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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Adapting DBT Skills When Working with Autistic Individuals – Episode 115
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In 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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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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In 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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To Hell and Back
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What is DBT and Where Did It Come From? – Episode 84
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Charlie Swenson, MD
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Challenging, Changing Course, Reframing. Irreverence in Therapy and Life – Episode 114
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In 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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Charlie 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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Charlie 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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It 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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Wise Mind – Episode 110
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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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In 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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Be 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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> In part 2 of the conversation with world class trainer Cem Eren, join Charlie and Nicole and enter the Lion’s Den, a practice environment thoughtfully constructed to support our training journey from the moment we step through the door until the moment we step out of it. As we tour the space, we hear how unconditional acceptance underlies Cem’s s…
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Skillful Mind Training, Embodied - Episode 107
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Learn 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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“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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What 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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What 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. View video version…
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Skillful Grieving, Making Meaning from Suffering, and a Dinosaur – Episode 105
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Charlie Swenson, MD
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Skillful Grieving, Making Meaning from Suffering, and a Dinosaur – Episode 105
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In 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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Who IS that Woman?! – Episode 104
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Since 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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Who IS that Woman?! – Episode 104
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Charlie Swenson, MD
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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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Charlie Swenson, MD
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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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In 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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Long Grieving, Complicated Joy, and Flowers That Grow Around a Hole in the Heart – Episode 102
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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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In 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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5 Years, 100 Episodes, 7 Lessons for Surviving Hell – Episode 101
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In 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 podcastCharlie Swenson, MD and Nicole Helén
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5 Years, 100 Episodes, 7 Lessons for Surviving Hell – Episode 101
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Charlie Swenson, MD
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The Long Reach of Loss – Suicide Outside the Immediate Family – Episode 100
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In 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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The Long Reach of Loss – Suicide Outside the Immediate Family – Episode 100
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A Brother and a Best Friend Lost to Suicide (Part 3) – Episode 99
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In 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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A Brother and a Best Friend Lost to Suicide (Part 3) – Episode 99
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Skillful Coping with Cancer (Part 3): Friendship is Good Medicine – Episode 98
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Skillful Coping with Cancer (Part 3): Friendship is Good Medicine – Episode 98
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In 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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Death by Suicide of a Charismatic Young Man in a Loving Family (part 2) – Episode 97
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In 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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Principles in Practice – The Narcissist in DBT Therapy- Episode 95
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Principles in Practice – The Narcissist in DBT Therapy- Episode 95
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Narcissistic Behavior Patterns Through a DBT Lens – Episode 94
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Charlie Swenson, MD
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Narcissistic Behavior Patterns Through a DBT Lens – Episode 94
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To Hell and Back
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Skillful Coping with Cancer-Interview 2 with Andrea Gold – Episode 93
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Skillful Coping with Cancer-Interview 2 with Andrea Gold – Episode 93
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No Narcissist is an Island – Episode 92
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No Narcissist is an Island – Episode 92
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To Hell and Back
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Narcissism: It’s More Nuanced Then You Think – Episode 91
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Exploring the nuances of NarcissismTo Hell and Back
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Narcissism: It’s More Nuanced Then You Think – Episode 91
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Narcissism and Narcissistic Personality – Episode 90
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Narcissism and Narcissistic Personality – Episode 90
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I Dont Want to Keep the Baby, Can My Partner Understand – Episode 89
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Guns, Abortion and Dialectics (from DBT) – Episode 88
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