485: Ask David: Schizophrenia; OCD--What REALLY Works?
Feeling Good Podcast | TEAM-CBT - The New Mood Therapy
David Burns, MD
4.6 • 899 Ratings
🗓️ 19 January 2026
⏱️ 54 minutes
🧾️ Download transcript
Summary
Helping a Loved One with Schizophrenia
Treating OCD! My Hands Might Be Contaminated!
How To Mend an Angry, Broken Heart
The answers to today's questions are brief and were written prior to the show. Listen to the podcast for a more in-depth discussion of each question.
Here are the questions for today's podcast.
- Joel asks: How can we use TEAM CBT to help a patient or loved one struggling with schizophrenia?
- Jean asks: Since CBT won't work with OCD, should we use exposure or the Hidden Emotion Technique instead?
- Jim asks: When someone has objectively hurt you, like your partner has had an affair, how do you get over that pain?
And here are the answers.
Question #1
Dear Dr Burns,
I learned from you that the foundational principle of CBT is that our emotions, and ultimately our behaviors, are rooted in thoughts or beliefs. Are there emotional and/or behavioral disorders (perhaps like schizophrenia) that are rooted in abnormal neurobiological brain pathologies, rather than in distorted cognitions or self-defeating beliefs? And if so, is TEAM CBT relevant to helping those suffering from these "psychoses"?
With much gratitude, respect, and affection,
Joel
Question #2
Dear Dr. Burns:
I'm curious if you have thoughts about the problem of talking back to the obsessive thoughts in OCD.
Thank you,
Jean
Question #3
Dear Dr. Burns:
When someone has objectively hurt you, like your partner has had an affair, how do you get over that pain? I am not having thoughts that I did anything wrong, or there is something the matter with me, I feel sad, hurt and confused and angry.
Jim
Thanks for listening today!
Matt, Rhonda, and David
Transcript
Click on a timestamp to play from that location
| 0:00.0 | Hello and welcome to the Feeling Good podcast, where you can learn powerful techniques |
| 0:11.6 | to change the way you feel. I am your host, Dr. Rhonda Borovsky, and joining me here in the |
| 0:16.8 | Murrieta studio is Dr. David Burns. Dr. Burns is a pioneer in the development of |
| 0:22.3 | cognitive behavioral therapy and the creator of the new team therapy. He's the author of Feeling |
| 0:27.4 | Good, which has sold over 5 million copies in the United States and has been translated into over 30 |
| 0:33.2 | languages. His latest book, Feeling Great, contains powerful new techniques that make rapid recovery possible |
| 0:39.8 | for many people struggling with depression and anxiety. |
| 0:43.0 | Dr. Burns is currently an emeritus adjunct professor of clinical psychiatry at Stanford |
| 0:48.2 | University School of Medicine. |
| 0:51.1 | Hello, Rhonda and Matt. |
| 0:57.2 | Hi, David, and welcome to everyone who's listening from around this country, throughout the world, and throughout the galaxy. |
| 1:05.2 | You're tuned in to the Feeling Good podcast, and this is episode 4, 85. |
| 1:14.1 | And since you've heard that beloved voice of Matt May, |
| 1:17.8 | you may guess that this is an Ask David episode, |
| 1:19.0 | and you would be correct. |
| 1:21.6 | So, hi, Matt. |
| 1:22.1 | Hi, David. |
| 1:24.2 | Hi, I, Rhonda. |
| 1:24.8 | Hi, Matt. |
| 1:26.3 | Hey, good to see you. |
| 1:39.9 | And I thought I would start with an endorsement that one of our team therapists who lives and works in Poland sent us about a podcast that we did a while ago, 464. |
| 1:44.6 | And that was the podcast on hopelessness that you did with Mike Christensen, David. |
... |
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