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Disordered is the podcast that delivers real, evidence-based, actionable talk about anxiety disorders and anxiety recovery in a kind, compassionate, community-oriented environment. Josh Fletcher is a qualified psychotherapist in the UK. Drew Linsalata is a therapist practicing under supervision in the US. They're both bestselling authors in the anxiety and mental health space. Josh and Drew are funny, friendly, and they have a knack for combining lived experience, formal training, and professional experience in an encouraging, inspiring, and compassionate mental health message.
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Send a question or comment via text message Is exposure therapy traumatizing? It's a question we hear often, and one that makes some therapists hesitate to use exposure at all. This week we take it on directly, with the caveat that this is our clinical opinion and not a substitute for care tailored to you. We talk about the difference between a crisis, where your ability to cope is temporarily overwhelmed, and trauma, and why intense fear or discomfort doesn't automatically mean someone has b...
Send a question or comment via text message Optimization OCD seems to be a thing. Actually, across a large number of anxious people, the pull to get recovery, sleep, food, fitness, and even your own feelings exactly right is pretty common. This week we're talking about the drive to optimize recovery ... or anything. We talk about how "I should" is an anxious thought, why optimizing can mean sending yourself dozens of daily messages that you're not good enough as you are, and why "am I doing t...
Send a question or comment via text message "Yeah, but it feels so bad." We hear it constantly, and this week we answer it directly. When panic, dread, or intrusive thoughts are at full volume, how do you practice willful tolerance? This is where courage enters the chat. We talk about why waiting to feel less scared first keeps the cycle going, why brave people are usually terrified, and why fear and danger only feel linked when you have an anxiety disorder. We also get into what ...
Send a question or comment via text message Depersonalization and derealization (DPDR) can feel like not recognizing yourself in the mirror, or like living behind a pane of glass. This week, clinical psychologist Dr. Claudia Hallett joins us. She leads a specialist DPDR clinic in London and works with this condition full time. We talk about why the experience is so hard to describe, and why that makes it fertile ground for catastrophic interpretation (“I’m losing my mind,” “I’ve broken my bra...
Send a question or comment via text message Cognitive reframing in anxiety disorders is not about arguing with a thought until it loses. This week we take some of the most common phrases we hear in this community and look at them from a slightly different angle, without trying to prove them wrong or talk anyone into feeling safe. We work through "I'm spiraling," "what if," "I'm back to square one," "I'm a burden to my family," and "what if I lose my progress," and talk about why a reframe you...
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