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Mental Health, Touring, Family Life, Creativity & Anxiety - Underoath
~216 min
Episode Brief·YouTube

Mental Health, Touring, Family Life, Creativity & Anxiety - Underoath

Chris Williamson
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TL;DR

The four things you'd lose by not watching

4 items

TL;DR

The four things you'd lose by not watching

4 items
1

Aaron Gillespie, Underoath’s drummer/vocalist, reveals a decades-long battle with crippling health anxiety that drove him to over 250 ER visits and led him to quit the band in 2010.

2

Touring is described as “chronic displacement” that fractures family bonds, fostering guilt and arrested development, yet the unique intimacy between bandmates creates a bond unlike any other.

3

The band’s uncompromising creative process—shutting out all outside influences—has been the source of their most honest work, but also the friction that has sustained their 25-year career.

4

Tim McTague’s philosophy of open-handedness: holding success loosely, refusing to let it define identity, and finding contentment in simple moments like fishing with friends.

Protocols

Concrete recipes — what, when, how much, and why

5 items

Zero outside influence during creation

WhatWhen making a new album, completely ban label reps, managers, reference tracks, and any external input from the studio. The only ingredients allowed are the band members and their inspiration.
WhenDuring the entire writing and recording process of an album.
DoseDuration of the album creation process—weeks or months in a cabin or studio isolation.
For whomBands or artists who want to produce work that feels true rather than commercially optimized.
WhyTo preserve the pure, uncompromised artistic signal and avoid the dilution that comes from trying to please an imagined audience or industry gatekeeper.
CaveatsCan create internal tension, as other band members may want more collaborative openness or commercial considerations. Tim enforces it so strictly that even their own manager is not allowed in the studio.

Tim has been the uncompromising guardian of this rule for the band’s entire career. He argues that if you let the song drive, it will find its own path. This approach was forged in direct defiance of the label pressure after ‘They’re Only Chasing Safety’ to write a commercial follow-up; instead, they made the heavier, weirder ‘Define the Great Line.’ The protocol extends to avoiding any listening to current scenes or competitor bands during the writing phase, so the work stays as pure ‘us and inspiration.’ Tim acknowledges this has been a source of conflict—Aaron initially found it frustrating—but believes it’s the only way to make art that will age well and feel honest.

Mechanism

Eliminates audience capture and the anticipatory anxiety of ‘will this work?’. The removal of external eyes reduces self-censorship and allows the band to chase curiosity and emotional honesty rather than viral formulas.

Personal experience

Tim describes going to a remote cabin for the latest album, explicitly not wanting to hear anything from iTunes or any other artist. He literally told the others he wanted no outside influence whatsoever. Aaron, despite his more collaborative day-job as a Nashville songwriter, now agrees that for Underoath this isolation is essential.

I was like I want to go to the cabin and I don’t even want anyone to be on iTunes. I don’t want to hear what Bear Tooth or Bad Omens or Rob Zombie or I don’t want to hear anything about anything. I don’t want any outside influence. I want it to be two ingredients, us and inspiration.

Also said
“Our manager is not allowed in the studio. Nobody's allowed in the studio to this day. He’s ever, you are not allowed in the studio because you are an outside influence. It’s just us.”— Confirms the absolute nature of this rule.

Hold everything with open hands

WhatConsciously frame every success as a bonus and every decline as a return to the original baseline. Regularly remind yourself that you never needed the success to begin with, so you are free from fear of losing it.
WhenAnytime you feel anxiety about metrics, competition, or the future of your career. Can be a daily mental check-in.
DoseOngoing mindset practice; no fixed dose.
For whomAnyone in a career where success is measurable and comparison is constant, especially artists and public figures.
WhyReduces comparative anxiety, fear of failure, and the chronic dissatisfaction of hedonic adaptation.
CaveatsMust not slide into apathy or lack of effort. Tim still works extremely hard; this is about attribution of meaning, not disengagement.

Tim returns to this theme repeatedly: he asks himself, ‘If the band broke up today, how would I feel?’ The answer he aims for is ‘I can’t believe we made it 23 years.’ He then contrasts that with the alternative—‘The best years are over, I’ll never do anything meaningful again’—and points out that both are true depending on the story you tell. He openly admits there have been times when Aaron’s open-handedness frustrated him because it looked like not caring. But over time, he’s come to see it as a superior way to live, especially after witnessing so many peers burn out or become bitter chasing the next level.

Mechanism

By decoupling self-worth from achievement, you break the cycle of ‘new baseline → anxiety → need for next hit.’ It shifts the internal dialogue from ‘I must keep this’ to ‘this is all extra,’ which lowers the stakes and increases gratitude.

Personal experience

Tim says he thinks about quitting the band four times a year, always on a plane during turbulence. It forces him to confront what truly matters—his kids, his family—and realize that playing a show is not worth dying for. This regular internal reset reinforces the open-handed stance. He also applies the thought to the Norva venue: is playing there again a sign of stagnation, or a miracle that 20 years later it’s still sold out? He chooses the latter every time.

There's two ways to look at it. We're playing the Norva again. We played the Norva in 2003, 2004, and now it's 2025. I’m still at the fucking Norva. Or holy shit the Norva sold out again 20 years later. And for me it’s always the second one.

Also said
“If all of this goes away and you're just a quote unquote regular person with a regular job, like are you okay with that or do you need this? What part of this is you?”— The core question he uses to stress-test his groundedness.

Don’t check streaming numbers or compare to other artists

WhatActively avoid looking at your own Spotify for Artists dashboard and the metrics of peer or competitor bands. Steer clear of the analytical comparison loop.
WhenAs a daily discipline, especially during album releases and tours when numbers are most tempting.
DosePermanent behavioural commitment.
For whomArtists, content creators, anyone whose work is publicly quantified.
WhyComparison is a thief of joy; seeing numbers in a vacuum fuels anxiety, envy, and a distorted sense of self-worth.
CaveatsSome awareness of commercial performance may be necessary for business decisions, but Aaron recommends delegating that to managers and keeping your own psyche out of it.

Aaron admits he used to get sucked into the game, especially when it was tangible with Soundscan and record sales. With streaming, the lack of physicality makes the numbers even more abstract and harmful. He’ll hear a big number and feel good, then open his phone and see another band’s quadrillion streams and feel worthless. He compares it to the book industry where Mark Manson can’t escape ‘The Subtle Art’ as the unreachable benchmark. Aaron’s strategy is to simply not look. Even looking at smaller artists to feel better is still comparison, and it still reinforces the wrong mindset.

Mechanism

Removes the constant feedback loop that reinforces hedonic adaptation. Without the number staring you in the face, the internal story shifts from ‘am I winning or losing?’ to ‘am I proud of the work?’. It breaks the dopamine-driven comparison cycle.

Personal experience

Aaron says he intentionally does not go on Instagram and does not look at other bands’ Spotify numbers. He’s caught himself almost reflexively wanting to check when friends’ bands blow up, but he now recognizes it as a moment to ask ‘why do I need to know?’ and redirects that energy elsewhere.

I intentionally don’t go on Instagram and I intentionally don’t look at other bands Spotify numbers. I don’t look at that because all it does is lead to comparison. Even if I’m looking at it and looking at smaller bands to make myself feel better, it’s still comparison.

Re-entry after tour: serve, don’t expect a parade

WhatWhen returning home from a long tour, deliberately lower expectations of being welcomed as a hero. Instead, immediately step into domestic service—do chores, be present, and give your partner and children space to readjust to your presence.
WhenEvery time you come back from a multi-week tour.
DoseThe first few days after return; continue until normalcy returns.
For whomAnyone in a touring musician, seasonal worker, or frequent-traveler lifestyle with a family at home.
WhyPartners and children have developed routines and coping mechanisms in your absence. Expecting them to instantly drop those and pour into you is unfair and creates resentment. Serving them re-grounds you and acknowledges the cost of your absence.
CaveatsCan be emotionally difficult because you will feel the craving for immediate intimacy. The protocol requires swallowing your own exhaustion and ego in the moment.

Both Aaron and Tim describe the surreal deceleration from being the center of screaming fans to being told to take out the trash. Aaron’s wife has explicitly told him she needs a couple of days just to get used to the sound of his footsteps in the house. He now sees that his impulse for instant emotional and physical connection is selfish, not loving. Tim adds that home can feel like the least valuable place because it’s the only place you have responsibility, and that the real work—the meaningful sacrifice—is serving your wife and kids, not playing a show.

Mechanism

Shifts the frame from what you deserve to how you can contribute, which naturally rebuilds trust and emotional connection. It also forces the musician to quickly recalibrate from the infantilized, catered-to tour environment to the mutual reciprocity of family life.

Personal experience

Aaron recalls coming home after tours, expecting his wife to be overjoyed and affectionate, only to be met with ‘I need time.’ He admits it hurt until he understood the logic. Tim shares that after being away for his wife’s birthday and feeling the guilt of having to choose between the band and his marriage, he’s learned that making it up to them through service is the only way to relieve the tension.

My wife has said this to me… ‘Aaron give me a couple days to like get used to having you here even to like hear your footsteps in the house.’ And it’s emotional for me because it’s my reality… I want her to just be like come here, let me fuck you and love you. And that’s not reality for anybody.

Also said
“You come home and almost feel like the domesticated home life is the least exciting, like that feels like work. Real work is when you were at home. And it’s meaningful work if you view it that way.”— Reframes domestic duty as the highest calling, a direct contrast to the praise they receive on stage.

Stop researching symptoms and let anxiety exist without fixing it

WhatWhen health anxiety spikes, resist the urge to Google symptoms, go to the ER, or seek immediate medical reassurance. Instead, acknowledge the anxiety as a pattern, let it sit, and redirect attention to grounding activities like fishing, nature, or simple presence.
WhenDuring episodes of panic or somatic anxiety attacks.
DoseSit with the feeling for a period, ideally until the acute wave passes (minutes to hours).
For whomPeople suffering from health anxiety or chronic somatic panic attacks.
WhyRepeated medical checks and online symptom searches feed the anxiety loop by temporarily relieving it but reinforcing the underlying fear. Breaking that cycle requires learning that the sensations won’t kill you.
CaveatsOnly applicable once serious medical conditions have been ruled out and the pattern is known to be anxiety-driven. Aaron still struggles with this and doesn’t position it as a solved problem.

Aaron’s entire story is a vivid illustration of this cycle. He describes the onset in 2004 with chest pains, numbness, jaw pain, nausea—classic panic attack symptoms—yet each time he went to the hospital convinced he was having a heart attack. The medical reassurance never lasted. Over two decades, he’s accumulated over 300 EKGs and countless ER bills. He now knows the pattern and still finds it terrifying, but mentions that simple activities like fishing with the guys or just not breaking anything for a day can be more effective than the hospital run. The meta-lesson he absorbed from the Dry Creek Dwayne episode is that sometimes the best day is one where you simply don’t break anything—no crisis, no drama.

Mechanism

This aligns with exposure and response prevention: by not engaging the compulsion (hospital visit, WebMD), the brain gradually learns that the feared outcome does not occur, and the parasympathetic nervous system can re-regulate.

Personal experience

Aaron shares that during a particularly bad tour, he was going to the hospital every three days. He remembers the opening band’s singer telling him ‘It’s all in your head,’ which infuriated him because the pain felt real. He says he deals with it every day even now, and it’s still scary, but acknowledging that it’s part of him—not a malfunction—has been more helpful than any pill or protocol. He notes that his first thought when his daughter vomited was ‘Oh fuck, I’ve passed the curse,’ showing how the anxiety shapes his perception of fatherhood.

I would go walk in crying and saying that I’m having a heart attack. And they would go, 'You’re 21 years old. You’re not having a heart attack.' … I probably had 300 EKGs in my lifetime.

Also said
“A day I don’t break something is a good day.”— The reduced-to-simplicity goal Aaron finds inspiring as an alternative to the crisis-solution loop.

What's new

Personal practice updates, fresh positions, predictions

5 items

The dark side of artistic precision is crippling health anxiety

Aaron Gillespie draws a direct line between the obsessive attention to detail that makes his music great and the devastating health anxiety that has plagued him since his early 20s.

Why this matters: He frames his anxiety not as a separate pathology to be cured, but as the necessary price of the very trait that makes him an exceptional musician—a framing he says no therapist ever offered.

Background

Aaron grew up in a family where health anxiety was the norm—his mother constantly discussed medical catastrophes, and he caught his father cheating and kicked him out at 18.

Aaron describes a lifelong pattern of converting internal pressure into physical symptoms: searing chest pain, numb hands, nausea. This began right as Underoath’s popularity exploded in 2004 and never fully left. He’s had over 300 EKGs and knows the medical jargon by heart. The core insight he surfaces is that the very wiring that lets him do a hundred takes of a vocal or obsess over a drum fill is the same wiring that hyper-scrutinizes every bodily sensation and spirals into panic. He now believes that the quest to ‘fix’ this anxiety misses the point—it’s part of the package of who he is, and trying to remove it would mean sacrificing the creative edge.

Personal experience

Aaron recounts specific nights on the Warped Tour when his chest felt like it was seizing and he played through it anyway. He quit Underoath in 2010 under the guise of religious calling, but now admits the real reason was that he couldn’t cope with his nervous system and anxiety anymore. He still deals with it daily and finds it scary to talk about publicly.

What scares me the most… nobody has ever said that. It’s always been 'you’ll get better if you do X, if you do Y.' No one’s ever just said it like that. And that, my friend, is the essence of what it is to pump your tires up as high as they’ll go.

Also said
“I have a severe anxiety issue and the fight-or-flight thing… I’ve probably been to the ER 250 times in the last 20 years with anxiety.”— Shows the sheer scale of the struggle that he’s linking to his creative drive.

Guilt from spending more time with bandmates than family

Aaron reveals a rarely spoken guilt: he has physically spent more hours with his band members than his wife and children, a fact that emotionally destabilizes him when examined.

Why this matters: It’s a counterintuitive guilt—he loves both his family and his work, but the sheer quantity of time devoted to the ‘fun’ of touring creates a cognitive dissonance that feels like betrayal.

Background

Touring culture glamorizes the road while rarely acknowledging the emotional bill that arrives at home.

Aaron explains that the guilt isn’t rational—he knows he’s providing for his family and that the time away is part of the career they’ve all benefitted from. Yet the sheer contrast between the dopamine highs of a sold-out show and the mundane domesticity of home creates a dissonance. He describes moments of looking at his bandmates and realizing that, measured in hours, his deepest adult intimacy has been with them. This hits hardest when he returns from tour and expects immediate connection, but his wife needs days to adjust to his presence again—a dynamic he finds painful but now understands is normal.

Personal experience

Aaron shares that when he comes home after a six-week tour, he craves instant deep intimacy and affirmation. His wife has told him bluntly, ‘Give me a couple days to get used to having you here.’ He says hearing that is emotional and hurts, but he knows it’s reality. He also reflects on his 15-year-old daughter and the fact that, in aggregate, he’s been physically present for perhaps seven of those years.

I think about this so much is the people I love the most in the world like my wife and children. I have spent more time with him than them. Do you know what I mean? And I don’t know why… if I get introspective about it, it fucks me up.

Also said
“I think if we were oil riggers and we had to leave for seven or eight months and we were in like the middle of the ocean like eating shit it’d be different cuz there's a sense of nobility and sacrifice.”— Highlights the emotional catch-22: the job is too enjoyable to feel like a legitimate excuse for absence.

First Album Syndrome: audiences trust earnestness over strategy

The band argues that their debut hit 'They’re Only Chasing Safety' resonated because it was written with zero calculation—pure, earnest, unselfconscious expression—and that this is almost impossible to recreate later in a career.

Why this matters: It challenges the industry trend of analyzing what works and replicating it, and explains why so many artists’ first albums remain their most beloved.

Background

Music is now highly analytical with streaming metrics, and artists often try to engineer hits by reverse-engineering past successes.

Tim and Aaron both wrestle with the legacy of their early work. They describe how, after the success of 'Chasing Safety,' they would sometimes convince themselves that if they wrote a certain type of song in a certain key with a certain vocal arrangement, they could recapture that lightning. But they’ve learned that the real magic came from the total absence of career thinking—they were just making noise in a storage unit. They contrast that with the modern waterfall-release strategy and the temptation to cater to what the audience wants. Aaron admits that when he hears the crowd explode for a 20-year-old song, he has a choice: feel grateful or feel like they peaked at 19. He strives for gratitude.

Personal experience

Tim tells the story of how label execs told them to make another 'Chasing Safety' to become the next Fallout Boy; instead, they wrote the heavy, experimental 'Define the Great Line.' That refusal set a pattern of creative stubbornness that he now sees as essential to their identity.

When we wrote They’re Only Chasing Safety, there wasn’t never a moment. I promise I can say this with glee in my heart. We never thought a bunch of people will sing this in 20 years time.

Many ‘bands’ are actually solo projects hiding behind a group image

Aaron observes that a surprising number of high-profile acts marketed as democratic bands are in fact solo projects where one person holds all creative and business control, often as a reaction to the pain of previous band breakups.

Why this matters: It pulls back the curtain on a rarely discussed industry reality, framing it as an emotional survival mechanism, not just a business decision.

Background

The music industry increasingly presents acts as ‘bands’ even when the reality is that one figure drives everything, while session players or hired guns fill out the lineup.

Aaron explains that after 25 years of the intense, marriage-like dynamics of Underoath, he completely understands why some musicians refuse to do it again. He shares that when he did a side project, he brought all his anxiety and control issues with him, and it was even worse. The appeal of a solo project is the removal of veto power and democratic friction, but he argues that the friction itself is what forged their best work. The irony is that many solo-project leaders left real bands precisely because they couldn’t handle the interpersonal labour, yet they often end up recreating the same misery inside a structure they have full control over—just without the brotherhood to pull them through.

Personal experience

Aaron’s own side project made him realize that running the show alone didn’t fix his internal chaos; it amplified it. He contrasts that with Underoath’s messy democracy, which he now views as a crucible that forces growth.

I can’t count them on my fingers and toes. If I told you all of them that are that way you’d be very surprised.

Also said
“I would never start another band. I would literally start my thing. But you take all of that… I took all that with me to this side project and it was worse.”— Shows that the solo-project structure often comes from someone carrying unresolved baggage from a previous band experience.

Contentment trumps achievement—the beauty of enough

Tim McTague articulates a life philosophy of holding everything with open hands, finding peace not in scaling up but in remembering why they started: simply to play music.

Why this matters: It’s a direct counter-programming to the relentless growth mindset that dominates both the music business and modern life.

Background

The entertainment industry is built on metrics—plays, followers, ticket sales—that encourage constant comparison and escalation.

Tim’s stance is not about lack of ambition; he works as hard as anyone. But he’s trained himself to see every achievement as a bonus, not an entitlement. He describes a thought experiment: if Underoath ended tomorrow, he could look back with nothing but gratitude for a 23-year run that far exceeded his teenage dream. He contrasts this with the author Mark Manson’s regret that 'The Subtle Art of Not Giving a F*ck' set an unreachable bar for all future books. The key, Tim argues, is remembering why you started and holding that core motivation above the numbers. He takes no issue with bands like Bad Omens or Spiritbox outgrowing them—he’s genuinely proud of them—because he knows comparison is a drain and doesn’t make his own work better.

Personal experience

Tim shares that his first show was opening in a 40-person crowd, and the dream was just to play last when people were actually there. Selling out that same venue was the peak goal. He still uses that memory to recalibrate whenever the band’s ego starts chasing the next thing.

How can you not just be grateful? Like there is no other option. All I ever wanted to do was sell out the State Theater in St. Pete, which holds like 500 people. We did that. Everything else is just unfolding.

Also said
“There are bands that are 10 times bigger than us that suck. And there are bands that are 10 times better than us that will never leave their small town. That’s just how the universe works.”— Shows the humility and acceptance behind his contentment.

Recommendations

Products, supplements, and tools mentioned in the episode

1 item

"How I'm Feeling Now" – Lewis Capaldi Netflix documentary

Tool

Aaron and the host discuss the immense pressure on Lewis Capaldi after his first album, his nervous twitch (Tourette’s brought on by anxiety), and the raw footage of him unable to perform at Glastonbury. Aaron believes every musician should watch it.

The documentary captures the impossible bind of following a world-altering debut. Aaron recounts specific scenes: Capaldi developing a nervous tick, collapsing on stage while his dad rushes from the crowd to hold him, and the line 'Fame doesn’t change you, it changes everyone around you.' For Aaron, this film validates his own struggles and serves as a warning about the cost of fame. He brings it up as a mirror to his own anxiety and says it’s 'canon' for anyone pursuing a music career. It taught him that some people have the talent to be unimaginably famous but a disposition that can’t handle it, and that there is no triumphant third-act formula—sometimes the body just says no.

vs alternatives

Contrasts with typical behind-the-scenes music documentaries that mythologize the creative process and gloss over mental health. This one is unflinching and, as Aaron says, 'there is no victorious hero moment.'

Personal experience

Aaron says he watched it and felt it was one of the most formative pieces of media he’s ever consumed, reflecting his own years of anxiety. He draws direct parallels between Capaldi’s inability to sing at Glastonbury and his own moments of panic on tour.

It is like I know he's had struggles. It is fucking canon if you're a musician to watch this thing.

Also said
“People think that fame changes you. Fame doesn’t change you. Just changes everybody around you.”— Aaron quotes this as a moment that stopped him cold; it encapsulates the isolation fame creates.
Find "How

Notable quotes

Lines worth pulling out — contrarian, specific, or perfectly phrased

6 items
I think about this so much is the people I love the most in the world like my wife and children. I have spent more time with him than them. Do you know what I mean? And I don’t know why… if I get introspective about it, it fucks me up.
A stark, unvarnished admission of a guilt that almost never surfaces in rockstar interviews.
What scares me the most… nobody has ever said that. It’s always been 'you’ll get better if you do X, if you do Y.' No one’s ever just said it like that. And that, my friend, is the essence of what it is to pump your tires up as high as they’ll go.
Frames mental health struggle not as dysfunction but as the trade-off for creative excellence. He says this after the host suggests his anxiety is the price of his precision.
There are bands that are 10 times bigger than us that suck. And there are bands that are 10 times better than us that will never leave their small town. That’s just how the universe works.
A succinct and brutal acceptance of the role of luck and circumstance in artistic success, offering a perspective free of resentment or grandiosity.
We never thought a bunch of people will sing this in 20 years time. I never ever for any reason had that thought. I love the word earnest. It's one of my favorite ones. The bravery to take your emotions seriously.
Captures the accidental, innocent birth of a generational anthem and defines earnestness as a kind of courage.
It’s all the same data set. You can be grateful and be like 'Holy crap, we wrote this song in my mom’s living room and now 2000 people are screaming every word.' Or you can be like 'We peaked when we were 19. Everything we’ve done since then has been dog shit.' Which one is it? Both are true.
Brilliantly distills the daily internal battle every creator faces when their early work becomes a cultural touchstone.
When I left there was a large decline in their career and I know that was directly correlated to me leaving and I left because I couldn’t in layman's terms get my shit together.
Aaron takes raw, unfiltered ownership of a decision that derailed the band, without self-pity or deflection.

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Topics covered

touring-mental-healthhealth-anxietyfamily-guilt-touringarrested-developmentauthenticity-in-artfirst-album-syndromecomparison-culturestreaming-metricssolo-projects-vs-bandscreative-processcontentment-over-chasingopen-handednessre-entry-after-touraging-as-a-manmale-friendshippunk-comedy-scenenashville-songwritinglewis-capaldifame-psychologyhedonic-adaptation
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