Transcript
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A listener production. This is Crappy to Happy and I'm
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your host, Cas Doun. I'm a clinical and coaching psychologist,
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a mindfulness meditation teacher, and author of the Crappy to
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Happy books. In this show, I bring you conversations with interesting,
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inspiring and intelligent people who are experts in their field
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and who have something of value to share that will
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help you feel less crappy and more happy. Today, I'm
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talking with Sarah Woodhouse, who is a research psychologist originally
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from the UK but now living right here in Australia.
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Sarah specializes in trauma and she's passionate about helping people
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to better understand what trauma is and it might not
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be what you think it is, and encouraging us to
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be less afraid of looking at and acknowledging all of
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the things in our lives that might have caused a
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trauma response in us. She teaches us how to recognize
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when we get stuck in trauma loops so that we
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can break free from those old, unhelpful patterns that we
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often fall into and look, pretty much every one of
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us has had experiences during our lifetime that have created
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emotional injuries. And I know that what Sarah has to
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share will help you to better understand yourself or someone
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else close to you, and that can only be a
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good thing. Here is my chat with Sarah. Sarah, thank
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you so much for joining me today on the Crappy
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to Happy podcast. So lovely to have you here.
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I'm super happy to be with you. Thank you so
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much for inviting me on, Sarah.
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I was really intrigued when I saw your book come out,
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and we will talk more about that. It's called You're
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Not Broken, and this is a book that is about trauma.
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And I think that what's happening at the moment is
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we're having a lot more conversations around trauma, which is
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really exciting to me and really broadening our definition and
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our understanding of what trauma is. Which is why I'm
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so thrilled to see your book and your contribution to
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that conversation. So can we start with what is trauma?
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Yeah? Absolutely, it's the great It is the right place
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to start, isn't it. The definition I find most people
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sort of resonate with and can confine their way with
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is that trauma is a reaction to any experience, and
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that's really important. It's any experience that makes us feel overwhelmed, threatened,
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and out of control. And it's an important definition because
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of that any experience. So of course, you know, when
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we say trauma, we think of those big severe events,
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don't we year, bushfires, floods, assaults, whatever it might be.
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But it also draws attention to the fact that there
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are all of these other, more commonplace, everyday experiences that
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we've learned now can also lead to us feeling overwhelmed, threatened,
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and out of control. So it draws attention to particularly
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that's things in relationships, in the parental relationship in particular,
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but everyday experiences, you know, slips and falls, routine medical procedures,
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and really anything in childhood. You know. That's what we've learned,
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is that it's very easy for a child to feel overwhelmed, threatened,
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and out of control. So it's easy for them to
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kind of that fight flight freeze response to switch on.
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Yeah, and I think that's the key, isn't it. For
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so long you and I both trained in psychology, and
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for so long, trauma was considered to be those major
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kind of single events or the really the huge catastrophic events,
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and which means that so many people write themselves out
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of that definition. That will nothing like that ever happened
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to me. Therefore, I can't say that I've experienced trauma.
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But when you broaden that definition, like you said, to
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anything that might make you feel was overwhelmed, powerless, threat
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and out of threat, threatened and out of control or
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out of control. Yeah, then suddenly a whole lot of
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people can see themselves in that definition. We still do
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talk about sometimes and I hear out their reference to
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big T and little T trauma or big T and
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other T trauma. Are you able to help us understand
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what their distinction is for anybody listening.
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Yeah, Big T traumas are the types of trauma that
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we've always traditionally considered when we say the word trauma,
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you know, they're the big severe experiences. And of course
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trauma is traumatic experiences at least do happen on a spectrum,
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don't they We would all agree that some events are
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more severe than others. You know, of course that is
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just true. We understand that, you know that that's the
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nature of it. So when we say big T trauma,
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we're talking about those kind of events that have traditionally
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pretty much always been acknowledged as leading to a traumatic reaction,
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and that list grew. It used to really primarily only
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be you know, we we recognized war, we recognized a
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soult rape, you know that those things, and slowly the
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list has got bigger. And that's the list we're referring to.
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And then little TA traumas or in the book, as
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you said, I call them, other TA traumas are everything else.
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Because you know, I think you said you don't tend
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to work clinically anymore. But if you speak to any
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clinical psychologist, any therapist, any counselor they have known for
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a very very long time that there's the big TA
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trauma list and there's all of this stuff over here
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that can also lead to a traumatic reaction. So really
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the reason I don't use little T is because I
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think it's quite stigmatizing. It makes us think that these
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things are somehow important and these things aren't. It's quite dismissive.
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Almost it was a little experience, which absolutely isn't true.
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It's not the case at all. As you would know,
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if you've ever worked with anyone that's experienced, say, relational trauma,
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you know it has a huge and profound impact and
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is now recognized through the ICD ten, which is you know,
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most recently put in CPTSD complex post traumatic stress disorder
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in recognition of how damaging relational trauma can be, not
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typically on the Big T traumal list, but most definitely
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a trauma. So I don't use the little trauma s SOD,
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I say, other T traumas, because I think it draws
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attention to the fact that really it's anything else, and
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the list is growing, and it's not even a list.
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Anything any experience that can lead to that reaction is
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over here, and that's really one of the main messages
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in the book.
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And you actually in the book, I noticed that you
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refer to I think seventy to ninety percent of people
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have experienced some kind of trauma, So it's basically all
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of us.
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It's basically all of us. Although interestingly that stat is
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based on this is a tricky thing in research. That
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statistic is of course based on the Big T trauma,
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So that's just based on the ones that we have
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always traditionally understood. So when you begin looking over here,
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I think it's very very very safe and very obvious
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to say that all of us have in one way
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or another experience to traumatic reaction, and that doesn't mean
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that everyone is still stuck in it. That's absolutely not
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what I'm saying. The traumatic reaction resolves at a different
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time and a different speed in all of us. For
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some of us, we might have experienced the traumatic reaction
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and it have lasted a couple of weeks, you know,
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six weeks, four weeks, whatever it might have been, whereas others,
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of course we're recognizing, are still stuck within that reaction
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ten twenty thirty years later.
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You talk a lot about traumatic reactions, and I think
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this is key too. So it's not necessarily the experience,
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it's your response to the experience. So the same event, therefore,
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can bring about a different response in different people. I
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think that's really critical too, isn't it. Yeah, individual events
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or series of events will affect different people in different ways.
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So can you tell me when you refer to traumatic reactions,
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what sort of things are you talking about?
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Well, there's the initial reaction, but when we scan forward
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the traumatic reaction. The way I tell people to look
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at it is there's a reaction in the mind, in
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the body, and in the behavior and in our behaviors.
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So you're going to see the reaction popping up in
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all three, and they're all linked. They kind of happen
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in a cycle. But if you take the kind of
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the physical and emotional reaction, which is where it starts,
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right because I use the words overwhelmed, threatened, and out
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of control, but really what's happening underneath is that our
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fight flight freeze survival response has been triggered. So it's
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a very physical reaction and of course emotional along with that.
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But the physical and the emotional are essentially the same
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thing or essential that fight flight freeze reaction and the
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things we'd be looking for there. So physically it's you know,
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it can be anything sort of often feeling shame, often
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feeling kind of stuck in a feeling that might be shame,
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that might be anger. It's anxiety like symptoms for an
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awful lot of people. And I say anxiety likes. It's
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not specifically anxiety, but it's anxiety likes symptoms. And we
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all know, you know, you know, of course we've all
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experienced anxiety. We all know what that feels like. So
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if you're experiencing them daily, weekly, whatever it may be,
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then I would be saying, okay, perhaps there's something going
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on within your nervous system and that you are potentially
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dysregulated and almost stuck within that fight flight freeze response,
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and that's why you're kind of permanently anxious. Essentially, there's
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so a strong startle response is a really big one
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you often see that I can relate to that absolutely.
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Then there's all the cognitive stuff as well, So I
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think often this is missed but because it doesn't make
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too much sense to people. But low self belief and
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low self esteem are a big, big, big red flag,
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and there are lots of kind of complicated reasons that
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develops over time. But if people are kind of like, well,
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how do I know if I've got trauma, I'd say, well,
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that's a big one to look out for. If you
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do have and have often struggled with self belief and
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self esteem, confidence, all those things, they're often a sign
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of trauma, particularly if they're coupled with the other reactions,
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a really big one that you see in really, I
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would say the majority of people. So if you imagine,
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when the fight flight freeze response goes off, your body
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is flooded with hormones, and that's what's making those anxiety
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like symptoms and the uncomfortable feelings and the feelings of
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fear and anything else you might be feeling. It's all
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hormone driven. It's all to do with those arousal hormones
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or the shut down hormones. If it's freeze, it's not
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just your body that's flooded, it's your mind as well.
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So if you are continually or often experiencing very racing thoughts,
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you know, obsessive worries, obsessive fears, you know, when your
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mind just spins and spins and spins, that's off very
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often a sign that your survival mechanism has been triggered.
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You're not feeling safe, something in your environment has made
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you feel threatened or reminded you of a past threat,
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and all these hormones have kind of flooded your body.
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So it's important to understand that it's not just those
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anxiety like symptoms in the body. We're going to experience
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them cognitively as well. And then there are the behaviors.
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Most people that have experienced trauma have some kind of
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avoidant behavior because we respond to to whichever symptom is
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we're feeling, we push it away. That's the nature of trauma.
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We push the feeling away because it's overwhelming and it's
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a bit scary, and we most certainly don't want trauma,
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so we push it away instead of doing what we
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need to do really, which is looking in the eyes
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and taking some time to see it, you know, and
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sitting with our body and our mind and really seeing
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what's happening. So on the small end of the scale,
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it might be something like compulsive distraction, you know, constantly
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checking your phone because you're feeling these anxiety like symptoms
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or what's going on in your mind, whatever it might be,
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and you don't like it. You want to move away
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from it, so you grab your phone, compulsive TV watching,
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compulsive spending. And then of course at the top end
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of that's kind of avoidance scale, you've got full on
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addictions and alcoholism and things like that. They're the symptoms
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that I tend to talk about because really, here what
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I'm trying to do is help people who don't necessarily
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have PTSD, but who have the lower level symptoms. But
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of course then if we look at the PTSD symptoms,
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you're going to also potentially be experiencing severe flashbacks and
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symptoms like that.
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Interesting that you talk about the avoidance and the wanting
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to push it away. I think you can't talk about
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trauma without also talking about shame, and nobody wants to
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talk about shame. You do refer to that link in
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your book as well. Can you talk a little bit
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about that. I think that shame is this like Brene
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Brown obviously has done all of the work around shame
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and vulnerability, and she says it's a universal experience, but
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it's still one that nobody wants to really acknowledge or
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look at. Are you able to talk a little bit
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more about that about the trauma shame kind of link.
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Yeah, very happily. It's so important because there is a
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huge link you know before shame most often sits a
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traumatic experience. That that link has been proven. It's in
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every single model of trauma, or the vast majority of
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them shame. Shame is there because we know that it's
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ubiquitous if you've experienced trauma. One of the mechanisms that