Anxiety Matters

The Bonnies talk about hoarding with Dr. David Tolin, a clinician and researcher who has worked extensively in this area. They begin by distinguishing hoarding disorder from ordinary messiness or collecting, and note that hoarding is characterized by difficulty discarding items, strong attachment to possessions, and often excessive acquisition.
They talk about how hoarding develops over time, including early onset in childhood or adolescence, and how stress or major life changes can make symptoms worse. Also, genetic factors and the idea that hoarding can run in families, while still requiring attention to behavior and environment.
They then focus on treatment. Dr. Tolin explains that hoarding is not the same as OCD, even though it has often been grouped with obsessive compulsive disorders. He describes current treatment approaches that emphasize decision-making training, problem-solving, distress tolerance, cognitive questioning, and motivational interviewing rather than simply forcing the person to throw things away.
They also discuss the importance of insight and motivation, since many people with hoarding disorder do not initially see themselves as having a problem and how clinicians can use Socratic questions to help people examine what their possessions mean to them and whether keeping them fits their values.
Finally, they address family concerns, childhood hoarding behaviors, and the limits of medication research noting that there are no randomized controlled trials of medication for hoarding disorder, though some open trials have suggested possible benefit from certain medications.
HIGHLIGHTS:
1:05 Clutter Versus Hoarding
4:21 The Fire Changed Everything
7:44 Meet Dr. David Tolin
8:38 Hoarding Is Not OCD
11:24 Defining Hoarding Disorder
15:32 Trauma, Stress, and Risk
18:56 Rethinking Treatment Goals
21:26 Therapy for Hoarding
27:47 Time, Values, and Insight
35:06 Health Hazards and Questions
36:21 A Severe Hoarding Case
39:26 Medication Evidence
41:38 Pediatric Hoarding Concerns
45:23 Insight and Self-Referral

connect with Dr. David Tolin
website: https://drtolin.com

CONNECT WITH THE BONNIE ZUCKERS:
Bonnie Zucker Ph.D.(west)
website: https://www.bonniezuckerphd.com
Newsletter sign-up: https://bonnie-zucker-ph-d.kit.com/d44b57fcdf
Books by Bonnie West: https://a.co/d/04aNJFDZ

Bonnie Zucker Psy.D. (east)
website: https://www.bonniezuckerandassociates.com
Books by Bonnie East: https://shorturl.at/MxvRZ
The content of Anxiety Matters Podcast is for informational purposes only and does not constitute mental health or medical advice, nor is it a substitute for professional mental health or medical advice, diagnosis, or treatment. If you are experiencing a mental health crisis, call emergency services or a local crisis line.

In this episode, the BZW and BZE talk about how feeling understood in relationships can affect stress, well-being, and even physical symptoms. They discuss how anxiety is often misunderstood by partners and family members, and how advice or pressure can sometimes leave people feeling invalidated.
They also focus on validation as a practical response, including finding the kernel of truth in what someone is feeling and saying things like “that makes sense” or “I can see this is hard for you.” They explain the difference between offering solutions and offering support, and suggest asking whether someone wants advice, validation, or something else.
HIGHLIGHTS:
1:36 Feeling Seen, Feeling Stressed
3:54 When Loved Ones Miss It
5:45 Fixing Versus Validating
8:44 Why Validation Works
12:13 Find the Kernel of Truth
14:22 The Need to Feel Known
16:30 Practical Takeaways for Partners

mentioned in episode
How to Know a Person (book): https://a.co/d/04qD6vzj

CONNECT WITH THE BONNIE ZUCKERS:
Bonnie Zucker Ph.D.(west)
website: https://www.bonniezuckerphd.com
Newsletter sign-up: https://bonnie-zucker-ph-d.kit.com/d44b57fcdf
Books by Bonnie West: https://a.co/d/04aNJFDZ

Bonnie Zucker Psy.D. (east)
website: https://www.bonniezuckerandassociates.com
Books by Bonnie East: https://shorturl.at/MxvRZ
The content of Anxiety Matters Podcast is for informational purposes only and does not constitute mental health or medical advice, nor is it a substitute for professional mental health or medical advice, diagnosis, or treatment. If you are experiencing a mental health crisis, call emergency services or a local crisis line.

In this episode, the Bonnies talk about doctor anxiety and how it can lead people to avoid appointments or feel intense worry before routine tests and screenings. They discuss the value of recommended preventive care, the importance of trusting relationships with doctors, and the role of therapy when health fears become difficult to manage.
They also look at the balance between appropriate screening and excessive testing, including how more scans or wearable devices can sometimes increase stress.
HIGHLIGHTS:
1:33 Vet Fears, Doctor Fears
2:40 Screening Protects Health
5:45 Facing Mammogram Anxiety
7:12 Trusting Doctors, Timing Tests
10:22 Full-Body Scan Dilemma
14:12 Too Many Tests
14:57 Wearables and Anxiety

mentioned in episode
Less Medicine More Health by Dr. H. Gilbert Welch: https://a.co/d/01SYYhru

CONNECT WITH THE BONNIE ZUCKERS:
Bonnie Zucker Ph.D.(west)
website: https://www.bonniezuckerphd.com
Newsletter sign-up: https://bonnie-zucker-ph-d.kit.com/d44b57fcdf
Books by Bonnie West: https://a.co/d/04aNJFDZ

Bonnie Zucker Psy.D. (east)
website: https://www.bonniezuckerandassociates.com
Books by Bonnie East: https://shorturl.at/MxvRZ
The content of Anxiety Matters Podcast is for informational purposes only and does not constitute mental health or medical advice, nor is it a substitute for professional mental health or medical advice, diagnosis, or treatment. If you are experiencing a mental health crisis, call emergency services or a local crisis line.

The Bonnies talk with Dr. Ethan Hochheiser, a board-certified psychiatrist in general and child & adolescent psychiatry, about when medication may be appropriate for children and teens with anxiety, ADHD, OCD, depression, and related concerns.
They discuss how therapy is often tried first, but medication may be considered sooner when symptoms are severe, functioning is impaired, or treatment is not helping enough.
They review common SSRI side effects in children, including nausea, diarrhea, headaches, temporary activation, and possible weight gain, as well as less common risks such as suicidal thoughts and mania in those with a predisposition.
They also discuss how SSRIs may work, the role of monitoring and family history, and the goal of improving symptoms and tapering medication after sustained remission.
The episode closes with discussion of OCD, premenstrual dysphoric symptoms, and ADHD, including how SSRIs can help OCD and PMDD and how ADHD often responds well to medication.
HIGHLIGHTS:
4:17 Meet Dr. Ethan Hochheiser
9:04 When Medication Makes Sense
15:12 SSRI Risks and Side Effects
19:48 What Medications Mean for the Brain
23:17 OCD, Exposure, and SSRIs
27:06 Treating Premenstrual Symptoms
28:14 How SSRIs Work
31:12 Stopping Medication Safely
32:43 Are We Over-diagnosing ADHD?
36:48 ADHD Treatment Advantages

connect with Dr. Hochheiser
website: https://www.ethanhochheisermd.com

CONNECT WITH THE BONNIE ZUCKERS:
Bonnie Zucker Ph.D.(west)
website: https://www.bonniezuckerphd.com
Newsletter sign-up: https://bonnie-zucker-ph-d.kit.com/d44b57fcdf
Books by Bonnie West: https://a.co/d/04aNJFDZ

Bonnie Zucker Psy.D. (east)
website: https://www.bonniezuckerandassociates.com
Books by Bonnie East: https://shorturl.at/MxvRZ
The content of Anxiety Matters Podcast is for informational purposes only and does not constitute mental health or medical advice, nor is it a substitute for professional mental health or medical advice, diagnosis, or treatment. If you are experiencing a mental health crisis, call emergency services or a local crisis line.

This episode focuses on social anxiety in everyday life, including difficulty asking for help, making small requests, and fearing judgment or inconvenience.
The Bonnies talk about exposure exercises for facing these situations, such as asking for samples or interrupting someone to make a request, and explain how these exercises can show that the feared reaction often does not happen.
They also discuss planning for harder outcomes, common forms of avoidance like delaying calls or texts, and encouraging small behavior changes such as saying no, asking for help, and starting difficult tasks sooner.
HIGHLIGHTS:
1:49 Whole Foods Exposure Practice
7:36 Handling Rude Reactions
11:46 Asking for Testimonials
15:48 Everyday Social Anxiety Triggers

CONNECT WITH THE BONNIE ZUCKERS:
Bonnie Zucker Ph.D.(west)
website: https://www.bonniezuckerphd.com
Newsletter sign-up: https://bonnie-zucker-ph-d.kit.com/d44b57fcdf
Books by Bonnie West: https://a.co/d/04aNJFDZ

Bonnie Zucker Psy.D. (east)
website: https://www.bonniezuckerandassociates.com
Books by Bonnie East: https://shorturl.at/MxvRZ
The content of Anxiety Matters Podcast is for informational purposes only and does not constitute mental health or medical advice, nor is it a substitute for professional mental health or medical advice, diagnosis, or treatment. If you are experiencing a mental health crisis, call emergency services or a local crisis line.