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84. How Do I Set a Boundary? with Kristen D. Boice, LMFT

In this episode, Carrie sits down with licensed marriage and family therapist Kristen Boice to explore the practicalities of setting boundaries. They discuss the importance of boundaries for those struggling with anxiety, emphasizing how saying “no” can create space for what truly matters in life.

Episode Highlights:

  • The fundamental principles of setting healthy boundaries in relationships.
  • Practical strategies for identifying when to say “no” and when to say “yes.”
  • Tips for effectively communicating your boundaries to others.
  • The role of self-awareness in recognizing your own needs and limits.
  • Techniques for maintaining your boundaries in the face of pressure or resistance.

Episode Summary:

Welcome to Episode 84 of Christian Faith and OCD! I’m your host, Carrie Bock, and today we’re diving into the essential practice of setting boundaries. This episode builds on our earlier conversation in Episode 70 with Erica Kesse, where we explored the theory behind boundaries.

I’m excited to have Kristen Boice, a licensed marriage and family therapist from Indianapolis, joining us. Kristen’s expertise lies in trauma, EMDR, and brain spotting, and she is passionate about guiding individuals to find their center while navigating their needs without guilt or shame.

Kristen shares her expert advice on recognizing when boundaries are necessary and how to set them effectively. She emphasizes paying attention to our body’s signals—like a tight jaw or an anxious stomach—as important cues to protect our energy. Kristen also provides practical tips on setting boundaries with clarity and compassion, including the “acknowledgment sandwich” technique, which helps communicate effectively without sounding harsh.

If you’ve struggled with setting boundaries or need help with communicating your needs, this episode is for you. Tune in for actionable strategies on setting boundaries, enhancing self-awareness, and improving your interpersonal relationships. Don’t miss this enlightening discussion with Kristen Boice!

Related Resources:

Kristen D. Boice, LMFT

Explore Related Episode:

Welcome to Hope for Anxiety and OCD, episode 84. if you’re just finding our show, I am your host, Carrie Bock, and our podcast is really focused on reducing shame, increasing hope, and developing healthier connections with God and others. Today we’re really focused on that third goal as we do a follow-up episode on boundaries.

So back on episode 70, wee had an episode about What are Boundaries, and Why are They Important? with Erica Kesse. That was more of an ideological episode, more on the theory of boundaries, and this episode is going to be more practical. So I’m really excited to have found a guest who can. Walk us through the practicality of what it means to set boundaries.

I know that this is a very important topic for people who struggle with anxiety and something that I’m constantly working with clients on because when we don’t have healthy boundaries, we end up being, we take on too much and we end up becoming more anxious about it. It’s interesting. Kind of before we get into this conversation, I am in the season of No right now, which has been very interesting for me because.

I have had to say no to a lot of different things. I’ve said no to professional events and trainings. I have said no to personal meetings with people and it’s just reminded me how saying no to all of those things because in my season of life right now, I have a six-month-old. I have a husband with some health issues and some other family things going on that this has allowed me to say yes to the people and the priorities that are most important to me, even though sometimes it hurts to say no because some of the opportunities that are coming my way are really good and things that I want to do, and sometimes it’s just not the right season to do those things.

So today I have with me Kristen Boice. So Kristen, welcome to the show.

Kristen: Thanks Carrie for having me. And in your intro I was thinking this speaks to so many people to have the season of saying “no” so you can say yes to what matters the most in your life. And it’s not always easy.

Carrie: No, it’s not. So tell us a little bit about yourself and what you do.

Kristen: So I am a licensed marriage and family therapist and I have a group private practice with 15 clinicians. We specialized in trauma, EMDR, and brain spotting here in the Indianapolis area. My passion is helping people feel centered in who they are, that it’s okay they have their own thoughts, feelings, opinions, and they’re able to have a voice without feeling guilt and shame over what they need, what they want. And having more clarity, confidence, compassion, calm in their life.

So that’s really what I feel passionate about helping people really find their center, find that anchor point within themselves so they can feel more confident in their decision-making and self-doubt.

I find a lot of people doubt even when they set a boundary or make a choice, and they’re like, “Ooh, are they gonna be upset with me? Did I make the right decision? Was that what I should?” The “should” Is that what I should have done? So that’s what I feel really passionate about. And then I have a podcast called Close the Chapter where we focus on closing, what doesn’t serve you and opening the door to possibilities.

Carrie: Good. I like all of that. That all sounds really great. 15 people is a pretty sizable group practice too. I’m sure that did not happen overnight. You have stuck the course and built the thing.

Kristen: That was definitely Holy Spirit-led. That was not me. I’m just the vessel and my team is very centered in that, and that’s really at the heart of what we do.

It’s we’re just the vessel to help people find healing. So it’s not one of those things that I went out and created. It kind of created itself, so to speak. I mean, yes, I’m managing it. Really, I never solicited one of the clinicians

Carrie: Wow.

Kristen: That’s all God-led. So it’s really been remarkable to be a part of it and it’s been an honor and a privilege to walk clients through the healing journey.

Understanding Boundaries and Their Importance

Carrie: Absolutely. So I’m curious for you, like when you know, like we were talking last episode in terms of identifying that a boundary needs to be set, like maybe an internal feeling of anxiety or anger, what internal cues like do you personally experience when you know like, “Okay, it’s time for me to set a boundary here.”

Kristen: My body will tell me the cue, so I might get a pit in my stomach. I might get that. Oh, I can see, for example, you have a family member that you know is gonna activate your nervous system and you can see them texting you or calling you, and I can immediately feel that in my nervous system, that butterfly in my stomach, or that adrenaline rush or that.

My body might even tense up in my shoulders or my jaw might get tight. Yeah. So my body is the first thing, my nervous system to tell me to check cuz it can zap your energy that if I’m not protecting that energy, that can wipe me out from being the mom I wanna be from being the partner, I want to be the wife, the leader of the team, the best clinician I wanna be.

If I’m putting my energy towards something that’s gonna zap. Yeah, so I’ve learned energy is so important and if I don’t honor that, then I don’t have it to give where it’s most important to me. Yeah, and that’s so relevant in terms of self-awareness of just us being tuned in to what our body is trying to communicate to us.

I really believe that God gives us that for a reason, just that internal sense to be the first. And I’m just curious, I know I’ve talked with clients who have said, I just don’t even feel like I have the right words or the right language because maybe boundaries were never modeled for them in their family or in other relationships.

Practical Steps to Setting Boundaries

Carrie: And what kind of help would you give those people in terms of like tone of voice and word choice that we want to use, like when we’re setting boundaries? This is the one thing I feel so passionate about. We’ll even do role play, like, okay, I’ll be like, You’ll be you. I’ll be the person you’re setting the boundary with so they can get more comfortable in their own nervous system to say it.

Kristen: So the first thing I recommend, kind of the first step is take a deep breath. Hmm, that’s good because we wanna anchor in and feel centered. So I like feeling your feet on the floor, kind of feeling yourself present in this space, in this time. So it might take three or four breaths to get kind of centered to get the courage to say what you wanna say, to get the clarity.

And I encourage people. The second thing is, if you’re nervous about it, to write out what you might wanna say, for example, So let’s say your mom is blowing up your phone, . You’re like, I love you. So I will say the acknowledgement sandwich. I love you and I can’t talk right now. I will text you when I have a moment, something like that.

And the “I love you and it’s not, I love you, but because the “but” kind of take it, erases, it kind of feels manipulative. So I like to do the acknowledgement piece first. You don’t always have to do that. Or let’s say someone invites you to do something at school and you’ll say, Thank you so much for asking.

And right now I can’t, let me know the next time and I’ll see if I have the. Or the time. So what you’re doing really is creating a positive on the front end and the back end for people. I’ve heard some people say this, I don’t know if they call it the compliment sandwich or the criticism sandwich, something like that.

I called the acknowledgement sandwich where you’re acknowledging that the person’s intention was pure on the other side, like they want, And it’s not always, but for example, if like the school wants you to volunteer for something, you can understand that they need it. Sure. I know you really need a volunteer and I so wish I had the time to help and unfortunately right now I don’t.

Thank you so much for asking that. Acknowledging that intention on the front end and setting the what you can and can’t do. That’s the boundary. What can and can’t I do. So it might even look like, thank you for asking for me to bring, I don’t know, xyz. I can’t bring that, but I can bring chips and salsa like so I’m saying what I can’t bring, like I can’t make a homemade dish right now and homemade brownies.

However, I’m more than happy to bring chips and salsa. So you can’t say I’m giving you kind of benign examples, but you can offer like, Here’s what I can do, here’s what I can’t do. Those are nice f. And the tone of voice. So if it’s more of a harder boundary, for example, it might be a family member might feel really activated or triggered by that family member and really taking the deep breath.

And if you cannot respond, where you’re gonna be more intense and maybe have more of an angry response. Where it’s, you’re not gonna be real regulated. I always recommend take a pause. When you do feel like you have the, you’re more centered in your response. Maybe you pray over your response, you feel more clear in your tone of voice texting so hard.

But if you’re saying it verbally, where you can soften your voice a little bit, you can still be clear and direct. People are afraid. I don’t, I don’t wanna be nasty. You don’t have to be nasty at all. I can be very loving, but very clear and direct in my boundary. So I know you really wanna connect right now cuz that’s why they’re texting you and I’m not available.

I will reach out when I have a moment and I’m not sure when that is, but I’ll reach back out when I have a moment. Or if you’re on the phone with somebody, let’s say they’re getting really intense on the other line and you can feel your nervous system kind of getting really activated. You’d say, I love you and I need to get off the phone right now.

Overcoming Challenges and Reaping the Benefits

Carrie: That’s good. So sometimes nasty. I’m just clear and sometimes you can plan your boundary setting if it’s an ongoing issue that you know that happens such as mom gets into rages on the phone, and then you can say, Okay mom, I just want you to know when if you start to escalate or if you start to raise your voice at me, I’m going to get off the phone.

Just so that you are aware of that, and then you can tell ’em kind of ahead of time and then when it happens in the moment, like you’ve already prepped the person, right? So then when it happens, it’s not a surprise to them anymore. You’ve already, then you’re just enforcing the boundary that you’ve already said.

Okay. You know, remember when we talked that if you started yelling, I was gonna get off the phone, I’m gonna get off the phone now going through the next thing I. A lot of times when people don’t have the confidence, they come, their boundary comes out like almost like they feel like a mouse is talking like, Oh, please don’t, Well maybe if you could not do this, and it’s this long drawn out thing.

What I’m hearing you say is really keep it short and more direct, so we don’t want anybody to miss what we’re trying to communicate to them in these situations. Just be short, clear. And one of the things I think that I really wanna emphasize on the back end is people think, well then they won’t be upset with me if I just say it a certain way.

If I just, And that’s when we go on and on and on cuz we’re trying to manage their response or their reaction or their emotions and we can’t. So when we go, okay, they may respond well and they may. and I can’t control how this is gonna land for the person. I can only manage how I say it and feel really good about how I said it and feel like I came with a regulated as much as I could, nervous system, and I said it in the most centered way I could.

Kristen: So what was my centered message? My centered message is It’s not okay. Maybe it’s not okay to yell at me and I’m gonna get off the phone. Now. We had, I kind of explained the ba, you don’t even have to say the word boundary. I explained if you start yelling, I’m gonna get off the phone. I love you and I’ll talk to you later.

It’s more your centered message and your centered in your nervous system. Those go hand in hand.

Carrie: And even, I think adults and children respond similarly because when we think about setting boundaries, a lot of times we think about that in terms of discipline with children, No, you’re not allowed to run in the house.

Those types of things. And. If you give this long, drawn-out explanation about now if you run and this could happen, that could happen, and your message of what you’re trying to convey can actually get lost in the shuffle, rather than just saying, This is the line in the sand, and I think adults are similar.

I mean, would you agree with that? Like just respond similarly to the message? For sure. I think one of the most important things is if we aren’t clear and direct, the person has no idea. I’m working with couples especially, they’re like, Well, you were, I know you’re really trying to be helpful, which is nice.

Kristen: That’s a good front-end kind of acknowledgement. But then they go on and on and on and then they’ll say, And I just wish we could have a little more connection time. And I’m like, “Okay, what are you exactly saying?” Oh, you want the person to put the phone down when you’re at dinner, turn the phones off so you can have more connection time.

So that’s more clear and direct rather than making it this big, broad invitation where the other person feels so overwhelmed and lost and not clear on what you’re saying. So it can be helpful to the other person’s nervous system, even though they may not like it to be more specific. Then they can decide whether they wanna do that or.

So if someone says, I would love to have where we put our phones away for dinner, would you be willing to do that? And they say No, then you’ve got it. Then you have to deal with your own feelings around that.

Carrie: Yeah. I think this is good because I know that I’ve worked with a lot of women who think that they are communicating something to their spouse.

And I won’t understand it, what they’re trying to communicate that they’re saying. And I’m like, Okay, so let’s boil this down to like, what is it that you actually want? Knowing what you actually want can be a really good precursor to setting a boundary or communicating with someone else about something.

And that I think you can kind of queue in just being more mindful internally. What is it that I would like in this relationship? I want more connection. Okay. So if you had more connection, what would that look like? Oh, he wouldn’t be texting on the phone during dinner. Okay. Well, that’s a pretty clear behavior that could be changed by someone that you’re asking.

I think sometimes If a man hears, I want more connection. Well, I mean, that could. 20 different things, you know, what does that mean? So I think that this is a really good concept for people to, when they’re creating the boundary. I like what you said earlier, and I wanted to circle back around to it and not miss it.

You talked about writing down what you want to say, and I definitely have made some bullet points on a post-it note for things that I wanted to make sure that I communicated to people in my life, especially when I knew they were gonna be hard, heavy, emotional conversations. Sometimes you can’t be a hundred percent regulated, you know you’re going to be nervous in that conversation or you know it’s gonna be hard.

And you may forget things because of that emotional reactivity you were talking about. So just having those one or two points, that’s kind of like the bottom line message that you wanna come across with, I think is so valuable and beneficial.

Kristen: Yes. I’ve worked with several clients where they had an emotionally unavailable parent.

What does that mean? Like they didn’t, the parent wasn’t available to acknowledge their feelings or hear what they had to say. Really be attuned to them. So I had one client and what I had typically as I’ll do a letter writing exercise where you’re writing, this is not to give them, this is for you to get clarity on what are you wanting specifically from like what are you hoping to get out of this conversation?

Right? Yeah. So they write the letter and then we do three bullets of what are you asking for? What are the three central messages, what are your centered messages that you are trying to communicate? And you put it in the three bullet points. And then when you go into the conversation, it’s okay to take the letter.

It’s okay to take the bullet point, post it. It’s okay to take those or put it in your phone to have something to re. Because your brain will then cue when we get anxious, sometimes we can go and fight-flight, freeze Fawn. Fawn is that people-pleasing response or even flop, or you kind of just faint, like your nervous system gets overwhelmed.

This can help you kind of cue the brain on, Oh yes, this is what I was trying to say. You feel more confident and clear. And what you’re communicating, and that can be really helpful when you’re having hard conversations or trying to communicate a boundary, what’s okay, what’s not okay with you, or what you’re wanting or needing. It’s more clear and specific.

Carrie: Yeah. So I wanted to go through a couple scenarios and I think you’ve already gave us some great examples and language and talked about the acknowledgement sandwich. So I’m gonna give you a couple maybe that are hard, more in terms of relationally, right? Like if someone we don’t know ask us to do so.

Might be a little bit easier to say no to it versus when someone asks something of us that we really want to please that person, or we have a close relationship and we’re afraid that somehow that relationship might get threatened if we set a boundary. So I’ll read you one of these and then just, I’d love for you to just respond how you would respond.

Kristen: That sounds wonderful.

Setting Boundaries: Saying No to Close Friend’s Request

Carrie: So let’s just say that your close friend asked you to help with the school fundraiser coming up next month, and now this is not just showing up for it, but it’s planning, there’s preparation, and then actually showing up. And so due to family and work commitments, you don’t feel like you can add one more thing on your plate right now. What do you tell?

Kristen: Thank you so much for asking for me to help with the fundraiser. I know you’ve got a lot on your plate. I so wish I could help and unfortunately, I can’t right now. Let me know in the future if you need help and maybe at that time I’ll be, I’ll have more bandwidths.

Carrie: Good. I still feel like you like me when you said that.

Kristen: Oh, good because maybe that’s feel connected.

Carrie: Yes. Like being able, to keep the relational connection because if someone’s asking you to do something, They know that you would be a good person for that. Probably like maybe you’ve done fundraisers in the past, or maybe you are a person that they know is going to show up and actually get the work done that needs to be done. So that is somewhat of an honor to be asked to do something like that.

Kristen: It is, and it feels good to us if we’re honest. A lot of times it feels good that we’re chosen because maybe our inner child says, Well, I was always picked last in gym class, or no one ever wanted to sit with me. And so that little part of you inside says, “Oh, that feels so nice to be picked.”

And yet we know we don’t have the energy or the time cuz it’ll take us away from what we want, need to pour into, which might be our child, our newborn, our husband that needs our attention, our friend, our another family member, or even yourself, right? Maybe you’re just at a burnout. And you’re feeling really run down and your tank is empty, you don’t have it to offer.

And that’s okay. We are so conditioned to be givers. And when the tank is low, I’m not at my best self. And then that brings shame of I’m not a good enough mom, or I’m not good enough wife, or I’m not a good enough boss. Fill in the blank. And. I don’t have the energy to really kind of recover cuz I’m sleep deprived, I’m exhausted, whatever.

I’m giving out too much and my tank is too low, so then I don’t have it to give what matters most to me. Yeah. So it’s so important that we are giving ourselves permission to identify when your tank is low, A boundary is necessary..

Carrie: I interviewed a cancer survivor recently who talked about accepting your limitations, but also not being defined by those limitations. Finding a balance and just respecting his energy level and what he has to give, and he has to say no to a lot of different things due to still being on a maintenance dose of chemotherapy and so forth. It was interesting to have that conversation because I think that it’s hard and somewhat painful sometimes for us to admit our limitations, to admit that we have a low level of bandwidth, or that we’re exhausted right now, or because of our mental health struggles, we’re not able to do something that’s a hard admittance sometimes for people.

Kristen: It is because the shame tells us you should do it. You should be a giver. You should be a good Christian, you should be a good person, you should be a good mom, you should be a good volunteer. The shame stories that we have and the conditioning block us from actually taking care of ourselves. Because once we get to the body shut down, we are really depleted. If we are getting sick, we are getting run down like we are. The body has tried to give us signals all along, but we’ve pushed through and now the body is saying, screaming at us. I am begging you to set these boundaries. I am begging you to listen to me, that I can’t keep going.

But the shame says, “Oh, but what are they gonna think if I say no?” See, the shame stories are big. Yes. And they block us from having the healthy boundaries many times. Absolutely. So watching the shame stories though should, and that guilt really is an invitation for us to go, Okay, I need to kind of regroup here.

I need to take a pause. And sometimes taking a pause to give you some time to come up with how you’re gonna respond is okay. Thank you for asking. Let me check my calendar and I’ll get back to you. So that pause can give you the space to then reenter and come back with. Thank you so much for asking. I wish I had the time. Unfortunately, I don’t Keep me in mind for next time, or you don’t even have to say, keep me in mind for next.

Balancing Work and Personal Boundaries: The Challenge of Saying No

Carrie: I have to admit that we’re gonna start talking about work boundaries right now, and I admit that I’m my own boss and I imagine you’re your own boss and have been for some time right now. But I have had many bosses in my day.

Don’t be fooled. I remember what it’s like to have a boss. Don’t worry. And I think a lot of times people feel like I can’t set a boundary at work because my job is my livelihood and I cannot threaten my livelihood. Will you talk to us about that piece a little bit? Because I feel like we are in the day and age where employers will just push and push and push the envelope to burn people out and sometimes don’t care.

Kristen: This is a whole different world now with the phones and we are mobile. Yes. So the boundaries feel very diffuse and like we feel like we should respond to the email right away, or they’re gonna think they’re, I’m not working, or they’re gonna think I’m not doing my job. So there’s a lot of fear in setting with authority figure, so to speak, where it feels like your livelihood is tied to your performance. And oftentimes I’ll work a lot with clients on, okay, let’s really take a look at what’s realistic for you to be able to do and what isn’t. And the lines are very blurry there, right? Because they feel like they should be doing all of this. And then we’ll walk into, okay, what are you really wanting to say to your boss? pretend like, or I’m your boss. What would you really wanna say to your boss? And it’s. So their brains kind of have to fight flight or freeze response or fawn, right? like we talked about, that survival state response, that they don’t feel like they have a voice. And so we’ll work on, okay, what if we said something along these lines, and this is just an example.

I am so grateful for this job. I love working here, and maybe you don’t. So you have to tweak this based on what’s real and true for you. So it’s authentic. We don’t want it to be inauthentic. Authenticity is good. Yes. So important. And I’m just feeling this sense of overwhelm and here and be specific.

Here’s what I think come up with solutions. What I think would be helpful is if we. Here’s what I think I can still meet deadlines with, and here’s what I’m not sure. I’m not gonna be able to meet this deadline realistically. So I come up with a solution. Here’s some ideas on how I could have so and so really help me with this piece or that piece.

Oftentimes we get into, I’ve gotta do it. Without thinking about other solutions or options. Yes, that’s very true. Not knowing how to delegate or how to work as a team or ask for help. Those are all very important skills to have in these situations. Well, we can say I feel overwhelmed and I kind of feel like I’m knocking at the door of burnout.

Overcoming Shame and Guilt: Setting Boundaries for Self-Care

Those are important conversations now that really a lot of companies are talking about because their employees are burned out. And is this a healthy environment? This is the other thing sometimes we have to explore. Is this a healthy environment for you? If not, and this can be a journey, this is overnight.

Do we start looking for other options that might be a healthier fit for you? Yeah. That you’re gonna be able to have some limits. And so at five o’clock you’re. So some folks just need a healthier environment and it depends on, So it depends on the health of the organization too. So if you have this conversation and it’s not received well, then we have to process on the back end, what comes up for you?

Is this the best fit for you? Is this the best job for you? Now, that’s not always. Sometimes that’s what is a great job, and it is a great. And it’s worth exploration to say, what is my fear if I speak up? A lot of times it’s, I’m gonna lose my job. I’m not gonna get the promotion. They’re gonna think I can’t handle it.

I’m just naming a few, right? Sure. They’re afraid of rejection, they’re afraid of failure. And when we can process what’s really at the root of that? Then we start having a voice. So there’s an important concept here. I think when we talk about boundaries, it’s not talked about often that is essential. And as therapists, you’ve heard of this before, but we look at the human developmental continuum.

I’m gonna throw this out there cause I think it can really be helpful for people when they’re looking at workplace boundaries or boundaries in a family system or in a marriage or in a partnership. There’s a concept called individuation and separation. Okay, This is differentiation.

Boundaries in Family Dynamics: Codependency and Setting Limits

So in a family system, if you’re allowed to have your own thoughts, feelings, and opinions, and it’s okay, it’s celebrated. It’s a normal part of human development. It’s not a threat to the system. The system can say it’s okay. This is normal for you to question things, for you to kind of integrate what your own thoughts and feelings and opinions about it to land on, what resonates for you.

If we weren’t allowed to do that in a family system, we are gonna struggle with boundaries. That makes a lot of sense. So if we weren’t allowed to differentiate ourselves from the, like the thoughts and feelings and opinions of the family, you weren’t allowed to have your own kind of questioning and exploration and question things, and you could do that in the family and you could feel differently about something and that was okay.

It wasn’t a threat to the system. You’re gonna feel more confident having a boundary. Yes. If you didn’t get that and it was, which a lot of people didn’t right, that it was threatening to the system. You were disciplined, you were punished, you were ashamed, you were not allowed to kind of explore your own thoughts, feelings, and opinions.

It’s gonna be very scary to say how you feel. So a lot of times what we work on is being able to have your own thoughts, feelings, and opinions without. Threat. Like you’re scared that you’re going into a survival state and trying to fawn or people please, Right? Or you shut down and you just go in a freeze.

If someone gets upset with you, you have, you’re, we’re building that window of tolerance that to tolerate that it’s okay if they have a different opinion. It’s not okay if they yell at you, but it’s okay if they get sad over something that you’re like, Ooh. It’s okay. You’re not responsible for managing that emotion.

So in the workplace, when you can go, it’s okay for me to say, this is what I can do and this is what I can’t do. Yeah. We then have more centeredness and a voice. So that individuation process is very important to explore what we set boundaries.

Carrie: Yes, absolutely. In the sense of, you know, a lot of family dynamics.

There’s a level of codependency, not just in homes with people who have substance abuse issues, but in other homes as well, where it was like, well, we had to do. Please mom at all costs or please dad at all costs. And then if we went against anything on that, there was maybe harsh punishment because it was Dad’s way or the highway.

I find that in those situations, yes, boundaries are very difficult and a lot of times I work with my clients on. Kind of like goals of adolescence maybe that they never achieved. Because I really feel like what you’re talking about is part of a goal of adolescence is like you go out, you explore the world, you decide what you like and don’t like.

You decide what things you wanna take from your family and what things you don’t. And in some situations, That was not allowed. Kids were very sheltered or shamed for having a difference of opinion or thinking on their own. This is definitely very relevant. So let’s say that your boss asked you to take on a large project for work.

It’s not a requirement. But it definitely would help. Your career might say, you aced this project, it would give you a promotion. You’re also in the process of caring for your elderly mother. Don’t feel you have the mental and emotional energy to give your best work to this project, require additional work hours, additional stress, and you don’t want to disappoint your boss and are afraid of maybe hurting your career or not getting that promotion.

Kristen: This is so big to unpack So many, lots of layers. Lots of layers, and it depends on what do you want, Like how badly do you want the promotion On a zero to 10, I have people do a lot of scaling so they can get more clarity on their internal needs in wants. So I’ll go on a zero to 10. 10 being, I’ll do whatever it takes.

A hundred percent. I want the promotion zero. Nah, don’t really want it at. So sometimes we don’t, even if we weren’t allowed to differentiate, we don’t even explore. Why do I want that? It’s like the first step. Yeah. Or are we doing an automatic response, like that’s the next step. I need the promotion and that’s like my next thing.

I’m not even looking at, do I really want it? Why do I really want it? Can I even handle it? So let’s say you do really want it just to play this out. Let’s say you really want promotion and you’re still taking care of your elderly mother. Here’s the bottom line you’re gonna need.

Carrie: Yes,

Choosing Priorities: Balancing Career Goals and Caregiving Responsibilities

Kristen: I am much more rooted in reality and the reality rather than the fantasy of what we think we can do.

The reality is you won’t be able to do both well, I mean, you won’t be able to do it all. We know this. It’s a fantasy. If I think I can do it all, something’s gonna give and it’s gonna be my health, it’s gonna be, I’m gonna feel resentful towards my mom. The job I’m gonna go to burnout. So I think the first thing when we look at that is, am I willing to ask for help?

Yes. If I’m not, I’m probably not gonna be able to do this promotion well, and it’s probably gonna be a cost to me. So I think the first thing is asking yourself, what do I want? Am I willing to ask for help? And let’s say you are. Let’s say you’re like, Yes, I can do it. Okay. I think being transparent with the boss and saying, Here’s, and I know this is feeling very, I’m about authenticity, requires transparency.

And that the truth self set you free. Now it’s a healthy work environment. They’re gonna go, Oh, I, that makes sense to me. If you say something like, I really, really would love to take this promotion. This is something I’m passionate about, I really am excited about, and I wanna let you know I’m taking care of my elderly mom.

And so there may be times where I might have an emergency and I’ve gotta buzz out, or I have to take care of my. I’m going to be seeing if I can get some help with my mom. I wanted to let you know up front to be transparent. So my nervous system then goes, Okay, I’ve told them up front. I was transparent up front about my what’s going on so they know, and maybe they’re not comfortable giving you the promotion at that time.

That’s a risk you run. But transparency leads to. If we’re hiding, we’re maneuvering. We’re trying to act like we have it all together. That will lead you down the road to exhaustion. Yeah. It will lead you down to the road to unfulfillment and dissatisfaction and resentment. Every time I’m like, play the movie out, I’ll say something to a client like, I’ll go, Okay, play the movie out.

Like you get the promotion and you’re taking care of your elderly mom. Tell me what you see in the movie. They’re like, I can’t do it. I’m burned out, exhausted. I’m like, Okay, so what would you need in order to take the promotion and take care of your mom? So we get more clarity when we play the movie out of what is real for me, What will work for me, what won’t work for me.

And now we have to work on the courage to say it out loud. That’s the hardest part, typically. Mm-hmm. is saying it out loud cause we’re scared we’re gonna, then they won’t consider us for the promotion. But real in the reality of things, when you’re transparent, builds trust, transparency builds trust. It’s whenever there’s a betrayal, we know that transparency is essential to rebuild that trust over.

So when you’re with a boss and you’re transparent, the boss goes, Oh, I really appreciate you sharing that with me. Yeah. If you have a healthy boss, right? I mean, this is mm-hmm. . So there’s a lot of layers to this to consider when setting a boundary. Yeah, for sure. And I’ve definitely been in environments where I was transparent and it was used against me, and of course that made me pull back and not want to be transparent.

So recognizing what your relationship is with your supervisor. How that information is gonna be utilized. I do find that people are much more understanding when we’re upfront about things versus when we’re not. We don’t have to overshare. That’s the other key. It’s you don’t have to give every detail.

It’s a high level, I’m taking care of my EL elderly mom, and if it’s not received well, that’s information for us. , Yes. Evaluate whether the long term, this is gonna be a healthy place of employment. And that’s key information. So like you said, it’s used against you, which has the, which happens, which definitely happens.

Is this gonna be a long term healthy environment for you to continue to work in? Right. And that’s scary for people to think about changing, Right. Their place of employment. And it can also be empowering when they do decide to make a change, whatever that looks.

Carrie: I was in a, what I would consider a toxic work environment for a period.

And what I realized in that process was there were a couple times they would vacillate between, We love you, we hate you. And when they loved me, they loved me. And when they hated me, they hated me. But when they were on the downswing, they would say, Well, we’re just not really sure that this job is a good fit for you.

And I think that I took that inadequacy shame piece, like, Oh, I’m not enough. I’m not living up to the expectations. And it’s so interesting to be out of that environment and to be on the other side now saying they were right. That job wasn’t a good fit for me and there’s nothing wrong with that. It just didn’t fit the fullness of who I was and what I wanted and how I wanted to show up for clients that wasn’t me.

And it’s okay that it wasn’t. Made for somebody else. I could see you even lit up. Like the freedom you felt like they were. Right. That wasn’t the right job for me. It was stifling you. It was like it wasn’t expanding you. Yes. Full gifts was stifling you. Yeah. But it’s hard sometimes when you’re in the middle of it, and I think that’s why talking to someone like a healthy friend, family where a counselor can help you process through some of these things to know like, this is what they’re saying and this is what I’m sensing, and what’s your objectivity on it? Cause you can feel in those type of toxic work environments where the expectations are too high, sometimes you can start to feel a little crazy or inadequate like, Well, I mean I see other people maybe doing this or they’re expecting that I do this, so I must able to do it and that’s just not always the case.

Kristen: Yes. And I think talking through it, cuz sometimes our work environments mirror our family dynamics that we grew up in. Yeah. So it’s hard to see clearly cuz we’re reenacting almost like the same system we grew up in. We just don’t know. Cause it just seems normal to us.

It seems familiar until you start doing your own healing. And then you’re like, Oh, I recreated the same family system dynamic at work. Oh, and I did that in my other romantic relationship. Yes. And there’s the light bulb. That’s why that self-awareness piece and understanding families, not to blame anybody cuz that’s not the idea.

The idea is empowerment to go, I can break the chain of this dynamic. I can see now the parallel between my work environment and my home environ. And how I put myself in that same role and didn’t recognize it. So I wanted to kinda shift gears. I know we’re cramming a lot into this episode. It’s so good. I know that Christians a lot of times struggle feeling like I have to say yes, I’ve gotta help people.

God wants me to be giving. God wants me to be hospitable. And how would you really encourage these individuals that it is okay to say no sometimes. And you’re still a good Christian. I love the and in both. So I can be a loving, caring, compassionate person. As long as I’m having boundaries, I can still be that, but I might be resentful.

I might be worn out. I might be angry because now I’m giving and I might take on a martyrdom role. God doesn’t want us to, like, you’ll have some people, maybe your family system that they were like, I’ve done everything I’ve given, I’ve given here, I’ve given there, and now they’ve taken on this. Look at me.

I’ve done everything role. And they feel bitter and resentment, and it comes in between their relationships that matter the most, Maybe. With their child, maybe with their partner, maybe with their church group. It doesn’t, so that can lead. If we don’t have boundaries, it’s hard to be our best-giving self cuz I’m giving, and there’s resentment tied to it.

We wanna be giving because we are led to be like, Oh, I want to do that because I feel filled up. I now have enough to pour out and I don’t expect anything. There is no ties to needing anything back. I’m doing it because it’s pure agape love, like I’m just letting it flow from my soul. If I’m doing it out of a, I should be doing this consistently, you’re gonna be on the road to resentment and expectations or resentments waiting to happen.

We are just going to feel a level of burnout. And resentment that doesn’t feel good to us, and we’re gonna be like, Why am I even doing this? No one cares. No one even acknowledges me. And when we get to a thank you is wonderful. And I love a good, and, and we don’t wanna do it to get a thank you. Yes, that’s true.

It’s icy on the cake like it feels. That’s why I love acknowledgement cuz it feels so good to our nervous system cuz we all wanna feel seen, appreciated, understood, and loved so much. And when we are filling our tanks up, we can give that out freely and it feels so amazing to just give it without any expectation back icy on the cake.

Carrie: So tell us a little bit about where to find you and what you have going on.

Kristen: So close The chapter podcast is probably the best place to find me. And then on Instagram and Facebook, you know, all the socials at Kristen d Boyce. And then if you want a free journal that I love to give out to my clients and it’s free, you can reuse it. Beause I’m a big journaler and I believe in it in terms of getting clarity from the Holy Spirit. Like it just is so powerful to get centered at kristendvoice/free resources and it will be emailed to your in. And what I love about that is I love how God gave us the breath to kind of come back.

Yeah. Reground us in nature and all these gifts. And if we can come back to ourselves and listen to the leading and have clarity, that is the leading, that is in our fear talking. That’s the Holy Spirit talking. Our nervous systems are freed. And there’s so much healing that can take place when that happens.

So I’m a firm believer in journaling. I love it. That’s why I wanna give it to everybody. I’m like here, cuz everybody’s like, Well, I don’t really like journaling, and what am I gonna write about? And this helps kind of guide the process.

Carrie: That’s awesome. I like that. So since this podcast is called Hope for Anxiety and O C D, we like our guests to share a story of hope at the end. A time where you received hope from God or another person.

Kristen: There’s so many. Really what came through to me when I was praying over this question, I was thinking about a client just came through, and I’m not gonna give specifics, but when I work with people that you feel like, how are they ever gonna recover from this loss or this trauma?

And you think, how can they get up in the morning? How are they gonna move when you’ve lost all your children due to a tragedy? How are you going to ever recover from that? And I’ve seen over and over and over again how God like pours into the pain. And once we work and acknowledge the pain, God can tend to it and walk alongside us in it.

I always think like Jesus walking hand in hand with us going, I know honey, I know it. And I know this is so painful and you can’t understand it right now. Yeah. And I’m right here with you just holding the pain for you. And that’s the privilege of seeing God’s transformation was some of the most painful things anyone could ever go through.

And the second piece that came to me is as a community, we had a school shooting back in, Oh yeah. It was several years ago. No one would’ve ever expected that to happen in our backyard. And as a community, it opened us up in such a way for healing. For us to come together, love one another, and acknowledge each other’s pain and fear.

Yeah, and just so there was so much transformation that happened in a whole community. And as a result, I do a, every other week, this is about me, but as a result, not of just the shooting, but at the pandemic. Mental Health Monday with our mayor on Facebook, and now we’re talking about mental health. We’re talking about all these hard topics that’s transformation.

Like here we are trying to hold the pain and acknowledge people’s pain in the midst of all of this. And we came together despite trauma and tragedy. So those are the two things that came to me when you were asking that question.

Carrie: Mental health Monday with the mayor. That’s a lot of ems, but I like it.

It is. It is. We don’t say with the mayor. I just was adding that piece. It’s just called Mental Health Mondays.

Well, thank you so much for coming on and sharing all of your wisdom. I think this is gonna be very practical for people who are looking to set boundaries and then also identifying throughout.

We kind of identified some things that get in the way of people are struggling with anxiety of setting boundaries.

Kristen: Thank you so much for having me on, and the work you’re doing.

83. The Power of Gratitude and What I am Thankful For

In today’s episode, Carrie explores the transformative power of gratitude and shares personal reflections on what it means to be thankful, even during challenging times.

Episode Highlights:

  • How practicing gratitude can enhance your emotional well-being, reduce anxiety, and improve overall happiness.
  • Key scriptures that emphasize the importance of being thankful in all circumstances.
  • Simple yet effective strategies for incorporating gratitude into your daily routine.

Episode Summary:

In today’s episode, I’m sharing the power of gratitude and the things I’m thankful for during this challenging season. Reflecting on gratitude can help us recognize our blessings, even when times are tough.

Biblical Teachings on Gratitude
The Bible encourages us to be thankful. 1 Thessalonians 5:18 says, “Give thanks in all circumstances.” A life-changing verse for me is James 1:17: “Every good and perfect gift is from above.” This taught me to appreciate even the little things.

Philippians 4 reminds us that finding joy in the Lord can help reduce anxiety.

Finding Gratitude in Challenges
We often face societal pressures that make us feel we need more. Focusing on what we already have can bring peace. Gratitude wasn’t easy for me growing up, but it became a vital tool during tough times.

The Benefits of Gratitude
Practicing gratitude improves both mental and physical health. It boosts happiness, enhances sleep quality, and helps us stay present, free from past regrets and future worries.

Simple Ways to Practice Gratitude
Consider keeping a gratitude journal. I suggest the Five Minute Journal to jot down things you’re thankful for each day. Being specific—like noting a kind gesture—makes a big difference.

My Gratitude List
I’m grateful for my husband, Steve. Despite facing balance issues, his positive outlook inspires me. We recently celebrated good news about his vision, allowing him to enjoy life with our daughter.

Let’s embrace gratitude together! Join me in reflecting on what you’re thankful for, even in challenging times.

Welcome to Christian Faith and OCD episode 83. Today on the show, we are talking about the power of gratitude and some things that I am thankful for in this season. It’s been a unique season to be writing a list of things that I’m thankful for because we’re definitely going through some challenges right now, but I thought that working through this with you might kind of help you think through some things that you are thankful for as well as we go along the process.

Biblical Teachings on Gratitude and Thankfulness

You can think of people in situations, positive things that are going on in your life right now. Throughout the Bible we are told to be thankful and I just wanted to go over a few verses with you that express this. Of course, there’s many that we could cover together obviously, but I just picked out a few that I thought would be good. 1 Thessalonians 5: 18 says, “Give thanks In all circumstances; for this is the will of God in Christ Jesus for you.” All circumstances. It’s not always easy to be thankful. That is a tough one, but we’ll talk about that a little bit more in-depth later.

This next verse literally changed my life. I’ve probably talked about this on the podcast before. In fact, I know I have is James1:17. “Every good and perfect gift is from above, coming down from the father of lights with whom there is no variation or shadow due to change.” This first changed my life because I read it while I was going through my divorce in very dark time of my life, and I realized that if there was anything good in my life that God put it there, and it just caused me to be so thankful and really just pour out a lot of gratitude towards God in prayer for all the little things I had to be intentional in that time to be thankful and to find those things that were good in my life.

When you’re intentional and you look for things to be thankful for, you will find them. Where most of us are pretty familiar with another scripture passage in Philippians 4 that talks about don’t be anxious about anything. Oftentimes we don’t rewind a couple verses before where it says, “Rejoice in the Lord. Always. Again, I will say rejoice.” So when they repeat things in the Bible, it’s for emphasis purposes. When you’re reading something, it doesn’t have a tone of voice to it, but if you repeat it, it’s like, “Oh, hey, that’s important.” This sense of like finding joy in the Lord. That is can help us with our anxiety and a lot of times we don’t take that into consideration. I talked about this on a blog post, I believe a while back that’s on our website and maybe my assistant can link that to in our show notes for you guys. In Hebrews 13: 15, it says, “Through him, then let us continually offer up a sacrifice of praise to God. That is the fruit of lips that acknowledge his name.”

Sometimes praising God does feel like a sacrifice. Of course, in the biblical times in the Old Testament, people actually did like provide physical sacrifices For us, it’s a sacrifice of our time. It’s a sacrifice of our energy, and it’s a sacrifice sometimes of laying down things that we. For things that God wants, but we want to be a grateful people, which is hard in our society because advertising constantly tells you about what you don’t have, and they try to tell you what you should want and need.
We are inundated with advertisements, whether from the internet, from tv, from media that are constantly telling us, you know, “You need this car because it’s gonna make you feel like a million dollars,” or You need this product because it’s gonna help you get a member of the opposite sex,” whatever the case is.

Finding Gratitude in Challenging Circumstances

So we’re constantly put in this state of like, “Oh, I don’t have that.” Or like, “Oh, I want that.” And it is not so healthy for us, and we have to shift gears out of that. To really look around us and be thankful for the blessings that God has given us the simple things maybe each and every day, and I know that for me, I never really used to be a thankful person.

I struggled a lot with that since I was a child. Really just with this the glass half empty instead of half full mindset. My parents, I would be kind of like grumbling and complainy and they would say, “Carrie, tell us something you’re thankful for. ” And when you’re grumbling as a child, that is not exactly when you want to be thankful.

Gratitude and its Positive Impact on Mental and Physical Well-being

I do appreciate that they tried, but I don’t think it really helped me become a thankful person. What probably helped me the most were those dark times in my life and having use gratitude to pull myself out of them. I have told you what the scripture said about being thankful in gratitude, but also wanted to tell you what the psychology says about it, which shouldn’t surprise you, but here we go. “People who practice gratitude feel better physically and emotionally.” That’s awesome. They’re happier, they have better immune function. Whoa! That just blows my mind like our body works better in terms of our immunity.

If we are practicing gratitude, they sleep better, they have more ability to be in the moment and cope with life is really where mindfulness comes in. This sense of just being in the present moment. Gratitude is a present-moment activity. You can’t be stuck in past regret or be worried about the future and be grateful at the same time. Those two things can’t coexist inside your system.

Incorporating Gratitude into Daily Life

So how can we practice gratitude? I used to have this, I think it’s called the Five Minute Journal, something like that.
And you do maybe five minutes in the morning or five minutes in the evening. I can’t remember. But I ask you the same exact questions every day, and one of the questions it asks you is, I believe, like three things you’re thankful for, which is great, but I think it gets a little mundane after a while because you tend to kind of think about some of the same things, right? Like if somebody were to ask you, what are you grateful for? Like, “Okay, well I’m grateful for this person in my life, or I’m grateful for my child. I’m grateful for waking up today.” You know, it’s a new day and it’s hard to get specific. So I would encourage you if you struggle with gratitude, I’ll just tell you some things that I did that helped me.

I had a little one of those pocket calendars from like the dollar store. It’s not even the dollar store anymore. That’s sad. But anyway, I had one of those pocket calendars I would write on each day. Something specific about that day that maybe had happened that I was thankful for, or maybe that I noticed, like, “okay, I was thankful today that I got to smell some flowers outside and they smelled really good.” Or I’m thankful that you know, I got gift today from somebody, it was just a card, them telling me they cared about me, whatever the case is, and a lot of times I could go back and read those and you forget, you know, if you don’t write something down, a lot of times you forget that some of those things have even occurred.

It’s just a really great activity as a practice and it doesn’t take very long at all like two minutes to write something down on the calendar. I do think it’s important to be very specific. In your gratitude practice, even if it’s not about that day, just being in prayer and meditation of, “Okay, I am thankful for these very specific things.”

Personal Examples of Thankfulness and God’s Provision

So I thought I would go through some of that for you guys of what I’m thankful for in my life. Maybe to give you examples, I am specifically really thankful for my husband. You guys have heard Steve on the podcast before. If you’ve been around for a little while, if you’ve listened to any of. Marriage episodes together, he has an incredibly positive attitude, even though he’s going through some intense physical balance challenges right now. He got in what’s called vestibular therapy, which is for balance walking, those types of things. It’s a very specific type of physical therapy, and I really see how hard he works, how much effort he puts towards that, and his therapist tells him, “You know, a lot of people with your condition, they just sit down and they stop working and if you don’t use it, you’ll lose it. Those types of things. So I really see how he will tell other people, a lot of times if they feel bad or say, I’m sorry you’re dealing with that.

Oftentimes people will say, everyone goes through something and this is my something that I have, and you know, it’s.
He has this incredible gift and ability that he doesn’t worry about things. I wish he could give me that. I don’t know how he does that, but he just somehow he knows or has his just like internal confidence compass that it, it’s like everything’s gonna be okay. I’m like, can I get some of that? That is a gift.

Steve is also has a great heart just desiring to help other people. He writes me little encouraging notes around the house. A big thing that he and I are thankful for is that he went back for. His follow-up after a year of working with his eye specialist and he hasn’t had changes in vision, so we are so thankful for that, even though he’s had these other balance challenges.
I think at least I lived in fear for a little while that he was going to go blind, and so I’m just thankful that he’s not blind and he’s able to see his daughter grow up and at this point he’s not in a wheelchair. He’s still able to walk and still able to get around and have some levels of I. We are thankful for that every day that he has that ability. We have been told recently that it’s not really if you’re in a wheelchair, it’s more of when you’re in a wheelchair, but nobody can tell you if that is 10 years down the road or two years down the road, or six months down the road, which is hard for life cleaning.

Of course, I am also incredibly thankful for my daughter Faith. She just has this smile that lights up the entire room when she wakes up in a good mood. You love it. And she doesn’t always wake up in a good mood, cuz you know, a lot of times she’s hungry, but sometimes she wakes up from a nap or after she’s, you know, gone back to sleep and woken up and just smile at you like, she’s so happy to see you. That’s the best thing that happened to her day, which is really great. She is pretty easy baby, like pretty easy going and she just adapts. You know, I have to take her. We go to various appointments and things for Steve, and a lot of times I will take her and stroll her around while he’s in an appointment or something of that nature, and she just kind of goes with the flow. She sleeps really well in the car, so thankful for that because if she didn’t sleep well in the car, or wasn’t able to get her naps in that way, some days, that would be really tough on her.

I think one of the favorite things, blessings, in terms of her right now is just being able to hold her. She’s going to sleep and rock her, and just kind of like that sense of gentle trust that she has in us right now. I know that one day she’s gonna get older and not wanna cuddle up to me, so I’m trying to enjoy all the cuddles while I can.

We are very thankful that we have a house to live and that’s in good shape. We have been praying about a one-storey house and it looks like we may be able to move into one pretty soon, possibly in January. It’s kind of a still a possibility, not a for sure thing, but so thankful for that, that God seems to be answering that prayer. If for some reason that doesn’t work out, I know that he will provide something else for us that was really going to just take a lot of pressure and stress off of us with all of the balance conditions that Steve’s having. Our driveway is crazy and we have stairs and then some more stairs when you get into our house. It’s just people are kinda like, “Why don’t you build a ramp?” And I’m like, “It’s not that easy.” I appreciate those people that have wanted to do that for us. However, we really just need to get into one storey with some flat land and it looks like God is opening up that door and providing that for us, and also will be able to still be, you know, local. We’re not moving super far or anything like that, so that’s nice.

I am thankful for my car. Let me tell you this, I got the opportunity to drive this, let’s call it a small SUV. It was a 2002 and we drove it to Florida for a family funeral and had to bring some stuff back with us and so forth. So that was why we didn’t choose not to fly for that one, and I so enjoyed driving this car. It does all the things that like my car does not do because my car is a 2013. However, I will tell you that I’m so thankful that our car is paid off. I joke around that it’s the only car I know of that has a walker and a baby stroller in it, and we really have to kind of cram stuff in there. It’s not a big car and so enjoyed driving that, that small SUV because we just had room for things. So thankful for our car and that God has provided us a way to get to Steve, to his medical appointments and Faith when she has appointments and checkups and things that we can take her there, that we can get to the grocery store, other things. So I’m really thankful that our car is running well and that it’s paid off.
It’s not the newest thing in the world, but it gets us from point A to point B, and we’re thankful for that for sure.

I’m super thankful for God’s financial provision in this season. We’ve had a lot of medical bills, obviously for everything that’s going on with Steve, and I wanna tell you a quick story because this is just a story of faith. I want to write down for my daughter to let her know that God hears and God understands and he knows like exactly what we need. I had an unexpected expense come up recently that I really, you know, did not know I was gonna be hit. And it was $300. I was like, Okay. You know, trying to think through where is this $300 gonna come from, so forth. So I just, I prayed to God and I said, “You knew that this $300 bill was gonna come. I didn’t know it was gonna come. And so, because you knew it was gonna come, I just believed that they’re gonna get the $300 and I don’t know. Like how we’re gonna get it. I don’t know where it’s gonna come from.: I just pray and I believe that you’re gonna provide it for us because this is something that we really need.
And no lie, literally the next day we get a card that has a hundred dollars in it. We get another card that has $200 in it. Completely was not expecting that, and it was just like God showing me like, :Yes, I’m taking care of you. I know exactly what you need. I’ve got you.” God will do that for you.

That’s not just like a God does that for care thing. God will originally supply all your needs according to his glorious riches and Christ Jesus. Philippians, I believe that’s 4:19 tells us, and that’s just something that I have repeated to myself over and over. You know, as we get these different medical bills and therapies and things like that, I’m like, You know, God will supply all my needs. God will supply all my needs. It just almost has become like this prayer that I have repeated and has helped me really calm during those seasons where I get anxious about bills. I am super thankful for our church in this season.

Something happened to us and I actually asked Steve if he wanted to talk about this on our marriage episode, and I don’t think that he wanted to talk about it, but I feel like it’s important and it’s important to talk about for the Thanksgiving episode, God uprooted us from a church, a place that I had been in for several years. Steve had been in since we were married, and I believe that God uprooted us because he wanted to plant us somewhere else. But I will say that there was a time period in between where we were a bit lost, going through some hard things that were going on in the family. And didn’t really have support like it was just rough, trying to kind of reach out to people even emotionally and say, “Will you pray with us? We have this and this and this going on in our families.” And it was just, it was tough. We weren’t getting the support and even just the prayer support that we needed in that season. And I’m telling you that God did what only he can do. He planted us in a completely new church that someone had invited us to. We knew the moment we walked in the door that this is exactly where we’re supposed to be. This is what we have wanted for months, um, for a long time. And it was around the time where Steve got his diagnosis shortly after we started going there. And there’s just been this outpouring of love of people that barely know us, really. I mean, that brought us over meals that have taken, driven him to appointments that have just, you know, brought us things that we needed. Absolutely incredible. Totally blown us away. We feel very undeserving but just incredibly grateful that God has put us in this place to be really wrapped around and loved by these people in a big way.

We have a great small group through that church as well, and it’s just been good positive relationships for us in this season. And with that, I will say that I am thankful, even though it’s been hard this year. I am thankful for my friendships.
I’m thankful for the people that God kept in my life and I’m thankful for the people that have walked away, which may sound super weird because it’s definitely not comfortable. It’s actually pretty painful when people walk away from your life or when you know you, you have a friend and they’re just kind of, they’re disconnected and not really there for you.
That can be super challenging. However, I think what I’ve learned over the year is that God brings different people into our lives for different seasons, and some people are meant to go that one or two miles with us, and some people are meant to go that those 10 miles or 10 years with us. And not everybody is meant to go that far with you, but it’s definitely a blessing when you have one of those longer-term relationships.

I’m thankful that the people in my life right now are people who are really invested in mine and Steve’s wellbeing, and that I feel incredibly thankful and blessed about. I am thankful for going through some of these challenging things recently because it has made me be a stronger person and draw me closer to God.

When Steve first got diagnosed, I remember thinking like, I don’t have the prayer life for this. I don’t have the dependence on God that I need in my life to get through this. So that has been something that I have been actively cultivating. Definitely still in process. But I know that even though it’s hard, each day brings me closer and closer to God and to knowing who he is and understanding his purposes for our life.

And this year, how do I explain this one? Because I am not thankful that someone died, but I had a close family member pass away this year. It’s not something that I’m ready to talk about in-depth, but I believe that I will at some point in the podcast because I think it’s important to share that story with you and my process of that grief. The piece that I’m thankful for though is not that I lost a family member. I am thankful that that family member is in heaven. I’m very thankful that they’re no longer suffering because they were suffering with cancer really badly, and I’m thankful that God in his sovereignty at the right time, took them home and didn’t allow them to suffer than they already did because it was just, it was a lot. And I’m thankful that even though that family member isn’t here with me anymore, that I really feel still very connected with them. And I feel like I know kind of what they would say to me in different scenarios, in different situations in my life.

So I’m thankful that even though I’ve lost that family member, I still feel close to them. It’s very bizarre because I haven’t ever had this experience before with anyone else that I’ve lost. I think it’s because I was not as close to other family members that I have lost before, but since I was very close to this individual, it’s allowed me to still feel very connected or having some kind of sense of presence to them. And that’s the only way that I can explain it. I don’t really know what it means other than maybe we are somehow connected in on a spiritual level. I don’t know.

So that’s the roundup on what I am thankful and grateful for. I hope that it helped you make your own list or helped you think about how you can incorporate gratitude into your own practice, spiritually and emotionally which will also help you physically as we learned earlier.

It’s so incredible how God has created our systems to interconnect emotionally, physically, and spiritually. It’s just so intertwined and it makes so much sense when we read the Bible and then we look at these psychological studies. They’re not in contradiction to each other, right?

The Bible says, Give thanks and then the studies say, “Hey, giving thanks causes all of these positive health benefits.” It’s just so cool when we look at things like that. I think just confirmation of things that we know to be true. We’ve got one more episode this year on how to set a boundary, and it’s a good one.

I asked our guests to go through some very specific scenarios with us on what she would say and how she would handle the situations that I brought up. I think it’s great, and it may help some of you as you’re going into the Christmas season or spending more time with family. We’re only putting out one episode in December to take a little bit of a break for Christmas and end of the year. We will definitely be back in January with some question-and-answer episodes on anxiety and then on OCD. So please send us your burning questions that you have either for the Q and A anxiety episode or the Q and A OCD episode. We would love to feature your question on the air. You may send those via our website at hopeforanxietyandocd.com.

As always, thank you so much for listening.

Christian Faith and OCD is a production of By the Well Counseling. Our show is hosted by me, Carrie Bock, a licensed professional counselor in Tennessee. Opinions given by our guests are their own and do not necessarily reflect the use of myself or By the Well Counseling. Until next time, may you be comforted by God’s great love for you.

82. Trauma-Informed Ministry with Suzanne Burns

Suzanne Burns, founder and executive director of  Foundation House Ministries and BeCharityWise. Today on the show, she will share with us about creating a trauma-informed ministry. 

Episode Highlights:

  • How Suzanne started her work with mothers in crisis situations
  • What led her to do some more research about trauma-informed
  • How to effectively minister to people
  • Reframing the role of ministry
  • More about BeCharityWise 

Episode Summary:

In Episode 82 of Christian Faith and OCD, I dive into the topic of trauma-informed ministry with Suzanne Burns. As the founder and executive director of a maternity home and crisis program for mothers, Suzanne has dedicated years to helping women facing challenging situations such as coming out of jail, rehab, or homelessness. Her work focuses on guiding these women toward sustainable stability and reunification with their families.

Suzanne’s work is deeply personal, inspired by her own experience with a crisis pregnancy and years of single motherhood. After volunteering at a pregnancy center, she saw the need for more support, leading her to open a maternity home in 2014.

She shares the challenges faced early on, such as dealing with trauma-related behaviors. A key turning point was learning about trauma’s physical and behavioral effects, which helped them transform their approach. By combining trauma awareness with understanding poverty and addiction, they now have a 97% success rate in helping women maintain stability.

We also explore how childhood trauma (as studied in the ACEs research) links to long-term health issues, highlighting the importance of addressing trauma for lasting change.

Tune in to learn more about how trauma-informed ministry can make a real difference.

Related Resources:

BeCharityWise

Foundation House Ministries

More Episodes to Listen to:

Carrie: Welcome to Christian Faith and OCD, episode 82. I am your host, Carrie Bock, and if you’re new to our show, we are all about reducing shame, increasing hope, and developing healthier connections with God and others. Today on the show, I’ll be talking with Suzanne Burns about creating a trauma-informed ministry.

I feel like this is so important people in the church to understand and know about, and we’ve had other episodes about helping people with anxiety in the church. So I’m excited about this episode as well. Suzanne, tell us a little bit about yourself.

Suzanne: Yes, I am the founder and executive director of a maternity home, residential and non-residential program for mothers in crisis.

We serve women coming out of jail, out of rehab, pregnant, and a. Sometimes they’ve lost custody or are working towards reunification, whether that’s with family members or with the state. And so we’re part of that process towards getting them to a place of being able to build sustainable stability. And out of what we’ve learned through doing that for the last eight years, we’ve also launched a kind of a side to other churches and nonprofits to help them understand how trauma and poverty mindset and addiction affect the people that they serve so that they can serve more effectively as well.

Suzanne’s Journey and Mission to Support Women Coming out of Difficult Situations

Carrie: Awesome. Now, how did you get started in that work in, you know, mothers in crisis pregnancy situations?

Suzanne: Yeah, I was actually a single mom for a number of years, myself.

I had a crisis pregnancy when I was in college, and then, um, got grew up in a very, very Christian home and found myself by the time I was at a junior, at a Christian university, I was smoking, I was drinking, I was experimenting with illegal drugs, and then I ended up pregnant. And we did get married and it was not good a marriage as it wasn’t a dating relationship, which led to divorce when my son was just right at two.

And then several years of single parenting, I met and married my current husband. We’ve been married now almost 20 years, had a second son.  And as I began to kind of rebuild and restabilize, I wanted. Be able to give back to women that were in the same situation that I had once been in. And so I began volunteering at a local pregnancy health center, and I was there for seven years.

I ended up really, really loving it, loving what I did. But we just began seeing more and more women coming through that needed a deeper level of support. They were pregnant and living in their cars. They were afraid of being kicked out by, you know, angry stepdads. They were 24 and didn’t have a g e d kind of floating like a leaf in the wind.

So many of these girls, one particular mom that I recall, she came in one day and she was really frustrated because she had been looking for a job. And so I’m kind of a fixer. So I was asking her, “You know, maybe, are you applying for the wrong kinds of jobs? Are you a poor interviewee? How can I help you fix the problem?”

And she said. “Well, you know, at some point in the interview the baby gets fussy or he needs a diaper change and you know, I’m pretty sure the interview is kind of over at that point.” And of course, my first thought was, “Oh, I’m pretty sure the interview was over when they saw you pushing in the baby stroller.”

But I had been there long enough that I knew that’s never the full picture. So as I began asking more questions, I realized that the reason she was taking her child with her in the first place was because she was living with the baby’s father who was a violent drug dealer and people in and out all day and night.

And so she did not trust him to watch their son even long enough for her to get a job. And I went home that day and told my husband, We have got to do something. It has to be. No one else has stepped up. It has to be us. It took about two and a half years of fundraising and developing, and we opened in 2014 and that conversation was in June of 2011.

Getting Started and Early Challenges

Carrie: Wow. Tell us about, as you started that ministry and were working in it, some of the challenges that you had earlier on that led you to do some more research about trauma information.

Suzanne: Yeah, it was pretty much everything I’ve learned has been because a client came in that we didn’t understand or we didn’t know how to handle, and that is what sent us then to the research.

The Lord is so gracious in giving me a picture and then giving me the education behind it, and then bringing others who need me to know that information. So first it was a poverty mindset, understanding how chronic poverty kind of reshapes. Thinking the worldview of individuals living, especially those living in generational chronic poverty.

Then we started getting some clients coming in who had a history of trauma, but we didn’t understand what that meant at the time because I was used to seeing clients like. One hour every three weeks. You know, living with them is a whole lot different. And so we were getting frustrated and, and we were having a lot of girls come in and go right back out again.

We had one girl come in and she was sick constantly and it was always like an E.R  worthy trip. She would go in to, you know, about every three to four. And we began to like time. We began to say, Okay, well it’s been, you know, this period of time we’re about due. And it was always like bladder infection, urinary tracted infection.

It was always something similar but not exactly the same thing. And it was always validated by the doctors, because of course we were like, well, you know, at some point she’s gotta be faking it. and simultaneously with this, she was also losing jobs because of the time off that she was having to take her cycles was six weeks.

And so we were seeing that about every five weeks she was, you know, getting sick, not able to go to work. Her work isn’t happy. They end up firing her, she goes to the er and then we start the cycle all over again. She ended up that year with 13 different W two. And we were so confused. We were so frustrated cuz she was super, super sweet.

And then we had another girl move into the house who like used unbelievable amounts of toilet paper just by herself. This was way pre-pandemic, way before there was an actual toilet paper black market. But we were just like, how is this disappearing? How can one person be using this much? What is going on?

Understanding Trauma-Informed Approach

And then we had a student intern, a Masters in Social work Intern, doing her their practicum with us, and she had us watch a video by Bessel VanDerKolk, who is the author of The Body, Keeps the Score and instantly pieces fell into place. Immediately, we began to realize that this is the physical outgrowth of the trauma that these women had experienced.

That was the big awakening, eye-opening. We were immediately addicted to absolutely everything, trauma-informed to the point that we began teaching others just because we knew so much. We just saw the vast needs. There’s such an ignorance and such a lack within the church to understand. It was so fascinating and it was also such a relief that, “Oh, that it can be fixed.”

There is reason why her stomach issues were so constant. There is the reason why she was unable to process, to digest the healthy nutritional foods we were giving her. Her body had actually acclimated to Mountain Dew and Cheetos for lunch because that had been for years. So when we’re having salads and you know, fresh fruit and.

That was what was abnormal to her system. So layering for me, layering the poverty mindset with the trauma made it so much easier for us to then deal with women coming in with a past of addiction. Those coming in with a history of mental health because it, to me, it’s just like a layer cake based in the generational chronic poverty thinking that then the trauma is, it is components, you know, it’s either affecting or affected by the client and.

That leads to addiction as a coping mechanism, right? It leads to mental health as an epigenetic response to the trauma. It, it’s all interrelated, but it’s all rooted in their trauma, but also rooted in poverty thinking. Just from learning all of that, we have radically revolutionized how we work with.

And we now boost a 97% success rate of our clients being able to maintain their stability at least a year post-graduation, which to us is a housing, transportation, employment, and childcare.

The ACEs (Adverse Childhood Experiences) Study and Its Connection to Chronic Health Conditions

Carrie: Wow. That is really amazing because those are a lot of pieces and a lot of times what we see is people come into programs and they’re doing okay and then they leave the program and they relapse or something happens and you know, they’re back into that cycle again, like you were talking about. We wanna talk a little bit about the ACEs study, and I’ll have to kind of explain this a little bit to people, and then I have a question for you. So many years ago, I think this was actually done maybe in the nineties or early two thousands, Kaiser, the eighties early is when it started.

Suzanne: Yeah.

Carrie: Yeah, so Kaiser Permanente, a healthcare company that’s out west in the US, they said, we really wanna look at these people with chronic health conditions. We weren’t even talking about mental health. They were talking about physical health, things like high blood pressure, and diabetes, and looking at the connection between what they called adverse childhood experiences and these chronic physical health condition.

They had a scale where there’s 10 items on the adverse childhood experience scale. Some of them are things like parental divorce, obviously types of abuse, you know, physical sexual abuse. I think maybe having a parent with an addiction, isn’t that on there? These types of experiences that people had in childhood, and what they found was that okay if you had one or two, there was maybe a little bit more of a risk for you to have a chronic health condition, but once you got four and above, all of a sudden it was like a graph skyrocketed at that point like “Whoa, for these people to have addictions and actually end up with not just addictions, but that was one of the things they were looking at. Like I said, the high blood pressure and cholesterol, and so. and looking at people who have had more adverse childhood experiences may even have a shorter lifespan because of some of these chronic health issues that also arise.

What you had told me when we had talked previously. The average church attender has zero to two adverse childhood experiences, or ACEs are usually and the average range for your ministry is seven to nine, so obviously, that’s a big gap to bridge in people kind of understanding what some of these women have been through like can you talk to us about like the challenges of bridging that gap?

Suzanne: Yeah, exactly. So many of them have this significant trauma history. Someone with an ACEs score of seven to nine means that they have experienced at least one instance of seven to nine of those items on the ACEs study. And just for your audience, they are physical, emotional, sexual abuse, physical or emotional neglect, and then household dysfunction category is a family member with mental illness and incarcerated relative domestic violence, mother treated violently, substance abuse or divorce, but that also can include fatherlessness. What we found was that these women are coming in and they’re carrying this load of trauma.

They’re carrying the past pain, they’re carrying the physical effects of this. They’re carrying the social and emotional and cognitive impairment because of that, you know, many of our moms about 70% did not graduate with a high school diploma or GED because all of this trauma is happening as children.

And so that is significantly affecting them as far as school goes. Then you get labeled a bad kid, and so then you begin adopting those risky health behaviours, whether it’s teen boys that are driving too fast, whether it’s dating the wrong kinds, whether it’s, you know, drugs and alcohol and, and all of these different things that then lead to disease, disability, social problems, you know, in and out of jail, in and out of rehab programs, which can then lead to early death. It can also lead to chronic heart disease, to certain forms of cancer, to COPD and so many different things that we don’t even associate usually at. For an 18 to 22-year-old, the ACEs study does demonstrate.

So we have women coming in from the church who want to volunteer. You know, in this world that have experienced, like me, the ACE questionnaire asks you from birth to age 18 that to answer that I was a zero. All of my ACEs occurred during this one single relationship. And I went from a zero to a seven and then kind of back down again once I began to get my life back together.

Challenges in Ministry and Volunteer Engagement

I have a certain degree of experience, but I cannot relate to the majority of our clients. In the fullness of what they’ve experienced. And so these little volunteers from the churches would want to come in.  I experienced this when I was young, you know, I did that. And so they think that that is enough to balance out the relationship.

It really isn’t because they can’t understand the depth of the brain changes that have occurred. So one of the most important things for us when we’re talking with new prospective volunteers is to really get them to understand what has changed in the brain development of our typical client. They think differently. They respond differently. They have been conditioned to think in these certain ways, and so their behavioral patterns.  It takes a long time to change those. So you’re going to see more rapid outbursts of anger. You’re gonna hear foul language as just as common. You’re going to see and hear things that you’re not going to expect in a typical ministry, and you don’t necessarily have permission to address it.

That’s usually the hardest part because that is hard. They haven’t built trust with our clients. We have, many of our volunteers want to come in and they wanna do bible. Well, many of our girls just flat aren’t interested first of all, and second of all, even if they are interested, they’re not ready for that level.

There’s a great deal of biblical illiteracy, but there’s also a lot of church hurt and church abuse that has to be gotten over before they’re ready for these types of things. And so many times they wanna come in and volunteers from the church want to come in and do these big deep Bible studies with the.

That impacted them, but they’re not a good fit for our clients because maybe they can’t read that well. Maybe they’re not equipped to do the amount of homework that is associated with some of these types of programs. Maybe they’re not ready emotionally for what is going to be unveiled. Maybe they’re not ready as far as just being able to read scripture specifically.

Some of those Old Testament names are really complicated, especially if you accidentally ask one of ’em to read out loud because you’re wanting to draw them in. You’re doing the things that in a typical church environment you want to do, it can backfire. And so we have to be really, really careful to equip our volunteers wisely so that they’re not set up for failure because our mission is not our volunteers.

Our mission is our client. And so our volunteers cannot run off our clients, but there have been several times where our clients run off volunteers.

Carrie: Yeah, I can imagine that. Yeah. If you haven’t been used to that, kind of, that experience of what those people have been through in terms of the emotional reactivity that can happen with PTSD over something that, to you seems very slight, but it was a huge deal exactly for that individual.

It was a huge trigger and I think, one of the things that you’re touching on is a lot of times what the church can be guilty of is in these types of ministries going in and trying to like clean people up, like, “Here, let me help you. Here’s some money, or here’s a job, or here’s some clothes and you know, we’re just gonna fix you all up and everything’s gonna be good.” When really true transformation has to happen from the inside out.

The Importance of Understanding and Patience When Working with Individuals in the Healing Process.

I’m curious in terms of like what you’ve seen regarding that may be in your work with other ministries, kind of how you’ve helped them to like reframe that like their role.

Suzanne: Exactly. A lot of times. Well, so it’s two-fold. One is the focus internally and how you work with clients, and the other one is how you message that to the greater community, to your donor base or to your volunteer pool, or like your occasional volunteer pool.

A lot of times, I’ll use the analogy of a pound, because sometimes if you can change the picture from people to animals, it’s a little bit easier to process. Not that I’m equating our clients with. But sometimes it’s just an easier word picture to process. You find a, you know, a stray dog on the side of the road and he’s dirty and matted and, and filthy and you know, you’ve got all sorts of insects and everything crawling all over him.

He’s just really unhappy, starving. And you pick him up and you take him to the pound, they’re going to do a lot of work. They’re. Be checking him out by a doctor. They’re gonna be cleaning him and, and de fleeing and debugging him. Whatever’s crawling on him, they’re gonna be getting him the nutrition that, that he needs.

That’s a process. It’s not an instantaneous, “Oh, I found a dog on the side of the road and now he’s ready for adoption into a new home”. They have to see what’s his temperament. What kind of personality he has. Does he get along well with other animals? Does he get along with small children?

Before they can put this animal into the adoptable population, they have to do some rehab work. But when we look at people on the side of the road, it’s like we have the expectation that all you need is a shower, a hot meal, and a change of clothes, maybe a haircut. But you ought to be fine now and go get you a job and let you know.

Start paying your own way, and it’s not at all the same. The women that we work with are so broken and they have been holding themselves together for so long that a lot of times our first few months is just giving them space to finally acknowledge their broken. And finally, feel all the feelings that they have been hiding from for so long before we can even begin the process of rehabilitation to get them to the place where they can then learn, then grow, and move forward.

Our motto is rescuing mothers, rebuilding lives and restoring futures. And that is very much the progression that we walk through with these women. Rescuing can take upwards of six. Rebuilding. That’s the point where she’s finally ready to start working and getting the job skills that she needs and figuring out, you know, credit and starting to save money to buy her first vehicle because we, we live in a semi-rural area where there is not public transportation, and so a car is almost always her first goal.

And then getting daycare and getting healthy, getting her into the ob-gyn office and, and checking her out, making sure the baby is doing well. And then as she begins to kind of master some of these things and start looking towards the future. Now we can start thinking about what does rebuilding look like for her.

What does living independently look like for her? And that whole process. Overall, pre-pandemic, we were looking at six months to a year for most. And since that time, it really is more like 18 months to two years, partly because of economic changes and partly because we are seeing a significant increase in the severity of the women that come to us.

And just for a frame of reference, we’re the only maternity home within 150 miles. So we serve 13 counties by design and several others by default. So it’s a really vast population that many, many, many are in this boat, but they are not being served because we are so limited on staff in size.

Carrie: Where are you located at?

Suzanne: Right outside Chattanooga, Tennessee.

Carrie: Okay, great. Tell us about BeCarityWise.

Suzanne: Yeah, that is our training arm. We have online videos and we also do in person, whether live via Zoom or local trainings to help other churches, and nonprofits understand how trauma and poverty mindset and addiction affect the people that they serve so that you can serve more effectively if people are interested in going to becharitywise.com.

I’ve written a short little book called The Accidental Social Worker that helps you get a feel for the why behind some of these things, why poverty mindset is an issue, and why trauma is affecting [hysically. Many times we just assume that, okay, well you’re not in trauma anymore. I’ve rescued you out of that. I’ve got you a safe bed to sleep in. I’ve got new food. You know, that should be enough. But the trauma carries with them because the trauma is not actually the event that happened. It’s the emotions associated with the event that happened, and that can carry through really for a lifetime until these women are able to find healing.

Carrie: Yeah, that’s huge. A lot of overlays between what you are talking about and foster care. You know, this sense of like, okay, so we’ve removed this child from the home where there was addiction and poverty, neglect, and now we’ve put them in the suburbs with this. Nice family and everything’s safe and good, but they’re still responding as though they’re in that abusive, neglected environment. You know that that happens.

Suzanne: Exactly.

Carrie: Quite frequently and a lot of times people, they’re very confused by that. Like, what in the world is going on where? Responding this way? I think that what you’re doing is so important in terms of us being able to effectively minister to people out in the community, like the real world, real life stuff that you’re seeing, and so I appreciate you sharing with us about that.

At the end of every podcast, I like to ask our guests to share a story of hope, which is a time in which you received hope from God or another person.

Suzanne: The one that sparks me is actually what got me out of my first marriage and on this long journey, even though at the time I really didn’t realize it. I was so, I was still in active addiction with my first husband, but I was managing it, You know, he was a musician, which meant he didn’t have to work apparently.

and so I was doing what I could to earn more like I had sold mortgages at this time. I was selling insurance and I had had a really frustrating day and I went to go to my mother-in-law’s to pick up our son, and I was just kind of complaining, you know, these were good little church people as well. And so I was still talking the talk when I was around them, and I just said, You know, it was so frustrating.

I just, I don’t understand why God just won’t bless me. My mother-in-law just very graciously turned around and said, Well, What are you doing that God can bless? And then she just went back to filling my son’s little backpack as we got ready to go home. But in an instant, I was just stripped naked. I was so raw and open and vulnerable.

I finally saw myself through the Lord’s eyes, and that was the day that I had to shift everything. That was November. 2000. And from that point forward, it took several weeks for me to quit smoking. But uh, that was the only thing I was really personally addicted to. But the cigarettes, the alcohol and the drugs just stopped immediately.

My marriage was, was more of a challenge. But by February, my son and I were living independently because I couldn’t stay any longer. The veil had been, And I couldn’t unsee it. And I knew that if I stayed in my first marriage because my first husband was not willing to leave that lifestyle, I knew that I would not be strong enough to stay stable on my own.

It was either with him and clean or without him and clean. And he chose without. And so, that to me is one of the defining conversations of my life. And it was probably 15 seconds long.

Carrie: Yeah. Sometimes all you need is that like kind of one or two sentences and it just sparks something within you.

That was huge, Sounds like a turning point. And change the whole trajectory of your life.

Suzanne: It sure did. Yeah.

Carrie: Wow. And we’ll put links in the show notes to where people can find you and hopefully, some people will kind of take advantage of these trainings for their churches and, and ministry sites.

Suzanne: Yeah, I would love that.

80. Where Are Our Guests Now

Where are our guests now? To mark the Hope for Anxiety and OCD 80th episode, I’m giving you some updates on some of our past guests.

Some of them recorded their own updates and some sent us the update via email to read.


           

Carrie: Welcome to hope for Anxiety and OCD episode 80. I thought it would be kind of fun to do an update episode where we hear where our guests are. Now, the podcast has been live for almost two years. Some of our guests are doing some new things that you might be interested in. And this also gives me an opportunity to remind you of some of the episodes that you may have missed and wanna go back and listen to.

Some of our guests recorded their own updates to put in the podcast and some sent us the update via email to read. I’ll start off by giving you several author updates. I mean, you always wanna keep up with the authors because of course they have written more book.

Holly Gerth

Holly Gerth brought us episode 19, Thriving as an Introvert in an Extrovert World.

This is truly one of my favorite episodes that we did because I wish I had understood intro introversion 20 years ago, as a young adult. I think it would’ve made just such a huge difference for me in understanding myself and how to navigate the world. Holly has written a devotional book for people, struggling with anxiety called what your mind needs for anxious moments that came out in September. And she’ll also be hosting, Breaking Free from Stress Worry and Anxiety Summit.

Peyton Garland

Peyton Garland told us the story of her O OCD diagnosis and treatment in episode 26. Here’s her update.

Peyton: Hey everybody. It’s Peyton Garland. I had the honor and the pleasure of being on the hope for anxiety and OCD podcast about a year, a year and a half ago. And I just wanted to hop back on here and let you guys know that there has been so much growth in my life. And you know, it probably sounds a little cheesy because hope is in the title of this podcast, but I’ve found lots of hope in the past year.

Since I last chatted with you guys, I have found hope and a little white better known as Zoloft. I am so thrilled that I have finally found a medication that seems to be a true miracle and is working so well for my brain. And also my soul. My husband and I just bought an old 1894 farmhouse in Tennessee on about 13 or 14 acres and, you know, OCD for me as someone who struggles with sensory overload.

I am so to finally seem to get some serenity and some peace and have just the quiet of nature to nurture my mind. And aside of that last time I talked with you guys, I just released not so by myself, my first book, and it was a memoir that dug deep into my, my big battle with OCD, you know, kind of pre-diagnosis.

The day I got the diagnosis and post-diagnosis and how to trudge through difficult seasons. Well, and I’m so honored to let you guys know that I have a second book releasing actually in about a couple of weeks, it’s gonna be called Tired, Hungry, and kind of Faithful, Again, diving into this concept that life is messy. Life is muddy, but it is so beautiful, even in seasons of hunger where you’re thirsting for more, where you feel that your faith and your hope are kind shoved in a glass that’s half. But there’s so much room to fill that cup. And, and it’s a cup that’s mid by God to overflow and yeah, a year later still strugg ling with OCD, but finding so much hope.

And I would love for you to check out my next book. It’s got lots of funny stories. My dogs are in this book as well. Lots of tidbits on my battle with OCD, but I think most of all, it’s just. The story of me discovering that there is true beauty from Ash and that that beauty from Ash is something that’s attainable for you as well.

So again, I’m so excited to be back on here and to tell everyone, Hey, life is full of light and hope amid the mess over in Peyton Garland’s world. And I’m so excited to catch you guys later.

Dr. Irene Kraegel

Carrie: Dr. Irene Kraegal who joined us for episode 16 on his mindfulness for Christians had a new book come out on August 2nd, published by Zondervan.

The book is a Christian mindfulness devotional for teens, also applicable for adults. Each of the 150 devotionals includes a scripture passage, a spiritual reflection and a corresponding mindfulness practice. Written guides for classic mindfulness based stress reduction exercises are included such as a body scan, sitting practice and movement meditations along with instructions for informal mindfulness practices that can be incorporated throughout each day.

The devotional also includes introductory and frequently asked question information about effective integration of mindfulness with the Christian.

Pastor Steve Hinton

Carrie: Pastor and author Steve Hinton joined us on episode 37 to discuss doubt and faith. This has been a popular episode in regards to downloads. So if you missed it, you might wanna catch up on that one.

Steve Hinton: Hello, Carrie let me just first say congratulations on reaching number 80 in your ministry and podcast journey. Wow. Your 100th episode is just around the corner. And Gary, I know that your work is encouraging so many people on my end. Well, I’m actually on an extended social media fast this summer, but I am gonna pick up my blog work again the second in September.

You know, social media fast might be a good idea for many of your listeners because there’s so much stress that we unknowingly allow into our lives. And that can’t be prevented by governing what we bring into our hearts and minds from the world around us. But I am planning to get back to the blog in September and I will do this.

I will send a free copy of the confessions book to the first person in your audience who leaves a comment or question in the blog post. When I kick back into it in September the kingdom.com blog post, in addition to my preaching role with a local church on the north side of Houston, I am working with a ministry designed to help foster soul care for pastors, which really is a vital need in our day and age.

I want you to know that pastors need encouragement as well, but again, you have done a wonderful job and, and I’ve been inspired by your podcast and my preparations to launch a future podcast, myself, keep going and as the British say, good show. Thank you, Carrie for all your work.

Carrie: Now we have a few counselor updates for you.

Dyana Robbins

Dyana Robbins: Hi, Carrie and Hope for Anxiety and OCD podcast guests. I am Diana Robbins and I was a guest on the podcast talking about my experience, parenting special needs, and children who struggle with anxiety. Since that podcast aired. I have moved back to the United States from Singapore and I’m working as a licensed professional counselor and group and private practice in Texas,

My specialty areas are trauma and grief recovery. I am also developing a program entitled building resilience and parents of exceptional children. For my doctoral dissertation. This program will provide information, support and counseling interventions to help parents thrive at every stage of parenting special needs children.

This month, I have also been a presenter at the trauma and mental health conference where Christian leaders from many fields provide guidance in helping those affected by trauma. You can learn more about my work and contact me through my website dianarobbins.com. That’s D Y A N A R O B B I N s.com.

Thank you, Carrie, for the opportunity to connect with your important work and with all of your listeners. God bless you all.

Lindsey Castlemen

Carrie: You may remember Lindsey Castleman from episode 22 welcoming parts. We don’t like where she introduced us to ifs therapy and told us a sweet story of hope about adopting her son.

Lindsey would like everyone to know that she is doing well. She’s currently the director at the Counseling Center at Fellowship. She supervises marriage and family therapist and has a group practice. She says she’s very proud of the team that she gets to work with and is thankful for all of the opportunities that God has brought her way.

Aron Strong

Lindsey introduced me to Aron Strong of Pathways Counseling in Murphysboro, Tennessee, who brought us episode 29 on God, Feelings and Theology. This was a great episode where we discussed how God has feelings and created us in his image to have feelings as well. Pathways Counseling in Murphysboro has grown adding three additional full-time therapists for a total of nine therapists and graduate interns.

They’re also beginning the process of launching a new location in Mount Juliet, Tennessee. Lindsay and Aron both have an organization called In Relationship and they would like you to know that they have, in addition to their marriage intensives, In Relationship has also created a day and a-half marriage workshop for churches and organizations called Being With. They also have online courses for therapists and Christian counselor member groups. In Relationship has its own podcast.

And they’re excited to announce that they’ve been working with Bridgestone on writing a series of four trainings on empathy and relational engagement to help create work environments in their Firestone stores that employees won’t want to leave. So that’s very exciting for them. Now I’m going to share some updates from organizations and individuals who support people with anxiety in some way.

Dr. Katie Aitken

Carrie: In episode 45, Dr. Katie Aiken joined us for improving nutrition to help anxiety.

Dr, Katie: Hi, Carrie, and the Hope for Anxiety and OCD community. Congratulations on 80 episodes. I’m sure these conversations have helped so many Christians with anxiety and OCD find more connections. Since we’ve spoken, I’ve released the audiobook version of my book, Create, Calm, The Professionals Guide to Overcoming Anxiety from the inside Out. it’s on Audible.

I know how much you love listening to practical guidance on managing anxiety at home. And this resource has all my best tips. The section on connection, where I share how my faith cultivated my self worth might be something that you would enjoy. It’s been great to connect with you, Carrie. Best wishes for your next 80 episodes

Cat Sharp

Carrie: On episode 46, cat sharp brought us Combating Emotional Eating with scripture.

Cat: What an honor, it is to be a part of this special episode. Carrie, thank you so much for giving me the opportunity to update you and your listeners on how the Lord is working in my life. Over the last few years, my business has been primarily focused on helping Christian women overcome the traps of emotional eating and binging.

But recently the Lord has been calling me to teach more about what discipleship means and what it looks like in different areas of our lives. So I’ve been partnering with other Christian teachers to create the everyday disciple virtual summit together. We’re tackling topics of parenthood, forgiveness, finances, work, and, and so many more.

And we’re taking a look at what it means to be a disciple of Jesus Christ in our everyday normal lives. The summit and working with these teachers has been such a blessing for me personally. And of course, as our heavenly father does, he has been challenging me in some new ways. So I’m really excited to share the summit with you and your listeners.

If you would like to learn more, please go to cat sharp.com/summit. The summit is free of course. And if you happen to miss this one, don’t worry. We’re gonna be doing another one. I just don’t have the dates for that yet. Again, thank you, Carrie, for allowing me to be a part of your amazing podcast in the way that you serve others.

Alexa Hulsey and Trey Brackman of Encircle Acupuncture

Carrie: We covered the topic of acupuncture on Episode 23 with Encircle acupuncture. I really wish that they were closer to me. It was near my old office and I miss going to acupuncture. It is so relaxing. Trey and Alexa have an update for us.

Alexa: Hi, this is Alexa Hulsey from Encircle acupuncture.

Trey: And this is Trey Brackman from Encircle acupuncture

Alexa: So Trey, what have you been up to?

Trey: Well, I have surpassed my 10-year mark here at Encircle Acupuncture, continuing to help my wife raise three great kids and continuing to do community acupuncture that I love. How about you? What have you been up to Alexa?

Alexa: Well, I am continuing to see patients here at Encircle. We’ve celebrated our 12 years of treating patients and I have also been blogging. My blog notes from your acupuncturist, which you can find on substack and write about all things related to acupuncture.

Trey: That sounds awesome. It is. And you have recently been on another podcast. I was on Sebastian’s finest hour and we talked all about acupuncture and community acupuncture.

It was really a lot of fun. I would do that again.

Alexa: Awesome. So check out Trey on Sebastian’s finest hour and notes from your acupuncturist on substack. Thanks.

Kelly Ehlert

Carrie: Kelly Ehlert is a pelvic floor physical therapist who joined us on episode 20 to discuss overcoming sexual anxiety and dysfunction for women. She’s also in middle Tennessee.

Kelly would like you to know that she’s collaborating with an acupuncturist and functional medicine provider to help women solve underlying issues for some of their physical symptoms and are offering a collaborative program with the three of them treating the individual. They’re currently calling this the purple duck pack, finding the right provider and creating overall health for mental, physical, and emotional wellbeing on her website.

Kelly has some free resources for returning to work postpartum and free screens for considering when to see a pelvic floor, a physical therapist, to determine if her niche is a good fit for them as someone who just had a baby. I really appreciate all that pelvic floor physical therapy has to offer. In helping women recover their bodies after birth.

Jeff Allen

Carrie: We had a few guests share their personal stories with us, fellow podcaster, Jeff Allen who’s also the host of Simple Mental Health shared with us his story about discovering he had anxiety on episode 32.

Jeff: Hi, Carrie, thank you so much for reaching out and giving me an opportunity to speak again on your podcast and congratulations on 80 episodes. That is quite an accomplishment, especially when you are coordinating all the interviews and giving people such valuable content.

Thanks for all that you do. I just wanted to update you and tell you a little bit about what’s going on with. I recently found out that it’s not just an anxiety disorder, but I have been diagnosed with something called cyclothymia, which is basically a really mild form of bipolar. Been treating it with medication and goodness. I can’t tell you what a difference that has made in my life.

I’m blessed to have found a psychiatrist that has worked with me so well. And given me the opportunities to treat what’s going on with me also, I have been promoted at my job recently. I’m the online site lead for the gathering, which is a church in St. Louis, Missouri recently wrapped up the third season of my podcast, Simple Mental Health. If anybody wants to check it. Simple mental health on all the podcast platforms. Check it out. Thank you so much for all that you do, Carrie. I can’t wait to continue to listen and ride along with you as you continue.

Jennifer Harshman

Carrie: This podcast journey. Have a great one last but not least.

We have an update from Jennifer Harshman who talked to us about her abuse story. Why did God Allow me to go Through That on episode 47.

Jennifer: In the time since I shared with you part of my journey, I achieved a lifelong dream of having a swimming pool.

I started a TikTok account in late June and all along. I’ve been busy serving others who wanna make a difference. You can hear all about all of the ways. If you go to harshmanservices.com, sign up for any of the free goodies you want while you’re there. There are two things that I’m doing right now that are the most exciting one is your book bakery, making it easy to write a book, which is a book I wrote, it’s coming out September 1st. And it goes with a program that I’ve been running for a few years, where I walk you through the process of writing a helpful nonfiction book. All you need is the right recipe, and you can do this. The other is editor’s school, where I teach you how to become a freelance editor and build a solid income.

I’ve been helping people since 1992, and I love helping people make dreams come true. You deserve it.

Carrie: Jennifer, congratulations on the pool. That is a great life goal. And who knows? Maybe I might get around to writing my book someday. It’s truly been a blessing and a privilege to interview all of these guests and provide this valuable information for you.

Podcast Updates

Carrie: Since I have updated you on our former guest, I also wanted to update you on what is going on with my counseling practice, By the Well Counseling. I have made the decision to keep my business online for the time being while my daughter is young. However, I have. Insured office space for intensives to focus on doing those on Fridays, I was trained in the flash technique for treating trauma this year.


I also have an upcoming training on something called Blast and in November. I’ll receive additional training for working with OCD via EMDR. I’m excited about just continuing to learn and continuing to grow as a professional each and every year, I continue to be amazed and blown away at how many people are finding the Hope for Anxiety and OCD podcast.

I have been on several other podcasts to promote this one, which is a great way for people to find out about the show. Of course we also have our social media marketing that we work on just putting up posts on Instagram and Facebook for people who are following us there. According to Google, our website is showing up more and more in Google searches.
So that’s really exciting to me not because I want to have a podcast following. I don’t really care about that. I am excited because it means that more and more people are accessing just messages of hope and knowing that there’s a variety of treatment options available for them. And then if one doesn’t work that they don’t have to be pigeonholed into that treatment.

They can seek other treatments outside of that. That’s one thing I’m super passionate about especially for people who are struggling with OCD and have been told, there’s only one treatment for them. I have many hopes and dreams for the podcast that I thought I would go ahead and share with you. It feels actually like a little bit vulnerable to do this because I don’t know if any of these things are going to actually come true or not.

My big girl dream is to start a nonprofit organization that helps people get the mental health treatment that they need by matching them with an appropriate provider, making sure that financial barriers are removed if they’re not able to afford counseling or afford their copay. I know that there are a lot of great resources, great counselors out there.

And unfortunately seems like finances often get in the way of people getting the very specified. Specific help that they need, because there are so many different types of therapies and ways that therapists practice. It’s hard for people to find what it is that they actually need. So that’s my big girl dream that we’re miles and miles away from, and I don’t know if it will ever come true, but I just said it out loud to you.

Another passion of mine related to the podcast is I would love to get some self-help materials out into the hands of specifically Christians who are looking for help with anxiety and OCD. This could be a great precursor to people coming to counseling, or as a supplement for people who are already in counseling. I’m not exactly sure for me, if this looks like an online course, a workbook, audio, relaxation, or maybe a combination of all of things. I’m not really sure, but it’s something that I hope to be, have time and be able to take some time to work on between now and the end of the year. Doing every other week episodes has really been super helpful and much less stressful in this season of life.

So thank you for all of those of you who have kind of like held on with us this year, in that transition of going from weekly episodes to every other week episodes. Since there are so many new people finding this show, I think it’s actually a good thing in both ways because many people don’t listen every week or, you know, don’t have opportunity to do so. I absolutely love hearing from our listeners and I would love any support communication. If you want to be involved in a beta launch of a course or a workbook, definitely reach out to me via our website. Hope for anxiety and ocd.com. And I’ll kind of put all of those emails together.

I’m always writing about things like this first to our email audience. Anyway, if you’re not on our newsletter, be a good time to get on there and just keep up to date. If you’re interested in any of the self-help stuff, mostly I just let you know what’s going on with the podcast and things that I’m offering. I am going to keep on to the best of my ability, continuing to help Christians who are struggling with anxiety and OCD.

I’d like to ask If you would pray and consider supporting our podcast, you can do that via Patreon through monthly subscription, or one-time gifts can be sent through the website, Buy me a Coffee.

Those links will be in our show notes. There are a variety of expenses that go into producing a podcast, such as, you know, website hosting, editing. And I just really appreciate if you would consider supporting this because as I really view this as my ministry to reach people all over the world who are Christian and struggling, not everybody has access to counseling services where they’re at, unfortunately. People just need this positive support, hope and encouragement sometimes to keep going.

Thank you all for listening to the podcast today. I appreciate each and every one of you who take the time to tune in.

Hope for Anxiety and OCD is a production of By The Well Counseling. Our show is hosted by me, Carrie Bock, a licensed professional counselor in Tennessee. Opinions given by our guests are their own and do not necessarily reflect the use of myself or By the Well Counseling. Our original music is by Brandon Mangrum. Until next time may be comforted by God’s great love for you.

Bonus Episode: EMDR Intensive Therapy Q&A with Steve Bock and Carie Bock, LPC-MHSP

Carrie and her husband Steve are excited to bring you a bonus episode on EMDR Intensive Therapy. 

  • What is EMDR Intensive Therapy and what are the issues it can help with?
  • What happens in an EMDR Intensive Therapy session?  
  • How long does the session usually last?
  • How to receive EMDR Intensive Therapy?

If you want to find out more about intensive therapy, go to https://www.bythewellcounseling.com/intensivetherapy/

Transcript

Carrie: Welcome to a very special episode of Hope for Anxiety and OCD. This is a bonus episode that I wanted to get out to you earlier than putting it kind of in the lineup. Since we have several episodes that are already planned out for the next couple of months. And I have my amazing husband, Steve here with me. Say Hi Steve.

Steve: Hey

Carrie: Glad to have you here. You interviewed me once before on the show for episode 33 of What it’s like to be a Counselor. And I thought it would be good for you to interview me on our today’s topic, which is EMDR intensive therapy. Since it’s something that you’re not familiar with. When I get in the zone and tend to talk about therapy things, I don’t tend to always explain them for the lay audience to understand and break it down very well. So I thought it would be good. And you can ask little filler questions here and there that people might be wondering about, or you might be wondering about.

What is EMDR Intensive Therapy

Steve: Okay. My first question is what is an EMDR intensive therapy session?

Carrie: This is a session that is longer than a typical therapy session. It occurs either for a half day of three hours or a whole day, which is six hours with a lunch break and some small breaks in between it’s for a very specific purpose.

So someone that’s trying to achieve a very specific counseling. It may be that they know, for example, that they’ve experienced some sexual abuse that is getting in the way of their relationship with their spouse. Now it may be a situation where they’re trying to overcome a phobia or a situation where maybe they just know they have a lot of trauma.

They’re going to need to process in a sense, kinda wanna get a kickstart to that process. Another way we use an intensive therapy session for say anxiety or even possibly OCD is to work on some day-to-day level coping skills that people could use as maybe a baseline for them. So it doesn’t have to be used to process trauma.

The idea behind it is to have dedicated time and dedicated space to work on a very specific issue.

Steve: A long therapy session that seems like it might be kind of exhausting.

Carrie: It can be tiring, but it just depends on how you break up the day. Usually what we’ll do is we’ll have kind of a introductory period.

So to explain a little bit deeper, these are situations where I may have been working with someone for. Session a few sessions and they make a decision to do an intensive, or it could be that somebody wants to travel in from out of state and do even multiple days with me, which I would just have to make sure that I had all of the office space available during those days and times.

If people are traveling in and I haven’t met them before the structure, obviously of the day is gonna be a little bit different because there’s going to be a chunk where we’ll have to do a little bit of more history taking kind of getting a clear picture of the problem. Then we can go in and make an EMDR treatment plan.

Basically identifying what memories we need to target that are contributing to their present-day issues. When we go back and we reprocess those memories. In EMDR, we look at the past and then we look at how that’s affecting and present, and then how that person would like to respond in the future.

Typically, with a more condensed intensive session, we would probably process the worst memory that came up on that treatment plan. And the first memory that came up on that treatment plan, sometimes those end up being the same memory. If it’s a more recent traumatic event, we would structure it so that we would really just be focused on that recent traumatic event.

There’s restricted protocols with EMDR to help you process more like within the past month type of trauma. If we were able to get someone in that quickly, So there’s lots of different ways that we can structure it with, uh, phobia, for example, we can structure, you know, starting with, when did the phobia first occur process?

You know, usually like if, if somebody was bit by a dog, for example, when they were a child, they’re afraid of dogs, now we could go back and we could target that memory where they bit by the dog. Then we can look at potentially exposures and desensitizing the present triggers. So we could show them a picture of a dog.

How to stressing is that to you do some EMDR surrounding that as a present issue, we could, you know, show them a video of a dog. There’s different things that we could kind of target. I probably wouldn’t have a live dog, but, you know, I would encourage at some point or another, eventually, them working up to that process as kind of gradual exposure.

It’s kind of a little bit hard to get a live dog in a counseling office sometimes, but you understand where I’m coming from. There’s so many different ways that we can approach things depending on what the person’s presenting issue is. For example, panic attacks. If someone had a history of panic attacks that they would like to focus on resolving, we can often process their first panic attack and their worst panic attack, their most recent get that done in one day. And that will show significant symptom relief for them, preventing them from having future panic attacks.

Steve: Why did you decide to start offering intensive therapy?

Carrie: That’s a really great question. I was actually encouraged by two of my mentors. One of them was Laura Mullis who we had on the show on episode 21, Healing from Childhood Wounds: The key to Unlocking Anxiety. Laura, as well as one of my other EMDR mentors, Alice Strickland had really asked me, first of all, was I doing intensive therapy? And then if I wasn’t interested in doing it because sometimes they have cases they may not be able to take on or might not be the best fit for them that they may want to refer to me. So that was part of it. And the other reason was after doing a few with my clients, kind of during the COVID period online, I did some three-hour sessions with clients where we took kind of a 15-minute break in the middle to target very specific EMDR memories that they wanted to work on.

There’s a few problems that can come up, like in terms of weekly therapy, someone comes in and they may really wanna work through certain issues in their life. But then as we know, like life just happens, you know, then they come in next week and something’s happened with one of their kids or their coworker was really mean to them. Or, you know, somebody went off on them as they were driving their car. I don’t know. And they just feel like, okay, I need to really process what was going on in the present.

A lot of times we can tie that back into how that was a trauma trigger and sometimes work through some of those things. And that can be very helpful. Oftentimes, what I see is that we end up delaying the EMDR treatment process because a lot of times we’re having to go back and forth between working on these present issues and then working on past issues.

If we can devote specific time to working on the past issues. A lot of the present issues will be resolved because they won’t continuously be getting triggered by the same stuff over and over again, in these challenging relationships or situations. So much of therapy too is spent on helping people develop skills to manage their day-to-day present.

And like I said, if we can go back and just kind of clear out some of the junk, there will be less that they have to manage in the present, not to say that they won’t have anything. Going on, but at least it’ll get the symptoms maybe more to a manageable level. Once the trauma is resolved. So it’s really a combination of a couple of different things.

Sometimes another issue that we have in terms of processing memories with EMDR is that we will take some time at the beginning of the session to get the client into the memory to say, okay, now, as you bring up that memory right now, how distressing is it? Where do you feel it in your body? Even before we do that, the client will come in. They’ll say, “Well, you know, I had, after last session I had a nightmare” or they may be updating me on symptoms. Either of the symptom got better or symptoms got worse. That’s helpful for me to kind of know and guide the process as to where we need to go to next. That takes a little bit of a chunk of time, say that takes 10 to 15 minutes. And then at the end of the session, we really wanna make sure that people have time to calm down that they have time to contain, especially if they didn’t finish processing the memory. So then we’re taking another, you know, let’s say 10 minutes to say, “okay, like, you know, kind of ground, put your feet on the floor, take a deep breath, contain the memory.”

No, it doesn’t have to leave you here. When you walk out the door today, go to your safe place, whatever. There’s a lot of different ways we can do that. But the point is, is that we’re taking that chunk of time in the beginning of the session. And we’re taking that chunk of time at the end of the session, whereas in an intensive, you don’t have to do that because you’re not having those times in between sessions.

You’re actually saving time and energy and not interrupt that trauma work because the brain doesn’t know, “oh, wow. I only have about, you know, 30 minutes to work through this.” Your brain doesn’t know that. So it’s gonna kind of continue to be working on things even after that session is over, which can sometimes be distressing for people.

What are the Issues EMDR Intensive Therapy Can Help with?

Steve: Okay. What are some of the issues that you’ve seen be helped by intensive therapy.

Carrie: I talked about some of them previously, things like phobias, panic attacks, very specific recent trauma, definitely anything that we would consider to be a single incident trauma, not like, you know, I’ve had a whole lifetime of childhood, but Hey, my childhood was pretty stable and things were going well.

And then this thing kind of just completely shifted me off track, near-death experience or illness, injury, car accident, things like that. I know that you and I had talked about, even my experience in episode 10 of really building up the confidence again, to be able to go out dating after my divorce, I had had quite a bit of therapy and there were just kind of some lingering remaining things that I needed to process through. And I really needed to do that from a somatic body sense, rather than just talking about it because I had already talked nausea about it. So that’s another area. Theoretically, I could have done an intensive on for myself. I didn’t, but I went at probably 10 sessions had I had an intensive opportunity.

I might have been able to get that, that work done and say probably two days, you know, instead of 10 sessions over, I was probably going every other week. So you think about that if you’re going every other week to therapy too, that’s about say five months that it took me to get through that process. I know.

A lot of times, people are very interested in today’s day and age of getting better, and faster. We have such a microwave generation. This can be good and bad. Sometimes these situations work and you can find relief faster. It’s not for every person or every situation, but as you can see, there are lots of different ways that we can apply the intensive therapy model to help people get relief. Another example would be for someone who’s having difficulties setting boundaries. Oftentimes this relates back to either like very strong authoritative personalities in their childhood or just people were straight up abusive and crossed their boundaries.

So if we can go back to those places, help them process through that realize like, you know, you’re not a child in this dynamic anymore. This is an adult-to-adult dynamic. You have a right, like your needs are important, whereas they weren’t important. Then your values and your desires are important. And you have that takes a certain level of self-confidence to set a boundary, right. To be firm with. So that is something that we could target in an intensive, really like creating a treatment plan surrounding the difficulty with setting boundaries. A lot of times I see people who have emotional trauma that is feeding into disordered type eating, even though I don’t work with eating disorders.

So I kind of wanna make that clarification if you have serious eating disorder like anorexia or bulimia that I’m not saying that this type of intensive therapy is for you, but for people who, for example, would say, “Hey, I’m an emotional eater. I really want to eat healthy. I’m trying, I may have been on every diet under the sun. But just the way that I grew up, there was a lot of shame surrounding food, or there was even abuse situations involving food resolving.” Some of that trauma will shift the way that people approach food in the present. That’s one, depending on how much is back there, they may need a little bit more than one day. It just kind of depends. And we have to create a plan together. I think that’s, what’s really important. Intensives is having a very specific plan and intention that the client and I are both on the same page about what they’re wanting to accomplish so that there’s no confusion and that we stay very focused and targeted for that limited amount of time.

Steve: So who would not be appropriate for intensive therapy?

Carrie: If someone has a serious problem where they may need a higher level of treatment, such as a serious addiction, addictions are typically not something that I worked with. I’ve worked with a lot of people who had an addiction in their past, say a few years ago, and they’re trying to resolve the trauma that led to the initial addiction.

I do work with several clients that have experienced that, but we really want people who are clean and sober to be engaging in this work. I mentioned eating disorders. If somebody has a really serious eating disorder and where they need to be in some kind of hospital or treatment program, if someone finds that they’re dissociating a lot, they’re disconnecting from reality due to their trauma.

They’re losing a lot of periods of time or they don’t have any connection to their body or their emotional experience. Now I will say that if there’s a client that’s really having difficulty connecting to their body or to their emotional experience if they wanted to do an intensive, what we would really focus on is not processing the trauma, but we would more focus on developing that body awareness, developing that emotional awareness. Doing a lot of what we would call resourcing activities, which would be trauma preparation that may be incredibly valuable for that person to do that, and may help them really cope better in the present with that. But I wouldn’t say that they need to come in and, and just start processing trauma because they’re not gonna be able to do that.

You really have to be connected to your mind, your body and your emotions in order to benefit from EMDR, having. I’ve worked with a ton of clients that don’t have all of those things online. And so our first step in therapy is really building those up before they can go through and process trauma. If somebody has a personality disorder or something just very serious going on, then they’re probably not appropriate for intensive therapy.

Steve: And my last question is, are these covered by insurance?

Carrie: They are not. We don’t have a code for this type of intensive therapy session that we could code for insurance. I actually even asked Cigna the insurance that I work with and they, you know, I’m sure if we were sitting face to face, the lady would’ve looked at me, like I had four eyes.

I was trying to explain it to her, but she was just kind of like, “No.” They are used to typical things like individual therapy, group therapy and things that there are codes for. This is not something we can code and charge insurance for. It’s really more for someone who is looking to make an investment in their mental health and they, they know kind of what they want.

And they realize that this pathway is going to save them, you know, time, energy, and money. It’s hard for people to. Sometimes to coming to weekly therapy, they may get started with it, or they may start coming every other week and then childcare becomes a problem or work is adding on more responsibilities.

I can’t get off in time. There’s all kinds of barriers that can happen in terms of people getting the therapy that they need on a consistent ongoing basis. Sometimes there’s certain time limited situations where someone will say. I know I’m going to be moving or going out of the country. And I know this is some, or I’m getting married.

This is just something that I know I wanna resolve before. Maybe a major life event happens as well. And so these people are kinda willing to take that leap and invest in this process. And so also just really great for people who have had a lot of therapy, haven’t been able to get their goals achieved that they wanted to, but feel like this would be something that would help them just as a different approach.

Thank you, Steve, for helping me out by asking some of these questions and allowing me to explain intensive EMDR therapy.

Steve: Yeah. You’re welcome. And glad to be here once again. And it’s actually really good for me to hear that I got to learn something, so it’s good.

How to Receive EMDR Intensive Therapy

Carrie: Yeah. And if people would like to find out more about intensive therapy, they can go to www.bythewellcounseling.com./intensive therapy. If you get to the homepage By the Well Counseling, there’s also a button that you can click on for intensive therapy. There’s a form on the webpage that I’ll ask that you fill out in order to be able to, for us to have a, hopefully, a short video chat, where we can have a consultation, where we can talk about what you’re hoping to get out of the intensive, and I can share whether or not I think that that would be appropriate for you.

It’s really important that we’re able to make sure that you’re gonna be getting what you need from this modality if you’re investing the time and money in it. So I want to take a little time to make sure that that you’re appropriate and that this is appropriate for you kind of, as we talk through some of those things.

One thing that I’m really excited about with this intensive therapy opportunity is that I get a lot of inquiries from the people who listen to the podcast and they say, “Hey, I know that you do online therapy. Can you see me?” But they live out of State. They may live in Kentucky or Connecticut or wherever, and I can’t see them online due to licensure laws and limitations. I’m only licensed in Tennessee right now to see people there. So this will allow people to be able to travel if that’s something that they’re interested in and receive therapy from me. So that was kind of another contribution of why I wanted to do this, that I didn’t mention. Earlier, thank you so much to everyone who is listening to this podcast right now, I will tell you the very first people who heard about the intensive opportunity were our email subscribers.

And Steve, why should you get on our email list for the hope for anxiety and OCD podcast?

Steve: We’re giving away. T-shirts

Carrie: Yeah, Steve, it was actually your idea to start giving away t-shirts to encourage people to subscribe to the podcast newsletter. So since we have currently, as we’re recording 73 email subscribers, I want you to help me pick our first t-shirt winner by people who’ve already subscribed to the newsletter.

So pick a number between 1 and 70.

Steve: I’m gonna go with 14. It looks like Lisa D is our winner. Congratulations, Lisa!

Carrie: She is our 14th email subscriber. I will be emailing Lisa to let her know that she has won a t-shirt and once I get her size and address back, we will go ahead and ship that out.

You also get to pick which color shirt that you want. And if you are not a t-shirt winner this time, because you are not subscribed to our email list, then hop on the email list. We don’t have that far to get from 73 to a hundred. Right Steve?

Steve: That’s right.

Carrie: So once we get to a hundred, I will be giving out another t-shirt for somebody in between the 50 and 100 mark and maybe about every 50 subscribers or so we will give away a t-shirt.

I would love to have 500 subscribers on the email list. That would be amazing. So it’s a great way for you to know firsthand what’s going on with me and what’s going on with the Hope for Anxiety and OCD Podcast. You can subscribe by going to our website, hopeforanxietyandocd.com. You are certainly welcome to go through our website and buy one, If you are really itching for some podcast merchandise. Thank you so much, everyone, for listening. And I hope to hear from some of you soon.

Hope for anxiety and OCD is a production of By the Well counseling. Our show is hosted by me, Carrie Bock, a licensed professional counselor in Tennessee. Opinions given by our guests are their own and do not necessarily reflect the use of myself or By the Well Counseling. Our original music is by Brandon Mangrum. Until next time may you be comforted by God’s great love for you.

Can You Do EMDR Therapy Online?

The History of Online EMDR therapy

Prior to the COVID-19 pandemic, there was much discussion in the EMDR (Eye Movement Desensitization and Reprocessing) community about whether or not EMDR therapy could effectively be done online. There were concerns from clinicians about their clients having intense emotional reactions or dissociation and not being present to help their clients calm down. The EMDR International Association (EMDRIA) was in the process of developing guidelines for virtual EMDR, which of course, was pushed to the forefront in the beginning of 2020.

Almost overnight, all EMDR therapists were seeing their clients online. Many clinicians who had been hesitant or scared to try EMDR virtually were thrust into a dilemma: Do I provide a technique I know that works for clients in distress or do I prolong their suffering indefinitely until we can be back with them in the office? For me, this decision was less of a dilemma. Due to moving therapy offices in 2019, my appointments were already about thirty percent virtual. I had even tried EMDR with a couple higher functioning clients, and they managed the therapy well.

Can EMDR therapy be done online?

The short answer is a resounding yes. There are many ways to achieve this, but a well trained EMDR therapist who has experience providing EMDR therapy online will tell you that the technique works just as well online as in person. There are three levels of training in EMDR. Therapists can either be trained, certified, or a consultant. Certified EMDR therapists have completed further training and consultation hours after their initial two weekends of training. Consultants have received additional training and supervision in their consultation of other EMDR therapists.  

How do you do EMDR therapy online?

EMDR requires what is often referred to as bilateral stimulation (BLS) or dual attention stimulation (DAS). These terms are often used interchangeably in EMDR literature. Most people see BLS/DAS being administered by eye movements. This is how EMDR is usually depicted in TV or movies. However, the same BLS/DAS can be achieved by the client tapping themselves on their shoulders or knees, following the therapist’s fingers, or using computerized software in which a client looks back and forth. Eye movements need to be utilized with someone on a computer rather than a phone as the phone doesn’t provide enough width.

What if I become overwhelmed during online EMDR therapy?

Whether EMDR is administered in person or online, it’s important to let your therapist know when things feel like they are getting too much. Having a good relationship with your therapist and proper preparation for EMDR therapy is the key to successful EMDR treatment.

What is EMDR?

EMDR Intensive Therapy


Carrie Bock, LPC-MHSP of By The Well Counseling is an EMDR Consultant who specializes in helping clients with trauma, anxiety and OCD get to a deeper level of healing through EMDR via online counseling across Tennessee and in person intensive therapy sessions. Carrie is the host of the Hope for Anxiety and OCD podcast, which is a welcome place for struggling Christians to reduce shame, increase hope, and develop healthier connections with God and others.

74. Exposure and Response Prevention (ERP) and NOCD with Stacy Quick, LPC

I’m privileged to be interviewing Stay Quick, a licensed professional counselor and therapist at NOCD. Stacy talks about how Exposure and Response Prevention Therapy (ERP) works for OCD and her own experience with OCD.

Episode Highlights:

  • Stacy’s personal journey with scrupulosity
  • How does ERP help people who have OCD
  • Can OCD be cured completely?
  • More about NOCD

Episode Summary:

In Episode 74 of Christian Faith and OCD, I sit down with Stacy Quick, a therapist at NOCD, to dive into the importance of accessible, affordable OCD treatment. Stacy shares her personal journey with OCD, reflecting on how a TV show finally gave her clarity about her struggles and how long it took to find effective treatment. She explains how NOCD provides life-changing early intervention, particularly in areas with limited access to OCD specialists. NOCD offers a free app that not only connects people to a supportive community but also provides Telehealth therapy covered by insurance—a huge advantage, especially for those unable to afford costly treatment options.

One of the highlights of our conversation is the power of Telehealth. Stacy explains how it allows therapists to guide patients through exposure exercises in their own homes, which can sometimes be even more effective than traditional office sessions. She also shares what she wishes she could tell her younger self: to stop worrying about things that won’t happen and to stop letting OCD steal precious time.

We talk about how OCD, and mental health struggles in general, can cause people to become hyper-focused on fixing their issues, often neglecting other aspects of life. It’s a powerful reminder that we are more than our diagnosis, something both Stacy and I deeply believe.

As always, thank you for tuning in!

Links and Resources:

NOCD

Today’s episode is on exposure and response prevention, which is often used in treating OCD. I had wanted to devote an episode to this for a little while, because it’s something that’s talked about and has come up on our show before in personal experiences however, there’s a little bit of tension in the community between what I do. That’s a little bit different type of trauma informed approach and ERP as a result, some people have chosen not to appear on the podcast or have been very critical of some things that I have said or written regarding treatment methods, such as EMDR being used for OCD. 

One person even actually accused me of spreading lies on my website before they even had a conversation with me about this. That was a little rough, but we recovered. And unfortunately, today’s guest contacted me to share her personal story and also the work that she does with exposure and response prevention. Today on the show, we have Stacy Quick, licensed professional counselor and therapist at N CD. Welcome to the show today. 

Stacy: Thank you for having me on. I’m excited to be here.

Carrie: So I know that a lot of times we talk to professionals on our show who treat OCD and sometimes they have their own personal experience with OCD. And you had shared with me that you dealt with scrupulosity in the past. Can you just tell us a little bit about your journey of recognizing that you had OCD the symptoms being diagnosed with it?

Stacy: Sure. I’ve actually had OCD for my entire life. I don’t really remember a time not having it. Obviously, I wasn’t diagnosed with it for quite some time, because this was back in the eighties and kind of nineties. And so not as much was known about it. 

Carrie: Sure. 

Stacy: And some of my first, I guess memories, I would say is about age five or six and some of the very first ones that had started were more, what I would now know scrupulosity where I was having images of religious figures that were kind of inappropriate, that kind of things that would, or thoughts about that, that would pop into my head from a very young age.

And it would really, really bother me. And I can remember, I wasn’t really sure what was going on. 

The interesting thing there is that at that time in my life, my dad was pretty much an atheist and we didn’t go to church. We didn’t really believe. So it’s interesting that it took on that form that young, I’ve always wondered about that, but it did. And I know my grandma had been religious and so I assume she had probably talked to me a little bit about stuff and she probably had pictures around her house. So I kind of knew the basics. I knew Mary, I knew Jesus. I knew that kind of thing. And then I think my brain just kind of went wild with that. And then it blossomed into lots and lots of things I joke and say, I think I’ve had every theme or form out there over the years. 

Carrie: That’s important for people to know just about OCD in general, if they haven’t researched it, a ton is themes do shift. So sometimes they’ll think, there will be some kind of sense of relief when they’ve gotten through one theme, like, good that’s gone away now. And sometimes they can deal with a theme. The next theme is a little bit more manageable, so they don’t really feel like they have a problem. They’re like, well maybe that went away. That was super distressing. And then they’re able to manage or cope in their life with the next theme better. And then another theme hits that’s unmanageable. Have you gone through periods of like that because OCD has this tendency, you know, to like wax and wayne. 

Stacy: Definitely. Almost all of the members I’ve seen throughout the years of doing therapy have said very similar things. They’ve said it comes and it goes, there are times in my life. Where it is really loud in times where it’s much quieter. And that seems to be reflective of many people’s experience, not just my own, but theirs as well. One of the things that I think research would support is that when you’re under more stressful times in your life or big life changes, that’s when OCD seems to be more prevalent. It kind of, I think of it in my own life as it kind of hangs out. And then it demands a little more attention during times of change or challenging times in my life. It tries to anyways.

Carrie: That’s a really good way of describing it. It’s like, it’s always there. And sometimes it’s a little bit more in the background and sometimes it’s more in the foreground, like knocking on your brain, demanding attention, like, Hey, pay attention to me.

Stacy: Yes. That’s definitely how I think of it. And I know what I always tell people, people always kind of ask, is it curable? Right? And what I say to that is. It’s very, very manageable. Right? You can live in recovery because of my beliefs. Do I believe that yes, it could be cured. Absolutely. And at the same time, my experience says that’s a very rare thing to happen. I believe God could do it for sure. And sometimes He doesn’t usually, He doesn’t for whatever reason, He knows a lot more than me. So I’m just gonna address that. 

Carrie: I think that’s a great perspective to have on it that regardless of what people are dealing with, whether it’s anxiety or OCD or depression, sometimes we have battles in our life or trials that we go

through that are long term that are ongoing and we do struggle with why won’t God take this away from me? I don’t understand it. Why I’m having to go through this. Did you experience some of that in your own spiritual wrestlings with God? 

Stacy: Absolutely. I really struggled with that throughout the years. I’m in my forties now. And so having had this for 36 years, at least. I started my relationship with God when I was probably around 11. And so since about that time, I struggled. And what has really helped me is when you look at Peter and what Peter says about how I have this thorn in my side, and I often go back to that where he basically says, I ask God three times to take this from me. And he didn’t. And he said, my grace is sufficient for you. And so for me, that’s what I go back to when people ask why, I don’t know why. And it is something that’s my thorn and it’s something I’ve carried doesn’t mean he won’t someday heal it. 

But what it has brought into my life has been this calling, right? I would not be doing the work I do had I not had these experiences. And so I am a big believer that the things we go through or the trials or battles we face are meant to do something right. We’re supposed to do something with them. At least that’s my thoughts. And so I do think that definitely led me down the path. I would not be doing this if it wasn’t for that. 

Carrie: There’s a really great verse in second Corinthians towards the beginning that I like that talks about how we comfort other people with the comfort that we’ve received from God. And I feel in a lot of ways, that’s like my life first, the sufferings and the trials that I’ve been through and have experienced with God. It’s like I’m able to pass the Baton and help other people through some of those similar trials and situations. 

Stacy: Absolutely. I agree a hundred percent. I think the majority of the people I have worked with, who I’ve shared parts of my story with when it’s appropriate, have been so grateful just to find out I’m not alone. There’s someone else who has been down this road because I think OCD in particular has this. Certain peculiar missed about it, that people do feel very alone in it and feel like nobody understands it, because it can take on some really bizarre themes and it jumps so much. Right? So I think people find comfort in that, that, my goodness. Here’s somebody who has been through this and has in a sense, come out on the other side. 

Carrie: So I wanna shift a little bit and get into talking about exposure and response prevention, because that’s the therapeutic tool that you use probably most often on NO CD. I’ve had a little bit of struggles over the years with ERP and I shared some of those with you before we started recording.I don’t dislike ERP I’m completely open to it. I know that it helps some people. I also know that from my background of dealing with trauma, that if someone tries to just use a straight ERP model with someone who’s experienced trauma, sometimes that can make their trauma experiences, PTSD symptoms and worse. And so there’s this balance of having to make sure that we’re helping people who have been diagnosed with multiple things. And a lot of times people will say, well It’s been research that ERP works well with OCD, and we know that people are people they’re complex. And I’ve tried to get someone to talk about ERP  on the show and was basically told that I was spreading lies on my website because I talk about treatments that are not just ERP. And we’ve talked about all kinds of things on the show. 

We were very open to whatever helps people like get the help that you need. And we had someone say they got help through brain spotting with their OCD and that’s awesome. Some people are helped by EMDR and by other methods. And so whatever you can get around you that is gonna help. I want people to be helped, but I’d love to have more of this conversation about how does exposure and response prevention help people who have OCD. 

Stacy: I think you bring up a really great point. I think that’s why it’s so important that if you have been diagnosed with OCD or you suspect that you have OCD that you see somebody who specializes in it’s, somebody who is very familiar with it, because it is often misdiagnosed. And there are many, many people who get misdiagnosed and it can be harmful. Right?

Carrie: Yes absolutely. 

Stacy: We’ve had people who have been diagnosed with psychosis and things like that when it wasn’t, but you really have to know it very well to see the differences. And you want somebody who’s trained enough, who also knows other forms of therapy so that they can tell what else you might need in conjunction. Right? Because you’re right. People often don’t come to you with just straight depression or straight anxiety or straight OCD, right? It is often a combination. And so one of the things we do really well, I think at OCD, is that we are careful to make sure that we’re also giving people resources and referrals for treatment providers that would deal with say complex trauma or major depression and things like that.

We know that when people do ERP for obsessive compulsive disorder, when it’s comorbid with depression and anxiety, it often does help relieve some of those symptoms. And there are times when they also need to be addressed separately and regular cognitive behavioral therapy or talk therapy can be very helpful for depression and for anxiety and for many other things.

And so I do think it is often a combination because it’s not often that you see somebody who just has OCD. And at the same time, we do know that exposure in response prevention is the gold standard treatment for OCD, but you’re right. You also have to have somebody who takes into account. 

There might be some other things going on, and I’m very careful to do a trauma screening with everyone I see, because I do think you have to go about that in a very cautious way. Right? And often people can be doing trauma work separately while they’re working with me on street ERP. And so I find that to be very useful. And then we coordinate things. 

Carrie: I appreciate your openness on that, because I know that there are some providers that are very rigid surrounding only using the ERP model. It’s a little bit frustrating, because there’s a level of rigidity with OCD that I feel like almost gets, there’s a parallel between that almost in the professionals that treat it, that I don’t feel like is helpful for the clients, just in general. Exposure and response prevention. There’s a lot of different things that go into that, but can you just give us kind of a brief overview.

Stacy: Sure. It’s basically gradually exposing you to triggers that typically would cause intrusive, unwanted, either thoughts, feelings, or urges, and then it works with you to prevent the compulsive response. So typically in order to be diagnosed with OCD you have to have obsessions or intrusive thoughts, images.

That are unwanted or urges and then compulsion something you’re doing that reduces those feelings of anxiety and discomfort or in a way neutralizes it. Right? And those can be internal or external. Right?

They can be things you see such as the most common ones, I guess, that you hear about are checking things repeatedly, or it might be saying prayers out loud, repeatedly, but it can also be internal. It can be mental compulsions, like trying to solve problems by replaying them over and over and over again. Did this really happen like this, or trying to reason sort of with the OCD? That’s the other reason it’s really important to work side by side with a trained therapist, because you might miss those mental compulsions. Right?

Carrie: Right.

Stacy: Sometimes it’s something as simple as I have to say this in my head or count this number in my head. Right? People don’t always recognize that as a compulsion, but it is.

Carrie: Because it becomes so automatic and just part of their process. I know that reassurance seeking is a really big compulsion that a lot of people have, like that need to talk to somebody else about it, or sometimes make confess certain things to another person.

Stacy: For sure. I know those are ones that often people don’t even realize they’re doing or they realize it, but then they get sneaky. Right? They don’t try to get reassurance without straight out asking for. Right? I know one big one for me when I was a kid was confessing. And I see that a lot with kids, especially really young kids.

That’s one of the first things I’m looking for when I’m talking to parents, are they coming to you a lot and telling you things that maybe. Another kiddo would not do. Right? 

Carrie: Right. 

Stacy: Cause I just remember that a lot with my mom and that really is reassurance seeking because then that person typically says, no, you’re fine.

That’s just a thought or that’s not something you’re really wanting to do, something to that effect. 

Carrie: So there’s a exposure hierarchy where you’re kind of trying to start with maybe some things that would be easier for people to expose themselves to, and then gradually work up to harder and harder things.

Stacy: I always call it. I have this latter hierarchy that I always use with people. We’re taking it step by step. We’re not throwing you in the deep end and saying, “good luck I hope you swim at your worst level 10 fear”. We wanna baby step it. And some people can go in bigger chunks and some people, it takes smaller chunks. And so we really are working. Alongside with our client to make sure that it’s not too much and we’re monitoring it, we’re asking them, you know, what’s your anxiety level before this exposure? What is it during? What is it after we’re having them monitor that regularly? And we’re also doing it with them in session, as much as we can, because we know that in order to create habituation, which is why this treatment works so well for OCD. 

We’re trying to really, in a sensory wire, your brain, you have this whole, your alarm system that’s going on and it’s telling you you’re in danger because of these thoughts. Images are urges when you’re not. And so you’ve developed this process of trying to rid yourself of those feelings, but it’s all based on this faulty alarm. So our job in ERP is to get that alarm when it goes off to recognize that it’s a false alarm, you’re not in any real danger. And that’s what ERP really is working towards. 

Carrie: I’d like to tell people about this analogy. It’s almost like we have these pathways in our brain and there’s a saying that  “The neurons that fire together, wire together”. Your brain has gone through this pathway of obsession, compulsion, obsession, compulsion, over and over.

And the more that you do, the compulsions and you, the more that you start to have the obsessions and you’re trying to get relief, but you’re stuck in this negative loop. It’s almost like a path through the woods. That’s really well worn. It’s been walked a lot. The sticks have been moved. It’s very easy to get through. And then when we’re trying to create behavioral change and new patterns, it’s like creating a new path in the woods. 

There’s maybe some limbs down on it. It hasn’t really been walked through that time. So of course, it’s going to be uncomfortable when we do these new things. And we expose our brain to new experiences. It’s not always going to feel good, just like walking through the tall grass. There might be some bugs or things that you might encounter, but the more that you walk down that path, the more well worn it is. Just like you were talking about with habituation, the more that you’re able to expose yourself to something and reduce that anxiety, or learn to sit with that anxiety and know that it’s not gonna kill you. It’s going to be okay. You’re going to be able to work through it. The easier that path is gonna be able to take the next time. And it’s a process for sure. 

Stacy: I love that. Actually, I love that metaphor. I think that’s a perfect explanation for what we’re trying to do is to get you to a place where you recognize.

That, yes, this is uncomfortable. And I’ll get through it and it won’t always feel like this. That’s the one thing over the years I’ve learned. Yes. Let me go back just a little bit. Everybody has the same thoughts that people with OCD have. They probably don’t have them as often, right? Because they don’t get stuck it’s they filter their filter works properly so they can take these thoughts that maybe aren’t very important and disregard them.

They have enough confidence, not certainty, but confidence that this is probably just a bad thought or just something that popped into my mind that I wouldn’t act down. The person with OCD though, for whatever reason, there’s a lot of mechanics in the brain. They get stuck on it and they say, why did I have this?

There must be a reason. What does it mean about me? And they internalize it. And then they start to think I’m bad or I’ve done. And that starts this whole, once you’ve latched on and gotten stuck on a thought, then it’s gonna be there more often. It’s like trying not to think about something. You’re gonna think about it. And so people with OCD it’s not that their thoughts are different from other people, but it’s that they get stuck on these thoughts and want to give them meaning. Why were they there?

Carrie: Stacy, I think that’s absolutely true and makes a lot of sense is that people do research about the general population. How many people have ever had a thought about driving their car off the road. There’s actually, I think about half of the people have had that type of thought and just even different thoughts about robbing a bank was one of them that I saw surprising sometimes how many people just have these thoughts go through their head. I have a fear of heights and so I will get certain places. And I shared with a friend who also has a fear of heights. I said, “do you like picture yourself falling from places because I do that”. And I thought to myself that was weird. 

I didn’t realize that other people also have some of those thoughts too. And he was like, I also have that I struggle with. So it’s things like that, that if you allow yourself to get really attached to it and you can’t help it, because sometimes it’s, there are genetic influence. That happen with OCD and sometimes you just can’t help having these thoughts. You just pop in there. You don’t choose. I don’t think every time I go to a high place, let me visualize myself falling off of here. It just comes in. It just comes outta nowhere. What if I fell off of this thing and I died, you know, or I was permanently injured in some way, shape or form. And then it makes me want to not get close to any edge of any high thing. 

Stacy: People often say, well, why does it latch on to some thoughts and not the others? The other thing we know is that it tends to latch on to things you value things you care about. One of the things that OCD seems to really attack is anything taboo, anything that would set you apart from someone else, anything that would make you bad or make you seem different. And so it really latches on and try to convince you in a sense, or have you doubt who you are as a person and the things that are most important to you. And I think that’s what makes it such a tormenting disorder. It goes after the things you care the most about. 

Carrie: And that’s where we get to talking about. We’ve had people show in the past who have had children thoughts about either their children being hurt or thoughts about harming their children, that those can come in after they have children. They never had before they had children. Oftentimes people of faith will have scrupulosity, obsessions and compulsions because their faith is really important to them. People who are concerned about getting things done the right way are going may have obsessions compulsions about the, just so warm of OCD. That makes a lot of sense. I’m curious about, because I don’t know a ton about it, your work on NO CD. Tell me a little bit about that platform website. 

Stacy: Sure. My work at NO CD is, you know, we are a very fast growing company.

And there’s a need out there for treatment. There’s a need for the right kind of treatment for OCD. OCD had, had an app for quite some time as my understanding. And then right around the time of the pandemic, there became a real need for therapy and it just has exploded. We’re helping so many people get this treatment that can be lifesaving. It really can be. We have a free app that you can download at treatmyocd.com. The cool thing about that is there’s like a little community in there. It’s sort of like a social media community where you can talk with people who also have OCD, and it’s very friendly community. That one of the most important things we’ve found is just knowing that there are other people out there who have this, who experience these things can be healing in itself, right?

Carrie: Sure.

Stacy: This not alone. And so the work that we’re doing is really trying to reach as many people as we can with affordable therapy. We know that many, many people can go upwards of 10 years before they get treatment and a proper diagnosis. And I can definitely vouch for that. I mean, I was 15 when I found out that this had a name. And the only reason I found out was 2020, this show kind of like a dateline show, aired an episode about OCD. And that’s how we found out that’s what I had. And then it would take me about seven years before I found somebody who could actually treat it, in a way that was manageable. And unfortunately back then we didn’t have the resources we have now where you can Google and you can type in and you can get just tons of information and, and misinformation. Right? That would’ve been a lifesaver back then. And, and we’re even seeing kids as young as five who are coming through for assessments and who have OCD. And so we’re catching it much sooner, which I really believe in. And I believe that that will be life-changing for them. 

Carrie: Absolutely. That’s huge. Just the ability to have early intervention. One of the things that I really like about NO CD is that you take insurance. That’s so huge. I know in the Nashville area, most of the providers, and there’s a large treatment center, most of them don’t take insurance. And so people can spend hundreds, thousands of dollars trying to get the help that they need. And some people just aren’t able to do that with their financial situation. 

Stacy: They are constantly adding more and more providers and trying to get more and more insurances to cover our services because it is such important work. And we see so many benefits. There are so many people who are getting better and it’s hard.

It’s hard to see the stories of people who can’t get the help they need, because. Insurance doesn’t cover it or, you know, it’s too expensive. And so it is, I think in general can be expensive depending on a lot of factors, but ERP in particular, but NO CD really does offer affordable payment plans for people who can’t afford. And so that’s been really great to see as well, people who wouldn’t normally get in treatment. 

That’s what we’re all about. We want everybody who’s suffering from this disorder to at least have access to that because a lot of rural communities, I know where I live, there was no specialists. And the people that I see as members often will say, well, there’s one specialist that’s, you know, within an hour range, but they have a six-month or a year wait list. That’s, what’s so amazing about NO CD is you can get in within a week. 

Carrie: Are these video session that you’re doing with people. I mean, it’s all Telehealth, right? Either through the app or the website. 

Stacy: It’s all Telehealth. There’s actually was just a study that came out about it and about how effective it is. It really is. I mean, I honestly, as somebody who has done face-to-face therapy for many, many years prior to this, I can honestly say I don’t notice a difference because in some ways it’s actually more helpful because I’m in the home with them. And I can walk with them like they’ll device throughout the house and do exposures. And so in some ways it’s actually more beneficial because I’m there with them. 

Carrie: I would agree with that. People being able to do those exposures in their own environment is really helpful and powerful. You’re able to do things that you wouldn’t be able to do in the office we have Telehealth. That’s something that people don’t realize. A lot of times they may look at Telehealth as, it’s a deficit or that’s not as good. But one thing that we learned through the pandemic when everyone was seeing their therapist online was how effective Telehealth can be. 

Stacy: Sometimes I feel like people are even more open. In this setting, then they are face to face. There’s almost like a safety net there or something, but people are more open and seem to be able to express themselves more quickly than maybe in a face-to-face setting for whatever reason.

Carrie: Awesome. I like to ask people a question as we get towards the end of the podcast. And since some of this was about your personal story and experience with OCD, I just am curious what is something that you wish you could go back and tell your younger self who is struggling? 

Stacy: I love this question. I get this question a lot, actually, cause I have had it for my entire life. I wish I could go back and say, you know, the things you’re worrying about, they don’t ever happen.

And when they do, you will get through it. You will because there’s no other choice. I wish I could get back time. I wish that I hadn’t spent so much time on this. That’s what I would tell myself.

I know it’s not a choice, obviously, as a kid, you don’t choose to have OCD and at the same time, I wish there had been someone to intervene to say, “Hey, this is a real thing, this is a disorder, this is how you treat it”. And then I would’ve been able to do that a lot sooner, but you can’t go back in time. You can’t undo the past. And so if it’s moving forward each day, I take it and I say, you know what? I’m not gonna waste any more time. Right? It’s already had a ton of time. That’s all it’s getting. And that doesn’t mean it’s perfect. It doesn’t mean it doesn’t creep up because it does. I’d be lying if I said otherwise, there are times when it’s hard, but it’s so much easier than it ever was. And I can truly say I’m 90% better and, and life is good. I wish I could just tell my little self, like, stop, stop being in your head. Just go have fun. 

Carrie: I think that’s so relevant to people with, with any mental health issue is sometimes we can get so laser focused in trying to fix something that we miss, that we’re a whole person with social relationships, hobbies, dreams, goals, desires, that this is not who you are as a person, your diagnosis. You’re a whole person who struggles in this area. And yes, it does affect some of those other domains. And I’m not making light of that, but it’s much better if we’re able to say, “Hey, I’m a person who struggles with this rather than I have this”. 

Thank you so much, Stacy, for taking the time to share with us your story and the work that you’re doing as a therapist on NOCD. We’re gonna put links in the show notes so that people who are looking for help or want to find out more information about you or NOCD. They can do that through the show notes. 

Stacy: Thank you for having me on this show. I appreciate it so much. And I hope that there are listeners out there who recognize some of these symptoms and can get some help a lot sooner. And I appreciate you doing the work you do to get the word out there about this.

Carrie: Thank you. I enjoy this episode with Stacy and I hope that you do too. We may invite her back to enter some more specific questions about scrupulosity. If you have and already please be sure to join our Facebook group. We’re really trying to create a positive and supportive environment for people with anxiety and OCD. But then a little neglect full time about giving in near and hosting things but I really want to work on. Growing back online community this year. You find the link in the show notes.

Hope for Anxiety and OCD is a production of By The Well Counseling. Our show is hosted by me, Carrie Bock, a licensed professional counselor in Tennessee. Opinions given by our guests are their own and do not necessarily reflect the use of myself or By the Well Counseling. Our original music is by Brandon Mangrum. Until next time may you be comfor

ted by God’s great love for you.

73. What are Boundaries and Why are they Important? with Erica Kesse, LPC-MHSP


Today’s special is my good friend, Erica Kesse, LPC-MHSP.  Erica and I have an interesting conversation about boundaries and why they are so important.

  • Why do you need to set healthy boundaries 
  • Reasons why people find it difficult to say no
  • Examples of internal boundaries
  • How to create boundaries between work and personal life
  • Boundaries and Christian faith
  • Erika’s book: Honey, You Need Counseling Skills and e-book on Boundaries Guide for Leaders

Links and resources

Erica Kesse
Honey, You Need Counseling Skills
Heal yourself, Ignite your Leader, Grow your Business
Boundaries by Dr. Henry Cloud

More Episodes

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Transcript

Carrie: Welcome to Hope For Anxiety and OCD episode 73. I just have to do a little short shout out before we get started. Cause it’s actually coming out on my brother’s birthday. Happy birthday Paul, and hope that you have a good one. I am here with my good friend, Erica Kessie who we have known each other for over four years now. Did you realize that because.

Erica: Great.

Carrie: Erica actually through my business. It’s very first birthday party. When my business, By The Well Counseling, turned one and we were in the suite together. So that was just a really fun time. And my business just turned five this year. That was exciting too.

Erica: Wow. Five years old. What they say about five years, it takes you about five years to become profitable in your business.

Carrie: Wow. Well, fortunately for counseling, we’re able to do that a little bit earlier. Otherwise I wouldn’t still be here. Most businesses don’t last to five years though, right? 

Erica: They don’t.

Carrie: So that’s, that’s exciting.

Erica: Yes, it is. Congratulations.

Carrie: Thanks. I wanted you to give us an update Erica, on your business, because I know that some things have shifted changed from when we recorded last, that was on episode nine, which was the very end. The very end of 2020, what’s been going on in your business in the last year and a half.

Erica: So many wonderful things. The more that you’re in business, the more that you get clear on who you serve and how you want to serve them. I have coined myself now, the leader’s healer, cause I wanted to broaden my target out to all leaders. Be mothers, doctors, nurses professionals, because I recognize with my own experience that sometimes leaders feel lost and in order to not be lost. It’s important for you to make sure you take care of yourself. That’s so important and putting yourself first, those who have servant hearts, right? They are leaders and they put everyone before themselves. So it’s important that they take care of themselves, do their own work. 

Carrie: Right.

Erica: About own anxiety and their depression and imposter syndrome. And also if they do their own work, they will also be doing something that’s so important. And dear to my heart is to do no harm. I think a lot of people don’t talk about that. But there are many circumstances in which Carrie knows that counselors and therapists and even other leaders do harm in ways, because they haven’t did their own work. So I’m the leaders, healer and the entrepreneur therapist. I provide professional training and speaking, as well as civil little counseling and coaching alignment, executive coaching.

Carrie: One of the things that you do that I really appreciate is you help businesses and leaders, like you were saying, “understand the importance of counseling skills and how those can be useful in their business environment”.

Erica: I have a book called “Honey”. You need counseling skills. And these are soft skills as well as life skills. It is vision casting. A lot of even entrepreneurs don’t know the difference between vision and mission. So vision casting, mission creation, time management, communication skills, and thrive planning, which is it’s a strategic and personal plan to thrive. We have a plan for everything else. Why don’t we have a plan to thrive?

So there’s thrive plan for that.

Carrie: Awesome. Today we’re talking about boundaries, which I’m really excited about, I just.

Erica: I’m so excited.  

Carrie: I’ve decided to dial some things back on the podcast and do some like 1 0 1 type episode. Let’s consider this boundaries 1 0 1 there’s lots of conversations we could have on boundaries. We’re gonna keep it really simple today for people because it’s a word that’s thrown around. And a lot of people don’t really understand what it means or how they can start to begin to even look at boundaries in their own lives or setting them. We’re in a society right now, unfortunately, where all, all kinds of lines are being blurred, lines between work and home, lines between professional relationships and personal relationships.

I asked a group of therapists today, I said, is professionalism dead. And we kind of had a chuckle about it, but I was serious, you know.

Erica: Yes. 

Carrie: Because there’s a lot of people that are in professional roles that are acting in unprofessional ways. So this conversation on boundaries. Is super important in the same way between client and therapists. There have been lots of different ways that receiving therapy has changed. Whereas maybe, I don’t know, 10, 15 years ago we would never have texted with a client. And I still don’t text with clients in that way, but some therapists, that’s how they set their schedule. We have to kind of talk about some of these things of boundaries lines, and we won’t get into all the ethics today.

Although that cause that’s gonna be another episode. I know that’s something that Erica is really passionate about is, good ethics for professionals and leaders. Let’s talk about what is a boundary, how would you define that for somebody? 

Erica: I wanna keep it as simple as possible. There’s a book called it by Henry Cloud. He’s an older book and it’s called “Boundaries”. And the way he explains it is like having a fence in front of your house. Certain people can come in the fence. For example, your mailbox is outside the fence. The mailman only goes and handles that particular part of your property. Then you have individuals like the Amazon man. He comes to the door and he drops your package he’s off, but he doesn’t come in. Correct? Or you can even say, leave it there and don’t knock. Right? When you send message, when you create your package, then you have people that can come be in your living room, your kitchen. 

They can even walk down the hall sometimes and be in the spare bedroom, but only certain people can be in your master bedroom, in your bathroom. Think about it that way. It makes it really simple on how we have to isolate out who deserves to be where in our lives we are our house. This is our temple. Okay. And only certain people should be able to come through our eyes, through our ears and to allow them to be a part of our space. These are guidelines for ourselves and for others to keep us safe. 

Carrie: There’s internal boundaries. I think that we can even set within ourselves. I think a lot of times we think about boundaries with other people, but there’s internal boundaries that we can set within ourselves. Just kind of knowing our move and groove of life. For example, and I know this has to do with other people. But for therapists in terms of like how many sessions that we choose to do in a day, or, you know, how many clients we see, how many of them are going to be new clients. I know for me, it’s harder to meet with new people than it is to meet with people that I’ve known for a long time. 

I already know how they’re going to act, to flow. They’re not gonna read me the wrong way or if, if I say something funny, they’re gonna be like, what is that? You know, they’ll call me out on it. Whereas if I have a new person, I have to be a little bit more cautious about what I say, how are they gonna receive this and so forth. So that’s kind of maybe an internal boundary within myself that I might set for myself, or I could tell myself, you know, a boundary is that I’m gonna shut off all my electronics at a certain time so that I can get a good night’s sleep. Can you think of any of those that you have for yourself? 

Erica: Oh yes. Internal boundaries. AKA your discipline, your own discipline. I have a certain discipline as 12:00 I take lunch. No one has that time. One o’clock is usually my nap time. If I don’t have a nap, I usually have a nap another time during the day. I am Adam adamant about it.

I need a nap. It’s just good for me to have my siesta every day. And those are internal boundaries, but I have other boundaries regarding myself as far as making sure that I don’t overextend myself. I have to watch myself every day. Not to have the savior complex. I’m sorry, I’m adding in things that are more complex.

This is the perfect actually podcast to talk about the savior complex. None of us is Jesus. We need to not try to be Jesus.

Carrie: That’s right. We’re not out here to rescue everyone who’s in crisis. 

Erica: Yes. And so we have to decide to remind ourselves. I have to remind myself every day, I call my reminder not to overextend myself, to watch all my obligations and watch my schedule to make sure I’m not doing too much boundaries of making sure that physically making sure that I eat. And I’m cognizant of everything that I put in my mouth. So really being intentional is my internal boundaries.

Carrie: Why do you think that boundaries are so important? Obviously what you’re talking about is boundaries relating to self care. Why else are boundaries important?

Erica: Boundaries let you know exactly where you end and somebody else or the environment begins. It’s a great way to make sure that you have all the things that you need and that you’re cognizant of all the components of your life in order for you to have harmony. It’s important for you to have harmonies physically, mentally, emotionally, spiritually, professionally, all these ways. And we have to be cognizant of doing that. That’s the hard work. That’s a lot of work actually to do, but it it’s the kind of work that we should be doing instead of putting ourselves out there. To help other people. It’s so easy for us to extend ourselves, to help other people and neglect ourselves. 

So it’s so important to have boundaries with yourself and to be cognizant of taking care of yourself, because guess what, you know, everybody’s heard this, you gotta put your option mask on in order to help other people, or one thing that I say, going back to that vision, that we were talking about my vision for myself, which that’s why this is a boundary as well. Is, I will if I like and love myself so authentically and thoroughly that I overflow onto those who stand close. Part of that boundary is, I’m not gonna seek out people to help. They will stay close if they want my help. And I will make sure I focus on loving myself and going a step more into liking myself.

So sometimes we may love ourselves and we may not like ourselves. Right? So we have to like ourselves too, and know what we know like and trust about our self.

Carrie: Boundaries really connect with our values. We really connect with what’s important to us. So if I say that my daughter is important and you have a daughter too. 

Erica: Yes.

Carrie: If we say our daughters are important to us, and then we don’t set up boundaries to protect that time that we have with our children. If I don’t take the time, set up boundaries to protect time that I have with my spouse or time for church and investing in my spiritual health. Not just church, but time at home where I’m reading, where I’m praying, then my values are not in alignment with my actions.

And then that causes all kinds of anxiety and internal conflict, right? I wanna be with my daughter, but I’m doing all of this over here. I’m taking on extra responsibilities. I don’t need to, you kind of call me out and say, you know, you’ve just had a child. Your normal is changed care. You have to accept that. You’re not gonna be able to go back and do all the things that you used to be able to do, which was a good call out, by the way, you know, you need to have friends like Erica in your life to call you out. 

Erica: Well, you call me out too, is the end goal. Why are you doing this? This is so helpful for me, who run off trying to help people like what’s the end goal. We gotta get our money. We need to make sure we are. Moving towards getting money, not just doing all these things, because that’s how we need food, clothes, and shelter. That’s why we work. She calls me out too.  

Carrie: Don’t do too much. I wanna talk about examples of situations that the people experience in life. That cause them to have difficulty setting boundaries. It caused them difficulty to be able to say no, or say, man, that’s an excellent opportunity, but it just doesn’t fit in my life right now. You know, maybe later, let, let’s talk about that another time. I mean, there’s lots of different ways that you can say no to something or say yes to something, but what are some situations people go through that cause them difficult their boundaries.

Erica: That’s a great question, Carrie. I don’t think people talk about the situations, 

Carrie: Right? 

Ericaa: When you grow up, you as a child, sometimes don’t wanna do something, right? And then your parent tells you you’re gonna do it. Okay. I have to abide by this person or I have to please. Most children spend time wanting to please their parent, guess what? Then they grow up being people pleasers. Then you have a problem saying no that’s having poorest boundaries. When you are unable to say no and get yourself involved in everybody trying to help people. Then if you have some kind of trauma or you’re a pain that happens in your childhood, you’ll have rigid boundaries around certain things.

Scenarios would be, you have a balls. 

There’s a power differential between you too. You don’t want to what lose your job or being seen in a negative way or retaliation in any kind of way. So you say yes to things that are against your values. You can’t go spend time with your daughter because your boss wants you to work extra hours. There’s so many scenarios with our partners. We may not want to do something like they wanna watch anime all night. You’re like, I gotta go to bed and they’re like, we don’t never spend no quality time with me. That’s a guilt trip, FYI. Let’s going into those manipulative tools. Anyway have to be able to say the boundaries, but you may have a rift in the relationship that you don’t wanna experience because you had to assert yourself and say, “I don’t wanna do this”.

So you have to have good communication skills. You have to be able to assert yourself. You gotta be brave to hold your boundaries. 

Carrie: Let’s talk about parenting for a little bit, because this is a huge issue. If you had parents who were like, I’m right, you’re wrong. I’m the adult, you’re the child. It reminds me of that dad in Matilda.

She’s smart enough to realize that some of the things that he’s doing are wrong. Right? As a child, she’s like, wait a minute, dad, that’s wrong. You’re cheating people up to go into a movie analogy, but that’s basically what he tells her, you know, I’m right you’re wrong. Then we’re not teaching kids to think for themselves.

And there’s no autonomy there that’s learned. So it’s, it’s finding this balance. You wanna set boundaries for your kids, but you wanna help them understand why those boundaries are there. 

Erica: Yes.

Carrie: There’s a reason. There’s a difference between saying don’t you ever talk to a stranger, you know, and, and threats and those types of things, I’ll spank your behind If you do that and a parent who says, Hey, we don’t talk to strangers and let me sit down and tell you why I’m telling you, you don’t just run up to the guy that says he has puppies to show you. There are people out there that want to do your harm. Here’s the lines that are drawn. You know, I’m asking you to pick up after yourself because one day you’re gonna be an adult with a house and you’re gonna have it. Learn how to manage a household, not just your room. So if you can’t pick up your room, you’re not gonna be able to manage a household.  

Erica: Oh my goodness. You understand this because also you used to work with children as well. And I also, we both specialize in planning, express for arts therapies. We understand that we need to respect them and honor their thoughts and honor their behavior and try to empathize the reason behind the behavior that they’re exhibiting. I always find that it’s the parents. If I need to get the parents straight, cause it’s not the kid, the kid does need a healthy relationship with somebody who was going to honor them, who was gonna respect and listen to them. You have to teach your children communication. You have to let them know the reason behind it. You don’t just say it’s because I said so. 

Carrie: Right. Everybody at one point or another, I’m sure there’ll be some point where I say it, you know, so , I’m not gonna call anybody out for that. But I think growing up in a type of household where the boundaries were not just strict, cause a lot of people grew up in a strict household, but where the boundaries were too rigid really. I mean, you got in trouble practically for breathing in some of those households. It can be, people have a really, really hard time setting boundaries because they were always told, no, you can’t do that. And it was very much that authority position. 

They probably felt less than. And, you know, growing up in some of those environments or let’s talk about something even further where there were environments of abuse, there were boundary lines being crossed. In that person’s childhood, it doesn’t matter what kind of abuse it was, physical, emotional sexual. There was a line that was crossed and it was basically told your rights, your needs, you know, were not valued, were not important at all. And there was a violation there. And so people who have had their boundaries violated often have a hard time setting them for themselves. I mean, is that something that you’ve seen as well.

Erica: Definitely. They don’t understand what healthy boundaries is. So let’s explain what that is let’s define that. And then also go and look things up. One thing that I say is don’t listen and wait for someone to define things for you. This is what I tell my daughter. Go and find out for yourself. Look it up, go to the library, Google it, ask around. That’s one reason how abuse happens is the isolation of the information and your experience with an exposure to things. So always define things for yourself. Let’s define healthy boundaries. That’s when you are able to say yes to something or no to something based on how you feel, you understand how you feel about the circumstance and it aligns with your values. Going back to what you said, your values, and you understand how to assert your boundaries and say clearly and not have a problem with saying clearly. Yes, I can do this because, or no. And guess what period. 

You don’t even have to give any definition. If you don’t feel like it, you don’t wanna do it. It’s simple. You can say no and that’s it. And I know may, sometimes people feel like, I can’t say no, there’s gonna be backlash if I say no, but a lot of time. It is you that’s stopping you from saying no, it’s your fears. So you have to interact with your fear and ask that fear. What’s why are you coming up? What’s going on? There is fear and there’s love. So how can we bring love into this circumstance to kinda dissipate this fear that you have that you can’t say no for something you don’t wanna do. 

Carrie: And it’s okay to have physical boundaries with people. I think I wanna throw that out there. 

Erica: Yes.

Carrie: If you don’t feel comfortable, some people are huggers. I like hugs, but I’m more of a person that I want to hug people that are close to me, that I know really well, that I’m really comfortable with and have had that kind of relationship. Some people just wanna hug you the first time they meet you. I’m not quite Into that, you know, but, I’ll probably have an uncomfortable look on my face and kind of do one of those tap hugs or something like that, where you just kind of lightly tap ’em on the back. Hey, it things, things like that. If you have somebody maybe that you feel like is too touchy, you know how the, some people just wanna touch you when they talk to you. 

Maybe this is not as much cause of COVID maybe we’re we’re keeping a little more distance. I don’t know. I remember there was one time where I was talking to somebody. And a kind of a dinner thing and they just kept touching me. And I didn’t say anything about it, but I thought, well, this is really, you know, kind of odd and thinking about it just in terms of interpersonal context and things. But if you don’t want somebody to hug you, or if you’re in a dating relationship and you’re not comfortable.

Erica: I’m think about that Carrie all the way.

Carrie: With certain things, then it’s okay for you to say, I’m not there yet in the relationship. I don’t wanna kiss you yet. You know, I’m not there. Those are examples of physical boundaries that we can set for ourselves. And if you’re in a dating relationship, you probably need to have some of those conversations pretty early about where you’re at, what your expectations are, what you want, what you don’t want, because those can really go south fast. If you’re not upfront with the other person absolutely.

Erica: It’s all about having the right fit. If you feel like you can’t say no to someone, then you probably need to investigate that relationship about why you feel unsafe to say no.

Carrie: And regardless you brought up bosses earlier, and if you were an adult

to adult relationship. That’s what we’re trying to seek out. Even though there is some power differential there, you do have to respect your boss. You do have to listen to them. You do have maybe, probably some things from your job that you can’t say no to, but let’s say for example, that your boss hires you. This happens all the time, America, right?  Your boss hires you and says, “Hey, you’re gonna work Monday through Thursday, 10 hour or you know, you’re only gonna put in 40 hours a week. That’s all we’re gonna ask from you”. And then next thing you know, you’re into the job two months later. Well, you know, we need somebody come in on Fridays. We just don’t have anybody come in on Fridays. And can you please, we really are gonna need you here this Friday. That’s an example where somebody has a freedom, perfect freedom to set a boundary, even though that’s their boss, even though they’re in authority role.

Erica: Yes, very much so like right now we have the great resignation that’s happening. Cause most people recognize that I don’t wanna be disrespected. I don’t wanna be disregarded for my personal life. And this is my job description. I’m supposed to be able to deliver this, but you also have to be courageous enough to speak up and say, that’s what it is.

Everybody knows the 80 20 rule when you’re working 80% of the people are not working or lacks of days old on how they work. And 20% are doing most of the work, right? Don’t be 20%. You have to decide that I told plenty of my clients, you should probably work. Give them 20% of your energy. And she actually got an award for her work ethic. After she did it, but also I told another lady who was having heart issues and stress and anxiety about working to slow down and only give them 20%. And her heart palpitations stopped. 

Carrie: Wow.

Erica: Sometimes we do it to ourselves. A lot of this. Is, we have to step back now. It’s hard to do it in a job that you went in there and I’m gonna fix it all. And now everybody think you gonna keep on fixing it all. But if you go to another job or you could try to fix help with the boundaries, boundaries are easier with new circumstances sometimes because. 

Carrie: That’s true. They’re definitely.

Erica: You can say this is who I am and they don’t know you to be a pushover. They don’t know you to be a doormat or a people please. But when you really wanna decide for yourself that boundaries need to happen, sometimes environment has to an environment change has to happen too.

Carrie: I don’t think I can stand behind giving your employer 20%. I think you’ve got to really work as an unto the Lord, you know, as a scriptural principle. And so I think that you have to put forth the effort to do a good job, but there’s, there’s a difference between doing a job where it’s like you said, kind of killing your health. And, and if you’re at that point, then I think that a conversation needs to happen to with your employer or your spouse. If you need to take a step back or whatever, to be able to say, you know, this job really is affecting my physical health, my mental, emotional health. And sometimes people have to either work less or they have to pick a less stressful job or different work environment. Maybe they need to be working from home. 

Whatever the case is there are a variety of different boundaries and it’s okay to say to your employer, you know, I feel like I’m doing too much. I feel like the workload is too heavy. I don’t think that I need some help with this. How can we delegate some of these responsibilities? Is that okay? That those types of conversations I think are super important because unfortunately not just employers, but if someone sees that you are willing to have your boundaries crossed time after time after time again, like if you come in on that Friday, just this Friday. And then next thing you know, two Fridays later. You know, we need you again on Friday. It’s like, no, I agreed to work Monday through Thursday was our agreement. I’m not gonna be able to come in on Friday. 

I had a friend a long time ago who, one of his first jobs he worked at McDonald’s when he was a teenager. And he said to the people, when he got hired, he said, “Hey, I just want you to know that I will work any day, but Sunday I’ll work, you know, the evening shift I’ll work late at night. I’ll I’ll work in the morning whenever I can”. Obviously it was the summer or something. He wasn’t in school. I’ll work here, but I will not work on Sundays. And so is that okay with you? I just want you to know that, is that okay? They said, “sure, that’s fine we can accommodate your schedule”. So the first time they scheduled him for a Sunday, he said, “now you remember that I told you I’d work any day, but Sunday and I’d work all these different shifts. I’m going to church on Sunday and I won’t be here. I just wanted to let you know that ahead of time, because that was our agreement”. And you know what, they had to honor that at the end of the day, cause that was what they had agreed to. But had he said, they put me on the schedule. I’ve gotta do it. I’ve gotta go in. They would’ve probably continued to schedule him for some days. And then that would’ve been a violation of his, not just his boundary, but his values of church and spiritual rights.

Erica: His religious rights as well. I wanted to go back really quick to say that most of my clients are really high functioning individuals that give like 200% work. So I have to say 20% to help them to edge off.

Cause if I told them only give them 50%, they would still give them 150%. So I’m trying to get them to edge off and not do so much because they’re a lot of their energy, cause they’re just high functioning individuals who feel like they have to work very, very hard. Those are usually my clients. I have the high functioning anxiety clients most of the time.

Carrie: So you, you have to throw out something drastic to get them to dial it down just a little bit. Okay, let’s talk about how do you know a boundary has been crossed? 

Erica: Great question. First of all, you can feel it. It’s a gut feeling. 

Carrie: Yes.

Erica: You can feel it. The thing is we ignore our feelings because going back to what we said about growing up, we had those good feelings and our parents shut it down. We were silenced. So you think, this is the feeling that I always have here, but I had to do it anyway. So I’m just gonna go ahead and do it anyway, like surrender to.  I’m saying if you have this feeling, listen to it and acknowledge it. I feel statement is amazing. Go ahead and figure out what the feeling is. I feel irritated, frustrated. It doesn’t matter who this is, whoever you’re talking to, you can say this statement. I feel when you, whatever they did, I would like you to there’s that boundary. I would like you to whatever you would like them to do. That’s very explicit on what they can do to help you not feel frustrated. Now sometimes people do not respect your boundaries. 

First of all, if they don’t respect your boundaries, then you have to go ahead and recognize that in this relationship, this person does not respect me. You have to decide if you’re gonna continue to be disrespected, or you’re want to figure out a way that this relationship is something that you maybe need to not have in your life.

And the other thing is, other than disrespecting you, you have to make sure that the individuals are clear, very clear on the boundary that you set. A lot of times, we’re kind of, you make me unhappy. I will like you to make me happy no like.

Carrie: What in the world does that mean? 

Erica: Right. What does happiness to you? So that means that you gotta do some internal work to know what your boundaries are. I think a lot of times people wanna have boundaries. But they haven’t figured out what they like, how they want people to treat them. What do you want? I ask you for that. I ask a child that what they like want they know.

Carrie: Yes. 

Erica: I know because they’re so accustomed to accommodating others, especially women, Carrie, let’s talk about that, that story that you said it was a man.

I haven’t heard many stories like that when a woman doesn’t  to it and go ahead and go with. 

Carrie: I mean, you look at women are much less likely to negotiate their salary going into a job. Because they just feel like, well, someone’s giving me a number. That’s what they’re comfortable with.That’s just what I’m supposed to take. And going from there, you know, that’s a boundary. If you say, you know, I have the skills and experience and I can show on paper that I should be making this much money or somebody else offered me this, are you able to match that? Or I need to be making my current salary. That’s okay to have that boundary. I think in terms of going back to like, feeling like a boundary has been crossed for me, it usually comes up as anger. 

A lot of times, like, I’ll feel this feeling of anger. And a lot of times, you know, I’ve been in business five years. I talked about that. And so when I feel like something’s not working and it was frustrating me, I would say, okay, Something’s frustrating me about this process or this system, what do I need to change? But that anger came first and that was a good gut check for me. Okay, I’m frustrated, I’m angry. Why am I frustrated and angry? Okay. Well, because maybe I took on this client that wasn’t the best fit for me. You know, maybe it was a referral from a colleague and I felt like I really needed to take that person on.

Maybe it was somebody really begged me. They couldn’t find a therapist. And so those days are long gone. If I don’t feel like people are a good fit, I don’t have any problems, you know, referring them out or something. 

Other things, I’m just thinking of other things that came up were phone calls. I was spending a lot of time on the phone with, you know, people that hadn’t really researched who I was or what I do and was trying to, I literally was trying to help everyone that called me on the phone, whether they wanted anger management classes. And I didn’t have anything to do with that, whether they wanted, you know, something for custody issues with their children, which I didn’t do. And so here I was trying to find resources for people and pick up the phone every time I called, because I thought, well, these people really need help and I need to be the one to help them.

I had to really let that go because. I recognize you cannot help every person that calls you on the phone. That is impossible. You’re not the right person to help everybody that calls on the phone. Some of them need other things and it’s okay. You don’t have to pick it up every time it calls, you can let it go to voicemail and you can return the call later. It’s gonna be okay. It’s not gonna be a huge thing, but that was some hard boundaries for myself in terms of, setting boundaries just in my business, interpersonally in terms of working with clients. I just know that for me, a lot of times it comes up as anger or as a gut feeling, the gut feeling is like, you know, it’s just like this. Something’s just not right about that. 

Erica: Dare they did that to me, you know.

Carrie: You feel that sense of like and dictation.

Erica: It does not feel good. It’s like a gut and hard feeling. And I immediately, I think about my feelings, like, what is that? What is that? I immediately go to what’s the feeling. Okay. And I do, and I feel saving, even if I don’t say it to that person, I have to write it. I have to say it to get it out of me. Otherwise it’s going to just eat at me. And then I figure out a way to talk with them. Sometimes I just write it in my journal and it’ll all work out on its own in some kind of way in a conversation without me specifically saying anything, especially if I’m really mad about it.

Carrie: Okay. That’s good. I mean, I think that that’s a really good pathway. Of like teaching people how to do that work, how to tune in internally and then try to figure out like, okay, what’s the next step? What is that next step that I need to take here? 

Erica: Usually when you feel that you’re triggered in some kind of way, what is it taking you back to going back to a scenario where you were disrespected or dishonored or felt the same feeling before?

Carrie: That’s good talking about trauma trigger. That come up for people.

Erica: Because you didn’t set a boundary. So then it’s always gonna keep showing up, cause the boundary’s not there.

Carrie: Let’s talk about how do boundaries align with the Christian faith? I think people have this view that if I’m a Christian kind of going back to, I’ve gotta help everybody.

I’m to be loving towards people. And if I say no to them, I’m not being loving towards them. But I mean, we kind of gave that example of parents and their children. You can’t always say yes to your children because that’s gonna lead to disaster. There are times where you need to say no for their own, even personal safety.

Erica: Boundaries is part of the Christian faith. I know that it says, okay. And we kind of capitalize on that part of being selfless and don’t be selfish, but the Bible does talk about, like, there is boundaries, the 10 commandments are boundaries there. 

Carrie:Yes they are. 

Eric: You know, there are other things that are told to us lot and his wife don’t look back. Right? That was a boundary. And then we saw the consequences. You have to have consequences too, to your boundaries. You can’t just have these boundaries. It’s like you are a Chihuahua, Chihuahua. You’re a Chihuahua barking saying you, this is your boundary, but you’re not doing anything. And people are gonna keep pushing over. What’s the consequence that there has to be some kind of consequence. To pushing over your boundaries. 

I just wanted to mention that, but in nutrition faith, we have boundaries. They are parents throughout the Bible. I don’t think people look for those because I’m gonna say some, I’m gonna say some, I think that a lot of people who may be leading flocks want them to follow along with what they are saying. So if you tell them, empower them in too many ways. They then are thinking for themselves and not following along. So they’re now share that kind of information. 

Carrie: Well, I, and I think that’s why we have to go to following Jesus in the Bible versus following man, you know. Because not everyone is following Jesus in the Bible who is in leadership.

Erica: Too many times. I’ve had some scenarios of, man, pastors doing many things that should not have happened or I felt it. I was like, this is not supposed to be right. But it wasn’t like no one said to me that this person is not supposed to do it, but he’s up in front of me telling me that the gospel telling me the way to go, but it doesn’t feel right. You always have this feeling. It doesn’t matter what kind of leader it’s there. You have to listen to yourself. You gotta tap in and find your own answers.

Carrie: I picked out a couple of Jesus examples for how do boundaries align with the Christian faith? There was in Matthew 12 Jesus refuses to perform a miracle.

So people were saying to him, perform a miracle to show us, you know, that you’re the Christ. And the funny thing is Jesus was already performing miracles. By this point, it wasn’t like this was gonna be a new thing. They had already seen evidence that he was a Messiah and he told them, no, I’m not gonna do that because you’re basically you’re unbelieving. And you’re showing that you don’t have faith. You know, and I’m not gonna give you a sign. 

Erica: I’m not gonna be a politic for you like. 

Carrie: Not gonna perform miracles on demand. There was a time in Luke nine 60 that the verse, you know, let the dead bury their own dead. There was a man who he had said, Jesus said, come follow me. The man said no. First let me bury my father. And Jesus said, well, let the dead bury their own dead. It wasn’t, a cruel heartless type of thing. He was wanting to wait around for like some year long ritual that was gonna be happening. It was, what do you call that? It’s more about tradition than actually. Just a regular funeral. We have, we have probably really quick funerals compared to what they did back then in the whole process.

So Jesus was like, no, you really need to come follow me. You know, you don’t need to basically make an excuse about why you can’t come at this point. I mean, Jesus told the rich young ruler, he had to sell all his stuff too. It wasn’t really about him selling his stuff. It was more about your heart’s not in the right place. 

Erica:Yes. 

Carrie: To be following me. So these are all different examples where Jesus really put people in their place in a lot of ways. And times that we look at that and we’re like, that’s really radical that he said that, or I don’t know if you do that. Sometimes I read the Bible. I’m like, I can’t believe he just said that. Wow. That was. 

Erica: I love it. 

Carrie: You know, that was intense. . 

Erica: My daughter has the Bible now we’re reading again. I loved reading the Bible. It’s great like if you read it, so I think people take, read it as if it’s a book and it’s great. It”s so much going on to so many heroes. It says that Jesus is a first superhero and that there’s sons of other heroes like Ruth and like, Esther, it’s just like, it’s radical. It’s a, it really talks about all the situations that we have even now in trying to relate to others. Jesus does plenty of parables talking about boundaries and how you should interact and what’s your value system and how to have your certain Christian values that I feel like are not upheld. They should be in a real authentic way. 

Carrie: I was so glad that we are having this conversation, you know, essentially a, a boundaries 1 0 1, because there’s so many people that misunderstand what a boundary is, or they don’t think that they can set them with a boss, with a parent, with a spouse and boundaries are for many different areas of our lives. We have to learn how to set them respectfully and so fort. Let’s talk about boundaries with a parent, because I think that’s another one people carry their childhood into their adulthood of, you know, well, this person is my parent. I have to honor them and I have to respect them according to the Bible. So I can’t say no. If my parent wants to call me at all hours of the night or if my parent wants to just drop by, I just have to be okay with that because that’s my mother. That’s my father. 

Erica: I’m the one to talk to about this. Or I was in my internship, I was trying to create this group called “Toxic mom relationships and how to manage them”. So when I talk to every people, just, you know, one on one, every last person has some kind of issue. With they mama or they daddy, or both of.

Carrie: We call those family of origin issues. Everybody has to deal with their family of origin issues. 

Erica: This is actually the first, I think people they’ll have problems in their relationships, their intimate relationships, you know, sexual intimate relationships.

And it be the same problems that they have with their parent, like the same boundary issues, being people pleaser, or thinking that you have to say yes to everything. When you become an adult, like first of all, you were supposed to be  expect  when you were a child, maybe didn’t happen. You have to understand.

Now you’re an adult. Okay. And you’re taking care of yourself. And even if you’re not, cause I have a lot of college students, I have individuals who are still on their parents’ insurance until they’re 26 and they’ll think, I can’t say no, cause  I’m still tied to them. You have to decide. What’s right for you.

Your life is your life. It’s not your parents. I think a lot of times, some people have issues with feeling like they are connection or, you know, a part of their parent instead of them being a whole person and they have their own thoughts and their own feelings and their own way of doing things that fits best for them. And you have to going back to being brave. Being brave to say and speak up for yourself. Now, let me just tell you if your parents love you, love transcends all of this, and it’s opposed to transcend all of this. And if they reject you because you asserted your boundary, then maybe later on, they will think more about this relationship and not. Let it be severed, but you get to have your boundaries and it’s important that you have them and you have to assert them. You have to be clear on what and who you are. 

Cause a lot of clients say, my parents don’t even know who I am. You haven’t shared who you are with them because you’re afraid to share who you are with them. And then a lot of parents say, all my kid only calls me once a week or I only see ’em on holidays, probably because you have no idea who they are and they are afraid to show you who they are. And it’s such a sad circumstance to live in a life where a person brought you into this world, but you can’t share who you are with them.

Carrie: That is a sad state. This has been such a good chat and I hate to cut it off, but I know we’ve gone a little while and maybe at some point I’ll do boundaries 2.0 or, or we can do it or something like that. We’ll figure it out. But I think that this has been a great intro for people to understand really what’s a boundary and hopefully it’s got people thinking like, maybe through the podcast, like maybe there is a boundary that I need to set with myself or with other people in my life and knowing that. Not only is that okay to do so, but that’s a healthy thing. And we can follow, you know, in Jesus’ example, in terms of, of setting boundaries. 

Erica: Yes. Going back to the book I recommended was Henry Clouds “Boundaries”. It is actually Christian based. So if you’re listening to this podcast, it puts a lots of information in there about Christian examples of how you should move in your boundaries in that you are not meant to be selfless, but you have boundaries. And I do wanna be before I end, is to talk about hunting unique counseling skills, because that book is a book that you can get on Amazon that I wrote and boundaries is in that book. 

So I talk about it in that book, as well as other counseling skills that are needed, like communication and time management.

And lastly, I have a freebie. Because it’s, I am this boundary thing is so important. So I have a freebie it’s 11 page ebook called “Boundaries guide four leaders”. You can get that at www dot heal yourself, grow.org. Heal yourself. grow.org. And you can get free freebie on how to even discover and set boundaries under eight categories and even affirmations in order to hold your boundaries and reiterate your boundaries to others.

Carrie: Okay. And we’ll put those links in the show notes too. If people are listening to this in their car and didn’t have a chance to write that down so they can go back to the show notes and, find the links in there to your book and to the, boundaries resource that you have there. That’s awesome.

Erica: It’s so great. I love, I love talking with you. 

Carrie: We have good times. I had so much fun having this conversation with Erica about boundaries 1 0 1. Stay tuned for boundaries 2 0 2. I may do that as a solo episode another time. We do have some great interviews coming up in the next month on breath prayer and on exposure and response prevention. So stay tuned for those episodes. If you like our show, the greatest compliment you can give us is to share the show with someone else. So I know that you know, someone in your life probably who’s having difficulty with setting boundaries or they feel like if they set a boundary, that’s somehow un-Christian of them to do so. So feel free to forward this episode onto them. Thank you so much for listening. 

Hope for anxiety and OCD is a production of By The Well Counseling. Our show is hosted by me, Carrie Bock, licensed professional counselor in Tennessee, opinions given by our guests are their own and do not necessarily reflect the use of myself or By The Well Counseling.

Our original music is by Brandon Mangrum. Until next time may you be comforted by God’s great love for you.

69. Let’s Talk About Hoarding with Carrie Bock, LPC-MHSP

In this episode, Carriedives into the topic of hoarding, exploring its connection to OCD and offering practical advice for those struggling with it.

Episode Highlights:

  • How hoarding is linked to OCD and why it’s considered part of the OCD spectrum.
  • The emotional and psychological factors that contribute to hoarding behaviors.
  • The role family dynamics and genetics play in the development of hoarding tendencies.
  • How unresolved grief can trigger hoarding, especially after a significant loss.
  • The importance of separating personal identity from material possessions.
  • Practical strategies to help manage hoarding.

Episode Summary:

In today’s episode, we’re diving into the topic of letting go, specifically focusing on how hoarding connects to OCD and ways to heal.

Hoarding is often misunderstood, and many people don’t realise it’s part of the OCD spectrum. In this episode, I’m sharing insights from the Diagnostic and Statistical Manual of Mental Disorders (DSM) and the book Buried in Treasures by David Tolin, Randy O. Frost, and Gail Steketee.

Hoarding is characterized by the persistent difficulty in discarding possessions, even if they hold no real value. It often leads to emotional distress when trying to get rid of items and results in clutter that inhibits normal functioning.

Hoarding is often linked to OCD, and it’s crucial to understand this connection. Hoarding affects 2-6% of the population, with over 15 million people in the US alone struggling with it. What’s more, hoarding tends to run in families, which suggests there may be both genetic and learned factors contributing to it

People who hoard often find it difficult to categorize and make decisions about their possessions. They may struggle with perfectionism, procrastination, and difficulty letting go of sentimental items tied to past memories. This can make the process of decluttering feel overwhelming and emotionally charged.


While cognitive-behavioral therapy (CBT) offers strategies for managing hoarding, I believe it’s also important to acknowledge the emotional pain that often accompanies this struggle. For many, hoarding is a way to hold onto a piece of the past or to cope with unresolved grief, whether it’s the loss of a loved one or the loss of an identity

I hope this episode will provide comfort and guidance as you begin to let go and embrace the freedom God offers.

Related links and resources:

Book: Buried in Treasure

Diagnostic and Statistical Manual of Mental Disorders

Explore Related Episode:

Today’s show is about learning to let go. And it’s for help for people who are struggling with hoarding. And I wanted to say a little bit upfront to give credit to where credit is. Some of this information is taken that I’m gonna share with you from the Diagnostic and Statistical Manual of Mental Disorders also known for short as the DSM, as well as the Book buried in Treasures by David Tolin, Randy O. Frost, Gail Steketee. I hope I pronounce that last name specifically correctly. They have done a great job putting together research and provide practical advice in their book.

And then some of the material I’m going to share today is just based on my own personal experience of working with clients who have struggled with hoarding, I’ve made up various examples. They are not true clients examples, but they’re based on variations of things that I actually have.

Why in the world are we talking about hoarding on a show for Anxiety and OCD? Well, we are talking about hoarding because courting is an OCD spectrum disorder in the DSM five.
So there is a section on OCD followed by hoarding. Hair-pulling skin picking. So there’s a spectrum of some different things that are classified under OCD that the DSM is what counselors, psychologists, and psychiatrists use to diagnose people. So there’s various criteria in there for those of you who aren’t familiar with the DSM, I should not just assume that you know what that is and I apologize.

A lot of people don’t realize that hoarding is part of the OCD spectrum of disorders. So let’s look at what are the actual criteria for being diagnosed with hoarding. There’s a persistent difficulty discarding or parting with possessions, regardless of their actual value. We all know someone who collects various things.

And some of those click tools may be really worth something a person hoarding things that are really valuable in their possessions that they could sell for money, but they also may be holding on to things that actually don’t have any value. It could be junk mail, recycling things, maybe that once had value, but have worn down and are no longer good. Or they’ve been sitting in an attic somewhere where they’ve overheated and deteriorate.

The difficulty getting rid of items is due to a perceived need to save the items in distress associated with discarding them. So there’s a need to say the item and we’re trying to not be in distress because when we try to get rid of things, there’s a level of emotional or psychological distress that comes with it.

The difficulty discarding, possessions results and accumulation of possessions that congest and clutter active living areas and substantially compromised their intended use. That’s the third criteria in the DSM. So for example, if you have a guest bathroom, but it’s so full of extra toilet paper, paper towels, and laundry detergent that you extreme coupon found on sale that you can’t actually get in that shower.

That guest bathroom, or maybe there’s a kitchen that’s so cluttered that you can’t actually get in there and cook anything in that. The fourth criteria is that it inhibits functioning often, socially, for example, people who struggle with hoarding may not be able to invite anybody over. They may isolate themselves from other people due to their hoarding disorder.
And there is also a potential to add on what is called a modifier to the diagnosis, which is an excessive acquisition, meaning that they keep acquiring items, keep bringing them into the.

So let’s talk about how common is hoarding. Hoarding affects actually two to 6% of the population, according to the DSM, over 15 million people in the US. That’s a pretty high number and it’s actually a small percentage of people that struggle seek help. Usually, there are other people trying to seek help on their behalf. They see this behavior as a problem, and the people that do seek help may have some kind of external pressure on them to get better. So maybe their spouse is really upset is cause causing some intense conflict in the mirror.

Maybe they’re single and they want to have a relationship, but they feel like, okay, I can’t even invite anybody over. So I don’t feel like I can date successfully. Maybe they just want to be more socially connected in examples, such as retirement, maybe someone is trying to downsize and move from a full, you know, three bedroom house to a smaller town home, something of that nature, and they’re having trouble and they might kind of seek help for this issue. Or they may have. Some kind of government, external pressure, maybe the codes department has been called on them. Someone’s complained about, you know, rubbish in the yard. Maybe social services has gotten involved either our children and someone’s come in and said, Hey, you’ve really got to clean this area up.

Those people don’t necessarily want to seek help on their own, but they’re kind of backed into a corner and have to, or otherwise they’re not going to be able to get what they want. Hoarding typically runs in families. And about half of the people who struggle report also having a relative who hoards as well.
So whenever we’re looking at things that run in families, it’s kind of hard to tease out. Is that because there are some genetic components, is that because this is a learned behavior. If we’re seeing other people do something, obviously where you may have a tendency to pick up on. It’s quite possible that the individual grew up in a family where there were certain messages surrounding items that they internalize and then therefore are living out in their adult life.

Maybe some examples are that item was a gift. You can’t give that away. Somebody really thought of you and they gave you that item. You got a hold on. Or, you know, you need to hold onto this item because you might actually need that some day. Yeah. You’re not using it right now, but it may really come in handy later. We have to catch that sale. We’ve got to buy things, even if we don’t need them quite yet while they’re on sale. So how does. This hoarding develop will. It seems like there are some genetic and temperamental components and that’s where the authors of the buried in treasures did some research. They put people in MRI machines and they were having them make decisions while they were actively looking at the areas of their brain that were over-activated or under activated.

It’s actually really interesting. And I encourage you to go get the book and read on that. If you struggle with hoarding or if you know someone who struggles, there’s also a lot of advice in the book for family members and how to approach your loved one as well. So that may be beneficial if you’re listening on behalf of a loved one, who’s struggling.
What they found through this study was that there were different levels of activity and key parts of the brain between the person struggling with hoarding and the person in the typical population. They had a harder time categorizing their own stuff, but it didn’t interfere with them categorizing other people’s.

So seeing certain things as special kind of can be a common issue. And so then if it’s special, it kind of gets its own category. And we can’t put things together. In other categories, there are some common struggles and overlap that it’s seen in people who struggle with hoarding in terms of difficulty with attention, making decisions.

There you tend to be more creative because they look at items and think, oh, well, we could use it this way. Or I could use that to do this, that somebody else may not necessarily see the value in something. There may be a tendency to want to do everything perfectly like struggling with perfectionism and a tendency to procrastinate, to put things off, you know?
Okay. I really do want to organize this. I feel like it’s gotta be perfect. So then I put it off because I can’t do it. You know, it’s overwhelming. Maybe someone has, for example, a train collection and they want to sell this train collection, but first they have to organize the train collection maybe by type of year, the year that it came out.

And then I have to figure out how am I going to sell them. Am I going to put them in a yard sale? Well, no, that maybe seems a lot of work to label everything. And then who wants to do a yard? So with only trains, well, I could put them on Facebook marketplace, but then I have to take these pictures and figure out how do I list that? And if I listed on marketplace then I have to meet up with somebody and where am I going to meet up with them? And if I post it on another website to sell it online, you know, I’ve got to take these pictures and figure out how I’m going to get payment. The Venmo app, you know, what do I do?

I use PayPal and then there’s a sense of exhaustion and just feeling defeated like, oh, this feels like it’s going to be too much work to make this happen and ended up in decision overload.

We ended up in decision overload. What happens? We just have this tendency to shut down and not do it. Another issue is the sense of feeling sentimental attachment. Now we’ve all had some level of this, right? We have an item. It’s not necessarily worth anything to anyone else, but to us, it’s tied to a memory or a specific time in our life.

And we think, “Okay, I don’t want to let that go because the attachment to this object reminds me of positive things where it reminds me of an important person in my life.” Maybe it was something that they gave me or something that we did together. One thing I’ve noticed in my work with people who struggle with hoarding is that they have a tendency to view their better days as being in the past. So they have these items that allow them to reminisce about the past, where the better days were, for example, if an individual used to surf, let’s say they lived by the ocean. Now, maybe they don’t live by the ocean or they don’t go surfing anymore. Maybe they’ve had an injury where they can no longer.

But yet they have a collection of surfing supplies and you know, they’ve got the surfboard, they’ve got the wax that goes on the board. Other things that I don’t even know about surfing, but they have the wetsuits, everything that goes with surfing. They’ve got a whole collection of stuff yet. They’re not using it.

They’re not going to use it because they don’t surf. But when I look at that, I think, man, wasn’t that really great when I could get out in the water. Feeling the wind on my face and being catching a wave. It’s awesome. So that’s maybe just one example of how someone might hold on to items to really reminisce about good things that they experienced, even though they don’t need the items or they’re not using the.
We’ll talk about a little bit later in terms of healing from that people may hoard and hold onto things because it’s a part of their identity. They may view themselves as a collector like, oh, this is a collector’s item. I have all of these collector or board games from years and years ago that I want to hold on to probably are worth something.

I maybe a person holds on to craft supplies because they want to view themselves as an artist or painting supplies, even though they don’t paint, but they would like to be able to do some of those things. I know that for myself having been a foster parent, I had a lot of kid items around the house and it was hard to get rid of some of those things because being a foster parent obviously had been my identity for that time period.

And I didn’t know really what the future held for me. You know, maybe I would marry someone with kids and what if I needed some of these items? It was a process that I had to go through to realize, you know, I’m not living that life anymore. That’s not my identity. So I don’t need to hold on to things tied to that identity.

People may also struggle because they get a high from acquiring possessions. Oh. I saw a great sale at the thrift store. I got these pants for half off and I got this item and look, it was only a dollar. I went to this yard sale and isn’t this awesome. And they may buy stuff that they don’t need just because they feel like it’s a good price.
And then there’s this like elevation of self-worth and value that they feel of being able to find this good deal. Now I mentioned the book buried in treasure. This book is a CBT-based book. So it was based on cognitive behavioral therapy. And that’s the approach that they take to overcoming hoarding.

It’s very good material. And one thing that that approach hasn’t addressed really that I’ve seen is this tendency of something that I’ve noticed connected to hoarding and. The unresolved and at times traumatic grief and a loss that seems to come with it, this attachment to items that are tangible way of keeping a connection between the person and something or someone that they have lost.

It’s not always a loved one. When we talk about grief and loss. But it can be, it can be a situation where they’ve lost a loved one. A spouse has died and they feel like they just can’t get rid of their stuff. They’ve got to hold onto it because somehow that is connected to the memory of that person. And if they let it go.

They feel like I’m going to lose that person all over again. It also, the loss can be connected to things that they used to be doing, but aren’t doing anymore. So I gave the example of like being a foster parent in my own life. Other people, they may have been a Sunday school teacher when they were younger.

They may have coloring pages. They may have flannel graphs for anyone who remembers those things. Who are you? You stick the picture on the flannel. Nobody even uses that anymore, but someone might be holding onto it going, oh, that was such a good time. Like when I was a Sunday school teacher and pouring into the little kids and wasn’t that fun and awesome.

So really going through and grieving those losses. We’ll talk about this later is an important part of the healing process. Because if you don’t grieve those losses that are connected to these items, you’re not going to be able to get rid of the items. I remember another personal example for myself, of some things that I’ve struggled with getting rid of.

I had an entire room of play therapy tools. At my old office, this is now two offices ago. I had a specific room dedicated to seeing children and made a decision at that point in my practice that I didn’t want to work as many evenings. I wanted to kind of prepare for hopefully my own family life. At some point wanted to have more work-life balance.

I wasn’t seeing a whole lot of kids and it didn’t make sense to have this entire room full of. However, it was hard to let go of those things because I had acquired them over time. Over years of working with children, probably I don’t know, five to seven years. And that was hard for me to say, I’m no longer a play therapist.

I’m no longer doing this type of work. And what if I regret this decision? I, I get rid of all this stuff and then decide, I want to work with kids. Yeah, of course, that is a possibility, but that didn’t happen to me. I’m actually very happy and pleased with that decision. And I sold those toys to a friend who was going to do more types of play therapy, expressive therapy, and hopefully got some good use out of those.

Now that I’ve given you an overview, talk through some examples. I want to talk about the. Things that can be done to help. If you recognize that this is a problem within yourself, what are some things that can be done to learn, to let go of items, to not have to continue dealing with wording anymore?

Number one is recognize that this is a problem that you need help with. That is really hard for any issue that we’re facing to admit that we need help with something. As we talked about before, oftentimes. People who are struggling with hoarding either. Don’t recognize that they need the help, or they recognize that they have a bit of a problem, but they think they can manage it on their own.

Now you’re going to need different types of help and support. You’re going to need some professional support. Hopefully, you can find someone in your community or online, a therapist who has worked with hoarding in the past to give you that professional support and perspective, you’re going to need some personal support, not people who are going to come in and be overbearing or rushy to get rid of stuff but are going to come alongside with you and work with you at your own pace.
These are going to be people maybe that can help you bring some stuff to give away, to, to donate. Maybe they can help you move some furniture out of your house. Or they can just provide that encouragement in moral support of just saying, you know, I know this is really hard for you, but I’m so proud of you that you are tackling this issue in your life.
That goes a long way. Oftentimes we underestimate the power of personal support for someone who is struggling with a mental health issues. And we don’t need to underestimate that because it’s very valuable. Now you may need. Medical help. Um, you may need to look at medication as an option, especially if you have co-occurring disorders, something like ADHD, that’s getting in the way, anxiety, depression, then, you know, you may look at medication as an option to treat some of those things so that you can go through the behaviors and really tackle especially if you are working at this from a cognitive behavioral standpoint and you’re having trouble making progress, I always encourage people who don’t want to take medication to really, okay. We’ll try therapy, those tools, the self-help things for a little while. And then if you’re not making progress, maybe we’ll circle back around and evaluate whether medication might be an option at that point.

Step two, you’re going to have to commit time and I’m talking to them. Every day or at least five days a week to commit to the process of recovery, to commit to the process of cleaning up your space. Obviously, it didn’t get that way overnight and it’s not going to be cured overnight. You’re not just going to have an extreme home makeover most likely now.
The book. And then I talked about recommends really building up, I believe from maybe 15 minutes a day to eventually getting to a point where you’re working on this an hour a day to really make tangible progress, three, develop a positive view of the future. We talked about how people who struggle with hoarding can be very past-oriented.

The good times are behind me reminiscing. Wasn’t that awesome when we did this or that. So I really want to encourage you for a Christian standpoint to visualize yourself, blessing people with the items that you have and finding joy. In giving, because there really is a joy that comes from giving to others that would be beneficial for you to tap into and it’ll help ease the pain of getting rid of certain items.

I know that that’s been my experience in terms of getting things, when I was able to bless someone else with it, it was a lot easier to let those things go. Another way you can develop a positive view of the future is to really visualize what is it going to be like to have this life that you want, where you’re inviting friends and family into your living room.

Just really picture that in your mind there’s nothing on the couch, other than people actually sitting there and maybe a couple of throw pillows. Visualize that empty space, maybe where you have boxes right now, visualize your bank account, having more money because you’re not spending a bunch of money, accumulating things you don’t need at yard.

So thrift stores or on Amazon visualize your life without horses. Playing with your grandchildren more often finding a spouse, focusing on one hobby, instead of trying to focus on the things that you can’t do anymore, telling yourself that the better days are ahead of you and not all your good memories are going to be found in the past anymore because you’re going to be creating new, positive memories in the future.

And that’s going to be really awesome.

Step four. Figure out how to stop acquiring new items. There’s time dedicated in the buried in treasures book that helps with this as well. But if you don’t stop acquiring new items, then you’re fighting this losing battle, right? Because if you get rid of a bunch of stuff in your house, and then you go to the yard sale and you buy 20 more things, then you’re just going in circles.

You may have to stop going to the places that you acquire stuff temporarily. So let’s say that you are a shopaholic related to like Ross, TJ Maxx, some of those discount stores. Maybe you need to stay away from those places for a while, until you’re able to get some of the tools under your belt to be able to go in there and not acquire.

You may have to set up a rule for yourself if you’re an online shopper and you’re always having things mailed to you through Amazon or some of those other stores. You may set a rule for yourself where you say, okay, I am not going to buy anything until it sits in my cart for at least 24 hours.

And then I’ll reevaluate whether or not I actually really need that. If you put this into play in your life, I’ve actually had some clients that have tried this that just felt like they were shopaholics, not even necessarily hoarders. So they felt like they were spending too much money on Amazon on things that they didn’t need.

And I said, okay, well set a rule for yourself that it’s got to stay in your cart overnight, or it’s got to stay in your cart for 24 hours so that you’re not impulse purchase. Step five is to do the intellectual work. This is the cognitive part of the work, finding the belief systems that are holding you back.

What are the thoughts that are keeping you stuck? So it may be something like, I need this. We tell ourselves that we need things all the time when we actually don’t need them. They’re often a want the things that we tell ourselves that we need. The IMEI use this someday. If you haven’t used it in the last three years, you’re probably not going to use it in the next three years.

Some people have appliances for every kind of function in the kitchen when they don’t use them, they may use one or two appliances and have 10. I remember getting rid of some round cake pans awhile back because I realized, well, I used to do a lot of baking. I enjoyed it. It was a thing. And I thought, when was the last time I actually made a cake number one and there were two, if I do make a cake, I don’t tend to use the round pan because then you’ve got to stack to have the icing layer in the middle of like probably gonna use the rectangle pan and just make the cake that way. So I got rid of those and I don’t regret it in the slightest or miss them because I wasn’t using. Now the book has a lot of worksheets where you can ask yourself different questions to evaluate items of why you’re really holding on to them.

So if you want to dig in and do that work, you may have thoughts. Like, you know, this is a good deal, so I have to buy it or I can get some money out of it. So I have to sell it. This refers to things that you already own. Like, well, I can’t get rid of that yet. I’ve got to find a way to sell it. We talked about some of these things already, but to get rid of this item would disrespect the memory of my loved one or cause me to forget them in some way.
Or I can’t get rid of stuff until I can sort it out perfectly and put it into the right category. Realistically, you have to realize that whatever space you have, it can only hold so many items. Going back to the visualization. Let’s say you have 10 pictures, but you can only fit five in the room.

That means you have five to get rid of, because you can have a whole lot of especially decorations, decor type items that you don’t have the space to put up or show off. And it may be time to let those things go. Along with the intellectual work. Number six is you’ve got to be able to do the emotional work to either heal from the trauma or grieve the loss.

Some losses can be very traumatic to us, such as the loss of a loved one or pets. Now I have helped people process through things like watching their. Get hit by a car that is a very traumatic loss. It’s sudden it’s unexpected. There’s a tendency to blame yourself. And people may think, well, how in the world is that connected to hoarding or to holding onto things, but it can be when you are really sitting with a skilled counselor and you start to trace some of these things back, some of this tendency to hold on to things and the discomfort of letting it go.

Sometimes that’s where it goes back to. It could be a sense of a sudden move. Those can also be traumatic. Maybe you had to leave a place suddenly. Maybe you lost a bunch of items in a fire. I don’t know, but processing through that trauma can really be beneficial having a long-term illness or injury, a chronic health condition, an injury that has prevented you from doing other things.

There may be things that you’re not able to do that you used to be able to do. That’s a law. Then a lot of times we don’t acknowledge within ourselves and specifically within our society, that if you go through something like whether it’s cancer or whether it’s an auto-immune disorder and all of a sudden there are these limitations that you haven’t had before.
There is some grief and loss associated with that. You don’t have the energy that you used to have. You don’t have maybe the same supports that you used to have. There could be all different kinds of factors in there. Oftentimes when we’re talking about loss, there’s the big loss, right? Whether it’s the loss of the person and then there’s all the little loss that go along with it.

So for example, if I, worst case scenario lost my husband, Steve tomorrow, if he died in some way, then there would be all of these little things that Steve does and just kind of takes care of. It could be something as little as he feeds the cats in the morning and in the. Now every time I go to feed the cat, I’m thinking, oh, you know, Steve used to do that.
That’s a reminder, these bigger losses, there’s all these little things that can get wrapped up and connected into them. And if we don’t take time to really process that into cry and to journal and to grieve and to let go. Then we’re missing out on being able to work through that grief. Unfortunately, I don’t know how it is in a lot of other places, but in America, people rush through the grief process.

\They go from one thing and it’s like, tomorrow’s a new day and they just expect themselves to move on and not have any issues. Unfortunately, that’s not the way that we work, that our minds and emotions and body works. We need to be able to take time to process, to grieved, to elect. Number seven as with all forms of OCD.
Since this is an OCD spectrum disorder, a person with hoarding is going to have to learn to be able to sit with the discomfort that comes from letting go of items, because there is going to be some discomfort that. And the whole point of doing this work on the front end, the intellectual work, the emotional work, the spiritual work is to be able to get to a place where you can sit with discomfort, where it’s to a manageable level, that you can work through it so that it’s not a traumatic issue getting rid of. Because if someone just were to come in tomorrow and clean out your stuff and you struggle with hoarding, that would be traumatic for you. You wouldn’t want that to happen. However, you want to be able to pace yourself and go through this process so that you can get to a place we’re seeing.

You’re mindful in your space, how you’re feeling, what thoughts you’re having about getting rid of things. And then you can sit with the discomfort, work through it. So that it’s not as uncomfortable as it is initially looking at getting rid of an eye. Now, since this is a Christian podcast, I want to talk about this from a spiritual perspective.
For a moment, Jesus talks about storing up treasures in heaven, in not on the earth. There’s also a parable about a man who basically becomes rich, gathers a bunch of grain stores things, and then. Next thing, you know, he dies and none of it really matters that he had all these acquisition of items is because in the end, you know, he died and he had to give an

account for his soul at that.
We know that God doesn’t want us to have anything as an idol. That’s over him. You know, “you shall have no other gods before me or not have graven images.” And a lot of times we think that, oh, we don’t have idols like people have idols maybe in other places. But we all have idols in our lives that we have to confess and work through.
Whether that idol is stuff, money, relationship, it could be so many different things that people are putting above their relationship with God. And so understanding and confessing and recognizing that stuff can become an idol in your life. Even if you don’t want it to that, that’s something that can creep up on you.

And so addressing this from a spiritual perspective, really working through in prayer and confessing to God that just stuff has become out of control. And that you want to give that control back over to him, that you want to be able to release these items and allowing prayer to become a part of this process, I think would be helpful and important for you.

Prayer can be a process also in processing through the grief and losses. Like really telling God how you feel, what you think, why you feel like you have to hold onto this stuff. And as we’re praying, and as we’re processing through those things, God works on our heart, allows things to be a little bit easier and a little bit easier as you commit to that work, to letting it go really praying through what is a good time of the day.

Maybe for me to work on this, whether it’s in the morning, whether it’s in the evening, whether it’s right after you get off work, how are you going to do this?

Allowing this spiritual sense of godly accountability in your life can fastening to someone else that this is an issue. There’s so many ways that you could incorporate spirituality in terms of healing from hoarding disorder.
God does not want us to be ruled or owned by anything. And that includes our stuff. We did another episode a while back, if you have not heard it, I would encourage you to go back and listen to it. And that’s episode 49 on will. Less stuff, equal, less anxiety. That episode is a personal story about Christian minimalism. It’s a very good episode that has a lot of spiritual in it as well.

So I encourage you to listen to that one for more spiritual applications in terms of getting rid of. So if you’ve been listening to the show for a while, you know that at the end of every podcast, I like to share a story of hope, which is a time where someone received hope from God or another person.

And often I asked my guests that question, since this is a solo episode, I have to come up with stories of hope for you from my own life. And here’s one that came to me recently. I, if you’ve been following along with the podcast and myself and my own journey, My husband, Steve, you know, that we just had a beautiful little daughter named faith and she is fabulous.
We are so excited to have her in our lives and it’s been a really a long road to get to having faith. And so that’s how she got the name of faith, of course, because. There were so many things. I waited probably over 10 years to become a mother from the time that I started my foster care journey. So one day I’m holding my daughter and she’s asleep and looking absolutely adorable.

And it’s just really these beautiful times that we have for me to be able to pray over her and to thank God for her. And I was having this moment with my daughter that was just really beautiful and spiritual, and something happened where I started to really ponder God and being God, being all-knowing and God being sovereign.
In the world and I thought, okay. So God knew ahead of time that I was going to have this moment with my daughter. And I don’t mean like he knew ahead of time as in earlier in the day. I mean, God knew that I was gonna have this baby and be sitting here watching her sleeping feeling. Incredibly blessed.

God knew that 10 years ago when I lost my foster daughters and God knew that I was going to have this moment several years ago when my first husband wanted a divorce and walked out the door and wanted nothing else to do with me and all these painful moments of my life. I’m going to talk about my daughter’s birth story related to my pregnancy and in a future episode, but there were some complications that came up at the end, shall we say, where I had this higher chance of stillbirth. And of course, that’s very scary when a doctor tells you that. So here, I’m going through this crying and praying, like, don’t let me lose this baby. Now that I’ve gone through all of the. And in that moment, God knew I was going to have this beautiful moment where I’m thanking him because my daughter is here now.

So whatever you’re going through right now may be incredibly painful and you may not see anything good here. Or anything good coming out of it or anything? Beautiful arriving later because when I went through some of those painful experiences in my life, I didn’t see how they could be good on ever like on the other side and just really.
So angry or frustrated or sad with God and in how some of those situations turned out. But God had a plan. He knew what he was doing, and it’s so hard for us in the now to trust him. But that’s what I encourage you to do with whatever’s messy and uncomfortable and scary. In your life to really lean in and trust God to know that he wants to bless you with these beautiful moments. If you are serving him, if you are seeking to honor him, that he wants to make the beauty from the ashes and heal. You from this pain that you’re experiencing. And there is a beautiful and wonderful gift on the other side, at the end of our pain and suffering that we don’t see, we have no concept of at the time.

So that’s my story of hope for you today. I hope that that encourages you. I’m so glad that you decided to tune in today. If you are struggling with hoarding and you feel like you need additional professional support and you are in the state of Tennessee, I want to let you know that I plan to start a support group in the fall for people who are struggling with hoarding and really want to take action steps towards getting to a better place with this who want to do the intellectual, emotional work and want the accountability for putting the time and effort in.

So if that is something that you’re interested in, please contact me through my counseling website www.bythecounseling.com. I don’t have specific days and times for that group yet, but I will post information about it on my site and encourage you to contact me if you’re interested in being a part of that group, or if you’re interested in receiving individual therapy for hoarding.

I am back from maternity leave on June 1st and we’ll be taking on several more clients is since I’ve been off for a while. And if you’ve been looking to get into counseling summer is a great time because counselors often have more openings in the summer because people are on vacation and various things.

So if you need to go to counseling because you’re struggling with hoarding and OCD, spectrum issue, or any other mental health condition, don’t wait, go ahead and get that ball rolling.

Christian Faith and OCD is a production of By the Well Counseling. Our show is hosted by me, Carrie Bock, a licensed professional counselor in Tennessee.

67. The Personal Story Behind the Mental Health Alliance with Joe Padilla

Joe Padilla, a licensed and ordained minister, and co-founder of Mental Health Grace Alliance.  Joe shares with us how his family was personally impacted by mental health and how he was able to work through it.

Episode Highlights:

  • Stepping down the ministry to navigate his wife’s mental health issues
  • Barriers to seeking professional and pastoral help
  • Doing research and equipping himself to help his wife overcome her mental health condition
  • Learning how to integrate neuroscience, psychology, and biblical scriptures for mental health recovery
  • Reinventing support group models and curriculum that integrate faith and science. 
  • Joe’s work at Mental Health Grace Alliance

Episode Summary:

 I first heard about the Mental Health Grace Alliance through a previous podcast guest, and I’m thrilled to introduce you to their impactful work. Joe Padilla, a licensed minister with over two decades of experience, shares his personal journey and the creation of this remarkable organization.

Joe opens up about his and his wife’s battle with mental health challenges, including depression and anxiety. Despite seeking various forms of help, they encountered numerous obstacles. Joe’s deep exploration into neuroscience and psychology eventually led to significant improvements in his wife’s condition. This journey inspired him to develop a holistic approach to mental health care.

Our conversation delves into the fragmented nature of mental health care systems, where the lack of communication between professionals often results in a disjointed approach to treatment. Joe advocates for a holistic approach where individuals are empowered to thrive despite their conditions. This emphasis on “approach goals” rather than merely managing symptoms aligns perfectly with our podcast’s mission to provide hope and practical strategies for mental wellness.

We also touch on the vital role of community support. The stigma surrounding mental illness often leaves individuals feeling isolated, which can hinder their willingness to seek help or share their struggles within their church community. Building a supportive and understanding community is crucial for effective mental health care.

Don’t miss this conversation with Joe Padilla and learn how the Mental Health Grace Alliance is transforming mental health support within the church.

Links and Resources:

Mental Health Grace Alliance

Another really great personal story interviews for you guys today. Before we hop into that, though, there’s a couple of things that I wanna say on a more personal note. On the podcast here, it’s very hard to talk about current events due to the nature of having a counseling practice and trying to keep my own sanity as I’m recording this introduction. I know that this show won’t come out for another six weeks. Also, my interview actually was recorded several months ago. However, I feel like because we have such a worldwide audience that it’s really important for me to say. A couple of things about what’s happening in our world. At this point in time, Russia has invaded Ukraine and it’s a very heartbreaking situation.

We know from what Jesus told us that in the last days. There are going to be wars and rumors of wars. So this should not come as a surprise to us. I hope though, that these recent events have reminded you to pray for your brothers and sisters all over the world who are in war-torn countries, or who are experiencing persecution for their faith. If you have freedoms and the country that you are in to worship and praise God as you, please, if you are able to go to bed tonight and not have to worry about being bombed, we need to be very thankful because we may not always have those freedoms. We don’t know what the future holds for us, but we know that God loves us and that God is with us. And if by some chance you are in Ukraine and you’re listening to this, just know that we love you. And we are praying for you.

Today on the show. I am interviewing Joe Padilla, who is the CEO and co-founder of the Mental Health Grace Alliance. I didn’t know anything at all, really about the Mental Health Grace Alliance, until I was told by one of our previous guests that I needed to look into this organization. They’re doing some amazing things, just combining this passion of helping people who have mental health issues in the church. And Joe is gonna share his own personal experience of how they got started. Joe, tell us a little bit about yourself. 

Joe: I am a licensed and ordained minister. I’ve been in ministry for 20, some odd years now. And my background really kind of started with missions and then local ministry, and then really running the Grace Alliance as a mental health type of ministry, helping churches and individuals and families now based out of Texas. So, that’s where we are.

Carrie: Awesome. I know that your family was personally impacted by mental health, and that’s kind of how you got on this journey. Tell us a little bit about that.

Joe: When we started a ministry, basically in missions that we were on the field for probably a total of 10 years in regard to that. And during that time, we noticed a lot of challenges with my wife’s mental health, as far as depression, anxiety, and different things like that, which led us to come back, worked locally within the church and stuff.

But while we were here trying to get the mental health care system, you know, all of those pastoral care as well and all that kind of stuff, but really nothing ever really kind of progressed for her from both the professional and the pastoral, which got to the point where we actually had to step down from ministry because of those. 

We’re extremely challenging for her, for us and for our kids. And then really started to try to figure out, and how do we navigate this journey? And it was a time when we stepped down, that where we started to focus on how, do we really navigate this? And so I started to dive into really learning. What is neuroscience? What is, the psychology, all these types of things. Cause I wasn’t getting all of that information. And as you know. With the church leaders and things. That’s one of the areas where they just don’t get a lot of equipping and training and being a leader myself, I just didn’t have that. 

So it really took the time to kind of research and look at all those. And it was finding this way that you really could navigate this for kind of what’s called mental health recovery. And no one was talking about that. They were just talking about management and things like that. Long story short, I started to apply all these principles and then over about a year and a half period, I saw my web significantly improved. Through her journey where we’ve never seen any of that kind of progress in the last kind of eight to 10 years of suffering. And that led us to having to leave, ministry altogether. And then here we are now, building, rebuilding life, our marriage or family and everything. And just looking at all these concepts are using a real whole health approach or a holistic approach and doing all that we got better medical care, the mental health professionals.

I started to figure out what works, what doesn’t work and an even from ministry, figuring out what works. And what doesn’t work and why things were getting so bad. So, from both of those end, we just kind of learn how to navigate it and figure some things out and then rebuilding life towards a new promise for us. And in front of that journey, that’s where we start to figure out there really is a way to navigate this. Even within the church, and it’s way simpler than we think, but it’s a very useful, and then that’s kind of where the organization came from that experience.

Carrie: I like that. We talked about the holistic approach a lot on this podcast, you know, it’s not just your spiritual health, it’s your mental, emotional, physical, it’s all just interconnected. And that’s how God created us to be. So I like that. I wanna mention something too, that you talked about just in terms of one navigating the system of mental health care is hard. It’s hard to find a therapist. Sometimes, you call, you make phone calls. You may not get a phone call back. People say, “oh, no, I don’t take your insurance or no, I can’t work with your availability on the days you’re available. I’m not taking new clients”. 

So I’ve found a counselor recently for myself or some things that I’m processing through being pregnant, getting ready to have a child. And just different stressors in my life. And I know how hard it was for me. And I understand the system and I understand how the system works, but it took me probably a couple of weeks to find somebody that could meet with me. And that in itself, I think can be discouraging. Did you guys have a lot of roadblocks as you were trying to just kind of navigate the system and get the help? 

Joe: Well, I think from our position, we had excellent professionals. If it just was all scattered, do you have a family doctor who’s helping you, but then you have a psychiatrist who’s coming in, but then they don’t talk. And then you have a therapist. But then the therapist doesn’t talk to the psychiatrist. So it’s just all so scattered and you’re getting all kinds of, you know, it’s like they say, you talk to 10 people and you get a hundred opinions, but I think we’re really trying to figure out what’s helpful and what’s not helpful. And then because you have a psychiatrist, who’s prescribing medication, but then sometimes they’re not paying attention to what the side effects are, how they’re playing with other medication and what really the condition you’re dealing with as well as then you’re going to the therapy. They’re really, was kind of a way of, what kind of therapy do you need on the front end of this on to once you have a lot of stability, what’s helpful? 

But if you don’t understand that therapeutic process for an individual in high crisis, in high stress, it can actually make it worse. And I see that all the time and that’s what we were going through was, this has been a health care system, is so scattered.

No one’s communicating. No one’s really understanding. And then it took time for me to learn. Wow! These medications that they’re prescribing and they keep updating them. It’s actually making it worse. Why isn’t anybody paying attention to this or the therapy? And I remember meeting with therapists and they’re trying to sole approach. I’m like, “what are you talking about? You have no idea what you’re doing”.

You have to understand what condition is, where the brain condition is from a neuroscience standpoint of what can actually be processed rather than tools based to get to the point where you can process things. So kind of an understanding, because that’s a hard journey and I coach a lot of people through this. And we look at their kind of the therapeutic process and they’re making no progress whatsoever, because I was meeting with somebody recently and talking them through that. And it’s just, like they said, “well, I don’t feel like I’m getting anywhere”. I was like, “well, how long have you been in that therapy”?. It was like, “well, I’ve been in for quite a long time”.

It was like, “you know, you’re paying for that. You should go back to your professional and say”. “Here’s this, this and this, this, how can I move forward with this and this and this”,  but they belong for a journey. And then you ended up in this conversation.

Carrie: Absolutely. 

Joe: So, again, I think that’s part of when we say the mental health care system, there is one, the availability, when you do get in, it’s looking at the process of what type of care are we actually getting into?

Is it appropriate? And is it being followed up with very well? And then you look at the community. Where’s the community support? And there’s always a gap there, especially when you get into the price centered or Christian or body of Christ or church community, that’s very lacking. And we can talk about that a little bit more later too, because that’s kind of the essence of what we do as an organization. But I think when we talk about the confusion of the mental health care system, we’re talking about all these things that just from availability to who do you see, and then is it appropriate? Is this the right process? Are you in the right place? 

Carrie: If there are a lot of moving pieces really to navigate. And I think for you being so involved in your wife’s care, you were probably able to provide a certain level of feedback, maybe things that you were seeing, that she wasn’t able to see. Cause I know that sometimes people will go into see a psychiatrist for example, and they’re just reporting on their last week instead of really looking at the whole picture and reporting maybe on their last month or their last few months, because they’re in distress. And sometimes when you’re in distress, it’s just really hard to get it out and even communicate about what’s going on with you internally with  your experiences.

Joe: Exactly. Exactly. And I think that’s when we developed our coaching and then even within our groups, we try to give information that helps when they are working on professional helps them to be a little bit more strategic with understanding their care and their follow-up. Even when you get into medication, we do have a topic where we cover that. But giving them strategic ways of how to communicate better with their psychiatrists so that you can take the guesswork out and you really get into some information that’s helpful so that you can move forward rather than just kind of guess your way through a lot of these medications. 

Carrie: Absolutely. Unfortunately, it seems to be a lot of trial and error. More so in the psychiatric realm, then in other areas of medical treatment and different people respond differently to medications and it’s hard. I wanna ask you a little bit too about there’s this medical model of mental illness and the medical model of mental illness says, “Well, you know, you just have some chemicals, are often in your brain. You’re probably going to struggle with depression your whole life, or you’re gonna be struggling with anxiety. That’s just the way it is or some genetic components, this and that”. And for me as a believer, it’s always been very challenging. And there’s a part of me that greatly rejects that model, because like you said, at a lot of it is focused on management and just focus on. 

Well, you know, you’re just gonna have these symptoms and we just got to figure out how to manage them, instead of saying, how can I live an abundant life in Christ, even though I have these mental health struggles. And that’s one of the reasons, you know, that I have this podcast and wanting to give people hope that you don’t just have to suffer. You know, there are so many different treatment options. There’s different types of therapy that you can engage in. There is alternative medicines. There’s so much hope and so much help out there. And the more that we talk about it and the more people know about it, like we have Christ, we have the ultimate hope to get better.

Was that something that you found or you process like on your journey?

Joe: You know, and I think that that comment of, is she gonna be like this roast her life and then something inside you, is going. “I don’t know about that”. You know, I think that’s most everybody, even if you’re not a believer, I think there’s just, that’s just hard. But especially in the church where we have this aspect of, well, then where’s Christ in that, you know, whereas that?, and I think if we take it from the position of, when we look at mental health recovery, or we look at that concept from a medical process or even, and that whole journey, we don’t look at it as we’re gonna try to get rid of your diagnosis. We’re gonna try to get rid of all your symptoms. 

We look at it more of, you can still flourish in life. So it’s a really about understanding. How do you build a life that is more meaningful? And that you can flourish in your life and you have much more resilience to the condition that you’re walking through. And overtime as you build your own flourishing life and you become more resilient than you actually see a lot of symptom reduction, you may not see the whole thing go away, which is fine, but you can live very meaningful and purposeful. And I think that’s a lot of times in the medical model or sometimes in the community. And no offense, because I know that there are some conditions that are challenging. And, but I think that sometimes we just get this message of you’re gonnq be like this, the rest of your life, take your medications, manage and survive as best you came in. 

I think God’s designed us for more than that, even though we have a condition because I’ve coached people with severe mental illness, like schizophrenia and things like that. And I’m telling you, Carrie, I have seen them flourish from, and I have some incredible stories, even miraculous stories where they were living on their parents’ house. And this is on disability. This is what gonna  be the rest of their life, to having a full life, getting married, having business, you know, all these types of things. You see this dramatic turnaround they’re conditioned didn’t go away. But what happened was there symptoms declined as they flourished in life, they’ll need their medication, but they’re able to flourish with a meaningful, purposeful life. I think that’s the opportunity to show people cause when I’m coaching somebody and I’m working with them, I just share with them and tell them, “look, I know that I know, that I know, that I know. It can be different than this”. You get rid of this. We’re not gonna try to eliminate this.

But let me show you what you can’t have. And that’s when we get into psychology and you’d know this more than I do as a professional, where we were it’s called avoidant goals versus approach goals. And so that management of you just live this way, avoid all these things. And because you’re, you know, avoid life and all this stuff, because you have this condition and the research shows the more you live that way. Especially, God is in that narrative, we just don’t have very, we don’t have good wellbeing and mental health as opposed to approach goals of, here’s what you can have.

This is what your life is about. Here’s the opportunity that you can have a build and you start to see better wellbeing, mental health and stuff like that. I think that’s what we do with our curriculum since the week. As Jesus did, he came and he flipped the script. And I think in mental health, we need to flip the script so that you see much better hope in a tangible way, rather than just, let’s just keep praying about this and go to your closet and keep asking God, I think there’s more to it than that.

Carrie: I love that. That there’s always hope. And what you were talking about with goals. Is that a lot of times people do, they come into counseling, they come to see me and they say, I want these obsessive thoughts to go away. I’m dealing with OCD, or I want this anxiety to go away. I want God to heal me and just take all this away. And it’s like, okay. So that’s like, step one, maybe. But what would your life be like if you had less anxiety and sometimes that really just stops people in their tracks, almost like they’re not really sure. Oh no. I just feel better. What does feel better? Look like, you know, cause feel better to, you might look differently than feel better to me. And we start to unravel this. And then a lot of times they’ll get to, well, if I wasn’t so anxious, then I would be able to have more social relationships or I would be able to start dating somebody, or I would be able to have more confidence to do the things that they believe God’s calling them to do.

So that’s a whole different thing to work for because who wants to work for just less of something. I mean, I guess in the physical realm, it’s kind of similar to losing weight. Well, I just want to lose weight. But why? Oh, cause I want to run with my grandkids. Well, that’s totally, you know, wow! You just opened up the world for yourself there, by looking at that approach goal. I like that concept. Let’s talk about community because you brought up the community so crucial. I think now more than ever. At least, what I’m seeing in the North American context, is because we do have some worldwide listeners, but in our American context, we are more isolated. And we have ever been, and COVID of course made things worse and caused people to isolate even more. 

It’s so hard sometimes for people to find, a good, authentic Christian community.

And there’s so much shame around the stigma of having a mental illness. Sometimes I’ll talk with people and I’ll say, “okay, well, who in your church knows about this? Have you talked to your pastor about this? Is your small group praying for you”? And they’re just like, “oh, you know”, it’s just like, I can’t tell anybody that I’m dealing with these obsessive thoughts. And I’m like, “but you need these people, you know, you need this help in this community”. Do you find that as well? Just in working with people. That it’s, that is hard. 

Joe: I think it’s, well, this gets into the conversation about stigma and community. Obviously, community is the biggest agent for healing and for people, anybody, even if you’re just isolated and you’re healthy.

Carrie: Right.

Joe: It’s like, not that to have a flourishing life, you have to have community. And especially when you get into mental health challenges, because it is a little bit more of a private challenge or an issue or things like that it’s often associated with fate or you’re doing something wrong, your sin, or, you know, and then it gets associated with, well, maybe that’s demonic or something like that. I think that’s been an unfortunate default narrative, which really just unfair to begin there. So it’s still with the stigma. I think it’s research nerd. So I read all this stuff and I actually went and looked at the stigma and found that there’s about 50, 60, 70 years of research on stigma, mental illness stigma.

Carrie: Wow!

Joe: And what they basically have said over all these years is the more that you try to break stigma. The more stigma you create, because we’re not built for narratives that are psychoanalytical. Or just not an institutional project, we are people. And so when you use narratives that are biomedical and things like that, we create an otherness type of people and otherness type of people fall into a brokenness and default narrative. That’s why we just create more stigma by using that type of thing. And so when we use language that we already know that we understand, as far as mental health. I often like to just, say, “you know, this, these are about mental health difficulties and disorders, or just mental health challenge”. 

This is just me personally, but I don’t like using the mental illness language because, and I know that there’s others that will advocate for that. We can all have different positions. I think that, especially from the pandemic, we’re starting to realize I’m working with more church leaders. That realized this, now that is really more of a spectrum rather than a disease division. You know, it really is a place where we all are experiencing crisis and any crisis, especially within mental health, creates a longing for meaning and community. So I think we have to understand where we are on that spectrum and things like that. Yes, there are disorders and stuff and we can work. Then there’s also people on depression, anxiety scale that would never identify themselves. As mental illness or mental health. 

Perfect example is, I worked with a professional. We were just in a conversation and I was just trying to help a family member of this professional. And they explained to me, when I say professional, they’re a business professional, the very fluent they’re very influential. And they were just saying to me that like, you know, they’re on medication, they had the classic symptoms of depression and anxiety and how that was causing a lot of relational challenges. And then they said, “well, I would never come to your website because that’s where mental illness”. You know, I’m just going to go to church and I’m going to go, do some more inner healing work, you know? And so it’s like, okay, well, that’s fine. And I think that’s because of the narrative that we often tell around mental illness is so limiting because we make it such a sickness issue that we forget. It’s a person and it’s a story. And so when we talk about mental health and things like that, even like when we talk about suicide awareness and stuff like that, I’m kind of like, Hey, suicide awareness. It needs to be called, story awareness.

You have to understand people’s story because you will become more compassionate and understanding to a story than you will to a statistic. So we use statistics secondary, not first. We use stories first because at the end of the day, there’s more commonality. If we just sit down and talk to each other, then we realize. And then the diagnosis will become a secondary concern, but it will have so much compassion because the story’s there. So in order to break the stigma within the church, we have to tell the story, humanness and humanity and where God is in that journey because mental health is all over the Bible. I mean, it is everywhere. It is so described and described a very, very well. But we don’t tell that narrative because we only use scientific terminology and then nobody pays attention. And everybody’s thinking, I don’t know anybody with schizophrenia, and this is a longer, obviously a conversation and stuff, and we help churches and leaders. And I have this document that I could, I have, you know, some leaders and stuff to help them understand. How to use the right language so that you can appeal to the right people and get them the right support. 

Because the statistics, that show that it takes about seven to eight years before someone will actually reach out and get help. But that whole seven year journey, we talk about it as a team of how do we reach the seven-year journey person, because in that place. They’re not seeing mental health, they’re just saying I’m broken, God’s working on me and this is more sanctification in my life. And so then, and that just recreates or reinforces more of that avoidance or avoided detachment type theories and stuff like that. And so, but if we can really learn the language of the seven-year journey, I think we would see much more help and much more resources that would get to people much quicker.

Carrie: So, tell us about Mental Health Grace Alliance and what you guys do?

Joe: So, Mental Health Grace Alliance, we are integrating science and faith, scripture Christ into a material that is practical. It’s easy to use. Anywhere, anytime, anybody. So we’re really trying to get you that the insight and the tools to make life better. Okay. So from a family to an individual and even for churches. And so what we do is we provide a small group curriculums and that small group curriculum can be used even personally, because we know that, that’s hard to get groups going and stuff like that. And we just encourage people, if with the curriculum, even if you just found one person, that’s a group, this size doesn’t matter. Having one or two other people. So with that curriculum, and there are 16 week, so we have one curriculum for, again, for family members. That’s the parent or the spouse who is living with somebody that has a mental health condition of some sort.

Then we have it for the individual and that’s called our living grace. So we have family grace and then living grace. And then we have a version for students, high school and college that’s written in their world and that’s a 10-week version. So that can happen easily within a semester. We have another material called to thrive, which goes through much more of the intensive process. And that’s what we actually developed our coaching program from, but we just got overwhelmed and we turned it into a self, got to workbook. From the process of revising that. So hopefully in 2022, we’ll have a new version to be released because people have turned it into groups and we can’t keep up with them.

Carrie: So awesome.

Joe: So that’s the primary thing that we do is really provide them that a topical guidance through these, this material and everything is faith-based from a sense of, here’s a scripture. Here’s a way that you guys can discover how God is inside this journey. Not you trying to get to God, but where God is relating to you. And then some science facts and subscriptions facts. That they could discuss. And a lot of times they come with a tool that they can practice and professionals love it because it’s a place where they’re just getting reinforced because we do, like I said earlier, we have a topic on medication, you know, but then the rest of the workbooks really do reinforce a lot of principles. That are very tools based within a lot of therapy programs.

We’re not doing therapy, we’re just doing the support of it. And they’re getting the resources and the help and the groups that we have they’re easy. You do not have to be a professional. They are not, they don’t replace medicine or therapy or anything like that. It is just a way to get this conversation going. You learn and get encouraged and you grow through this. And we’ve done research on these groups. So we do have published results on these groups and we see that people reduce their symptoms and they are aided mental health recovery, and they renew their faith. And then the stories that just are amazing coming out of these groups too. 

Carrie: That’s a really interesting connection, I think between discipleship and mental health recovery because they are related in the sense that we’re always on that process of striving to become more like Christ. And that’s not always just a spiritual process. It’s a communal process. It’s a self-examination process. There’s so much that goes into that. So I love that. And just the aspect of people being able to be in a group with other people who they feel like, this person gets it. They have struggles too. And we’re able to be open about that. I haven’t led a group in a while since I’ve been doing online practice, but when I did groups in person, they were so incredibly powerful. And what I would see was my clients that were in group therapy. It almost like, It’s like it lit this spark under their individual therapy work. 

It’s very hard to explain other than it was just like, that was so powerful and good for them to be able to kind of see some of their symptoms in other people and be able to respond compassionately to others. When sometimes it’s hard to respond compassionately to yourself. There’s just so much. I think that people can get out of that. And I remember walking out of one of the groups and I just thought, this is what church is supposed to be like, I was like, this is what authentic community looks like. And it wasn’t a Christian based group because I had people in there that weren’t Christians.

It was just, you know, anxiety management group. But I walked out and I went, we learn a lot in the church from group therapy, you know what.

Joe: You know, from our focus is talking to some church leaders about this recently, but what we do is we have a solution for the frustration gap in the church. And what I mean by that is someone goes to the pastor and the pastor can tell this person needs way more professional help.

And I am equipped to offer, and we have nothing here at the church for them. So they get referred out to a professional. Then they go to the professional and the professional is I ready to help you? I wanna help you, but I have no spot for you for another three to four weeks. Okay. And, I wanna send you back to the church.

There’s no support for you there. Well, here’s this community support group, but they don’t do faith. And again, some of those models that those cathartic models that I’ve seen, the research on those groups, they are not effective. It’s just venting and venting and venting.

So, but its like, and so from our standpoint, I’ve been through that. Cause I went to a support group and I was like first and last meeting I’ll ever go to in the community support group because it was so horrible and it was so discouraging. And I thought there’s gotta be a better way of this cause I have seen life in the church. And so really that frustration gap, the pastor doesn’t know where to send them other than the professional, that he doesn’t know where to send them back because there’s no Christian support other than this community support. But then there’s not here from all the time. There’s no Christian stuff in these community groups. 

So that frustration gap basically means the support group model needs to be reinvented. And so what we did is we have reinvented the support model into a discipleship growth, the journey for those who are experiencing mental health challenges. From the family to the individual. And so really giving away that they can grow in their relationship with Christ. This isn’t about, Hey, we have this group for you in the back. It meets on Thursday nights. You come to the back door, there’s coffee over there, and then you just really be quiet and was like, no, let’s give you a full dignity of a discipleship experience tailored for your experience of where you are on this journey. Cause you’re not losing out. There’s actually an opportunity for you to see this as a growing experience. So here’s this group and these groups lead themselves; they’re just facilitated. 

Carrie: That’s awesome. I’m enjoying this conversation so much and I hate to wrap it up, but I’m curious for you, just kind of looking at your journey that you’ve been on. What would you tell your younger self who had a wife who is struggling with mental health issues? If you could go back somehow and give yourself advice.

Joe: If I were to go back and I would say, look at the science, don’t be afraid of the science. I think sometimes there’s this tension between science and scripture.

And the more that I see science, the more alive scripture gets and the more research I see that the bigger God gets and I fall in love with God more. There is a beauty between science and faith. I think we’re in a new age of the church that much more open to that now where we were 20 years ago. It was a little bit more tender, things like that, but I would say, yeah, I’d say, Hey, look at the science because there really is a way, and there’s a lot more hope 9when you integrate the science.

Carrie: Is there a way for people to go on the website and look and see what groups might be running near them? 

Joe: There is. So our website is a Mental Health Grace Alliance Dot.or. And then they can just click on the, for you page and they can see our material. And then also there’s a button there on the, for you page or for the family page, just to the shows them what groups are available. There are some groups that are online and then there are some in different areas, but it’s really easy for them to start a group. We make it really easy. This free training, free support, all that stuff. All they had to do is buy a workbook. So it’s very easy for anybody to find a group. 

We have hundreds of groups all over the world and things like that, so they can evaluate and see what’s there. And then if this is a shirts that’s interested and they’re listening to your podcasts, or maybe a leader, we provide free virtual meetings for church leaders because they’re curious and they want more help. And so we provide those meetings for free and I’ll meet with them and just talk them through. And most of the time when I meet these pastors and these leaders, they don’t go longer than 30, 40 minutes because they’re ready. They just need someone to help them kind of guide them. And then they run with it. 

Carrie: Awesome. We’ll put the links in there and I’d love to get a hold of your workbooks and see if it would be helpful for some of my clients, you know, as an addition to what they’re already doing.

So, man, keep doing what you’re doing and just encouraging churches and people who are struggling.

Joe: Thank you appreciated.

Carrie: I know that some of you may really benefit from the resources that the Mental Health Grace Alliance has to offer. We will be sure to put their website in our show notes for you to click on for easy access.