
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

Aug 10, 2022 • 36min
How Grief Shows up in the Body
Grief is a painful experience, but it's not just in the mind, or spirit, Grief actually has a physical impact on our bodies. In this episode I have a conversation with Dr. Dorothy Hollinger, the author of The Anatomy of Grief, about how Grief shows up in our physical heart, in our brains, our tears. How grief impacts sleep and appetite and digestion. Grief and loss can be terribly painful, but there is also hope for healing and growth through the process.
Check out our mini-course Understanding Grief, Loss and Mourning https://courses.therapyinanutshell.com/grief
Dr. Hollinger's Book: https://www.amazon.com/Anatomy-Grief-Dorothy-Holinger-Ph-D/dp/0300226233
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/store Support my mission on Patreon: https://www.patreon.com/therapyinanutshell Sign up for my newsletter: https://www.therapyinanutshell.com?utm_medium=YTDescription&utm_source=YouTube Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books Check out my podcast, Therapy in a Nutshell: https://tinpodcast.podbean.com/ 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

Mar 31, 2022 • 14min
How To Find Free or Affordable Therapy
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: https://betterhelp.com/therapyinanutshell
Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com/store
Therapy can be really expensive, I’ve actually never been able to afford therapy until the last couple of years, and I know many people are in the same boat. So let’s talk about how to find a good therapist that you can afford. Now first, I know this video may not apply as well to other countries. In the UK or Canada, they have universal healthcare- getting mental health services doesn’t cost an arm and a leg. But there may be long waitlists or difficulty finding a therapist that fits your needs. In other countries, there may not even be mental health providers in your area or financially they are just completely out of reach. In the US, some insurance covers some types of therapy, but even with insurance I know that most people end up paying a lot out of pocket, often in the realm of $100-150 a session which adds up to $5,000-8000 a year. My previous insurance when I was working for a mental health company had a $5,000 out of pocket deductible and my current coverage being self-employed doesn’t cover mental health at all. And then there’s the people with no insurance. So it’s easy to see how mental health services seem out of reach for many. And that’s one of the reasons why I make these videos, to help people access mental health education for free or much cheaper than therapy, but there is no replacement for real, in-person, individualized therapy. So let’s talk about a few more ways you can find a therapist that are less expensive or more accessible. - EAP's - Employer assistance programs - School or University Counseling services - Community Mental Health Services - Private Practice Therapists - Support Groups - Online Therapy -Open Path collective Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com/store
Support my mission on Patreon: https://www.patreon.com/therapyinanutshell
Sign up for my newsletter: https://www.therapynutshell.com?utm_medium=YTDescription&utm_source=YouTube
Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books
Check out my podcast, Therapy in a Nutshell: https://tinpodcast.podbean.com/
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 ----
Music licensed from www.Bensound.com or Artlist.io Images from Freepik.com (premium license), Pixabay, or Wikimedia commons

Mar 25, 2022 • 15min
Ketamine Therapy for Treatment-Resistant Depression
If you have severe depression, PTSD, or anxiety that just won’t go away despite therapy and medication you should know about Ketamine. 30-40% of people with depression have treatment-resistant depression (that means that you’ve tried at least 2 types of medication and it isn't helping). And scientists and doctors are really excited about the potential for ketamine as a new and effective treatment for mood disorders, PTSD, and chronic pain.
Ketamine has been approved by the FDA for anesthetic for operations for decades. And in the 80's and 90's it became a party drug known as special K. But scientists in the late 90’s started to realize that glutamate, a neurotransmitter in the brain, may play a huge role in depression so they started to look for a medication that impacted glutamate- and voila- ketamine was the drug.
Ketamine is known to modulate the glutamate receptors in your brain, glutamate is an amino acid that the neurons in your brain use to communicate. Where SSRIs slow the reuptake of serotonin, ketamine targets a completely different system in the brain- glutamate and connectivity. SSRI’s usually take 3-8 weeks to see results. But ketamine reduces the symptoms of depression, usually quite rapidly (within 24 hours) and the effects of one treatment can last weeks to months. So ketamine reduces the symptoms, but we don’t know if it treats the underlying causes of depression.
Obviously when depression is a normal response to challenging experiences, no drug is going to solve those problems, but it may give the brain enough of a leg up so that you can get functioning again to face those problems. We still don’t have enough studies to know the effectiveness on a large scale, but initial outcomes appear to show effectiveness with 60-85% of people with severe depression. This is huge for a group of people who felt no meaningful improvement on antidepressants.
Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional for $65/week. Try it now for 10% off: https://betterhelp.com/therapyinanutshell
Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com/?utm_source=podcast&utm_medium=03252022
Support my mission on Patreon: https://www.patreon.com/therapyinanutshell
Sign up for my newsletter: https://www.therapyinanutshell.com?utm_medium=YTDescription&utm_source=podcast
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

Mar 17, 2022 • 13min
Mastering the Paradox of Acceptance and Change With Anxiety
Join the discussion on acceptance and change and discover a new perspective to live your best life. Explore the paradox of acceptance and change in dealing with anxiety and the importance of embracing emotions. Discover the balance between acceptance and change for growth and progress.

Mar 10, 2022 • 17min
Are You Ask Culture or Guess Culture? This Communication Skill Is Life-Changing
Most people don’t even know about this communication style, but if you did, you could solve a lot of problems in your relationships.
You can learn to improve relationships by learning how to identify whether you are an asker or a guesser. This is a communication style that no one is talking about, but if you learn it, your life can change for the better.
In guess culture style of communication you try to put out feelers, because you don’t want to make someone uncomfortable by asking directly. You may hint at a request or subtly suggest something, and then only ask directly if you’re pretty sure the answer will be yes.
In guess culture you rely on shared cultural norms. For example in Greece, it is rude to leave food on your plate- it signals that you didn’t like it. In China it is rude to clear your plate because it sends the message that there wasn’t enough food offered. The subtleties of the culture allow for people to show respect and consideration for each other, but can lead to confusion for outsiders. Askers may hate this, but the reality is, a huge amount of communication is nonverbal.
This is ask culture. In some families you grow up with the message “It can’t hurt to ask.” but you might get no for an answer. That’s ok.
My sponsor, BetterHelp, connects you to a licensed professional for $65/week. Try it now for 10% off: https://betterhelp.com/therapyinanutshell
Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com/?utm_source=podcast&utm_medium=03102022
Support my mission on Patreon: https://www.patreon.com/therapyinanutshell
Sign up for my newsletter: https://www.therapynutshell.com?utm_medium=YTDescription&utm_source=podcast
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

Mar 10, 2022 • 12min
4 Ways to Manage News Anxiety
The news can make you really anxious, but you can learn to manage that anxiety. If doom scrolling is ruining your day or if the steady stream of bad news is getting you down, depressed, or overwhelmed, take a few minutes to learn how to manage anxiety about the news.
It’s been a rough weekend for Ukraine and the world. The news coming out of there is painful and scary to watch. And I know it’s affecting a lot of people.
Over the weekend, one of my friends posted how the news was making her anxious, discouraged, overwhelmed, and I know that’s the experience for so many of you kind, sensitive people. It’s stressful to care, but even more than that, our brilliant brain believes we are in danger when we read about other people who are.
So in this video we’re going to talk about how your brain has a reptilian reaction to the news and this can mess up your life, and four ways you can actively manage your brain so that the news doesn’t make you depressed or overwhelmed with anxiety.
News anxiety doesn't haven't to control you. Learn to manage it in a healthy way.
Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional for $65/week. Try it now for 10% off: https://betterhelp.com/therapyinanutshell
Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com/?utm_source=podcast&utm_medium=03102022
Support my mission on Patreon: https://www.patreon.com/therapyinanutshell
Sign up for my newsletter: https://www.therapynutshell.com?utm_medium=YTDescription&utm_source=podcast
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

Mar 8, 2022 • 7min
Morning Anxiety? It Might Be Cortisol Awakening Response
If you go to bed worrying about your day, your body’s like, “Hey, let me help you out. I’m going to give you a dump truck load of cortisol the minute you wake up, doesn’t that sound great?” Then you may experience anxiety upon waking. This is called the cortisol awakening response. It's connected to your circadian rhythm, and depending on how you look at it, it’s a blessing or a curse.
If you wake up to anxiety first thing in the morning, you know how uncomfortable it can be. In this video we’re going to talk about how cortisol is different in the morning and what you can do about it to better decrease your morning anxiety.
Cortisol is a stress hormone that your adrenal glands pump out in response to fear or stress. It helps your body prepare for action and it makes your heart beat faster, and can make you feel jittery and anxious. Even for people without high levels of stress cortisol levels are generally highest within the first hour of waking up.
Some people wake up with a jolt of anxiety, so powerful that it makes the whole day seem overwhelming. Some people feel frozen in their beds. Some people get activated, irritable, jittery about their day or engage in frenetic activity (this one’s me). Or that jolt of cortisol makes some people wake up to panic attacks or feel like they’re about to have one. Not the way you wanted to wake up.
Why would your body do that? Cortisol’s function is to help you get alert and perform. If you’re playing soccer, cortisol helps you get pumped up and play hard. Cortisol can help you be motivated to finish a report for work or jump out of the way of a speeding car.
But if you go to bed worrying about everything you have to do tomorrow, the brain makes a secret plan: “I’m going to help my human get super activated right when he wakes up.” So it plans a little surprise party for you. Alarm goes off, Surprise! Dump-truck load of cortisol.”
Anxiety is an emotion. Emotions aren’t just bad things that happen to you, emotions serve a function, and when it’s functional anxiety helps you take appropriate action to stay safe and get things done.
But when we have too much anxiety that we don’t know what to do with, anxiety can trap you in a cycle of worrying about things without taking action, and make it hard to complete tasks.
Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional for $65/week. Try it now for 10% off: https://betterhelp.com/therapyinanutshell
Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com/?utm_source=podcast&utm_medium=03082022
Support my mission on Patreon: https://www.patreon.com/therapyinanutshell
Sign up for my newsletter: https://www.therapynutshell.com?utm_medium=YTDescription&utm_source=podcast
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

Feb 2, 2022 • 13min
How Self-Diagnosis Can Harm You
Learn about the dangers of self-diagnosis from online symptoms, how it can harm your mental health, and the influence of societal discussions and pharmaceutical ads. Explore the impact of limited resources and psychology trends, and the importance of seeking professional help and mental health education.

Jan 30, 2022 • 9min
How to Stop the Shame Spiral
When you make a mistake you have two choices. Knowing the difference between shame and guilt can change your life. Let’s say you hurt someone you really care about. Guilt says “What I did was wrong. I made a mistake.” Shame says “I am a mistake. There’s something wrong with me.”
Is shame ruining your life? Is shame ruining your relationships? Do you feel like you’re a piece of crap? Do you feel broken when you mess up? Shame leads to defensiveness, trying to cover up what you’ve done, or just giving up.
Brene Brown teaches how shame ruins relationships, but in this video I go into detail. Shame is a very subtle form of avoidance. It’s your super smart brain trying to squirm it’s way out of responsibility by saying that you had no choice because you’re just a bad person.
But shame is a lie. It’s a distortion. Shame can lead to self-punishment, withdrawal, blowing up relationships, and destructive behaviors like drug use. On the other hand, guilt - I’m not talking about exaggerated guilt due to impossible standards - but honest guilt can actually help improve relationships. For an addict in recovery, feeling guilt can be a sign that you’re going through a healthy recovery process by owning your behaviors and trying to change them.
Want to let go of shame and excessive guilt? My sponsor, BetterHelp, connects you to a licensed professional for $65/week. Try it now for 10% off: https://betterhelp.com/therapyinanutshell
Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com/?utm_source=podcast&utm_medium=01292022
Support my mission on Patreon: https://www.patreon.com/therapyinanutshell
Sign up for my newsletter: https://www.therapynutshell.com?utm_medium=YTDescription&utm_source=podcast
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

Jan 28, 2022 • 16min
How to Stop Panic Attacks 3/3
In this podcast, they discuss how to stop panic attacks by challenging the belief that they are dangerous. They emphasize that panic attacks are uncomfortable but not physically harmful. They also explore the importance of accepting uncertainty and embracing anxiety. Strategies to stop panic attacks include recognizing and reframing panic stories and accepting emotions. Accepting and making space for uncomfortable situations can help overcome panic attacks and setting habits instead of goals can reduce anxiety.