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458: Personal Work with our Beloved Rhonda, Part 1

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First published

07/21/2025

Genres

health fitness mental education self improvement

Duration

68 minutes

Parent Podcast

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

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<h1 style="text-align: center;"><strong>Part 1 of Our</strong> <strong>Personal Work with Rhonda</strong></h1> <h2 style="text-align: center;"><strong>The doctor said I have cancer! </strong></h2> <p><span style="color: #000000;">Are feelings of depression, fear, anger, hopelessness, and more inevitable if you have experienced a severely traumatic event? Nearly all human beings would say it IS inevitable.</span></p> <p><span style="color: #000000;">But are they right? If your doctor just told you that you have a serious form of cancer, is it possible--or even desirable--to avoid intense distress and despair?</span></p> <p><span style="color: #000000;">Today, Matthew May MD and I sit down with our beloved Rhonda who was diagnosed roughly six weeks ago with a cancerous follicular lymphoma. This is a type of lymphatic cancer that allows for a reasonably long life expectancy, but is almost universally fatal. With one exception—if you find and treat it super early. And that is where Rhonda finds herself. And today, she received her (hopefully) 12<sup>th</sup> and final radiation treatment to her neck, right under her right ear. She was told that the probability of a cure is 95%, but the effects, including painful side effects, of the radiation would be cumulative and increasing for a while after the series of treatments has been concluded. And she IS in considerable discomvort.</span></p> <p><span style="color: #000000;">Which was good news, great news, actually, for all of us!</span></p> <p><span style="color: #000000;">Still, it's been a rocky and highly emotional road for Rhonda. So Matt and I sat down with her early this morning to see if we, with the help of TEAM CBT, might be able to bring her some accurate empathy and comfort.</span></p> <p><span style="color: #000000;">In the session, Matt and I went through the T E A M sequence with Rhonda.</span></p> <p><span style="color: #000000;">T = Testing</span></p> <p><span style="color: #000000;">You can see Rhonda's initial Brief Mood Survey if you</span></p> <h3 style="text-align: center;"><strong><span style= "color: #ff0000;"><a style="color: #ff0000;" href= "https://feelinggood.com/wp-content/uploads/2025/07/Rhondas-BMS-7-01-2025.pdf"> CLICK HERE</a></span></strong></h3> <p><span style="color: #000000;">As you can see from her Brief Mood Survey, which was completed before the session began, she was only mildly elevated in depression, anxiety, and anger, but her positive feelings of happiness were very low (only 8 our of 20, with 0 being not happiness at all in any category and 20 being the highest possible happiness. in all categories.)</span></p> <p><span style="color: #000000;">E = Empathy</span></p> <p><span style="color: #000000;">However, as Matt and I empathized with Rhonda, we reviewed her partially completed Daily Mood Log, which you can see if you</span></p> <h3 style="text-align: center;"><strong><span style= "color: #ff0000;"><a style="color: #ff0000;" href= "https://feelinggood.com/wp-content/uploads/2025/07/Rhondas-DML-6-20-2025.pdf"> CLICK HERE</a></span></strong></h3> <p><span style="color: #000000;">This tool painted a radically different picture. Rhonda's scores in nearly all categories were extremely elevated, indicating about the most intense feelings of depression, anxiety, guilt, shame, inadequacy, hopelessness, frustration, anger, and shock, as you can imagine. She was also moderately self-conscious and embarrassed.</span></p> <p><span style="color: #000000;">Four radically important question came to mind:</span></p> <ol> <li><span style="color: #000000;">What was causing these intensely negative and almost unbearable feelings?</span></li> <li><span style="color: #000000;">Is there any realistic hope of reducing them during today's session?</span></li> <li><span style="color: #000000;">And if you did want to "help," how in the world would you attempt to do this?</span></li> <li><span style="color: #000000;">And how much "help" could you realistically hope for?</span></li> </ol> <p><span style="color: #000000;">If you're serious about these topics, I would strongly recommend that you take a piece of paper and jot down your answers to these questions right now, before you listen to the rest of session. Then, after you listen to the conclusion next week, you can compare what happened with your own ideas about the situation. ,</span></p> <p><span style="color: #000000;">During the empathy phase, Matt and I used the Five Secrets of Effective Communication to understand exactly how Rhonda was think, and how she was really feeling inside. We also did a What-If / Downward Arrow Technique to find out what she was the most afraid of. If you haven't already listened to that portion of our work with her. What do you think she was most afraid of in having cancer? And why, do you suppose, she was feeling so guilty? And so angry?</span></p> <p><span style="color: #000000;">We also explored the impact of the side effects of the radiation therapy, and the impact of the cancer on her personal and family relationships, the errors others made in trying to "help" when she was feeling down, and her fears of the future.</span></p> <p><span style="color: #000000;">At the end of the empathy phase, we asked Rhonda to grade us in three categories:</span></p> <ol> <li><span style="color: #000000;">How well did David and Matt understand your thoughts?</span></li> <li><span style="color: #000000;">How well did David and Matt understand how you were feeling inside?</span></li> <li><span style="color: #000000;">How well did David and Matt so in creating an atmosphere of trust, warmth, and acceptance?</span></li> </ol> <p><span style="color: #000000;">If you're a mental health professional and you do psychotherapy, I have another question for you before we continue: What % of your patients do you ask these three questions part way through your sessions? Raise your hand if the answer is "most, if not all, of my sessions."</span></p> <p><span style="color: #000000;">Yikes! I don't see many hands going up! I don't want to upset you, and you may not take me seriously, but you might be missing the boat!</span></p> <p><span style="color: #000000;">At any rate, Rhonda gave us a triple A +. That's definitely a passing grade, and she gave us the green light to go on to the final two steps of the TEAM session(/the A and the M steps), which you'll hear in their entirety on our very next podcast!</span></p> <p><span style="color: #000000;">Thanks for listening today! And make sure you tune in next week for the awesome conclusion of our work with our beloved Rhonda!</span></p> <p><span style="color: #000000;">Rhonda, Matt, and David</span></p>