Doing The Work: A Naples Integrated Recovery Podcast focuses on the patterns that keep people stuck — the ones that show up in conversations, relationships, habits, and everyday decisions.This isn’t theory and it isn’t motivation. Each episode breaks down what’s actually happening underneath the surface: avoidance, control, people-pleasing, resentment, emotional shutdown, and the ways people stay busy instead of changing anything.Hosted by Brian Granneman, LMHC, CAP, CCTP, the show pulls from real clinical experience to track how these patterns form, how they get reinforced, and what it looks like to interrupt them in real time. Topics include trauma, addiction cycles, relationship dynamics, boundaries, and the quieter behaviors that don’t get labeled but still run the show.The focus stays on behavior, not insight. Change doesn’t come from understanding the problem — it comes from what you do next.
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What is Doing The Work from Naples Integrated Recovery?
Doing The Work from Naples Integrated Recovery is a health podcast hosted by Brian Granneman, LMHC, CAP, CCTP, with 95 episodes on record and a Required Pod Score of 80.
About the host
Brian Granneman, LMHC, CAP, CCTP hosts Doing The Work from Naples Integrated Recovery, a health show with 95 episodes published.
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Episode #99
Getting Sober Doesn’t Fix an Alcoholic Family
Sep 26, 202627 min
Getting sober can end the immediate chaos of alcoholism, but families often keep living with patterns that developed during the drinking years. Secrecy, mistrust, defensiveness, watching for danger, controlling information, and avoiding certain subjects can all continue long after the alcohol is gone. Using the story of a couple I worked with, this episode looks at how a family can become organized around addiction and why those habits do not automatically disappear with sobriety. The episode also explores rebuilding trust after addiction, the difference between privacy and secrecy, why a spouse may still question their own perceptions, and what recovery asks from both people once the crisis has passed. For people in Al-Anon, partners of someone in recovery, and families affected by alcoholism, the deeper work is learning how to live together without the old rules that once helped everyone survive. Check out the website for articles published weekly: www.naplesintegratedrecovery.com Want to work together? I see psychotherapy clients in Florida: https://www.psychologytoday.com/us/therapists/brian-granneman-naples-fl/1153470 I also offer accountability, coaching, and sober companion services. Send an email: brian@naplesintegratedrecovery.com
Ozempic for Addiction? The Willpower Debate Just Got More Complicated
Sep 24, 202628 min
GLP-1 medications like semaglutide, Ozempic, Wegovy, Mounjaro, and Zepbound are best known for diabetes and weight loss, but researchers are increasingly studying their effects on alcohol craving, nicotine use, reward processing, and addiction. In this episode, I look at the emerging science behind GLP-1 drugs and alcohol use disorder, including dopamine, reward salience, craving, reinforcement, and why some people describe food or alcohol occupying much less mental space after starting these medications. The episode also examines the overlap between GLP-1 medications and established addiction treatments such as naltrexone and Vivitrol, along with the cultural tendency to treat obesity and addiction as failures of willpower. Early studies of semaglutide and alcohol use disorder are promising, larger Phase 3 trials are underway, and the evidence remains developing. The bigger question is what addiction treatment could look like if medication becomes increasingly capable of reducing craving itself while psychotherapy addresses emotional regulation, relationships, trauma, habits, identity, and long-term recovery. Check out the website for articles published weekly: www.naplesintegratedrecovery.com Want to work together? I see psychotherapy clients in Florida: https://www.psychologytoday.com/us/therapists/brian-granneman-naples-fl/1153470 I also offer accountability, coaching, and sober companion services. Send an email: brian@naplesintegratedrecovery.com
What can a pitbull teach us about addiction, relapse, and recovery? This episode explores addiction through the story of Honey, a pitbull whose intense prey drive offers a surprisingly useful way to understand dopamine, reward salience, limbic activation, prefrontal control, and why the addicted brain can continue pursuing something long after the pleasure is gone. It also looks at why knowing the consequences often fails to stop addictive behavior, how recovery retrains the brain, and why structure can create more freedom over time. The conversation also moves into relapse, shame, accountability, and the experience of coming home after things have gone badly. Drawing from addiction treatment, Al-Anon, neuroplasticity, and the story of the prodigal son, the episode explores how compassion can coexist with consequences and how recovery involves learning the wiring you carry and building a life that works with it. Honey may always have a prey drive, and an addictive brain may always carry its own vulnerabilities. Learning how to live wisely with both is the work. Check out the website for articles published weekly: www.naplesintegratedrecovery.com Want to work together? I see psychotherapy clients in Florida: https://www.psychologytoday.com/us/therapists/brian-granneman-naples-fl/1153470 I also offer accountability, coaching, and sober companion services. Send an email: brian@naplesintegratedrecovery.com
You Can Leave—and Still Be Trapped | Trauma, Coercive Control & Recovery
Sep 19, 20261h 16m
What happens after someone leaves a high-control environment, but the fear, shame, isolation, and self-doubt remain? Trauma researcher and cult survivor Dr. Yaro Garcia explores how coercive control can become internalized, why physically leaving does not automatically create emotional freedom, and how fear, hopelessness, and isolation can continue shaping identity, relationships, and decision-making long after someone gets out. The conversation examines cult trauma, coercive control, trauma avoidance, shame, loss of agency, and rebuilding self-trust—dynamics that can also appear in abusive relationships and other high-control environments. Dr. Garcia discusses why recovery often requires revisiting and telling the story in a safe relationship, how avoidance can maintain trauma symptoms, how therapists can accidentally recreate controlling dynamics, and how exposure to new experiences can gradually weaken beliefs built through fear and control. Want to watch the video of the entire conversation? https://youtu.be/rLeQ3-AYWC4 Connect with Dr. Garcia: https://www.therapytreatmentteam.com/team_member/yaro-garcia/ Check out the website for articles published weekly: www.naplesintegratedrecovery.com Want to work with Brian? I see psychotherapy clients in Florida: https://www.psychologytoday.com/us/therapists/brian-granneman-naples-fl/1153470 I also offer accountability, coaching, and sober companion services. Send an email: brian@naplesintegratedrecovery.com
Why Knowing Your Relationship Pattern Doesn’t Stop It
Sep 13, 202631 min
Couples can know exactly how their arguments go and still feel powerless to stop them. This episode explores the negative cycle in Emotionally Focused Therapy, including Sue Johnson’s “Protest Polka,” the pursue-withdraw pattern, Gottman’s bids for connection, and how criticism, defensiveness, silence, and pressure begin feeding each other. It explains how a missed bid or small moment of disconnection can take on much greater meaning once both partners start anticipating rejection, failure, criticism, or abandonment. We also look at why insight alone often fails once the nervous system is activated, how therapists slow the cycle down to uncover the vulnerable emotions underneath anger and withdrawal, and how couples can recognize activation before the old pattern takes over. The goal is to help both partners see the cycle as it unfolds, communicate what is happening underneath their protective reactions, and create new interactions that feel safer and more connected. Check out the website for articles published weekly: www.naplesintegratedrecovery.com Want to work together? I see psychotherapy clients in Florida: https://www.psychologytoday.com/us/therapists/brian-granneman-naples-fl/1153470 I also offer accountability, coaching, and sober companion services. Send an email: brian@naplesintegratedrecovery.com
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