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Disordered: Anxiety Help

Disordered: Anxiety Help

By: Josh Fletcher and Drew Linsalata
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Disordered is the podcast that delivers real, evidence-based, actionable talk about anxiety disorders and anxiety recovery in a kind, compassionate, community-oriented environment. Josh Fletcher is a qualified psychotherapist in the UK. Drew Linsalata is a therapist practicing under supervision in the US. They're both bestselling authors in the anxiety and mental health space. Josh and Drew are funny, friendly, and they have a knack for combining lived experience, formal training, and professional experience in an encouraging, inspiring, and compassionate mental health message.Josh Fletcher and Drew Linsalata Hygiene & Healthy Living Psychology Psychology & Mental Health
Episodes
  • Improving .... Or Optimizing Your Health and Wellness (Episode 159)
    Jun 12 2026

    Improving vs. Optimizing in Anxiety Recovery


    In this episode of Disordered, Drew and Josh tackle a topic suggested by the community: the hidden trap of the "optimization culture" and how it intersects with anxiety and OCD.


    There is a distinct difference between wanting to improve your health and falling into compulsive, perfectionist territory where every metric must be flawlessly managed. For an anxious mind fixated on certainty, the modern wellness industry’s obsession with biohacking, strict routines, and endless supplements can quickly become a tool for emotional avoidance. If you are optimizing your life just to prevent feeling anxious, you are inadvertently teaching your brain that you cannot handle discomfort.


    Drew and Josh break down why checking out of the optimization loop and building psychological flexibility is essential for long-term recovery. They also share a couple of incredible "Did It Anyway" audio wins from the listener community, highlighting real-world victories over agoraphobia and situational panic.

    --

    Want to ask questions about this episode or interact with Josh, Drew, and others that share your experience? We're hanging out in the Disordered Community space:

    https://disordered.fm/community

    ---


    • Improvement vs. Optimization: Improving is about a flexible desire for growth; optimization often stems from a rigid need to control variables and avoid difficult feelings.

    • The Routine Trap: When your wellness routine gets the credit for you feeling okay, you miss out on learning that you are capable of tolerating distress on your own.

    • The Illusion of Control: Optimization culture survives by capturing your attention through fear, selling the false promise that you can micromonitor your way out of the human condition.

    • Managing Actual Health Conditions: When dealing with legitimate medical issues, recovery means learning to distinguish between practical, non-anxious monitoring and urgent, compulsive checking.

    ---

    The Disordered Guide to Health Anxiety is available as a paperback or on Kindle


    ⁠https://www.disordered.fm/the-disordered-guide-to-health-anxiety/⁠


    ---

    Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Worry and Rumination Explained⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolvable problems.

    -----

    Got a question or did it anyway to share? ⁠Send us an email or voicemail on our website⁠.


    https://disordered.fm

    Show More Show Less
    38 mins
  • Anxiety Recovery ... When You're Calm (Episode 158)
    Jun 5 2026

    What do you do when your anxiety finally quietens down for a few days? For many of us, a calm day triggers a completely new set of anxious habits. We treat the absence of panic as a fragile victory, freezing in place so we do not ruin it, or constantly checking around the corner to see if the fear is returning.


    --

    Want to ask questions about this episode? We're hanging out in the Disordered Community Space:

    https://disordered.fm/community

    ---


    In this episode, we address why the work of anxiety recovery continues even when you are feeling calm. When we spend our quiet days monitoring our internal state or scanning for threats, we signal to the brain that anxiety is still an active danger. True desensitization and psychological flexibility require us to drop the checking behaviors, turn off the comparison engine, and actually live our lives on the days we feel good.

    We also share some fantastic "Did It Anyway" stories from our community, including a listener who navigated relationship OCD (ROCD) all the way to her wedding day, and another who broke a cycle of winter avoidance to go out for tacos.

    • The Comparison Engine: Why constantly evaluating whether today is better or worse than yesterday keeps your brain on high alert.

    • Sneaky Avoidance Plugins: How we mistakenly build rigid structures and cut out foods, books, or activities to artificially protect our calm.

    • Testing Willingness vs. Procedures: Why recovery is about discovering your capacity to handle discomfort, not finding a perfect routine to prevent it.

    • Living the Life You Want: Why a non-anxious day is the perfect opportunity to expand your world, try that avoided food, or take an unexpected drive, rather than sitting by the door waiting for the feelings to return.

    Anxiety recovery is not a linear process, and it is not about winning an episode or permanently erasing a human emotion. It is about building the resilience to handle whatever experience comes your way, whether it is calm, neutral, or challenging.

    ---

    The Disordered Guide to Health Anxiety is available as a paperback or on Kindle


    ⁠https://www.disordered.fm/the-disordered-guide-to-health-anxiety/⁠

    ---

    Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Worry and Rumination Explained⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolvable problems.

    -----

    Got a question or did it anyway to share? ⁠Send us an email or voicemail on our website⁠.

    https://disordered.fm

    Show More Show Less
    37 mins
  • Is Distraction a Compulsion In Anxiety Recovery? (Episode 157)
    May 29 2026

    Can distraction be a compulsion in anxiety recovery? It is a question that comes up constantly in the anxiety community. Many people are told to simply "distract your mind" when they feel anxious, but if you are doing it specifically to escape a feeling, it can quickly turn into a safety behavior or a compulsion.

    ---

    Want to talk about this episode with Drew, Josh, and others that are sharing your struggle and understand? We're hanging out in the Disordered Community space:

    https://disordered.fm/community

    ---

    In this episode of Disordered, the guys break down the crucial difference between using distraction as an urgent escape mechanism and choosing to intentionally shift your attention toward something meaningful. Drew and Josh look at how the intent and the presence of urgency dictate whether an action is helping your recovery or keeping you stuck in the anxiety loop.

    • Intent vs. Escape: Why how and why you distract yourself matters far more than the activity itself.

    • The Role of Urgency: How sprinting to an activity to stop an anxious feeling turns a healthy action into a compliance mechanism.

    • Attentional Control: The practice of moving your focus to value-driven actions even while anxiety chats away in the background.

    • Rewiring the Amygdala: Why teaching your brain that you are safe requires turning your attention away from the threat response.

    • Listener "Did It Anyways": Inspiring stories from the community, including overcoming a years-long fear of flying and navigating major life challenges while continuing to take brave steps forward.

    Recovery is not about achieving perfect distraction to prevent difficult feelings. It is about building psychological flexibility and learning that you can coexist with discomfort while choosing where to put your focus.

    ---

    The Disordered Guide to Health Anxiety is available as a paperback or on Kindle

    ⁠https://www.disordered.fm/the-disordered-guide-to-health-anxiety/⁠

    ---

    Struggling with worry and rumination that you feel you can't stop or control? Check out ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Worry and Rumination Explained⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, a two hour pre-recorded workshop produced by Josh and Drew. The workshop takes a deep dive into the mechanics of worrying and ruminating, offering some helpful ways to approach the seemingly unsolvable problem of trying to solve seemingly unsolvable problems.

    -----

    Got a question or did it anyway to share? ⁠Send us an email or voicemail on our website⁠.

    https://disordered.fm

    Show More Show Less
    40 mins
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One of the best podcasts about disordered anxiety I've ever listened to.

thank you

Wow. Just wow.

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Matter or fact, sensible, calming podcast which feels on your side, offering practical, realistic and evidence-based approaches to help with problems. Powerful, funny, joyous at times, never not interesting. Love
It. It’s added to the toolbox of help for me. Thanks!

So important!

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love this podcast really informative and helps turn something that is very scary into something that really isn't! education on anxiety makes it so much easier to understand and handle. These guys are fantastic! Thankyou josh and drew!

amazing podcast

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These two truly understand severe anxiety and they make me belly laugh, which is just what you need when you're going through an anxious period. I love that they're educational without being condescending, and they celebrate big wins (which may seem tiny to others).

Best anxiety podcast

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