When Therapy Isn't Enough: How Psychologists Decide to Refer for Anxiety Medication

A Day in the Life of an OCD Psychologist (part 2): The Effectiveness of ERP for OCD

In this part 2 BZE and BZW discuss anxiety and OCD through their clinical work and personal experiences, including a recent visit in Maryland and time spent together in person. They talk about exposure work at Whole Foods, contamination fears, and how exposures can be broken into smaller steps while still helping retrain reactions to triggering situations. They also discuss social anxiety, selective attention to negative events, and the body’s physical anxiety response, including adrenaline, cortisol, shortness of breath, and a faster heartbeat. Along the way, they share a few personal moments from the visit, including the BZE's dog, a train delay, and a mix-up over continuing education credits. HIGHLIGHTS: 2:54 OCD Exposures Explained 6:45 Anxiety and Threat Perception 10:24 Unattended Drinks and Safety 17:34 Cassidy’s Warm Welcome 19:20 Train Ride Troubles 21:24 Mixed-Up CEs CONNECT WITH THE BONNIE ZUCKERS: Bonnie Zucker Ph.D.(west) website: https://www.bonniezuckerphd.com [https://www.bonniezuckerphd.com] Newsletter sign-up: https://bonnie-zucker-ph-d.kit.com/d44b57fcdf [https://bonnie-zucker-ph-d.kit.com/d44b57fcdf] Books by Bonnie West: https://a.co/d/04aNJFDZ [https://a.co/d/04aNJFDZ] Bonnie Zucker Psy.D. (east) website: https://www.bonniezuckerandassociates.com [https://www.bonniezuckerandassociates.com] Books by Bonnie East: https://shorturl.at/MxvRZ [https://shorturl.at/MxvRZ] The content of Anxiety Matters Podcast is for informational purposes only and does not constitute mental health or medical advice, nor is it a substitute for professional mental health or medical advice, diagnosis, or treatment. If you are experiencing a mental health crisis, call emergency services or a local crisis line.

A Day in the Life of an OCD Psychologist: Bonnie West Visits Bonnie East in Maryland

East meets West in this special episode of Anxiety Matters as Bonnie West travels to visit Bonnie East. After an excitedly heartwarming welcome, the two enjoy good food and drink as they discuss exciting new plans for Anxiety Matters. The two hit up Bonnie East's local Whole Foods to do a live exposure exercise. They leave tea on a shelf, walk away for a while, and return to drink it and describe the purpose of these exercises as helping people tolerate uncertainty, discomfort, and the anxiety that rises and then falls. They discuss several kinds of exposure work, including asking for help, interrupting someone, leaving items unattended, and handling contamination fears including a more direct contamination exposure involving a chip that is placed on a shelf and then on the floor before being eaten. BZE describes how some people need repeated practice before they are willing to do it, and notes that doing the feared action often reduces anxiety more than expected. Later, BZW visits BZE's office and home, where they talk about the workspace, the artwork created by Bonnie East's mom, and family-made gifts. They wrap up by discussing BZE's home, the dog, the Christmas decorations, how they each work and the surprising place Bonnie East records episodes of the podcast. You'll want to listen in, not only for valuable information on exposure exercises, but for the fun these two share when they're together. HIGHLIGHTS: 1:18 Whole Foods Exposure 5:17 Challenging Contamination Fears 7:49 Tolerating Uncertainty 9:49 Eating the Floor Chip 14:08 Flooding Exposures 17:05 Visiting the Office 20:24 House Tour and Gifts 24:21 Cozy Home Reflections CONNECT WITH THE BONNIE ZUCKERS: Bonnie Zucker Ph.D.(west) website: https://www.bonniezuckerphd.com [https://www.bonniezuckerphd.com] Newsletter sign-up: https://bonnie-zucker-ph-d.kit.com/d44b57fcdf [https://bonnie-zucker-ph-d.kit.com/d44b57fcdf] Books by Bonnie West: https://a.co/d/04aNJFDZ [https://a.co/d/04aNJFDZ] Bonnie Zucker Psy.D. (east) website: https://www.bonniezuckerandassociates.com [https://www.bonniezuckerandassociates.com] Books by Bonnie East: https://shorturl.at/MxvRZ [https://shorturl.at/MxvRZ] The content of Anxiety Matters Podcast is for informational purposes only and does not constitute mental health or medical advice, nor is it a substitute for professional mental health or medical advice, diagnosis, or treatment. If you are experiencing a mental health crisis, call emergency services or a local crisis line.

A Perfectionist's Guide to Not Being Perfect

In this episode BZE and BZW talk about perfectionism through their own habits and experiences, from the pressure to make the “right” choice to the way rigid standards can show up in everyday life. They discuss BZE's book *A Perfectionist’s Guide to Not Being Perfect*, written for middle and high school readers, and how it was shaped by her writing routine and the disruptions of early 2020. They explore how perfectionism can lead to inflexibility, repeated checking, procrastination, and avoidance in school, work, and relationships. They also discuss treatment approaches that focus on flexibility, including exposure exercises, small acts of spontaneity, and learning to tolerate mistakes. The two then look at perfectionism in students and families, including test anxiety, social media, college decisions, and parental pressure. They close by emphasizing practical ways to respond to perfectionism, such as time limits for avoided tasks and reducing harsh self-criticism, with flexibility presented as more helpful than perfection. HIGHLIGHTS: 3:06 Eye Exam Epiphany 5:33 Writing Through Perfectionism 8:43 Flexibility Over Control 12:03 When Perfection Hurts 13:21 Building Flexible Habits 16:26 Social Media Pressure 19:01 Success Beyond Grades 23:27 Parenting Through Mistakes 27:41 College Choices Matter Less 30:05 Break the Avoidance Cycle mentioned in the episode: A Perfectionist's Guide to Not Being Perfect by Bonnie (East): https://a.co/d/0ajFPyrp [https://a.co/d/0ajFPyrp] The Obstacle is the Way book: https://a.co/d/01abU2GT [https://a.co/d/01abU2GT] CONNECT WITH THE BONNIE ZUCKERS: Bonnie Zucker Ph.D.(west) website: https://www.bonniezuckerphd.com [https://www.bonniezuckerphd.com] Newsletter sign-up: https://bonnie-zucker-ph-d.kit.com/d44b57fcdf [https://bonnie-zucker-ph-d.kit.com/d44b57fcdf] Books by Bonnie West: https://a.co/d/04aNJFDZ [https://a.co/d/04aNJFDZ] Bonnie Zucker Psy.D. (east) website: https://www.bonniezuckerandassociates.com [https://www.bonniezuckerandassociates.com] Books by Bonnie East: https://shorturl.at/MxvRZ [https://shorturl.at/MxvRZ] The content of Anxiety Matters Podcast is for informational purposes only and does not constitute mental health or medical advice, nor is it a substitute for professional mental health or medical advice, diagnosis, or treatment. If you are experiencing a mental health crisis, call emergency services or a local crisis line.

Panic Attack or Heart Attack: Treatment Strategies That Work

In this episode, BZW and BZE revisit Ireland Baldwin's journey with health anxiety and panic disorder, examining how trauma, genetics, and environmental factors intersect to influence anxiety. They explore the cycle of fear and heightened sensitivity to bodily sensations, advocating for cognitive behavioral therapy (CBT) as a key intervention. Their discussion highlights interoceptive exposure techniques to confront discomfort and stresses the importance of supportive relationships with established boundaries. Ireland’s story illustrates that, with effective strategies, individuals can manage anxiety and reclaim control over their lives, empowering listeners to understand their own experiences with anxiety. Be sure to listen to episode 64 with Ireland Baldwin to understand the foundation of her health anxiety. HIGHLIGHTS: 1:09 Follow-Up on Ireland Baldwin interview (ep 64) 4:13 Exploring Health Anxiety 5:36 The Role of Cognitive Behavioral Therapy 7:52 Personal Stories and Panic Buttons 9:42 Addressing Trauma and EMDR 11:09 Understanding Family Support 15:34 The Importance of Tolerating Uncertainty 17:17 Interoceptive Exposure Explained CONNECT WITH THE BONNIE ZUCKERS: Bonnie Zucker Ph.D.(west) website: https://www.bonniezuckerphd.com [https://www.bonniezuckerphd.com] Newsletter sign-up: https://bonnie-zucker-ph-d.kit.com/d44b57fcdf [https://bonnie-zucker-ph-d.kit.com/d44b57fcdf] Bonnie Zucker Psy.D. (east) website: https://www.bonniezuckerandassociates.com [https://www.bonniezuckerandassociates.com] The content of Anxiety Matters Podcast is for informational purposes only and does not constitute mental health or medical advice, nor is it a substitute for professional mental health or medical advice, diagnosis, or treatment. If you are experiencing a mental health crisis, call emergency services or a local crisis line.

Living with Health Anxiety & Panic: Guest Ireland Baldwin shares her story

In this special episode of Anxiety Matters, the Bonnies engage in an enlightening conversation with Ireland Baldwin, an accomplished screenwriter, producer, and animal rights advocate. Together, they explore her deeply personal experiences with health anxiety, particularly stemming from a traumatic incident in her childhood that reshaped her understanding of mortality and wellness. As they delve into the complexities of anxiety, Ireland shares vivid instances where her health fears manifest in day-to-day life. They discuss the urgency that comes with her heightened awareness of bodily sensations, and how even minor changes in heart rate can send her spiraling into a cycle of panic. The conversation highlights the unique struggles faced by those who experience health anxiety, where the interplay between physical sensations and catastrophic thoughts creates a formidable barrier to peace of mind. They also touch on the role of medical professionals and the importance of feeling validated in one’s health concerns. Ireland shares her gratitude for her supportive doctor who understands her anxiety, as well as her journey through various therapies. Notably, she mentions her reluctance to rely on medication due to the fear of adverse subconscious reactions, underscoring the importance of finding the right balance in treatment approaches. As their conversation progresses, they unpack the notion of community and connection, illustrating how sharing experiences with anxiety can foster understanding and reassurance. Throughout their discussion, Ireland resonates with listeners by normalizing the feelings of embarrassment and isolation that often accompany anxiety disorders. This candid dialogue not only offers insights into her personal coping strategies—such as managing triggers, identifying supportive partners, and utilizing tools for reassurance—but also serves as a reminder of the collective struggle many face regarding mental health. HIGHLIGHTS: 3:03 Meet Ireland Baldwin 8:22 Ireland's Early Experiences with Anxiety 16:43 The Impact of Trauma 23:08 Managing Health Anxiety 29:12 The Role of Supportive Relationships 37:36 Seeking Help and Treatment 44:53 Relating to Health Anxiety mentioned in episode CBT Interoceptive Exposure video: https://www.youtube.com/watch?v=sigXTV5QXik [https://www.youtube.com/watch?v=sigXTV5QXik] CONNECT WITH THE BONNIE ZUCKERS: Bonnie Zucker Ph.D.(west) website: https://www.bonniezuckerphd.com [https://www.bonniezuckerphd.com] Newsletter sign-up: https://bonnie-zucker-ph-d.kit.com/d44b57fcdf [https://bonnie-zucker-ph-d.kit.com/d44b57fcdf] Bonnie Zucker Psy.D. (east) website: https://www.bonniezuckerandassociates.com [https://www.bonniezuckerandassociates.com] The content of Anxiety Matters Podcast is for informational purposes only and does not constitute mental health or medical advice, nor is it a substitute for professional mental health or medical advice, diagnosis, or treatment. If you are experiencing a mental health crisis, call emergency services or a local crisis line.