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

Hello and welcome to another five minute interlude or what we call You Get The Gist! YGTG. Today I’m revealing some new thoughts about imposter syndrome – I did an episode on it now years ago. But what I was intrigued to read recently was some research coming out of Harvard – critiquing the whole idea of women "suffering" from this horribly insecure feeling. Now, with the impetus of the #metoo movement, women of all ethnicities are realizing that perhaps it's been the workplace that's been most of the problem. As these Harvard researchers state, "Even if women demonstrate strength, ambition, and resilience, our daily battles with microaggressions, especially expectations and assumptions formed by stereotypes and racism, often push us down." Important Link: Harvard article Stop Telling Women They Have Imposter Syndrome You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one

There are so many times when I don’t think things are going to go well and I hope I'm  wrong. And sometimes, I certainly am.  But I wrote a post back in 2015 right after a young Josh Duggar’s problems with sexual abuse came to be known. My post focused on how his family had missed a wonderful opportunity to model openness and honesty about the difficulties facing our kids in the realm of sexual abuse; to get help not only for the their daughters who'd been molested by Josh, but for Josh himself. The Duggars, rooted in a very conservative faith system, didn’t send him to appropriate treatment, which they could’ve well afforded. Now he’s been charged with alleged internet child porn charges – and has six of his own children with another on the way. So today I’m going to focus sexual addiction, in this episode sponsored once again by Athletic Greens. You may not believe sex addiction is actually real – but from my experience, it is. And very destructive. We also always talk about what you can do about i

Dr. Kristina Kiefer reached out to me recently. Her email was simple and to the point. "I’m in vet med and veterinarians are in trouble." I was intrigued and looked up some statistics on my own. Nearly 400 veterinarians died by suicide between 1979 and 2015, according to a CDC study published in January that analyzed more than 11,000 veterinarian death records in that timeframe. The study also found that female veterinarians are up to 3.5 times more likely to kill themselves than members of the general population. She then introduced me to her friend and colleague, Dr. Kimberly Pope-Robinson who has spoken many times about this subject and is the author of the book “The Unspoken Life”, detailing what vets need to do to stay stable. I can tell you these two are a dynamic duo and told me things about the vet profession I’d never have believed. Even if you’re not a vet, many of us have pets and put our trust in them implicitly. Or so I thought. What vets contend with on a regular basis – from completely

Today we’re going to focus on your gut – and how recent research is finding that it may have more to do with depression and anxiety than realized in the past. Believe it or not, there’s a second independent nervous system in your body called the enteric nervous system, located in your gut. And it constantly communicates with the brain through the vagus nerve. Certainly puts a different perspective on having a “gut” feeling… or “having butterflies”… We’ll also focus on half a dozen things you can do to stimulate the vagus nerve which (somewhat contradictorily sounding) slows down your heart rate and calms you down. We'll talk about  some fascinating things for this 228th episode of SelfWork, one sponsored by Athletic Greens. Our listener email today is from someone who says that her mom laid a big guilt trip on her when she was a child.. and now she guilts herself for everything and far too readily feels guilty for too many things. She wants to know what she can do about! Important Links: Click this link t

Compartmentalization (sometimes called stuffing away feelings) is a healthy skill much of the time. And you can tell when people don’t have that skill. Their emotions govern their lives and their choices. Something unpleasant or unwelcome ruins their day or causes them to have to leave their job or to yell at their kids. Or at you. So learning how to monitor and evaluate a situation – using mindfulness to be aware of something being emotionally difficult - and then being able to table those feeling until it’s the right time and place to work through those emotions can be a vital skill. But compartmentalization can also be damaging when it's connected with a need to escape, for example, through addictions; when you use it to avoid what's termed cognitive dissonance, as when you're behaving in a certain way that doesn't match your true values; or when it's part of a sociopathic or even psychopathic personality disorder. Our listener email is from a man whose ex is talking to their son in an

Today's "You Get the Gist" explains the four different types of narcissism. All of them share the major features of a constant need for admiration, an unrealistic sense of self-importance, a lack of empathy, and great difficulty forming meaningful relationships. What are they and how are both similar and dissimilar to one another? You'll find out more.. but they are the grandiose narcissist, the covert narcissist, the communal narcissist (I'd never heard of that one..) and the malignant narcissist. I use the excellent work of Darlene Lancer, an attorney and a mental health clinician  (link below). However, I do offer one caveat - be careful about diagnostic labels. They were historically meant to aid in better communication but often go way beyond that. Links: Darlene Lancer Psych Central article Article on covert narcissism You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive o

  As many of you know, I was a professional singer before I began my journey to become a therapist and a psychologist. The only thing I knew about therapy was that I’d had lots of it and had never laid down on a couch. And that it had been extremely helpful many times. My decision was made in 1984 and I became licensed in 1993. Nine years is a long time. So, I couldn't wait to use all I'd learned in school. But the learning actually started when I began seeing patients on my own. And I also realized that many of the things I'd experienced from being in therapy myself - made me a better therapist. So today, in this episode sponsored by BetterHelp, I'll talk about ten things that a good therapist knows to do. In fact, here they are: The importance of timing. Sometimes it's better to wait. What true empathy is. Staying curious rather than assuming I know. When to listen to my gut. The vital importance of self-care. When personal sharing is helpful. The importance of being myself and not adop

Jenny Lawson is a blogger, known as The Bloggess, has literally thousands who follow her. She's also a mom, a wife, and luckily for us, an author. Broken (in the best possible way) is her newest book. In all her books, she’s more than open about her struggles with chronic mental illness, including severe social anxiety and chronic debilitating (at times) depression. So debilitating that for months she’s often dysfunctional. Yet as she writes, Jenny makes you laugh until you don’t think you can laugh anymore as she describes her persistent battles with insurance, with her autoimmune disorders – with destructive side effects of medicine… wacky things that go on between herself and her husband - and these embarrassing side stories of what her life is actually like. Her memory’s shot. She loses crap all the time. She has a fascination with weird animal creatures. And the graphic on the front of the book says it all, as every day she hauls around her illness like a huge horned animal, always present and never

Welcome to SelfWork's You Get the Gist, five minutes of some ideas you can ponder for the rest of the day. Today YGTG is about saying goodbye. When I knew back in 1992 that my husband and I were going to leave Dallas and move to Arkansas, I distinctly remember a conversation I had with my therapist. I was wondering how I would say goodbye to all these friends and family that were so important to me. It seemed overwhelming. He gave me such an important way of understanding something about goodbyes that's I'd never considered - that many of us don't handle endings very well. We don't know how to grieve. It helped me not personalize what happened next. We'll talk about all kinds of grief - and what you can learn about how you say... goodbye. You can hear more about mental health and many other topics by listening to my podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to my website and receive one weekly newsletter including my weekly blog post and podcast! If you’d like to join

In today's episode, sponsored by BetterHelp, we’'ll be talking about enmeshment. It sometimes can be confused with codependency, terms which some use interchangeably. We'll focus on not only enmeshed families or couples, but also parent/child enmeshment. And I'll offer seven steps to slowly and carefully begin to gain more of your independence and sense of self. Families are extremely different in how well they build safety, love and caring within the family, while also supporting each member through their own development of  unique beliefs and skills. What are these seven steps? First you have to realize that rarely will you get permission to gain some distance. And you also have to recognize that enmeshment created within an abusive relationship has to be handled extremely - as even setting appropriate boundaries can be punished with violence. The seven steps are: Realize the overt and covert rules that you are following. Write them down. . Realize the beliefs associated with those rules. A

Today's YGTG, or "You Get the Gist," deals not with who's right and who's wrong in the ongoing drama between Meghan Markle, Prince Harry and Great Britain's royals. Nor about the very serious allegations of racism. As a psychologist, what I'm concerned about is how this focus on talking about suicidal thinking is affecting those whose loved ones have already died by suicide, and how this could affect the way those words are recognized in the future by anyone who actually hears them. For every suicide “success” as it’s ironically labeled, The American Foundation of Suicide Prevention reports there are 25 attempts. We'll discuss common but painful reactions from families. And we need to realize that everyone who kills themselves has thought about it before. Maybe even shared their thoughts with someone. It's so important to listen, and try to help. Important Links: Seven Women's stories about overcoming suicidal thoughts You can hear more about mental health and many oth

It's Women's History Month! And I’m excited to announce that SelfWork has a new sponsor -  Premium Jane. You can visit them at premiumjane.com and use coupon code SelfWork to get 20% off your purchase. Today we’ll talk about women who’ve been important crusaders for mental health awareness, both present-day celebrities and historically important female voices, Their brave words and actions, as well as the research statistics that demonstrate women's social reality, help all of us see just how much women still have to face. We’ll focus on why women seem more vulnerable to certain mental illness and of course, what positive mental and emotional traits do women have that are more unique to them. The listener email for today is from an early 30’s young woman who feels very enmeshed with her parents, who’ve built a reality for her that the world is a scary place – and haven’t supported her to live independently from them. It's called enmeshment and it's a complex issue, as well as hard to ident

    How can you prevent something that may be seemingly inconsequential or something "I should be able to manage" from becoming the straw that breaks the camel's back? Here are seven ways to prevent that from happening. We’re all handling isolation, quarantine, job loss, financial troubles, boredom, loneliness, grief, fear – a new brand of anxiety that’s literally about taking your next breath. So today, in this episode sponsored by BetterHelp, I'll focus once again on "what you can do about it." Here are the seven preventative tips:' Practice self-compassion Recognize the cumulative impact of stress and ambiguity Stop comparing yourself to others Practice mindfulness and awareness of the present moment Know and honor your triggers Remain humble rather than prideful Go for help if you develop clinical depression, flashbacks or severe anxiety The listener email today is from a woman who listened to the podcast on sibling sexual abuse in early February. I simply wanted to comment f

We're killing two birds with one stone on this episode of SelfWork, one again sponsored by BetterHelp. I talk about a recent Ted Radio Hour interview I heard with A.J. Jacobs. He's the author of the recent new book Thanks A Thousand. He did a fascinating and arduous life study of how to make himself happier - and wondered if expressing gratitude would get him there. What did he do? He chased down everyone that even had a minuscule amount of responsibility for providing his morning cup of coffee - and thanked them. He was using - whether he knew it or not - the "as if" method that can be very effective in therapy to move toward changing your behavior. You basically make choices "as if" you already had the trait you're trying to learn - or try on for size. You act "as if" you believed in yourself. You act "as if" you're relaxed or not anxious. And lo and behold, your actions lead you to feel like you do believe in yourself or you're not so anxious. It's a

This is the first in a series here on SelfWork about careers that can kill. Over the next few months, we're going to interview people who are led to careers that hold within them the ever-increasing danger of suicidal ideation or suicide itself. Doctors, police officers, the military. We are losing the people that we, as a culture, expect to do very difficult jobs psychologically. Yet the professions themselves don't encourage mental health treatment, or even disparage those that reveal struggle. Sometimes you don’t know why, but you’re drawn to someone or to their story. Adam Hill is one of those people for me. Adam presented himself as a thoughtful guy as well as being a doctor who’d trained as a pediatric oncologist at some of the finest schools and research centers the USA has to offer. And then came the fact that he is a recovering alcoholic. He's the author of Long Walk Out of The Woods – which when you read the book, you totally get that he’s not simply talking metaphorically, but quite li

  Today I’m sharing the work of Stacey Wright, a psychotherapist in Georgia whose work is frequently featured on The Mighty. She specializes in the treatment of highly sensitive people. I thought what she had to say was very clear in her latest article on The Mighty. And she further distinguishes those who are highly sensitive (HSP) people to those she terms true "empaths." And yet there's debate about the term and even the concept of an "empath" being a noun is disputed as an appropriate label for someone who's simply highly empathetic. We can hear the other side as it's voiced by Rick Cormier, a retired psychotherapist and author of Mixed Nuts, He says the term was lifted from Star Trek, in fact was made up by its creators, and doesn't exist other than in science fiction. It's a hot debate! Whatever you believe, you can make up your own mind – But I hope you get the gist. Important Links: Contact Stacey Wright through her blog! The Mighty's new podcast!  Judith Or

"I want this over!!"  is being shouted from the rooftops by many after this round of holidays held little release from the sacrifices we are all making. But pandemic fatigue can easily morph into pandemic burnout, meaning that whatever skills you’d been using to dig a little deeper or find some laughter or hope – those skills are maxed out . It's easy to take frustration out on the person who's your pandemic partner. And the three facets of burnout - excessive fatigue, detachment  and cynicism, and a feeling of lack of accomplishment - can too easily be focused on your relationship. So in this episode of SelfWork, sponsored by BetterHelp, we'll also focus on four considerations that might help you realize that the pandemic is dramatizing what are fairly normal facets of long relationships. What are these four considerations? Realize the problem could lie with you as you might've become clinically depressed. Be aware of how others might be negatively impacting how you think about your

Today in this episode sponsored by BetterHelp, we’re talking about hypnosis. Not only will I try to debunk the various myths there are out there about it, but help you understand exactly how it can work. I’ve been hypnotized several times myself and I’ll explain what I experienced.  I’ve also been trained in hypnosis so I can explain what it’s like to actually do hypnosis; what you’re watching for in the client, how you set the process up for the most success. I’ll draw heavily on the work of Michael Yapko, whose trainings I’ve attended and who’s an international expert on hypnosis and its effectiveness with depression. It’s truly a fascinating experience – both to use it in therapy and to participate in it. And I'll include the most dramatic example I've had thus far in my practice of it helping my client tremendously with PTSD. Our listener email today is from a woman who’s talking about something we touched on in last week’s episode about sexual abuse; that one of the lingering issues can be the st

Writing a book is the hardest and most labor-intensive task I've ever accomplished. And sometimes, while I was deep in the throws of its creation, I would wonder why I was doing it, even though I was so passionate about its message. What did I really hope would happen as a result? Well, two things have happened this week that remind me of why the topic of perfectly hidden depression is vital for our mental health culture- and you - to understand. The first was from a conversation I had with psychologist Lindsay Weisner, who was interviewing me and was reading Perfectly Hidden Depression. The second was an email from a middle-aged man who was shocked at his own identification with PHD - and what that realization was leading him to do. Such an honor.  None of us ever know how others will perceive what we do or what we try to offer, do we? BetterHelp, the #1 online therapy provider, has a special offer for you now! You can hear more about mental health and many other topics by listening to my podcast, SelfW

Trigger Warning: If you choose to listen to this episode on sibling sexual abuse, please keep your own self-care in mind. I’ll have international sexual abuse hotline numbers in the show notes: But the US hotline is  1-800-656-4673. Sibling sexual abuse is a complex and painful subject that's vastly underreported. And it can happen in any home, anywhere. How is it different than normal sexual curiosity between siblings? What sets the environment up for it to occur? Why don't they tell a parent? How does it affect its victims? What if they themselves repeated or even forced sexual activity on others in the family? I'll use a case from my own practice to talk about how and when it can occur - and as always, what a parent or loved one can do about it. What's important to know from the beginning is that sexual abuse isn't only about sex; it's much more about control and grabbing power. In this episode sponsored by BetterHelp, we'll go over in detail a very moving email I received – and