LiftAffect has been working with professional pilots, airlines, flight departments, pilot unions, and pilot assistance programs throughout the world since 2007. Established by commercial airline pilot, mental health professional, and mental skills coach Matt McNeil, LiftAffect specializes in helping professional pilots with depression, anxiety, acute/chronic stress, complex trauma, mental performance issues, as well as alcohol and drug dependency/abuse concerns. LiftAffect is the industry leader in assisting professional pilots with mental health and mental performance-related concerns. We understand the challenges of operating in your environment, because we have operated there ourselves. LiftAffect is committed to providing the most accessible, comprehensive, protective, and effective services available to professional pilots, allowing them the ability to receive the help they rightfully deserve while preserving their ability to fly. At LiftAffect, we are Solution Focused and Results Driven.
The LiftAffect Podcast: Mental Health and Mental Skills Coaching for High-achieving, Overworked, & Overstressed Professionals
Mental Health and Mental Skills Coaching for the Underground (and often Invisible) High-Achieving, Overworked & Overstressed Professionals Working in High-Risk and High-Liability Professions.
Episodes

Friday Dec 06, 2024
Friday Dec 06, 2024
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In this episode , Matt explores the challenging phenomenon of overthinking in high-risk, high-liability industries. Through real-world examples from airline pilots and surgeons, he breaks down how overthinking can impact even the most experienced professionals. Drawing from his background in both aviation and psychotherapy, and mental performance coaching, Matt shares three powerful, scientifically-backed techniques: the 54321 situational awareness reset, the future debrief perspective shift, and the professional anchor reset. Each method is illustrated with case studies and practical applications, making this episode essential listening for any professional looking to maintain peak performance under pressure. Whether you're in the cockpit, operating room, or any high-stakes environment, these actionable strategies offer a clear path to breaking free from overthinking while maintaining crucial analytical skills. Enjoy!
For more information, please visit the following websites:
- LiftAffect Website
- The V1 Project Website

Friday Nov 29, 2024
Friday Nov 29, 2024
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In this episode recorded while walking his dog on a snowy Colorado morning, Matt explores a different approach to gratitude, especially relevant during the post-Thanksgiving season. Rather than forcing traditional gratitude practices, he guides listeners through a gentle exercise focused on neutral observation and present-moment awareness. Perfect for those who find the holidays challenging or feel disconnected from conventional gratitude practices, this episode offers a compassionate alternative to the sometimes overwhelming pressure to "feel grateful." Through simple breathing exercises and mindful observations, Matt demonstrates how we can stay connected to our lives without forcing positive emotions, acknowledging that it's okay to struggle with gratitude during difficult times. Enjoy!
For more information, please visit the following websites:
- LiftAffect Website
- The V1 Project Website

Friday Nov 22, 2024
Friday Nov 22, 2024
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In this episode, Matt and Karl discuss the emotional challenges faced by high-stakes professionals, particularly in aviation and healthcare. They explore the impact of loss, the importance of connection and support, and provide tactical and strategic approaches to managing emotional weight. The conversation emphasizes the need for self-compassion, realistic expectations, and the significance of professional boundaries and support networks. The hosts encourage listeners to seek help and acknowledge that dealing with loss is a part of their profession, ultimately fostering resilience and growth. Enjoy!
For more information, please visit the following websites:
- LiftAffect Website
- The V1 Project Website

Friday Nov 15, 2024
Friday Nov 15, 2024
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In this episode, Matt flies solo and addresses the emotional turmoil many are experiencing in the wake of a presidential election. He emphasizes the importance of mental wellbeing and offers practical strategies to cope with anxiety and maintain connections across political divides. The discussion highlights the need for empathy, understanding, and community engagement as essential tools for navigating these challenging times. Enjoy!
For more information, please visit the following websites:
- LiftAffect Website
- The V1 Project Website

Friday Nov 08, 2024
Friday Nov 08, 2024
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In this episode, Matt and Karl celebrate the start of their third year while diving deep into the complexities of narcissism and its impact on relationships. They explore the characteristics of narcissistic behavior, the different types of narcissists, and the painful relationship cycles that often ensue. The conversation emphasizes the importance of recognizing narcissistic patterns and offers practical strategies for dealing with narcissists, including boundary setting and the use of empathy. Ultimately, the episode serves as a guide for listeners to protect their own wellbeing while navigating relationships with narcissistic individuals. Enjoy!
For more information, please visit the following websites:
- LiftAffect Website
- The V1 Project Website

Friday Nov 01, 2024
Friday Nov 01, 2024
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In this episode, Matt explores the complex topic of narcissism, drawing from his clinical experience to distinguish between healthy and pathological manifestations. With thoughtful input from Karl, he breaks down the key features of narcissistic behavior, from grandiose self-importance to the need for constant admiration. The discussion moves beyond common stereotypes, examining how narcissism develops from early childhood experiences and trauma.
The conversation delves into why this personality pattern particularly affects high-liability professions, sharing insights from years of treating individuals with narcissistic traits. While pathological narcissism presents serious challenges, the discussion emphasizes that there is hope for improvement with proper treatment. This episode sets the stage for a future discussion about treatment options and how to maintain relationships with narcissistic individuals.
This sensitive topic is approached with care and clarity, offering valuable insights for anyone seeking to better understand narcissism's impact on both personal and professional life. Stay tuned for the next episode, which will focus on practical strategies for managing relationships with narcissistic individuals. Enjoy!
For more information, please visit the following websites:
- LiftAffect Website
- The V1 Project Website

Friday Oct 25, 2024
Friday Oct 25, 2024
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In this episode, Matt breaks down the complex topic of personality disorders, sharing his expertise as both a clinician and aviation mental health specialist. He explains how these disorders affect behavior patterns, relationships, and professional life, with special attention to their impact on pilots and other high-liability professionals. Drawing from his clinical experience, Matt walks through the different types of personality disorders and discusses why they're typically disqualifying for pilots, touching on important concerns about safety, judgment, and crew interaction. He outlines various treatment approaches while emphasizing that these conditions can be managed with proper care and support. This episode offers valuable insights for anyone interested in understanding personality disorders, particularly those working in high-stakes professions. Stay tuned for a future dedicated episode on narcissism, one of the most frequently discussed personality disorders in aviation. Enjoy!
For more information, please visit the following websites:
- LiftAffect Website
- The V1 Project Website

Friday Oct 18, 2024
Friday Oct 18, 2024
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This episode explores psychosis and related disorders, with a focus on their relevance to pilots and high-liability professionals. It defines psychosis and its key symptoms, covering various types of psychotic disorders according to the DSM-5. The discussion examines how these conditions affect brain function and daily life, impacting work performance and relationships. Treatment options, including medications, psychosocial interventions, and holistic approaches, are outlined. The episode addresses the implications of psychotic disorders for careers in high-liability fields, noting that these conditions are typically disqualifying due to safety concerns. It emphasizes the importance of early intervention, comprehensive treatment, and reducing stigma. While acknowledging the challenges, the episode highlights the possibility of recovery and leading fulfilling lives with proper support and treatment. Enjoy!
For more information, please visit the following websites:
- LiftAffect Website
- The V1 Project Website

Friday Oct 11, 2024
Friday Oct 11, 2024
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In this episode, Matt explores Obsessive Compulsive Disorder (OCD), focusing on its relevance to pilots and other high-liability professionals. He defines OCD, explaining the difference between obsessions and compulsions, and outlines various types of OCD-related disorders according to the DSM-5-TR. Matt discusses how OCD affects the brain and daily functioning, impacting work performance, relationships, and overall quality of life. He highlights the limitations of categorical diagnoses and emphasizes the benefits of a dimensional approach in understanding OCD. Matt covers evidence-based treatment options, including psychotherapies like CBT and ERP, medication choices, and complementary approaches. He stresses the importance of early intervention and individualized treatment plans. Throughout the episode, Matt debunks common misconceptions about OCD and emphasizes the possibility of managing symptoms with proper treatment. This episode provides valuable insights for pilots and high-liability professionals seeking to understand OCD and its impact on their careers and personal lives. Enjoy!
For more information, please visit the following websites:
- LiftAffect Website
- The V1 Project Website

Friday Oct 04, 2024
Friday Oct 04, 2024
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In this milestone 100th episode, Matt explores trauma treatment options, focusing on their relevance to pilots and high-liability professionals. He outlines evidence-based psychotherapies such as Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), and Cognitive Processing Therapy (CPT), explaining their applications in addressing trauma-related issues specific to high-stress careers. Matt discusses the role of medication in trauma treatment, emphasizing the importance of combining pharmacological approaches with psychotherapy when necessary. He highlights holistic and complementary approaches, including mindfulness, meditation, and body-based therapies, explaining their potential benefits for professionals dealing with trauma. Matt stresses the importance of individualized treatment plans and debunks the "tough it out" mentality often prevalent in high-stress professions. This episode provides valuable insights for pilots and high-liability professionals seeking to understand and address trauma-related challenges in their careers, offering hope for recovery and encouraging listeners to seek professional help when needed. To celebrate the 100th episode, Karl announces a special contest for listeners to share their favorite past episodes. Enjoy!
For more information, please visit the following websites:
- LiftAffect Website
- The V1 Project Website
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