Off the Couch Psychology

Jaksot

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  The Rules Your Family Never Said 18.09.2026 29min

  What happens when someone breaks a rule nobody ever said out loud? An elevator ride turns awkward. A family dinner goes quiet. A conversation about money becomes an argument, and neither person knows how it started. In this crossover episode of Quest for Success and Off the Couch Psychology, you'll hear how unwritten rules shape what feels safe, what causes tension, and what you expect from the people closest to you. Through the Crenshaw family's story, you'll see how some rules bring people together while others make it hard to speak up. You may even recognize a rule you've been following for years without knowing it was there. Key Takeaways Notice the unspoken expectations behind everyday conflicts. Recognize family rules worth keeping and rules worth questioning. Understand why a small change in behavior can cause a big reaction. Start a conversation without expecting someone to read your mind. Examine the money beliefs your family passed down. Listen in, then visit www.Quest-Success.com for more. Suggested Reading Harold Garfinkel, Studies in Ethnomethodology. Judee K. Burgoon, "A Communication Model of Personal Space Violations: Explication and an Initial Test". Harriet Lerner, The Dance of Anger. People and Shows Mentioned #HaroldGarfinkel #JudeeBurgoon #Bridgerton #LadyWhistledown #Mandy  
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  When Anxiety Steals Your Voice 15.09.2026 32min

  What happens when you know exactly what you want to say, but anxiety will not let the words come out? Selective mutism is often mistaken for shyness, stubbornness, or a child simply refusing to talk, but there is much more happening behind the silence. In this episode of Off the Couch Psychology Podcast, you'll meet nine-year-old Amber and follow her through a typical day to see how selective mutism can change dramatically from home to school. You'll learn why a child may talk nonstop around family yet struggle to say a single word in another setting, what anxiety and the brain's fear response have to do with it, and why telling someone to "just talk" can actually make speaking harder. Most importantly, you'll discover how gradual exposure, stimulus fading, positive reinforcement, speech-language support, family involvement, and other treatment approaches can help someone slowly expand where and with whom they can comfortably use their voice. If you've ever wondered what is really happening behind selective mutism—or how you can better support someone experiencing it—this episode is for you. Key Takeaways Selective mutism is not simply a choice to remain silent. Anxiety can make speaking extremely difficult in particular settings. Pressure and coercion can increase anxiety rather than improve communication. Small, gradual speaking experiences can help build confidence. Parents, schools, therapists, and speech-language professionals can work together to support progress. The goal is not to force a voice out, but to make using that voice feel safer. For more episodes, resources, and information from Dr. Jerry Cunningham, visit Quest-Success.com. Suggested Reading & Resources American Speech-Language-Hearing Association — Selective Mutism. A detailed overview of assessment, behavioral and cognitive-behavioral approaches, exposure, desensitization, stimulus fading, speech-language services, and treatment across settings. Read the ASHA Selective Mutism guide Selective Mutism Association — Treatment Statement. Explains why selective mutism should be approached through anxiety reduction rather than pressure to speak and discusses gradual movement from nonverbal to verbal communication. Read the Selective Mutism Association Treatment Statement Selective Mutism Association — Treating Selective Mutism. An accessible resource covering behavioral and cognitive-behavioral treatment, psychotherapy, medication, and speech-language intervention. Explore Selective Mutism treatment options American Academy of Child & Adolescent Psychiatry — Anxiety and Children. Provides additional information about childhood anxiety, including selective mutism and when professional evaluation may be appropriate. Read AACAP's guide to childhood anxiety James Clear — Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones. Mentioned in the episode for its broader concept of making change easier through small, manageable steps. Selective mutism itself is not a habit, but the book's small-step concept provides a useful analogy for understanding gradual progress. Learn more about Atomic Habits Mentioned in This Episode #AtomicHabits #JamesClear
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  Can Weight Loss Hurt Your Mental Health? 11.09.2026 25min

  Losing weight is supposed to make you feel better—but what happens when the scale goes down and your anxiety, depression, or body-image struggles don't go with it? In this episode of Off the Couch Psychology Podcast, you'll discover why improving your physical health doesn't automatically resolve what's happening psychologically. We'll look at research involving restrictive dieting, unhealthy weight-loss methods, bariatric surgery, and significant weight loss—and why the way you lose weight may matter as much as the number of pounds you lose. You'll also meet Kathy, a woman who believed bariatric surgery would finally help her feel comfortable with herself. Her experience shows how anxiety about regaining weight, changes in eating, loose skin, old emotional wounds, and unrealistic expectations can follow someone even after successful weight loss. If you're losing weight, considering weight-loss treatment, or supporting someone who is, this episode will help you think beyond the scale and focus on becoming healthier both physically and mentally. Key Takeaways Weight loss can improve health without automatically eliminating depression or anxiety. Extreme or unhealthy weight-loss methods can be associated with greater psychological distress. Major weight loss may create unexpected challenges involving food, body image, and fear of regaining weight. Bariatric surgery often improves mental health, but some people continue to struggle or experience new psychological concerns. (PubMed) Mental health deserves to be monitored along with weight, nutrition, and physical health. Successful weight loss should be measured by overall health—not simply the number on the scale. For more episodes and resources, visit Quest-Success.com. Suggested Reading & Research Law et al. (2023), "Bariatric Surgery and Mental Health Outcomes: An Umbrella Review." A broad review examining both the mental-health benefits and potential psychological risks associated with bariatric surgery. (PubMed) Read on PubMed Castaneda et al. (2019), "Risk of Suicide and Self-Harm Is Increased After Bariatric Surgery." A systematic review and meta-analysis examining self-harm and suicide risk following bariatric surgery. (PubMed) Read on PubMed Martinelli et al. (2024), "Bariatric Surgery and New-Onset Substance Use Disorders." Research examining the risk of developing new substance-use problems following bariatric surgery. (PubMed) Read on PubMed "Weight Loss Methods and Risk of Depression" (2025). An analysis of more than 9,000 adults that distinguishes healthier weight-loss approaches from potentially harmful strategies associated with depressive symptoms. (PubMed) Read on PubMed "Depressive Symptoms at Short-, Medium-, and Long-Term Follow-Up After Bariatric Surgical Procedures" (2025). A systematic review of more than 13,000 people showing that depressive symptoms generally improve after bariatric surgery while also identifying a subgroup whose symptoms worsen. (PubMed) Read on PubMed
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  Is It ADHD or Anxiety? 08.09.2026 27min

  Your child can't focus, avoids homework, struggles in class, or seems restless. Is it ADHD—or could anxiety be driving the behavior? In this episode of Off the Couch Psychology Podcast, Dr. Jerry Cunningham breaks down why ADHD and anxiety in children can look surprisingly similar on the outside while very different things may be happening underneath. You'll learn what research tells us about attention, mistakes, worry, task avoidance, and social situations—and why understanding the reason behind a child's behavior matters. Through the stories of Kavion and Rhonda, you'll hear how ADHD-related distractibility can differ from attention that gets hijacked by fear, perfectionism, or worry. You'll also learn practical clues parents and teachers can watch for and how those observations can help professionals make a more accurate diagnosis. If you've ever wondered whether a child's difficulty concentrating is ADHD, anxiety, or possibly both, this episode will give you a clearer way to think about the question. Key Takeaways ADHD and anxiety can produce similar-looking attention problems for different reasons. ADHD may involve broader difficulties regulating and sustaining attention. Anxiety can pull attention toward worry, threat, mistakes, and fear of judgment. Task avoidance can come from distractibility or from fear of failure and perfectionism. Patterns across home, school, and social situations provide important diagnostic clues. ADHD and anxiety can occur together, making a thorough professional evaluation important. (American Academy of Pediatrics) For more episodes, articles, books, and resources from Dr. Jerry Cunningham, visit Quest-Success.com. Suggested Reading & References American Academy of Pediatrics — Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of ADHD in Children and Adolescents. The guideline emphasizes evaluating symptoms across multiple settings and screening for conditions such as anxiety that can coexist with or resemble ADHD. (American Academy of Pediatrics) Read the AAP guideline Jarrett & Ollendick — "Attention Mechanisms in Children With Anxiety Disorders and in Children With Attention Deficit Hyperactivity Disorder." This is the study discussed in the episode comparing attention patterns in children with ADHD and anxiety, including selective and sustained attention and attention toward threatening faces. (PubMed) View the study on PubMed American Academy of Child and Adolescent Psychiatry — Clinical Practice Guideline for the Assessment and Treatment of Children and Adolescents With Anxiety Disorders. Reviews evidence supporting treatments including cognitive behavioral therapy and, when appropriate, medication. (PubMed) View the anxiety guideline on PubMed Centers for Disease Control and Prevention — Diagnosing ADHD. A practical overview explaining why there is no single test for ADHD and why clinicians consider other possible causes of similar symptoms, including anxiety. (CDC) CDC: Diagnosing ADHD Centers for Disease Control and Prevention — Treatment of ADHD. Covers behavior therapy, parent training, school interventions, and medication recommendations for children with ADHD. (CDC) CDC: Treatment of ADHD People & Topics Mentioned #ADHD #Anxiety #ChildhoodAnxiety #ChildPsychology #MentalHealth #Parenting #Attention #CognitiveBehavioralTherapy
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  Why Can't I Throw It Away? 04.09.2026 25min

  When does clutter become something more serious? Hoarding disorder isn't simply having a messy house or refusing to throw things away. The possessions you see are often only the visible part of a much more complicated struggle. In this episode of Off the Couch Psychology Podcast, you'll learn what separates hoarding disorder from ordinary clutter and collecting, why getting rid of seemingly worthless objects can cause genuine distress, and how decision-making and emotional attachment can keep the cycle going. We'll also step inside a realistic hoarding scenario to see what the disorder can look like for the person experiencing it—and why family members saying, "Just throw it away," rarely solves the problem. You'll also hear about specialized CBT for hoarding disorder, in-home interventions, reducing excessive acquiring, the Buried in Treasures approach, and why cleaning out a home without treating the underlying problem may not produce lasting change. (American Psychological Association) If you've watched the television shows and wondered, How does someone get to this point?, this episode takes you beyond the piles and into the psychology behind them. Key Takeaways Hoarding disorder is different from ordinary clutter, collecting, and OCD. (American Psychiatric Association) Difficulty discarding often involves powerful emotional attachments, beliefs about usefulness, and distress over making decisions. Forced cleanouts may change the environment without addressing the psychological patterns behind the hoarding. Specialized CBT can target discarding, acquiring, organization, and decision-making skills. (Hoarding) Progress is about making a home safe and functional—not turning someone into a minimalist. Long-term improvement requires continuing to practice new ways of relating to possessions. For more episodes and resources, visit Quest-Success.com. Suggested Reading & Resources Tolin, D. F., Frost, R. O., & Steketee, G. — Buried in Treasures: Help for Compulsive Acquiring, Saving, and Hoarding, 2nd ed. This is the book behind the Buried in Treasures approach discussed in the episode. (Oxford University Press) Buried in Treasures — Oxford Academic Steketee, G., & Frost, R. O. — Treatment for Hoarding Disorder: Workbook, 2nd ed. A research-based workbook focused on CBT strategies for hoarding disorder. (OUP Academic) Treatment for Hoarding Disorder: Workbook American Psychological Association — "Treating People With Hoarding Disorder." An accessible overview of the characteristics, research, brain science, and treatment of hoarding disorder. (American Psychological Association) Read the APA article International OCD Foundation — "Treatment of HD: Cognitive Behavioral Therapy." More information about specialized CBT and the role of practicing sorting and discarding within the home. (Hoarding) Read about CBT for Hoarding Disorder Mayo Clinic — "Hoarding Disorder: Diagnosis and Treatment." A useful overview for listeners wanting to learn more about evaluation and treatment options. (Mayo Clinic) Mayo Clinic Hoarding Disorder Guide People, Books & Shows Mentioned #HoardingDisorder #BuriedInTreasures #GailSteketee #RandyFrost #DavidTolin #HoardingShows
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  PMDD: More Than Bad PMS 01.09.2026 26min

  For years, severe premenstrual symptoms were sometimes dismissed as simply "bad PMS." But Premenstrual Dysphoric Disorder—PMDD—is a recognized disorder that can seriously affect mood, relationships, work, and everyday functioning. In this episode of Off the Couch Psychology Podcast, you'll learn what separates PMDD from typical PMS, why the timing and pattern of symptoms are so important, and why the problem may involve the brain's response to normal hormonal fluctuations rather than simply having "too many hormones." You'll also meet Connie and see how PMDD can play out in everyday life when ordinary situations suddenly feel much harder to manage. Most importantly, we'll explore what can actually help. From symptom tracking and therapy to SSRIs, hormonal approaches, lifestyle strategies, and emerging areas of research, you'll get a practical introduction to the treatment options being studied and used today. If you—or someone you care about—seems to become a dramatically different person during the same part of the menstrual cycle each month, this episode may help you understand why. Suggested Reading & References American College of Obstetricians and Gynecologists (ACOG), "What I Wish Everyone Knew About Premenstrual Dysphoric Disorder." A listener-friendly overview of PMDD symptoms and treatment. (ACOG) Read the ACOG PMDD overview American College of Obstetricians and Gynecologists (ACOG), Clinical Practice Guideline: Management of Premenstrual Disorders. Evidence-based guidance covering diagnosis and pharmacologic, psychological, lifestyle, and other treatment approaches. (ACOG) Read the ACOG clinical guideline Mishra, S., Elliott, H., & Marwaha, R., "Premenstrual Dysphoric Disorder," StatPearls. Reviews diagnostic criteria, symptom patterns, biology, assessment, and treatment. (NCBI) Read the StatPearls PMDD review Cochrane Review, "Selective Serotonin Reuptake Inhibitors for Premenstrual Syndrome and Premenstrual Dysphoric Disorder." Reviews evidence for SSRI treatment, including continuous and luteal-phase dosing. (PubMed) View the review on PubMed Key Takeaways PMDD is more than ordinary PMS; symptoms can significantly interfere with relationships, work, and daily functioning. The cyclical timing of symptoms is an important part of recognizing PMDD. Daily symptom tracking across menstrual cycles can provide valuable information for diagnosis and treatment planning. PMDD appears to involve an increased sensitivity to normal hormonal fluctuations rather than simply abnormal hormone levels. Treatment may include SSRIs, hormonal approaches, psychotherapy, lifestyle strategies, or a combination of approaches. (ACOG) Newer treatments are being researched, but experimental approaches should not be confused with established PMDD treatments. For more episodes, resources, and information from Dr. Jerry Cunningham, visit: Quest-Success.com
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  You're Probably Not Antisocial 28.08.2026 27min

  You skip the party. You avoid small talk. The gas pump says, "See cashier for receipt," and suddenly you decide you never really needed that receipt anyway. So you call yourself antisocial. But is that actually the right word? In this episode of Off the Couch Psychology Podcast, you'll discover why antisocial and asocial describe two very different patterns of behavior—and why mixing them up can completely change what you're saying about yourself. Through the stories of Amy and Becca, you'll hear how these differences show up in everyday life without getting buried in psychological jargon. We'll explore when enjoying solitude is simply a preference, when social withdrawal may signal something more, and why true antisocial behavior goes far beyond wanting people to leave you alone. And we'll finish with one of cinema's most memorable examples: Travis Bickle from Taxi Driver, a character who gives us a fascinating look at how antisocial and asocial behaviors can exist in the same person. If you've ever proudly announced, "I'm antisocial," this episode might make you reconsider your choice of words. Key Takeaways Antisocial and asocial behavior are not interchangeable terms. Preferring solitude does not automatically indicate a psychological disorder. Antisocial behavior involves disregard for the rights, safety, or well-being of others. Social withdrawal can have very different causes, including preference, anxiety, depression, or other psychological factors. Social Anxiety Disorder involves more than simply not wanting to socialize. Understanding why someone avoids people is often more important than noticing that they avoid them. For more episodes, resources, and information, visit Quest-Success.com. Suggested Reading & Resources American Psychiatric Association — APA Dictionary of Psychology: Antisocial Personality Disorder. A concise clinical explanation of the chronic pattern of disregarding and violating the rights of others associated with ASPD. (APA Dictionary) Read the APA definition Torrico, T. J., & Hany, M. — "Antisocial Personality Disorder," StatPearls. An in-depth review covering diagnosis, development, associated behaviors, differential diagnosis, and treatment. (NCBI) Read the StatPearls review at NCBI Bookshelf Merck Manual Professional Edition — "Antisocial Personality Disorder." Reviews the clinical features, diagnosis, and treatment of Antisocial Personality Disorder. (Merck Manuals) Read the Merck Manual overview National Institute of Mental Health — "Social Anxiety Disorder: What You Need to Know." Explains how Social Anxiety Disorder differs from simply preferring less social interaction and reviews symptoms and treatment options. (National Institute of Mental Health) Read the NIMH guide **American Psychiatric Association — Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR). ** The diagnostic reference discussed in the episode for understanding Antisocial Personality Disorder and related mental-health diagnoses. Mentioned in This Episode #TaxiDriver #TravisBickle #RobertDeNiro #MartinScorsese #DSM5TR
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  When Feeling Down Becomes Normal 25.08.2026 30min

  What happens when depression doesn't feel like a crisis—it just feels like you? Persistent Depressive Disorder, or PDD, can exist quietly for years. You may still work, maintain relationships, laugh, and handle your responsibilities while living with a low-grade sadness that has become the background static of everyday life. In this episode of Off the Couch Psychology Podcast, Dr. Jerry Cunningham explains how PDD differs from Major Depressive Disorder, the symptoms that often go unnoticed, and why people sometimes mistake chronic depression for their personality. You'll meet "Jessica," a fictional composite based on patterns seen in clinical practice, and discover how persistent depression can affect energy, confidence, decisions, relationships, and hope without completely shutting life down. Most importantly, we'll look at what actually helps—from psychotherapy and behavioral activation to medication, meaningful social connection, values, and practical changes that can help turn down that background static. If "I've always been this way" sounds familiar, this episode may give you a different question to ask. Key Takeaways Persistent depression can become so familiar that it feels like personality rather than a treatable condition. PDD is defined not simply by severity, but by its long-lasting pattern. Someone with PDD can function, laugh, work, and have good days while still experiencing chronic depression. Treatment may include psychotherapy, behavioral activation, medication, lifestyle changes, or a combination. Chronic does not mean permanent, and recognizing the pattern can be the beginning of meaningful change. For more episodes and resources, visit Quest-Success.com. Suggested Reading & References American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR). The primary diagnostic reference for Persistent Depressive Disorder. Patel, R. K., Aslam, S. P., & Rose, G. M. "Persistent Depressive Disorder." StatPearls. A detailed overview of diagnosis, clinical presentation, history, and treatment. (NCBI) Schramm, E., Klein, D. N., Elsaesser, M., Furukawa, T. A., & Domschke, K. "Review of dysthymia and persistent depressive disorder: history, correlates, and clinical implications." The Lancet Psychiatry, 2020. (NCBI) Sheffler, Z. M., Patel, P., & Abdijadid, S. "Antidepressants." StatPearls. An overview of antidepressant medications, including their role in Persistent Depressive Disorder and newer treatment developments. (NCBI) Douglas Adams. The Hitchhiker's Guide to the Galaxy. Included because Marvin the Paranoid Android provides our slightly humorous illustration of what it might look like when gloom, boredom, and pessimism seem to become the permanent background setting. (Penguin Random House) Mentioned in This Episode #PersistentDepressiveDisorder #PDD #Dysthymia #Depression #MentalHealth #TheHitchhikersGuideToTheGalaxy #MarvinTheParanoidAndroid #DouglasAdams
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  Nightmares and Night Terrors Aren't the Same 21.08.2026 34min

  A terrifying dream wakes you in the middle of the night. Your heart is pounding, you remember exactly what happened, and going back to sleep suddenly doesn't sound very appealing. But what if someone sits up screaming, looks terrified, cannot be easily comforted, and remembers almost nothing the next morning? These experiences may look similar, but nightmares and night terrors are not simply different degrees of the same problem. In this episode of Off the Couch Psychology Podcast, you'll learn what separates nightmares from night terrors, what your brain and body are doing during each one, and why REM and non-REM sleep matter. Through the stories of CJ and Mika, you'll also hear how these nighttime events can spill into daytime life, affecting energy, concentration, relationships, and even how someone feels about going to bed. We'll also look at what can help, including practical sleep changes, therapy approaches such as imagery rehearsal therapy, when medication such as prazosin may be considered for PTSD-related nightmares, and when recurring nighttime problems deserve professional evaluation. (PTSD.va.gov) Suggested Reading & Resources Cleveland Clinic — Night Terrors: What They Are, Causes, Symptoms & Treatment. A useful overview of sleep terrors, including symptoms, causes, and how they differ from nightmares. (Cleveland Clinic) Read the Cleveland Clinic guide U.S. Department of Veterans Affairs, National Center for PTSD — Sleep Problems in Veterans with PTSD. Discusses nightmares, insomnia, imagery rehearsal therapy, CBT-I, and medication research. (PTSD.va.gov) Explore the National Center for PTSD resource VA/DoD Clinical Practice Guideline for PTSD and Acute Stress Disorder. Includes clinical guidance on prazosin for nightmares associated with PTSD and discusses the evidence and limitations behind its use. (Health Quality) Read the VA/DoD clinical guideline National Center for PTSD — Cognitive Behavioral Nightmare Therapies and PTSD. An educational resource covering behavioral approaches to recurring nightmares. (PTSD.va.gov) Learn about cognitive-behavioral nightmare therapies Mentioned in This Episode #ANightmareOnElmStreet #FreddyKrueger Key Takeaways Night terrors are not simply extreme nightmares; they arise from different sleep processes. Nightmares generally occur during REM sleep, and people often wake alert and remember the dream. Night terrors arise from non-REM sleep and can involve screaming, movement, sweating, rapid heartbeat, and little or no memory afterward. (Cleveland Clinic) Both can affect daytime energy, concentration, mood, relationships, and feelings about going to sleep. Recurring or dangerous episodes, injuries, significant daytime impairment, or unusual nighttime behaviors deserve professional evaluation. Effective help depends on identifying what is actually happening rather than treating every frightening nighttime event as the same problem. For more episodes, resources, and information from Dr. Jerry Cunningham, visit Quest-Success.com.
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  When Postpartum Mental Health Turns Serious 18.08.2026 31min

  The arrival of a baby is supposed to be a time of joy, but for some families, the postpartum period brings depression, severe mood changes, or even a frightening loss of contact with reality. In this episode of Off the Couch Psychology Podcast, Dr. Jerry Cunningham looks beyond the headlines to help you understand postpartum depression, bipolar disorder during the postpartum period, and postpartum psychosis. You'll learn how these conditions differ, which changes may be warning signs, why sleep and hormonal changes matter, and when symptoms have moved beyond the normal stress of caring for a newborn. We'll also look at the Andrea Yates case as a historical illustration of severe postpartum mental illness while briefly addressing why current cases have brought this conversation back into the public eye. Most importantly, this episode is about recognizing problems earlier. Whether you're a new parent, spouse, grandparent, family member, or friend, knowing what to watch for could help someone get professional care before symptoms become more serious. Key Takeaways Postpartum depression is different from the temporary "baby blues." Bipolar symptoms can include dramatic changes in mood, energy, judgment, and need for sleep. Postpartum psychosis is rare but is a psychiatric emergency requiring immediate professional care. (National Institute of Mental Health) Family members may notice significant behavioral changes before the person recognizes them. Early evaluation by a doctor or mental health professional can make an important difference. Postpartum mental illness is treatable, and recovery is possible. (National Institute of Mental Health) For more episodes and resources, visit Quest-Success.com. Suggested Reading & Resources National Institute of Mental Health — Perinatal Depression — An accessible overview of symptoms, risk factors, treatment, postpartum psychosis, and when to seek professional help. NIMH: Perinatal Depression Bergink et al. — "Postpartum Psychosis and Bipolar Disorder: Review of Neurobiology and Expert Consensus Statement on Classification" — A 2026 review examining the close relationship between postpartum psychosis and bipolar disorder. Read the PubMed abstract Sharma — "The Postpartum Period and Bipolar Disorder: Early Identification, Prevention, and Management" — A 2026 review focusing on identifying and managing bipolar illness following childbirth. Read the PubMed abstract Gavin de Becker — The Gift of Fear — Mentioned in the episode for its broader lesson about recognizing warning signs rather than automatically explaining them away. Sit, Rothschild & Wisner — "A Review of Postpartum Psychosis" — A clinical review covering symptoms, diagnosis, prognosis, and treatment of postpartum psychosis. Read the article People, Books, Films & Cases Mentioned #AndreaYates #LindsayClancy #WhenTheBoughBreaks #GavinDeBecker #TheGiftOfFear #PostpartumDepression #PostpartumPsychosis #BipolarDisorder
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  Your Thoughts Are Lying 14.08.2026 23min

  Everybody seems to be talking about Cognitive Behavioral Therapy (CBT), but what exactly is it, and why has it become one of the most trusted approaches in mental health? In this episode of Off the Couch Psychology Podcast, you'll discover why CBT has earned decades of scientific support and how its practical strategies can help you think more clearly, manage stress more effectively, and respond to life's challenges with greater confidence. You'll learn what makes CBT an empirically validated treatment, how your thoughts, emotions, and behaviors influence one another, and why changing one can positively affect the others. Through relatable examples and practical applications, you'll walk away with simple tools you can begin using immediately—whether you're managing anxiety, dealing with stress, or simply wanting to make better decisions. If you've ever wondered why your mind sometimes jumps to the worst-case scenario or how to stop negative thinking from taking over, this episode is for you. Press play and discover why one small shift in your thinking can create meaningful changes in your life. Key Takeaways Learn why Cognitive Behavioral Therapy is considered the gold standard for many mental health conditions. Discover how your thoughts, emotions, and behaviors continuously influence one another. Understand what "empirically validated" really means and why evidence-based treatment matters. Learn practical ways to challenge automatic negative thoughts using evidence instead of emotion. See how small changes in thinking and behavior can create lasting improvements over time. Learn more about Dr. Jerry Cunningham, his books, podcasts, speaking engagements, and additional resources at www.Quest-Success.com. Suggested Reading Beck, J. S. (2020). Cognitive Behavior Therapy: Basics and Beyond (3rd ed.). Beck, A. T. (1979). Cognitive Therapy of Depression. Ellis, A., & Dryden, W. (2007). The Practice of Rational Emotive Behavior Therapy (2nd ed.). Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012). "The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses." Cognitive Therapy and Research, 36(5), 427–440. American Psychological Association. (2023). Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts. Mentioned in This Episode #CognitiveBehavioralTherapy #CBT #AaronBeck #AlbertEllis #EvidenceBasedPractice #MentalHealth #Psychology #ThoughtsEmotionsBehaviors
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  When the Mirror Lies 11.08.2026 30min

  What if the person judging your appearance the most...is your own brain? In this episode of Off the Couch Psychology Podcast, you'll discover why Body Dysmorphic Disorder (BDD) is far more than insecurity or vanity. You'll learn how this often misunderstood condition can cause someone to become trapped in a cycle of obsessive thoughts, mirror checking, reassurance seeking, and avoidance—even when everyone else sees nothing wrong. You'll also learn why BDD affects both men and women, what actually happens in the brain, why cosmetic procedures rarely solve the problem, and which evidence-based treatments have been shown to help people regain control of their lives. Whether you're wondering if these symptoms describe you, someone you love, or you simply want to better understand this disorder, this episode will give you practical insight and hope. The mirror doesn't always tell the whole story—and sometimes the mind tells an even bigger lie. Press play and learn how to recognize the difference. Key Takeaways Understand what Body Dysmorphic Disorder really is—and what it isn't. Learn the symptoms and warning signs that separate BDD from everyday appearance concerns. Discover why the brain can distort the way someone sees themselves. Explore the treatments that research has shown to be most effective, including CBT, ACT, ERP, and medication when appropriate. Find practical strategies that can help break the cycle of obsessive thoughts and compulsive behaviors. For more podcasts, books, articles, and resources to help you improve your mental health and personal growth, visit https://www.Quest-Success.com. Suggested Reading & Resources American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (5th ed., Text Revision; DSM-5-TR). Katherine A. Phillips, M.D. The Broken Mirror: Understanding and Treating Body Dysmorphic Disorder. James Clear. Atomic Habits. International OCD Foundation. Body Dysmorphic Disorder (BDD) Resources. Mayo Clinic. Body Dysmorphic Disorder – Symptoms and Causes. Mentioned in This Episode #RobertPattinson #BlackSwan #NataliePortman #AtomicHabits #JamesClear #TheThing #FantasticFour #BodyDysmorphicDisorder #CBT #ACT #ERP
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  When Feelings Aren't Really Yours 07.08.2026 26min

  Have you ever walked away from a conversation wondering, "Why did I react like that?" Or maybe someone seemed upset with you even though you hadn't done anything wrong. In this episode, you'll discover how transference and countertransference quietly shape your emotions, attitudes, relationships, and everyday interactions—whether you're in a therapist's office, at work, at home, or standing in line at the grocery store. You'll learn how your past experiences can influence the way you see people today, why emotions sometimes seem bigger than the situation itself, and how recognizing these patterns can help you communicate better, reduce conflict, and improve your relationships. Through real-life stories, practical examples, and a little humor, you'll walk away with simple tools you can start using immediately to become more self-aware and emotionally healthy. Key Takeaways Learn the difference between transference and countertransference in simple, everyday language. Recognize when old experiences are influencing current relationships. Improve communication by responding instead of reacting. Build healthier relationships through greater emotional awareness. Gain practical strategies that apply at home, at work, and in every interaction. For more podcast episodes, books, speaking events, and practical resources to help you grow mentally, morally, physically, spiritually, and financially, visit www.Quest-Success.com. Suggested Reading Gelso, C. J., & Hayes, J. A. Countertransference and the Therapist's Inner Experience: Perils and Possibilities. Freud, S. The Dynamics of Transference. Norcross, J. C., & Lambert, M. J. Psychotherapy Relationships That Work. American Psychological Association. APA Dictionary of Psychology (Entries on Transference and Countertransference). Gabbard, G. O. Long-Term Psychodynamic Psychotherapy. Mentioned in This Episode #InTreatment #PaulWeston #HBO #Psychology #Psychotherapy #Transference #Countertransference
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  When Your World Gets Smaller 04.08.2026 30min

  What if the hardest journey you'll ever take is the walk from your front door to your mailbox? In this episode of Off the Couch Psychology Podcast, you'll discover what agoraphobia really is—and why it's far more than simply being afraid to leave the house. You'll learn how this anxiety disorder develops, what is happening inside the brain, how it differs from social anxiety disorder, and why avoiding feared situations actually strengthens the cycle over time. Through real-life stories, the experiences of Paula Deen, practical treatment strategies, and evidence-based psychology, you'll gain a better understanding of what people living with agoraphobia experience every day. Most importantly, you'll walk away with hope. Recovery is possible, and you'll learn why small, consistent steps can help people reclaim their freedom one victory at a time. Whether you're trying to understand your own anxiety, support someone you love, or simply expand your knowledge of mental health, this episode will leave you with greater compassion, practical insight, and a clearer understanding of one of the most misunderstood anxiety disorders. Key Takeaways Understand what agoraphobia is and why it is different from social anxiety disorder. Learn how panic, avoidance, and the brain work together to maintain the disorder. Discover why small, gradual steps are more effective than trying to "just get over it." Explore evidence-based treatments, including Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT). Gain practical ways to encourage recovery while avoiding behaviors that unintentionally reinforce anxiety. Learn more about improving your mental health and personal growth at https://www.Quest-Success.com. Suggested Reading & Resources American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders (5th ed., Text Revision; DSM-5-TR). Bourne, E. J. (2020). The Anxiety and Phobia Workbook (7th ed.). Craske, M. G., & Barlow, D. H. Mastery of Your Anxiety and Panic: Workbook. National Institute of Mental Health (NIMH). Information on Panic Disorder and Anxiety Disorders. Anxiety & Depression Association of America (ADAA). Resources on Agoraphobia and Anxiety Disorders. Mentioned in This Episode #Agoraphobia #PaulaDeen #TheWomanInTheWindow #Copycat #EdmundBourne #TheAnxietyAndPhobiaWorkbook #CBT #AcceptanceAndCommitmentTherapy #DSM5TR
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  Mania vs. Hypomania Explained 31.07.2026 26min

  What does it really mean to have a manic episode? Is hypomania just having extra energy, or is there much more to it? In this episode of Off the Couch Psychology Podcast, you'll learn how psychologists and psychiatrists tell the difference between mania and hypomania, why that distinction is so important, and how it can affect diagnosis and treatment. You'll discover why sleeping less isn't always the biggest clue, why being productive doesn't automatically mean someone is hypomanic, and why accurately describing your symptoms can make all the difference during an evaluation. Through real-life examples, practical explanations, and a little humor along the way, you'll gain a clearer understanding of one of the most misunderstood parts of bipolar disorder. Whether you're living with bipolar disorder, supporting someone who is, or simply want to better understand mental health, this episode will give you practical knowledge you can use in everyday life. Key Takeaways Learn the clinical differences between manic and hypomanic episodes. Understand why the severity and impact of symptoms matter more than simply having high energy. Discover the warning signs that should be discussed with a mental health professional. Learn how tracking sleep, mood, and behavior can help improve diagnosis and treatment. Understand how communicating symptoms clearly can lead to more effective care. For more psychology resources, books, and podcast episodes, visit www.Quest-Success.com. Suggested Reading American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR). American Psychiatric Publishing, 2022. Miklowitz, David J. The Bipolar Disorder Survival Guide: What You and Your Family Need to Know. 3rd Edition. Guilford Press. National Institute of Mental Health (NIMH). Bipolar Disorder. https://www.nimh.nih.gov/health/topics/bipolar-disorder Goodwin, Frederick K., & Jamison, Kay Redfield. Manic-Depressive Illness: Bipolar Disorders and Recurrent Depression. Oxford University Press. International Society for Bipolar Disorders (ISBD). Educational resources on bipolar disorder and current research. Mentioned in This Episode #BipolarDisorder #Mania #Hypomania #DSM5TR #AmericanPsychiatricAssociation #NationalInstituteOfMentalHealth #DavidMiklowitz #KayRedfieldJamison
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  When People Feel Like Threats 28.07.2026 30min

  Social anxiety disorder is far more than being shy. In this episode of Off the Couch Psychology Podcast, you'll discover what is really happening inside the mind of someone who fears being judged, criticized, or embarrassed in everyday social situations. You'll also learn why social anxiety disorder is so often confused with generalized anxiety disorder—and why understanding the difference matters. Through real-life examples, current psychological research, practical treatment strategies, and a relatable story, you'll gain a better understanding of how social anxiety develops, how it affects relationships, work, school, and daily life, and most importantly, what actually helps people regain confidence. Whether you're struggling with social anxiety yourself or want to better understand someone you care about, this episode will leave you with practical insights, hope, and a fresh perspective. Key Takeaways Learn the difference between social anxiety disorder and generalized anxiety disorder. Understand why the brain interprets social situations as threats. Discover how avoidance unintentionally keeps anxiety alive. Explore proven treatments, including Cognitive Behavioral Therapy (CBT). Learn practical strategies that help people build confidence one step at a time. Gain a better understanding of how to support someone living with social anxiety. For more podcasts, books, articles, and resources from Dr. Jerry Cunningham, visit www.Quest-Success.com. Suggested Reading & Resources American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (5th ed., text rev.; DSM-5-TR). Gillian Butler. Overcoming Social Anxiety and Shyness. The Shyness and Social Anxiety Workbook by Martin M. Antony & Richard P. Swinson. National Institute of Mental Health – Information on Social Anxiety Disorder. Anxiety & Depression Association of America – Resources on anxiety disorders and treatment. Mentioned in This Episode #ThePerksOfBeingAWallflower #JohnnyDepp #GillianButler #CBT #SocialAnxietyDisorder #GeneralizedAnxietyDisorder
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  Can Inflammation Change Your Mind? 24.07.2026 30min

  Could your immune system be affecting your mental health? For years, mental health has been explained through brain chemistry, genetics, life experiences, and psychology. But a growing body of research is asking another fascinating question: What role does inflammation play in depression, bipolar disorder, schizophrenia, and other mental health conditions? In this episode of Off the Couch Psychology Podcast, Dr. Jerry Cunningham breaks down the latest research into plain English, explaining how inflammation, cytokines, and the brain's immune cells may influence mood, motivation, thinking, and emotional well-being. More importantly, you'll discover what the science actually says—and what it doesn't. No hype. No miracle cures. Just practical, evidence-based information you can use to better understand yourself or someone you care about. If you've ever wondered why two people can have the same diagnosis but experience it so differently, this episode will give you a new perspective on where mental health research is headed. Key Takeaways Discover what researchers mean by brain inflammation and why it has become a major focus in mental health research. Learn how inflammation may influence motivation, pleasure, thinking, and mood in some individuals. Understand why two people with the same diagnosis may have different biological processes contributing to their symptoms. Separate scientific evidence from internet myths and misinformation about inflammation. Walk away with practical, realistic ways to support both your physical and mental health. To learn more about Dr. Jerry Cunningham, his books, coaching, blogs, and podcasts, visit www.Quest-Success.com. Suggested Reading Park, A. et al. (2026). Major Depressive Disorder Shares Immune Abnormalities and Potential Therapeutic Targets with Inflammatory Skin Diseases. Molecular Psychiatry. Miller, A. H., & Raison, C. L. (2016). The Role of Inflammation in Depression: From Evolutionary Imperative to Modern Treatment Target. Nature Reviews Immunology. Felger, J. C., & Lotrich, F. E. (2013). Inflammatory Cytokines in Depression: Neurobiological Mechanisms and Therapeutic Implications. Neuroscience. Dantzer, R., O'Connor, J. C., Freund, G. G., Johnson, R. W., & Kelley, K. W. (2008). From Inflammation to Sickness and Depression: When the Immune System Subjugates the Brain. Nature Reviews Neuroscience. Miller, A. H. (2020). The Inflamed Mind: A Radical New Approach to Depression. by Edward Bullmore. Mentioned in This Episode #MolecularPsychiatry #MountSinai #EdwardBullmore
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  When Goodbyes Feel Terrifying 21.07.2026 33min

  Separation Anxiety Disorder isn't just something children experience. Adults can struggle with it too, especially after major life changes, trauma, or the loss of someone they love. In this episode of Off the Couch Psychology Podcast, you'll learn how to recognize the difference between normal worry and Separation Anxiety Disorder, why the brain reacts the way it does, and most importantly, what actually helps people recover. Through relatable stories, practical strategies, and evidence-based treatment approaches, you'll discover how anxiety can quietly shrink your world—and how to begin taking it back. Whether you're a parent helping a child through school drop-offs, an adult struggling with intense worry when loved ones leave, or someone wanting to better understand this disorder, this episode will give you practical tools you can start using today. Key Takeaways Learn the difference between normal separation worries and Separation Anxiety Disorder. Understand the major symptoms in both children and adults. Discover why reassurance can sometimes make anxiety stronger. Learn how CBT, exposure therapy, family support, and medication can help. Walk away with practical strategies parents, teachers, and adults can use to build confidence and reduce anxiety. For more podcasts, books, articles, and resources from Dr. Jerry Cunningham, visit www.Quest-Success.com. Suggested Reading American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders (5th ed., text rev.; DSM-5-TR). Joshua L. Mass, Ph.D., R.N. Helping Your Child Overcome Separation Anxiety or School Refusal. Audrey Penn. The Kissing Hand. National Institute of Mental Health (NIMH). Anxiety Disorders. American Psychological Association (APA). Resources on anxiety disorders and evidence-based treatments. Mentioned in This Episode #FindingNemo #JoshuaLMass #AudreyPenn #TheKissingHand #DSM5TR
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  Is Your Child's IEP Actually Working? 17.07.2026 37min

  IEPs and 504 Plans affect millions of students, but understanding what these plans actually do can feel like trying to read a school policy manual while someone keeps adding more forms to the pile. In this episode of Off the Couch Psychology Podcast, Dr. Jerry Cunningham breaks down the difference between an IEP and a 504 Plan, why these protections exist, and what can happen when a strong plan is either properly implemented—or quietly becomes very official-looking paperwork. You'll hear relatable examples drawn from an amalgamation of Dr. Cunningham's experiences working in school testing, discover why accommodations are not unfair advantages, and learn why parents, teachers, specialists, administrators, and students all play a role in making these plans work. If you're a parent, educator, mental health professional, or someone trying to make sense of educational services, this episode will give you a clearer understanding of what to ask, what to watch for, and why consistent follow-through matters. Key Takeaways IEPs and 504 Plans serve different purposes and come from different federal laws. Accommodations provide access rather than an unfair advantage. A well-written plan only works when it is consistently implemented. Parent involvement should continue after the meeting ends. Communication and progress monitoring are essential as student needs change. The student—not the paperwork—should remain the focus. Learn more about Dr. Jerry Cunningham, his books, podcasts, and work at Quest-Success.com. Suggested Reading and Resources Students With Disabilities—National Center for Education Statistics About the Individuals with Disabilities Education Act—U.S. Department of Education A Guide to the Individualized Education Program—U.S. Department of Education Section 504 Resources—U.S. Department of Education IDEA Resources for Parents and Families—U.S. Department of Education Topics and People Mentioned #IDEA #IEP #Section504 #504Plan #SpecialEducation #Education
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  Why Some Kids Stay So Angry 14.07.2026 35min

  A child explodes over a video game, a simple correction at school, or being told no. Is it defiance, bad behavior, bipolar disorder—or something else? In this episode of Off the Couch Psychology Podcast, you'll learn about Disruptive Mood Dysregulation Disorder, or DMDD, a childhood mood disorder involving chronic irritability and severe, recurring emotional outbursts. You'll hear how DMDD can show up at home, school, and in the community, and why the disorder is often misunderstood. You'll also learn the important difference between DMDD and bipolar disorder, what may be happening in the brain, and why simply telling a child to "calm down" usually works about as well as telling a tornado to please respect the property line. Most importantly, you'll discover what can actually help, including CBT, DBT, parent training, school accommodations, lifestyle changes, and medication when appropriate. Key Takeaways Recognize the major signs of DMDD. Understand how DMDD differs from bipolar disorder. See how chronic irritability affects daily life. Learn why emotional regulation skills matter. Explore treatment and school support options. Understand why progress may happen in small steps. Learn more about Dr. Jerry Cunningham and the podcasts, books, and other resources at Quest-Success.com. Suggested Reading & Resources National Institute of Mental Health: Disruptive Mood Dysregulation Disorder — A clear overview of DMDD symptoms and treatment. (National Institute of Mental Health) American Psychiatric Association: DMDD Fact Sheet — Background on the diagnosis and diagnostic features. (American Psychiatric Association) The Explosive Child by Ross W. Greene, PhD — A practical approach to understanding chronically frustrated and inflexible children. (HarperCollins) Review of the Clinical Approach to DMDD Treatment — A clinical review of assessment and treatment approaches. (PubMed) Treatment Options for the Cardinal Symptoms of DMDD — A review of treatment options for severe irritability and temper outbursts. (PMC) Mentioned in This Episode #TheExplosiveChild #RossGreene #WeNeedToTalkAboutKevin #DMDD