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October 2, 2025 23 mins

Welcome to our Episode 3 of the Intrusive Thoughts Series.


After looking at intrusive thoughts in OCD, GAD and Panic. We are moving to intrusive thoughts in #depression and #lowselfesteem.


Common examples include thoughts like:

  • “I am worthless.”
  • “I’m unlovable.”
  • “Nothing ever goes right for me.”
  • “I’m a failure.”


Over time, intrusive thoughts can feel automatic, chronic, and fused with identity, making them seem like an unchangeable part of oneself.


We have a small meditation for self-esteem at the end of the episode.


Remember: intrusive thoughts do not define who you are. With practice and support, you can manage them, reclaim your mental space, and nurture your emotional well-being.


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    Transcript

    Episode Transcript

    Available transcripts are automatically generated. Complete accuracy is not guaranteed.
    (00:02):
    Hi, hello to another episode of a Mental Health Noel Being
    podcast, CBT, EMDR and beyond. Today is the episode 3 out of
    the four. Episode on intrusive thoughts.
    I hope you enjoyed it. I hope you have followed us.

    (00:24):
    Subscribe. I hope you have get reached to
    to me. I appreciate very much the
    comments and I appreciate very much the emails.
    So really good. And today what we are going to
    be looking is intrusive thoughtsin depression and low self

    (00:45):
    esteem. How do we understand or why do
    we can't refrain them as an intrusive and as we said in
    episode 1, thoughts that poppingand unwanted are having an
    emotional effect? On us.
    I mentioned I'd be putting some of these videos on YouTube.

    (01:06):
    I had some feedback. The quality is very low.
    Yes, I know. I appreciate that and otherwise
    the size of the videos are abovewhat my hard drive can Co
    breathe and uploading them. So apologies about it.
    We'll try to do better videos inthe future.
    OK, so let's start so intrusive thoughts in depression and low.

    (01:33):
    So when we think about low mood or depression, not clinically
    not diagnosed. And I've gone about these few
    times in these seasons, episodesand series by the fact I
    mentioned clinical, I mentioned diagnostics, that's by defect,

    (01:53):
    that's nowhere that's been 20 years working in mental health,
    in mental health hospitals, inpatients, outpatients,
    community mental health, in primary care, secondary care,
    tertiary care. And that's what we are told,
    that's what we said. So it's something really
    difficult sometimes shouldn't dosome of the things you've been

    (02:13):
    doing for so long. So once again, not all is
    diagnostic. We don't always work with people
    that diagnosis. We work with things that
    sometimes we call trans diagnostic or trans approached
    to the presentation. So people have interested
    thoughts and I'll be seeing theycome in different shapes and

    (02:34):
    form in different moods and different affective states.
    OK, so we're talking about depression, we're talking about
    low mood. So what happens is some of the
    low with thoughts, some of thosedepressive thoughts tend to be
    involuntary, as we've been saying, and try to be a negative

    (02:59):
    view of our self about the worldand then the future.
    So that's what sometimes is seenin CBT and it's what sort of
    recreate as we are developing and the experience we have.
    Some of these negative thoughts that we have when we feel low
    could be like I'm worthless and nothing ever goes well.
    I'm a failure. Why?

    (03:21):
    I can't even try these thoughts.I can do things right, I'm
    unlovable, no one cares about me.
    These thoughts sometimes are come to my mind where we're low
    in mood and what happens is veryoften there are things that
    they've been passed on to us, anupbringing or that they somehow

    (03:42):
    learned or life events that carry on happening to us and
    develop these thoughts. What happens is when the mood
    drops more and the more it drops, the more intense and we
    haven't spoken about the intensity of thoughts yet.
    So what happens is when you speak with people about

    (04:05):
    intrusive thoughts, sometimes people say it feels more
    intense. What we know and what I've seen
    in this hand is that when you are going through therapy and
    you start to understand your thoughts, you start to come to
    10 with those thoughts. You start to behave differently.
    They start to feel better about yourself and be more kind and
    compassion. The thoughts come less, they're

    (04:28):
    less regular and very important.People keep saying they're less
    intense. So what happens is when we are
    low in mood and this happens in other when we are fighting
    anxiety, whether it's in OCD as we said, or gut or panic in the
    previous episodes. What happens is they tend to
    come more intensely and more often.

    (04:51):
    The lower we are in mood, the more depressed we feel, the more
    negative views of our self on this and the world, the more
    negative views of our past and the more negative views of our
    future. What we need to be clear here is
    that there is a lot of people who have had a very difficult
    path and they may be having memories as an interesting

    (05:16):
    thoughts, memories of these. Events.
    And that is slightly different because you can consider this
    perhaps trauma or complex trauma, which we will go in the
    next episode. So what happens is when we're
    feeling low in mood, we have these negative thoughts and we
    all will feel at some point low in mood and we will all have

    (05:38):
    these thoughts as never goes right is always happens to me
    and so on and so forth. What then that happens is that
    because we are feeling low, we're more prone.
    We we're having these intrusive thoughts to keep ourselves.
    Safe. And as I mentioned before, I
    think we are survivors and if you're thinking you're going to

    (05:58):
    fail something if you try and you're thinking I'm unlovable,
    you're thinking, oh, it never goes right for me.
    Why would I go out and try things, new things?
    What would I try to socialize? Why would I?
    What I'm protecting is myself from the emotional pain of

    (06:19):
    having those thoughts and beliefs reinforce or proven
    right. OK, So what happens is that
    naturally we are going to be doing less or engaging less on
    things because of this negative intrusive thoughts.

    (06:41):
    What it also happens is that because there are negative and
    intrusive thoughts, we start discounting things that we've
    done right and we start catastrophizing things that
    we're going to do, which before we've been able to do.
    And when the mood deeps, then westart doing less and the less we
    do the worse we've just because there is a big connection.

    (07:05):
    And we have discussed this before in our trauma series
    where you can look up on the connection of your body and your
    mood and your thoughts. And what happens is the more
    negative, intrusive, automatic thoughts we have and more self
    critical the intrusions are, theless we're going to do, the more

    (07:27):
    we're going to stay around. They're hooked.
    On us and. They're less likely.
    We're going to do things, we're going to be more tired, we're
    going to be less active, we're going to be less unlikely to
    move forward in our day today. Apologies SO.
    Then that becomes the cycle thatthe perpetuates and we know from

    (07:50):
    experience, from clinical experience and research and this
    is clinical experience and many of us would have experienced
    this anyhow that once we got each other loop of really low
    and not doing things, we are more likely to have this self
    perpetuating negative intrusive thoughts of ourselves.

    (08:11):
    And then we start feeling sad and then would sometimes show up
    his rumination. So we have we go into the past
    and we go through things time and time again.
    The things that didn't work, things we didn't do, things that
    happened to us, things that could have been put up been
    different. So we then now we are hooked on

    (08:32):
    those intrusive past memories that they are negative and
    somehow match our current mood state.
    What we know is that there is a lot of there is a lot of things
    why we would feel lowly mood that could be loss, that could
    be side effect of trauma. That could be because obviously

    (08:53):
    people that has also depression and also a low mood.
    It could be because a life event, an illness, a long term
    physical change like injury, sorry a physical injury.
    It could be because people around that in the place where

    (09:14):
    we live is unsafe. So we or maybe because we have a
    relationship failure could be for many things or we feel low.
    And it also could be, and this is also throughout.
    I haven't mentioned these intrusive thoughts with
    overwhelming anxieties as we spoke last and overwhelming
    emotions as we spoke last time. Sometimes when things get up,

    (09:36):
    get really tight if you rememberthe imagery or the OH.
    I forgot the name. So the simile of that closing of
    the labyrinth, there is physicalelements to it.
    So if if you're going through adolescents, if you're going

    (09:57):
    through menopause, if you're having some kind of therapy that
    has some hormone changes or any other medication can create
    these intrusive thoughts, right.So that's something to look out
    as well. So what if happens is once we
    start feeling a bit better, the thoughts might disappear and we

    (10:18):
    come back to our normal sort of a state.
    However. There are times that these
    intrusive thoughts carry on and carry on and people live their
    life going for and they tried ashard as they can.
    Now this is something that we try try to understand.
    Perhaps that could be sort of chronic negative thoughts or

    (10:40):
    very likely past messages as a child or due to adverse.
    Childhood experience. So what happens is that very,
    very linked to it or very often linked to to low mood and sort
    of it's low self esteem, right? Because this also helps us
    negative beliefs and sort of thinking always that the end.

    (11:03):
    People are not. Good enough and they are
    failing. So what happened with self
    esteem or what you know what what sometimes experience are
    always thoughts that inadequacy don't deserving good things
    always get these things by chance being a total failure
    that they're going to be rejected.

    (11:24):
    And these are always popping in.They're popping in every say
    every circumstance that it feelsthat those thoughts are always
    dead. They are part of you, and
    sometimes we get fused with the thought.
    So we start believing that thought and ourselves are the
    same, and then we start acting. On that SO.

    (11:46):
    Some of the behaviours we see and sometimes they overlap with
    some of the anxiety, These behaviours we see, if people
    think they are going to fail at something, they might start
    overcompensated and they start doing more and more and more, or
    they start to think if they are unlovable.

    (12:06):
    This thought should be pleasing people more and more and more.
    So the behaviour will be similarin various things.
    And that's the trans diagnostic approach as they call it, which
    is that there is a lot of commonality in things we see in
    therapy. And that's because Beer spoke
    tailor made therapy is needed for every individual.

    (12:29):
    So I do CPT, I do MDR, I do third waves, CBT, I do a few
    other things that I have trainedand I have learning.
    And now all of that doesn't meanthat it's always going to apply.
    This therapy approaches don't always apply.
    I personally have a lot of success with some people and
    other people when they come around, for example,
    relationship I, I import them toa relationship therapist because

    (12:54):
    that has more, more place there.Whether there is that elemental
    low self esteem in that relationship.
    Maybe there is, maybe that's because they are
    overcompensating or overdoing for other people.
    Yet the issue they see is the relationships, the impact in
    their partners and so on and so forth or friends and so on.

    (13:16):
    So what happens is when we are in this, when we are believing
    that we are not good enough, then we're going to be acting as
    if, So what if I embarrass myself or not?
    If so, that would be overlappingwith JID or God.
    So you will be thinking, well, if I don't try, then I won't

    (13:38):
    fail. And then you start not trying.
    And what really happens is that you're reinforcing.
    We all reinforce time and time again though we are not good
    enough and they keep popping up.I keep popping up and it's not
    we where we get it wrong in the shopping, which we all do at

    (13:59):
    some point it's because I'm not good enough, not because they
    can move the shelves and today things move around.
    Now it's our we internalize it and that's what then as we're
    internalizing it, it pops up more and it feels more like you
    like it's true and they just come up and then we normalize
    them. So with low self esteem we

    (14:19):
    always. Try to find.
    Where, where, where these intrusive thoughts are being
    triggered? And if it's everywhere, The
    questions that I always ask people is, can you be always not

    (14:40):
    good at everything? Is that your mind throwing at
    you shame, thoughts about worthlessness?
    Is it that your mind throwing atyou thoughts and intrusions and
    automatics that makes you feel embarrassed, that makes you feel
    unworthiness? And if it is your mind then.

    (15:03):
    We need to. Start to understand that they've
    been for so longer that they areautomatic and even when we are
    think we're having a good day and we think we're working very
    hard and we are not self criticizing and we are not
    social and withdrawal and suddenly self sabotaging comes
    up. The thought or the comparison to

    (15:25):
    other people and the perfect life comes up.
    I'm wondered we don't want anyone's life but something our
    brain. Just pops it.
    And that's where the where it causes the pain.
    So I hope. Today's a bit briefer.
    I hope you enjoy it. I hope you, you, you've taken a

    (15:48):
    bit of it. You're always welcome to drop me
    an e-mail in podcast at onlinehyphensubbd.com.
    You're always welcome to put subscribe or follow.
    And then there is some links to the social media in the, in the
    description. And now it has always a good
    reception. So I'm going to we're going to

    (16:09):
    do a bit of a mindful exercise, OK, So as usual, if you feel
    safe, if you feel that you're ina place, you're not driving,
    you're not at public transport, you can then close your eyes.

    (16:29):
    If not, you can do this with your eyes open if.
    Last week you. Enjoyed the tapping?
    I'm going to invite you to do the tapping again, so let's
    start. So I'm going to ask you to
    breathe in and breathe out. And breathe in.
    And breathe out and I'm now in silence for a bit for you to

    (16:54):
    continue breathing in and. And breathing out.
    And breathe in. And breathing out and we are

    (17:17):
    going to be. Now.
    Trying to picture. Your soul standing in that
    beautiful tranquil. Place new phone.
    What I'm going to ask you is to start tapping.

    (17:41):
    As you're printing in and reading out that it feels right,
    I. Want to ask you.
    To notice the grass or the sun or the soil beneath your feet.
    And as you to. Wiggle it.
    Notice it as you're breathing inand breathing out.
    I'd like you to notice the. Air.

    (18:02):
    Around you the. Freshness.
    The crispness. The warmth of it, the gentle
    touching on your skin of the sunor the mild autumn.
    Notice the harmony of the wind and.

    (18:25):
    How he cuts through the flowers.And the trees.
    I'm going to. Ask you to.
    Notice each tree. On each flower.
    That is around. And the.
    Colors I'm going to ask you to think of.
    Them of your favorite colors. I'm going to ask.

    (18:48):
    You to notice. What of those?
    Flowers. Which of these flowers?
    Brings represents kindness. Which one represents nurturing?
    Which one represents unconditional love?

    (19:10):
    Which one represents courage, creativity, resilience?
    And I should just melting each of those flowers with each of
    those qualities. And as you to notice how it goes
    through your. Bra.
    To your lungs and expands through your body that kindness

    (19:34):
    nurturing orange creativity bruising.
    I'm going to ask you to. See the sunlight above you?
    Taking a deep. Breath in and along without.
    Clearing the sky and. Notice that healing sunlight
    represents the warmth. And the strength.

    (20:00):
    And wisdom, the inner. Strength and wisdom with this
    man of kindness, nurturing courage, resilience as you're
    there. Sadly, that calm, tranquil place
    and ask you to repeat the words I am enough.

    (20:22):
    Just as I am. I am worthy of love.
    Respect and kindness. I can't trust my.
    Abilities I can nurture myself and embrace my unique.

    (20:42):
    Journey. I'm enough just to say I'm I'm.
    Worthy of love. Nurturing and kindness I trust
    my abilities in my. Unique.
    Journey don't invite you to. Come up with.

    (21:04):
    Any old? Self referring.
    Statement. They are kind, they're
    courageous, they're wise. Warmth.
    Strong. I am enough.

    (21:27):
    Just as I am. I'm a worthy.
    Of love, respect and kindness. I can let go of comparing.
    To others and celebrate my uniqueness.
    Now I'm going to ask you 2 with those.

    (21:48):
    Words, that is man of those. Flowers and those qualities I.
    Want to ask? You to shift your attention,
    your focus onwards. In the center of your chest,
    just. Above the abdomen.

    (22:11):
    As you're breathing in and breathing out, I want to ask you
    every time you're. Breathing.
    I want to ask you to glow. I want to ask you to imagine.
    The glowing light. That creates all.
    Those colourful smells. From those flowers.
    That represent all those qualities that you want to

    (22:31):
    bring. As you know that you are enough.
    I am worth love. I trust my abilities for my.
    Unique journey. I don't need to compare and I
    can be myself. I'm going to ask you to notice.
    How that feels in your body and I'm going to ask.

    (23:01):
    You to breathe in and breathe out.
    And open your eyes when you're ready.
    Or remain. In eyes open when you're.
    Ready. I hope you enjoy this brief
    meditation. And I.

    (23:22):
    Hope you practice the last Rick.There is no.
    Shame. There is no guilt.
    You can choose to do what you want to do and.
    I'm going to invite you to follow this or.
    Continue practicing more with that and.
    I'll see you in the fourth and last episode on intrusive

    (23:45):
    thoughts. In PTSD.
    Sorry, intrusive thoughts on trauma, complex trauma or
    trauma. Have a lovely day again.
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