Saint Dymphna’s Playbook

Here to fill the void in Catholic conversations about mental health.

About the show

A podcast about finding mental well-being as a Catholic with the help of community and the saints. Hosted by Tommy Tighe, a marriage and family therapist, husband, and father. In each episode Tommy addresses different mental health issues, introduces listeners to a saint who is relevant to mental health and wellness, and responds to questions from Twitter followers.


  • 107: Helping a Scrupulous Partner

    December 4th, 2021  |  Season 5  |  23 mins 27 secs
    blessed eustochium of padua, counseling, religious ocd, scrupulosity

    Tommy talks about Selena Gomez's new mental health venture, introduces listeners to Blessed Eustochium of Padua, and answers listener questions about how to help someone after you've referred them to counseling, how to help a family member who doesn't want help, and how to support a partner who is experiencing religious OCD.

  • 106: When the Church Gets it Wrong on Suicide

    November 27th, 2021  |  Season 5  |  16 mins 29 secs
    anxiety, confession, pope francis, saint agnes of assisi, suicide, trauma, wounds of christ

    Tommy talks about Pope Francis' prayer intention for the month of November, introduces listeners to Saint Agnes of Assisi, and answers listener questions about how the experience of trauma might impact our ability to meditate on the wounds of Christ, how to know when we might need medication for anxiety, and how to respond when our parish hands out a pamphlet that gets it wrong on suicide.

  • 105: What's a Crisis Plan and How do I Make One?

    November 20th, 2021  |  Season 5  |  22 mins 25 secs
    marriage, saint margaret of scotland, suicide, therapy

    Tommy talks about how to create a personal plan for times of crisis, introduces listeners to Saint Margaret of Scotland, and answers listener questions about how to recognize if a therapist is bad or unethical, how to cope with not being on the same page in marriage, and how to support a friend who is contemplating suicide while still taking care of ourselves.

  • 104: Did Adam and Eve Have Anxiety?

    November 13th, 2021  |  Season 5  |  14 mins 38 secs
    covid, nightmares, ptsd, saint gertrude the great

    Tommy talks about the why God would allow us to suffer from mental illness, introduces listeners to Saint Gertrude the Great, and answers listener questions about how to cope with anxiety-caused nightmares, how to help a daughter experiencing symptoms related to PTSD, and how to engage in our faith when we feel like our local parish isn't doing enough to keep us safe.

  • 103: When The News Robs Our Mental Wellbeing

    November 6th, 2021  |  Season 5  |  16 mins 38 secs
    autism, blessed bartholomew of vicenza, consumerism, godparenting, news, social media

    Tommy talks about the how to use social media in a way that protects our mental health, introduces listeners to Blessed Bartholomew of Vicenza, and answers listener questions about how to maintain our mental health when the news is so negative, how we should deal with our consumer-driven society as Catholics, and how a Godparent can help a a child with autism grow closer to Christ.

  • 102: How Do I Stop Comparing Myself to Others?

    October 30th, 2021  |  Season 5  |  16 mins 59 secs
    comparison, marriage, saint alphonsus rodriguez, scrupulosity

    Tommy talks about how to stop comparing ourselves to those around us, introduces listeners to Saint Alphonsus Rodriguez, and answers listener questions about the difference between scrupulosity and genuine spiritual concern, how to help a family member understand that mental illness isn't about being weak, and how often a couple should have a big check-in conversation to make sure they're on the same page.

  • 101: When I Need To Walk Out of Mass

    October 23rd, 2021  |  Season 5  |  24 mins 29 secs
    blessed frédéric ozanam, mass, narcissistic personality disorder

    Tommy talks about the how to get our prayer life back on track in the context of mental health symptoms, introduces listeners to Blessed Frédéric Ozanam, and answers listener questions about how the Church can better love people when mental health struggles impact their faith, how to address the need to walk out of Mass due to anxiety, and how to cope with a roommate who may have Narcissistic Personality Disorder.

  • 100: Do I need a Catholic Therapist?

    October 16th, 2021  |  Season 5  |  20 mins 2 secs
    adhd, blessed claudio granzotto, impulsive behavior

    Tommy talks about the idea of wanting to see a Catholic therapist, introduces listeners to Blessed Claudio Granzotto, and answers listener questions about how to take care of our mental health with all the bad news around us, why those of us with ADHD seem to engage in impulsive behavior, and how to help those around us understand our mental health experience and needs.

  • 99: How Do We Know When a Therapist is Bad?

    October 9th, 2021  |  Season 5  |  16 mins 47 secs
    burnout, military deployment, saint giles, teachers, therapy

    Tommy talks about Apple's plan to use iPhones to screen for depression, introduces listeners to Saint Giles, and answers listener questions about how families can cope with military deployment, how teachers can avoid burnout, and how to recognize when a therapist might not be a good fit.

  • 98: When Church is a Trigger

    October 2nd, 2021  |  Season 5  |  19 mins 28 secs
    afghanistan, church trauma, saint rose of viterbo, trauma, veterans, vicarious trauma

    Tommy talks about a mental health app created by college students, introduces listeners to Saint Rose of Viterbo, and answers listener questions about how to grow close to the Church when the Church triggers feelings around past trauma, how veterans can process the news happening overseas, and how to recognize and cope with vicarious trauma brought on by our work.

  • 97: The Battle Against Perfectionism

    September 25th, 2021  |  Season 5  |  19 mins 10 secs
    intrusive thoughts, perfectionism, saint joseph calasanz, trauma

    Tommy talks about the 988 mental health crisis line getting funded in California, introduces listeners to Saint Joseph Calasanz, and answers listener questions about how help a friend who is overwhelmed by the need to be perfect, how to cope with intrusive thoughts around God and the afterlife, and how to find peace in a Church that's sadly the very place of our trauma.

  • 96: Honoring Your Father and Mother With Boundaries

    September 18th, 2021  |  Season 5  |  19 mins 37 secs
    anxiety, climate change, mental health days, parents, saint joan of the cross

    Tommy talks about the Illinois law allowing children to take mental health days from school, introduces listeners to Saint Joan of the Cross, and answers listener questions about how to help a friend in his journey with his wife's diagnosis, how to honor one's father and mother while setting boundaries at the same time, and how to recognize and cope with anxiety related to climate change.

  • 95: OCD and planning for the future

    September 11th, 2021  |  Season 5  |  18 mins 46 secs
    caregivers, infidelity, obsessive compulsive disorder, ocd, online counseling, saint cajetan

    Tommy talks about online counseling services, introduces listeners to Saint Cajetan, and answers listener questions about how to approach a conversation about the future considering symptoms of OCD, how to support a friend facing infidelity, and the importance of mental health and wellness for caregivers.

  • 94: When Confession Doesn't Feel Good

    September 4th, 2021  |  Season 5  |  20 mins 45 secs
    blessed stanley rother, confession, natural family planning, nfp, overeaters anonymous, spiritual direction, therapy

    Tommy talks about the differences between therapy and spiritual direction, introduces listeners to Blessed Stanley Rother, and answers listener questions about how the faith relates to Overeaters Anonymous, how to approach confession when it leaves us feeling like we did something wrong, and how to understand mental health and marital harmony in the context of the Church's teaching on Natural Family Planning.

  • 93: Do I Use My Mental Health As a Crutch?

    August 28th, 2021  |  Season 5  |  20 mins 21 secs
    abuse, involuntary psychiatric hospitalizations, saint sharbel makhlouf, transgenderism

    Tommy talks about involuntary psychiatric hospitalizations, introduces listeners to Saint Sharbel Makhlouf, and answers listener questions about how to respond to someone who says we use our mental health symptoms as a crutch, if we should pray for our abusers who have died, and how to interact with an adult child who identifies as transgender.

  • 92: When Medication Dosages Keep Going Up

    August 21st, 2021  |  Season 5  |  20 mins 53 secs
    binge eating, depression, examination of conscience, interfaith marriage, ocd, saint mary mackillop

    Tommy talks about the mental health considerations in interfaith marriages, introduces listeners to Saint Mary MacKillop, and answers listener questions about mental health medications increasing in dosage over time, how to approach an examination of conscience in the context of depression, and the connections between binge eating and OCD.