Selfwork With Dr. Margaret Rutherford | Self-help | Mental Health | Depression | Anxiety | Relationship Problems| Therapy

The Bad People Bible  is a definitive guide to removing toxic people from your life.Written by celebrity and renowned clinical and forensic psychologist Dr. Peter J. Favaro, “Bad People Bible” combines real-life stories, psychological insights, and actionable strategies to help people recognize toxic individuals and get out of relationships with narcissists and manipulators.Dr. Favaro explained in in this interviews how many narcissists employ incredibly debilitating and manipulative strategies to their partners in marriage. And how very difficult it can be to get out of those marriages. He's seen it all.As he said, "I'm cynical - I swim in very toxic waters."Pre-order The Perfectly Hidden Depression Workbook - A stand-alone workbook exploring the ten traits of Perfectly Hidden Depression, with guided exercises to help you decide what to keep from your drive and perfectionism, and what to let go.Publishes April 1st! Pre-orders matter! Be a part of the conversation and join Dr. Margaret’s newsl

Psychedelic-assisted therapy is being actively researched by mental health researchers for its efficacy. And where it's legal, it's reported to be highly effective in treating depression and suicide prevention. Suicide rates within our veteran and first responder communities are incredibly high, and I’ve had conversations before with several guests on SelfWork about this very painful fact. Research shows that traditional therapies often fall short for these individuals, leading to a search for alternative approaches. In recent years, psychedelic-assisted therapy has emerged as a promising option, harnessing substances like psilocybin and MDMA in controlled settings to facilitate profound psychological healing. By creating a safe environment for exploration of deep-seated traumas, individuals can experience breakthroughs that may have previously been inaccessible through conventional therapeutic methods. Pre-order The Perfectly Hidden Depression Workbook - A stand-alone workbook exploring the ten trait

Flashbacks and nightmares are primary symptoms of PTSD (Post Traumatic Stress Disorder) as well as CPTSD (Complex Post Traumatic Stress Disorder) – and they’re extremely frightening to have. Nightmares and flashbacks occur in different states of consciousness. Flashbacks happen when you’re awake and conscious; nightmares happen during sleep. Nightmares can involve a range of distressing themes, from feelings of helplessness to fears of abandonment. You don’t have to have experienced trauma to have a nightmare, whereas flashbacks are reliving the trauma itself. We'll talk about the treatments available for both today on SelfWork! Pre-order The Perfectly Hidden Depression Workbook - A stand-alone workbook exploring the ten traits of Perfectly Hidden Depression, with guided exercises to help you decide what to keep from your drive and perfectionism, and what to let go.Publishes April 1st!  Pre-orders matter! Be a part of the conversation and join Dr. Margaret’s newsletter for one weekly email featuring the l

Messy marriages are all over the place – and living through them and maybe grieving them can at times be extremely complicated. In today’s SelfWork episode, whether you’re grieving the death of someone with whom you had a complex and even hurtful relationship or whether that relationship still exists, you are often needing to grieve that person’s impact on you. With Valentines Day fast approaching, a date that people often have great fun with or hate living through, it’s important to realize that not all grief belongs with “good” or “meaningful” relationships. Maybe you were estranged from them. Maybe the relationship or marriage has taken you down paths that you didn’t want to go or never thought you would – and you have difficult feelings about that. It may seem contradictory – why would you need to grieve someone’s life or simply their presence in your life – if they’d hurt you? Or if you regret either getting married or staying married. That’s on today’s SelfWork.The listener email today is from someone w

Today we're exploring what's termed "anticipatory grieving."When you know something is going to happen that will bring its own kind of grief… whether it’s a loved one being diagnosed with a terminal illness, an unwanted divorce being filed, learning that a child will struggle with a learning difference – it can bring a slew of emotions, many of them moving in and out of your awareness quickly. Anticipatory grieving is a way to imagine, visualize, and begin to emotionally prepare for the loss that is to come.We’ll focus today on the five steps of anticipatory grieving – the how, when, what, where, and why it’s important. But before I do that, for any of you who are thinking, “Why in the hell would I want to do that?” I’ll answer that very good and reasonable question.I received a lovely message from someone telling me she’d listened to my podcast episode with Terry McGuire – who’s the host of Giving Voice to Depression and has struggled with depression herself. Terry talked about anhedonia – an

Self-criticism can take on a life of its own. And become so constant that you have to fight it on a daily or even hourly basis.So today we’re going to focus on what may be keeping your self-criticism alive and well in ways that you don't realize.There are two steps we’ll cover. The first is raising awareness of your own inner self-critical voice. The second is assessing what role or function it may have for you. What purpose might self-criticism have that weirdly protects you in some way or serves a role for you in your life?For our email, I’ve pulled some excerpts from an email I received from a younger reader who’d read the article on enmeshment I have on my website. She has questions about her relationship with her parents – she finds herself, even in her early 20’s, sharing certain kinds of things with them that her friends don’t share with their parents – and think it’s a little strange that she shares those experiences with hers. Her friends are saying that that’s oversharing – that there are certai

Are you being judgmental? Many of us would quickly say "no" to that question. But how many people do you know one thing about – and one thing only – and you categorize them as “bad” or “good”, "weak" or "strong," "smart" or "not the brightest bulb."It doesn’t take long for us to form an opinion. And there are obvious situations – such as one where there’s the possibility of harm – where quick judgments are necessary and very helpful.But what about the kind of judgment that you make because of your own biases? There are two mental mistakes we'll focus on today: confirmation bias and fundamental attribution error. They sound fancy, but many of us make these errors in judgment every day.So today we’re going to focus on how you judge your own judgmental-ness. Are you using your better judgment? Or are you making quick judgments that are based on biases and assumptions?Advertisers Links: Click HERE for the NEXT GEN offer from AG1 – with bonus product with your new subscr

How do you know if someone with sociopathic traits is playing with your mind? Today on SelfWork we’re going to talk about just that.The term cognitive dissonance has been around for quite a long time. What it’s describing is when you do something or say something that you believe to be wrong or unkind or unjust. But you do it or say it anyway. So, you’re not following or abiding by the values that you say you have.The gaslighting technique of those with sociopathy... But cognitive dissonance can also be caused or created as well through toxic manipulation or what’s termed gaslighting. This is when someone with narcissistic traits or sociopathic ones creates a smokescreen of confounding lies, even telling you one thing is true as well as its opposite, and expecting you to blindly follow. The trap is complete when they prevent you from trusting your own gut or mind or heart. Or guide or lead you away from their manipulation.It can be paralyzing.You either must cut yourself off from the value that you hold – or

Disappointment. It’s a feeling in between hurt and shock. Why? Because you expect one thing – and you receive another. It doesn’t quite shock you - maybe it wasn’t totally unexpected. And it doesn’t crush you – it’s not exactly traumatic.But expectation and disappointment are totally interrelated.Some disappointment is normal of course. You don’t always win the prize or get what you were striving for, whether that’s a job, or a grade, a promotion, or a relationship moving ahead. But how do you feel it? And is it possible that you’re setting yourself up for disappointment in some way, especially if you tend to get disappointed a lot?How can you identify the expectations that you have that are likely not rational? You can so hope something is going to be different – that when it’s not – you’re disappointed for sure. Does that mean that your expectation was “wrong?”Building your capacity for disappointment... There’s a lot of focus on social media right now about building your capacity or your skill set in manag

Grief is never easy. And it can be made harder by the many things that happen with grief that you’re not prepared for – or believe ‘should’ be happening or ‘shouldn’t’. Dr. Elizabeth Kübler Ross made the observation about terminally ill people that they seemed to go through five stages of grief: denial, anger, bargaining, depression, and acceptance. But she never meant for that model, no matter how interactive or nonlinear we may think about it – to become what it’s become – some kind of standard yardstick where you’re supposed to measure if you’re grieving the ‘right’ way.There’s not a right way. And it’s been my professional and personal experience that grief has a way of weaving in and out of your awareness. It’s not like there’s a tangible end. You may know when your grief began. And it’s not that it’s never-ending – that can be very difficult if that happens and cause deep depression and a kind of forlorn emptiness. But there may be days or weeks when you don’t really feel it – and then suddenly, your gr

“Low self-esteem” is one of the symptoms or reflections of classic depression. Of course, it goes along with other symptoms or signs - a negative self-image, feelings of helplessness and/or hopelessness, not enjoying much of anything – which is called anhedonia.But how do you increase self-esteem? What is self-esteem anyway? It’s a recognition of your value – of your worth. You can have high self-esteem, low self-esteem, or an inflated sense of self-esteem where you think too highly of yourself and even see others as less valuable or worthy than you.So, self-esteem often gets built in your childhood as your caregivers provide you with not only safety and security, but with love. They give you the message that you’re valuable – right?Well, maybe not. Maybe they don’t give you that message. Or maybe your parents did a pretty good job, not perfect but good enough. But you had other relationships – or chose them – where you got the message that you weren’t so valuable after all.This is the focus today on SelfWork

Have you ever thought that intuition could be used for healing crisis?Laura Day, the New York Times bestselling author is back with a long-awaited, life-altering book to help you learn how to do just that. In her past breakthrough book Practical Intuition, she explained how anyone can train themselves to gain full access to the powers of the intuitive brain. However, only Laura’s closest friends knew that behind the book’s phenomenal success was a dark family history.In this, her first book in fifteen years, Day, shares her haunting and unforgettable family story. Multiple suicides including her mother. A home life where the kids actually lived by themselves in a separate apartment from their parents. Only her intuition helped her figure out what no one had taught her – how to care for herself and her siblings.Now, Day has combined her experiences and teaching in her new book, The Prism: Seven Steps to Heal Your Past and Transform Your Future (Spiegel & Grau; April 29, 2025. It reveals seven points in our

Today we have a grab bag of questions and comments, with the topics being blame, perfectly hidden depression, and bipolar disorder.The first is from a mom who lived through her daughter and yet also didn’t offer safety or a sense of security – even with the basic things. This listener is now sober for a year (much to her credit) and is asking about how to navigate her relationship with her mom – who's still chaotic. The second is from a therapist who attended one of my workshops on perfectly hidden depression and had a great comment to make. The third is a voicemail from an older mom who sees her daughter as blaming her without reasonable cause. And last, someone whose fairly new boyfriend revealed he’d been diagnosed with bipolar disorder. Since her father also had bipolar disorder, she’s not quite sure how to respond or react…I’m very honored when listeners of SelfWork or readers of my articles on my website respond to me in some way. Realizing there’s much I don’t know after reading or listening to the

Anger has a place. It’s an important emotion to feel and know how to handle. It lets you know a boundary and maybe a very important boundary, value, or expectation has been ignored or crossed or threatened in a very real way. But it’s a skill then to think through what you’re going to do with that anger.It seems that there are a lot more people these days who are angry. Maybe it’s because the immediacy that social media and texting have provided that have made it SO much easier to attack someone else online – or it was online at first. Maybe it’s political rhetoric that’s become more aggressive and insulting, as if that’s okay.There's anger... and then there's losing your shit. But what do you do after you've lost your shit? Losing your shit is about losing control. It’s about very poor management – yes. But that term – albeit fairly colorful – usually means that you got way too mad about something and even you recognize that you were way out of line. Maybe it’s a pattern for you. Maybe you do it

We’re talking about sexual abuse on SelfWork today – so please, if you have sexual abuse in your history or have somehow been affected by it, listen carefully.Sometimes I receive a voicemail where I can hear the stark heartache that’s behind the message. And this week was no exception. The hurt expressed was so palpable for me. Not only hurt, but confusion and a huge sense of loss.Who was it from? She’s a therapist. A mom. A daughter, not in that order. Let’s call her Lisa.So, what had happened? Lisa’s very young daughter had told her that her mother’s husband, Lisa’s stepfather, had sexually molested her. And she’s struggling to handle the consequent tsunami of family distrust and estrangement between the members of her family – which is very common but still very painful. At the very time she feels she most needs her mother, her mom has taken her stepfather’s side and believes her granddaughter is making up something that didn’t happen.Maybe some of you tried to talk to a parent or a teacher or a pastor abo

One of the most difficult things we all face is how to find meaning in the moments or experiences of our lives that are cruel or devastating, frightening or despairing. The very idea that that might be possible can seem to completely ignore the very real pain or injury of that moment.A book all about finding meaning... One of the most eye-opening books I ever read, I was introduced to in a freshman class I took in college. The course was geared toward the study of how different writers and philosophers, both ancient and present-day, had thought about how to do just that - find meaning.That book was Victor Frankl’s “Man’s Search for Meaning.” I read it from cover to cover. In it, he told the story of being a prisoner in four different concentration camps during the Holocaust. What stayed with me was how he vowed to discover the tiniest shreds of meaning, of mattering that he could. Before he was imprisoned at age 37, he'd worked as a psychiatrist and neurologist, and had created a form of therapy called “l

Today we’re focusing on what are termed borderline traits as well as different types of borderline personality disorder.There are many people, primarily women, who struggle with it, without knowing what to call it. In fact, it wasn’t a “diagnosis” until 1980. But that certainly doesn’t mean it wasn’t real before that date.Having any kind of personality disorder is tough. What do those words “personality disorder” mean? We’ll go over that (you may be wondering if you or someone you love may struggle with that). And today, we'll be covering two distinct and contradictory fears of those having borderline traits. We'll also focus on four different categories within the borderline framework that Dr. Christine Lawson uses in her fantastic book, Understanding the Borderline Mother. Her whole approach is so that you, as her adult child, can learn how to have a relationship with her – with certain guardrails put in place.Vital Links:Mayo Clinic article on personality disordersThe classic book on borderline per

Are you going down the high-functioning nervous breakdown rabbit hole?When I read these words, written by our guest on SelfWork today, I knew I wanted her on the show. She’s a pediatrician, a mom, an executive – and she gets it.Most women feel like failures—always feeling like they’re not doing enough, but so exhausted from their over-functioning that they have no more to give. Their go-to solution? To double down on doing more for everyone but themselves. The result? A vicious cycle of work harder, grow resentful, explode at the kids or partner (or even just internally), feel ashamed, and then work even harder to do more, driving themselves even further down the high-functioning nervous breakdown rabbit hole. No wonder their health is suffering as a result.Let me introduce you to Dr. Whitney Caseres. In her spare time, she’s writing a book for children about liking their body, she’s the podcast host of Modern Mommy Doc, and she’s making sure that she does a lot for all the moms out there who are struggling w

Today on SelfWork I’m answering questions about narcissism as well as frustration and even hopelessness about ever healing from the wounds that narcissists can cause. We’ll hear from one man whose dad he describes as extremely self-centered and emotionally abusive to both him and his mother. But asks if this is narcissism or not. Then there’s a very poignant voicemail from a woman who talked eloquently about her past relationships with two different types of narcissists, the first what she calls covert, the second malignant. I’ll describe those terms, so you’ll know what we’re talking about. But she described herself as feeling hopeless about her ability to trust anyone again.What brought these stories together in my own mind was not only that the two stories were about narcissism. But how both listeners conveyed a sense of not knowing how to heal or which direction to go where their lives wouldn’t be so painfully affected by their narcissistic parent or ex-partner.Vital Links: Duke Health proposes an acronym

Shame may be one of the most, if not the most, devastating feeling about yourself that you can have. I was interviewed this week by a Swedish journalist who asked me some probing questions about my own history with shame – as she’d read an article I wrote in Psychology Today on just that topic. Here’s the last paragraph of that article: The funny thing that shame does? It lies to you. It tells you that you're so terrible. And that you must be the worst of the worst. So, when you meet someone that you like, trust, or respect, and they tell you they understand and have lived what you're living? Gone through what you're going through?You figure out shame has been lying to you all along.Today we’re going to talk about just that. First how shame talks to you through an inner dialogue that’s always commenting and often criticizing you. Second, how shame lies to you. I’ll tell you the details of my own battle with shame. And how I learned to acknowledge the power of its lies. And third – how you can stop