Our listener voicemail is from a woman whose mom was an alcoholic and got sober, but who also appears to have borderline traits and who's viewing her daughter's choice to set boundaries as cruel and punitive. You can hear the poignancy in this mom's voice as she wants so to protect her children. But is she really protecting them by setting a boundary, and thus, from her perspective, creating her mom's reaction and other difficult family dynamics? The point is, she's not the one creating the dysfunction, or it certainly doesn't sound as if she is. What would you say? We'll delve into that more later. As always, we wanna thank our generous sponsors. And if you've noticed, there's a fairly new arrival in SelfWork's queue of podcast listens, and that's an announcement about the Jordan Harbinger Show. You can support me and SelfWork by listening into my intro on Jordan's podcast. It'll appear second in your feed, as well as hearing a short message from Jordan himself on how he shapes his podcast. I actually listen to him on my walks. It's very different from SelfWork, but I like his style. Give it a listen when you can because it will support SelfWork.. The Episode For now, let's get into a discussion about what is a very painful subject when you're not supposed to be depressed - 'cause you just had a baby, It seems that finally postpartum depression is getting attention and that attention is long overdue. Some celebrities have been talking about it through the years revealing what an extremely tough time they had for the months after their child's birth. Marin Morris, for example, the country singer says "You're trying to become a new mother and good parent and do everything right". She added of the drowning feeling, "You just feel like you suck at every level". The actress Reese Witherspoon gave testimony to this kind of depression sneaking up on you. She said she felt completely out of control after the birth of her first child. And now I quote, "We don't understand the kind of hormonal rollercoaster that you go on when you stop nursing, and no one explained that to me. I was 23 years old when I had my first baby, and nobody explained to me that when you wean a baby, your hormones go into the toilet.I felt more depressed than I'd ever felt in my whole life. It was scary." And there's another, Serena Williams had her baby in 2018, and she said, "Honestly, sometimes I still think I have to deal with it". Her daughter was born by emergency cesarean section, and the athlete also had a near death experience involving pulmonary embolism. So you can see why that is really trauma and that happens. So I quote her again, "I think people need to talk about it more because it's almost like the fourth trimester. It's part of the pregnancy. I remember one day I couldn't find Olympia's bottle and I got so upset I started crying because I wanted to be perfect for her." If you wanna hear more celeb stories, I've got a link for you in the show notes. So what are the most recent statistics and facts about postpartum depression? Here's what a New York Times article had to say. "In recent years, mental health struggles have become the leading cause of maternal mortality in the United States, primarily due to suicides and drug overdoses. It's estimated that one in eight new moms experience postpartum depression and some research has suggested that the prevalence climbed as high as one in three during the early days of the pandemic. Yet roughly half of the women who are struggling with their mental health after pregnancy don't receive treatment. Barriers to care include a lack of awareness about symptoms and treatments and inability to access resources and of course stigma." So now I move away from that article to say there's increasing awareness that maternal deaths don't just happen during pregnancy or within the first few weeks after birth. This is going to surprise you. It was a stunning revelation to me. The new figures come amid a troubling rise in deaths of pregnant women and new mothers in the United States, which has the highest maternal mortality rate in the industrialized world. The figures soared during the pandemic to 32.9 deaths for every 100,000 live births in 2021. Rates for black and Native American women are two to three times higher than those for white women. It seems that the rates for black and native American women may be more equivalent to white women when the deaths are about depression or suicide. So now we know that there's danger to mom and baby for quite a long time. I'm going to quote one more article, summing up the findings from the CDC and I quote, "A fuller extent of the problem came to light in September when the Centers for Disease Control and Prevention took a more expansive look at mother's deaths analyzing them for a full year after childbirth and including deaths resulting from mental health conditions based on data provided by 36 states on 1018 pregnancy related deaths from 2017 to 2019." The CDC concluded that about a third of them occurred during pregnancy or on the day of delivery, and roughly another third before the baby turns six weeks old. But a full 30% occurred from that point until the baby's first birthday, a period that had not been a focus of maternal mortality research. I mean, I think this is incredible. Of note, most pregnancy related suicidal deaths occurred in the postpartum period with 62% of pregnancy related suicides occurring between 43 and 365 days postpartum, followed by 24% during pregnancy, and 14% within 42 days postpartum. So we don't have to just worry about postpartum in the first few weeks. We actually have to be very tuned into its presence even a year after the baby is born. The data have led to calls for closer follow-up care and more support for new moms during what has been called the fourth trimester, as Serena Williams called it, with special attention given to the women most vulnerable. I love this quote from Allison Stuby, an OB GYN professor at the University of North Carolina School of Medicine. She says, "Our approach to birth has been that the baby is the candy and the mom's the wrapper. And once the baby is out of the wrapper, we cast it aside. We need to recognize that the wrapper is a person. Moms are getting really sick and dying." Just to let you know, the other deaths that were not mental health conditions, the most frequent is hemorrhage, cardiac conditions, infections, thrombotic embolism and cardiomyopathy in that order. And they accounted for over 75% of pregnancy related deaths. And actually the figures show that 84% of those deaths were preventable. Let me say that again. 84% of those deaths were preventable. But people aren't paying attention. Moms don't wanna complain. Families are in denial. They don't know about this information. That's why it's so vital, and we're featuring it here on SelfWork. So is it that women didn't complain or that somehow mothers signs of illness were overlooked, somehow seen as weakness or that pregnant or new moms weren't counting their blessings? In fact, I will remember that when I finally became pregnant through I V F, that's in vitro fertilization. I was in my OBs office complaining about how much my feet had swollen. Now, I liked my OB, but he said, "Now, Margaret, you're so lucky to be pregnant. You shouldn't complain" in this kind of patronizing voice, I looked straight at him and said, "I couldn't disagree with you more. You're right. I worked hard to get pregnant and I am lucky. But that hard work gives me all the room in the world to complain. This was hard from the very beginning." He apologized, which was one of the reasons why I liked him so much. But somehow, women are supposed to handle the very difficult and at time frightening aspects of childbirth while either parenting other children or working full-time for a salary or whatever, without complaining, without receiving support, or more importantly, without being listened to for what are very real problems. In my research for this episode, I also came across a story about just this attitude toward women that truly shocked me to the core, at least rationally as a woman. However, I sadly got it. After we hear from BetterHelp who can help you through depression of any kind, I'll tell you this story and talk more specifically about the symptoms of postpartum depression. I recently heard a fascinating reframe for the idea of asking for help. Maybe you view asking for help as something someone does, who's falling apart or who isn't strong. So consider this. What if asking for help means that you won't let anything get in your way of solving an issue, finding out an answer or discovering a better direction? Asking for help is much more about your determination to recognize what needs your attention or what is getting in your way of having the life you want better help. The number one online therapy provider makes reaching out about as easy as it can get. Within 48 hours, you'll have a professional licensed therapist with whom you can text, email, or talk with to guide you, and you're not having to comb through therapist websites or drive to appointments. It's convenient, inexpensive, and readily available. Now you can find a therapist that fits your needs with better help. And if you use the code or link Betterhelp.com/ selfwork, you get 10% off your first month of sessions. So just do it. You'll be glad you did. That. Link again is betterhelp.com/selfwork to get 10% off your first month of services. Okay, first, let's talk about the symptoms of what's called PPD or postpartum depression. It's very different than the baby blues. Baby blues are very, very common, similar to what things are going on in other life transitions, they are mood swings, anxieties, sadness, irritability, feeling overwhelmed, crying, trouble with thinking and concentration, trouble sleeping. But that tends to go away when the new mom or maybe the mom with two or three other children settles down. But if the baby is sick or colicky or is born with some kind of problem, who knows what will happen. And yet, even if the baby seems perfectly normal, postpartum depression can happen and you can place huge…

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    352 SelfWork: How To Become A Startist: A Conversation with Becky Blades Aug 04, 2023
    Show notes

    I wanted to offer you the advice and very creative teachings today of Becky Blades – she founded and sold an award-winning communications firm, she’s basically run from the board room to the home room, she’s an artist herself, and she’s an inspiring and highly creative author of two books; Her first book, Do Your Laundry or You’ll Die Alone, Advice Your Mom Would Give if She Thought You Were Listening, which she wrote and illustrated, was named a Best Books of 2014 and one of the Top 100 Indie Releases by Kirkus Reviews. It received the prestigious Kirkus Starred Review and was an Amazon best seller for six consecutive years. Now she’s written another wonderfully illustrated book (her own drawings and illustrations) entitled Start More Than You Can Finish. And I wanted it to be a real fresh-er-up-er for those of you wilting in the heat of the summer or fending off one more winter storm – dependent on your hemisphere. And the Next Big Idea Club has selected it as one of “the most essential nonfiction books of the year." She calls herself a bad cook, a hopeful gardener, a passionate tree hugger and a licensed private pilot – and I’m delighted not only to have her on SelfWork... but to call her a friend. Advertisers Link: Have you been putting off getting help? BetterHelp, the #1 online therapy provider, has a special offer for you now! Vital Links: My TEDx talk that today has earned 72,000 views! You can hear more about this and many other topics by listening to my podcast, The Selfwork Podcast. Subscribe to my website and receive my weekly newsletter including a blog post and podcast! If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome! My book entitled Perfectly Hidden Depression is available here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life. And it's available in paperback, eBook or as an audiobook! And there's another way to send me a message! You can record by clicking below and ask your question or make a comment. You’ll have 90 seconds to do so and that time goes quickly. By recording, you’re giving SelfWork (and me) permission to use your voice on the podcast. I’ll look forward to hearing from you! Episode Transcript This is SelfWork. And I'm Dr. Margaret Rutherford At SelfWork. We'll discuss psychological and emotional issues common in today's world and what to do about them. I'm Dr. Margaret and SelfWork is a podcast dedicated to you, taking just a few minutes today for your own selfwork. Speaker 2: Hello and welcome or welcome back to SelfWork. I'm Dr. Margaret Rutherford, and I'm so excited about bringing you a friend of mine and someone that I truly, truly admire. Becky Blades. I wanted to offer you the advice and very creative teachings of Becky today. Not only has she founded and sold an award-winning communications firm, she's basically run from the boardroom to the homeroom. She's an artist herself, and she's an inspiring and highly creative author of two books. Now, the first one was, do Your Laundry or You'll Die Alone, subtitle being Advice Your Mom Would Give If She Thought You Were Listing. She not only wrote and illustrated that book, it was named a Best book of 2014 and one of the Top 100 Indie Releases by Kirkus Reviews. And it received the prestigious Kirkus starred Review and was an Amazon bestseller for six consecutive years. Speaker 2: That is a long time. Now, she's written another wonderfully illustrated book. Again, her own drawings and illustrations entitled Start More Than You Can Finish. And I thoroughly enjoyed it. I wanted it to be a real fresher upper for those of you who are wilting in this heat of the summer, or if you're in another hemisphere, fending off one more winter storm. Her point in this book is that we can get so afraid of failing, we don't start and starting is so important. In fact, she advocates being a startist. And this book also has high praise. It's been named a Must Read by the Next Big Idea Club, which by the way, the members of that club are Malcolm Gladwell, Adam Grant, Susan Kane, and Daniel Pink, not bad company. And they call it one of the most essential non-fiction books of the year. It is truly inspiring. Speaker 2: She calls herself a bad cook, a hopeful gardener, a passionate tree hugger, and a licensed private pilot. And I'm delighted not only to have her on SelfWork, but I'm lucky enough, like I said, to call her a friend. Before we hear Becky's interview, let's hear from BetterHelp. So many people start or go back to therapy when their kids are starting school. And that's not too long from now. So everyone's starting something new. I'd recommend calling very early for a therapist in your locale, but with better help. You don't have to worry about that. They're ready to see you when you are ready to be seen. Speaker 2: I recently heard a fascinating reframe for the idea of asking for help. Maybe you view asking for help as something someone does who's falling apart or who isn't strong. So consider this. What if asking for help means that you won't let anything get in your way of solving an issue, finding out an answer or discovering a better direction? Asking for help is much more about your determination to recognize what needs your attention or what is getting in your way of having the life you want better help. The number one online therapy provider makes reaching out about as easy as it can get. Within 48 hours, you'll have a professional licensed therapist with whom you can text, email, or talk with to guide you. And you're not having to comb through therapist websites or drive to appointments. It's convenient, inexpensive, and readily available. Now you can find a therapist that fits your needs with better help. And if you use the code or link Betterhelp.com/self work, you get 10% off your first month of sessions. So just do it. You'll be glad you did. That. Link again is better help.com/selfwork to get 10% off your first month of surfaces. Speaker 2: And now I'm delighted, absolutely delighted to introduce you if you don't already know her. To Becky Blades. I was trying to remember when you and I met, was it at a midlife bloggers Speaker 3: Associated? It was at, it was at BlogHer that in San Jose. Speaker 2: That's right. Yeah, that's right. Speaker 3: And it was my first one. Do did you go to a lot of those? No, Speaker 2: I think I went to two. I went to the one there. I went to one in Chicago, I think, and then I went to that one I didn't go to anymore. Speaker 3: And who invited me were Mary Speaker 2: Mary Dell Harrington, and Mary Speaker 3: Darrell Harrington and Lisa Heffernan. And I had just put out that first book. And I, you know, gosh, I am, I'm, you know, everybody I met there was so nice. And I just have still loved maintaining those relationships. Speaker 2: Listen, I was so glad that I took the time to read all of your book because I just laughed and I smiled and I teared up a couple of times and you had me from the very beginning. Your artwork is just incredible. A line is a dot that wasn't, this is what you say, a line is a dot that wasn't afraid to get started. I mean, that's like, Speaker 3: I loved that. Yeah. And a dot can be a splatter. I mean, dots don't need to be neat, perfect little dots. They can be little cuddles. Speaker 2: I didn't remember that until it, then I refreshed my memory and I wrote it that you are also, you're an author, but you're an an artist and you're, you're, you really love combining those things. And can you, why don't you tell SelfWork listeners a little bit about you? Speaker 3: Okay. Yeah. I had a career in public relations, which came out of a degree in journalism. And so I've always liked writing. I didn't like being poor. So journalism wasn't, you know, the job that I wanted out out of school. I grew up poor. So I, I chose to find a way to make money in an, the agency business, the journalism public relations agency business. There were a lot of opportunities for creativity. So I started my own firm in when I was 30. Wow. And ran that for 13 years. And then when I, kind of parenting was at a, at a pitch that I wanted to be home and in, in my creative space at home more too, sold the business and started building what what we now call a portfolio lifestyle. So I had the business oh, I like Speaker 2: That name. I've never heard this Speaker 3: . Yeah. And, and, and then I had the, I had an art studio and I remember - to kind of jump over to this book - when I one time my soon after I sold the business, my daughters were talking, they came home from school and they wanted it an identity for me. 'Cause you know, kids talk what your mother do, you know, what does your mom do? So my youngest said, "Mom, what are you, are you an artist? Are you a business person?" And I said, "Honey, why do those labels matter?" And her sister from the other room said, "She's a startist" . 'cause I was starting some other businesses and you know, they got confused by how I dress different days. So, so during that time, I, I went through my first and second midlife crisis. First that empty nest crisis that, you know, and have been such a great expert on my first book was do Your Laundry or You'll Die Alone. Speaker 3: And that was the subject line of the email I sent my daughter of all these journal entries with advice that I was kind of afraid to give her in person. So after she left for college, I sent it all to her. And, and then, you know, after that, I'm, I, I don't mind saying I'm 64 now. And those, these past 10 years of being kind of all, you know, almost the entire time empty, nested has given me the chance to really see how what I love and what I, who I love spending time with. And I've realized it's, it's people like you who when they think they wanna do a podcast, they'll just haul off and start it, or people have ideas and act on them. So Speaker 2: No, and the, the name of this book is Start More Than You Can Finish. And, and I so agreed with it. I, one of the things that I say to patients all the time is, it doesn't matter where you go, it's that you go Exactly. Just go, just make a choice. Just go. And I, I was just humming along with your book Thinking , I agree. . Speaker 3: And it's been fun to think about the mental health aspects, of course, you know, to, to make the case for something that seems as contrarian as this notion of start more than you can finish, you know, kind of in defiance of what our parents may have said. But the mental health aspects of creativity, we're learning more and more as you know about how creativity makes us flourish and thrive and, and the and then we have other things we can talk about, anxiety, depression as I studied the neuroscience of it, I, I decided, you know, I discovered hidden benefits that I didn't know I had been partaking in. Speaker 2: Wow. What are those? Speaker 3: Well, starting with self-discovery, self-esteem, getting out of anxiety and depression. I'll, I'll tell you a story that I haven't, it didn't make it in the book and I haven't told many people because it seems like kind of a downer, and we wanted the book to be upbeat. But part of my catalyst for writing the book was I was taking art lessons to domestic violence shelters. I did this for a few years. I, I didn't call it art therapy. Now they did because mm-hmm. All art is therapy, but I'm not a, I'm not a licensed therapist. Mm-Hmm. or an art therapist. But what I discovered in my time with those amazing women is that the thing that, that spectrum of creativity, I used to think it was started with, oh, oh, I'm not creative, and ended with, oh, I can start anything on a dime. Speaker 3: Well, the spectrum really starts way over in a place where we feel totally powerless. Totally. devoid of even knowing what we like. Right. What gives us joy, what our idea of beauty is, and our inability to make a decision. So this book is about starting, it's taking that first step, like you said, it's not where you go, it's that you go. And the example is, in the very first class, these women, all of them could not even make that first initial decision. I, I would kind of lay out a little project, very simple. I had all these enticing art supplies, but they literally needed my permission to choose a color. Like, what should I start with purple? Yes. Purple would be a great place to start. They had lost, I mean, they had literally had mm-hmm. the creativity beaten out of them because creativity is, it's trusting our own ideas and owning them, and then also having the, the courage to experiment and say, okay, you know, what? If purple doesn't work well, when we're terrified, when we're traumatized, when we're stuck, I don't think we have the courage to know that the stakes aren't that high. You know, if I choose color, if I choose purple and I don't like it, I can paint over it. Sure, of course. Or as I said, I'll give you another piece of paper . Speaker 2: That's a great point. It's that shutting down of, of risk of any, even, even how what, even no matter how tiny the risk, or seemingly tiny, it's not seemingly, it's not tiny to them. It's like, oh, right. I'm gonna make a choice and it's gonna be out here for other people to see. And yeah, it's right. But, you know, I, and you may Speaker 3: Not know, you know, I think when we're beaten down, we don't know what the risks are. There's this free floating sense of, I'm taking a chance, I'm doing something I haven't didn't do yesterday. So what might happen, because, you know, life doesn't treat us rationally. And for those women who had been, you know, abused, they, they had been abused for much less things than making a wrong color decision. Right. So the healing so to, you know, get back to your first big question was the, the ancillary benefits of acting on our ideas and following that creative process are things we don't even know we need, I think. And, and yet I could really see it dramatically with those, those women who, and this was another really fun thing, is that they came out of that so fast, so joyfully really, that just a few weeks, you know, just, you just give that affirmation that Yeah, purple would be great, and that looks great, and you know what, this other color might work too. And then they start with the self, with their own self-talk. And I mean, they just, those, those stays and those shelters aren't that long. So I only got to see 'em for a short period of time, but it was, it was fast and miraculous. Speaker 2: That's incredible. You know, I got my start in this business by volunteering at a domestic shelter. Oh. Speaker 3: So you get it. Speaker 2: Love so much so, so, so much. Anyway. Mm-hmm. , you know, I, I'm gonna quote you again. It's not that finishing isn't vital and great, but not finishing is not failure. And I, I love that because you know, how many times have I heard the phrase, well, that didn't work out like, that says something bad about me. I mean, you asked in the book to, to make a list of, you know, the things we've started and didn't finish. And to make, I mean, my first tw…

    Full show notes at the publisher

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