The Catholic Couch
The Catholic Couch is where the science of the brain meets the wisdom of the Church, and neither one has to lose. Each episode pulls from real counseling ground, the nervous system, attachment, intrusive thoughts, the way fear runs underneath so much of what we carry, and holds it right alongside Scripture, the sacraments, and the saints as people who actually lived this. If you've ever felt like you had to choose between good psychology and your faith, come sit down; there's so much hope here, and we just start taking the small steps together.
Episodes
Mary vs. Martha: Finding Peace Through Secure Attachment and Nervous System Awareness
Amber Ton, a Catholic therapist, uses Luke 10:38–42 to address why many women default to busyness like Martha and how faith and psychology can help them find peace without abandoning their personality or calling. She explains that Martha’s problem isn’t serving but being “anxious and troubled,” ...
The Dishwasher Fight: What Your Marriage Argument Is Really About
Amber Pilkington of the Catholic Counseling Institute explains that common “dishwasher fights” in marriage are rarely about chores and instead signal deeper needs for emotional connection and responsiveness. Drawing on Dr. Sue Johnson’s emotionally focused therapy, she frames many conflicts around three underlying questions: &...
In the fourth video of a free 10-part Catholic Counseling Classroom series on scrupulosity and intrusive thoughts, Catholic therapist Amber Pilkington explains why scrupulous thoughts can feel real even when you know they aren’t true. She describes the amygdala as a “smoke detector” that can’t distinguish a moral crisis from a mental glitch, and notes it responds to behavior rather than logic...
Temptation vs. Sin vs. Scrupulosity: How to Tell the Difference
The script introduces the Catholic Counseling Classroom, a free 10-video education series on scrupulosity and intrusive thoughts that integrates Catholic teaching with psychology and neuroscience. The lesson explains why people confuse sin, temptation, and scrupulosity, noting that scrupulosity can make fear feel like virtue and shame feel like t...
Emotional Affairs: Why They’re More Dangerous Than One-Night Stands (and How to Spot Them)
The video continues a summer series on preventing and healing from infidelity, focusing on emotional affairs, which Dr. Shirley Glass found are more likely to end marriages than one-night stands because they slowly replace a spouse’s role, lack a clear boundary-crossing moment, and often involve denial and s...
Healing the Father Wound: Why Fathers Matter, Why Father’s Day Hurts, and How to Heal
The episode, released ahead of Father’s Day, addresses both those who celebrate and those for whom the day triggers grief from a deceased, estranged, abusive, or emotionally unreachable father, naming anniversary grief, disenfranchised grief, and ambiguous loss. It presents a research-grounded and faith-integrate...
Dating Well: Discernment, Skills, and Healthy Boundaries with Dr. Mario Sacasa
Amber Pilkington hosts Dr. Mario Sacasa on The Catholic Couch to discuss Catholic dating at the intersection of theology and psychology. Dr. Mario shares his background as a marriage and family therapist, his conversion, and how client needs after COVID led him to develop Dating Well to help people build healthy relationship patter...
Groinal Sensations in Scrupulous OCD: Why They Happen and What to Do
The script explains groinal sensations in scrupulous OCD as common, involuntary genital sensations that often follow intrusive thoughts and become misread as desire, consent, or a spiritual “sign.” It argues sensations are not decisions, not proof of hidden intent, and not messages from God or the devil, and notes they appear acr...
Doomscrolling, Conspiracies, and Scrupulosity: Why “I Have to Know” Fuels Anxiety
The host describes repeated client concerns about social media feeds filled with conspiracy, hidden-symbol, and “spiritual danger” videos that feel like a duty to watch to protect family and faith, and argues this is anxiety-driven threat monitoring rather than prudence. She explains the attention economy...
Depression can make prayer feel impossible, confession feel uncertain, and Scripture sound like condemnation. That is not a character flaw. It can be a brain-and-body reality, and it deserves real care. We talk with Father Chris Alar, provincial superior of the Marian Fathers at the National Shrine of Divine Mercy, about what happens when Catholics try to white-knuckle depression, anxiety, or scrupulosity with spiri...
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