Beyond Survival - The Therapy Podcast with Katie McKenna

In this episode, I speak with Irish psychologist and author A.J. Cosgrave about her deeply personal book, If You Knew Me Would You Love Me?, and her experience of living with Dissociative Identity Disorder (DID), formerly known as Multiple Personality Disorder.
DID is a condition that is often misunderstood, sensationalised, or reduced to the way it is portrayed in films and television. A.J.’s story offers something very different: an honest, thoughtful and remarkably accessible insight into what living with DID can actually look like.
We talk about her own journey, the realities and challenges of living with dissociation, the process of integration and recovery, and the importance of approaching the condition — and the people who live with it — with empathy rather than fear or stigma.
This conversation about identity, trauma, understanding ourselves and others, and ultimately learning to meet complexity with kindness and courage.
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BEYOND SURVIVAL - The Therapy Podcast

Guilt is a natural emotional response. It can tell us when we've done something that doesn't align with our values and prompt us to repair, take responsibility and make things right.
But when guilt becomes excessive, it can become a heavy burden — creating an overwhelming sense of expectation and responsibility that isn't actually yours to carry.
In this final episode of the FOG — Fear, Obligation and Guilt — I look at what happens when guilt becomes the driving force behind your decisions.
You feel obligated to do something, and when you consider saying no, the guilt arrives before you've even made a decision.
You assume you've done something wrong.
You worry you've hurt someone.
You feel guilty for having needs, setting boundaries, disappointing someone or even thinking about saying no.
And so you give in.
Not because you want to — but because the fear of feeling guilty becomes more powerful than your own wants, needs or judgement.
If you grew up in an emotionally immature or emotionally abusive family, you may have learned to take responsibility for other people's feelings while questioning your own.
In this episode, I explore why guilt can become so powerful, how it gets tangled up with obligation and people-pleasing, and how to recognise when guilt is giving you useful information — and when it's controlling your choices.
Because feeling guilty doesn't always mean you've done something wrong.
Sometimes, it simply means you're doing something differently.
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BEYOND SURVIVAL - The Therapy Podcast

Why saying no can feel selfish, even when you're exhausted from putting everyone else first.
If you grew up with an emotionally immature, narcissistic, or emotionally abusive parent, you may have learned early that other people's needs come before your own.
That learned sense of obligation can follow you into adulthood — shaping your relationships, parenting, boundaries and decisions. And obligation and guilt often go hand in hand: you feel you should do something, and when you consider saying no, your inner critic tells you you're selfish, difficult or letting someone down.
In this episode, I explore people-pleasing, guilt, obligation and the fear of conflict, and why you may find yourself over-explaining, justifying your needs or taking responsibility for other people's feelings.
Because having a need doesn't make you selfish.
And saying no doesn't make you a bad person.
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BEYOND SURVIVAL - The Therapy Podcast

For anyone who experienced a childhood in which emotional safely or physical safety weren't consistent, stable and predictable, Fear, Obligation and Guilt — will be the dominant emotions controlling their behaviour and decision making.
In this episode, I focus on Fear and how The FOG keeps adult children stuck in survival mode, and why fight, flight, freeze and fawn becomes our automatic responses.
I look at what happens when these survival responses are still running the show in your adult relationships — from shutting down in the middle of an argument, to lashing out, giving in, apologising when you don't need to, or putting everyone else's needs before your own.
Most importantly, I look at how to recognise these patterns in real time, rather than only understanding them intellectually or seeing them once the moment has passed.
Because the goal isn't simply to understand why you react the way you do.
It's learning that you have a choice now.
Take The Quiz  –  What is Your Number?
BEYOND SURVIVAL - The Therapy Podcast

What happens when you realise your relationship with your mother has been shaped by emotional parentification, enmeshment, and emotional abuse?
In this week’s letter, a 48-year-old woman shares how much of her identity and behaviour was shaped around managing her mother’s needs. After setting boundaries and working through childhood trauma in therapy, she begins to recognise the familiar cycle of guilt, gaslighting, victimhood, emotional manipulation, and rewriting history.
Now she faces a question many adult children of toxic parents wrestle with: “Am I the cold, heartless bitch for not wanting to fly to her side and become her caregiver if she needs help?”
This episode explores narcissistic mothers, emotionally immature parents, parentification, enmeshment, toxic family dynamics, boundaries, estrangement, caregiver guilt, and complicated grief—and offers reassurance to anyone who has spent a lifetime questioning whether protecting themselves makes them a bad person.
Take The Quiz  –  What is Your Number?
BEYOND SURVIVAL - The Therapy Podcast