

Disordered: Anxiety Help
Josh Fletcher and Drew Linsalata
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.
Episodes
Mentioned books

Oct 23, 2026 • 40min
Courage When Anxiety Feels Really Bad (Episode 178)
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 courage can look like in practice: softening instead of bracing, letting tears and shaking happen, and treating the moment you feel anxious as the moment the practice begins. A listener asks what to do when they try to induce panic for exposure and nothing happens. We share our take on that, which is our opinion and not individual treatment advice.Plus Did It Anyway wins, including a wedding day with anxiety along for the ride and a 100K ultramarathon with a heart rate scare.----Want to talk about this episode, interact with us, and communicate with others that are sharing your experience? We're hanging out in the Disordered Community Spacehttps://disordered.fm/community----The Disordered Guide to Health Anxiety is available now:https://www.disordered.fm/the-disordered-guide-to-health-anxiety/---Struggling with worry and rumination that you feel you can't stop or control? Check out Worry and Rumination Explained, a two hour pre-recorded workshop produced by Josh and Drew. -----Got questions or did it anyways to share? Send us an email or voicemail on our website.https://disordered.fm---Disclaimer: Disordered is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts or guests of the podcast. Information here is provided for psychoeducational purposes. As always, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

Oct 16, 2026 • 43min
Depersonalization and Derealization w/Dr. Claudia Hallett (Episode 177)
Send a question or comment via text messageDepersonalization 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 brain”). We get into how fear of the symptom keeps it front and center, the OCD-style loops of checking and monitoring that often sit underneath, and why some people experience it episodically while others have lived with it for decades. We also cover why DPDR is so often missed or misdiagnosed, what the word “disorder” does and doesn’t mean, and when a trauma explanation fits and when searching for one becomes part of the problem. Dr. Hallett also explains why there is no “just follow these steps” fix, and why anyone selling one deserves scrutiny.To find Dr Claudia Hallet online:InstagramWebsiteUnreal Charity - DPDR Support and Resources----Want to talk about this episode, interact with us, and communicate with others that are sharing your experience? We're hanging out in the Disordered Community Spacehttps://disordered.fm/community----The Disordered Guide to Health Anxiety is available now:https://www.disordered.fm/the-disordered-guide-to-health-anxiety/---Struggling with worry and rumination that you feel you can't stop or control? Check out Worry and Rumination Explained, a two hour pre-recorded workshop produced by Josh and Drew. -----Got questions or did it anyways to share? Send us an email or voicemail on our website.https://disordered.fm---Disclaimer: Disordered is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts or guests of the podcast. Information here is provided for psychoeducational purposes. As always, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

Oct 9, 2026 • 41min
Cognitive Reframing in Anxiety Disorders (Episode 176)
Send a question or comment via text messageCognitive 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 don't believe usually fails. We also get into why "here's an opportunity to practice" keeps coming up, how a panic attack on a treadmill can be described two very different ways, and a listener question about the highly sensitive person label and where sensitivity ends and anxiety begins. That part is our opinion, and we say so.Plus Did It Anyway wins, including taking a feared migraine medication after hours of Reddit, and choosing not to Google a body symptom.----Want to talk about this episode, interact with us, and communicate with others that are sharing your experience? We're hanging out in the Disordered Community Spacehttps://disordered.fm/community----The Disordered Guide to Health Anxiety is available now:https://www.disordered.fm/the-disordered-guide-to-health-anxiety/---Struggling with worry and rumination that you feel you can't stop or control? Check out Worry and Rumination Explained, a two hour pre-recorded workshop produced by Josh and Drew. -----Got questions or did it anyways to share? Send us an email or voicemail on our website.https://disordered.fm---Disclaimer: Disordered is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts or guests of the podcast. Information here is provided for psychoeducational purposes. As always, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

Oct 2, 2026 • 41min
Meditations on Anxiety Medications (Episode 175)
A thoughtful conversation tackles the loaded questions around anxiety medication: Is taking it failure, cheating, or giving up on recovery? The discussion explores medication alongside exposure therapy, informed consent, side effects, personal definitions of “working,” and the fear of taking a pill itself. Real-life wins include conquering a long-avoided trail and taking a first train ride in months.

Sep 25, 2026 • 47min
Exposure Is Learning To Be Uncomfortable (Episode 174)
Exposure isn’t about conquering one specific fear or waiting to feel safe. This conversation explores practicing discomfort, uncertainty, and response prevention across situations like bridges, dentist visits, presentations, and camping trips. Hear why repeating only “safe” exposures can stall progress, how values help carry you through panic, and why recovery is measured by what anxiety no longer stops you from doing.

Sep 18, 2026 • 40min
Making It Right Once You're Better? (Episode 173)
Recovery can bring an unexpected burden: guilt over lost time, strained relationships, and opportunities missed. This conversation explores meaningful apologies versus rumination disguised as responsibility, parental worries about anxiety’s impact, and the difficult work of self-forgiveness. It also celebrates courageous stories involving solo travel, pregnancy, postpartum anxiety, and facing fear through sleepless nights.

Sep 11, 2026 • 49min
CBT For Anxiety Disorders Explained (Episode 172)
CBT for anxiety is far broader than thought-challenging worksheets. Explore the shift from traditional cognitive restructuring to mindfulness, acceptance, ERP, ACT, DBT, and metacognitive approaches. Learn why arguing with panic often backfires, how behavioral experiments create change, and what to ask when choosing an anxiety-informed therapist. Plus, real-life “Did It Anyway” wins.

Sep 4, 2026 • 39min
Anxiety And The "Yeah But" (Episode 171)
Send a question or comment via text message"Yeah, but." Two words that show up constantly in anxiety recovery, right after a win. You did the thing, and before it can count, the mind adds a condition: yeah, but I had my water bottle with me, yeah, but I still felt anxious, yeah, but a real doctor might find something the others missed.This week we break down why "yeah, but" is one of anxiety's most effective tools, using misapplied logic, hypothetical scenarios, and stories that have nothing to do with you to keep the argument going and hold your attention. We talk about how it shows up differently across panic, health anxiety, OCD, and social anxiety, why the content of the yeah, but never really matters, and how to flip the phrase back on itself instead of arguing with it.Plus Did It Anyway wins, including a first dentist visit in four years, a slow jog after a year of heart-rate monitoring, and a 1,600 mile trip taken through panic and OCD.----Want to talk about this episode, interact with us, and communicate with others that are sharing your experience? We're hanging out in the Disordered Community Spacehttps://disordered.fm/community----The Disordered Guide to Health Anxiety is available now:https://www.disordered.fm/the-disordered-guide-to-health-anxiety/---Struggling with worry and rumination that you feel you can't stop or control? Check out Worry and Rumination Explained, a two hour pre-recorded workshop produced by Josh and Drew. -----Got questions or did it anyways to share? Send us an email or voicemail on our website.https://disordered.fm---Disclaimer: Disordered is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts or guests of the podcast. Information here is provided for psychoeducational purposes. As always, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

Aug 28, 2026 • 50min
Anxiety, People Pleasing, and Self-Esteem (Episode 170)
Send a question or comment via text messageNot everything is an anxiety disorder, but people pleasing and low self-esteem feed into it constantly. This week we talk about why the two overlap so heavily, and why learning to desensitize almost always requires putting yourself first, which can feel like the least safe thing in the world if pleasing people is how you've kept yourself safe.We get into what people pleasing actually looks like, from constant scanning of other people's moods to guilt as a baseline feeling, why it's usually a learned response rather than a personality trait, and why exposure work doesn't work without some baseline self-acceptance. We also talk about why the values underneath people pleasing, kindness, cooperation, and community, aren't the problem. It's when they become the only way you're allowed to exist.Plus Did It Anyway wins, including six flights taken through a lifelong fear of flying.----Want to talk about this episode, interact with us, and communicate with others that are sharing your experience? We're hanging out in the Disordered Community Spacehttps://disordered.fm/community----The Disordered Guide to Health Anxiety is available now:https://www.disordered.fm/the-disordered-guide-to-health-anxiety/---Struggling with worry and rumination that you feel you can't stop or control? Check out Worry and Rumination Explained, a two hour pre-recorded workshop produced by Josh and Drew. -----Got questions or did it anyways to share? Send us an email or voicemail on our website.https://disordered.fm---Disclaimer: Disordered is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts or guests of the podcast. Information here is provided for psychoeducational purposes. As always, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.

Aug 21, 2026 • 49min
Common Anxiety Recovery "Mistakes" (Episode 169)
Send a question or comment via text messageThis week we go through the most common mistakes people make while trying to recover from anxiety disorders, the ones that feel intuitive in the moment but end up keeping the cycle going.We cover minimizing your own wins, thinking a place or situation is the actual exposure instead of the feeling underneath it, overestimating anxiety's importance while underestimating your own ability to handle it, and treating a thought that feels true as if it is true. We also talk about why trying to prevent the bad thing from happening during exposure defeats the purpose, why crediting safety behaviors instead of yourself keeps you stuck, and why arguing with anxious thoughts or trying to think your way out of anxiety almost never works.Plus Did It Anyway wins from Canada, Sweden, and Turkey, including one that involves scuba diving.----Want to talk about this episode, interact with us, and communicate with others that are sharing your experience? We're hanging out in the Disordered Community Spacehttps://disordered.fm/community----The Disordered Guide to Health Anxiety is available now:https://www.disordered.fm/the-disordered-guide-to-health-anxiety/---Struggling with worry and rumination that you feel you can't stop or control? Check out Worry and Rumination Explained, a two hour pre-recorded workshop produced by Josh and Drew. -----Got questions or did it anyways to share? Send us an email or voicemail on our website.https://disordered.fm---Disclaimer: Disordered is not therapy or a replacement for therapy. Listening to Disordered does not create a therapeutic relationship between you and the hosts or guests of the podcast. Information here is provided for psychoeducational purposes. As always, please consult your mental health and/or medical care providers. If you are having a mental health crisis, always reach out immediately for in-person help.


