
Therapy in a Nutshell
I’m Emma McAdam, a Licensed Marriage and Family Therapist and my mission is to make mental health resources more easy to access. I take therapy skills and psychological research and condense them down into bite-sized nuggets of help.
I’m here to spread the message that while mental illness is real, it’s common, it’s debilitating, it’s also treatable. There are dozens of research-backed approaches to treating depression, anxiety, and other mental illness. Change, growth, and healing are possible. Please keep courage! Try one little thing every day to improve your life and health and things can get so much better!
Therapy in a Nutshell, and the information provided by Emma McAdam, is solely intended for informational and entertainment purposes and is not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health.
Therapy in a Nutshell and it’s logo are Registered Trademarks of Therapy in a Nutshell, LLC
Latest episodes

Jun 30, 2025 • 29min
Keto and Metabolic Treatments for Mental Health w/Dr. Chris Palmer
In this engaging discussion, Dr. Chris Palmer, a Harvard psychiatrist and author of 'Brain Energy,' dives into the fascinating intersection of metabolic disorders and mental health. He proposes that mental illnesses are often metabolic in nature, challenging the traditional chemical imbalance theory. The benefits of the ketogenic diet for conditions like schizophrenia and bipolar disorder are highlighted, supported by research and personal stories. Dr. Palmer also discusses promising new weight loss medications that could aid mental health treatments.

Jun 27, 2025 • 33min
Pro Climber Talks about Facing Fear and Managing Risk- Hazel Findlay
Learn the skills to Regulate your Emotions, join the membership: https://courses.therapyinanutshell.com/membership
Check out Hazel's Program here: https://www.strongmindclimbing.com/
I love climbing because there's an amazing intersection of mental and physical skills, and it pushes me every time I go out. Today I get the incredible blessing to interview one of my favorite climbers- Hazel Findlay!
I've been watching Hazel in climbing films for at least a decade, she's an incredibly strong, but also wise climber, who has pushed the limits of the sport. She's the first British woman to climb E9 6c - one of the hardest and simultaneously dangerous grades in climbing, but she doesn't have a death-wish, she makes careful intentional choices about how she goes about climbing. Today we talk about anxiety, calming the body, self talk, the ego, and why Utah is amazing!
Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell
Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com
Support my mission on Patreon: https://www.patreon.com/therapyinanutshell
Sign up for my newsletter: https://www.therapyinanutshell.com
Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books
Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger Institute for my overall understanding of our ability to choose our life's direction.
And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe
If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org or 1-800-273-TALK (8255) or your local emergency services.
Copyright Therapy in a Nutshell, LLC

Jun 20, 2025 • 13min
How to Stop an Anxiety Attack - Guided Walkthrough of The Activate Method
Feeling overwhelmed by anxiety? Discover a step-by-step guide to tackle anxiety attacks with the Activate Method. Learn why traditional deep breathing might not help and how physical movement can alleviate stress. Uncover techniques like brain dumps to release anxious thoughts and the pivotal question to break free from the anxiety cycle. The discussion emphasizes engaging physically and emotionally to regain control, providing practical strategies to navigate through panic and reclaim your calm.

Jun 17, 2025 • 47min
How to Set Boundaries with Emotionally Immature People - The CLEAR Method w/ Jess Miller
In this engaging conversation, Jess Miller, a Licensed Marriage and Family Therapist and the creator of Mind Your Boundaries, discusses setting limits with emotionally immature people. She introduces her CLEAR method, a practical approach to communicating boundaries effectively. Jess shares personal experiences, including her own family estrangement, highlighting how early experiences shape emotional behaviors. The duo also explores how empathy and understanding can lead to healthier relationships, offering actionable tips for managing difficult family dynamics.

Jun 14, 2025 • 46min
Yellow Flags in a Therapist
Therapy in a Nutshell membership: https://courses.therapyinanutshell.com/membership
Every therapist upholds the professional and ethical standards required in their role. Knowing what signs to look for can help you protect your mental health and ensure you receive the care you deserve. In this video, we’ll discuss the subtle yellow flags in therapy—small warning signs that something might be off—as well as the more obvious red flags, which may indicate your therapist is not just a poor fit but could be acting unethically. We’ll also cover strategies for deciding if it’s time to change therapists and how to begin that transition smoothly.
By being informed about both the subtle yellow flags and the more glaring red flags, you can better protect yourself and maintain a high standard of care.
Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell
Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com
Support my mission on Patreon: https://www.patreon.com/therapyinanutshell
Sign up for my newsletter: https://www.therapyinanutshell.com
Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books
Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger Institute for my overall understanding of our ability to choose our life's direction.
And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe
If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org or 1-800-273-TALK (8255) or your local emergency services.
Copyright Therapy in a Nutshell, LLC

Jun 2, 2025 • 12min
Super Duper Gentle Exposure Therapy
Discover the transformative power of exposure therapy to conquer fear and anxiety. Learn the six-step process that guides you through gradual exposure, helping build confidence and resilience. Embrace personal growth as you confront your fears and track your progress. This approach not only reduces anxiety but also promotes self-efficacy, paving the way for a more meaningful life. Gain insights into managing trauma and developing emotional regulation strategies!

May 26, 2025 • 12min
Micro Habits that Fuel Depression
Discover how unnoticed micro habits can silently contribute to feelings of depression, even when life seems fine. Explore the brain’s mechanisms of giving up and how tiny issues can lead to overwhelming hopelessness. Learn about the dangers of self-criticism and avoidance, and the importance of acknowledging emotions. Take proactive steps to challenge negative thoughts and build emotional resilience, paving the way for healing and a more fulfilling life.

5 snips
May 19, 2025 • 15min
How to Stop Fighting Intrusive or Negative Thoughts-Passengers on a Bus Exercise from ACT
Dive into the world of intrusive thoughts and learn to manage them with a powerful metaphor. Picture your mind as a bus, where negative thoughts are merely passengers—not the drivers. Discover how focusing on your core values can help you regain control and navigate life's challenges. This enlightening discussion emphasizes that you are not your thoughts and provides practical tips on how to keep your mental peace while steering your life in the right direction.

11 snips
May 12, 2025 • 10min
My 7 Favorite Free Apps to Improve Mental Health
Smartphones can be allies in mental wellness when used wisely. Explore impactful apps that help manage stress and build positive habits, like journaling and mindfulness tools. Learn how technology can enhance emotional health by tracking goals and fostering self-awareness. Discover strategies for a healthier digital environment and hear about a new app offering free courses for anxiety management. Embrace the potential of these tools to enrich your mental well-being!

24 snips
May 2, 2025 • 25min
How to Heal from Shame, Guilt and Regret
Dive into the emotional landscape of shame, guilt, and regret, and discover how they shape our self-esteem. Learn the transformative difference between feeling guilty about a mistake and succumbing to shame that distorts our sense of self. Explore practical exercises that emphasize honesty and connection in overcoming toxic feelings. Embrace accountability as a path to healing and hope, and find inspiration in metaphors of gradual recovery. It's all about fostering self-compassion and turning mistakes into opportunities for growth.