This podcast series, “To Hell and Back,” is focused on the nature of hellish experiences in life, how people get into them, and to present and discuss tools for coping with hell and getting out. The various podcasts will move back and forth between different varieties of hell in life, and different tools for coping. The tools will be drawn from dialectical behavior therapy (DBT), from other treatments, and from other life experiences.
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Charlie Swenson, MD and Nicoleta Helén - To Hell and Back: Life Survival Skills
Charlie Swenson, MD & Nicole Helén
'To Hell and Back' shines light on our darkest, most painful, and most overwhelming human experiences. With unfiltered conversations, vivid role plays, focused teaching, and spacious curiosity, Charlie and Nicoleta use the framework of DBT (Dialectical Behavior Therapy) to help those of us who live in hell learn the skills we need to get ourselves the hell out. Every week is a fresh invitation to meet our minds, our pain, and all that makes this life worth living with greater understanding a ...
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Wise Mind, Polarization, Dialectics, and Stopping Fascism – Episode 118
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45:52In this podcast, the third in a series, I clarify the place of dialectics in DBT as an antidote to polarization. Using some case examples, I detail how one might use dialectics. Then I bring the same lessons into finding a way to deal with political polarization and what appears to be a fascist takeover. By the end of my search, I find a way. View …
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To say NO to the forces and practices of fascism in the U.S., effectively enough to stop it, can be frightening. We will borrow from the DBT skills training model, explaining ways to acquire, strengthen, and generalize the skill of saying NO in hopes that each of us can find our voice and make a difference. View video version of this podcast…
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When Hell is an Attack on Democracy – Episode 116
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56:35In this podcast, Charlie draws from DBT in search of ways to understand the current assault on democracy in the United States, and to become more effective at taking care of oneself and acting more effectively. View video version of this podcastעל ידי Charlie Swenson, MD
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Adapting DBT Skills When Working with Autistic Individuals – Episode 115
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1:19:46In this episode, the fourth in a series on autism and DBT, Charlie is again joined by Amara Brooke and Rachel Kraus, two DBT therapists who are autistic and who have subspecialties in working with autistic clients. Our focus here is entirely on the application and adaptation of DBT skills in the work with autistic individuals. Which skills work wel…
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I Dont Want to Keep the Baby, Can My Partner Understand – Episode 89
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1:04:26על ידי To Hell and Back
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Death by Suicide of a Charismatic Young Man in a Loving Family – Episode 96
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1:08:19In this episode, Charlie and Nicole speak with Beth about her son Ross who ended his life two years ago. We hear about Beth, the family, and Ross leading up to his death. In future episodes we learn how Beth and other family members have coped with the tragic loss. View video version of this podcast View Gallery…
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Dialectical Perspectives on the Gun Violence Debate – Episode 86
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53:27על ידי To Hell and Back
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What is DBT and Where Did It Come From? – Episode 84
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54:04על ידי Charlie Swenson, MD
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Challenging, Changing Course, Reframing. Irreverence in Therapy and Life – Episode 114
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1:24:26In this episode, Charlie explains, and gives lots of examples of, being irreverent in therapy. What is the essence? What is the point? Why is it important to do? Why is it hard to do? What are the forms irreverence can take? What are some tips for becoming irreverent? View video version of this podcast…
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Top Ten Tips for Adapting DBT to Autistic Clients – Episode 113
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1:13:43Charlie moderates a discussion between Amara Brook and Rachel Kraus, both of whom are DBT-informed therapists with subspecialties treating autistic and ADHD individuals, as they come of with ten things to consider when adapting DBT to autism. In the next episode after this one, the same guests will specifically address how to modify DBT skills in w…
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Do we use DBT to target autism? No – Episode 112
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1:15:18Charlie talks further with Amara Brook about autism, neurodiversity, and DBT: how can DBT be adapted, not to target autism itself, but to help autistic folks succeed at their own life-worth-living goals; how can we apply DBT’s bio-social theory in understanding and treating autistic individuals; and what are the barriers for autistic individuals in…
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Autism, Neurodiversity and DBT – Episode 111
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1:00:46It seems that the world is paying more and more attention to autism in particular and neurodiversity in general. Beginning with this episode, Charlie talks with Amara Brooke, Ph.D., about autism, neurodiversity, and ways of adapting DBT to help an autistic individual reach their life-worth living goals. Tune in for this three-episode special conver…
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Charlie provides an in-depth discussion of WISE MIND as used in DBT. What is it, why is it so valuable, what are perspectives on it, what are its features, how do you access it and use it? He then discusses a painful example from his own life when he needed wise mind but failed to access it. View video version of this podcast…
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“As Bad A Year As It Was, It Was As Good As It Could Have Been” – Episode 109
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1:07:44In a manner that is absolutely true to these words from her DBT and life mentor, Seth Axelrod, Andrea Gold has completed her one year of prescribed treatment for breast cancer, with the best results one can hope for. Tune in to this episode to hear Andrea celebrate the completion of the year and reflect upon how she managed the suffering (a lot) an…
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Guaranteed Success, By Design - Episode 108
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46:14Be your best by inspiring the best in others. Join Nicole and Charlie as they tap into Cem Eren’s two-decades of wisdom training elite NBA athletes, boxers, bodybuilders, beauty contestants, and ordinary humans of all ages. In examples that apply to therapy and coaching, Cem shares how he meets his clients every single day with freshness, compassio…
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Guaranteed Success, By Design – Episode 108
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46:14על ידי Charlie Swenson, MD
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Skillful Mind Training, Embodied - Episode 107
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47:45Learn how to be your best by inspiring the best in others as Nicole and Charlie tap into Cem Eren's two-decades of wisdom training elite NBA athletes, boxers, bodybuilders, beauty contestants, and ordinary humans of all ages. In examples that apply to therapy and coaching, Cem shares how he meets his clients every single day with freshness, compass…
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Skillful Mind Training, Embodied – Episode 107
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47:45"In this episode, Nicole and Charlie tap into the wisdom that Cem Eren has gained from two decades of training elite NBA athletes, boxers, bodybuilders, beauty contestants, and ordinary humans of all ages. In examples that extend to therapy and coaching, Cem shares how he meets his clients every single day with freshness, compassion, dignity, and n…
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Identity Grammar - Episode 106
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1:08:10What shapes the syntax of Self? How does context inform our inner lexicons? Are we more than the sum of all our actions? In this episode Charlie and Nic explore the ways we find meaning through expressing identity, how we hold space for inner contradictions, and why self definition is a paradox, ripe for dialectical intervention.…
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Identity Grammar – Episode 106
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1:08:09על ידי Charlie Swenson, MD
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Skillful Grieving, Making Meaning from Suffering, and a Dinosaur – Episode 105
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1:07:41In this second of our two-episode conversation with Natalia Garcia about her grieving process over the years since the death of her two-year-old son, we focus in on her altered relationship to time, rituals, and anniversaries; her remarkable use of DBT skills and dialectics to navigate the grieving process; the ways that she has made meaning out of…
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Skillful Grieving, Making Meaning from Suffering, and a Dinosaur – Episode 105
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1:07:40על ידי Charlie Swenson, MD
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Who IS that Woman?! – Episode 104
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1:01:16על ידי Charlie Swenson, MD
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Who IS that Woman?! – Episode 104
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1:01:16Since Nicole joined Charlie as co-host, several long-time listeners have asked Charlie, Who IS that woman?! It’s actually a great question and the answer is far from simple. In this podcast, Charlie and Nicole explore their own self-narratives and expand into a larger conversation about how we all see ourselves, how we define ourselves, how we repr…
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In Her Own Words – Natalia Garcia on Coping with Loss and Trauma with Opposite Action and an Approach Lifestyle – Episode 103
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1:26:38In 2018, Natalia Garcia spoke with me over three podcast episodes about how she was dealing with the catastrophic and traumatic death of her two year old son eight months earlier. He died in the middle of the night for unexplained reasons. In three podcasts she spoke at length of her life, of the death itself, and then the road to recovery. In this…
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In Her Own Words – Natalia Garcia on Coping with Loss and Trauma with Opposite Action and an Approach Lifestyle – Episode 103
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1:26:38על ידי Charlie Swenson, MD
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Long Grieving, Complicated Joy, and Flowers That Grow Around a Hole in the Heart – Episode 102
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1:07:55In June of 2018, eight months following the death of her two-year-old son to the Syndrome of Unexplained Death of a Child (SUDC), Natalia Garcia joined this podcast for three episodes to describe the catastrophic loss and the ensuing grief process marked by her courage and skill in facing her vulnerabilities. Now, five years since the loss, she ret…
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Long Grieving, Complicated Joy, and Flowers That Grow Around a Hole in the Heart – Episode 102
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1:07:54על ידי Charlie Swenson, MD
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5 Years, 100 Episodes, 7 Lessons for Surviving Hell – Episode 101
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1:11:20על ידי Charlie Swenson, MD
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5 Years, 100 Episodes, 7 Lessons for Surviving Hell – Episode 101
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1:11:21In this episode, Charlie reflects on 100 episodes spent exploring human suffering. He synthesizes wisdom from interviews including coping with natural disaster, loss of a child, suicide, and cancer, arriving at seven overarching guidelines for survival. View video version of this podcastעל ידי Charlie Swenson, MD and Nicole Helén
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The Long Reach of Loss – Suicide Outside the Immediate Family – Episode 100
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1:00:51על ידי Charlie Swenson, MD
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The Long Reach of Loss – Suicide Outside the Immediate Family – Episode 100
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1:00:52In the final episode of our 4 part Series on coping with Suicide in the family, we hear from Teddy’s fiancé Mariya. Mariya’s developed a personal friendship with Ross and shares about that relationship and her experience grieving his suicide. She also speaks about what it was like for her as someone outside the immediate family after Ross’ suicide:…
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A Brother and a Best Friend Lost to Suicide (Part 3) – Episode 99
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1:04:36על ידי Charlie Swenson, MD
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A Brother and a Best Friend Lost to Suicide (Part 3) – Episode 99
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1:04:37In the 3rd of our 4 Part Series on coping with suicide in the family, we speak with Beth’s son, and Ross’ brother, Teddy. Teddy shares his perspective on growing up as an older sibling to a brother who struggled with painful emotions throughout his lifetime, on the close friendship they developed as they got older, and his inexhaustible capacity to…
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Skillful Coping with Cancer (Part 3): Friendship is Good Medicine – Episode 98
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1:03:49על ידי Charlie Swenson, MD
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Skillful Coping with Cancer (Part 3): Friendship is Good Medicine – Episode 98
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1:03:50In this episode, the third of four on how Andrea has coped with Cancer throughout 2022, her best friend Amy joins the conversation and they talk about what has happened in their friendship as a result of Cancer. How they have dealt with Cancer has enriched their friendship and their friendship has been key in helping Andrea to reduce her suffering …
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Death by Suicide of a Charismatic Young Man in a Loving Family (part 2) – Episode 97
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1:11:34על ידי Charlie Swenson, MD
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Death by Suicide of a Charismatic Young Man in a Loving Family (part 2) – Episode 97
1:11:35
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1:11:35In this episode (part 2), Charlie and Nicole speak with Beth about her son Ross who ended his life two years ago. We hear about Beth, the family, and Ross leading up to his death. In future episodes we learn how Beth and other family members have coped with the tragic loss. View video version of this podcast View Gallery…
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Death by Suicide of a Charismatic Young Man in a Loving Family – Episode 96
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1:08:18על ידי Charlie Swenson, MD
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Principles in Practice – The Narcissist in DBT Therapy- Episode 95
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1:02:28על ידי Charlie Swenson, MD
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Principles in Practice – The Narcissist in DBT Therapy- Episode 95
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1:02:28על ידי Charlie Swenson, MD
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Narcissistic Behavior Patterns Through a DBT Lens – Episode 94
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1:07:19על ידי Charlie Swenson, MD
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Narcissistic Behavior Patterns Through a DBT Lens – Episode 94
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1:07:20על ידי To Hell and Back
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Skillful Coping with Cancer-Interview 2 with Andrea Gold – Episode 93
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1:07:45על ידי Charlie Swenson, MD
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Skillful Coping with Cancer-Interview 2 with Andrea Gold – Episode 93
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1:07:45על ידי Charlie Swenson, MD
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No Narcissist is an Island – Episode 92
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1:04:36על ידי To Hell and Back
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No Narcissist is an Island – Episode 92
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1:04:36על ידי Charlie Swenson, MD
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Narcissism: It’s More Nuanced Then You Think – Episode 91
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1:04:39Exploring the nuances of Narcissismעל ידי To Hell and Back
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Narcissism: It’s More Nuanced Then You Think – Episode 91
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1:04:39על ידי Charlie Swenson, MD
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Narcissism and Narcissistic Personality – Episode 90
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1:05:23על ידי To Hell and Back
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