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Feeling Good Podcast | TEAM-CBT - The New Mood Therapy

David Burns, MD

506: Live Work with Ruben Part 2 of 2

Jun 15, 20261h 8m
Summary

In this second part of a two-part series on the Feeling Good Podcast, Dr. David Burns and therapist Kevin Cornelius continue their live session with a guest named Ruben, who struggles with performance anxiety, perfectionism, and an achievement addiction. The hosts guide Ruben through the Team-CBT framework, specifically focusing on the assessment of resistance and the application of diverse therapeutic methods. The episode highlights the use of positive reframing, where Ruben identifies the underlying values and benefits of his negative thoughts and feelings, such as his desire for humility, growth, and connection. By acknowledging that his anxiety reflects his care for his patients and high standards, Ruben is able to shift his perspective. The session then moves into cognitive restructuring, utilizing techniques like the externalization of voices and the counter-attack to challenge self-defeating beliefs. Through these role-playing exercises, Ruben learns to confront his inner critic and reduce the intensity of his self-critical thoughts. The discussion emphasizes the importance of self-compassion and effective communication, offering listeners a practical, transparent demonstration of how these cognitive behavioral tools can be applied to overcome paralyzing anxiety and build personal resilience.

Updated Jul 1, 2026

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505: Live Work with Ruben: Part 1 of 2

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In episode 505 of the Feeling Good Podcast, Dr. David Burns and therapist Kevin Cornelius present the first half of a live, two-part session featuring Ruben, a clinician struggling with intense performance anxiety. Ruben courageously opens up about his fear of being perceived as a fraud or worthless when speaking in front of authority figures or those he deeply admires. The discussion highlights the cycle of perfectionism and self-doubt that often plagues high-achieving professionals. Ruben describes the physical symptoms of his anxiety, such as freezing or going blank, and his tendency to compulsively search for the perfect word to avoid judgment. Throughout the session, the hosts utilize the TEAM-CBT framework, specifically focusing on testing and empathy, to validate Ruben’s experience. They explore the roots of his approval addiction and the impact of his childhood experiences, while also acknowledging the connection between his high-pressure self-expectations and his professional achievements. This episode offers a raw, vulnerable look at how even highly capable individuals can hide their internal struggles and provides listeners with a profound look at the therapeutic process in real-time.

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502: Ask David: Is High-Speed Change a "Quick Fix"?

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