
Hosted by Bonnie Zucker & Bonnie Zucker · EN

In this episode, BZW and BZE talk about travel anxiety and the different forms it can take. They discuss fear of flying, worry about being far from home, concern about leaving a house unattended, and anxiety about pets, work, or access to medical care while away.They also talk about how anticipatory anxiety can build before a trip and how it can affect decisions about whether to go, how long to stay, and how far to travel. They suggest identifying the specific root of the fear so it can be addressed directly.A major theme is using a values-driven approach rather than letting fear make the decision. The Bonnies talk about remembering why we are traveling, such as spending time with family, taking a break, and experiencing new places and cultures.They also discuss practical coping strategies, including checking in with other people to compare worries, arranging care for pets and the house, and using graded exposure when possible. For fear of flying, they suggest, if possible, starting with shorter flights or, if needed, using a simulated long-flight exercise.HIGHLIGHTS:2:11 Why Travel Feels Scary4:45 Finding The Positive7:35 Root Causes And Reframes10:38 Graded Exposure For Flying14:37 My Travel Scam Story18:46 Pets And Trip Planning22:37 Vacation AdviceCONNECT WITH THE BONNIE ZUCKERS:Bonnie Zucker Ph.D.(west)website: https://www.bonniezuckerphd.comNewsletter sign-up: https://bonnie-zucker-ph-d.kit.com/d44b57fcdfBooks by Bonnie West: https://a.co/d/04aNJFDZBonnie Zucker Psy.D. (east)website: https://www.bonniezuckerandassociates.comBooks by Bonnie East: https://shorturl.at/MxvRZThe 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.

Dr. Kiki Fehling (aka DBT Kiki) is back with the Bonnies to discuss dialectical behavior therapy, LGBTQ+ mental health, and how language shapes understanding and treatment. They discuss why DBT has been useful for many different concerns, including anxiety, emotional dysregulation, PTSD, substance use, eating disorders, and depression.Kiki explains DBT’s main skill areas: emotion regulation, distress tolerance, mindfulness, and interpersonal effectiveness. They all agree that DBT breaks complex problems into concrete, structured steps, and how that makes the skills easier to use in daily life and in therapy.A major focus of the conversation is minority stress and its impact on LGBTQ+ people. They discuss discrimination, anticipated discrimination, and internalized stigma, as well as the importance of affirming language, representation, and feeling understood. Kiki goes on to clarify terms such as queer, cisgender, and related identity language.The Bonnies ask about the development of Kiki's LGBTQ+ Mental Health Workbook and her work making evidence-based psychotherapy more accessible. Also discussed is how queer people can use DBT skills like opposite action, coping skills, and community connection to respond to shame, anxiety, and rejection sensitivity.They close with a discussion of resilience, queer joy, intersectionality, and collective support. Dr. Fehling also mentions practical ways to find resources, including LGBTQ+ community centers, affirming therapists, and independent bookstores.HIGHLIGHTS:3:39 DBT Becomes More Accessible5:33 What DBT Really Teaches10:34 Why This Book Matters12:47 Queer Language and Identity17:46 Understanding Minority Stress24:54 Bi Visibility and Stigma29:53 Resilience and Queer Joy32:59 DBT Skills for Queer Clients37:16 Finding Safe Resourcesconnect with DBT Kikiwebsite: https://www.kikifehling.comThe LGBTQ+ Mental Health Workbook: https://www.kikifehling.com/lgbtqworkbookresources mentioned:CenterLink: https://www.lgbtqcenters.orgBookshop: https://bookshop.orgCONNECT WITH THE BONNIE ZUCKERS:Bonnie Zucker Ph.D.(west)website: https://www.bonniezuckerphd.comNewsletter sign-up: https://bonnie-zucker-ph-d.kit.com/d44b57fcdfBooks by Bonnie West: https://a.co/d/04aNJFDZBonnie Zucker Psy.D. (east)website: https://www.bonniezuckerandassociates.comBooks by Bonnie East: https://shorturl.at/MxvRZThe 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 continue their discussion of sleep and what they learned after our previous conversation about CBT-I for insomnia. They review core sleep as including REM and deep sleep, and note that adults are generally still recommended to get seven to nine hours of sleep.They talk about how people often become anxious about not sleeping well and start catastrophizing about the next day. They each share their own recent experiences of getting too little sleep, including waking early, getting out of bed instead of lying awake, and finding that they could still function and work through the day.The two then discuss how tiredness can sometimes change our mood and behavior in unexpected ways. BZE describes being more patient with ourselves, lowering our standards a little, and becoming calmer or more reflective when we are exhausted. They also mention that being tired can sometimes reduce anxiety and interrupt hypervigilance.The episodes wraps up by turning to the idea of joy and a book BZE recently started reading, Joyful Anyway by Kate Bowler. They talk about how difficult things and joy can exist at the same time, and how important it is to notice access to joy in daily life, even when the world feels overwhelming.HIGHLIGHTS:0:39 Core Sleep Explained3:55 Rethinking a Bad Night8:02 Flow and Self-Compassion12:24 Finding Joy Anyway16:30 Lightness After Darknessmentioned in this episode:Joyful Anyway by Kate Bowler: https://a.co/d/05ornj2PSeat of the Soul by Gary Zukav: https://a.co/d/0hlFqvLhCONNECT WITH THE BONNIE ZUCKERS:Bonnie Zucker Ph.D.(west)website: https://www.bonniezuckerphd.comNewsletter sign-up: https://bonnie-zucker-ph-d.kit.com/d44b57fcdfBooks by Bonnie West: https://a.co/d/04aNJFDZBonnie Zucker Psy.D. (east)website: https://www.bonniezuckerandassociates.comBooks by Bonnie East: https://shorturl.at/MxvRZThe 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 introduce Dr. Jesse Spiegel, a licensed clinical psychologist who treats children, adolescents, and adults. This episode focuses on insomnia and on cognitive behavioral therapy for insomnia, or CBTI, which they discuss as a first-line treatment.Dr. Jesse explains how insomnia is distinguished from short-term sleep problems. He describes chronic insomnia as difficulty falling asleep, staying asleep, or waking too early, occurring at least three nights a week for at least three months, with clear distress or impaired functioning.They discuss the main ideas behind CBTI and talk about sleep drive, circadian timing, and arousal, and how these factors interact with chronotype. Dr. Jesse notes that morning and evening types may have different sleep patterns, and we discuss that chronotype is largely biological.Dr. Jesse also covers the behavioral parts of treatment. He explains stimulus control, including going to bed only when sleepy, getting out of bed if unable to sleep, using the bed only for sleep and sex, waking at the same time each day, and avoiding naps when possible. He then describes sleep restriction, where time in bed is adjusted to better match actual sleep time in order to improve sleep efficiency.Finally, they talk about the thoughts and habits that can keep insomnia going. Also mentioned is worry, catastrophic thinking, safety behaviors, and the way sleep tracking devices can become unhelpful for some people. The goal with treatment is that it aims to reduce pressure around sleep and make it feel more effortless.HIGHLIGHTS:6:03 Meet Dr. Jesse Spiegel7:38 What Is CBT-I?12:02 Sleep Drive and Body Clock19:40 Bed Becomes a Battleground23:48 How CBTI Treats Insomnia30:09 The Core Sleep Debate34:20 Calming Sleep Anxiety39:10 Reframing Sleep Thoughts43:23 Wearables and Sleep Logsconnect with Dr. Jessewebsite: https://www.drjessespiegel.comCONNECT WITH THE BONNIE ZUCKERS:Bonnie Zucker Ph.D.(west)website: https://www.bonniezuckerphd.comNewsletter sign-up: https://bonnie-zucker-ph-d.kit.com/d44b57fcdfBooks by Bonnie West: https://a.co/d/04aNJFDZBonnie Zucker Psy.D. (east)website: https://www.bonniezuckerandassociates.comBooks by Bonnie East: https://shorturl.at/MxvRZThe 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 part 2 BZE and BZW discuss anxiety and OCD through their clinical work and personal experiences, including a recent visit in Maryland and time spent together in person. They talk about exposure work at Whole Foods, contamination fears, and how exposures can be broken into smaller steps while still helping retrain reactions to triggering situations.They also discuss social anxiety, selective attention to negative events, and the body’s physical anxiety response, including adrenaline, cortisol, shortness of breath, and a faster heartbeat. Along the way, they share a few personal moments from the visit, including the BZE's dog, a train delay, and a mix-up over continuing education credits.HIGHLIGHTS:2:54 OCD Exposures Explained6:45 Anxiety and Threat Perception10:24 Unattended Drinks and Safety17:34 Cassidy’s Warm Welcome19:20 Train Ride Troubles21:24 Mixed-Up CEsCONNECT WITH THE BONNIE ZUCKERS:Bonnie Zucker Ph.D.(west)website: https://www.bonniezuckerphd.comNewsletter sign-up: https://bonnie-zucker-ph-d.kit.com/d44b57fcdfBooks by Bonnie West: https://a.co/d/04aNJFDZBonnie Zucker Psy.D. (east)website: https://www.bonniezuckerandassociates.comBooks by Bonnie East: https://shorturl.at/MxvRZThe 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.

East meets West in this special episode of Anxiety Matters as Bonnie West travels to visit Bonnie East. After an excitedly heartwarming welcome, the two enjoy good food and drink as they discuss exciting new plans for Anxiety Matters.The two hit up Bonnie East's local Whole Foods to do a live exposure exercise. They leave tea on a shelf, walk away for a while, and return to drink it and describe the purpose of these exercises as helping people tolerate uncertainty, discomfort, and the anxiety that rises and then falls.They discuss several kinds of exposure work, including asking for help, interrupting someone, leaving items unattended, and handling contamination fears including a more direct contamination exposure involving a chip that is placed on a shelf and then on the floor before being eaten. BZE describes how some people need repeated practice before they are willing to do it, and notes that doing the feared action often reduces anxiety more than expected.Later, BZW visits BZE's office and home, where they talk about the workspace, the artwork created by Bonnie East's mom, and family-made gifts. They wrap up by discussing BZE's home, the dog, the Christmas decorations, how they each work and the surprising place Bonnie East records episodes of the podcast. You'll want to listen in, not only for valuable information on exposure exercises, but for the fun these two share when they're together.HIGHLIGHTS:1:18 Whole Foods Exposure5:17 Challenging Contamination Fears7:49 Tolerating Uncertainty9:49 Eating the Floor Chip14:08 Flooding Exposures17:05 Visiting the Office20:24 House Tour and Gifts24:21 Cozy Home ReflectionsCONNECT WITH THE BONNIE ZUCKERS:Bonnie Zucker Ph.D.(west)website: https://www.bonniezuckerphd.comNewsletter sign-up: https://bonnie-zucker-ph-d.kit.com/d44b57fcdfBooks by Bonnie West: https://a.co/d/04aNJFDZBonnie Zucker Psy.D. (east)website: https://www.bonniezuckerandassociates.comBooks by Bonnie East: https://shorturl.at/MxvRZThe 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 BZE and BZW talk about perfectionism through their own habits and experiences, from the pressure to make the “right” choice to the way rigid standards can show up in everyday life. They discuss BZE's book *A Perfectionist’s Guide to Not Being Perfect*, written for middle and high school readers, and how it was shaped by her writing routine and the disruptions of early 2020.They explore how perfectionism can lead to inflexibility, repeated checking, procrastination, and avoidance in school, work, and relationships. They also discuss treatment approaches that focus on flexibility, including exposure exercises, small acts of spontaneity, and learning to tolerate mistakes.The two then look at perfectionism in students and families, including test anxiety, social media, college decisions, and parental pressure. They close by emphasizing practical ways to respond to perfectionism, such as time limits for avoided tasks and reducing harsh self-criticism, with flexibility presented as more helpful than perfection.HIGHLIGHTS:3:06 Eye Exam Epiphany5:33 Writing Through Perfectionism8:43 Flexibility Over Control12:03 When Perfection Hurts13:21 Building Flexible Habits16:26 Social Media Pressure19:01 Success Beyond Grades23:27 Parenting Through Mistakes27:41 College Choices Matter Less30:05 Break the Avoidance Cyclementioned in the episode:A Perfectionist's Guide to Not Being Perfect by Bonnie (East): https://a.co/d/0ajFPyrpThe Obstacle is the Way book: https://a.co/d/01abU2GTCONNECT WITH THE BONNIE ZUCKERS:Bonnie Zucker Ph.D.(west)website: https://www.bonniezuckerphd.comNewsletter sign-up: https://bonnie-zucker-ph-d.kit.com/d44b57fcdfBooks by Bonnie West: https://a.co/d/04aNJFDZBonnie Zucker Psy.D. (east)website: https://www.bonniezuckerandassociates.comBooks by Bonnie East: https://shorturl.at/MxvRZThe 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, BZW and BZE revisit Ireland Baldwin's journey with health anxiety and panic disorder, examining how trauma, genetics, and environmental factors intersect to influence anxiety. They explore the cycle of fear and heightened sensitivity to bodily sensations, advocating for cognitive behavioral therapy (CBT) as a key intervention.Their discussion highlights interoceptive exposure techniques to confront discomfort and stresses the importance of supportive relationships with established boundaries. Ireland’s story illustrates that, with effective strategies, individuals can manage anxiety and reclaim control over their lives, empowering listeners to understand their own experiences with anxiety.Be sure to listen to episode 64 with Ireland Baldwin to understand the foundation of her health anxiety.HIGHLIGHTS:1:09 Follow-Up on Ireland Baldwin interview (ep 64)4:13 Exploring Health Anxiety5:36 The Role of Cognitive Behavioral Therapy7:52 Personal Stories and Panic Buttons9:42 Addressing Trauma and EMDR11:09 Understanding Family Support15:34 The Importance of Tolerating Uncertainty17:17 Interoceptive Exposure ExplainedCONNECT WITH THE BONNIE ZUCKERS:Bonnie Zucker Ph.D.(west)website: https://www.bonniezuckerphd.comNewsletter sign-up: https://bonnie-zucker-ph-d.kit.com/d44b57fcdfBonnie Zucker Psy.D. (east)website: https://www.bonniezuckerandassociates.comThe 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 special episode of Anxiety Matters, the Bonnies engage in an enlightening conversation with Ireland Baldwin, an accomplished screenwriter, producer, and animal rights advocate. Together, they explore her deeply personal experiences with health anxiety, particularly stemming from a traumatic incident in her childhood that reshaped her understanding of mortality and wellness.As they delve into the complexities of anxiety, Ireland shares vivid instances where her health fears manifest in day-to-day life. They discuss the urgency that comes with her heightened awareness of bodily sensations, and how even minor changes in heart rate can send her spiraling into a cycle of panic. The conversation highlights the unique struggles faced by those who experience health anxiety, where the interplay between physical sensations and catastrophic thoughts creates a formidable barrier to peace of mind.They also touch on the role of medical professionals and the importance of feeling validated in one’s health concerns. Ireland shares her gratitude for her supportive doctor who understands her anxiety, as well as her journey through various therapies. Notably, she mentions her reluctance to rely on medication due to the fear of adverse subconscious reactions, underscoring the importance of finding the right balance in treatment approaches.As their conversation progresses, they unpack the notion of community and connection, illustrating how sharing experiences with anxiety can foster understanding and reassurance. Throughout their discussion, Ireland resonates with listeners by normalizing the feelings of embarrassment and isolation that often accompany anxiety disorders. This candid dialogue not only offers insights into her personal coping strategies—such as managing triggers, identifying supportive partners, and utilizing tools for reassurance—but also serves as a reminder of the collective struggle many face regarding mental health.HIGHLIGHTS:3:04 Meet Ireland Baldwin4:56 Childhood Trauma9:57 Anxiety Runs in Family12:14 Health Anxiety Triggers18:20 Support That Helps21:33 Body Sensations and Panic24:15 Therapy and Medication Struggles29:22 Seeking New Treatment32:22 Internet Fuels Fear36:32 Testing and Reassurance39:04 Why Believing Patients Matters41:03 Uncertainty and Exposure Work44:10 Common Struggles, Big Reliefmentioned in episodeCBT Interoceptive Exposure video: https://www.youtube.com/watch?v=sigXTV5QXikCONNECT WITH THE BONNIE ZUCKERS:Bonnie Zucker Ph.D.(west)website: https://www.bonniezuckerphd.comNewsletter sign-up: https://bonnie-zucker-ph-d.kit.com/d44b57fcdfBonnie Zucker Psy.D. (east)website: https://www.bonniezuckerandassociates.comThe 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 an exclusive first, Bonnie East explores the complexities of panic and anxiety with Bonnie West, a psychologist specializing in anxiety. They delve into topics surrounding BZW's upcoming book, "Freedom from Panic," set to release May 1, 2026, which provides essential guidance for those experiencing panic attacks and panic disorder.BZW begins by clarifying what differentiates a panic attack from panic disorder, two phenomena often confused. A panic attack is described as a sudden surge of intense fear or discomfort, marked by symptoms like a racing heart or difficulty breathing. When these attacks recur and lead individuals to alter their daily lives due to fear, it's categorized as panic disorder..Throughout the conversation, they reflect on the impact panic attacks can have on an individual, including the potential for repeated emergency room visits, as many mistakenly believe they are experiencing a heart attack rather than an anxiety-induced episode. Bonnie West discusses the alarming statistic that 40% of those visiting emergency rooms for chest pain may actually be suffering from anxiety.As they share various strategies for coping with panic attacks, BZW shares practical tips that she introduces in her book right from the beginning, emphasizing immediate skills for managing anxiety in the moment. She advocates for activating the parasympathetic nervous system through techniques like cold exposure, which can help calm the body during panic episodes. This section is crucial as it addresses the urgent needs of individuals seeking relief amidst an acute panic attack, bridging the gap between understanding anxiety and finding actionable tools to cope with it.In addition, BZW elaborates on her experiences with interoceptive exposure, an effective treatment for panic disorder. This involves systematically inducing panic sensations to help patients confront and thus desensitize themselves to these fears. She shares the importance of using a compassionate approach in therapy, meeting clients where they are and gradually guiding them to understand their bodily sensations without allowing anxiety to dictate their actions.Throughout their discussion, Bonnie West beautifully connects her professional insights to personal anecdotes, including her own experiences with panic, revealing the profound impact anxiety can have on anyone, regardless of their training or background.Order your copy of Freedom From Panic: https://a.co/d/05rLnlLKHIGHLIGHTS:2:39 Understanding Panic Attacks6:27 Distinguishing Panic Disorder8:41 When to Seek Therapy9:33 Preventative Interventions11:26 Bonnie's Background in Panic Research14:33 The Impact of Panic Disorder16:30 The Value of Early Intervention17:13 The Journey to Writing a Book21:45 Navigating the Publishing Process22:52 Types of Panic and Their Sources30:00 Coping Strategies for Panic AttacksCONNECT WITH THE BONNIE ZUCKERS:Bonnie Zucker Ph.D.(west)website: https://www.bonniezuckerphd.comNewsletter sign-up: https://bonnie-zucker-ph-d.kit.com/d44b57fcdfBonnie Zucker Psy.D. (east)website: https://www.bonniezuckerandassociates.comThe 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.