Rich Thoughts, Poor Jokes

Latest Episodes

Welcome to Rich Thoughts, Poor Jokes. A mostly-serious show where two mental health professionals work together to teach you about having security, freedom, and luxury, in EVERY area of your life. Dr Roxy Riefkohl-Cook and Dr. Stephanie Ellis coach you on the path to mental wealth, covering topics from sex and relationships, communication and self-care, work and parenting, and so much more.

Anxiety Roxy Riefkohl Anxiety Roxy Riefkohl

Why Does Avoiding Anxiety Make it Worse??

You’ve probably heard that the antidote to anxiety is facing your fears. What you probably haven’t heard is exactly why avoiding them makes everything worse, and how the brain gets quietly tricked into staying stuck even when you think you’re doing the work. Checking on your kid who’s driving? Seeking reassurance from someone you trust? Even reaching for your phone mid-exposure? All of it counts as avoidance, and all of it resets the clock.

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Anxiety Roxy Riefkohl Anxiety Roxy Riefkohl

The Biology of Anxiety: Types, Causes, and What Is Actually Happening in Your Body

Anxiety is just energy. The problem is when your body keeps liberating that energy for threats that aren't there, or at levels the situation doesn't actually call for. This episode gets into the biology behind that: the types of anxiety disorders and what actually distinguishes them, the role of catecholamines and cortisol, how genetics and early environment both shape the system, and why things like your thyroid, your caffeine habit, or coming off a substance can produce anxiety symptoms that have nothing to do with your mental health at all.

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Anxiety Roxy Riefkohl Anxiety Roxy Riefkohl

What Is Anxiety ACTUALLY? Understanding the Most Common Mental Health Disorder

Anxiety is the most common mental health disorder in adults, and also one of the most misunderstood. Most people can recognize it when they feel it but would struggle to define it, distinguish it from fear or panic or worry, or explain exactly when it crosses from a normal human response into something worth addressing. Anxiety shows up in your body, your thoughts, and your behavior in ways that are not always obvious, and the line between healthy anxiety and the kind that quietly takes over your life is worth knowing before you assume you already have it figured out.

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