480: Ask David: Helping Someone Who's Suicidal; Worrying about My Daughter's Anxiety; Disarming Yourself
Feeling Good Podcast | TEAM-CBT - The New Mood Therapy
Release Date: 12/15/2025
Feeling Good Podcast | TEAM-CBT - The New Mood Therapy
Stories from a Giant and Gadfly Discover the Protest Music of !-- like "The Antidepressant Blues!" Today, we are delighted to spend some time with a dear friend and highly esteemed colleague, Dr. David Antonuccio. David is a retired Clinical Psychologist and Professor Emeritus in the Dept. of Psychiatry and Behavioral Sciences at the University of Nevada, Reno, School of Medicine. In addition to his academic work, David had his own clinical practice for 40 years. He has published over 100 academic articles and multiple books, primarily on the treatment of depression, anxiety, or smoking...
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“Doctor, why won’t you ever tell me how you really feel?” Therapist Self-Disclosure-- Featuring Dr. Carly Zankman This week, Dr. Carly Zankman joins us to discuss a really interesting and controversial topic—self-disclosure by a therapist. When is it helpful? And when is it an ethics violation? When I was a psychiatric resident, my supervisors (mainly psychoanalytic) cautioned me NEVER to share my feelings with patients. This felt really awkward at time, but is there some wisdom in that advice? And if so, what IS the wisdom? How does it work or help? And if that rule—never sharing...
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Helping a Loved One with Schizophrenia Treating OCD! My Hands Might Be Contaminated! How To Mend an Angry, Broken Heart The answers to today’s questions are brief and were written prior to the show. Listen to the podcast for a more in-depth discussion of each question. Here are the questions for today’s podcast. Joel asks: How can we use TEAM CBT to help a patient or loved one struggling with schizophrenia? Jean asks: Since CBT won’t work with OCD, should we use exposure or the Hidden Emotion Technique instead? Jim asks: When someone has objectively hurt you, like your partner has had...
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Live Work with Madeleine I'm Helpless! Part 3 of 3 Today, we are pleased to present the live and unedited follow-up session with Madeleine, a loving mother who became terrified when she realized that her oldest beloved daughter might be in mortal danger during her hear abroad while in college. Part 3 of 3 We were a bit rushed near the end of M = Methods in Part 2 because of a mistake that I (David) made. I forgot that we had extended this webinar by 30 minutes, so we wouldn’t be rushed at the end, so I wrongly concluded we were running out of time when we weren’t! In order to...
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Live Work with Madeleine I'm Helpless! Part 2 of 3 Today, we are pleased to present the exciting conclusion of our work with Madeleine, a loving mother who fears that her eldest daughter might be in mortal danger during her year abroad. Last week, you heard about the T = Testing and E = Empathy phase of the live work with Madeleine, a mother feeling intense panic and helplessness and inadequacy because she fears that her daughter could be in grave danger of abduction and worse. This week, we will focus on A = Paradoxical Agenda Setting, using the Miracle Cure Question, Magic Button, Positive...
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Live Work with Madeleine I'm Helpless! Part 1 of 3 Today, we are pleased to present one of our favorite podcast topics—live work with a real human being who is suffering. We will be working with Madeleine, a woman who read a disturbing article while at the hairdresser and freaked out, sensing that one of her daughters might be in mortal danger. This live and unedited session was first presented as part of a free webinar on September 11, 2025. There was no preparation or role-playing—everything was absolutely real and spontaneous, exactly as it evolved in real time. We present Part 1 as our...
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Past Projection vs. Memory Rescripting Why Can't I Lose Weight? Do Demons Cause Negative Thoughts! Featuring Our Beloved Dr. Matthew May The answers to today’s questions are brief and were written prior to the show. Listen to the podcast for a more in-depth discussion of each question. Here are the questions for today’s podcast. Rhonda asks: What’s the difference between Past Projection and Memory Rescripting? Slash asks: How do I overcome my resistance to losing weight? Constantina asks: Do negative thoughts come from demons? And here are the answers! Rhonda asks: What’s the...
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Am I Helping People Who Are Suicidal? Should I Worry about My Daughter's Anxiety? Disarming Yourself The answers to today’s questions are brief and were written prior to the show. Listen to the podcast for a more in-depth discussion of each question. Here are the questions for today’s podcast. George asks: Would my approach help someone who is suicidal? No Name asks: Do I need to worry about my daughter’s anxiety? Jeffrey asks: Can you disarm yourself? George asks: Would my approach help someone who is suicidal? Dear David, Please tell me if this is too close to medical or...
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Ask David Why do I obsess? Why do I have to be perfect? How can I share my feelings without oversharing? The answers to today’s questions are brief and were written prior to the show. Listen to the podcast for a more in-depth discussion of each question. Here are the questions for today’s podcast. Zhang asks: I have intrusive daydreams and obsess about getting things perfect? What’s causing this? And what can I do? Yevhen asks: How can I use “I Feel” Statements without oversharing? But first, we start today’s podcast with a comment from Susan, one of our podcast fans. She extends...
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Relapse and Relapse Prevention for Overeating Featuring Dr. Angela Krumm On today’s podcast, we proudly feature an old friend, Dr. Angela Krumm, on the topic of relapse prevention for habits and addictions. This is certainly a top of incredible importance, since all treatments for all habits and addictions seem to have extremely high relapse rates. Anything we could do to reduce that would be a major contribution. Angela was on our Feeling Good Podcast #270 on Nov 29, 2021 describing some TEAM CBT methods she’d developed to deal with her own weight gain. In podcast #270 she taught...
info_outlineAm I Helping People Who Are Suicidal?
Should I Worry about My Daughter's Anxiety?
Disarming Yourself
The answers to today’s questions are brief and were written prior to the show. Listen to the podcast for a more in-depth discussion of each question.
Here are the questions for today’s podcast.
- George asks: Would my approach help someone who is suicidal?
- No Name asks: Do I need to worry about my daughter’s anxiety?
- Jeffrey asks: Can you disarm yourself?
- George asks: Would my approach help someone who is suicidal?
Dear David,
Please tell me if this is too close to medical or other protected advice, but I had a question about something I tell people who are sometimes struggling with suicidal ideation.
Throughout my life, I have had the thought "I don't want to be alive anymore" more times than I can count. But what I have come to realize over time is that this is just something my brain says when I'm upset; it doesn't really mean anything other than that. It's just a reaction to being very upset and that reframing helps me feel better about it, knowing that it's not a conviction but rather just how my brain expresses negative distress.
Multiple people have found this helpful, but I wonder if telling certain people this would be dismissive/triggering/etc. In a dangerous way?
Do you think I should stop sharing this experience?
George
David’s reply:
Hi George,
Thanks for asking. I will make this an Ask David question, if okay with you, using your first name or some other name if you prefer.
Short answer: to me, this is like giving advice, to my way of thinking, and I have spent the last 40 – 50 years indicating that this is NOT an approach that’s ever worked for me.
Can say more on the podcast.
Thanks!
Warmly, david
- No Name asks: Do I need to worry about my daughter’s anxiety?
Dear Dr. Burns,
I am not very skilled at expressing how much you, Rhonda, the others and your work mean to me. So, I will just ask a question.
My daughter, who has a lot of anxiety issues told me that when she has a problem, she will purposely stew over it when trying to fall asleep so that she will wake up with an answer to the problem the next morning. I cringed. Is there any way that this is a safe or helpful paradoxical technique?
No name
David’s reply
Thanks, I’ll copy Rhonda. We are both grateful for your loving comments!
Rhonda, we can make this an ask David if you like for a podcast.
But short answer, at least, in my opinion, is that this is a cool way to use your brain. It is a skill. For example, I often get confused by a difficult statistics problem when analyzing data, and go to sleep confused. Nearly all the time, my brain wakes me up in the middle of the night with a brilliant answer. So, if she perceived is in a positive way, and isn’t disturbed, you could try nourishing it, as opposed to worrying about it!
We’ll see what Rhonda thinks.
Rhonda, I’ll add this great brief question to our list for Tuesday. I am reluctant to postpone the Ask David as when we’ve done this in the past, we’ve ended up never answer at least 20 to 30 questions which are now too old to put on a podcast. Those who asked may no longer even be alive it’s been so long!
Warmly, david
Rhonda’s reply
Thank you for this lovely feedback. It really means a lot to us. Your daughter is going through something so many of us experience. I am excited we can respond to your question on an Ask David podcast.
Warmly, Rhonda
- Jeffrey asks: Can you disarm yourself?
Subject: Question about using disarming technique on oneself, and also it being used against you.
Endless gratitude to all of you for the pipeline of clarity and hope.
I was wondering if one can use disarming on oneself. Much of the focus in feeling good seems focused on looking for and challenging our distortions, which seems the opposite of disarming.
Maybe the reversal of agendas emphasized in feeling great is essentially putting the disarming back into the process in regards to ourselves.
I would like to hear your thoughts on this.
On a side note, if one is in a legal contention or divorce, I could see how disarming could be effective and pacifying, yet what if those admissions could be used against you.
David’s reply
I would like to include this in an Ask David podcast, with our first name or a fake name. Please advise if okay.
Short answer: the ideas and tools to treat individual mood problems, like depression, are the complete opposite of the ideas and tools to treat relationship problems. This is like matter and anti-matter. However, the Disarming Technique and the Acceptance Paradox connect these two opposed and radically different worlds. So, in a sense, you are right. The Acceptance Paradox is a lot like disarming yourself!
Best, david
Jeffry's reply to david
Thank you for the succinct response, and I look forward to hearing it fleshed out in the podcast.
I would be honored for you to mention my name: Jeffrey - from the outskirts of Jerusalem in Israel
And thank you to the whole team for keeping the best things in life for free (although I do hope everyone receives the funds they need).
Yet I feel converse maxim - "there's no free lunch" remains standing, app://resources/notifications.html
And that is, because, as you state over and over - anybody serious in improvement must pay the price; whether in completing the daily logs, or Burns assessment quizzes, or facing your fears, challenging your assumptions or fine-tuning one's communication skills, one interaction at a time.
The danger of apps, and screens in general, are the inherent passivity and superficiality they engender, so I am looking forward to seeing how this app overcomes that.
Lastly, you had sought feedback as to audience preferences for podcasts:
I think by now I and most regular listeners are clear in the general approaches of Team CBT, and how it differs from other schools and their adherents, so now I benefit most from the role playing to crystallize and internalize its application.
I would also be willing to forego multiple scenarios in each session in order to spend more time reiterating and clarifying individual scenarios - assuming that David, Rhonda, Matt, etc, have the willingness to keep going.
Keep on keeping us learning and laughing.
Jeffrey
David’s reply
Thanks for the kindly and thoughtful note. We’ll certainly try, but as you say, there’s no free lunch and no guarantees! We are sometimes just hanging on!
I like your recommendation for podcasts: more role playing I think to bring techniques and ideas to life.
Warmly, david
Thanks, for listening!
David and Rhonda