The Addicted Mind Podcast

Our guest on this episode of the Addicted Mind podcast is Colleen Koncilja, a counselor based in the Chicago area who specializes in gambling addictions. Shortly after a casino riverboat became a permanent fixture just blocks away from her practice’s office in Elgin, Illinois, the town recognized that compulsive gambling would become an increasing problem and they gave Colleen’s team funding to assist the population who would suffer from this behavioral addiction.Problematic gambling, also referred to as compulsive or pathologic gambling, can begin when there is a progression in the amount and/or frequency of the gambling, gambling becomes consuming of other aspects of life, the individual does not do it for recreation anymore but to fulfill a need, and the individual has to start lying about where they have been and what they have been doing. Action gamblers become addicted to the euphoria or high that they feel when they are performing well and other people at the casino are recognizing their success, while escape gamblers are seeking to numb or escape anxiety, depression, grief, or loss by disconnecting with the real world. Much like substance use disorder and sex addictions, problematic gambling provides a behavior for the individual to process their emotional traumas or anxieties.Though most insurance companies do not recognize gambling addictions as something that their plans should cover, a significant portion of gambling addicts reach out for professional help at the urging of their family members, the criminal justice system, or out of sheer desperation. During this process, the counselor can help the individual process what benefits they feel that they gain from gambling and determine alternate ways to achieve these goals, such as coping skills, accountability relationships, or other resources available. Support this podcast at — https://redcircle.com/the-addicted-mind-podcast/donations Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Our guest on this episode of The Addicted Mind podcast is Jonathan Horowitz, founder and director of the San Francisco Stress and Anxiety Center. Jonathan is a clinical psychologist who studied anxiety research in graduate school before transitioning to being a clinician and opening the Stress and Anxiety Center.It is a misconception that anxiety is always a bad thing; in fact, our minds were built to experience healthy anxiety when our bodies sense that they need to be alert to their surroundings. Anxiety starts to become a problem when we cross the line from heeding the warnings of our anxiety and benefiting from it to worrying about our anxiety and taking steps to try to get rid of it. A significant number of Johnathan’s clients are high-functioning, high-achieving individuals who may be having a difficult time coping with the pressures of their careers. These individuals might develop behaviors like procrastination, avoidance, or even developing an addiction of some kind in order to numb the anxiety that they are feeling. Anxiety can also be the result of giving up an addiction because the individual does not know what to do in place of their previous addiction.Jonathan’s advice to those dealing with problematic anxiety is to (1) connect your change in behavior to something that is powerfully meaningful to you, and (2) establish goals and values for your life that involve emotional and cognitive steps or milestones. The goals can be achieved through mindfulness meditation training, breath work, cognitive restructuring, or other practices as directed by a clinician. Above all, it is crucial to know that anxiety, whether it is manifested in panic attacks, phobias, or social anxiety, is treatable, so seek the help you need.Support this podcast at — https://redcircle.com/the-addicted-mind-podcast/donations Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

On this episode of The Addicted Mind podcast, Curt Widhalm shared with us on his area of expertise, teens, and self-harm. Curt has observed two types of teens who are engaging in self-harm behaviors: (1) those struggling to find the opportunity to express their emotions due to their busy schedules, and (2) those whose friend groups are engaging in self-harm behavior for attention-seeking.In general, self-harm behaviors, which could include cutting, burning, or over-exercise, are quick ways for teens to release their emotions in a very visual way because they are often too busy to adequately learn how to deal with their stress or trauma. They could also act this way because their living environment does not allow them the space to express their emotions or release their negative energy in healthy ways, perhaps due to the demeanors of their parents or complications in their living situation. In Curt’s experience, a main source of stress for teens who engage in self-harm is the feeling that they will never be good enough for their parents, whether their parents are pushy and over-involved or very withdrawn.Signs that parents can watch for in their teens are emotional and physical withdrawal, explaining away repeated injuries, covering up their arms and legs even in very warm weather, intense emotions such as rage or anxiety, and their teen talking about other people who engage in self-harm. If and when parents notice these behaviors, they often have their teen begin seeing a therapist to address these behaviors. A therapist will primarily aim to establish a good connection with the teen by normalizing their behavior and just listening to them as they begin to open up about their emotions, and they will begin to equip the teen with healthy ways to cope with their feelings in an attempt to have the teen abandon their self-harming tendencies.To anyone struggling with self-harming behaviors, Curt encourages you to reach out for help by finding someone you can trust who will listen without judgment as you share your feelings. There are healthy ways to cope with your daily stresses and emotions, and it may be helpful for you to take a step back from a few of your activities to provide yourself with more capacity to cope.Support this podcast at — https://redcircle.com/the-addicted-mind-podcast/donations Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

On this episode of The Addicted Mind podcast, my guest is Kay Simmeth, a Marriage and Family Therapist certified in EMDR. Eye movement desensitization and reprocessing is a type of bilateral stimulation that activates both sides of the body and both sides of the brain. This dual action process of tapping on the client’s knees back and forth, listening to music or sounds that alternate between headphones, or feeling vibrations in alternating hands, the frontal cortex and the amygdala are both activated, which allows the client to access the portion of the brain where the trauma is stored and then shift those negative beliefs or cognitions to positive beliefs. Without being able to access both sides of the brain simultaneously, the client will just continue to feel the negative beliefs related to the trauma and not be able to go any further by consciously and logically thinking about the situation. Doing so through the 8-phase process of EMDR allows the client to “melt” the trauma so that they can still access the memory of the trauma, but the intensity of their emotions and reactions about the trauma become less immediate and significant. The trauma simply becomes an “event” in their lives rather than something that impacts everything they experience. Going through EMDR takes the emotional weight out of the memory in the present and frees the client up for a brighter future.Kay uses EMDR with 98% of her patients and she has found that the changes her clients exhibit stick more than with other techniques. Through this type of adaptive information processing model, the length of time or number of sessions that the client needs to go through EMDR depends on the proximity, length, and depth of the trauma in their life, but all clients will see change along the way. Kay’s advice to those experiencing trauma is to remember that they do not have to go through it alone and that there are plenty of resources for them to seek help. Support this podcast at — https://redcircle.com/the-addicted-mind-podcast/donations Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Susanne Jessee is with us today to talk about Transcranial Magnetic Stimulation (TMS). TMS is a relatively new treatment, at least in the United States, for individuals who are struggling with depression.Depression is often present in addiction and TMS is something that may help people that are struggling with addiction and treatment-resistant depression.Susanne Jesse is the CEO and founder of Anew Era TMS in Huntington Beach, California.To start, Susanne breaks down what TMS stands for. Transcranial means “beneath the cranium,” and magnetic stimulation means “stimulation using magnets.” The technology behind MRI magnets is used in TMS. But the big difference between TMS and MRI magnets is that the TMS magnetic technology creates a field of energy that is fairly intense that penetrates beneath the cranium into the brain.TMS focuses in on the mood center of the brain that is responsible for the depressive symptoms. That area is stimulated to wake up those neurons again so that they are able to fire efficiently and transmit the neurotransmitters across the synaptic gap more efficiently.If you look at an MRI of a depressed brain, you will see that it just doesn’t light up. The neurons are not firing. After TMS treatment, you can see that it is lit up with all the magnificent colors as it is in people that are not depressed. So that term, depression, comes from the fact that the neurons are depressed. They are not functioning correctly.What is a person that is treatment resistant? Susanne tells us that a large percentage of the population are non-responders to psychiatric medications. These medications are not an exact science so a patient may have to try many different drugs to find one that works for them.Susanne explains that her objective is not to take patients off of their medications. TMS helps those medications to work better because the medicine can’t work if your neurons aren’t firing. TMS stimulates those neurons to fire which makes the medication work more efficiently. In some instances, patients are then able to reduce the number of medications they take or the volume in which they receive them.For patients that have tried psychotherapy, and medications, and they haven’t seen the results that they are looking for, TMS may be very beneficial.Even though TMS has been used in Europe and Asia for more than 20 years, it is now being used in the United States. This use is mainly due to TMS being approved by the FDA for depression, but it can also be used to treat conditions like PTSD, OCD, anxiety, smoking cessation. It has also been used to address issues like dementia and Alzheimers. This cutting-edge technology has so many different opportunities for treatment that weren't available before TMS coming to the United States.TMS is completely noninvasive. Patients can drive themselves in, have a 45-minute treatment, and then drive themselves home. The only possible side effects are sometimes a mild headache.Susanne encourages people to come in for a free consultation and see the equipment. Her team of psychiatrists will do an overall assessment to see if this type of treatment is appropriate for you.Support this podcast at — https://redcircle.com/the-addicted-mind-podcast/donations Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Today our guest is board certified music therapist Amylynn Dimaano. She speaks to us today about music therapy and how music can help us deal with underlining issues in recovery.What is music therapy? Music therapy is the scientific use of music to effect a change of non-musical goals. It is not a music lesson, and Amylynn is not a music teacher. Music therapy isn’t about to learning music. Her goals are to help people through mental health therapy that are struggling with depression, anxiety, post-traumatic stress disorder (PTSD), addiction, etc.Music therapy includes elements of traditional therapy as well, such as regulation, relaxation, communication, and accountability. In this therapy, she uses music to open up the wisdom of the individual.We need to use our entire brain to process music - jazz, rock-n-roll, classical, show tunes - to "hear" music you need to use both sides of your brain. Whereas in traditional therapy we mainly use the analytical side. When we add music to the mix we are automatically engaging the other side of the brain.Amylynn gives us an analogy: if you've ever broken a bone or been sore on one side of your body, the other side steps in to compensate and help, and adding music therapy is the same type of thing.On one side of our brains, we’re processing emotions and creativity and impulse control. Amylynn adds that these are the things that make someone struggling with addiction fantastic and challenging to work with. At the same time, we want to access the other side of the brain; this side tells us to slow down and think about our decisions. Our emotional wants are on one side of the brain while the other side deals with the more practical thought processes.When we affect both sides of the brain, we can effect change in a more helpful and meaningful fashion.So what does a session with Amylynn look like? As with most therapy, it depends on where that client is at and what their issues are. Amylynn offers individual therapy sessions using the Bonny Method of Guided Imagery and Music (GIM), named after Helen Bonny. Helen Bonny was an amazing music therapist and psychotherapist who programmed the music for the LSD trials of the late 60’s at the Maryland Psychiatric Institute. Bonny learned over time that people could have this same out of body, inner-wisdom, unconscious connection experiences without any drugs at all if the music were correctly programmed. With that, she spent the rest of her life creating this method. It involves a lot of classical music and relaxation techniques.Clients are welcomed to lay on a bed in Amylynn’s office, or sit in a chaise lounge, wherever they feel comfortable, and she picks the music program based on what the client is working on, where they are at in their recovery, and what they need.The GIM program is designed, Amylynn jokes, similarly to an LSD trip, where it takes you in slowly and then eventually opens up your mind, takes you to a peak, and then brings you back to a safe place. It can feel almost like dreaming, but she states that you are always in control. Many people feel changed after that.It can give us courage that we had not accessed before.Support this podcast at — https://redcircle.com/the-addicted-mind-podcast/donations Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Welcome to this week's Addicted Mind podcast. Our guest today is the wonderfully humorous and informative Liz Dube, and she’s here to talk about healing our sexuality, and finding our sexual satisfaction once we’re in recovery from addiction.Liz is a Licensed Marriage & Family Therapist and AASECT Certified Sex Therapist with a private practice in Long Beach and Huntington Beach, California. Most of her clients are looking to increase their levels of intimacy and improving sexual and relationship satisfaction.How does addiction impact our sexuality? Sometimes, clients meet with Liz before they have found a balance between obsessive and compulsive sexual behaviors, and they’re trying to figure out how to have satisfying sex. And other times, people are in recovery wondering how to have satisfying sex now that they’re sober. To feel uninhibited during sex, they often used a substance to numb uncomfortable thoughts and feelings.Some clients have a lack of comfort in sex, so when they use a substance or compulsive sexual behavior it makes it easier to have a sexual experience, but at the same time, they aren’t always present.Clients that are used to using a substance to feel more uninhibited during sex may have felt more comfortable communicating their wants and desires, but sober, they can find it scary to tell their partner what turns them on, or even to look them in the eye.In clients struggling with compulsive sexual behavior, they may have a part of their sexuality that they don't feel comfortable with sharing in a relationship that they care about. It can be hidden in their porn viewing, or maybe they are going outside of their relationship to fulfill the desires that they find uncomfortable to share.Liz helps clients by asking them what is keeping them from asking for what they want, and assessing the level of intimacy and the level of vulnerability they are having with their partner. And to assess whether or not they have realistic expectations. Sometimes clients are expecting their bodies to react in a way that is unrealistic.When clients are having sex with people they don't know very well, or they haven’t built a history of trust with, issues with erectile dysfunction, premature ejaculation, or an inability to orgasm, can be common. When you don’t know how a partner is going to react, it can be challenging to ask for what you want.Many people who struggle with addiction may have early attachment trauma, and it is sometimes difficult for them to regulate their emotions to be in an intimate relationship. These intimacy issues start to show up because they have a hard time connecting due to the intense emotionality.Liz explains that the first step in beginning this journey is to have a casual conversation with the client to get to know what has been going on in their life. Then giving the client permission to be in a place of open curiosity to figure out what they like and if they don't know what they want, then the conversation turns to answer that.Clients can ask themselves what excites them. What are your fears and worries? Understanding what our expectations are around sex and moving away from what we think sex should look like helps set realistic expectations around sex. Real sex is not like Hollywood movie sex.Human sexuality is complicated, should be explored organically, and in a safe environment. One of the key ideas is moving away from orgasm focused sex. It should be about exploring each other and enjoying each other. Have a pleasure session with yourself, or with your partner, without an expectation that your body is supposed to respond in any particular way.Support this podcast at — https://redcircle.com/the-addicted-mind-podcast/donations Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

TJ Woodward is with us today to talk about a system of care that he has developed called conscious recovery.Conscious recovery is a groundbreaking and practical approach to viewing and treating addiction. It’s how we see addiction and addiction treatment through the spiritual lens. Your spiritual life is a big part of recovery and finding a place of calm within yourself is a critical stage.TJ has worked, with remarkable results, for over a decade in spiritual care at top-tier treatment centers, and he has been in recovery for 31 years.TJ explains that conscious recovery started with a question: What might happen if I were to view all of his clients through the lens of wholeness imperfection rather than looking through the lens to see whats broken.Typically in western medicine, we look at symptoms and behaviors and try to eradicate them. Addiction is quite different. Once we view addiction as the problem or the client as broken in some way, we have limited the capacity of the client's ability to heal.In this mindset, we can look at the addiction, not as a problem but the solution to something. Once we view it at the answer, we can start asking the question “What is below that?” Conscious recovery is a program that helps us to get down to the more in-depth causes that are driving the addictive behavior.When a client sees that they have been using their addiction as a solution, and now it’s no longer working, they can break free from that.TJ shares his personal story of closing off and shutting down as a seven-year-old boy. Before that, he was a happy child, in awe of the world. Something happened when he was 7, and he closed down and shut off. There was not a specific event that happened but he found himself shutting down, and he did not find relief until he discovered drugs and alcohol at the age of 13.He recognizes that his addictions were a solution that worked in his life. They didn’t work long term, but they were the band-aid for some deeper wounds. That is what set the framework for how he looks at addiction. When clients understand that, there is a profound shift in themselves, and they no longer see their addiction as the problem, but what was it hiding underneath.TJ is quick to remind us that conscious recovery is looking through the spiritual lens. He does not deny that there is a physical or mental aspect that needs to be addressed as well. Conscious recovery is meant to assist someone and work with whatever therapy or program they prefer.In breaking the cycle of addiction, the first step is creating internal and external safety. Some clients need to go to treatment in a sober living environment to feel that sense of external safety. Learning to be in our bodies and to identify whats happening internally, and the connection with the thoughts and emotions, so that we can tolerate being with ourselves, will help to create our internal safety.TJ encourages anyone looking for the right clinician or therapist to ask questions. Ask how they view addiction, and how they see healing from addiction. It’s not going to look the same for everyone and if you don’t find the right person, keep looking. The main idea is to find someone that creates a safe environment for you.We end with a message of encouragement to reach out and get help. There are many excellent recovery programs and support groups to choose from. You alone must do it, but you don’t need to do it alone. Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

We have a fantastic guest today. Dr. Tracy Zemansky is here to speak about the fascinating topic of psychological assessment, and how it can help you or your client on a journey of healing.What is a psychological assessment? It’s not what we typically see in the movies. It is a way of evaluating a particular part of an individual and trying to understand it more. To get as much information as possible psychological tests, interviews, questionnaires, behavioral observations, and sometimes collateral interviews, which are interviews with people that know the individual well, are used.Tracy explains that this process is like being a detective looking into someone's personality. Searching with the client, and possibly their therapist, at any concerns that may be getting in the way of their goals.We give the example of a client that is stuck and may not be able to gain long-term sobriety, or they may not be able to form the long-term relationships they want. Going through the process of psychological assessment may help to find more details that can be helpful.The tests Tracy uses differ significantly from client to client. A psychological assessment for a client that is working on their relationship difficulties would look very different from a client that is, for instance, struggling with alcohol addiction. Each assessment is created for the individual client.These tests can be anything from true or false or multiple choice questions which are scored by mathematical algorithms, to Rorschach style inkblot tests to observe how the client reacts to the unknown, and it is also scored in a particular way. How the client interacts in the room during the test is helpful as well.The results of these tests, the behavior of the client during testing, and what they and their therapist says are all used to getting a broad and revealing picture for the assessment.Psychological testing cannot predict the future and cannot tell us what caused our pasts. But testing can help us make links which can be useful in therapy. Setting concrete goals and asking questions that can be answered is essential.Going through a psychological assessment and getting this level of detail can help you set out a roadmap to pursue the life you want in recovery. It can speed up the therapeutic process by pointing out the roadblocks that have been in your way.Support this podcast at — https://redcircle.com/the-addicted-mind-podcast/donations Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

We are excited to have mental health therapist, and Air Force veteran, Megan Fenyoe as our guest today as we discuss trauma, addiction, and changing your mindset toward a more positive life.Megan has been a mental health therapist for over 15 years, primarily focusing in the areas of trauma and substance abuse. As an officer in the Air Force, Megan provided mental health services to veterans and active duty members mostly in the field of substance abuse. Most recently she has worked with patients in a hospital struggling with addiction. While working with patients throughout her career, she has focused on mindset and how your mindset can change the course of our lives.To help in her personal and professional life, Megan has developed some great mindset tools to help her get “unstuck” in those moments when life gets you down.We discuss what it means to have a positive mindset. We all have negative thoughts that alter our mood, and we all tend to say more negative than positive things about ourselves. Megan shares an incident she encountered with a guidance counselor who told her not to go to college, and also her experience of going through a painful divorce.Having many different mindset tools in our “tool-belt” is very important because one method is not going to work for every situation, especially when it comes to addiction and trauma.When we don’t have these mindset tools to help us through difficult times, we can turn to substances so that we don’t have to feel the pain of the trauma we have experienced. That instant gratification makes our hurt go away, but only for a moment. Finding the tools and the support that works for you is essential.Support this podcast at — https://redcircle.com/the-addicted-mind-podcast/donations Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.