ARP 411 To CBT or Not to CBT

The way it is presented you'd think that Cognitive Behavioral Therapy (CBT) is the only therapy treatment for anxiety, depression and other mental health conditions. No, it isn't. It does work, but not for every person or every mental health condition.

In this episode, a quick review of what CBT is and some of the pros and cons. This isn't an attempt to praise or condemn the therapy. I just want to point out that it might not be right for you at this time or you might needs to get your symptoms in control before you can consider this type of treatment.

Episode Transcript due to Audio Technical Error:

Cognitive behavioral therapy is a psychotherapy treatment that seeks to help people change patterns of thinking or behavior. You can't shake a stick on an anxiety or mental health site that doesn't at some point have a mention of CBT.

The basic concept is that you identify your goals, and then learn a process of how to re-set your brain to control your thinking and symptoms. You also monitor your thoughts and experiences and learn techniques like patterned breathing meditation.

More in a bit, but first, if you are new here, this is the podcast that looks at medical, behavioral health, meditation, relaxation and x=the unknown resources for those of us that have an anxiety disorder or mental health condition.

The Pros: 


CBT focuses on the concept that if you change the thought, you reduce or eliminate the possibility of an attack. CBT is used to treat mental health conditions, like  depression, anxiety, and other mental health disorders. 

There are many ways to access CBT therapy:

There are apps that provide CBT education and have journaling and progress trackers. More advanced and sometimes more costly options include videos, meditation recordings and other features including AI chat bots.

Group therapy sessions are also an option in some areas where you might meet with six to ten people to go over the CBT process, introduced to the skills and have weekly check-in to track your progress.

And there is one to one therapy CBT sessions. Both online and in person. Some session can be short term to help you learn the skills and techniques or as part of a long term therapy session.

You are basically re-wiring your brain's though processes. There are specific things you have to do in order for this to work. If you are willing and motivated to go through this process, it might work for you. Or not. You can be motivated and it still doesn't work for you.

In terms of financial accessibility, an app might be the way to go. This could also work for people that are not ready for a traditional therapy session or do not have geographic access to a therapist.

If you have insurance, some plans have access to commercial mental health apps as part of the features of the plan.

All of the previously mentions treatment options gives you the opportunity to learn new coping skills and relaxation techniques. If it works, you can get on with your life.

The Cons:


If your symptoms are off the chain crazy, meaning that the are external presenting or they embarrass you then this might not be the time to try CBT. 

It is a lot of work, there is a specific way that CBT is practiced and a lot of it requires you to be honest with yourself and do the required tasks and homework. 

Now there are a lot of variations of CBT to handle different mental health populations and conditions. 

For example, If you have a dual diagnosis, like substance abuse and depression you might need another type of treatment plain. If you have underlining trauma issues, it might not be the best thing to start with CBT but you could gain help from the breathing and meditation practices.

The therapy doesn't resonate with you. Or you have a bad therapist, app or it doesn't make sense to you. You might require a different approach or you might need to get your symptom in control before you can even think about sitting in a room with another person talking about personal stuff.

I hope this gives you some understanding about CBT and some of the pros and cons about this type of therapy.

Resources Mentioned: 


American Psychological Association on Cognitive Behavioral Therapy

Book publisher Wiley has the Cognitive Behavioral Therapy for Dummies book. On the website you can read sample chapters and there is a cheat sheet you can review to see if the book is a good match for you.

MindDoc is an app that is a CBT type education that you can access via your phone. You can read or listen to a variety of topics, monitoring and self-management your mental health and check in on you daily. There is a free and paid version of the app that is available to Android and iOS users.

What's Up app for iPhone/iPad users provides a basic grounding in CBT topics and skills. it has a journaling and notes section, breathing exercises and grounding tools. It is free but there are in-app purchases.

Emergency Resources

The Trevor Project: Provides crisis support specifically for LGBTQ+ youth through phone (1-866-488-7386), text (START to 678-678), and online chat. Available 24/7. They also provide peer support and community. 

Veterans Crisis Line: Call 988 and press 1, text 838255, or chat online. There are phone lines for those serving overseas. Visit the website to find the current status of the Veteran line and international calling options. 

National Crisis Text Line: Text HOME to 741741 for free, confidential support 24/7. This service operates independently of the 988 service. Users can use text, chat or WhatsApp as a means of contact.

Disclaimer: 


Links to other sites are provided for information purposes only and do not constitute endorsements. 

Always seek the advice of a qualified health provider with questions you may have regarding a medical or mental health disorder.

This blog and podcast is intended for informational and educational purposes only. Nothing in this program is intended to be a substitute for professional psychological, psychiatric or medical advice, diagnosis, or treatment.


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ARP 410 What is Anhedonia?

Anhedonia is the inability to experience pleasure or enjoyment from activities that normally bring satisfaction. You can do things but you can't feel things. Your brain cannot process or have access to pleasure, reward or satisfaction. 


This is a quick episode on what the condition is, some of the symptoms and a few learning and treatment options.

Resources Mentioned: 


Anxiety and Depression Association of America has a video about Anhedonia ADAA also has a support group for people with Major Depression Disorder

Psych Hub video is also a good starting place to learn about Anhedonia

UC Irvine has an informational blog page about Anhedonia called There is help if it all seems too much



Emergency Resources:


The Trevor Project: Provides crisis support specifically for LGBTQ+ youth through phone (1-866-488-7386), text (START to 678-678), and online chat. Available 24/7. They also provide peer support and community. 

Veterans Crisis Line: Call 988 and press 1, text 838255, or chat online. There are phone lines for those serving overseas. Visit the website to find the current status of the Veteran line and international calling options. 

National Crisis Text Line: Text HOME to 741741 for free, confidential support 24/7. This service operates independently of the 988 service. Users can use text, chat or WhatsApp as a means of contact.


Disclaimer: 


Links to other sites are provided for information purposes only and do not constitute endorsements. 

Always seek the advice of a qualified health provider with questions you may have regarding a medical or mental health disorder.

This blog and podcast is intended for informational and educational purposes only. Nothing in this program is intended to be a substitute for professional psychological, psychiatric or medical advice, diagnosis, or treatment.




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ARP 409 - Four Things About Ibogaine

This is a short explainer on Ibogaine. This is the psychedelic that was mentioned in Executive Order 14401. There isn't much outside of scientific papers and even then it is much more observational studies than reporting on actual trials or practices.

Item 1

There is a west African shrub called Tabernanthe ibogda. ibogaine is extracted from the bark of that plant. The traditional use of the drug is spiritual ceremonies in central and western Africa by the Bwiti people.

The alkaloid extraction is a psychoactive drug that in small doses can act as a stimulant and in large doses that can last in the body for hours or even days.

Ibogaine attaches itself to dopamine, opioid, NMDA and serotonin neurotransmitters for a brain altering experience.

Item 2 Possible Uses

Outside of religious or spiritual use, it is being used in some countries for:

  • Substance abuse treatment - making it easier to wean a person off of opiate and alcohol addictions
  •  Post-Traumatic Stress Disorder
  • Severe depression or Major Depression Disorder

According to the Multidisciplinary Association for Psychedelic Studies aka MAPS website, The treatment can take one to three hours to kick in and can last up to 36 hours.

Once completed, it is claimed that for substance abuse treatment the cravings are diminished or gone. 

Item 3 Areas of Concern

There isn't enough clinical trials to know the details about this drug. It is banned in many countries.  A lot of what is being communicated about ibogaine is from people that used the drug and advocates/promoters of the drug. 

There are countries that have done some research.  However they are limited in size or random controlled trials.  There is a lot we don't know about this substance.

This stuff is no joke. Ibogaine can put a tremendous strain on your cardiovascular system.  It can cause heart arrhythmias, seizures and it can be lethal for some people.  

It isn't like LSD.  You might experience and be locked in to the dark side for hours with no escape.  Again, you might have to under go therapeutic preparation before using this drug.

You have to be monitored. You cannot be alone while experiencing this drug.


Item 4 Accessibility

There are some countries that have legalized it, these include:

Australia and New Zealand allows for legal ownership, sale and cultivation of plants that contain ibogaine  Brazil allows for prescription use in a hospital setting.  

Canada allows use of ibogaine under strict guidelines. Uruguay use is legal.

Mexico does not regulate ibogaine, making it a popular destination for Americans seeking ibogaine treatment.  Costa Rica is also unregulated.

If you are planning to pack up and head to Mexico or Costa Rica, please know that the cost, experience and lack of safety can be expensive. There are always profiteers. 

You might not get the medical attention and services that you need and I have deep questions about after care and support.

My Thoughts:

I think what can happen in the future is that actual scientists study the drug and are able to synthesize what works from the toxic aspects of the drug.

We are no where near that point in research. This is a high risk substance. But that is me. My opinion. Your life experience might be different. 

I am not a pharmacologists or a scientist. 

Still, I have real concerns about the toxicity levels that can affect the heart and the cardiovascular system. 

Is this drug going to require or make space for therapy and support treatment? What kind of pre, post and aftercare would a person need to insure safety and effectiveness? 

I honestly don't know. Seems like there is a hunt for a pill to be the magic cure. For a price.
At the moment, I wouldn't touch it with a 39 and haft foot pole. 

My two cents that ain't worth a plug nickle.

Resources Mentioned: 

World Population Review Map of Legality by Country

The Multidisciplinary Association for Psychedelic Studies aka MAPS is a non-profit organization that promotes the use of psychedelic drugs. There is a brief information page about ibogaine with links to the two observational studies and a section of the FAQ that talks about the drug.


Emergency Resources

The Trevor Project: Provides crisis support specifically for LGBTQ+ youth through phone (1-866-488-7386), text (START to 678-678), and online chat. Available 24/7. They also provide peer support and community. 

Veterans Crisis Line: Call 988 and press 1, text 838255, or chat online. There are phone lines for those serving overseas. Visit the website to find the current status of the Veteran line and international calling options. 

National Crisis Text Line: Text HOME to 741741 for free, confidential support 24/7. This service operates independently of the 988 service. Users can use text, chat or WhatsApp as a means of contact.

Disclaimer: 


Links to other sites are provided for information purposes only and do not constitute endorsements. 

Always seek the advice of a qualified health provider with questions you may have regarding a medical or mental health disorder.

This blog and podcast is intended for informational and educational purposes only. Nothing in this program is intended to be a substitute for professional psychological, psychiatric or medical advice, diagnosis, or treatment.



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ARP 408 Psychedelic Executive Order 14401

Psychedelics are knocking on the door again. It is the generational visit of psychedelics with some people seeing the potential and others seeing the danger and consequences. In this episode, a look at Executive Order 14401 and what is proposed for the treatment of serious mental health conditions.

Let me be clear about this. I take no position pro or con in the upcoming debates or discussions about psychedelics. I am learning as I move through this unexpected (for me) treatment option. 


I have concerns. Big whomping concerns. I also have distrust and I'm noticing that certain stock markets and pharmaceutical companies are taking interest in this topic. 

What I'm trying to say I have biases, both conscious and unconscious. This episode is what I've discovered learning about the topic. My first steps. Psychedelically, you might be further down the road. 

One more thing. Dear public relations people. I have never had a guest on the show. I do not plan to in the future. Please peddle your guests to a more appropriate forum. 

Resources Mentioned: 

Psychedelic Information Resources

From Psychology Today What the New Executive Order Means for Psychedelics, A federal policy shift puts psychedelics in the spotlight for mental health.

PBS.org story about the executive order and some of the pros and cons. Like insurance? Nope.

One of the things the Petrie-Flom Center looks at is Health Law Policy. This is a Q&A on the Executive Order on Psychedelics with I. Glenn Cohen and Mason Marks.


The U.S. Drug Enforcement Agency Drug Scheduling with a list of the drug schedules.


Information about executive orders, their history and how to obtain them.

National Constitution Center information page on What is an Executive Order?

The American Bar Association's website has an explainer from a legal perspective on what an executive or is, the format of the document and how to retrieve the official version.

National Archives and Records Administration Archive of all things related to the U.S. government. Maintains a digital index of executive orders that is searchable by date, number, or topic. The orders may be viewed as PDFs or text, in the Federal Register, or within Title 3 of the U.S. Code.

American Presidency Project  is an archive maintained by the University of California Santa Barbara includes text of almost all executive orders, searchable by year of issue back to the early nineteenth century.

Emergency Resources


The Trevor Project: Provides crisis support specifically for LGBTQ+ youth through phone (1-866-488-7386), text (START to 678-678), and online chat. Available 24/7. They also provide peer support and community. 

Veterans Crisis Line: Call 988 and press 1, text 838255, or chat online. There are phone lines for those serving overseas. Visit the website to find the current status of the Veteran line and international calling options. 

National Crisis Text Line: Text HOME to 741741 for free, confidential support 24/7. This service operates independently of the 988 service. Users can use text, chat or WhatsApp as a means of contact.

Disclaimer: 


Links to other sites are provided for information purposes only and do not constitute endorsements. 

Always seek the advice of a qualified health provider with questions you may have regarding a medical or mental health disorder.

This blog and podcast is intended for informational and educational purposes only. Nothing in this program is intended to be a substitute for professional psychological, psychiatric or medical advice, diagnosis, or treatment.



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ARP 407 What is Dopamine?

Mental health isn't just fixing one thing. It is more than stopping the symptoms. It is getting the parts back in alignment. Your brain, your spirit, your body and yes even neurotransmitters.  

This episode is about the neurotransmitter Dopamine. What it is and the relationship between stress, anxiety and the fight or flight response. I hope understand that this is one of the many processes of recovery. 


Do what you can, when you can. 

Resources Mentioned: 


The Cleveland Clinic has an explainer page on Dopamine

There are three TED Ed videos that visually explain what is happening in your brain when you have excessive stress and the relationship between anxiety, depression and other mental health conditions.

How stress affects your body - Sharon Horesh Bergquist on what goes on inside our body when we are chronically stressed 

Procrastination that includes the flight or fight response and the relationship to anxiety and depression. 

How the food you eat affects your brain lesson by Mia Nacamulli explains how food affects your brain,  how Amino Acids change into neurotransmitters and how the food we eat can change how we feel and behave.

Emergency Resources


The Trevor Project: Provides crisis support specifically for LGBTQ+ youth through phone (1-866-488-7386), text (START to 678-678), and online chat. Available 24/7. They also provide peer support and community. 

Veterans Crisis Line: Call 988 and press 1, text 838255, or chat online. There are phone lines for those serving overseas. Visit the website to find the current status of the Veteran line and international calling options. 

National Crisis Text Line: Text HOME to 741741 for free, confidential support 24/7. This service operates independently of the 988 service. Users can use text, chat or WhatsApp as a means of contact.

Disclaimer: 


Links to other sites are provided for information purposes only and do not constitute endorsements. 

Always seek the advice of a qualified health provider with questions you may have regarding a medical or mental health disorder.

This blog and podcast is intended for informational and educational purposes only. Nothing in this program is intended to be a substitute for professional psychological, psychiatric or medical advice, diagnosis, or treatment.



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ARP 406 SSRIs and Factual Information

A few months back, there were statements about SSRIs and increase violence in youth. Not true and I found a well written article explaining what a government official said and what is the factual, data based findings. I'll have that linked below. 





What I want to do is share with you the process of evaluating a medication so that you know the benefits and possible side effects so that you can make an informed choice.

The basic questions are:

  • What is this drug and why do I need it?
  • Specifics on how much to take, when and with or without foods or liquids.
  • What are the known side effects and when should I be concerned?
  • Are there foods, drinks, vitamins, herbals or other things I should not take with the medication?
  • How do I quit or stop taking the medication? There are some meds that you have to be weaned off of or you might experience harsh withdrawal symptoms.


Resources Mentioned: 


What Is (and What Is Not) on Trump and Kennedy’s Make America Healthy Again Public Health Agenda by KFF News.

Simply Psychology page on Serotonin and how it affects the brain and body.

The Mayo Clinic has a good information page about anti-depressants

Antidepressants for kids and teens: What the science says. For parents who need background information on anti-depressants for their kids or teenagers.

Medline Plus Drug Information Page, you can type the generic name or the brand name of the drug to get information on it. 

Emergency Resources: 


The Trevor Project: Provides crisis support specifically for LGBTQ+ youth through phone (1-866-488-7386), text (START to 678-678), and online chat. Available 24/7. They also provide peer support and community. 

Veterans Crisis Line: Call 988 and press 1, text 838255, or chat online. There are phone lines for those serving overseas. Visit the website to find the current status of the Veteran line and international calling options. 

National Crisis Text Line: Text HOME to 741741 for free, confidential support 24/7. This service operates independently of the 988 service. Users can use text, chat or WhatsApp as a means of contact.


Disclaimer: 


Links to other sites are provided for information purposes only and do not constitute endorsements. 

Always seek the advice of a qualified health provider with questions you may have regarding a medical or mental health disorder.

This blog and podcast is intended for informational and educational purposes only. Nothing in this program is intended to be a substitute for professional psychological, psychiatric or medical advice, diagnosis, or treatment.



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ARP 405 GLP-1 and Mental Health Symptoms

I'm seeing more PR stuff and news stories about weight lost drugs for anxiety and depression. The short version for me is that there is not enough science or science research to determine if GLP-1 can be used to treat anxiety and depression. But that doesn't stop news stories and PR pieces from being written.


As a starting point, I want to explain what GLP-1 are, the intended use and some of the side effects. both positive and negative a person could experience.

Resources Mentioned: 


Think Global has an article on the Mental Health Effects of Ozempic and GLP-1 drugs.

From the From the American Psychological Association is a post about weight loss drugs and mental health.

NPR did a news story about the growth of these types of drugs and possible mental health side effects

PubMed has an editorial on The Potential Role of GLP-1 Agonists in Psychiatric Disorders: A Paradigm Shift in Mental Health Treatment

Novo Nordis is the manufacture of Ozempic. This is a link to there website about the product and you would have access to patient information sheets for consumers, doctors and pharmacists on the


Emergency Resources

The Trevor Project: Provides crisis support specifically for LGBTQ+ youth through phone (1-866-488-7386), text (START to 678-678), and online chat. Available 24/7. They also provide peer support and community. 

Veterans Crisis Line: Call 988 and press 1, text 838255, or chat online. There are phone lines for those serving overseas. Visit the website to find the current status of the Veteran line and international calling options. 

National Crisis Text Line: Text HOME to 741741 for free, confidential support 24/7. This service operates independently of the 988 service. Users can use text, chat or WhatsApp as a means of contact.

Disclaimer: 


Links to other sites are provided for information purposes only and do not constitute endorsements. 

Always seek the advice of a qualified health provider with questions you may have regarding a medical or mental health disorder.

This blog and podcast is intended for informational and educational purposes only. Nothing in this program is intended to be a substitute for professional psychological, psychiatric or medical advice, diagnosis, or treatment.



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