

Therapy in a Nutshell
Therapy in a Nutshell -Emma McAdam
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
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
Episodes
Mentioned books

Aug 7, 2025 • 19min
Harm OCD - Intrusive Thoughts that I Might Hurt Someone
Explore the nature of intrusive thoughts and why they don't imply danger. Understand how Harm OCD can make you fear harming loved ones, and learn the life-changing difference between thoughts and true desires. Discover coping strategies using Cognitive Behavioral Therapy and Acceptance and Commitment Therapy to defuse anxiety and reclaim control. Gain insights into navigating these thoughts while embracing personal values, helping to transform your mental landscape and boost your emotional well-being.

Jul 25, 2025 • 26min
How to Heal from Medical PTSD aka Medical Trauma
Medical trauma can lead to PTSD, presenting signs like a fear of doctors, anxiety, and emotional numbness. Personal stories reveal how severe medical conditions contribute to these feelings of helplessness. Healing strategies discussed include mindfulness and somatic therapy, aimed at restoring a sense of safety. The role of healthcare providers is crucial in creating supportive environments, emphasizing patient empowerment. Resources for coping with medical PTSD and self-advocacy play a vital role in the recovery journey.

Jul 25, 2025 • 23min
What If My Intrusive Thoughts are Dangerous? Harm OCD
Dr. Kat Green, an OCD specialist, shares transformative strategies for managing intrusive thoughts. She explains the concept of thought-action fusion and how trying to suppress these thoughts can amplify anxiety. Listeners learn valuable techniques from Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP) to break free from cycles of fear and reassurance-seeking. Kat emphasizes that facing fears rather than avoiding them is essential for taking control of one’s mental health, making this conversation a beacon of hope for many.

6 snips
Jul 18, 2025 • 9min
Softening Body Tension with Anxiety- Exercise
Explore how anxiety manifests as physical tension in the body, often unnoticed. Discover transformative skills to process emotions and manage stress effectively. Engage in a soothing, 3-minute mindfulness meditation designed to lower cortisol levels and promote relaxation. Learn to tune into your body, soften tight areas, and activate your calming parasympathetic nervous system. This guided practice offers a quick reset to ease tension and enhance your well-being.

Jul 11, 2025 • 37min
How to Stop Panic Attacks and Anxiety Attacks - with CBT Expert Kimberley Quinlan
Kimberley Quinlan, a Licensed Marriage and Family Therapist and expert in anxiety, shares empowering insights on managing panic attacks. She differentiates between panic disorder and general anxiety, highlighting how avoidance behaviors can worsen feelings of fear. Kimberley introduces cognitive behavioral therapy (CBT) techniques and interoceptive exposure, encouraging listeners to embrace their panic rather than avoid it. She emphasizes self-compassion as a crucial tool for recovery, offering practical strategies to face and reframe anxiety-inducing situations.

10 snips
Jul 4, 2025 • 22min
The Science of Self-Blame and Depression
Dive into the dynamics of self-blame and depression, exploring how negative thoughts can deepen feelings of worthlessness. Understand the roots of self-blame in societal influences and family dynamics. Discover the neuroscience linking guilt to depression and learn to reframe your thinking. With practical strategies rooted in self-compassion, this discussion aims to break the damaging cycle of guilt. Enhance your emotional well-being with transformative techniques from acceptance and commitment therapy for a brighter mental health journey.

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.