Anxiety and Mental Health Misinformation w/Dr. Birthe Macdonald (Episode 124)
Disordered: Anxiety Help
Josh Fletcher and Drew Linsalata
4.9 • 665 Ratings
🗓️ 5 September 2025
⏱️ 51 minutes
🧾️ Download transcript
Summary
In this essential episode, Drew and Josh are joined by Dr. Birthe Macdonald, a psychologist and neuroscience researcher who's become a vital voice in combating mental health misinformation on social media. The conversation tackles the overwhelming sea of questionable advice that anxious people encounter online, from vagus nerve stimulation devices to "nervous system regulation" quick fixes.
Dr. Macdonald shares her journey from neuroscience researcher to science communicator, sparked by sponsored ads for electrical vagus nerve stimulators that made bold claims without solid evidence. The trio explores why these pseudoscientific approaches are particularly appealing to people struggling with anxiety disorders – and why they can actually be harmful.
Key topics include:
- The dangerous appeal of "one thing" solutions that promise instant relief
- Why sponsored vagus nerve stimulation devices and similar products exploit vulnerable people
- How social media algorithms amplify misinformation while evidence-based content gets overlooked
- Red flags to watch for when consuming mental health content online
- The difference between what we know about how the brain works versus being able to "work" the brain directly
- Why ChatGPT and AI can become problematic reassurance-seeking tools for people with anxiety
- How to become a more critical consumer of pop psychology content
The conversation doesn't dismiss that some techniques may provide temporary relief, but emphasizes understanding why they work (often through distraction rather than magical nervous system manipulation) and recognizing when they become compulsive behaviors that maintain anxiety in the long run.
This episode serves as both a reality check and a guide for navigating the complex landscape of mental health information online, helping listeners distinguish between evidence-based approaches and appealing but potentially harmful quick fixes.
Find Birthe Online:
- https://www.instagram.com/dr.birthe.macdonald/
- https://www.birthemacdonald.com
- https://substack.com/@drbirthemacdonald
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Transcript
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| 0:00.0 | Second toughest job, science communicator. |
| 0:04.0 | No doubt in my mind. |
| 0:05.0 | It's not easy, especially also, you know, for your own kind of mental well-being. |
| 0:10.0 | It's not always the easiest job. |
| 0:12.0 | Having to engage with a lot of misinformation, especially the kind that is very much pseudoscientific |
| 0:18.0 | and trying to sound legitimate when it's not. |
| 0:21.6 | A lot of the time that actual science is complicated and complex and very nuanced |
| 0:26.6 | and that's not always easy to follow. |
| 0:30.6 | I suddenly got adverts for electrical vagus nerve stimulators, |
| 0:35.6 | and that really, really made me upset. And I worked in neuroscience, |
| 0:40.9 | emotion regulation. Like I've literally studied the topic on a neuroscience level since my second |
| 0:46.8 | year of uni. I was like, I haven't heard of this. Welcome to Disordid. |
| 0:55.8 | This is episode 124 entitled Pop Psychology, Mental Health Misinformation, and basically a message to be careful on what information you consume when you're anxious and you're trying to feel better. |
| 1:09.9 | I'm Joshua Fletcher, also known |
| 1:11.7 | as Anxiety Josh, and I'm a psychotherapist based in Manchester in the UK. I write books on the |
| 1:17.6 | topic, prance around on social media, and tolerate my podcast co-host. Which is me. I'm Drew Lincelada. |
| 1:25.0 | I am in New York. I'm a therapist practicing in the area of anxiety and anxiety |
| 1:28.9 | disorders, a former sufferer of the stuff we talk about here on disorder, also an author, a social |
| 1:34.6 | media dude, guy with too many expensive microphones. And this week on episode 124, we have a special |
| 1:40.8 | guest, a new friend of ours. She's awesome. And that would be... |
| 1:44.8 | Hi, I'm Dutton McDonald. I'm a scientist. I'm a psychologist, and I've got experience |
| 1:51.9 | in neuroscience as well. And I'm also kind of newly a science communicator on social media, |
... |
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