Hello, listeners! I hope you're taking care of yourselves and finding moments of joy. In today's episode, we deep dive into a comprehensive question from one of our loyal listeners. This listener shares their journey, from discovering our podcast through a Men's Health article on mental health to now being engrossed in Dr. Becca Levy's book "Breaking the Aging Code." The core of their question revolves around the challenges the aging population faces, particularly concerning mental health. They highlight the troubling fact that the majority of mental health providers do not accept older patients on Medicare and express concerns about receiving appropriate care as they age, especially without having a family advocate by their side. Our discussion touches upon the age bias prevalent in the medical community and the importance of proactive health measures, both mentally and physically. We delve into the effects of cardiovascular health on cognitive abilities, the significance of continuous learning and social interactions, and the role of stress in aging. Furthermore, we emphasize the importance of advocating for oneself, understanding the intricacies of Medicare, and the potential benefits of seeking younger medical practitioners who may have a fresh perspective on care. Thank you for consistently sharing your thoughtful questions. They add depth and perspective to our conversations. If you have questions or topics you'd like us to address, please reach out to duffthepsych@gmail.com. Don't forget to check out the detailed show notes for this episode at http://duffthepsych.com/episode367. ---- This episode is brought to you by BetterHelp. If you would like an outlet for your relentless thoughts, try out talking to a licensed psychotherapist entirely online. Head to http://betterhelp.com/duff for 10% off! 

Episode 367: Preventing Age Discrimination and Promoting Longevity

Hello, everyone! I appreciate your attention and hope you are doing well. In our first segment, we dive into a topic that's close to my heart - the evolution of my own marriage into a non-monogamous, polyamorous relationship. I unravel the intricacies of non-monogamy, elucidate the various terminology surrounding it, and give an insight into my personal journey of 'opening up'. If you're curious about polyamory, its various facets, or simply want to understand what it means to navigate such a relationship, this segment offers a comprehensive overview. The next question touches upon a sensitive yet universal theme: grief. A listener reaches out, concerned about her partner's impending loss of his beloved cat, Jimmy, who has been a steadfast companion through some of life's most challenging moments. We discuss the profound impact pets have on our lives, the unique grief associated with their loss, and strategies to navigate this emotional terrain, especially when mental health challenges are at play. As always, your stories and questions provide invaluable insights, making every episode a journey of discovery. If there's a topic or question you'd like addressed in future episodes, please send them to duffthepsych@gmail.com. For a detailed breakdown of today's episode, check out the show notes at http://duffthepsych.com/episode366. ---- If you are looking for a quick and simple skin care routine that targets aged cells to promote longetivity that is backed by science, check out http://oneskin.co and use the coupon code DUFF for 15% off. For many people, therapy and traditional medications are not enough to truly help their depression and anxiety. Luckily there are other options, such as Mindbloom, the leader in at-home ketamine treatment. Get $100 off your first series at http://mindbloom.com/duff and use the code DUFF at checkout.

Episode 366: Explaining My Polyamorous Relationship & Supporting a Partner in Grief Over a Pet

Hello, all! I hope that you are staying healthy and safe. In this episode, I cover two very interesting questions. In the first, someone has been through almost every treatment for depression and anxiety under the sun, yet they still struggle. Their therapist suggested that they may be on the autism spectrum and the person is wondering whether it would be useful to get an evaluation. We discuss the potential benefits as well as how to go about finding (and affording) an evaluation. Next, someone has PTSD from their partner's PTSD reactions. Their partner is a war veteran with multiple brain injuries and the question-asker is wondering how they can stay afloat mentally when their partner does not get help. We talk about ways to avoid codependence, how to establish boundaries, and when to call it quits. As always, you can send me questions to duffthepsych@gmail.com and find the show notes for this episode at http://duffthepsych.com/episode365 ----- This episode is sponsored by BetterHelp. Rather than letting your thoughts stay swirling around in your mind, get them out by talking to a licensed therapist. Try BetterHelp today and get 10% off your first month at http://betterhelp.com/duff Also, don't forget to check out my new shop. I'm putting out new designs all the time including this awesome mug:

Episode 365: Getting Autism Diagnosis as an Adult & Living with Partner's PTSD

Hello, friends! I hope you're treating yourselves well. In this episode, I dive into two compelling listener questions that touch on complex emotional states and mental health diagnoses. First up, we discuss what it means to be diagnosed with PTSD with "schizophrenic episodes." If you've ever been confused by mental health jargon or diagnoses, this segment will provide some clarity. We'll break down the DSM criteria for PTSD and explore the possibility of psychotic symptoms within the framework of trauma. Our second question is a deeply emotional one. It's about the sudden disappearance of body dysmorphia and low self-esteem following the death of an abusive parent. Can such a significant life event dramatically shift one's self-image? We'll delve into the complexities of grief, closure, and self-perception in this intriguing discussion. As always, your engagement keeps this show going. Send your questions to duffthepsych@gmail.com for a chance to be featured in future episodes. For full show notes, head to duffthepsych.com/episode364.

Episode 364: PTSD with Psychosis & Body Dysmorphia Cured by Loss

Hello, friends! I hope you are treating yourselves well. In this episode, we dive deep into two thought-provoking listener questions. Our first discussion revolves around a listener who's grappling with a profound fear of wasps, known as spheksophobia. This phobia has had a significant impact on their quality of life, especially during the summer. We delve into the nature of specific phobias, their prevalence, and debunk some common misconceptions about wasps. Moreover, we explore potential strategies for addressing and managing such fears, emphasizing the role of exposure therapy and the significance of understanding one's fear hierarchy. The second question opens a window into the world of a couple navigating the challenges of moving in together. One partner has relocated from a cherished home, and both are experiencing the typical growing pains of cohabitation for the first time. We discuss the importance of communication, curiosity, and compromise in this new chapter of their relationship. By establishing routines, rituals, and shared spaces, they can create an environment that feels like home to both, while also setting aside time for individual activities to foster a deeper bond. Your questions always bring valuable insights to our conversations. If there's a question or topic on your mind, feel free to send it over to duffthepsych@gmail.com. For full show notes, head to http://duffthepsych.com/episode363. ---- If you are looking for an air purifier that is powerful enough to circulate the air in your room four times per hour and can eliminate airborne particles as small as 0.005 microns, be sure to check out Air Doctor. Right now, you can get 40% off by using the code "duff" at http://airdoctorpro.com    Life doesn't come with a road map. Whether it is navigating changes in your relationship or figuring out how to use exposure to conquer your anxiety, BetterHelp may be just what you are looking for. Get professional help conveniently and quickly plus 10% off at http://betterhelp.com/duff 

Episode 363: Treating a Phobia of Wasps & Adjusting to Moving in With a Partner

Hello, everyone! I hope you are doing super well. As always, I really appreciate your attention. A special thank you to everyone that has left feedback for me about the show. Very helpful. In this weeks episode, I tackle the following questions:  Could my symptoms be PMDD and if so, how do I get help? What can I do about my ex that is spreading harmful lies about me?  As always, you can send me questions to duffthepsych@gmail.com and find the show notes for this episode at http://duffthepsych.com/episode362 ---- This episode is sponsored by BetterHelp. If you could use the support of a therapist to help you navigate life's challenge. Check out BetterHelp and get connected to a licensed therapist quickly, entirely online. Visit http://betterhelp.com/duff for 10% off your first month. This episode is also sponsored by OneSkin. If you're like me and would like a simple skincare routine that is backed by clinical research, then OneSkin is for you. Visit http://oneskin.co and use the code "duff" for 15% off. 

Episode 362: PMDD Treatment & Dealing with Scary Ex

Hello, all! In this episode, I answer the following awesome listener questions.  I have successfully been treated for cancer, but I can't stop looking at research and personal accounts online for fear that it may come back. How can I stop? How do weight loss medications like Ozempic help reduce the psychological addiction to food?  Please give me feedback on the show at this link: https://forms.gle/TGx4puKucMJKjSNz7 As always, you can send me questions to duffthepsych@gmail.com and find the show notes for this episode at http://duffthepsych.com/episode361 --- Today's episode is sponsored by Mindbloom. Get $100 off your first at-home ketamine treatment for depression and anxiety at http://mindbloom.com/duff with the promo code duff.

Episode 361: Health Anxiety Rabbit Holes & The Psychology of Weight Loss Drugs

Hello, friends! I hope you're staying safe from the heat and generally taking good care of yourselves. Today, I have two awesome listener questions. The first comes from someone that left her job as a teacher because she was burned out. However, now she finds herself in a difficult situation without insurance or a longterm steady income. I provide advice regarding resources for inexpensive and free therapy. I also talk about different resources available to someone in a situation like this and explain how Maslow's heirarchy of needs explains why the person should focus on basic needs before trying to answer big questions about their life and sexuality. The second question is from a mother with two autistic children and a mother with dementia. She is looking for advice about how to take care of herself without abandoning her family. I provide a variety of ideas for resources that would allow her to have more help and freedom. As always, you can send me questions to duffthepsych@gmail.com and find the show notes for this episode at http://duffthepsych.com/episode360

Episode 360: How to Survive Starting Fresh & Resources for an Overloaded Parent

Hello, friends! I hope life is treating you well. In today's episode, we're going to dive into two more insightful listener questions: Our first question comes from a listener who's struggling with their spouse's constant engagement with their phone. The impact is such that it seems to supersede any conversation or interaction they might have. They even go so far as to joke that they might be better off texting their spouse, despite being in the same room. We'll delve into this challenge, discussing potential strategies for addressing screen-time issues within relationships, communication tactics, and steps to reclaim mutual attention and presence. Our second question is from a listener navigating the complexities of depression and anxiety treatment. They've been considering ketamine therapy and have concerns about its application, specifically the difference between IV and oral administration, potential lasting effects, and the overall experience. They're particularly interested in hearing about personal experiences with ketamine therapy, including potential side effects and long-term benefits. We'll unravel the science behind ketamine treatment for depression and anxiety, exploring the potential pros and cons, the lasting effects, and the considerations one should have in mind when deciding on this treatment approach. As always, I appreciate your questions and engagement with the show. You can send your questions to duffthepsych@gmail.com and find the show notes for this episode at http://duffthepsych.com/episode359. ---- Sponsor: This epsiode is sponsored by BetterHelp. Life doesn't come with a guidebook, but you don't have to go it alone. Enlist the help of a licensed therapist entirely online at http://betterhelp.com/duff

Episode 359: Wife Obsessed with Phone & Does Ketamine Rewire Your Brain?

Hello, friends! I hope you're all doing fantastic.   In today's episode, we delve into the following awesome listener questions:   Our first question comes from a listener who has been dealing with a challenging relationship with food. They described waking up each day caught in a cycle of remorse over their previous night's eating and anxiety about what the new day will bring. They also mentioned the negative impact this issue has on their relationships and social life. Although they've begun therapy, their current therapist has admitted this specific problem is outside of their expertise. Together, we'll explore this struggle, discussing possible steps toward understanding and addressing problematic eating habits and how to find the right professional help to navigate this journey.   Our second question is from a loyal listener who's been with us for three years. They're struggling with setting long-term goals due to anxiety. They aspire to move overseas with their partner in the next 5-10 years but are being held back by worries such as the stability of their relationship and financial concerns. We'll unpack the complexities of setting long-term goals while dealing with anxiety, offering strategies to establish realistic objectives without feeling overwhelmed, and ways to manage the uncertainties that naturally come with future planning.   As always, I appreciate your questions and engagement with the show. You can send your questions to duffthepsych@gmail.com and find the show notes for this episode at http://duffthepsych.com/episode358. ---   This episode is brought to you by BetterHelp. If you are looking for some assistance in finding your direction in life, consider enlisting the help of a licensed remote therapist at http://betterhelp.com/duffthepsych  

Episode 358: Binge Eating and Goal Setting

Hello, friends! I hope you're all doing great. In today's episode, we dive into the following awesome listener questions: Our first question comes from a listener who's considering whether to continue their journey with antidepressant medication. They've been told by their doctor that most people stay on these medications for life, but they're not sure if this path is right for them. They're grappling with how to gauge if the medication is still necessary or if their mental health has improved enough to consider discontinuing it. We will delve into this complex issue, discussing ways to assess the effectiveness of antidepressants, the potential risks and benefits of long-term use, and how to make informed decisions about your mental health treatment plan. Our second question is from a long-time listener who has been struggling with feeling comfortable during intimate moments with their partner. Despite feeling sexy when alone, the listener finds it challenging to relax and enjoy intimacy with their partner, possibly due to a decade-long journey with infertility and miscarriages. Now surgically sterile, the listener is looking for ways to reclaim their sex life and feel comfortable in their own skin during intimate encounters. We will explore ways to navigate this emotional terrain, discussing how past experiences can impact present relationships and strategies for fostering healthy and satisfying intimacy. As always, feel free to send your questions to duffthepsych@gmail.com. You can find the show notes for this episode at http://duffthepsych.com/episode357. --- This episode is sponsored by ONE SKIN. If you are looking to reverse the impact of aging on your skin, check out this simple skincare product developed by several PhD-level scientists. Get 15% off your order at http://oneskin.co with the offer code DUFF!   

Episode 357: Getting Off Antidepressants & Feeling Sexy With Partner Again

Hello, friends! I hope you're all doing great.   In today's episode, we dive into the following awesome listener questions:   Our first question comes from a concerned parent whose son was diagnosed with schizophrenia eight years ago. At the time, they didn't agree with the diagnosis due to a variety of circumstantial factors, but now they recognize that their son does indeed have schizophrenia. They are seeking guidance on how to help him understand his condition and learn to manage it without relying on medication. They also ask for recommendations on therapists who specialize in non-medication treatment options. We will navigate this sensitive topic, discussing ways to approach the conversation and exploring non-medication treatment strategies for schizophrenia.   Our second question is from a listener who's been struggling with assertiveness and self-respect, often prioritizing others' needs over their own to avoid conflict. This listener also has ADHD which exacerbates the issue, making it challenging for them to communicate effectively during moments of conflict due to executive functioning overload. They seek advice on accepting their shortcomings, cultivating self-love, and prioritizing their own needs without fear of pushing others away. We will discuss the importance of setting boundaries, effective communication strategies, and ways to build self-respect while managing ADHD.   As always, feel free to send your questions to duffthepsych@gmail.com. You can find the show notes for this episode at http://duffthepsych.com/episode356. -----   This episode is brought to you by Mindbloom, the leader in at-home ketamine therapy. Get $100 off your first treatment at http://mindbloom.com/duff with the code duff at checkout.   This episode is also brought to you by Betterhelp. Take control of your mental health with the help of a licensed therapist, completely online at http://betterhelp.com/duff.  

Episode 356: Schizophrenia Without Medication and Building Self-Confidence

Hello, friends! I hope everyone is doing well. In today's episode, we dive into the following awesome listener questions: Our first question comes from a listener whose partner was diagnosed with ADHD in childhood. They're now wondering if they might also have Bipolar II, as they experience random bouts of depression and "good days" that may potentially be hypomanic episodes. The listener questions if these mood swings could be catalyzed by situational factors or if they are indeed random. We'll unpack the complexities of distinguishing between ADHD and Bipolar II, discussing the different symptoms, overlaps, and possible courses of action to consider. Our second question comes from a listener who's been grappling with deep existential thoughts about the concept of the "soul," particularly relating to individuals who die by suicide. They wonder about possible repercussions in potential afterlife scenarios, despite not being particularly religious. They ponder on possibilities like reincarnation, memory erasure, or even punishment. In response to this question, we'll delve into the intersections of spirituality, mental health, and coping with such existential concerns, while emphasizing the importance of empathy and compassion in our understanding of such tragic events. As always, if you have questions or topics you'd like discussed on the show, please send them to duffthepsych@gmail.com. Be sure to check out the show notes for this episode at http://duffthepsych.com/episode355.

Episode 355: ADHD vs Bipolar II & The Spiritual Consequences of Suicide

Hello, friends! In this episode, I tackle two great listener questions about relationships. The first one comes from someone with borderline personality disorder who would like to figure out if and when they should reveal this to potential partners. The second question comes all the way from Columbia and features someone who is concerned about how enmeshed her boyfriend is with his mother. As always, you can send me questions to duffthepsych@gmail.com and find the show notes for this episode at http://duffthepsych.com/episode354  ---- This episode is brought to you by BetterHelp. If you are looking for support and perspective, fill out a quick questionnaire at http://betterhelp.com/duff to get quickly matched with a licensed therapist and receive 10% off your first month!

Episode 354: Disclosing BPD in Relationships & Boyfriend Too Close to His Mother

Hello, friends! I hope you are all doing well.   Our first question comes from a listener who reached out to express their appreciation for the show, my course, and books. They share a childhood experience of being in a dodge car accident where they were hit from behind, resulting in a significant lump on their head and feelings of sickness and disorientation. They recently heard me speak about frontal lobe damage and its potential effects, which resonated with them. They also suspect they may be undiagnosed autistic. They are concerned about the possibility of having sustained a brain injury and whether an MRI at their current age (31) would reveal any long-term effects. This uncertainty has brought up feelings of betrayal and neglect. I provide insight into the likelihood of detecting an old brain injury on an MRI and offer guidance on the next steps to gain clarity and peace of mind.   Moving on to our second question, a listener in their late twenties shares their struggle with assessing whether to judge people based on how they treat others or solely on how they treat them. They describe ending relationships with men who exhibited disrespectful behavior towards other women, as well as navigating concerns about a close platonic female friend who has made questionable moral choices. They ponder whether to judge people based on their life choices or patterns, and if it's necessary to align values with others or accept them as they are. I delve into the complexities of these situations, emphasizing the importance of personal boundaries, unconditional positive regard, and self-reflection in determining how to approach relationships.   As always, I appreciate your support and engagement with the show. You can send your questions to duffthepsych@gmail.com, and find the show notes for this episode at http://duffthepsych.com/episode353.   --   This episode is sponsored by Mindbloom, the leader in at-home ketamine treatment. If you are struggling with depression and anxiety, try ketamine treatment from the safety and comfort of your own home and get $100 off at http://mindbloom.com/duff with the code duff at checkout.

Episode 353: Childhood Concussion & Boundaries with Friends

Hello, friends! It's been an interesting week for me, which I address at the start of the episode. From there, I share with you a previous episode of the show that I wanted to make sure that you've heard! This is all about staying focused. It's a great episode for anyone that might struggle with ADHD or simply has trouble concentrating from time to time. Here are the tips I cover:   Limit distractions   Adjust your space - physical and digital   Do NOT multitask   Practice mindfulness meditation frequently   Journal/Plan every day   Check your planner at least 3x per day   Set yourself up with an outline before leaving a task   Keep a notebook nearby for impulsive thoughts that can wait   Force yourself to prioritize   If you take it out, put it back   Don't procrastinate - if it takes less than a minute do it (unless you're in the middle of something else)   Keep a place for your small things   Make a mise en place for your workplaces   Use neutral inputs to satisfy your attention hunger (white noise etc)   Take breaks for movement   Abort when you're in to deep   Work in shifts   Don't use your partner as a coach   Use the solution that works, whether it's perfect or not   Study yourself   This episode is brought to you by BetterHelp. Don't forget to take care of yourself, so that you can keep being a great support for others. Try online therapy and get 10% off your first month at http://betterhelp.com/duff As always, you can send me questions to duffthepsych@gmail.com and find the show notes for this episode at http://duffthepsych.com/episode352  

Episode 352: How to Stay Focused - 20 Tips

Hello, friends! This is a short and sweet episode. No ads today, but I have two awesome listener questions.  First, I tackle a question from someone that feels the end of their relationship is inevitable due to moving to another state and they are already struggling with feelings of grief. The second question is from someone with a background of trauma that wants advice about how to deal with their friend's angry outbursts. I hope you enjoy!   As always, you can send me questions to duffthepsych@gmail.com and find the show notes for this episode at http://duffthepsych.com/episode351  

Episode 351: Preemptive Grief & Triggered by Anger

Hello, friends! I hope you are all doing well. Special shout out to the moms out there this week! In this episode, I two awesome listener questions.  Our first question comes from a listener who has been enjoying the podcast and requests an episode focused on "daddy issues." They express curiosity about the causes and potential solutions surrounding this concept. In response to this inquiry, we will delve into the complexities of "daddy issues," examining various contributing factors and discussing potential strategies for healing and personal development. Moving on to our second question, a long-time listener writes in for the first time, sharing their ongoing struggle with severe social anxiety. They describe how their anxiety often leads to dissociation during conversations, causing them to make impulsive decisions to end interactions prematurely. Despite trying conventional treatments such as CBT, exposure therapy, medication, and group therapy, the listener feels disheartened by the lack of progress and wonders if there are other options available. We'll explore alternative approaches and offer insights on how to navigate social anxiety in a more empowering way. As always, you can send me questions to duffthepsych@gmail.com and find the show notes for this episode at http://duffthepsych.com/episode350 ----- Today's episode is brought to you by Mindbloom, the leader in at-home ketamine therapy for depression and anxiety. You can get $100 off your first treatment at http://mindbloom.com/duff with the code "duff". 

Episode 350: Daddy Issues & Severe Social Anxiety

Hello, friends! In this episode, I answer two listener questions.   The first question is from a listener who has been with her boyfriend for over 10 years, but suspects he is a narcissist and compulsive liar. She believes that a car accident at 17, which resulted in physical injuries as well as a TBI, may have stunted his development. The listener is struggling with her boyfriend's lying behavior and wonders if he's lying about their relationship too. She asks how to deal with the lying and gaslighting, and how to tell if her boyfriend's love for her is genuine.   In the second question, a listener shares her concerns about her younger sister's emotional development, given their mother's unpredictable and intense reactions to normal child behavior. The listener worries about her sister's mental health and emotional growth, and wants her mother to be more gentle and understanding towards her. However, the listener is struggling with confronting her mother due to past fear of her reactions. She asks for advice on how to approach the situation.   As always, you can send your questions to duffthepsych@gmail.com, and find the show notes for this episode at http://duffthepsych.com/episode349.   -----   This episode is sponsored by BetterHelp. Don't lose yourself in the shuffle. Get linked up with a licensed therapist completely online and get 10% off your first month at http://betterhelp.com/duff 

Episode 349: Compulsive Lying and Protecting My Sister From Our Mom

Like most of the world, I have been obsessed with AI tools such as ChatGPT. However, I think they are more than a gimmick. I have been using them every single day to help improve my work and personal life. In this episode, I walk you through the ways that I use ChatGPT and other AI models and I also provide you with some ideas about how you can use them to improve your own life and mental health.    As always, you can send me questions to duffthepsych@gmail.com and find the show notes for this episode at http://duffthepsych.com/episode348    This episode is sponsored by BetterHelp - if you are in a position where you put yourself last and other first, you may be at risk of burnout. Get the help and perspective that you need from a licensed professional at betterhelp.com/duff for 10% off. 

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