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Dr Julie Smith19 October 2023

Leading Psychologist: How To Finally Overcome Stress & Anxiety - Dr Julie Smith

7Frameworks
13Insights

Frameworks in this episode

Insights & moments

The myth-busts, hot takes, explainers, and tools worth keeping.

Myth Buster· 1

Myth Buster1:02:30

Why 'good vibes only' backfires

Julie Smith rejects the 'positive vibes only' trend. Forcing yourself to never think a negative thought means denying your own brain, which is built to generate meaning and will naturally produce negative assessments. When a negative thought inevitably arrives, you then criticise yourself for being negative and spiral downward. Better to accept you're human and judge which thoughts are worth engaging.

  • Suppressing all negativity requires denying how your brain works
  • A well-functioning brain will produce negative ideas some of the time
  • Forced positivity leads to self-criticism when negativity slips through
  • Some negative thoughts are accurate and useful information
  • Wisdom is holding thoughts lightly and choosing which to spend time with

in order to do that successfully you have to really deny your own human brain

Dr Julie Smith · 1:02:30
#positive-thinking#myth#toxic-positivity

Hot Take· 1

Hot Take32:30

Do go to bed angry: no arguments after 10pm

Against the classic advice, Julie Smith sides with going to bed angry. In a high-emotion state neither partner can resolve anything, and words spoken then can cause more damage. Sleep brings the emotion down so you can talk with respect. Ali shares a friend's rule, no arguments after 10pm, which stopped 3am rows and transformed the relationship.

  • In peak emotion you can't resolve anything productively
  • Taking a break lets the nervous system return toward calm
  • Sleep often resets an intense feeling by morning
  • Arguing into the night leaves you both sleep-deprived and unresolved
  • A hard rule like 'nothing after 10pm' forces the pause

if taking a break from each other or having a sleep is what is necessary to help bring that emotion down so that you can…

Dr Julie Smith · 33:30

after 10 p.m. you're not going to have any arguments... that just that one change made such an enormous difference to their relationship

Ali Abdaal · 34:00
#relationships#conflict#sleep#boundaries

Explainer· 5

Explainer18:30

Feelings aren't facts, but don't dismiss them either

Ali frames a tension: one view says feelings are just stories the mind colours, so you can control them; the other says feelings carry valuable information. Julie Smith resolves it: the brain generates feelings as its best guess from limited data, so treat an emotion like any message, listen to it, but hold it lightly as one version of reality rather than the one truth.

  • The brain makes a best-guess assessment from your biology and environment
  • Early feelings can be the most valuable when you listen to them
  • Hold an emotion as valuable but not the whole truth
  • Blinkering yourself to one feeling as fact restricts you
  • You can go down a rabbit hole if painful thoughts are treated as the only reality

we have to listen to our emotions as we would listen to any message and hold it lightly

Dr Julie Smith · 20:30
#emotions#cognition#acceptance
Explainer23:00

Take an umbrella into the rain: engage discomfort, don't avoid it

Instead of grasping a difficult feeling or shoving it away, let it wash over you and it takes its natural course. Julie Smith's rain analogy: you could refuse to go out when it rains, but that closes off a valued life; better to go out with a coat and umbrella. Applied to social anxiety, you still enter the situation, but bring coping skills to ease the way through.

  • Don't grasp the feeling hard or push it away; let it pass
  • Fighting an unpleasant feeling often gives it more power
  • Avoiding every discomfort closes doors to a meaningful life
  • Bring 'coat and umbrella' skills so discomfort doesn't overwhelm you
  • Meaningful achievements almost always involve discomfort on the way

when you stop fighting against it that takes some of the power out of it

Dr Julie Smith · 23:00
#acceptance#anxiety#coping
Explainer37:00

Overthinking is really worry: rumination vs catastrophizing

Julie Smith reframes the buzzword 'overthinking' as worry, the mental washing machine that churns without resolution. Churning over the past is rumination, a key predictor of depression's maintenance and relapse. Churning over the future is catastrophizing, which fuels anxiety. Neither answers anything, and no amount of reassurance stops the 'what ifs'.

  • Overthinking is basically worry by another name
  • Rumination = churning the past, linked to depression
  • Worry/catastrophizing = churning the future, drives anxiety
  • Anxiety makes the thoughts demand even more attention
  • You'll always find another 'what if', so reassurance never lands

rumination is a key predictor of the... maintenance of depression or the relapse of depression

Dr Julie Smith · 38:00
#overthinking#worry#rumination#anxiety
Explainer1:05:00

Spot the thinking bias: personalizing, catastrophizing, mental filter

Julie Smith walks through common cognitive distortions, normal brain shortcuts, not pathologies. Personalizing makes a neutral event about you (an unreturned wave becomes 'she hates me'). Catastrophizing predicts the worst. The mental filter screens out the good, in depression especially, and fixates on the one negative. Simply labelling which bias is running lets you step out of the spiral.

  • These biases are human shortcuts, not faults in the system
  • Personalizing: making a neutral event about you, negatively
  • Mental filter: skimming past praise to fixate on the one criticism
  • Naming the bias in the moment is more powerful than it sounds
  • There are usually 10,000 other explanations for the triggering event

you're looking for that one person that doesn't like you... you zoom in on that one thing that makes you feel worse

Dr Julie Smith · 1:08:30

that's the one and then I realized wait a minute like just skipped past like 18 oh my God this interview was incredible

Ali Abdaal · 1:09:30
#cognitive distortions#CBT#self-awareness
Explainer1:10:30

Stress vs anxiety: same body, different story

We have one stress response, one fight-or-flight system, but how we conceptualise it depends on the words we use. Julie Smith's post-office queue example: feeling the pressure of competing demands is stress; fearing your boss will humiliate you for being late is anxiety, more threat-based. The physiology overlaps; the label reflects whether it's about meeting demands or facing a feared outcome.

  • There's one survival response underneath both terms
  • Stress leans toward 'which demands can I meet?'
  • Anxiety leans toward a feared, threat-based outcome
  • The words we use shape how we experience the sensation
  • The terms are used interchangeably online but differ in emphasis

you might call that stress... you might call it anxiety if... your boss tends to humiliate people that turn up late

Dr Julie Smith · 1:12:00
#stress#anxiety#definitions#physiology

Tool· 2

Tool13:30

The Feelings Wheel: naming emotions with more precision

Many people can only reach for 'happy, sad, angry', which flattens very different experiences into the same word. The feelings wheel packs in richer vocabulary, six core emotions at the centre expanding into nuanced labels, so you can find the word that actually fits. Giving granular words to feelings helps the brain understand and predict situations in finer detail.

  • Six core emotions at the centre: anger, disgust, sad, happy, surprise, fear
  • Outer rings add nuance, e.g. happy expands into optimistic, proud, inquisitive, fulfilled
  • A prompt word often resonates instantly even if you'd never have generated it
  • Social and gender expectations can push people to mislabel fear or anger
  • Naming feelings precisely is a genuine, trainable skill

some people just don't have the vocab to give granularity to... they might have happy sad angry frustrated but they might not have the vocab…

Dr Julie Smith · 15:00
#emotions#vocabulary#self-awareness#tool
Tool25:30

The physiological sigh: a breath to dial anxiety down fast

A discreet breathing technique Julie Smith uses seconds before going on live TV. You take a large inhale, add a second small inhale when your lungs feel full, then release a long, vigorous exhale, out-breath longer than in-breath. It slows the heart rate and clears carbon dioxide more efficiently by opening the lungs' air sacs, bringing anxiety down to a level where you can still perform.

  • Big inhale, then a second small inhale, then a long slow exhale
  • The out-breath should be longer than the in-breath
  • Slows heart rate and clears CO2 more efficiently
  • Nobody can see you doing it, but it makes a real difference
  • Goal is not zero anxiety but staying alert and in the zone

you take a large in breath and then just when you feel like your lungs are full you take another small breath and then you…

Dr Julie Smith · 25:30
#breathing#anxiety#performance#tool

Takeaway· 4

Takeaway28:00

You can't manage other people's emotions, so validate instead

Ali admits he feels responsible for making his partner not upset. Julie Smith explains that trying to control others' feelings makes relationships impossible, because emotions arise for reasons beyond you. Discomfort at someone's distress is actually a sign of care. When someone cries, the urge to make it stop leads to minimising; what they usually need is validation and connection, and the emotion settles naturally.

  • You can't control another person's emotions, and trying is exhausting
  • Feeling their distress is a sign of how much you care
  • Rushing to fix crying often minimises the person's feelings
  • What people need is validation: 'this is painful, I've got your back'
  • Held and validated, the emotion comes down on its own

what they need to do is feel validated... this is painful... I've got your back I'm here for you and we'll walk through this together…

Dr Julie Smith · 30:00
#relationships#validation#emotions#empathy
Takeaway1:20:30

You never win the game, the winning is in playing

Ali says Julie has 'won the game' with a bestselling book; she pushes back, you never feel you've arrived, you're always still playing. She keeps self-worth detached from metrics: her husband tracks the analytics so she doesn't have to, and if the account vanished, 'I'm still me'. Having children and a profession to return to gave her perspective that the numbers mean almost nothing.

  • Hitting a milestone thrills for seconds, then it's past
  • Pegging self-worth to metrics means losing badly when they dip
  • Julie deliberately avoids her own analytics and view counts
  • Identity anchored in family and craft survives the account disappearing
  • The winning is in playing, not in a final score

you never feel like you arrive you never feel like you've won the game you just constantly feel like you're playing the game

Dr Julie Smith · 1:20:30

if I accidentally delete the account I'm still me nothing's really different

Dr Julie Smith · 1:24:00
#self-worth#creator-life#identity#success
Takeaway1:43:30

Treat long work stretches like a marathon: protect the basics

For sustained study or work, Julie Smith says the obvious answer, take breaks, is the right one. Treat it as a marathon and protect the fundamentals: sleep, good food, movement, and social contact. These are the first things people cut when struggling, yet they most determine your stamina. Sleep's payoff is almost instant, and tiredness is a signal your body needs something, not a weakness to override.

  • Ask 'if this is a marathon, what do I need along the way?'
  • The basics: sleep, good food, moving your body, social contact
  • These are the first things we let slide when struggling
  • Sleep's benefit shows up the very next day
  • Tiredness is information, not a pathology to push through

if this is a marathon what do I need to put in along the way... social contact good food moving your body and sleeping

Dr Julie Smith · 1:44:30
#burnout#sustainability#sleep#study
Takeaway1:50:30

Supporting someone struggling: connection beats fixing

The well-meaning trap is saying nothing, or avoiding the person, for fear of saying the wrong thing. Julie Smith says people rarely need you to solve an unsolvable problem; they need connection and to know someone has their back. You can simply be present, even talking about something else, or honestly say 'I don't know how to help, steer me and I won't take it personally.'

  • Fear of saying the wrong thing makes us withdraw, which hurts
  • You don't need to solve the problem; you need to connect
  • A weekly dog walk with light conversation can be hugely valuable
  • Naming your own uncertainty removes the fear from the situation
  • You don't have to be the therapist, just be by their side

mostly what people don't need is someone to come along and solve an unsolvable problem they need some human connection and someone to be there

Dr Julie Smith · 1:51:00
#support#relationships#grief#connection