• 444: I'm angry! Live Work with Sunny, Part 2
    2025/04/14
    I’m angry! A Once-Undocumented
    Immigrant Speaks from the Heart-- Live Work with Sunny, Part 2

    Last week you heard Part 1 of the Live work with Sunny, who’s struggling with radically conflicting emotions. On the one hand, he has finally achieved his dream of an incredibly happy and fulfilling life, but he is frequently plunged into profound despair, fear, and anger because of the increasingly adverse political climate for people who are “different”—in gender identity, sexual orientation, nationality, political beliefs, skin color, and more. And he is shocked, fearful, and angered by the mean-spirited treatment so many are receiving—and which Sunny has endured throughout much of his life as well.

    Today, you will hear about how we set the A = agenda for our session with Sunny, along with the M = Methods we used.

    You can find Sunny’s goals for each negative feeling at the end of the Positive Reframing, and at the end of M = Methods, if you

    Click here

    His scores on the Empathy and Helpfulness Scales in the Evaluation of Therapy Session were perfect.

    Here are some of the take-home lessons from this session with Sunny.

    1. Unhealthy negative feelings result from distorted negative thoughts, like “I’ll be miserable forever.” Healthy negative feelings, in contrast, result from thoughts that are realistic and, for the most part, undistorted. Healthy negative feelings do not usually require any kind of “treatment,” but skillful empathic listening and support will nearly always be appreciated.

    2. Empathy can be very powerful, and it is absolutely necessary for a meaningful therapeutic relationship, but empathy alone is not enough to change the way someone feels.

    3. Finding compassion for someone who has harmed you, while extremely challenging, can also bring you peace.

    4. Emotions such as anger, sadness, and anxiety are important protective instincts. And one can feel these emotions and be compassionate and loving at the same time.

    5. As a therapist it can be tempting to either assume that you can’t help a patient because their feelings are “normal,” or to try to cheerlead or problem-solve for a patient to cheer them up, but the TEAM-CBT model allows us to collaborate with the patient, understand when and how they want to change, honor their resistance to change, and offer them the tools they need to change in a way that honors their values.

    Thank you so much for listening and joining us. Rhonda, Jill and I are deeply indebted to you, Sunny, for your courage and vulnerability last week and today, letting us into your world on such a personal level. We love you and will always be grateful to have you in our lives, both professionally and personally!

    Sunny, Rhonda, Jill, and David

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    1 時間 11 分
  • 443: I'm angry! Live Work with Sunny, Part 1
    2025/04/07
    I’m angry! A Once-UndocumentedImmigrant Speaks from the Heart-- Live Work with Sunny, Part 1 Sunny Choi is a beloved member of the TEAM community. He grew up in Hong Kong before emigrating with his family to the United States when he was 11 years old. He graduated from UCLA with a major in engineering, completed a master’s degree in Engineering Management at Stanford, and developed a successful career in high tech Silicon Valley companies. However, he left his work to pursue additional graduate training in clinical social work because he discovered that his strongest call was to help individuals who were being marginalized by American culture and suffering. He then obtained an MSW degree with a specialty in Community Mental Health from California State University. We were fortunate when Sunny discovered and joined our free Stanford TEAM CBT training group, and blossomed into an expert TEAM therapist and beloved colleague and friend. Today, Dr. Jill Levitt and I worked with Sunny because he requested a session to work on his own troubled feelings concerning the recent political developments. He emphasized that he wanted to do personal work, rather than focusing too heavily on the current political controversies and battles. You can find the Daily Mood Log (DML) that Sunny prepared just prior to his session if you click here As you can see, at the top of his DML, he described the upsetting event as tearing up when he was teaching a class and discussing a case of a transgender Mexican American man, and he began reflecting on his own memories of growing up as a gay male and undocumented immigrant. Sadness and anger were the two strongest negative feelings (rated 70 and 80, respectively on a scale from 0 to 100), although he was also moderately anxious, guilty, rejected, hopeless, and frustrated. You can also see the ten negative thoughts he recorded on his DML, and how strongly he believed each one, on a scale from 0 (not at all) to 1000 (completely.). During the session he added three more thoughts: 11. I (shouldn’t be) living such a happy and pleasurable life when others are suffering. 70% 12. I should be helping others more. 80% 13. I have to figure out the correct way to be thinking and feeling. 50% At the start of the session, he said that he felt vulnerable and nervous discussing such personal feelings, memories, and thoughts. He also said that after doing much personal and professional work, he was generally happy and loving, but felt profoundly disturbed when he thought about so many people who are suffering. He said, “Many of my clients are being deported. And those who are gay are worried that they’ll lose access to their medications.” These were the kinds of thoughts that triggered his feelings of guilt. During the empathy phase, Jill mentioned that she felt honored to be talking to Sunny today and proud to be a member of a community where you can reach out when you’re suffering. She added that she felt torn, as I did, because it seemed to us that many of his negative thoughts were realistic, and not distorted, and that it makes sense to feel sad, anxious, worried, and angry. For example, his first negative thought on his DML was, “The world is much more unstable and dangerous now.” Sunny emphasized that most of the time he does feel happy, especially when involved with friends and family, and doing the things he loves. But then he gets confused and guilty, wondering if it is right to feel happy when things are looking so dark for so many people. It certainly makes sense to feel unhappy when, as Sunny said, some of his clients and friends have lost their jobs and people in the LGBTQ+ community are afraid they’ll get deported. And we’re all afraid to speak up and talk about diversity, which has become a dirty word that can get you into trouble. And when Sunny thinks about this, he feels profound sadness and compassion. But as previously noted, this has caused confusion for Sunny, and he struggles with feelings of guilt about the fact that he is truly happy so much of the time. He’s happy about his beautiful life, his marriage, and more—this, in fact, is his happiest he’s ever been. Here’s how he puts it: “I used to be undocumented. The experience and the hostility and bias I confronted traumatized me. And when I heard Trump talk about all the ‘murders and rapists’ invading our country from Mexico, I became tearful. I feel angry—they don’t think we’re human. “I want people to be more compassionate. . . . To say we’re rapists and criminals, it’s not okay. . . it’s mean, and it’s very harmful to mental health. . . . It’s like repeatedly poking at someone who is recovering from a terrible wound, and it hurts.” Jill was touched, and found Sunny’s vulnerability heart-warming, beautiful, and refreshing. Rhonda reminded us that unless we are Indigenous Native Americans, all Americans are descended from immigrants. In my own case, all my ...
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    1 時間 3 分
  • 442: Eliminate Anxiety Fast: The Awesome Hidden Emotion Technique
    2025/03/31
    Ask David: The Awesome Hidden Emotion Technique Featuring Matthew May, MD with Rhonda and David

    The following answers to Ask David questions were written prior to the live podcast where Matt, David, Rhonda, and others discuss the questions in real time. Their answers may differ from Dr. Burns responses listed below.

    1. Michael asks: How did you invent the Hidden Emotion Technique? It’s been incredibly helpful to me!

    Hello, Dr. Burns,

    Your lifelong work continues to be invaluable to me and so many others, and I apologize if this question was answered on a previous podcast. To my knowledge, it hasn't been. I was wondering how you discovered or created the hidden emotion model? I recently struggled with inexplicable death anxiety that came on every night since college started back up, and I was at a loss, until I remembered the hidden emotion model and wondered if there was something I wasn't acknowledging? Sure enough, I discovered I was actually quite resentful of my new schedule not allowing me to easily fit the gym into my schedule unless I wanted to forgo valuable sleep. Once I had addressed this resentment, the death anxiety vanished. I would love to know how this wonderful technique became part of your phenomenal practice!

    -Sincerely, Michael Polus.

    David’s reply

    You can read all about it in When Panic Attacks, when I learned about it accidentally based on an interaction with a patient who was stuck. Perhaps we can answer it on a podcast.

    Thanks! david

    2. Janie asks: How can I help a patient who ruminates?

    My client ruminates, that is she experiences repetitive thoughts about conversations and gets stuck in the negative feelings that come from dwelling on those thoughts and conversations.

    She has referred to it as repetitive thinking about conversations that were distressing in some way. She replays the conversation in her head, and evaluates and re-evaluates her responses. She then plays the conversation using possible different responses she COULD have used and worries whether these would have been better responses.

    The first individual is a friend where the friendship is very challenging and interwoven into many parts of my patient's life. My patient ruminates about conversations and wonders over and over if she said the right thing or wonders how the friend took what was said. It is a loop that my patient often gets stuck in for long periods of the day. The second individual is my patient's husband. With him, she ruminates about how to say things to him so she can motivate him to be involved in the ways she wants him to be. We will work on these relationships using the 5 secrets eventually, but first she'd like to work on the rumination because it takes up so much of her time.

    How can I help her?

    David’s Reply

    I would recommend

      1. TEAM CBT in a step-by-step manner. I do not, in general, like to throw techniques at people based on a description of a problem.

      2. Motivational techniques to reduce resistance and bring resistance to conscious awareness.

      3. Paradoxical Cost-Benefit Analysis

      4. Dangling the Carrot / Gentle Ultimatum / Sitting with Open Hands

      5. The Hidden Emotion Technique

      6. What If / Downward Arrow Technique

      7. ERP (Exposure plus response prevention)

      8. Many other techniques inspired by methods a and b above (TEAM CBT)

      9. Feared Fantasy: confronting her worst fear

      10. Five Secrets of Effective Communication

      11. Work on acceptance: she is perfectionistic and self-critical

      12. Hidden Emotion: anger

    Thanks for listening (and reading the show notes),

    David, Rhonda and Matt

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    51 分
  • 440: Who is the REAL David?
    2025/03/17
    Getting to Know David David Answers Personal Questions!

    We all know David Burns as the creator of TEAM-CBT, but not many people get to know David, the person. It is fun to know David the person, because he is just like all of us. He is a real person (not a robot), full of life and love.

    I want everyone in our audience to be able to relate to David on a deeper level, to feel a sense of connection with him, and hopefully for all of us to build our sense of community with each other. Thanks so much to Stan Dickens, TEAM UK, for submitting these questions and sparking this discussion. The complete list of questions was much longer, but I (Rhonda) have selected the ones listed below.

    I hope you like listening to this podcast, Rhonda

    The questions are not necessarily in the order listed below, but all are answered on this podcast. David’s answers are all 100% spontaneous, and you will hear them on the podcast!

    Music & Entertainment

    1. Which band do you like most, the Beatles or the Rolling Stones? (David, please say The Beatles!)

    2. Following on from that, what kind of music do you listen to? Can you tell us about some of your favorite musicians, bands, or composers?

    Here are some links to just a few of a great many favorite songs of mine. David

    • Tom Waits Never Let Go (of your hand)

      https://www.youtube.com/watch?v=pROjyuj2P8k&list=RDpROjyuj2P8k&start_radio=1&rv=fGe2igm7Ieo

    • Rickey Nelson It’s Up to You

      https://www.youtube.com/watch?v=vsBP5P0Xe2c&list=RDvsBP5P0Xe2c&start_radio=1

    • James Brown Please Please Please

      https://www.youtube.com/watch?v=vruy2GRUsV8

    • Mick Jagger and Muddy Waters Please Don’t Go!

      https://www.youtube.com/watch?v=Mbao_laqF8E

    • Jim Croce I’ll have to say I love you in a song

      https://www.youtube.com/watch?v=WB6FQBp-YwU

    • Last Train Home Pat Metheny

      https://www.youtube.com/watch?v=goXJTv_U-PM

    • Lucy Thomas “Hallelujah”

      https://www.youtube.com/watch?v=dLk9pzmaFHY

    3. If your life were turned into a film, who would play you?

    4. Can you speak with an English accent? Would you be brave enough to give it a try right now?

    Career & Professional Reflections

    5. If you hadn’t dedicated your life to cognitive behavioral therapy and mental health or authored Feeling Good, what might you have done instead?

    6. Is there a common misconception about you or your work that you’d like to clear up?

    Personal Insights & Philosophy

    7. If you could have dinner with three historical or modern figures, dead or alive, who would it be and why?

    8. If you could give your younger self just one piece of advice, what would it be?

    9. How did you meet Melanie, and what do you love most about her?

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    50 分
  • 439: The Vape Escape!
    2025/03/10
    Vaping--Why and How I Quit. Featuring Dr. Kyle Jones

    Today we feature a beloved friend and esteemed colleague, Dr. Kyle Jones who will talk to us how he escaped from his vaping addiction. Kyle is a clinical psychologist in private practice, now residing in Los Angeles. However, he works virtually throughout California.

    He co-leads the OCD Consultation Group, a monthly consultation group for clinicians wanting to improve their competence in treating OCD. He also servs on the adjunct faculty at Palo Alto University where he teaches in the clinical psychology masters and PhD programs. He's recently joined the alumni council in the Department of Psychological and Brain Sciences at the University of California, Santa Barbara.

    This is the fourth in our recent series on TEAM CBT for habits and addictions (431, Screen Addictions with Brandon Vance; 437, Porn Addiction with Thai An Truong; 438, Overcoming Habits & Addictions with Jill Leavitt). We want to remind you about an awesome virtual workshop on habits and addictions that Dr. Jill Levitt and I will be presenting on March 28th. We will feature powerful new paradoxical techniques that will blow your socks off. It will be from 8:30 to 4:30 and you will earn 7 CE credits while having fun and learning how to heal yourself AND you patients. Check it out!

    Registration and More Information Here!

    Today, Kyle gave a brief history of vaping, which entered the scene around 2010, and described the experience as pleasurable and addictive. An estimated 3 million teens are addicted, and the flavored versions are quite tasty, but banned in California.

    He described his first exposure to smoking when he was 19, and living in Paris. It was “the” thing to do at that time, but he eventually gave it up, but later began to take a hit or two of vaping at a party, and then purchased his own vaping device in 2023.

    “Shamefully, he says, I tried to hide it from my partner and from other people, and I would vape in the bathroom.” He vaped for most of 2024, but explains that eventually, it got out of hand. At New Year’s 2025, he listed the advantages versus the disadvantages of vaping, and made the decision to give it up. This was difficult because of the withdrawal effects that lasted for several weeks, including intense cravings, fatigue, difficulty sleeping, irritability, anxiety, and the urge to overeat.

    The TEAM CBT technique that helped the most was HAL, the Habit and Addiction Log, and we demonstrated the Devil’s Advocate Technique. Rhonda and David played the role of the Tempting Thoughts and Kyle bravely battle back. Here’s the list of thoughts:

    1. I’m driving, so I can just vape in the car.

    2. Here’s a chance for a nice break. I can vape right now!\

    3. I can take another hit, no problem! I’ll just get a little feeling of pleasure.

    4. I need It tastes sooo gooood!

    We translated the “I” statements into “you” statements to maximize the temptation, and were as seductive as possible. But no matter how hard we tried to tempt Kyle, he won “huge” and hit it out of the park.

    We discussed Relapse Prevention, and Kyle described being at a party on Friday where some people were vaping and sharing the vape.

    We also described and illustrated the powerful Triple Paradox, which works paradoxically.

    I have personally trained Kyle in TEAM CBT, along with many other fine TEAM teachers, and he was always brilliant, compassionate and extremely effective in his therapy work. He works with the full spectrum of mood and anxiety disorders, and has a bit of a specialty in the treatment of OCD.

    Thanks for listening today!

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    1 時間 5 分