197 episodes
- This episode shares practical strategies for how to talk to a loved one who is struggling with mental health about getting therapy.
Have you ever said to someone "You need therapy" or "why don't you get help?" when they seem like they're struggling? Then what do you do if your loved one clearly needs help but feels defensive, misunderstood, or convinced that therapy isn’t the answer? And what happens when your urgency to help only makes them push back harder? In this episode, Dr. Kibby breaks down why people resist treatment, how shame, fear, and loss of autonomy can get in the way, and why trying to convince someone usually backfires. She explains how to shift from pressure to partnership by listening first, validating their experience, finding common ground, and focusing on the outcome you both want. Along the way, she shares real-life examples from family, relationships, and clinical work, including how to support someone who is in crisis while still preserving dignity whenever possible.
Dr. Kibby also breaks down science-backed, methods that clinicians use to talk to someone about engaging in treatment. She goes through the LEAP method and motivational interviewing techniques that work with people who need help but don't think they have a problem. Whether you’re dealing with a partner, parent, adult child, or friend, this episode offers a clear framework for having harder conversations with more empathy, less conflict, and a better chance of real change.
Resources:
Need help dealing with a difficult family member who's struggling with mental health? Dr. Kibby can help through her program KulaMind
Books on the LEAP method - In this episode, Dr. Kibby shares her deeply personal story of infertility, attachment trauma, and the unexpected path that led her to motherhood.
How do you build a family when the journey doesn’t go the way you planned? And what happens when control, willpower, and even the best-laid plans aren’t enough? In this honest and vulnerable episode, Dr. Kibby opens up about the heartbreak, uncertainty, and inner work that shaped her path to becoming a mother. She explains why trusting her gut became the turning point in her journey, and how letting go of rigid expectations made space for something greater than she imagined. Along the way, she reveals how attachment trauma influenced her relationships, how emotional safety and vulnerability became essential, and why infertility is so much more complex than most people realize. She talks about the limits of pure logic when it comes to family, the role of intuition in life-changing decisions, and how faith, surrender, and resilience can help us move through the unknown.
Whether you’re navigating fertility challenges, relationship pain, or simply trying to trust yourself more deeply, this episode offers compassion, insight, and hope.If you’ve ever wondered whether you should keep pushing, let go, or trust your inner voice, this conversation will meet you where you are. You’ll leave with a new perspective on motherhood, healing, and the surprising ways a family can come together.
Resources:
Need help dealing with a difficult family member who's struggling with mental health? Dr. Kibby can help through her program KulaMind
Follow Dr. Kibby on Instagram
Dr. Kibby telling the story of The Story Collider The Generational Divide In Families: Bridging the Gap Between Boomer Parents and Millennial/ Gen-Z Children
2026/07/08 | 57 mins.In this episode, Dr. Amy Todey joins Dr. Kibby to talk about the generational divide in modern families and how families can navigate difficult relationships.
Are Boomer parents all narcissists? Or are the younger generations just fragile snowflakes? In this episode, Dr. Amy Todey joins Dr. Kibby to discuss how the generational divide in family relationships is deeper (and more fragile) than most of us realize. Dr. Amy Todey is a clinical psychologist who specializes in coparenting and family relationships. In this conversation, she reveals why conflicts between parents, adult children, and grandparents often stem from misaligned values and unspoken wounds, and how understanding these differences can lead to repair, not rupture. She shares surprising insights on why modern families fracture, how labels like "narcissist" obscure the real issues, and the quiet power of boundaries rooted in love and accountability. They also discuss the risk of the rise in "cut-off" or estrangement culture.
In this eye-opening conversation, you'll discover practical frameworks for navigating emotional safety and reconciliation across generations. Dr. Todey discusses the importance of honoring your own story while holding space for others’, offering concrete strategies to set boundaries without severing connections. She explores how societal shifts are fueling family conflicts, and what you can do to foster belonging despite these tensions. Dr. Kibby and Dr. Todey explore how to recognize when to cut off or lean in, the role of forgiveness in healing familial wounds, and the common pitfalls that keep families stuck in cycles of estrangement.
Whether you're navigating the challenges of aging parents, estranged siblings, or strained grandparent relationships, you'll leave with tangible tools to foster understanding, love, and resilience in your family, no matter how complex or imperfect.
Resources:
Need help dealing with a difficult family member? Dr. Kibby can help through her program KulaMind
Dr. Amy Todey's Website
Dr. Amy Todey's InstagramBPD Rage: Why Anger in Borderline Personality Disorder Feels Uncontrollable and How Loved Ones Can Calm It
2026/07/01 | 1h 2 mins.This episode explores the biology and nature of anger in borderline personality disorder ("BPD Rage") and practical strategies family members, friends and partners can use to respond to BPD rage.
Some people get angry, while some people just see red. In this episode, Dr. Kibby lifts the veil on what’s happening in the brain during these emotional storms and shares proven strategies to manage, soothe, and respond effectively. You might feel helpless as your loved one spirals into a rage that lasts for hours, fueled by triggers deep in their brain’s emotional wiring. Dr. Kibby unpacks why BPD rage is so overwhelming, rooted in hyper-reactive amygdalas, weak prefrontal regulation, and a cascade of shame and rejection fears. It's not about bad character or being "evil," but a biological response, amplified by social triggers like betrayal, abandonment, or misunderstood intentions. These emotional storms often appear suddenly, with the flip of a switch, and how they can mimic psychosis or demon-like behavior, leaving loved ones terrified and powerless. Dr. Kibby breaks down the neuroscience behind BPD rage, including the brain’s regulatory pathways.
Then, the conversation offers practical, research-backed communication techniques that help de-escalate these heightened states. Dr. Kibby shares specific scripts and real-life stories that reveal how these tools can prevent escalation, reduce personal attacks, and promote healing instead of blame. Learn why acknowledging the emotional experience, rather than dismissing it, is crucial for injury prevention and long-term connection. Most importantly, she emphasizes that setting boundaries around dangerous behavior isn’t about blame- it’s about safety and self-care. Whether you’re a parent, partner, or therapist, this episode offers a compassionate, no-nonsense blueprint to handle BPD rage.
Resources:
Talk to Dr. Kibby about KulaMind, where she supports people dealing with their loved ones' emotional issues
Mitolo, M., D’Adda, F., Evangelisti, S., Pellegrini, L., Gramegna, L. L., Bianchini, C., ... & Tonon, C. (2024). Emotion dysregulation, impulsivity and anger rumination in borderline personality disorder: the role of amygdala and insula. European archives of psychiatry and clinical neuroscience, 274(1), 109-116.Youth in Crisis: What To Do When a Teen or Adolescent Wants To Hurt Themselves
2026/06/25 | 1h 7 mins.This episode describes how to respond when a teen, adolescent or young adult says they want to hurt themselves or kill themselves.
It's horrifying when someone as young as 12-20 years old says they want to take their own life. When a teen or young adult confesses thoughts of hurting themselves or even hints at a plan, panic often kicks in...but what you do next can mean the difference between life and tragedy. In this episode, Dr. Kibby describes how you can transform fear into effective, life-saving support. If you're a parent, clinician, educator, or anyone caring for at-risk youth, this episode will change your perspective on how to handle these terrifying moments with compassion, clarity, and confidence. In this honest conversation, you'll discover why traditional reactions often do more harm than good and how shifting from control to understanding can unlock trust and safety.
Dr. Kibby shares insights from her nearly lifelong work with mental health crises as well as adolescent and family Dialectical Behavior Therapy expert Dr. Marcus Rodriguez. Drawing from what she learned from Dr. Rodriguez, she emphasizes the importance of treating the whole family and system instead of isolated individuals. You'll learn why vague answers from teens are actually a sign of trust-building, not apathy or indifference, and how impulsivity heightens the risk of dangerous behaviors that require immediate, delicate intervention. We break down practical, step-by-step frameworks for assessing suicidality, from asking direct questions about plans and access to means, to understanding the importance of safety measures like environment restriction and involving the support system. You’ll hear specific scripts designed to validate pain without validating harmful coping strategies, and how to balance genuine empathy with concrete safety protocols.
The core message: you’re not just stopping a moment of crisis- you're working with the teen, their family, and their community, to understand their pain and help them find hope. Interpersonal triggers like breakups, bullying, and social rejection are particularly devastating for teens, and how they differ from adult experiences. Dr. Kibby describes how you can meet teens where they are, by respecting their vague answers, impulsive actions, and emotional intensity, and why working systemically is essential for lasting safety.
Remember: Asking directly about suicide does not plant the idea; it saves lives. Whether you’re facing an immediate crisis or working to prevent one, this episode is your essential guide to understanding and intervening with care, respect, and hope.
Trigger warning: Sensitive topics discussed include self-harm, suicidal ideation, and family trauma.If you’re involved with teens or young adults, or if you simply want to learn how to support someone in their darkest hour, this episode is a must-listen.
Resources:
Parents, partners and other loved ones of people struggling with self harm and suicide, check out KulaMind. Book a free call with Dr. Kibby to learn how she can help.
Adolescents, teens and families in California in crisis should learn about Dr. Rodriguez's Dialectical Behavior Therapy program at Youth and Family Institute
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About A Little Help For Our Friends
A LITTLE HELP FOR OUR FRIENDS is a mental health podcast hosted by Dr. Kibby McMahon, licensed clinical psychologist and CEO of KulaMind. The podcast sheds light on the psychological issues your loved ones could be struggling with and provides scientifically-informed perspectives on various mental health topics like dealing with toxic relationships, narcissism, trauma, and therapy. As a clinical psychologist from Duke University, Dr. Kibby shares her expertise on the relational nature of mental health. She mixes evidence-based learning with her own personal examples and stories from their listeners. Episodes are a range of solo episodes with Dr. Kibby, as well as with featured guests including Bachelor Nation members such as Zac Clark speaking on addiction recovery, Ben Higgins on loneliness, and Jenna Cooper on cyberbullying, as well as therapists & doctors such as sleep specialist Dr. Jade Wu, world experts on personality disorders like Dr. Zach Rosenthal, amongst many others. Additional topics covered on the podcast have included fertility, gaslighting, depression, mental health & veterans, mindfulness, and much more. Episodes are released every other week. For more information, check out www.ALittleHelpForOurFriends.comDo you need help coping with a loved one's mental or emotional problems? Check out www.KulaMind.com, an exclusive community where you can connect other fans of "A Little Help" and get support from Dr. Kibby directly.
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